| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
7,245 |
5,898 |
$533K |
| 99283 |
|
7,072 |
5,466 |
$516K |
| 99285 |
|
5,347 |
4,390 |
$496K |
| 80053 |
|
8,348 |
6,159 |
$217K |
| 70450 |
|
1,323 |
1,072 |
$207K |
| 74177 |
|
551 |
485 |
$205K |
| 96361 |
|
3,539 |
2,411 |
$161K |
| 80048 |
|
3,882 |
2,793 |
$106K |
| 74176 |
|
520 |
442 |
$104K |
| 96372 |
|
2,427 |
1,313 |
$75K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,654 |
1,301 |
$75K |
| 99282 |
|
937 |
797 |
$72K |
| S0028 |
Injection, famotidine, 20 mg |
332 |
284 |
$32K |
| 81001 |
|
4,571 |
3,862 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
712 |
590 |
$21K |
| G0378 |
Hospital observation per hr |
2,209 |
860 |
$19K |
| A4216 |
Sterile water/saline, 10 ml |
565 |
331 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
455 |
358 |
$16K |
| 71045 |
|
4,729 |
3,869 |
$15K |
| 93005 |
|
5,172 |
3,881 |
$14K |
| 96360 |
|
652 |
535 |
$14K |
| 94640 |
|
684 |
399 |
$13K |
| A9270 |
Non-covered item or service |
1,979 |
1,042 |
$12K |
| 87636 |
|
1,879 |
1,681 |
$12K |
| 85025 |
|
9,453 |
6,826 |
$12K |
| 87070 |
|
842 |
756 |
$12K |
| 84703 |
|
3,466 |
3,040 |
$12K |
| 96365 |
|
912 |
732 |
$11K |
| 85027 |
|
3,356 |
2,525 |
$11K |
| 85610 |
|
1,736 |
1,259 |
$9K |
| 96374 |
|
5,426 |
4,312 |
$9K |
| J7030 |
Normal saline solution infus |
5,334 |
3,986 |
$9K |
| J8499 |
Oral prescrip drug non chemo |
347 |
80 |
$8K |
| 72125 |
|
15 |
13 |
$8K |
| 71275 |
|
15 |
14 |
$8K |
| 84484 |
|
3,219 |
1,963 |
$7K |
| 82962 |
|
1,789 |
687 |
$6K |
| 87804 |
|
1,182 |
633 |
$6K |
| J3490 |
Drugs unclassified injection |
106 |
38 |
$5K |
| J3010 |
Fentanyl citrate injection |
792 |
583 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
748 |
533 |
$5K |
| 96375 |
|
4,031 |
2,964 |
$5K |
| 36415 |
|
558 |
265 |
$5K |
| 80076 |
|
209 |
181 |
$4K |
| 85730 |
|
1,225 |
921 |
$4K |
| J1170 |
Hydromorphone injection |
2,508 |
894 |
$4K |
| J2405 |
Ondansetron hcl injection |
3,306 |
2,560 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
365 |
281 |
$3K |
| 83880 |
|
503 |
410 |
$2K |
| J0690 |
Cefazolin sodium injection |
105 |
71 |
$2K |
| J1100 |
Dexamethasone sodium phos |
295 |
244 |
$2K |
| 87086 |
|
2,018 |
1,716 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
345 |
164 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
39 |
37 |
$2K |
| 82550 |
|
1,802 |
1,310 |
$2K |
| 85379 |
|
406 |
358 |
$2K |
| 83690 |
|
2,410 |
2,031 |
$1K |
| 96376 |
|
919 |
531 |
$1K |
| 87430 |
|
763 |
707 |
$847.67 |
| J1885 |
Ketorolac tromethamine inj |
2,108 |
1,797 |
$815.90 |
| J7040 |
Normal saline solution infus |
419 |
329 |
$796.22 |
| 83735 |
|
1,061 |
804 |
$699.71 |
| 87040 |
|
289 |
141 |
$634.54 |
| 82374 |
|
297 |
247 |
$620.56 |
| 93307 |
|
19 |
14 |
$617.54 |
| 84443 |
|
412 |
331 |
$591.62 |
| J2270 |
Morphine sulfate injection |
1,520 |
1,149 |
$492.85 |
| C1894 |
Intro/sheath, non-laser |
123 |
72 |
$475.28 |
| C1769 |
Guide wire |
154 |
92 |
$475.28 |
| 82565 |
|
366 |
300 |
$379.76 |
| 71046 |
|
99 |
79 |
$349.08 |
| 84295 |
|
287 |
236 |
$293.20 |
| 84520 |
|
350 |
293 |
$293.20 |
| 82947 |
|
296 |
245 |
$293.20 |
| 82435 |
|
287 |
238 |
$293.20 |
| 84132 |
|
322 |
262 |
$293.20 |
| 93306 |
|
28 |
24 |
$276.75 |
| J0696 |
Ceftriaxone sodium injection |
344 |
268 |
$210.71 |
| 87591 |
|
166 |
147 |
$205.56 |
| 76856 |
|
17 |
15 |
$196.27 |
| J1200 |
Diphenhydramine hcl injectio |
938 |
333 |
$192.89 |
| 93976 |
|
44 |
41 |
$173.28 |
| 87088 |
|
170 |
141 |
$132.19 |
| 93970 |
|
15 |
13 |
$130.85 |
| 86850 |
|
190 |
150 |
$114.42 |
| 80307 |
|
32 |
24 |
$89.96 |
| 86900 |
|
192 |
150 |
$83.16 |
| 99001 |
|
221 |
201 |
$75.73 |
| 86901 |
|
192 |
150 |
$54.15 |
| J7120 |
Ringers lactate infusion |
45 |
37 |
$43.48 |
| 87186 |
|
204 |
157 |
$21.21 |
| 87491 |
|
182 |
160 |
$20.41 |
| 83036 |
|
79 |
65 |
$12.47 |
| 87210 |
|
45 |
42 |
$5.22 |
| 74022 |
|
42 |
39 |
$4.52 |
| 84100 |
|
86 |
68 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
112 |
83 |
$0.00 |
| 87076 |
|
80 |
59 |
$0.00 |
| J2930 |
Methylprednisolone injection |
48 |
38 |
$0.00 |
| 84702 |
|
94 |
75 |
$0.00 |
| 99152 |
|
20 |
12 |
$0.00 |
| 87077 |
|
15 |
12 |
$0.00 |
| J7060 |
5% dextrose/water |
131 |
88 |
$0.00 |
| J7050 |
Normal saline solution infus |
70 |
41 |
$0.00 |
| J0456 |
Azithromycin |
16 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
32 |
28 |
$0.00 |
| 83605 |
|
113 |
84 |
$0.00 |
| 93971 |
|
41 |
37 |
$0.00 |
| 82607 |
|
43 |
36 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
36 |
24 |
$0.00 |
| 82746 |
|
14 |
12 |
$0.00 |