| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
26,210 |
25,059 |
$27.32M |
| 99283 |
|
65,804 |
64,184 |
$9.21M |
| 99282 |
|
10,437 |
10,277 |
$1.48M |
| 87400 |
|
39,640 |
38,666 |
$962K |
| 87426 |
|
30,419 |
29,916 |
$887K |
| 99213 |
|
10,552 |
7,288 |
$739K |
| 93005 |
|
4,087 |
3,864 |
$610K |
| 87635 |
|
13,988 |
13,489 |
$409K |
| 87798 |
|
15,990 |
15,722 |
$408K |
| 96374 |
|
13,121 |
12,551 |
$401K |
| 81002 |
|
14,844 |
9,551 |
$358K |
| J7030 |
Normal saline solution infus |
6,455 |
6,038 |
$352K |
| 85027 |
|
35,620 |
33,471 |
$350K |
| 99285 |
|
1,033 |
961 |
$329K |
| 87880 |
|
24,647 |
24,106 |
$304K |
| 71045 |
|
14,383 |
13,923 |
$303K |
| 74177 |
|
1,051 |
1,014 |
$241K |
| 80048 |
|
22,529 |
21,356 |
$232K |
| 80307 |
|
3,052 |
2,891 |
$219K |
| 93975 |
|
793 |
718 |
$157K |
| 87086 |
|
4,243 |
3,979 |
$119K |
| 86780 |
|
3,025 |
2,953 |
$117K |
| 81001 |
|
28,988 |
27,841 |
$92K |
| 99214 |
|
1,069 |
859 |
$90K |
| 80076 |
|
10,840 |
10,474 |
$87K |
| 87420 |
|
7,152 |
7,007 |
$79K |
| 76801 |
|
749 |
668 |
$72K |
| 70450 |
|
1,111 |
1,058 |
$72K |
| 87389 |
|
1,876 |
1,859 |
$71K |
| U0002 |
Covid-19 lab test non-cdc |
1,546 |
1,519 |
$68K |
| 86701 |
|
906 |
876 |
$58K |
| 99212 |
|
904 |
787 |
$57K |
| 71046 |
|
1,323 |
1,293 |
$51K |
| 83690 |
|
9,041 |
8,671 |
$46K |
| J2405 |
Ondansetron hcl injection |
2,775 |
2,556 |
$45K |
| 80053 |
|
3,877 |
3,587 |
$44K |
| 76817 |
|
440 |
390 |
$36K |
| 99281 |
|
298 |
290 |
$36K |
| 84484 |
|
3,788 |
3,382 |
$27K |
| 84443 |
|
757 |
741 |
$25K |
| 86803 |
|
751 |
746 |
$25K |
| 84703 |
|
4,872 |
4,654 |
$24K |
| 88160 |
|
564 |
556 |
$22K |
| 87340 |
|
977 |
961 |
$21K |
| 86850 |
|
276 |
266 |
$20K |
| 82947 |
|
640 |
618 |
$19K |
| 87491 |
|
246 |
242 |
$17K |
| 87591 |
|
246 |
242 |
$17K |
| 84702 |
|
1,418 |
1,247 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
1,552 |
1,091 |
$16K |
| 81025 |
|
2,167 |
2,095 |
$14K |
| 87661 |
|
245 |
241 |
$14K |
| 86762 |
|
145 |
141 |
$9K |
| 90656 |
|
82 |
82 |
$8K |
| 83036 |
|
448 |
441 |
$7K |
| 87070 |
|
975 |
963 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
248 |
219 |
$7K |
| 96375 |
|
1,432 |
1,329 |
$6K |
| 36415 |
|
7,161 |
6,388 |
$6K |
| 86900 |
|
1,422 |
1,335 |
$6K |
| 86901 |
|
1,421 |
1,334 |
$6K |
| 90715 |
|
27 |
25 |
$4K |
| 82248 |
|
1,726 |
1,537 |
$3K |
| G0480 |
Drug test def 1-7 classes |
38 |
37 |
$3K |
| 99204 |
|
37 |
36 |
$3K |
| 83880 |
|
283 |
268 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
267 |
251 |
$3K |
| 76815 |
|
13 |
13 |
$3K |
| 74018 |
|
99 |
96 |
$2K |
| 99203 |
|
25 |
25 |
$2K |
| J1100 |
Dexamethasone sodium phos |
138 |
133 |
$2K |
| 82105 |
|
36 |
36 |
$2K |
| 87653 |
|
29 |
29 |
$2K |
| 90471 |
|
26 |
24 |
$2K |
| 86787 |
|
26 |
26 |
$1K |
| 84030 |
|
225 |
204 |
$1K |
| 83520 |
|
27 |
27 |
$1K |
| G0008 |
Admin influenza virus vac |
83 |
83 |
$969.02 |
| 96372 |
|
513 |
471 |
$951.31 |
| 83020 |
|
14 |
14 |
$908.15 |
| 59430 |
|
12 |
12 |
$902.78 |
| 83735 |
|
216 |
205 |
$676.84 |
| 72125 |
|
33 |
29 |
$578.41 |
| 82247 |
|
79 |
57 |
$420.72 |
| 80061 |
|
92 |
91 |
$368.26 |
| 87040 |
|
62 |
49 |
$359.47 |
| 85610 |
|
366 |
348 |
$271.30 |
| 85730 |
|
156 |
153 |
$186.28 |
| 81003 |
|
76 |
76 |
$159.16 |
| U0003 |
Cov-19 amp prb hgh thruput |
32 |
27 |
$129.66 |
| J2270 |
Morphine sulfate injection |
355 |
288 |
$108.93 |
| 99385 |
|
27 |
27 |
$93.47 |
| G0463 |
Hospital outpt clinic visit |
49 |
43 |
$53.57 |
| 87186 |
|
13 |
13 |
$29.08 |
| 85379 |
|
18 |
12 |
$25.65 |
| 99395 |
|
69 |
69 |
$20.40 |
| A9270 |
Non-covered item or service |
1,114 |
491 |
$0.00 |
| 87651 |
|
68 |
68 |
$0.00 |
| G1003 |
Cdsm medicalis |
92 |
83 |
$0.00 |