| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,800 |
6,003 |
$1.08M |
| 99284 |
|
6,062 |
5,109 |
$1.00M |
| 71046 |
|
4,383 |
3,398 |
$476K |
| 70450 |
|
835 |
592 |
$382K |
| 85025 |
|
10,891 |
9,319 |
$379K |
| 74176 |
|
1,463 |
1,184 |
$368K |
| 71250 |
|
541 |
415 |
$368K |
| 99285 |
|
1,429 |
1,043 |
$312K |
| 80053 |
|
10,738 |
9,105 |
$297K |
| 93005 |
|
3,315 |
2,352 |
$244K |
| 87635 |
|
3,732 |
3,127 |
$203K |
| 36415 |
|
27,528 |
13,740 |
$186K |
| 84443 |
|
3,811 |
3,598 |
$165K |
| 83036 |
|
2,656 |
2,498 |
$159K |
| 80061 |
|
2,902 |
2,747 |
$137K |
| 87804 |
|
6,040 |
2,884 |
$130K |
| 82607 |
|
2,300 |
2,167 |
$119K |
| 96365 |
|
1,355 |
1,057 |
$103K |
| 96372 |
|
3,935 |
2,562 |
$95K |
| 87880 |
|
1,900 |
1,728 |
$83K |
| 96375 |
|
1,980 |
1,723 |
$78K |
| 82306 |
|
2,494 |
2,362 |
$75K |
| 71045 |
|
567 |
475 |
$64K |
| 83735 |
|
2,530 |
2,186 |
$61K |
| G2023 |
Specimen collect covid-19 |
2,634 |
2,118 |
$60K |
| 84484 |
|
2,371 |
1,607 |
$56K |
| 84439 |
|
1,469 |
1,400 |
$50K |
| 73630 |
|
297 |
272 |
$48K |
| 81001 |
|
2,403 |
2,069 |
$48K |
| 96361 |
|
2,127 |
1,461 |
$47K |
| 84703 |
|
981 |
875 |
$47K |
| 96374 |
|
2,484 |
2,041 |
$46K |
| 74177 |
|
80 |
75 |
$41K |
| 80306 |
|
613 |
513 |
$39K |
| 82550 |
|
2,109 |
1,811 |
$34K |
| 73610 |
|
199 |
177 |
$33K |
| 77067 |
|
283 |
226 |
$30K |
| M0243 |
Casirivi and imdevi inj |
73 |
53 |
$29K |
| 82150 |
|
1,545 |
1,406 |
$28K |
| 87502 |
|
431 |
375 |
$28K |
| 87651 |
|
501 |
479 |
$27K |
| 83690 |
|
1,618 |
1,479 |
$26K |
| 82553 |
|
1,662 |
1,396 |
$26K |
| 82043 |
|
718 |
676 |
$24K |
| 82803 |
|
229 |
169 |
$24K |
| J7050 |
Normal saline solution infus |
2,083 |
1,642 |
$22K |
| 72100 |
|
208 |
146 |
$22K |
| J7030 |
Normal saline solution infus |
445 |
398 |
$21K |
| 73562 |
|
152 |
113 |
$21K |
| 80048 |
|
1,048 |
923 |
$19K |
| 73130 |
|
106 |
91 |
$16K |
| 87086 |
|
199 |
174 |
$15K |
| 99282 |
|
132 |
121 |
$14K |
| 83540 |
|
323 |
311 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
138 |
124 |
$13K |
| 82746 |
|
192 |
186 |
$10K |
| 85610 |
|
361 |
264 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
2,055 |
1,829 |
$8K |
| 73030 |
|
56 |
38 |
$8K |
| 0011A |
|
126 |
122 |
$7K |
| 83550 |
|
82 |
78 |
$7K |
| 85027 |
|
502 |
479 |
$6K |
| 87081 |
|
1,385 |
1,305 |
$5K |
| 36600 |
|
160 |
139 |
$5K |
| 82728 |
|
93 |
89 |
$5K |
| 80074 |
|
40 |
38 |
$4K |
| 87070 |
|
43 |
40 |
$4K |
| 87807 |
|
70 |
64 |
$4K |
| 0012A |
|
74 |
74 |
$4K |
| J2405 |
Ondansetron hcl injection |
1,649 |
1,442 |
$4K |
| 99281 |
|
45 |
42 |
$4K |
| 91322 |
|
17 |
13 |
$3K |
| 83880 |
|
46 |
37 |
$3K |
| J2270 |
Morphine sulfate injection |
85 |
75 |
$3K |
| 85379 |
|
17 |
15 |
$2K |
| J1100 |
Dexamethasone sodium phos |
433 |
406 |
$2K |
| 87040 |
|
28 |
12 |
$2K |
| 81003 |
|
712 |
622 |
$2K |
| 77063 |
|
76 |
50 |
$2K |
| 85652 |
|
88 |
85 |
$2K |
| J2930 |
Methylprednisolone injection |
72 |
69 |
$815.05 |
| J0696 |
Ceftriaxone sodium injection |
29 |
15 |
$777.63 |
| 87426 |
|
42 |
15 |
$559.10 |
| 86038 |
|
12 |
12 |
$510.70 |
| 96360 |
|
13 |
12 |
$466.79 |
| 85730 |
|
32 |
28 |
$458.87 |
| 83605 |
|
30 |
26 |
$436.14 |
| 94664 |
|
14 |
13 |
$379.20 |
| 86803 |
|
27 |
13 |
$196.19 |
| 96366 |
|
20 |
12 |
$169.11 |
| J2001 |
Lidocaine injection |
12 |
12 |
$30.39 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
25 |
12 |
$0.00 |