| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,415 |
8,095 |
$1.38M |
| 99284 |
|
6,066 |
5,830 |
$1.24M |
| 99285 |
|
1,492 |
1,432 |
$489K |
| 74177 |
|
645 |
633 |
$351K |
| 74176 |
|
759 |
747 |
$325K |
| 99282 |
|
1,463 |
1,401 |
$135K |
| 70450 |
|
466 |
461 |
$92K |
| 72125 |
|
66 |
66 |
$19K |
| 94640 |
|
539 |
425 |
$2K |
| 96374 |
|
2,529 |
2,405 |
$1K |
| 96375 |
|
1,681 |
1,592 |
$775.39 |
| 96372 |
|
1,034 |
997 |
$635.89 |
| 96361 |
|
670 |
637 |
$394.20 |
| 87631 |
|
1,128 |
1,107 |
$257.51 |
| 87651 |
|
1,326 |
1,307 |
$247.38 |
| U0003 |
Cov-19 amp prb hgh thruput |
580 |
569 |
$175.00 |
| 71046 |
|
842 |
818 |
$168.43 |
| 87502 |
|
1,011 |
977 |
$153.28 |
| 81025 |
|
2,162 |
2,101 |
$140.66 |
| 80053 |
|
4,192 |
3,931 |
$108.14 |
| 71045 |
|
1,711 |
1,652 |
$101.32 |
| 93005 |
|
985 |
951 |
$67.80 |
| 87635 |
|
383 |
372 |
$51.31 |
| 73130 |
|
93 |
93 |
$49.78 |
| 80306 |
|
38 |
37 |
$27.28 |
| 85025 |
|
4,133 |
3,919 |
$26.93 |
| 82803 |
|
191 |
183 |
$23.58 |
| 83605 |
|
199 |
183 |
$18.73 |
| J7030 |
Normal saline solution infus |
2,303 |
2,173 |
$16.77 |
| J1885 |
Ketorolac tromethamine inj |
2,085 |
2,001 |
$14.97 |
| 81003 |
|
2,803 |
2,704 |
$14.35 |
| 84484 |
|
841 |
783 |
$8.39 |
| 87086 |
|
253 |
245 |
$7.15 |
| J0696 |
Ceftriaxone sodium injection |
195 |
187 |
$4.93 |
| J1100 |
Dexamethasone sodium phos |
716 |
702 |
$4.58 |
| 82962 |
|
55 |
51 |
$3.25 |
| 82947 |
|
116 |
111 |
$2.19 |
| 73610 |
|
68 |
67 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,685 |
1,601 |
$0.00 |
| 84520 |
|
117 |
112 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
717 |
703 |
$0.00 |
| 90715 |
|
134 |
132 |
$0.00 |
| 84702 |
|
278 |
258 |
$0.00 |
| 80076 |
|
13 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
430 |
405 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
227 |
218 |
$0.00 |
| 73630 |
|
114 |
113 |
$0.00 |
| 74018 |
|
55 |
55 |
$0.00 |
| 73030 |
|
13 |
12 |
$0.00 |
| 87634 |
|
190 |
185 |
$0.00 |
| 76856 |
|
51 |
51 |
$0.00 |
| 73562 |
|
70 |
68 |
$0.00 |
| 82565 |
|
117 |
112 |
$0.00 |
| 87491 |
|
70 |
69 |
$0.00 |
| 87186 |
|
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
29 |
28 |
$0.00 |
| 93976 |
|
13 |
13 |
$0.00 |
| 96365 |
|
179 |
176 |
$0.00 |
| 82550 |
|
253 |
244 |
$0.00 |
| 90471 |
|
135 |
133 |
$0.00 |
| 36415 |
|
4,256 |
4,053 |
$0.00 |
| 82553 |
|
396 |
348 |
$0.00 |
| 80051 |
|
220 |
214 |
$0.00 |
| 85379 |
|
363 |
348 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
119 |
113 |
$0.00 |
| 87591 |
|
84 |
83 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
71 |
69 |
$0.00 |
| A9270 |
Non-covered item or service |
18 |
14 |
$0.00 |
| 87077 |
|
26 |
26 |
$0.00 |
| 87428 |
|
27 |
27 |
$0.00 |
| 84703 |
|
107 |
94 |
$0.00 |
| J3490 |
Drugs unclassified injection |
886 |
822 |
$0.00 |
| J2360 |
Orphenadrine injection |
38 |
37 |
$0.00 |
| J2060 |
Lorazepam injection |
14 |
14 |
$0.00 |
| 96376 |
|
17 |
16 |
$0.00 |
| 76830 |
|
12 |
12 |
$0.00 |
| 76801 |
|
25 |
24 |
$0.00 |