| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
3,935 |
3,077 |
$936K |
| 99284 |
|
16,457 |
14,433 |
$931K |
| 99283 |
|
17,711 |
15,712 |
$570K |
| 87636 |
|
2,658 |
2,206 |
$217K |
| 80053 |
|
13,314 |
11,401 |
$114K |
| 85025 |
|
15,586 |
13,360 |
$113K |
| 93005 |
|
5,102 |
4,276 |
$53K |
| 71045 |
|
4,587 |
3,912 |
$21K |
| 87088 |
|
2,292 |
1,925 |
$19K |
| 83690 |
|
2,734 |
2,331 |
$15K |
| U0003 |
Cov-19 amp prb hgh thruput |
379 |
357 |
$15K |
| 70450 |
|
212 |
177 |
$14K |
| 99282 |
|
388 |
307 |
$13K |
| 84484 |
|
1,445 |
1,083 |
$12K |
| 81001 |
|
3,580 |
3,267 |
$11K |
| 83735 |
|
1,693 |
1,414 |
$10K |
| G0463 |
Hospital outpt clinic visit |
228 |
166 |
$9K |
| 81003 |
|
3,588 |
2,984 |
$9K |
| 74177 |
|
29 |
24 |
$5K |
| U0005 |
Infec agen detec ampli probe |
379 |
357 |
$5K |
| 81025 |
|
1,847 |
1,690 |
$5K |
| 71046 |
|
417 |
400 |
$4K |
| 84100 |
|
1,238 |
1,056 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
3,064 |
2,699 |
$3K |
| 80047 |
|
358 |
323 |
$2K |
| 80048 |
|
237 |
208 |
$2K |
| 87400 |
|
373 |
320 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
291 |
222 |
$1K |
| 59025 |
|
244 |
144 |
$1K |
| 80307 |
|
28 |
28 |
$1K |
| 97110 |
|
41 |
13 |
$876.20 |
| 83880 |
|
30 |
26 |
$873.35 |
| 83605 |
|
45 |
41 |
$391.03 |
| 97014 |
|
42 |
12 |
$343.74 |
| 85610 |
|
76 |
67 |
$253.88 |
| J1100 |
Dexamethasone sodium phos |
342 |
312 |
$251.78 |
| 94640 |
|
20 |
16 |
$175.24 |
| 87430 |
|
13 |
12 |
$144.36 |
| 87186 |
|
13 |
12 |
$101.10 |
| 86850 |
|
20 |
16 |
$63.45 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$61.20 |
| 86900 |
|
20 |
16 |
$26.32 |
| 85730 |
|
15 |
14 |
$26.28 |
| 86901 |
|
20 |
16 |
$26.08 |
| J2405 |
Ondansetron hcl injection |
307 |
228 |
$4.00 |
| J3010 |
Fentanyl citrate injection |
69 |
39 |
$2.45 |
| J2704 |
Inj, propofol, 10 mg |
217 |
167 |
$2.40 |
| 36415 |
|
37 |
27 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
33 |
26 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
18 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,754 |
1,262 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
12 |
$0.00 |