| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
18,235 |
18,097 |
$5.79M |
| 99284 |
|
11,456 |
11,403 |
$2.70M |
| 99283 |
|
16,090 |
15,978 |
$2.61M |
| 96374 |
|
9,333 |
9,194 |
$1.29M |
| D9999 |
|
546 |
545 |
$427K |
| 96375 |
|
4,607 |
4,518 |
$232K |
| 80053 |
|
14,317 |
14,142 |
$168K |
| 85025 |
|
22,033 |
21,680 |
$138K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,153 |
1,123 |
$91K |
| 69436 |
|
161 |
82 |
$88K |
| 42820 |
|
25 |
25 |
$77K |
| 62323 |
|
182 |
181 |
$75K |
| 64493 |
|
164 |
90 |
$73K |
| 43239 |
|
191 |
191 |
$69K |
| 71045 |
|
3,095 |
3,084 |
$39K |
| 96365 |
|
289 |
286 |
$36K |
| 88305 |
|
666 |
665 |
$35K |
| 62321 |
|
71 |
71 |
$30K |
| 81001 |
|
8,854 |
8,780 |
$28K |
| 84443 |
|
1,364 |
1,358 |
$21K |
| 64635 |
|
22 |
12 |
$20K |
| 87502 |
|
225 |
224 |
$18K |
| 74177 |
|
104 |
102 |
$17K |
| 87086 |
|
1,689 |
1,603 |
$12K |
| 80081 |
|
170 |
170 |
$11K |
| 45380 |
|
15 |
15 |
$11K |
| 80048 |
|
1,213 |
1,203 |
$10K |
| 87880 |
|
648 |
646 |
$9K |
| 87591 |
|
273 |
271 |
$9K |
| 87491 |
|
261 |
259 |
$8K |
| 93005 |
|
1,433 |
1,421 |
$8K |
| 81025 |
|
1,143 |
1,132 |
$8K |
| 99213 |
|
137 |
126 |
$7K |
| 45378 |
|
12 |
12 |
$7K |
| 87804 |
|
217 |
210 |
$6K |
| 84439 |
|
675 |
674 |
$6K |
| 99282 |
|
50 |
50 |
$5K |
| 83690 |
|
822 |
808 |
$4K |
| 87081 |
|
649 |
646 |
$4K |
| 80061 |
|
318 |
318 |
$4K |
| 70450 |
|
92 |
90 |
$4K |
| 71046 |
|
210 |
209 |
$3K |
| 87634 |
|
50 |
50 |
$3K |
| 87798 |
|
107 |
107 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
100 |
99 |
$3K |
| 36415 |
|
897 |
854 |
$3K |
| 88175 |
|
122 |
122 |
$3K |
| 87581 |
|
68 |
68 |
$2K |
| 87486 |
|
68 |
68 |
$2K |
| 87070 |
|
267 |
263 |
$2K |
| 84481 |
|
151 |
150 |
$2K |
| 80306 |
|
124 |
122 |
$2K |
| 87210 |
|
12 |
12 |
$2K |
| 87624 |
|
53 |
53 |
$2K |
| 86140 |
|
408 |
402 |
$2K |
| 87653 |
|
50 |
50 |
$2K |
| 83036 |
|
188 |
188 |
$2K |
| 74018 |
|
98 |
98 |
$1K |
| 87661 |
|
44 |
44 |
$1K |
| 87511 |
|
39 |
39 |
$1K |
| 87481 |
|
40 |
40 |
$1K |
| 86850 |
|
87 |
87 |
$737.50 |
| 82950 |
|
139 |
139 |
$600.15 |
| 87807 |
|
12 |
12 |
$598.69 |
| 87426 |
|
12 |
12 |
$542.76 |
| 82947 |
|
172 |
168 |
$423.40 |
| 72110 |
|
12 |
12 |
$365.00 |
| 82306 |
|
13 |
13 |
$356.72 |
| 85027 |
|
62 |
62 |
$349.72 |
| 83735 |
|
68 |
66 |
$345.68 |
| 96361 |
|
12 |
12 |
$302.40 |
| 82728 |
|
25 |
25 |
$299.40 |
| 86900 |
|
86 |
86 |
$235.71 |
| 86901 |
|
85 |
85 |
$230.76 |
| 88304 |
|
13 |
12 |
$225.04 |
| 83655 |
|
13 |
13 |
$159.90 |
| 84484 |
|
13 |
13 |
$155.26 |
| J3010 |
Fentanyl citrate injection |
128 |
99 |
$153.76 |
| J7030 |
Normal saline solution infus |
4,623 |
4,545 |
$127.88 |
| 83605 |
|
14 |
13 |
$101.36 |
| 81003 |
|
39 |
38 |
$68.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,035 |
1,008 |
$46.70 |
| 85652 |
|
23 |
22 |
$45.60 |
| J2405 |
Ondansetron hcl injection |
116 |
96 |
$44.40 |
| J1040 |
Methylprednisolone 80 mg inj |
346 |
342 |
$8.56 |
| J7120 |
Ringers lactate infusion |
2,692 |
2,465 |
$2.46 |
| 64494 |
|
43 |
39 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
464 |
217 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
98 |
98 |
$0.00 |
| 96376 |
|
177 |
163 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
64 |
33 |
$0.00 |
| J8540 |
Oral dexamethasone |
15 |
15 |
$0.00 |
| J2270 |
Morphine sulfate injection |
278 |
246 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |