| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
5,144 |
4,446 |
$2.37M |
| 99284 |
|
5,651 |
4,977 |
$1.99M |
| 99283 |
|
4,285 |
3,847 |
$1.02M |
| 74177 |
|
1,073 |
928 |
$287K |
| 70450 |
|
1,602 |
1,368 |
$105K |
| OP370 |
|
535 |
424 |
$101K |
| OP710 |
|
543 |
430 |
$101K |
| 96374 |
|
2,519 |
2,163 |
$90K |
| 96361 |
|
1,463 |
1,154 |
$90K |
| G0378 |
Hospital observation per hr |
106 |
91 |
$90K |
| 80053 |
|
7,745 |
6,310 |
$78K |
| 96375 |
|
2,020 |
1,652 |
$72K |
| 96365 |
|
1,249 |
1,045 |
$58K |
| 93005 |
|
3,184 |
2,661 |
$57K |
| 71045 |
|
2,758 |
2,301 |
$57K |
| 99282 |
|
301 |
269 |
$46K |
| 85025 |
|
8,502 |
6,671 |
$42K |
| U0003 |
Cov-19 amp prb hgh thruput |
450 |
420 |
$29K |
| 87502 |
|
590 |
537 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,458 |
1,204 |
$22K |
| OP250 |
|
15,890 |
7,507 |
$21K |
| 71046 |
|
740 |
707 |
$20K |
| 86900 |
|
1,193 |
1,011 |
$17K |
| 99281 |
|
107 |
104 |
$17K |
| 59025 |
|
91 |
83 |
$16K |
| 81001 |
|
4,226 |
3,666 |
$15K |
| 36415 |
|
8,994 |
6,748 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
780 |
702 |
$14K |
| OP272 |
|
651 |
541 |
$14K |
| 84484 |
|
2,132 |
1,690 |
$11K |
| 87426 |
|
1,012 |
837 |
$10K |
| 86850 |
|
1,057 |
869 |
$8K |
| 83735 |
|
1,649 |
1,412 |
$8K |
| 81025 |
|
2,149 |
1,833 |
$7K |
| 96360 |
|
108 |
94 |
$7K |
| 83690 |
|
2,254 |
1,929 |
$7K |
| 74176 |
|
65 |
51 |
$6K |
| 87088 |
|
1,458 |
1,293 |
$6K |
| 86901 |
|
1,207 |
1,004 |
$5K |
| 87428 |
|
258 |
239 |
$5K |
| 85610 |
|
1,168 |
1,025 |
$5K |
| 87804 |
|
568 |
370 |
$5K |
| 96372 |
|
440 |
326 |
$4K |
| J7030 |
Normal saline solution infus |
2,945 |
2,438 |
$4K |
| 82962 |
|
230 |
139 |
$3K |
| 87651 |
|
204 |
182 |
$3K |
| 97110 |
|
50 |
12 |
$3K |
| 0012A |
|
101 |
99 |
$3K |
| 76816 |
|
33 |
24 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
774 |
558 |
$3K |
| 88305 |
|
45 |
39 |
$2K |
| 0011A |
|
93 |
93 |
$2K |
| 97140 |
|
49 |
12 |
$2K |
| 76820 |
|
45 |
25 |
$2K |
| 87801 |
|
157 |
132 |
$2K |
| 87071 |
|
233 |
205 |
$2K |
| 72125 |
|
28 |
24 |
$2K |
| 84703 |
|
478 |
462 |
$1K |
| 82948 |
|
214 |
162 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,670 |
1,327 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
371 |
298 |
$1K |
| J7120 |
Ringers lactate infusion |
932 |
609 |
$920.54 |
| 87635 |
|
68 |
36 |
$877.58 |
| 36416 |
|
126 |
102 |
$707.29 |
| 83605 |
|
163 |
142 |
$699.30 |
| 87880 |
|
176 |
151 |
$673.47 |
| 85379 |
|
160 |
137 |
$649.21 |
| 87040 |
|
65 |
48 |
$582.58 |
| 80048 |
|
99 |
90 |
$543.55 |
| J7050 |
Normal saline solution infus |
618 |
345 |
$493.31 |
| 73564 |
|
23 |
12 |
$488.02 |
| J2405 |
Ondansetron hcl injection |
1,345 |
1,025 |
$482.25 |
| 85730 |
|
100 |
100 |
$458.13 |
| 83880 |
|
38 |
36 |
$445.25 |
| 84702 |
|
45 |
39 |
$311.65 |
| OP258 |
|
209 |
178 |
$300.68 |
| OP270 |
|
149 |
122 |
$267.57 |
| J1100 |
Dexamethasone sodium phos |
540 |
433 |
$259.70 |
| 87070 |
|
55 |
54 |
$197.02 |
| J3010 |
Fentanyl citrate injection |
139 |
106 |
$128.70 |
| G1004 |
Cdsm ndsc |
74 |
42 |
$81.69 |
| 87807 |
|
58 |
40 |
$81.16 |
| J0696 |
Ceftriaxone sodium injection |
31 |
27 |
$71.52 |
| J2765 |
Metoclopramide hcl injection |
93 |
81 |
$53.51 |
| OP255 |
|
14 |
13 |
$47.11 |
| J0690 |
Cefazolin sodium injection |
28 |
12 |
$41.54 |
| J1170 |
Hydromorphone injection |
26 |
12 |
$38.32 |
| J2250 |
Inj midazolam hydrochloride |
59 |
50 |
$21.57 |
| J3490 |
Drugs unclassified injection |
12 |
12 |
$16.19 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
12 |
$6.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
20 |
12 |
$2.00 |