| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
32,566 |
29,610 |
$3.48M |
| 99283 |
|
28,171 |
25,674 |
$1.76M |
| 99285 |
|
5,685 |
5,221 |
$701K |
| 87635 |
|
15,336 |
14,107 |
$629K |
| 87502 |
|
6,982 |
6,375 |
$564K |
| 99213 |
|
10,764 |
9,121 |
$352K |
| 96372 |
|
15,522 |
12,446 |
$344K |
| 99282 |
|
6,293 |
5,762 |
$297K |
| 99212 |
|
6,721 |
5,233 |
$190K |
| 87633 |
|
688 |
507 |
$173K |
| 93005 |
|
5,724 |
5,194 |
$167K |
| 80053 |
|
19,026 |
16,703 |
$140K |
| 85025 |
|
20,625 |
18,003 |
$113K |
| 71045 |
|
4,711 |
4,298 |
$112K |
| 96374 |
|
4,793 |
3,880 |
$94K |
| 87651 |
|
2,997 |
2,740 |
$92K |
| 99214 |
|
1,516 |
1,349 |
$74K |
| 36415 |
|
26,307 |
22,962 |
$59K |
| 80307 |
|
1,196 |
1,007 |
$56K |
| 96375 |
|
2,500 |
1,988 |
$51K |
| 74176 |
|
139 |
131 |
$50K |
| 11042 |
|
279 |
116 |
$47K |
| 96361 |
|
3,536 |
2,681 |
$40K |
| 99215 |
Prolong outpt/office vis |
715 |
660 |
$37K |
| 76816 |
|
265 |
236 |
$37K |
| 87661 |
|
1,233 |
1,046 |
$35K |
| 80050 |
|
761 |
711 |
$31K |
| 81025 |
|
4,451 |
4,059 |
$31K |
| 80061 |
|
2,709 |
2,433 |
$31K |
| 84443 |
|
2,098 |
1,821 |
$28K |
| 83036 |
|
3,082 |
2,760 |
$24K |
| 70450 |
|
142 |
126 |
$22K |
| 81000 |
|
6,975 |
6,247 |
$21K |
| 84439 |
|
2,673 |
2,389 |
$19K |
| 84484 |
|
2,675 |
2,234 |
$19K |
| 76856 |
|
141 |
117 |
$19K |
| 77067 |
|
358 |
328 |
$17K |
| 99211 |
|
647 |
510 |
$16K |
| 87389 |
|
854 |
713 |
$16K |
| 83880 |
|
686 |
622 |
$15K |
| 83690 |
|
2,775 |
2,527 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
6,150 |
5,406 |
$12K |
| 87086 |
|
1,977 |
1,714 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
148 |
141 |
$11K |
| 94640 |
|
602 |
502 |
$10K |
| 74177 |
|
25 |
24 |
$10K |
| 87634 |
|
150 |
142 |
$10K |
| 87426 |
|
187 |
165 |
$8K |
| 73721 |
|
15 |
15 |
$8K |
| 83525 |
|
852 |
754 |
$8K |
| G0480 |
Drug test def 1-7 classes |
164 |
125 |
$8K |
| J3490 |
Drugs unclassified injection |
1,350 |
1,004 |
$7K |
| 71046 |
|
208 |
179 |
$7K |
| 87491 |
|
267 |
198 |
$7K |
| 87591 |
|
248 |
198 |
$7K |
| 99281 |
|
254 |
238 |
$7K |
| 96365 |
|
280 |
210 |
$7K |
| 87631 |
|
51 |
44 |
$7K |
| 73562 |
|
105 |
83 |
$6K |
| 82306 |
|
277 |
242 |
$6K |
| 87811 |
|
147 |
128 |
$6K |
| M0243 |
Casirivi and imdevi inj |
18 |
15 |
$5K |
| 81001 |
|
2,316 |
1,756 |
$5K |
| 74018 |
|
102 |
94 |
$5K |
| 76805 |
|
46 |
39 |
$5K |
| 81003 |
|
2,481 |
2,277 |
$4K |
| 83735 |
|
817 |
757 |
$3K |
| 97530 |
|
133 |
30 |
$3K |
| 86376 |
|
271 |
226 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,292 |
2,880 |
$3K |
| 0001A |
|
106 |
104 |
$3K |
| 87798 |
|
123 |
69 |
$3K |
| 81514 |
|
15 |
12 |
$3K |
| U0005 |
Infec agen detec ampli probe |
113 |
106 |
$3K |
| 59025 |
|
62 |
40 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
133 |
124 |
$2K |
| 86803 |
|
193 |
159 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
104 |
92 |
$2K |
| 90677 |
|
48 |
41 |
$2K |
| 20610 |
|
89 |
57 |
$2K |
| 96360 |
|
130 |
85 |
$2K |
| 99203 |
|
49 |
49 |
$2K |
| 85730 |
|
570 |
510 |
$2K |
| 83550 |
|
226 |
199 |
$2K |
| 86592 |
|
476 |
416 |
$2K |
| 84481 |
|
149 |
130 |
$2K |
| 87581 |
|
51 |
46 |
$2K |
| 87486 |
|
51 |
46 |
$2K |
| 73630 |
|
26 |
25 |
$1K |
| 85610 |
|
581 |
542 |
$1K |
| 85027 |
|
344 |
309 |
$1K |
| 76815 |
|
34 |
26 |
$1K |
| 86703 |
|
114 |
107 |
$1K |
| 80048 |
|
262 |
230 |
$1K |
| 83540 |
|
240 |
211 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,806 |
1,590 |
$1K |
| 83605 |
|
155 |
138 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
110 |
106 |
$1K |
| 84436 |
|
200 |
160 |
$1K |
| 82962 |
|
461 |
386 |
$1K |
| J0500 |
Dicyclomine injection |
27 |
25 |
$1K |
| 86787 |
|
104 |
77 |
$926.90 |
| 0004A |
|
23 |
23 |
$899.00 |
| J7120 |
Ringers lactate infusion |
454 |
357 |
$795.73 |
| J0696 |
Ceftriaxone sodium injection |
269 |
250 |
$731.13 |
| 84480 |
|
89 |
85 |
$695.86 |
| 82105 |
|
46 |
40 |
$618.40 |
| J1170 |
Hydromorphone injection |
382 |
326 |
$585.93 |
| 0002A |
|
13 |
13 |
$525.88 |
| 73130 |
|
12 |
12 |
$511.66 |
| 90715 |
|
76 |
64 |
$460.05 |
| 80074 |
|
12 |
12 |
$447.96 |
| 87081 |
|
48 |
38 |
$399.54 |
| 76801 |
|
16 |
13 |
$382.87 |
| 82728 |
|
28 |
27 |
$370.08 |
| 84702 |
|
25 |
24 |
$347.58 |
| 90686 |
|
97 |
96 |
$337.98 |
| 77063 |
|
75 |
64 |
$286.90 |
| 86850 |
|
55 |
50 |
$232.88 |
| 86696 |
|
12 |
12 |
$221.84 |
| 87077 |
|
32 |
28 |
$211.84 |
| J2360 |
Orphenadrine injection |
16 |
13 |
$204.55 |
| 87186 |
|
34 |
28 |
$200.61 |
| 82043 |
|
36 |
34 |
$198.56 |
| 94761 |
|
14 |
12 |
$193.37 |
| 82570 |
|
36 |
35 |
$183.22 |
| J3301 |
Triamcinolone acet inj nos |
28 |
26 |
$172.18 |
| 87088 |
|
28 |
27 |
$170.62 |
| 86695 |
|
12 |
12 |
$151.24 |
| J0702 |
Betamethasone acet&sod phosp |
44 |
31 |
$126.10 |
| J2930 |
Methylprednisolone injection |
20 |
19 |
$110.92 |
| 80069 |
|
12 |
12 |
$96.52 |
| 86900 |
|
42 |
38 |
$87.19 |
| 86901 |
|
42 |
38 |
$87.19 |
| 81002 |
|
28 |
24 |
$84.19 |
| J7510 |
Prednisolone oral per 5 mg |
41 |
36 |
$77.76 |
| J1200 |
Diphenhydramine hcl injectio |
79 |
70 |
$72.67 |
| J2270 |
Morphine sulfate injection |
39 |
37 |
$70.39 |
| J2550 |
Promethazine hcl injection |
63 |
51 |
$57.62 |
| U0002 |
Covid-19 lab test non-cdc |
228 |
134 |
$54.51 |
| 82950 |
|
13 |
13 |
$52.64 |
| 82947 |
|
30 |
13 |
$40.51 |
| J2272 |
Inj, morphine (fresenius) |
14 |
14 |
$40.44 |
| J7030 |
Normal saline solution infus |
45 |
25 |
$37.43 |
| J2704 |
Inj, propofol, 10 mg |
139 |
86 |
$18.13 |
| J2060 |
Lorazepam injection |
17 |
12 |
$13.92 |
| J2765 |
Metoclopramide hcl injection |
16 |
12 |
$8.02 |
| J3010 |
Fentanyl citrate injection |
116 |
106 |
$1.43 |
| 91300 |
|
234 |
216 |
$0.00 |
| 99001 |
|
70 |
28 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
23 |
15 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
34 |
26 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
59 |
48 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
15 |
13 |
$0.00 |
| 90656 |
|
28 |
26 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
17 |
12 |
$0.00 |