| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,675 |
11,093 |
$1.45M |
| 99284 |
|
2,394 |
2,151 |
$996K |
| 80053 |
|
4,956 |
3,367 |
$187K |
| 99285 |
|
738 |
650 |
$133K |
| 85025 |
|
8,241 |
5,825 |
$65K |
| 80197 |
|
2,598 |
1,466 |
$65K |
| 82248 |
|
1,156 |
526 |
$44K |
| 81001 |
|
2,350 |
1,918 |
$42K |
| 93005 |
|
1,457 |
1,200 |
$42K |
| 83735 |
|
3,023 |
1,925 |
$39K |
| 80048 |
|
3,301 |
2,433 |
$30K |
| 71046 |
|
676 |
635 |
$26K |
| 99282 |
|
277 |
266 |
$22K |
| 84100 |
|
1,680 |
986 |
$21K |
| 87400 |
|
1,056 |
517 |
$21K |
| 96374 |
|
674 |
609 |
$18K |
| 94010 |
|
60 |
44 |
$10K |
| 87880 |
|
345 |
341 |
$8K |
| 87635 |
|
143 |
137 |
$7K |
| 0001A |
|
376 |
347 |
$6K |
| 86833 |
|
13 |
12 |
$6K |
| 86832 |
|
13 |
12 |
$6K |
| 81025 |
|
762 |
705 |
$5K |
| G0463 |
Hospital outpt clinic visit |
3,101 |
2,665 |
$5K |
| 80076 |
|
716 |
652 |
$4K |
| 83880 |
|
642 |
574 |
$4K |
| 96361 |
|
130 |
116 |
$3K |
| 70450 |
|
58 |
54 |
$3K |
| 71045 |
|
542 |
477 |
$3K |
| 36415 |
|
7,310 |
4,795 |
$3K |
| 96375 |
|
219 |
174 |
$3K |
| 0002A |
|
233 |
232 |
$3K |
| 83970 |
|
50 |
38 |
$3K |
| 84484 |
|
1,044 |
726 |
$2K |
| 96372 |
|
298 |
243 |
$2K |
| 87497 |
|
32 |
28 |
$2K |
| J2405 |
Ondansetron hcl injection |
926 |
767 |
$2K |
| 85610 |
|
1,628 |
1,373 |
$1K |
| 99213 |
|
31 |
27 |
$1K |
| 74177 |
|
14 |
13 |
$902.48 |
| J1100 |
Dexamethasone sodium phos |
315 |
275 |
$825.85 |
| 83690 |
|
320 |
276 |
$812.74 |
| 0241U |
|
130 |
125 |
$526.90 |
| 85730 |
|
488 |
436 |
$499.09 |
| J1885 |
Ketorolac tromethamine inj |
84 |
79 |
$496.93 |
| 86850 |
|
95 |
91 |
$470.32 |
| U0004 |
Cov-19 test non-cdc hgh thru |
99 |
94 |
$442.50 |
| 87081 |
|
31 |
31 |
$441.93 |
| 84702 |
|
51 |
48 |
$412.21 |
| 87807 |
|
16 |
16 |
$297.77 |
| 88305 |
|
54 |
53 |
$253.62 |
| 82105 |
|
15 |
13 |
$246.02 |
| 82570 |
|
16 |
13 |
$229.32 |
| 82947 |
|
1,140 |
638 |
$224.59 |
| 96365 |
|
16 |
16 |
$220.53 |
| 84156 |
|
16 |
13 |
$219.71 |
| J2250 |
Inj midazolam hydrochloride |
547 |
522 |
$177.93 |
| 99152 |
|
41 |
38 |
$171.82 |
| 87086 |
|
101 |
84 |
$167.46 |
| J3010 |
Fentanyl citrate injection |
781 |
711 |
$163.30 |
| 86828 |
|
15 |
13 |
$106.76 |
| U0002 |
Covid-19 lab test non-cdc |
338 |
312 |
$58.54 |
| J7030 |
Normal saline solution infus |
483 |
402 |
$53.02 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
699 |
634 |
$47.76 |
| 86900 |
|
102 |
95 |
$45.81 |
| 86901 |
|
98 |
91 |
$45.79 |
| J7040 |
Normal saline solution infus |
410 |
270 |
$35.77 |
| 87186 |
|
12 |
12 |
$34.89 |
| J2270 |
Morphine sulfate injection |
15 |
13 |
$30.72 |
| 87077 |
|
12 |
12 |
$25.80 |
| 83605 |
|
15 |
13 |
$18.46 |
| J7120 |
Ringers lactate infusion |
45 |
39 |
$12.88 |
| 80061 |
|
69 |
66 |
$8.43 |
| A9270 |
Non-covered item or service |
7,519 |
4,425 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
856 |
719 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
46 |
39 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
13 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
15 |
15 |
$0.00 |
| 87799 |
|
31 |
28 |
$0.00 |
| 91300 |
|
60 |
38 |
$0.00 |
| 87811 |
|
21 |
17 |
$0.00 |