| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
61,866 |
60,339 |
$10.54M |
| 99284 |
|
22,785 |
21,102 |
$7.96M |
| 99282 |
|
3,656 |
3,593 |
$557K |
| 71045 |
|
23,710 |
22,760 |
$410K |
| 87635 |
|
6,695 |
6,547 |
$274K |
| 96374 |
|
6,077 |
5,559 |
$253K |
| 87430 |
|
18,755 |
18,430 |
$222K |
| 80053 |
|
13,652 |
12,586 |
$220K |
| 87275 |
|
19,162 |
18,785 |
$206K |
| 87276 |
|
19,161 |
18,783 |
$204K |
| 87070 |
|
13,980 |
13,719 |
$151K |
| 80048 |
|
2,934 |
2,369 |
$78K |
| 99285 |
|
1,069 |
939 |
$75K |
| 93005 |
|
5,173 |
4,606 |
$74K |
| 99281 |
|
428 |
420 |
$70K |
| 85027 |
|
22,374 |
20,047 |
$66K |
| 74177 |
|
849 |
784 |
$65K |
| C9803 |
Hopd covid-19 spec collect |
6,620 |
6,462 |
$55K |
| 81025 |
|
9,828 |
9,227 |
$52K |
| 70450 |
|
1,404 |
1,263 |
$50K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,573 |
1,532 |
$35K |
| 81001 |
|
9,225 |
8,701 |
$24K |
| 84484 |
|
4,285 |
3,290 |
$22K |
| 87280 |
|
1,693 |
1,665 |
$18K |
| 36415 |
|
2,575 |
1,931 |
$15K |
| 84702 |
|
1,135 |
955 |
$14K |
| J7030 |
Normal saline solution infus |
2,664 |
2,311 |
$14K |
| 83690 |
|
4,584 |
4,280 |
$12K |
| J2405 |
Ondansetron hcl injection |
1,998 |
1,628 |
$12K |
| 76830 |
|
117 |
107 |
$11K |
| 81003 |
|
1,068 |
986 |
$10K |
| 87086 |
|
900 |
840 |
$10K |
| 76817 |
|
85 |
81 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,600 |
1,317 |
$6K |
| 76801 |
|
44 |
42 |
$5K |
| 72125 |
|
259 |
227 |
$4K |
| 83880 |
|
1,252 |
1,106 |
$4K |
| 96375 |
|
1,090 |
872 |
$4K |
| 81000 |
|
595 |
555 |
$4K |
| 80047 |
|
57 |
48 |
$2K |
| 96372 |
|
691 |
594 |
$2K |
| 86901 |
|
899 |
842 |
$2K |
| 76815 |
|
14 |
14 |
$982.32 |
| 76856 |
|
13 |
12 |
$962.80 |
| 71046 |
|
135 |
129 |
$958.50 |
| 85730 |
|
1,078 |
953 |
$929.27 |
| 74176 |
|
26 |
24 |
$901.79 |
| 85610 |
|
1,365 |
1,195 |
$854.12 |
| A9270 |
Non-covered item or service |
1,961 |
1,000 |
$847.39 |
| 80307 |
|
69 |
63 |
$730.80 |
| 82016 |
|
87 |
81 |
$574.56 |
| J2270 |
Morphine sulfate injection |
968 |
707 |
$543.77 |
| 82128 |
|
87 |
81 |
$519.85 |
| 77063 |
|
48 |
48 |
$508.19 |
| J1885 |
Ketorolac tromethamine inj |
975 |
796 |
$469.86 |
| 77067 |
|
48 |
48 |
$457.44 |
| J1100 |
Dexamethasone sodium phos |
381 |
368 |
$422.46 |
| 86850 |
|
40 |
36 |
$383.54 |
| J0696 |
Ceftriaxone sodium injection |
410 |
326 |
$317.13 |
| 74018 |
|
14 |
13 |
$283.14 |
| 94640 |
|
14 |
12 |
$256.71 |
| 86900 |
|
152 |
140 |
$208.90 |
| 81002 |
|
65 |
64 |
$160.27 |
| 87081 |
|
56 |
53 |
$136.60 |
| 83735 |
|
214 |
176 |
$118.85 |
| 36416 |
|
872 |
712 |
$111.88 |
| 87077 |
|
37 |
28 |
$74.69 |
| 87186 |
|
30 |
28 |
$65.43 |
| 87040 |
|
19 |
12 |
$43.35 |
| 83605 |
|
49 |
40 |
$38.88 |
| 84703 |
|
12 |
12 |
$37.92 |
| 96361 |
|
37 |
36 |
$19.17 |
| 82248 |
|
75 |
64 |
$14.75 |
| J3490 |
Drugs unclassified injection |
14 |
12 |
$13.28 |
| 80076 |
|
64 |
57 |
$12.92 |
| 84100 |
|
32 |
25 |
$4.36 |
| G1003 |
Cdsm medicalis |
202 |
187 |
$0.00 |
| S3620 |
Newborn metabolic screening |
87 |
81 |
$0.00 |