| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,929 |
13,394 |
$3.27M |
| 99285 |
|
10,293 |
9,139 |
$2.93M |
| 99283 |
|
6,301 |
5,935 |
$939K |
| 96374 |
|
10,545 |
9,432 |
$324K |
| 0241U |
|
1,602 |
1,430 |
$143K |
| 85025 |
|
19,860 |
17,331 |
$96K |
| 74177 |
|
1,198 |
1,082 |
$89K |
| 80053 |
|
15,844 |
13,865 |
$58K |
| 96375 |
|
4,422 |
3,943 |
$39K |
| 84484 |
|
2,731 |
2,163 |
$34K |
| 93005 |
|
4,608 |
3,819 |
$19K |
| 83690 |
|
3,494 |
3,165 |
$18K |
| 96361 |
|
2,269 |
1,907 |
$18K |
| 99282 |
|
162 |
155 |
$16K |
| J2405 |
Ondansetron hcl injection |
4,318 |
3,911 |
$16K |
| 36415 |
|
9,497 |
8,082 |
$13K |
| 99291 |
|
28 |
27 |
$10K |
| 96372 |
|
919 |
847 |
$9K |
| 0001A |
|
355 |
272 |
$9K |
| 87804 |
|
1,809 |
858 |
$7K |
| 71046 |
|
1,263 |
1,186 |
$6K |
| 0002A |
|
222 |
171 |
$6K |
| 81025 |
|
1,747 |
1,640 |
$6K |
| 83735 |
|
1,322 |
1,109 |
$5K |
| 81001 |
|
6,340 |
5,711 |
$5K |
| 80048 |
|
2,065 |
1,800 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
134 |
127 |
$5K |
| 70450 |
|
154 |
132 |
$4K |
| 84703 |
|
618 |
575 |
$4K |
| 80307 |
|
223 |
198 |
$4K |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$3K |
| 87880 |
|
422 |
412 |
$3K |
| 71045 |
|
1,063 |
921 |
$2K |
| 87077 |
|
730 |
706 |
$2K |
| 94761 |
|
636 |
272 |
$2K |
| 74176 |
|
71 |
66 |
$2K |
| 81003 |
|
2,880 |
2,617 |
$2K |
| G0378 |
Hospital observation per hr |
16 |
12 |
$2K |
| 0071A |
|
52 |
52 |
$2K |
| 87088 |
|
233 |
214 |
$1K |
| 85027 |
|
340 |
286 |
$1K |
| 85379 |
|
116 |
106 |
$1K |
| J2930 |
Methylprednisolone injection |
328 |
310 |
$1K |
| 87040 |
|
164 |
80 |
$909.51 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,784 |
2,488 |
$880.12 |
| 87635 |
|
15 |
14 |
$667.03 |
| 85610 |
|
352 |
321 |
$616.61 |
| 83880 |
|
63 |
52 |
$572.43 |
| 96360 |
|
58 |
50 |
$569.25 |
| 94640 |
|
112 |
104 |
$376.08 |
| 83605 |
|
89 |
76 |
$328.62 |
| 0003A |
|
14 |
14 |
$320.00 |
| 85730 |
|
97 |
86 |
$224.90 |
| 73630 |
|
29 |
24 |
$161.68 |
| 87081 |
|
13 |
13 |
$134.08 |
| 72100 |
|
16 |
14 |
$126.10 |
| 87086 |
|
23 |
20 |
$118.15 |
| 82565 |
|
45 |
40 |
$93.66 |
| J2270 |
Morphine sulfate injection |
227 |
212 |
$60.33 |
| J2360 |
Orphenadrine injection |
44 |
41 |
$51.05 |
| 87186 |
|
12 |
12 |
$44.76 |
| J2704 |
Inj, propofol, 10 mg |
156 |
129 |
$23.87 |
| J7030 |
Normal saline solution infus |
901 |
783 |
$22.67 |
| J7120 |
Ringers lactate infusion |
53 |
41 |
$7.55 |
| J1885 |
Ketorolac tromethamine inj |
3,852 |
3,518 |
$6.38 |
| J2274 |
Inj morphine pf epid ithc |
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
150 |
133 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
13 |
12 |
$0.00 |
| 96376 |
|
23 |
12 |
$0.00 |
| 88305 |
|
15 |
12 |
$0.00 |