| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,468 |
10,022 |
$2.68M |
| 99284 |
|
4,978 |
4,668 |
$1.59M |
| 99281 |
|
2,481 |
2,380 |
$479K |
| 87426 |
|
8,099 |
7,789 |
$425K |
| 99285 |
|
1,162 |
1,076 |
$360K |
| 87430 |
|
11,821 |
11,473 |
$323K |
| 87804 |
|
5,164 |
4,939 |
$309K |
| 99282 |
|
1,226 |
1,181 |
$231K |
| 93005 |
|
1,638 |
1,370 |
$92K |
| 87428 |
|
4,440 |
4,309 |
$88K |
| 87635 |
|
1,107 |
1,077 |
$71K |
| 71045 |
|
1,567 |
1,406 |
$68K |
| U0003 |
Cov-19 amp prb hgh thruput |
422 |
413 |
$65K |
| 80053 |
|
7,118 |
6,386 |
$61K |
| 85025 |
|
8,154 |
7,157 |
$53K |
| J2405 |
Ondansetron hcl injection |
773 |
684 |
$48K |
| 87807 |
|
1,810 |
1,764 |
$47K |
| 71046 |
|
722 |
693 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
252 |
228 |
$37K |
| 70450 |
|
732 |
675 |
$35K |
| 80307 |
|
621 |
574 |
$31K |
| C9803 |
Hopd covid-19 spec collect |
3,522 |
3,401 |
$25K |
| 74177 |
|
42 |
41 |
$16K |
| 81001 |
|
4,957 |
4,594 |
$13K |
| 84443 |
|
1,182 |
1,156 |
$12K |
| 80061 |
|
1,352 |
1,330 |
$12K |
| 84484 |
|
1,799 |
980 |
$11K |
| 83036 |
|
1,431 |
1,402 |
$10K |
| 83880 |
|
457 |
412 |
$8K |
| J1100 |
Dexamethasone sodium phos |
122 |
117 |
$8K |
| 82306 |
|
598 |
588 |
$8K |
| 84703 |
|
977 |
905 |
$8K |
| 77067 |
|
114 |
114 |
$7K |
| 85027 |
|
476 |
459 |
$5K |
| 80048 |
|
895 |
802 |
$5K |
| 87086 |
|
971 |
893 |
$5K |
| 83690 |
|
929 |
846 |
$4K |
| 77063 |
|
114 |
114 |
$4K |
| 94640 |
|
55 |
45 |
$4K |
| 74176 |
|
27 |
27 |
$3K |
| 83735 |
|
670 |
601 |
$2K |
| 82550 |
|
662 |
606 |
$2K |
| J2270 |
Morphine sulfate injection |
44 |
38 |
$2K |
| 83655 |
|
71 |
71 |
$2K |
| M0243 |
Casirivi and imdevi inj |
21 |
21 |
$2K |
| 82607 |
|
158 |
157 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
131 |
122 |
$1K |
| 83605 |
|
267 |
193 |
$1K |
| 82728 |
|
126 |
124 |
$1K |
| 85610 |
|
591 |
544 |
$1K |
| 84439 |
|
53 |
53 |
$960.55 |
| 85730 |
|
368 |
345 |
$960.44 |
| 72125 |
|
40 |
39 |
$871.67 |
| 96365 |
|
40 |
39 |
$762.97 |
| 96374 |
|
364 |
317 |
$721.97 |
| 88305 |
|
71 |
42 |
$677.15 |
| 83550 |
|
97 |
95 |
$595.48 |
| 96361 |
|
99 |
93 |
$554.18 |
| 87040 |
|
145 |
76 |
$503.65 |
| 87186 |
|
204 |
184 |
$495.96 |
| 83540 |
|
105 |
101 |
$458.52 |
| 87088 |
|
153 |
141 |
$358.54 |
| 87081 |
|
38 |
37 |
$219.77 |
| 86901 |
|
61 |
53 |
$151.16 |
| 86900 |
|
61 |
53 |
$151.15 |
| 82043 |
|
38 |
38 |
$122.22 |
| 94664 |
|
27 |
27 |
$108.72 |
| 59025 |
|
12 |
12 |
$84.19 |
| J3010 |
Fentanyl citrate injection |
15 |
12 |
$67.30 |
| 85379 |
|
13 |
12 |
$26.94 |
| 80164 |
|
12 |
12 |
$24.72 |
| 36415 |
|
2,296 |
1,978 |
$6.89 |
| S3620 |
Newborn metabolic screening |
28 |
26 |
$0.02 |
| J2704 |
Inj, propofol, 10 mg |
220 |
211 |
$0.00 |
| 82962 |
|
740 |
413 |
$0.00 |
| 96375 |
|
92 |
85 |
$0.00 |
| J2001 |
Lidocaine injection |
107 |
102 |
$0.00 |
| 96372 |
|
12 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
176 |
171 |
$0.00 |
| 74018 |
|
17 |
12 |
$0.00 |