| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
6,495 |
5,065 |
$976K |
| 99283 |
|
4,288 |
3,608 |
$354K |
| 80053 |
|
6,689 |
5,550 |
$332K |
| 36415 |
|
22,795 |
18,231 |
$246K |
| 87635 |
|
1,958 |
1,826 |
$203K |
| 85025 |
|
7,076 |
5,913 |
$162K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,248 |
1,174 |
$126K |
| 87502 |
|
2,044 |
1,857 |
$82K |
| 87420 |
|
1,314 |
1,210 |
$73K |
| 87503 |
|
2,022 |
1,838 |
$42K |
| 84443 |
|
932 |
824 |
$37K |
| G0463 |
Hospital outpt clinic visit |
1,459 |
1,204 |
$32K |
| 87651 |
|
1,674 |
1,592 |
$31K |
| 99282 |
|
527 |
475 |
$30K |
| 93005 |
|
644 |
542 |
$27K |
| 80048 |
|
698 |
588 |
$26K |
| 99285 |
|
118 |
93 |
$25K |
| 85048 |
|
2,741 |
1,931 |
$24K |
| 87591 |
|
403 |
364 |
$22K |
| 96374 |
|
488 |
422 |
$20K |
| 87491 |
|
404 |
364 |
$18K |
| 83036 |
|
740 |
651 |
$17K |
| 80061 |
|
400 |
350 |
$16K |
| U0005 |
Infec agen detec ampli probe |
1,124 |
1,056 |
$16K |
| J2704 |
Inj, propofol, 10 mg |
388 |
315 |
$15K |
| 81001 |
|
797 |
679 |
$12K |
| 87880 |
|
326 |
307 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
189 |
176 |
$9K |
| 71046 |
|
136 |
116 |
$9K |
| 96361 |
|
176 |
140 |
$8K |
| 97110 |
|
237 |
66 |
$7K |
| 85027 |
|
262 |
240 |
$6K |
| 96375 |
|
97 |
86 |
$5K |
| 84145 |
|
125 |
96 |
$5K |
| 84484 |
|
110 |
96 |
$4K |
| 73630 |
|
51 |
38 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
103 |
60 |
$4K |
| 94760 |
|
143 |
115 |
$4K |
| 71045 |
|
73 |
60 |
$4K |
| 87086 |
|
148 |
119 |
$3K |
| 88142 |
|
66 |
63 |
$3K |
| 87480 |
|
52 |
51 |
$2K |
| 87660 |
|
52 |
51 |
$2K |
| 87510 |
|
52 |
51 |
$2K |
| J3010 |
Fentanyl citrate injection |
14 |
12 |
$2K |
| G0480 |
Drug test def 1-7 classes |
13 |
13 |
$2K |
| 83605 |
|
69 |
51 |
$2K |
| 97530 |
|
65 |
25 |
$2K |
| 0352U |
|
13 |
12 |
$2K |
| 82607 |
|
31 |
28 |
$1K |
| 87081 |
|
37 |
37 |
$1K |
| 83516 |
|
14 |
14 |
$1K |
| 88305 |
|
20 |
12 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14 |
12 |
$1K |
| 97112 |
|
54 |
12 |
$1K |
| 83735 |
|
50 |
43 |
$917.61 |
| J2405 |
Ondansetron hcl injection |
19 |
15 |
$831.67 |
| J3420 |
Vitamin b12 injection |
15 |
12 |
$782.53 |
| 80306 |
|
12 |
12 |
$700.60 |
| 96372 |
|
41 |
36 |
$625.21 |
| 81002 |
|
67 |
52 |
$436.11 |
| 81025 |
|
12 |
12 |
$291.69 |
| 85730 |
|
14 |
13 |
$232.10 |
| 81015 |
|
30 |
27 |
$198.99 |
| 85610 |
|
13 |
12 |
$158.28 |
| 82947 |
|
14 |
14 |
$43.00 |