| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
37,194 |
35,242 |
$2.75M |
| 99285 |
|
6,517 |
6,202 |
$1.92M |
| 99283 |
|
41,528 |
39,662 |
$1.75M |
| 87637 |
|
7,098 |
6,751 |
$783K |
| 87651 |
|
20,782 |
19,861 |
$697K |
| 87636 |
|
5,353 |
5,115 |
$582K |
| 80053 |
|
34,378 |
32,504 |
$422K |
| 85025 |
|
38,740 |
36,589 |
$383K |
| 87631 |
|
6,294 |
6,053 |
$378K |
| G0463 |
Hospital outpt clinic visit |
5,157 |
3,537 |
$284K |
| 87502 |
|
5,563 |
5,337 |
$259K |
| 76820 |
|
4,373 |
2,800 |
$184K |
| 71046 |
|
14,753 |
14,136 |
$163K |
| 84703 |
|
20,054 |
18,972 |
$128K |
| 76811 |
|
1,161 |
1,108 |
$112K |
| 76816 |
|
3,002 |
2,240 |
$106K |
| 93005 |
|
7,644 |
7,146 |
$102K |
| 81003 |
|
31,712 |
29,591 |
$97K |
| 76819 |
|
2,102 |
1,300 |
$93K |
| 99282 |
|
2,142 |
2,044 |
$90K |
| G0330 |
Facility svs dental rehab |
81 |
75 |
$89K |
| D9420 |
|
328 |
283 |
$84K |
| 87086 |
|
6,053 |
5,740 |
$70K |
| 71045 |
|
9,088 |
8,624 |
$55K |
| 84484 |
|
4,836 |
4,510 |
$51K |
| 70450 |
|
407 |
381 |
$43K |
| 76821 |
|
1,023 |
563 |
$40K |
| 83690 |
|
4,300 |
4,081 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
531 |
500 |
$30K |
| 84702 |
|
1,721 |
1,581 |
$21K |
| 94640 |
|
1,362 |
1,297 |
$20K |
| 74177 |
|
85 |
85 |
$16K |
| 74022 |
|
606 |
579 |
$15K |
| 76801 |
|
598 |
554 |
$15K |
| 83735 |
|
1,833 |
1,738 |
$14K |
| 80307 |
|
320 |
310 |
$13K |
| 87804 |
|
392 |
374 |
$9K |
| 83516 |
|
147 |
140 |
$9K |
| 87040 |
|
736 |
687 |
$8K |
| 76825 |
|
62 |
60 |
$7K |
| 86140 |
|
2,626 |
2,479 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
168 |
161 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
884 |
847 |
$5K |
| 80048 |
|
456 |
436 |
$5K |
| 87070 |
|
445 |
428 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,711 |
2,594 |
$5K |
| 84443 |
|
172 |
163 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
3,282 |
3,126 |
$4K |
| 76827 |
|
62 |
60 |
$4K |
| 87635 |
|
54 |
53 |
$3K |
| 76815 |
|
81 |
65 |
$3K |
| 83605 |
|
247 |
235 |
$3K |
| 82784 |
|
143 |
138 |
$2K |
| 87801 |
|
81 |
77 |
$2K |
| 76817 |
|
65 |
61 |
$2K |
| 84439 |
|
170 |
162 |
$2K |
| 87807 |
|
156 |
149 |
$2K |
| 74018 |
|
167 |
154 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,878 |
3,657 |
$1K |
| 83880 |
|
34 |
32 |
$1K |
| 86308 |
|
97 |
92 |
$768.16 |
| J1100 |
Dexamethasone sodium phos |
653 |
627 |
$669.40 |
| 76856 |
|
13 |
12 |
$647.16 |
| 82728 |
|
66 |
66 |
$616.55 |
| 83655 |
|
28 |
26 |
$495.82 |
| 83036 |
|
25 |
25 |
$466.50 |
| 85652 |
|
94 |
89 |
$450.64 |
| 93296 |
|
45 |
32 |
$311.29 |
| 80061 |
|
13 |
13 |
$299.39 |
| 87186 |
|
25 |
25 |
$222.42 |
| J2270 |
Morphine sulfate injection |
69 |
65 |
$210.50 |
| 86900 |
|
67 |
64 |
$199.08 |
| 86901 |
|
67 |
64 |
$197.26 |
| 85027 |
|
15 |
14 |
$99.26 |
| 85660 |
|
14 |
13 |
$92.17 |
| 85610 |
|
18 |
18 |
$80.78 |
| 87210 |
|
13 |
13 |
$78.65 |
| J2704 |
Inj, propofol, 10 mg |
17 |
15 |
$36.00 |
| J3010 |
Fentanyl citrate injection |
17 |
15 |
$14.85 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$12.48 |
| 36415 |
|
937 |
893 |
$12.05 |
| 96372 |
|
12 |
12 |
$10.00 |
| 82962 |
|
41 |
36 |
$9.83 |
| 41899 |
|
31 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
411 |
396 |
$0.00 |