| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,341 |
15,032 |
$1.72M |
| 99284 |
|
7,501 |
6,625 |
$1.21M |
| 93005 |
|
2,781 |
2,470 |
$250K |
| 99282 |
|
3,589 |
3,388 |
$212K |
| 99285 |
|
1,025 |
864 |
$166K |
| J3490 |
Drugs unclassified injection |
19,042 |
11,129 |
$140K |
| 0241U |
|
805 |
760 |
$119K |
| 71046 |
|
1,427 |
1,346 |
$100K |
| 0202U |
|
1,261 |
971 |
$97K |
| 96374 |
|
2,042 |
1,895 |
$90K |
| 80053 |
|
9,230 |
8,357 |
$88K |
| 85025 |
|
9,430 |
8,544 |
$75K |
| 96375 |
|
849 |
761 |
$62K |
| 74177 |
|
44 |
39 |
$58K |
| 96361 |
|
1,136 |
996 |
$57K |
| J7040 |
Normal saline solution infus |
1,125 |
1,001 |
$26K |
| 81001 |
|
5,623 |
5,160 |
$20K |
| 87502 |
|
310 |
303 |
$17K |
| 96372 |
|
472 |
434 |
$14K |
| 87880 |
|
712 |
690 |
$11K |
| 81025 |
|
1,257 |
1,165 |
$11K |
| J7030 |
Normal saline solution infus |
420 |
368 |
$10K |
| 36415 |
|
3,447 |
3,064 |
$10K |
| 87086 |
|
1,015 |
954 |
$9K |
| 93306 |
|
12 |
12 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
1,339 |
1,231 |
$9K |
| 84484 |
|
1,078 |
905 |
$9K |
| 70450 |
|
18 |
15 |
$8K |
| 83690 |
|
1,026 |
938 |
$8K |
| 87631 |
|
79 |
77 |
$7K |
| 71045 |
|
118 |
106 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
120 |
112 |
$6K |
| 87081 |
|
764 |
739 |
$6K |
| 94640 |
|
131 |
111 |
$6K |
| 36592 |
|
399 |
371 |
$5K |
| 96365 |
|
59 |
52 |
$5K |
| 85027 |
|
511 |
461 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
55 |
52 |
$4K |
| 87635 |
|
87 |
85 |
$4K |
| 87637 |
|
20 |
19 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
155 |
134 |
$4K |
| 96360 |
|
35 |
32 |
$3K |
| J7120 |
Ringers lactate infusion |
97 |
81 |
$2K |
| 80061 |
|
122 |
116 |
$2K |
| 84443 |
|
90 |
83 |
$2K |
| A9270 |
Non-covered item or service |
1,784 |
924 |
$2K |
| J2405 |
Ondansetron hcl injection |
255 |
232 |
$1K |
| 84439 |
|
88 |
81 |
$1K |
| 83036 |
|
89 |
85 |
$1K |
| 87186 |
|
77 |
69 |
$902.08 |
| 80048 |
|
72 |
69 |
$777.94 |
| J8597 |
Antiemetic drug oral nos |
126 |
110 |
$718.04 |
| 85379 |
|
58 |
52 |
$692.85 |
| 85610 |
|
187 |
173 |
$646.11 |
| 87077 |
|
61 |
53 |
$627.97 |
| 80076 |
|
41 |
38 |
$414.63 |
| 83525 |
|
24 |
24 |
$359.04 |
| U0005 |
Infec agen detec ampli probe |
18 |
15 |
$325.00 |
| 83605 |
|
14 |
13 |
$171.86 |
| J2270 |
Morphine sulfate injection |
13 |
13 |
$158.00 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$65.79 |
| 85730 |
|
12 |
12 |
$59.84 |
| 82962 |
|
14 |
12 |
$43.89 |