| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,417 |
17,150 |
$4.15M |
| 99285 |
|
10,979 |
10,830 |
$3.30M |
| 99283 |
|
14,309 |
14,190 |
$2.31M |
| 69436 |
|
2,597 |
2,594 |
$1.79M |
| 42820 |
|
392 |
392 |
$1.36M |
| 96374 |
|
9,192 |
8,968 |
$1.09M |
| 96375 |
|
6,422 |
6,227 |
$257K |
| 99282 |
|
2,407 |
2,392 |
$226K |
| 80053 |
|
10,430 |
9,927 |
$98K |
| 85025 |
|
14,272 |
13,564 |
$91K |
| 96361 |
|
2,463 |
2,418 |
$88K |
| 36415 |
|
9,279 |
8,941 |
$79K |
| 87635 |
|
1,327 |
1,318 |
$65K |
| 74177 |
|
380 |
379 |
$63K |
| 71045 |
|
4,982 |
4,912 |
$59K |
| U0004 |
Cov-19 test non-cdc hgh thru |
692 |
681 |
$56K |
| 87637 |
|
351 |
351 |
$48K |
| 43239 |
|
115 |
115 |
$47K |
| 80050 |
|
1,565 |
1,564 |
$47K |
| 96372 |
|
744 |
732 |
$44K |
| 87798 |
|
1,471 |
1,466 |
$44K |
| 96365 |
|
301 |
283 |
$40K |
| 62323 |
|
85 |
83 |
$35K |
| 42830 |
|
14 |
14 |
$32K |
| 81001 |
|
10,200 |
10,037 |
$32K |
| 87088 |
|
3,297 |
3,216 |
$23K |
| 70450 |
|
431 |
428 |
$21K |
| 93005 |
|
4,025 |
3,857 |
$21K |
| G0463 |
Hospital outpt clinic visit |
2,043 |
1,855 |
$18K |
| 86710 |
|
1,198 |
1,187 |
$15K |
| 87086 |
|
2,092 |
2,036 |
$14K |
| 93306 |
|
161 |
161 |
$14K |
| 80081 |
|
195 |
195 |
$12K |
| 80061 |
|
974 |
974 |
$11K |
| 42821 |
|
13 |
13 |
$10K |
| 83690 |
|
1,824 |
1,791 |
$10K |
| 83655 |
|
843 |
832 |
$9K |
| 72110 |
|
287 |
287 |
$9K |
| 87591 |
|
282 |
280 |
$8K |
| 87491 |
|
282 |
280 |
$8K |
| 96413 |
|
34 |
25 |
$7K |
| 87081 |
|
1,012 |
1,010 |
$7K |
| 81025 |
|
1,012 |
1,003 |
$7K |
| 84484 |
|
669 |
621 |
$7K |
| 20610 |
|
53 |
50 |
$7K |
| 84439 |
|
943 |
940 |
$7K |
| 80048 |
|
722 |
711 |
$6K |
| 71046 |
|
389 |
389 |
$6K |
| 84443 |
|
393 |
390 |
$5K |
| 74176 |
|
65 |
65 |
$5K |
| 82947 |
|
1,379 |
1,346 |
$5K |
| 87581 |
|
150 |
150 |
$4K |
| 87486 |
|
150 |
150 |
$4K |
| 62321 |
|
13 |
13 |
$4K |
| 84703 |
|
639 |
634 |
$4K |
| 87804 |
|
261 |
134 |
$4K |
| 83036 |
|
404 |
404 |
$3K |
| 83735 |
|
380 |
372 |
$2K |
| J3010 |
Fentanyl citrate injection |
2,578 |
2,566 |
$2K |
| 97110 |
|
25 |
12 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,985 |
3,841 |
$1K |
| 72148 |
|
13 |
13 |
$1K |
| 88305 |
|
27 |
27 |
$1K |
| 83880 |
|
37 |
37 |
$1K |
| 85014 |
|
520 |
520 |
$1K |
| 72050 |
|
29 |
29 |
$1K |
| 87653 |
|
36 |
36 |
$1K |
| 93010 |
|
1,042 |
918 |
$1K |
| 84481 |
|
67 |
66 |
$866.59 |
| 86803 |
|
78 |
78 |
$862.92 |
| 86787 |
|
78 |
77 |
$776.21 |
| 94640 |
|
80 |
75 |
$766.92 |
| 86756 |
|
49 |
49 |
$643.18 |
| 80306 |
|
32 |
32 |
$472.75 |
| 81000 |
|
131 |
131 |
$433.18 |
| 87077 |
|
62 |
62 |
$304.26 |
| 82728 |
|
26 |
26 |
$303.00 |
| 72100 |
|
12 |
12 |
$251.60 |
| 80305 |
|
26 |
24 |
$251.46 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
468 |
457 |
$235.77 |
| 85027 |
|
41 |
37 |
$234.78 |
| 83550 |
|
25 |
25 |
$186.48 |
| 87880 |
|
12 |
12 |
$176.40 |
| 83540 |
|
25 |
25 |
$138.00 |
| 86038 |
|
13 |
13 |
$135.75 |
| 86140 |
|
13 |
13 |
$59.93 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,013 |
1,005 |
$45.75 |
| J1885 |
Ketorolac tromethamine inj |
1,346 |
1,152 |
$31.65 |
| 86592 |
|
12 |
12 |
$15.20 |
| J2270 |
Morphine sulfate injection |
353 |
340 |
$8.64 |
| S0028 |
Injection, famotidine, 20 mg |
12 |
12 |
$6.56 |
| J1100 |
Dexamethasone sodium phos |
2,172 |
2,144 |
$0.00 |
| J1790 |
Droperidol injection |
394 |
382 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
69 |
68 |
$0.00 |
| 36000 |
|
152 |
151 |
$0.00 |
| C1889 |
Implant/insert device, noc |
98 |
98 |
$0.00 |
| J1170 |
Hydromorphone injection |
33 |
30 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
860 |
846 |
$0.00 |
| C1758 |
Catheter, ureteral |
75 |
75 |
$0.00 |
| J0780 |
Prochlorperazine injection |
14 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$0.00 |