| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,070 |
6,422 |
$1.16M |
| 99284 |
|
5,529 |
4,751 |
$1.10M |
| 99285 |
|
3,338 |
2,631 |
$882K |
| 97110 |
|
8,480 |
2,420 |
$466K |
| 96361 |
|
2,350 |
1,873 |
$291K |
| 96374 |
|
3,602 |
2,677 |
$261K |
| 74177 |
|
1,082 |
919 |
$219K |
| 99282 |
|
1,672 |
1,534 |
$208K |
| 70450 |
|
1,018 |
828 |
$135K |
| 87635 |
|
2,484 |
2,184 |
$101K |
| 80053 |
|
11,198 |
8,766 |
$87K |
| 97140 |
|
5,106 |
1,620 |
$80K |
| 93306 |
|
327 |
279 |
$73K |
| 96365 |
|
608 |
399 |
$66K |
| 87637 |
|
698 |
641 |
$57K |
| 73564 |
|
693 |
630 |
$48K |
| 71045 |
|
1,724 |
1,351 |
$47K |
| 77067 |
|
543 |
527 |
$44K |
| U0004 |
Cov-19 test non-cdc hgh thru |
639 |
585 |
$43K |
| 96375 |
|
1,960 |
1,474 |
$40K |
| 71046 |
|
1,222 |
980 |
$39K |
| 97530 |
|
752 |
272 |
$36K |
| 97112 |
|
812 |
275 |
$26K |
| 96360 |
|
168 |
151 |
$24K |
| 73030 |
|
637 |
578 |
$23K |
| 84443 |
|
2,778 |
2,251 |
$22K |
| 85025 |
|
11,987 |
8,892 |
$21K |
| 80061 |
|
2,398 |
1,990 |
$17K |
| 97161 |
|
246 |
204 |
$16K |
| 73610 |
|
429 |
377 |
$13K |
| 72100 |
|
232 |
203 |
$11K |
| 82306 |
|
383 |
341 |
$9K |
| 73130 |
|
324 |
272 |
$9K |
| 86618 |
|
930 |
567 |
$8K |
| 87591 |
|
256 |
225 |
$7K |
| 87491 |
|
256 |
225 |
$7K |
| 36415 |
|
7,799 |
5,434 |
$7K |
| 73721 |
|
29 |
26 |
$6K |
| 83036 |
|
1,229 |
1,020 |
$6K |
| 93005 |
|
3,154 |
2,280 |
$5K |
| 80048 |
|
1,326 |
795 |
$5K |
| 86900 |
|
101 |
91 |
$5K |
| 96372 |
|
719 |
599 |
$4K |
| 73110 |
|
156 |
132 |
$4K |
| 74176 |
|
12 |
12 |
$3K |
| 84439 |
|
747 |
588 |
$3K |
| 86617 |
|
221 |
157 |
$3K |
| 73630 |
|
156 |
131 |
$2K |
| 88175 |
|
191 |
162 |
$2K |
| 88305 |
|
120 |
103 |
$2K |
| 82607 |
|
287 |
212 |
$2K |
| 85610 |
|
2,011 |
1,424 |
$2K |
| 86666 |
|
237 |
176 |
$2K |
| 83880 |
|
180 |
120 |
$2K |
| 87086 |
|
1,045 |
870 |
$2K |
| 86753 |
|
116 |
86 |
$2K |
| 77063 |
|
542 |
526 |
$2K |
| 86703 |
|
130 |
118 |
$1K |
| 83735 |
|
958 |
626 |
$1K |
| 84481 |
|
116 |
91 |
$988.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,725 |
1,390 |
$975.77 |
| U0005 |
Infec agen detec ampli probe |
44 |
40 |
$950.00 |
| 86780 |
|
101 |
72 |
$846.88 |
| 83690 |
|
1,347 |
1,061 |
$752.63 |
| 87798 |
|
43 |
37 |
$747.76 |
| 81003 |
|
1,984 |
1,634 |
$738.20 |
| 73502 |
|
42 |
37 |
$709.74 |
| 76705 |
|
15 |
12 |
$665.02 |
| 87400 |
|
1,276 |
917 |
$609.50 |
| 85651 |
|
405 |
298 |
$592.48 |
| 81001 |
|
1,707 |
1,393 |
$533.10 |
| 86609 |
|
78 |
45 |
$489.66 |
| 87338 |
|
58 |
58 |
$449.68 |
| 87340 |
|
44 |
41 |
$365.19 |
| 86140 |
|
183 |
129 |
$340.04 |
| 86850 |
|
90 |
79 |
$337.41 |
| 86592 |
|
83 |
77 |
$288.97 |
| 84703 |
|
1,327 |
1,099 |
$269.48 |
| 72125 |
|
16 |
14 |
$252.35 |
| 84484 |
|
1,737 |
1,082 |
$250.45 |
| 87070 |
|
40 |
39 |
$216.00 |
| 86762 |
|
16 |
15 |
$165.00 |
| 94640 |
|
211 |
152 |
$164.93 |
| 80306 |
|
30 |
28 |
$151.05 |
| 82947 |
|
107 |
72 |
$146.92 |
| 86901 |
|
101 |
91 |
$144.94 |
| 87081 |
|
491 |
465 |
$129.21 |
| 87077 |
|
88 |
69 |
$108.21 |
| 85652 |
|
77 |
68 |
$102.64 |
| 85730 |
|
121 |
94 |
$97.97 |
| 83605 |
|
475 |
342 |
$90.18 |
| 87186 |
|
65 |
51 |
$71.07 |
| 82150 |
|
13 |
12 |
$49.52 |
| J7120 |
Ringers lactate infusion |
2,927 |
2,210 |
$49.42 |
| 85379 |
|
93 |
63 |
$38.70 |
| 85027 |
|
19 |
12 |
$37.08 |
| 87430 |
|
550 |
525 |
$34.73 |
| 85007 |
|
32 |
24 |
$29.52 |
| J7030 |
Normal saline solution infus |
1,134 |
811 |
$28.37 |
| J1885 |
Ketorolac tromethamine inj |
2,157 |
1,701 |
$24.94 |
| 87420 |
|
93 |
88 |
$21.22 |
| J2405 |
Ondansetron hcl injection |
2,249 |
1,691 |
$12.18 |
| 87880 |
|
14 |
13 |
$11.45 |
| J2919 |
Inj, methylpred sod succ 5mg |
21 |
13 |
$6.50 |
| J3010 |
Fentanyl citrate injection |
634 |
493 |
$4.99 |
| J0696 |
Ceftriaxone sodium injection |
100 |
38 |
$4.80 |
| J2250 |
Inj midazolam hydrochloride |
547 |
429 |
$1.27 |
| J2704 |
Inj, propofol, 10 mg |
1,823 |
1,420 |
$1.11 |
| J3301 |
Triamcinolone acet inj nos |
133 |
115 |
$0.00 |
| 93041 |
|
14 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
477 |
370 |
$0.00 |
| 87040 |
|
26 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
227 |
186 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
145 |
95 |
$0.00 |
| 85008 |
|
65 |
51 |
$0.00 |
| J1170 |
Hydromorphone injection |
228 |
147 |
$0.00 |
| G0378 |
Hospital observation per hr |
71 |
51 |
$0.00 |
| 96376 |
|
69 |
51 |
$0.00 |
| 80320 |
|
15 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
729 |
268 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
22 |
12 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
15 |
14 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$0.00 |