| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
9,176 |
7,757 |
$1.21M |
| 99284 |
|
6,767 |
5,607 |
$1.13M |
| 99285 |
|
3,999 |
3,172 |
$685K |
| 97110 |
|
11,662 |
2,161 |
$556K |
| 87635 |
|
8,102 |
6,892 |
$292K |
| 96372 |
|
5,388 |
4,204 |
$225K |
| 70450 |
|
2,090 |
1,710 |
$188K |
| 96374 |
|
2,223 |
1,734 |
$178K |
| 87804 |
|
8,580 |
4,768 |
$150K |
| 87502 |
|
2,344 |
2,025 |
$143K |
| 71045 |
|
3,379 |
2,626 |
$125K |
| 99282 |
|
1,532 |
1,301 |
$118K |
| 96365 |
|
1,390 |
915 |
$117K |
| 93005 |
|
3,690 |
2,893 |
$86K |
| 96360 |
|
938 |
648 |
$85K |
| 71046 |
|
1,920 |
1,602 |
$83K |
| 80053 |
|
9,234 |
7,000 |
$83K |
| 92507 |
|
1,615 |
268 |
$80K |
| 85025 |
|
12,053 |
8,615 |
$79K |
| 94640 |
|
944 |
553 |
$76K |
| 96361 |
|
1,449 |
905 |
$72K |
| 97530 |
|
1,561 |
378 |
$61K |
| 87430 |
|
4,656 |
3,948 |
$57K |
| 87880 |
|
3,327 |
2,917 |
$46K |
| 87426 |
|
1,303 |
1,133 |
$43K |
| 97140 |
|
2,178 |
648 |
$34K |
| 74177 |
|
136 |
113 |
$30K |
| 83880 |
|
1,653 |
1,205 |
$28K |
| 80048 |
|
3,346 |
2,465 |
$26K |
| 97016 |
|
2,461 |
594 |
$23K |
| 36415 |
|
9,763 |
6,806 |
$22K |
| 84484 |
|
3,109 |
2,270 |
$21K |
| 96375 |
|
900 |
663 |
$20K |
| G0378 |
Hospital observation per hr |
111 |
70 |
$20K |
| 74176 |
|
122 |
103 |
$16K |
| 80061 |
|
1,397 |
1,197 |
$16K |
| 84443 |
|
1,006 |
839 |
$13K |
| 82553 |
|
1,570 |
1,243 |
$11K |
| 81001 |
|
4,676 |
3,813 |
$11K |
| 97161 |
|
228 |
195 |
$10K |
| 86756 |
|
568 |
509 |
$10K |
| 83036 |
|
1,267 |
1,126 |
$10K |
| 82550 |
|
1,774 |
1,408 |
$8K |
| 87086 |
|
1,181 |
1,002 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
171 |
156 |
$7K |
| 81025 |
|
1,000 |
858 |
$7K |
| 80306 |
|
707 |
555 |
$7K |
| 71250 |
|
85 |
58 |
$6K |
| 83735 |
|
1,798 |
1,402 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,571 |
2,107 |
$3K |
| 83690 |
|
753 |
596 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
57 |
52 |
$3K |
| 87428 |
|
57 |
50 |
$3K |
| 87040 |
|
438 |
332 |
$3K |
| 73560 |
|
76 |
61 |
$3K |
| 99211 |
|
70 |
58 |
$3K |
| 97112 |
|
140 |
37 |
$3K |
| 72125 |
|
37 |
26 |
$3K |
| 83605 |
|
668 |
470 |
$3K |
| 85378 |
|
503 |
396 |
$2K |
| A9270 |
Non-covered item or service |
2,492 |
743 |
$2K |
| 82077 |
|
140 |
114 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
1,690 |
1,273 |
$2K |
| 82803 |
|
154 |
110 |
$1K |
| 99281 |
|
50 |
36 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,474 |
1,035 |
$1K |
| 81002 |
|
291 |
251 |
$1K |
| 82306 |
|
47 |
38 |
$916.38 |
| 74018 |
|
14 |
13 |
$626.00 |
| 87449 |
|
50 |
47 |
$575.54 |
| 85610 |
|
227 |
174 |
$552.82 |
| 51702 |
|
17 |
14 |
$459.30 |
| 82150 |
|
69 |
60 |
$453.28 |
| J1100 |
Dexamethasone sodium phos |
499 |
416 |
$308.40 |
| J2405 |
Ondansetron hcl injection |
255 |
197 |
$277.12 |
| 87625 |
|
186 |
175 |
$271.00 |
| 85730 |
|
71 |
61 |
$227.12 |
| 96366 |
|
23 |
12 |
$224.38 |
| 80177 |
|
22 |
15 |
$190.88 |
| J7040 |
Normal saline solution infus |
679 |
257 |
$169.28 |
| 86140 |
|
61 |
43 |
$119.18 |
| 84520 |
|
73 |
52 |
$94.15 |
| 85027 |
|
84 |
51 |
$74.53 |
| 81003 |
|
29 |
24 |
$36.54 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$20.30 |
| J1940 |
Furosemide injection |
31 |
12 |
$13.20 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
13 |
$8.80 |
| J7030 |
Normal saline solution infus |
40 |
37 |
$6.86 |
| 84145 |
|
49 |
41 |
$0.00 |
| G0283 |
Elec stim other than wound |
84 |
15 |
$0.00 |