| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64635 |
|
1,459 |
1,298 |
$1.19M |
| 64493 |
|
1,668 |
1,468 |
$646K |
| 99213 |
|
14,749 |
13,289 |
$546K |
| 11042 |
|
4,576 |
1,675 |
$460K |
| 64483 |
|
1,301 |
1,208 |
$376K |
| G0463 |
Hospital outpt clinic visit |
16,989 |
15,148 |
$280K |
| 80305 |
|
26,295 |
23,198 |
$220K |
| 64490 |
|
348 |
320 |
$140K |
| G0481 |
Drug test def 8-14 classes |
1,428 |
1,257 |
$54K |
| 99212 |
|
2,639 |
2,220 |
$49K |
| 64633 |
|
40 |
40 |
$40K |
| 80307 |
|
911 |
769 |
$30K |
| 99204 |
|
336 |
296 |
$28K |
| 97597 |
|
530 |
319 |
$27K |
| G0480 |
Drug test def 1-7 classes |
403 |
366 |
$15K |
| M0243 |
Casirivi and imdevi inj |
97 |
66 |
$14K |
| 62321 |
|
43 |
40 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
529 |
503 |
$9K |
| 95924 |
|
37 |
29 |
$3K |
| 11043 |
|
24 |
14 |
$2K |
| 93923 |
|
54 |
31 |
$2K |
| 64636 |
|
1,564 |
1,131 |
$1K |
| 64491 |
|
333 |
302 |
$966.66 |
| 82570 |
|
612 |
523 |
$961.06 |
| 95923 |
|
37 |
29 |
$830.63 |
| 72110 |
|
13 |
13 |
$784.99 |
| 87070 |
|
168 |
142 |
$650.68 |
| 81025 |
|
73 |
66 |
$496.50 |
| 80061 |
|
37 |
29 |
$443.45 |
| 87186 |
|
60 |
42 |
$408.74 |
| 87077 |
|
58 |
42 |
$399.92 |
| 80053 |
|
39 |
32 |
$377.80 |
| 85025 |
|
40 |
33 |
$279.54 |
| 93005 |
|
38 |
30 |
$273.84 |
| 84443 |
|
16 |
12 |
$234.96 |
| 83036 |
|
18 |
15 |
$175.65 |
| J1100 |
Dexamethasone sodium phos |
5,890 |
5,278 |
$167.97 |
| 11045 |
|
1,435 |
195 |
$86.61 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
4,207 |
3,798 |
$32.00 |
| A9270 |
Non-covered item or service |
786 |
685 |
$20.00 |
| J1885 |
Ketorolac tromethamine inj |
5,145 |
4,503 |
$16.46 |
| J2250 |
Inj midazolam hydrochloride |
7,672 |
6,535 |
$14.20 |
| J7120 |
Ringers lactate infusion |
120 |
117 |
$10.15 |
| J3010 |
Fentanyl citrate injection |
134 |
133 |
$3.93 |
| J2270 |
Morphine sulfate injection |
1,534 |
893 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
96 |
65 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
122 |
107 |
$0.00 |
| 64634 |
|
40 |
40 |
$0.00 |
| J7030 |
Normal saline solution infus |
37 |
27 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,413 |
1,280 |
$0.00 |
| 64494 |
|
1,519 |
1,292 |
$0.00 |
| 64484 |
|
1,151 |
1,065 |
$0.00 |
| J2001 |
Lidocaine injection |
231 |
200 |
$0.00 |
| J1815 |
Insulin injection |
117 |
107 |
$0.00 |
| J1170 |
Hydromorphone injection |
34 |
27 |
$0.00 |