| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
9,701 |
8,417 |
$1.37M |
| 99282 |
|
8,866 |
7,852 |
$967K |
| 99284 |
|
3,665 |
3,069 |
$918K |
| 99285 |
|
2,414 |
1,825 |
$729K |
| 80053 |
|
16,447 |
12,747 |
$664K |
| 70450 |
|
1,499 |
1,275 |
$538K |
| 74177 |
|
760 |
684 |
$472K |
| 74176 |
|
880 |
779 |
$422K |
| 85025 |
|
14,474 |
11,409 |
$393K |
| 87070 |
|
8,605 |
7,819 |
$295K |
| 99281 |
|
2,954 |
2,714 |
$273K |
| 97110 |
|
4,336 |
1,161 |
$255K |
| 96361 |
|
3,877 |
2,036 |
$253K |
| 36415 |
|
32,711 |
15,490 |
$242K |
| 71046 |
|
2,839 |
2,468 |
$204K |
| 96365 |
|
3,136 |
1,959 |
$196K |
| 71045 |
|
3,341 |
2,776 |
$191K |
| 80061 |
|
4,428 |
3,947 |
$161K |
| 87804 |
|
6,104 |
3,771 |
$161K |
| 93005 |
|
4,685 |
3,678 |
$155K |
| 84443 |
|
4,271 |
3,789 |
$148K |
| 80305 |
|
1,710 |
1,450 |
$147K |
| 90853 |
|
550 |
112 |
$142K |
| 87086 |
|
3,640 |
3,052 |
$134K |
| 96366 |
|
1,148 |
525 |
$133K |
| 73630 |
|
1,146 |
911 |
$129K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,057 |
1,529 |
$121K |
| 84484 |
|
3,334 |
2,376 |
$113K |
| 87880 |
|
4,214 |
3,791 |
$109K |
| 96372 |
|
5,359 |
3,159 |
$107K |
| 87426 |
|
5,973 |
5,164 |
$100K |
| 82306 |
|
1,500 |
1,327 |
$73K |
| G0378 |
Hospital observation per hr |
392 |
215 |
$71K |
| 83036 |
|
3,103 |
2,708 |
$69K |
| 80048 |
|
2,270 |
1,487 |
$61K |
| 83690 |
|
2,156 |
1,821 |
$58K |
| 96374 |
|
3,168 |
2,309 |
$56K |
| 81001 |
|
3,820 |
3,303 |
$54K |
| 72100 |
|
545 |
463 |
$52K |
| 73610 |
|
534 |
467 |
$47K |
| 96375 |
|
3,310 |
2,436 |
$46K |
| 87631 |
|
362 |
344 |
$45K |
| 83735 |
|
1,528 |
1,186 |
$38K |
| 87186 |
|
1,254 |
1,092 |
$35K |
| 81025 |
|
1,393 |
1,273 |
$32K |
| 93306 |
|
83 |
66 |
$30K |
| J2405 |
Ondansetron hcl injection |
2,484 |
1,869 |
$30K |
| 85027 |
|
1,736 |
1,546 |
$29K |
| 73130 |
|
318 |
278 |
$28K |
| 73562 |
|
317 |
259 |
$27K |
| 87077 |
|
1,602 |
1,216 |
$27K |
| 82150 |
|
840 |
721 |
$25K |
| 77067 |
|
433 |
406 |
$25K |
| U0001 |
2019-ncov diagnostic p |
714 |
520 |
$24K |
| 83880 |
|
353 |
296 |
$23K |
| 73030 |
|
268 |
219 |
$22K |
| 96360 |
|
563 |
402 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
880 |
709 |
$22K |
| 87807 |
|
553 |
513 |
$21K |
| 82553 |
|
808 |
686 |
$20K |
| 81003 |
|
2,323 |
2,007 |
$20K |
| 77063 |
|
213 |
183 |
$20K |
| 85379 |
|
592 |
514 |
$19K |
| 97161 |
|
269 |
218 |
$18K |
| 74018 |
|
210 |
194 |
$17K |
| 82607 |
|
583 |
539 |
$15K |
| 87635 |
|
523 |
456 |
$15K |
| 87389 |
|
154 |
131 |
$13K |
| 96376 |
|
975 |
523 |
$12K |
| J2001 |
Lidocaine injection |
1,432 |
1,113 |
$12K |
| 83540 |
|
355 |
326 |
$11K |
| 86803 |
|
299 |
265 |
$10K |
| 87040 |
|
198 |
141 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
2,515 |
2,090 |
$8K |
| 83605 |
|
404 |
331 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
992 |
583 |
$8K |
| 85610 |
|
231 |
191 |
$7K |
| 84466 |
|
223 |
205 |
$6K |
| 82043 |
|
258 |
230 |
$6K |
| 83874 |
|
185 |
163 |
$6K |
| J3490 |
Drugs unclassified injection |
467 |
362 |
$5K |
| M0243 |
Casirivi and imdevi inj |
26 |
24 |
$5K |
| G0481 |
Drug test def 8-14 classes |
54 |
49 |
$5K |
| 72050 |
|
50 |
37 |
$5K |
| 82746 |
|
174 |
157 |
$4K |
| 74022 |
|
38 |
33 |
$4K |
| 90837 |
|
25 |
13 |
$3K |
| 73110 |
|
32 |
28 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
88 |
74 |
$3K |
| J7040 |
Normal saline solution infus |
246 |
129 |
$3K |
| J7030 |
Normal saline solution infus |
349 |
146 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
28 |
25 |
$2K |
| 87591 |
|
50 |
39 |
$2K |
| J7050 |
Normal saline solution infus |
115 |
55 |
$2K |
| 84703 |
|
79 |
69 |
$2K |
| Q0162 |
Ondansetron oral |
580 |
464 |
$2K |
| J7120 |
Ringers lactate infusion |
233 |
164 |
$2K |
| 95886 |
|
38 |
26 |
$2K |
| 87491 |
|
45 |
38 |
$2K |
| 86705 |
|
190 |
165 |
$2K |
| 82728 |
|
42 |
41 |
$2K |
| G0463 |
Hospital outpt clinic visit |
16 |
12 |
$2K |
| 90471 |
|
135 |
116 |
$1K |
| 84439 |
|
45 |
41 |
$1K |
| J2270 |
Morphine sulfate injection |
326 |
113 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
102 |
72 |
$974.75 |
| 82550 |
|
27 |
25 |
$966.89 |
| 96367 |
|
14 |
13 |
$928.36 |
| G0480 |
Drug test def 1-7 classes |
29 |
15 |
$903.12 |
| J0702 |
Betamethasone acet&sod phosp |
54 |
53 |
$903.00 |
| J3010 |
Fentanyl citrate injection |
375 |
280 |
$852.88 |
| 36592 |
|
203 |
159 |
$849.98 |
| 80074 |
|
28 |
13 |
$837.73 |
| 94640 |
|
46 |
13 |
$746.44 |
| 90715 |
|
34 |
30 |
$636.84 |
| J1170 |
Hydromorphone injection |
159 |
111 |
$624.79 |
| J7620 |
Albuterol ipratrop non-comp |
102 |
26 |
$563.04 |
| J2930 |
Methylprednisolone injection |
135 |
112 |
$529.19 |
| 80307 |
|
22 |
12 |
$491.90 |
| 84480 |
|
13 |
13 |
$375.51 |
| 80320 |
|
12 |
12 |
$346.36 |
| J1953 |
Levetiracetam injection |
82 |
72 |
$273.87 |
| 85730 |
|
16 |
13 |
$193.71 |
| 01992 |
|
34 |
29 |
$190.40 |
| 0012A |
|
13 |
12 |
$167.73 |
| S0119 |
Ondansetron 4 mg |
44 |
37 |
$134.40 |
| 12001 |
|
15 |
14 |
$116.88 |
| J1100 |
Dexamethasone sodium phos |
16 |
14 |
$86.00 |
| 90686 |
|
14 |
14 |
$71.28 |
| J1435 |
Injection estrone per 1 mg |
24 |
24 |
$52.92 |
| 91301 |
|
13 |
12 |
$0.00 |