| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,465 |
5,898 |
$2.42M |
| 99284 |
|
4,592 |
4,098 |
$2.28M |
| 99285 |
|
1,743 |
1,567 |
$1.47M |
| 97110 |
|
8,441 |
3,099 |
$814K |
| 99282 |
|
2,805 |
2,603 |
$660K |
| 74177 |
|
547 |
519 |
$537K |
| 80053 |
|
10,060 |
9,061 |
$293K |
| 97140 |
|
3,713 |
1,546 |
$242K |
| 96374 |
|
2,365 |
2,175 |
$230K |
| 71046 |
|
1,676 |
1,611 |
$202K |
| 85025 |
|
10,175 |
9,017 |
$189K |
| 84443 |
|
2,987 |
2,930 |
$189K |
| 93005 |
|
2,421 |
2,094 |
$185K |
| 84484 |
|
2,498 |
1,852 |
$181K |
| 70450 |
|
367 |
357 |
$165K |
| 80061 |
|
3,207 |
3,182 |
$147K |
| 96361 |
|
1,655 |
1,514 |
$139K |
| 80307 |
|
2,015 |
1,881 |
$134K |
| 71045 |
|
1,589 |
1,450 |
$132K |
| 83036 |
|
2,220 |
2,200 |
$114K |
| 83690 |
|
1,722 |
1,580 |
$101K |
| 93041 |
|
2,604 |
2,406 |
$95K |
| 96375 |
|
1,313 |
1,208 |
$89K |
| 36415 |
|
4,954 |
4,278 |
$82K |
| 96372 |
|
1,387 |
1,300 |
$76K |
| 83880 |
|
787 |
637 |
$72K |
| 73630 |
|
412 |
382 |
$71K |
| 97113 |
|
408 |
149 |
$67K |
| 80050 |
|
412 |
408 |
$64K |
| 97161 |
|
805 |
789 |
$61K |
| J7030 |
Normal saline solution infus |
1,653 |
1,444 |
$59K |
| 83605 |
|
922 |
735 |
$54K |
| 85730 |
|
1,527 |
1,402 |
$45K |
| 87635 |
|
915 |
878 |
$45K |
| 81003 |
|
1,771 |
1,698 |
$43K |
| 97530 |
|
402 |
245 |
$41K |
| 85610 |
|
1,996 |
1,772 |
$40K |
| 87400 |
|
360 |
350 |
$38K |
| 81015 |
|
1,781 |
1,676 |
$32K |
| 81025 |
|
1,127 |
1,053 |
$31K |
| 74176 |
|
39 |
38 |
$29K |
| 87426 |
|
1,018 |
958 |
$27K |
| 97112 |
|
311 |
147 |
$27K |
| 77067 |
|
106 |
105 |
$26K |
| J2405 |
Ondansetron hcl injection |
927 |
837 |
$25K |
| 80048 |
|
943 |
835 |
$23K |
| 86140 |
|
515 |
466 |
$20K |
| 0241U |
|
1,531 |
1,444 |
$19K |
| 86141 |
|
470 |
405 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
1,469 |
1,384 |
$15K |
| 85652 |
|
650 |
627 |
$15K |
| 87086 |
|
271 |
262 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
72 |
71 |
$15K |
| 83735 |
|
323 |
288 |
$15K |
| 73030 |
|
75 |
72 |
$13K |
| 84439 |
|
290 |
286 |
$12K |
| 85379 |
|
163 |
155 |
$11K |
| 96365 |
|
84 |
70 |
$11K |
| J7120 |
Ringers lactate infusion |
490 |
447 |
$11K |
| 73610 |
|
63 |
61 |
$10K |
| 96360 |
|
68 |
68 |
$9K |
| 82306 |
|
98 |
98 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
313 |
275 |
$9K |
| 72125 |
|
12 |
12 |
$6K |
| 87880 |
|
149 |
147 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
100 |
90 |
$5K |
| 82550 |
|
119 |
115 |
$4K |
| 77063 |
|
94 |
93 |
$4K |
| 97535 |
|
75 |
57 |
$4K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
12 |
12 |
$4K |
| 87070 |
|
51 |
51 |
$3K |
| 12001 |
|
14 |
14 |
$3K |
| 87205 |
|
93 |
89 |
$3K |
| 73130 |
|
14 |
14 |
$2K |
| 85027 |
|
79 |
68 |
$2K |
| 85007 |
|
106 |
90 |
$2K |
| 94640 |
|
25 |
13 |
$2K |
| 82962 |
|
104 |
67 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
73 |
71 |
$1K |
| 82043 |
|
28 |
27 |
$1K |
| J1170 |
Hydromorphone injection |
16 |
14 |
$964.02 |
| J7040 |
Normal saline solution infus |
57 |
46 |
$944.80 |
| 84153 |
|
14 |
13 |
$870.73 |
| 82607 |
|
12 |
12 |
$658.74 |
| 90471 |
|
13 |
12 |
$593.23 |
| A4216 |
Sterile water/saline, 10 ml |
52 |
36 |
$227.38 |
| J2001 |
Lidocaine injection |
46 |
38 |
$210.75 |
| J7050 |
Normal saline solution infus |
16 |
12 |
$169.32 |
| 93010 |
|
32 |
28 |
$114.50 |
| A9270 |
Non-covered item or service |
1,163 |
452 |
$0.00 |