| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,681 |
1,578 |
$382K |
| 99212 |
|
2,565 |
2,364 |
$100K |
| 99283 |
|
667 |
650 |
$61K |
| 80053 |
|
4,001 |
3,224 |
$47K |
| 96374 |
|
1,986 |
1,259 |
$45K |
| 85025 |
|
5,276 |
4,306 |
$30K |
| 87635 |
|
1,405 |
1,361 |
$25K |
| 99285 |
|
496 |
474 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
657 |
631 |
$16K |
| 99213 |
|
190 |
133 |
$15K |
| J1756 |
Iron sucrose injection |
391 |
226 |
$12K |
| 86003 |
|
330 |
264 |
$9K |
| 82785 |
|
269 |
266 |
$8K |
| 99203 |
|
67 |
66 |
$6K |
| 86359 |
|
42 |
42 |
$5K |
| 84443 |
|
213 |
212 |
$5K |
| 86357 |
|
42 |
42 |
$4K |
| 99211 |
|
67 |
44 |
$3K |
| 96375 |
|
387 |
266 |
$3K |
| 86360 |
|
42 |
42 |
$3K |
| G0463 |
Hospital outpt clinic visit |
1,110 |
818 |
$3K |
| 86317 |
|
389 |
217 |
$3K |
| 93005 |
|
824 |
785 |
$3K |
| 84466 |
|
135 |
127 |
$3K |
| 84439 |
|
159 |
158 |
$2K |
| 96413 |
|
45 |
24 |
$2K |
| 82728 |
|
164 |
158 |
$2K |
| 86355 |
|
42 |
42 |
$2K |
| 82787 |
|
289 |
192 |
$1K |
| 71045 |
|
368 |
356 |
$1K |
| 86353 |
|
41 |
40 |
$1K |
| 85027 |
|
180 |
162 |
$1K |
| 86356 |
|
42 |
42 |
$1K |
| 99204 |
|
14 |
12 |
$1K |
| 82784 |
|
365 |
242 |
$1K |
| 83540 |
|
135 |
127 |
$994.17 |
| 80048 |
|
1,006 |
739 |
$899.41 |
| 86140 |
|
74 |
74 |
$777.83 |
| 81001 |
|
642 |
591 |
$773.53 |
| 87804 |
|
50 |
25 |
$687.08 |
| 85652 |
|
87 |
86 |
$497.94 |
| 84484 |
|
195 |
170 |
$215.83 |
| 96361 |
|
36 |
24 |
$210.66 |
| 86710 |
|
44 |
43 |
$161.43 |
| 83880 |
|
29 |
26 |
$131.92 |
| 85610 |
|
338 |
304 |
$114.42 |
| 83735 |
|
145 |
112 |
$61.66 |
| 36415 |
|
1,854 |
1,291 |
$38.11 |
| 85730 |
|
90 |
86 |
$35.35 |
| 83690 |
|
28 |
27 |
$34.42 |
| 87086 |
|
14 |
14 |
$33.57 |
| 80061 |
|
37 |
36 |
$16.06 |
| J2405 |
Ondansetron hcl injection |
241 |
227 |
$10.02 |
| J3010 |
Fentanyl citrate injection |
190 |
180 |
$6.19 |
| J1100 |
Dexamethasone sodium phos |
81 |
78 |
$5.22 |
| J1644 |
Inj heparin sodium per 1000u |
16 |
13 |
$4.40 |
| J7030 |
Normal saline solution infus |
30 |
26 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
72 |
70 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
152 |
142 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
53 |
49 |
$0.00 |
| A9270 |
Non-covered item or service |
38 |
31 |
$0.00 |
| 83036 |
|
24 |
24 |
$0.00 |