| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,317 |
14,102 |
$2.23M |
| 99284 |
|
3,675 |
3,659 |
$898K |
| 96374 |
|
5,007 |
4,971 |
$643K |
| 99285 |
|
1,968 |
1,948 |
$521K |
| 99281 |
|
4,516 |
4,387 |
$243K |
| 80053 |
|
11,925 |
11,805 |
$175K |
| 11042 |
|
882 |
482 |
$162K |
| 85025 |
|
16,185 |
15,958 |
$109K |
| 95810 |
|
281 |
281 |
$106K |
| 95811 |
|
212 |
211 |
$83K |
| 96375 |
|
863 |
822 |
$24K |
| 93005 |
|
2,025 |
1,998 |
$11K |
| 71045 |
|
807 |
801 |
$10K |
| 71046 |
|
618 |
610 |
$10K |
| G0463 |
Hospital outpt clinic visit |
1,516 |
982 |
$8K |
| 70450 |
|
131 |
131 |
$6K |
| 74177 |
|
37 |
37 |
$6K |
| 87635 |
|
98 |
98 |
$5K |
| 84484 |
|
351 |
303 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
31 |
31 |
$3K |
| 72082 |
|
39 |
38 |
$2K |
| 36415 |
|
432 |
429 |
$2K |
| 99282 |
|
12 |
12 |
$1K |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,082 |
1,074 |
$1K |
| 80307 |
|
16 |
15 |
$884.32 |
| 81025 |
|
115 |
113 |
$849.48 |
| 83690 |
|
119 |
118 |
$711.08 |
| 83735 |
|
130 |
129 |
$667.52 |
| 81001 |
|
173 |
169 |
$480.92 |
| J2405 |
Ondansetron hcl injection |
1,140 |
1,126 |
$464.83 |
| 83605 |
|
43 |
38 |
$442.47 |
| 87804 |
|
28 |
14 |
$388.16 |
| 81003 |
|
161 |
161 |
$309.15 |
| 97804 |
|
12 |
12 |
$308.91 |
| 97597 |
|
38 |
28 |
$190.77 |
| A6197 |
Alginate drsg >16 <=48 sq in |
19 |
13 |
$145.09 |
| 80048 |
|
13 |
13 |
$89.89 |
| J0690 |
Cefazolin sodium injection |
613 |
585 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
833 |
828 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
24 |
24 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
128 |
128 |
$0.00 |