| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,650 |
14,765 |
$7.83M |
| 99283 |
|
36,840 |
35,617 |
$5.63M |
| 41899 |
|
233 |
230 |
$1.37M |
| 99282 |
|
3,093 |
3,025 |
$474K |
| 42820 |
|
55 |
54 |
$240K |
| 93005 |
|
3,157 |
2,841 |
$196K |
| 87502 |
|
3,117 |
3,034 |
$166K |
| 87426 |
|
5,114 |
4,961 |
$126K |
| 71045 |
|
7,071 |
6,737 |
$119K |
| 43239 |
|
95 |
88 |
$110K |
| G0330 |
Facility svs dental rehab |
42 |
42 |
$108K |
| 87635 |
|
4,114 |
4,001 |
$102K |
| 99213 |
|
541 |
364 |
$91K |
| J7030 |
Normal saline solution infus |
2,487 |
2,204 |
$85K |
| 87804 |
|
4,114 |
3,722 |
$81K |
| 80048 |
|
7,094 |
6,238 |
$79K |
| 99285 |
|
977 |
891 |
$63K |
| 85027 |
|
15,428 |
13,856 |
$60K |
| 96374 |
|
3,707 |
3,440 |
$44K |
| 99281 |
|
342 |
329 |
$44K |
| 70450 |
|
992 |
920 |
$42K |
| 81001 |
|
12,618 |
11,929 |
$39K |
| 87651 |
|
1,907 |
1,836 |
$37K |
| 80053 |
|
2,650 |
2,380 |
$36K |
| 71046 |
|
825 |
800 |
$24K |
| 74177 |
|
245 |
230 |
$20K |
| 94640 |
|
128 |
120 |
$19K |
| 84703 |
|
2,627 |
2,466 |
$19K |
| 93976 |
|
182 |
153 |
$15K |
| 99214 |
|
45 |
33 |
$15K |
| 80047 |
|
423 |
385 |
$15K |
| 87086 |
|
2,082 |
1,998 |
$13K |
| 88305 |
|
68 |
64 |
$13K |
| 87430 |
|
1,233 |
1,208 |
$13K |
| 80076 |
|
2,046 |
1,925 |
$13K |
| 76801 |
|
138 |
116 |
$11K |
| 72125 |
|
218 |
199 |
$11K |
| 36415 |
|
3,195 |
2,855 |
$9K |
| 80307 |
|
251 |
232 |
$8K |
| 84484 |
|
1,915 |
1,530 |
$8K |
| 87634 |
|
188 |
179 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
215 |
211 |
$7K |
| 87420 |
|
740 |
726 |
$7K |
| 88304 |
|
85 |
84 |
$6K |
| 83690 |
|
1,585 |
1,472 |
$5K |
| 84702 |
|
461 |
394 |
$4K |
| 74176 |
|
79 |
77 |
$3K |
| 83880 |
|
439 |
404 |
$2K |
| G0480 |
Drug test def 1-7 classes |
59 |
53 |
$2K |
| 87081 |
|
420 |
410 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
248 |
205 |
$2K |
| 76817 |
|
26 |
24 |
$2K |
| 82248 |
|
969 |
891 |
$1K |
| 74018 |
|
65 |
64 |
$1K |
| 86850 |
|
125 |
117 |
$1K |
| 76705 |
|
15 |
15 |
$1K |
| 85610 |
|
1,040 |
951 |
$863.61 |
| J2405 |
Ondansetron hcl injection |
1,179 |
1,000 |
$851.09 |
| J2270 |
Morphine sulfate injection |
336 |
240 |
$777.32 |
| 76818 |
|
12 |
12 |
$604.15 |
| 96375 |
|
579 |
517 |
$589.53 |
| 86901 |
|
656 |
592 |
$585.13 |
| 86900 |
|
656 |
591 |
$585.03 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$515.47 |
| 96372 |
|
564 |
501 |
$502.49 |
| J7620 |
Albuterol ipratrop non-comp |
18 |
18 |
$483.93 |
| 85730 |
|
483 |
439 |
$474.55 |
| 77067 |
|
24 |
24 |
$449.46 |
| 77063 |
|
24 |
24 |
$382.68 |
| 82731 |
|
18 |
14 |
$381.40 |
| J1885 |
Ketorolac tromethamine inj |
72 |
66 |
$349.34 |
| 83735 |
|
144 |
117 |
$232.08 |
| 80321 |
|
14 |
13 |
$116.39 |
| 87040 |
|
43 |
36 |
$80.26 |
| 83605 |
|
54 |
51 |
$58.32 |
| 86140 |
|
13 |
13 |
$34.89 |
| 81003 |
|
43 |
43 |
$19.09 |
| 87186 |
|
16 |
12 |
$14.54 |
| J1100 |
Dexamethasone sodium phos |
51 |
38 |
$13.78 |
| J2704 |
Inj, propofol, 10 mg |
28 |
27 |
$6.50 |
| A9270 |
Non-covered item or service |
2,282 |
1,010 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
13 |
13 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
34 |
31 |
$0.00 |
| 72170 |
|
14 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
339 |
316 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19 |
19 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
17 |
17 |
$0.00 |