| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,663 |
3,507 |
$652K |
| 99284 |
|
3,794 |
3,562 |
$641K |
| 99285 |
|
2,390 |
2,265 |
$384K |
| 74177 |
|
750 |
726 |
$219K |
| 70450 |
|
643 |
620 |
$197K |
| 99214 |
|
706 |
675 |
$148K |
| 99282 |
|
768 |
756 |
$137K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,675 |
2,487 |
$134K |
| 80053 |
|
5,015 |
4,586 |
$125K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,181 |
1,151 |
$80K |
| 86901 |
|
1,379 |
1,350 |
$44K |
| 86850 |
|
1,381 |
1,353 |
$43K |
| 36415 |
|
6,552 |
5,844 |
$43K |
| C9803 |
Hopd covid-19 spec collect |
1,121 |
1,028 |
$41K |
| 86900 |
|
1,381 |
1,352 |
$31K |
| U0005 |
Infec agen detec ampli probe |
1,713 |
1,584 |
$27K |
| 80048 |
|
1,089 |
996 |
$25K |
| 80307 |
|
527 |
455 |
$25K |
| 96361 |
|
85 |
85 |
$24K |
| J7030 |
Normal saline solution infus |
2,827 |
2,617 |
$13K |
| 74176 |
|
29 |
29 |
$9K |
| 36000 |
|
132 |
128 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
643 |
621 |
$4K |
| 87635 |
|
190 |
188 |
$4K |
| 93005 |
|
3,610 |
3,378 |
$3K |
| J3490 |
Drugs unclassified injection |
924 |
847 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,322 |
1,248 |
$3K |
| 94640 |
|
150 |
130 |
$3K |
| 83880 |
|
77 |
75 |
$2K |
| 85025 |
|
5,995 |
5,474 |
$2K |
| 81025 |
|
474 |
465 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,686 |
1,532 |
$1K |
| 71046 |
|
865 |
859 |
$1K |
| 85730 |
|
1,809 |
1,750 |
$1K |
| 96374 |
|
2,874 |
2,635 |
$1K |
| 87631 |
|
13 |
13 |
$855.01 |
| 88305 |
|
66 |
65 |
$838.68 |
| 71045 |
|
1,374 |
1,335 |
$649.19 |
| 85610 |
|
1,785 |
1,727 |
$544.97 |
| 96372 |
|
38 |
37 |
$494.32 |
| J2270 |
Morphine sulfate injection |
151 |
141 |
$466.99 |
| 81001 |
|
2,206 |
2,131 |
$446.03 |
| 82962 |
|
438 |
303 |
$412.48 |
| 96375 |
|
1,627 |
1,498 |
$396.49 |
| 81003 |
|
714 |
701 |
$377.47 |
| J1100 |
Dexamethasone sodium phos |
246 |
238 |
$349.61 |
| J3010 |
Fentanyl citrate injection |
247 |
246 |
$338.46 |
| J2704 |
Inj, propofol, 10 mg |
103 |
102 |
$309.54 |
| 85027 |
|
72 |
66 |
$295.92 |
| 0225U |
|
504 |
495 |
$292.52 |
| 87086 |
|
1,648 |
1,578 |
$263.87 |
| 0241U |
|
1,008 |
988 |
$174.58 |
| J0690 |
Cefazolin sodium injection |
15 |
12 |
$142.63 |
| 84702 |
|
1,196 |
1,122 |
$114.29 |
| 83735 |
|
789 |
730 |
$113.33 |
| 83036 |
|
67 |
67 |
$106.81 |
| J2765 |
Metoclopramide hcl injection |
55 |
51 |
$61.77 |
| 83690 |
|
1,672 |
1,553 |
$50.14 |
| 84484 |
|
1,536 |
1,405 |
$43.44 |
| J2001 |
Lidocaine injection |
12 |
12 |
$41.75 |
| J2250 |
Inj midazolam hydrochloride |
29 |
29 |
$26.40 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$15.80 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
12 |
$7.61 |
| 76705 |
|
37 |
37 |
$0.00 |
| 87880 |
|
12 |
12 |
$0.00 |
| 83605 |
|
230 |
216 |
$0.00 |
| 85379 |
|
198 |
196 |
$0.00 |
| 87040 |
|
53 |
52 |
$0.00 |
| 84443 |
|
26 |
25 |
$0.00 |