| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
43,384 |
42,920 |
$6.81M |
| 99284 |
|
21,910 |
21,708 |
$4.91M |
| 99282 |
|
25,291 |
25,131 |
$2.34M |
| 96374 |
|
14,461 |
14,273 |
$1.84M |
| 99285 |
|
3,368 |
3,343 |
$1.07M |
| U0003 |
Cov-19 amp prb hgh thruput |
9,840 |
9,703 |
$725K |
| 69436 |
|
998 |
642 |
$638K |
| 42820 |
|
153 |
153 |
$512K |
| J3490 |
Drugs unclassified injection |
11,238 |
9,021 |
$427K |
| 96375 |
|
8,488 |
8,324 |
$363K |
| 87635 |
|
5,323 |
5,277 |
$242K |
| 80053 |
|
14,281 |
13,991 |
$209K |
| 87637 |
|
1,567 |
1,559 |
$208K |
| U0005 |
Infec agen detec ampli probe |
8,543 |
8,418 |
$200K |
| 11042 |
|
1,179 |
506 |
$195K |
| 96372 |
|
2,996 |
2,968 |
$193K |
| 85025 |
|
29,753 |
29,066 |
$189K |
| 87070 |
|
19,554 |
19,365 |
$147K |
| 71045 |
|
11,814 |
11,725 |
$145K |
| 96361 |
|
4,226 |
4,188 |
$139K |
| 87426 |
|
2,969 |
2,955 |
$118K |
| 99232 |
|
2,921 |
1,358 |
$107K |
| 87804 |
|
5,749 |
3,646 |
$107K |
| G0463 |
Hospital outpt clinic visit |
6,396 |
6,063 |
$86K |
| S9443 |
Lactation class |
866 |
864 |
$74K |
| 80055 |
|
1,244 |
1,243 |
$53K |
| 70450 |
|
1,267 |
1,259 |
$51K |
| 74177 |
|
328 |
327 |
$49K |
| 81025 |
|
6,795 |
6,732 |
$47K |
| 99239 |
|
758 |
750 |
$46K |
| 01967 |
|
115 |
115 |
$45K |
| 87086 |
|
5,910 |
5,845 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
634 |
349 |
$40K |
| 81003 |
|
18,079 |
17,905 |
$39K |
| 93005 |
|
6,836 |
6,751 |
$37K |
| 87880 |
|
2,510 |
2,499 |
$35K |
| 87389 |
|
1,709 |
1,708 |
$35K |
| 87150 |
|
997 |
994 |
$29K |
| 71046 |
|
1,892 |
1,883 |
$27K |
| 87491 |
|
841 |
838 |
$25K |
| 80048 |
|
2,611 |
2,577 |
$24K |
| 87591 |
|
840 |
837 |
$23K |
| 36415 |
|
1,992 |
1,904 |
$22K |
| 87653 |
|
622 |
620 |
$20K |
| 74176 |
|
244 |
241 |
$18K |
| 99291 |
|
117 |
68 |
$17K |
| 83655 |
|
1,440 |
1,439 |
$17K |
| 83690 |
|
2,888 |
2,862 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
160 |
155 |
$16K |
| G0480 |
Drug test def 1-7 classes |
158 |
158 |
$15K |
| 86787 |
|
921 |
920 |
$13K |
| 80050 |
|
435 |
435 |
$13K |
| 94060 |
|
414 |
414 |
$13K |
| 96365 |
|
98 |
97 |
$11K |
| 87081 |
|
1,624 |
1,619 |
$11K |
| 86803 |
|
978 |
978 |
$11K |
| 84484 |
|
665 |
639 |
$10K |
| 82950 |
|
1,468 |
1,467 |
$8K |
| 93010 |
|
1,453 |
1,291 |
$7K |
| 99238 |
|
152 |
151 |
$6K |
| 87807 |
|
518 |
512 |
$6K |
| 80307 |
|
83 |
80 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
476 |
474 |
$5K |
| 80306 |
|
353 |
350 |
$5K |
| 78452 |
|
28 |
28 |
$5K |
| 00170 |
|
25 |
25 |
$5K |
| 99220 |
|
44 |
44 |
$5K |
| 80061 |
|
493 |
492 |
$4K |
| 96360 |
|
24 |
24 |
$4K |
| 83036 |
|
530 |
529 |
$4K |
| 83970 |
|
96 |
96 |
$4K |
| 94640 |
|
253 |
250 |
$3K |
| 87428 |
|
109 |
109 |
$3K |
| 99222 |
|
39 |
39 |
$3K |
| 99217 |
|
67 |
67 |
$3K |
| 00126 |
|
18 |
18 |
$3K |
| 84439 |
|
354 |
354 |
$3K |
| 87510 |
|
144 |
141 |
$2K |
| 87660 |
|
144 |
141 |
$2K |
| 87480 |
|
144 |
141 |
$2K |
| 88300 |
|
266 |
266 |
$2K |
| 93306 |
|
26 |
26 |
$2K |
| 86762 |
|
230 |
230 |
$2K |
| 84481 |
|
169 |
169 |
$2K |
| 86850 |
|
301 |
300 |
$2K |
| 88305 |
|
40 |
40 |
$2K |
| 97597 |
|
324 |
161 |
$2K |
| 86780 |
|
226 |
226 |
$2K |
| 84443 |
|
149 |
149 |
$1K |
| 85014 |
|
669 |
669 |
$1K |
| 87340 |
|
226 |
226 |
$1K |
| 83605 |
|
104 |
102 |
$1K |
| J2405 |
Ondansetron hcl injection |
3,570 |
3,486 |
$1K |
| 80069 |
|
157 |
143 |
$1K |
| 82306 |
|
43 |
43 |
$988.69 |
| 85018 |
|
470 |
470 |
$899.75 |
| 99281 |
|
16 |
15 |
$776.21 |
| 87075 |
|
56 |
51 |
$729.05 |
| 94729 |
|
14 |
14 |
$706.58 |
| 86592 |
|
205 |
203 |
$654.77 |
| 84156 |
|
215 |
195 |
$612.32 |
| 82570 |
|
126 |
119 |
$539.27 |
| 83735 |
|
94 |
92 |
$530.44 |
| 94727 |
|
14 |
14 |
$529.06 |
| J3010 |
Fentanyl citrate injection |
501 |
428 |
$527.12 |
| 85027 |
|
92 |
92 |
$522.35 |
| 83615 |
|
94 |
93 |
$461.38 |
| 86900 |
|
272 |
271 |
$444.50 |
| 86901 |
|
272 |
271 |
$438.90 |
| 82728 |
|
31 |
31 |
$415.91 |
| 83880 |
|
12 |
12 |
$384.12 |
| 84550 |
|
113 |
112 |
$345.60 |
| J7030 |
Normal saline solution infus |
7,625 |
7,463 |
$284.49 |
| 88304 |
|
13 |
13 |
$271.07 |
| 82248 |
|
59 |
37 |
$259.26 |
| 82247 |
|
58 |
36 |
$254.79 |
| 82607 |
|
13 |
13 |
$199.03 |
| 87147 |
|
39 |
39 |
$192.21 |
| 87205 |
|
56 |
51 |
$178.60 |
| 86706 |
|
13 |
13 |
$124.15 |
| J7512 |
Prednisone ir or dr oral 1mg |
92 |
92 |
$89.40 |
| 80076 |
|
14 |
14 |
$77.78 |
| J0131 |
Inj, acetaminophen (nos) |
25 |
25 |
$43.85 |
| J1200 |
Diphenhydramine hcl injectio |
711 |
697 |
$9.43 |
| J7120 |
Ringers lactate infusion |
1,186 |
1,090 |
$0.90 |
| J1100 |
Dexamethasone sodium phos |
579 |
576 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
200 |
199 |
$0.00 |
| J2360 |
Orphenadrine injection |
53 |
53 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
50 |
50 |
$0.00 |
| J2270 |
Morphine sulfate injection |
342 |
333 |
$0.00 |