| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
8,609 |
7,934 |
$2.56M |
| 99285 |
|
19,346 |
17,811 |
$2.50M |
| 99283 |
|
14,596 |
13,776 |
$1.95M |
| 90870 |
|
4,235 |
1,352 |
$1.85M |
| 99284 |
|
11,117 |
10,432 |
$1.47M |
| U0003 |
Cov-19 amp prb hgh thruput |
8,552 |
7,341 |
$487K |
| 80053 |
|
15,033 |
13,771 |
$177K |
| 0241U |
|
2,160 |
2,048 |
$162K |
| U0005 |
Infec agen detec ampli probe |
6,793 |
5,775 |
$136K |
| 43239 |
|
244 |
233 |
$94K |
| 88305 |
|
1,450 |
1,394 |
$76K |
| 0001A |
|
622 |
602 |
$56K |
| 0002A |
|
542 |
528 |
$49K |
| 84484 |
|
1,624 |
1,340 |
$37K |
| 74177 |
|
175 |
161 |
$36K |
| 80048 |
|
3,892 |
3,568 |
$33K |
| 87591 |
|
486 |
447 |
$27K |
| 86850 |
|
497 |
455 |
$18K |
| 87086 |
|
567 |
509 |
$17K |
| 88342 |
|
460 |
440 |
$15K |
| 0012A |
|
147 |
138 |
$12K |
| 80306 |
|
448 |
410 |
$11K |
| 87491 |
|
486 |
447 |
$10K |
| 86787 |
|
540 |
494 |
$8K |
| 86769 |
|
178 |
175 |
$8K |
| 87635 |
|
89 |
82 |
$6K |
| 87389 |
|
528 |
485 |
$5K |
| 87340 |
|
508 |
466 |
$5K |
| 86803 |
|
197 |
185 |
$4K |
| 96374 |
|
14,078 |
13,040 |
$3K |
| 93306 |
|
14 |
14 |
$3K |
| 36415 |
|
1,802 |
1,587 |
$3K |
| 86762 |
|
164 |
155 |
$3K |
| 70450 |
|
14 |
12 |
$3K |
| 96360 |
|
15 |
12 |
$3K |
| 93005 |
|
5,732 |
4,961 |
$3K |
| 85025 |
|
20,953 |
19,333 |
$3K |
| 86900 |
|
526 |
482 |
$2K |
| J3490 |
Drugs unclassified injection |
28,840 |
13,162 |
$2K |
| 99282 |
|
12 |
12 |
$2K |
| 86765 |
|
180 |
171 |
$2K |
| 86735 |
|
181 |
172 |
$2K |
| 95806 |
|
12 |
12 |
$1K |
| 71045 |
|
3,330 |
3,028 |
$1K |
| 96375 |
|
7,491 |
6,828 |
$1K |
| 82043 |
|
13 |
13 |
$1K |
| 86901 |
|
526 |
482 |
$1K |
| 87502 |
|
26 |
26 |
$1K |
| J7999 |
Compounded drug, noc |
4,062 |
630 |
$897.47 |
| 87651 |
|
50 |
49 |
$837.71 |
| 87510 |
|
12 |
12 |
$769.12 |
| 82570 |
|
27 |
27 |
$753.62 |
| 83605 |
|
15 |
14 |
$687.15 |
| 80307 |
|
17 |
13 |
$670.34 |
| 94060 |
|
14 |
13 |
$527.88 |
| 87081 |
|
13 |
13 |
$498.07 |
| 87801 |
|
13 |
12 |
$440.10 |
| 87480 |
|
12 |
12 |
$423.34 |
| J1885 |
Ketorolac tromethamine inj |
8,340 |
3,921 |
$407.25 |
| 84443 |
|
37 |
37 |
$398.66 |
| 82607 |
|
51 |
51 |
$394.48 |
| 82746 |
|
38 |
38 |
$385.65 |
| 87660 |
|
12 |
12 |
$384.56 |
| 94729 |
|
15 |
14 |
$307.30 |
| 0352U |
|
12 |
12 |
$262.46 |
| 83540 |
|
50 |
50 |
$193.40 |
| 82728 |
|
38 |
38 |
$188.83 |
| 88175 |
|
13 |
12 |
$158.00 |
| 86140 |
|
66 |
64 |
$156.80 |
| 83690 |
|
4,039 |
3,701 |
$136.11 |
| 84466 |
|
50 |
50 |
$136.05 |
| 86780 |
|
14 |
13 |
$101.93 |
| 80061 |
|
25 |
25 |
$99.09 |
| 82306 |
|
25 |
25 |
$91.52 |
| 86160 |
|
13 |
12 |
$90.40 |
| 85027 |
|
767 |
711 |
$84.33 |
| 99214 |
|
12 |
12 |
$76.74 |
| 86364 |
|
12 |
12 |
$49.32 |
| 84703 |
|
539 |
508 |
$42.96 |
| 82077 |
|
87 |
78 |
$38.40 |
| Q3014 |
Telehealth facility fee |
52 |
44 |
$28.65 |
| 83036 |
|
13 |
13 |
$24.94 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,527 |
1,411 |
$13.60 |
| J2405 |
Ondansetron hcl injection |
6,052 |
3,738 |
$9.63 |
| 81001 |
|
2,524 |
2,349 |
$2.22 |
| J8499 |
Oral prescrip drug non chemo |
1,151 |
793 |
$2.04 |
| J2704 |
Inj, propofol, 10 mg |
3,916 |
1,410 |
$0.11 |
| J2250 |
Inj midazolam hydrochloride |
2,868 |
561 |
$0.04 |
| J2765 |
Metoclopramide hcl injection |
919 |
251 |
$0.03 |
| 83735 |
|
375 |
345 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
1,391 |
420 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
18 |
12 |
$0.00 |
| 83880 |
|
13 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
15 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
16 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
15 |
15 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
42 |
24 |
$0.00 |
| 96372 |
|
17 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
20 |
$0.00 |
| J7120 |
Ringers lactate infusion |
167 |
160 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
137 |
51 |
$0.00 |
| 71046 |
|
30 |
30 |
$0.00 |
| A4649 |
Surgical supplies |
135 |
124 |
$0.00 |
| 81025 |
|
97 |
86 |
$0.00 |
| J2270 |
Morphine sulfate injection |
75 |
57 |
$0.00 |
| 81003 |
|
278 |
263 |
$0.00 |