| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
20,711 |
17,313 |
$2.91M |
| 99283 |
|
21,485 |
18,705 |
$1.66M |
| 74177 |
|
1,249 |
1,174 |
$695K |
| 96374 |
|
4,479 |
3,994 |
$571K |
| 77067 |
|
1,838 |
1,800 |
$443K |
| 99202 |
|
1,271 |
851 |
$441K |
| 96375 |
|
4,131 |
3,484 |
$390K |
| 93005 |
|
5,495 |
5,026 |
$319K |
| 97110 |
|
4,536 |
1,128 |
$296K |
| 87636 |
|
1,705 |
1,539 |
$242K |
| 70450 |
|
823 |
788 |
$240K |
| 76700 |
|
1,198 |
1,131 |
$204K |
| 96365 |
|
1,316 |
1,188 |
$201K |
| 99201 |
|
702 |
512 |
$184K |
| 87635 |
|
3,184 |
2,887 |
$163K |
| J3490 |
Drugs unclassified injection |
12,381 |
8,135 |
$158K |
| 87637 |
|
1,097 |
956 |
$156K |
| 96361 |
|
2,468 |
2,104 |
$139K |
| 97139 |
|
2,279 |
552 |
$112K |
| 96372 |
|
1,707 |
1,518 |
$105K |
| 76856 |
|
664 |
642 |
$100K |
| 77063 |
|
1,510 |
1,474 |
$95K |
| 80307 |
|
1,128 |
1,022 |
$91K |
| 80053 |
|
8,488 |
7,382 |
$87K |
| U0003 |
Cov-19 amp prb hgh thruput |
985 |
949 |
$86K |
| 71045 |
|
2,732 |
2,505 |
$70K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,586 |
1,842 |
$66K |
| 85025 |
|
9,693 |
8,320 |
$61K |
| 71046 |
|
1,424 |
1,381 |
$59K |
| 87502 |
|
555 |
543 |
$55K |
| J7030 |
Normal saline solution infus |
5,251 |
4,449 |
$55K |
| 76830 |
|
356 |
341 |
$53K |
| J0131 |
Inj, acetaminophen (nos) |
1,211 |
612 |
$52K |
| J2405 |
Ondansetron hcl injection |
4,147 |
3,566 |
$36K |
| 81001 |
|
6,982 |
6,317 |
$31K |
| 97799 |
|
667 |
144 |
$31K |
| 73562 |
|
458 |
438 |
$29K |
| 87086 |
|
3,127 |
2,894 |
$27K |
| 97750 |
|
250 |
172 |
$26K |
| 96360 |
|
170 |
161 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
3,389 |
3,032 |
$24K |
| 83690 |
|
3,913 |
3,486 |
$22K |
| 84484 |
|
2,686 |
2,092 |
$22K |
| 76642 |
|
147 |
137 |
$21K |
| 73610 |
|
298 |
285 |
$20K |
| 73630 |
|
265 |
251 |
$18K |
| 87651 |
|
676 |
613 |
$17K |
| J7120 |
Ringers lactate infusion |
1,546 |
1,409 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
1,218 |
1,039 |
$14K |
| 81025 |
|
4,003 |
3,638 |
$14K |
| J1170 |
Hydromorphone injection |
1,061 |
793 |
$12K |
| 0450 |
|
105 |
98 |
$11K |
| Z7502 |
|
265 |
263 |
$10K |
| 74176 |
|
34 |
30 |
$10K |
| 82077 |
|
484 |
423 |
$9K |
| 73030 |
|
124 |
120 |
$9K |
| G0279 |
Tomosynthesis, mammo |
128 |
118 |
$8K |
| 87040 |
|
612 |
342 |
$8K |
| 94640 |
|
177 |
164 |
$8K |
| 83605 |
|
724 |
568 |
$6K |
| 43239 |
|
43 |
38 |
$6K |
| 73130 |
|
71 |
68 |
$5K |
| 85610 |
|
1,558 |
1,414 |
$5K |
| J2060 |
Lorazepam injection |
690 |
571 |
$5K |
| 80048 |
|
684 |
628 |
$4K |
| 76536 |
|
43 |
42 |
$4K |
| 83735 |
|
689 |
597 |
$3K |
| 87430 |
|
310 |
309 |
$3K |
| 45380 |
|
26 |
26 |
$3K |
| J2270 |
Morphine sulfate injection |
380 |
311 |
$3K |
| J2765 |
Metoclopramide hcl injection |
484 |
425 |
$3K |
| 87400 |
|
362 |
361 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
320 |
280 |
$3K |
| 87077 |
|
307 |
273 |
$3K |
| 87186 |
|
292 |
271 |
$3K |
| 88305 |
|
87 |
64 |
$3K |
| 87491 |
|
79 |
75 |
$2K |
| 87591 |
|
79 |
75 |
$2K |
| J1100 |
Dexamethasone sodium phos |
379 |
347 |
$2K |
| 87081 |
|
224 |
222 |
$2K |
| 83880 |
|
73 |
69 |
$2K |
| 73110 |
|
30 |
28 |
$2K |
| J3010 |
Fentanyl citrate injection |
278 |
225 |
$1K |
| 73080 |
|
15 |
14 |
$1K |
| 84443 |
|
100 |
87 |
$1K |
| 82947 |
|
315 |
275 |
$1K |
| 73140 |
|
29 |
27 |
$1K |
| 85730 |
|
260 |
237 |
$1K |
| 72100 |
|
14 |
12 |
$917.76 |
| 85379 |
|
78 |
75 |
$553.10 |
| J2250 |
Inj midazolam hydrochloride |
104 |
95 |
$494.32 |
| J0690 |
Cefazolin sodium injection |
63 |
53 |
$475.76 |
| J1200 |
Diphenhydramine hcl injectio |
60 |
54 |
$372.36 |
| 81003 |
|
173 |
172 |
$269.88 |
| 87420 |
|
66 |
59 |
$147.42 |
| S0028 |
Injection, famotidine, 20 mg |
26 |
25 |
$139.10 |
| 86900 |
|
47 |
39 |
$99.76 |
| 86901 |
|
47 |
39 |
$97.53 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$97.28 |
| 87205 |
|
28 |
28 |
$94.16 |
| Q0162 |
Ondansetron oral |
26 |
26 |
$68.23 |
| 86140 |
|
15 |
13 |
$64.82 |
| J7611 |
Albuterol non-comp con |
16 |
12 |
$61.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
112 |
105 |
$2.16 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
13 |
$1.95 |