| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,970 |
8,490 |
$1.51M |
| 99284 |
|
4,770 |
4,525 |
$979K |
| 99285 |
|
1,057 |
1,014 |
$344K |
| 74176 |
|
821 |
803 |
$342K |
| 99282 |
|
1,673 |
1,613 |
$143K |
| 74177 |
|
189 |
186 |
$105K |
| 70450 |
|
309 |
304 |
$54K |
| 96375 |
|
1,309 |
1,205 |
$3K |
| 96372 |
|
1,067 |
1,021 |
$738.21 |
| 96374 |
|
2,010 |
1,868 |
$248.60 |
| 87631 |
|
983 |
960 |
$122.14 |
| 87651 |
|
1,732 |
1,694 |
$103.18 |
| 87502 |
|
1,129 |
1,103 |
$76.64 |
| U0003 |
Cov-19 amp prb hgh thruput |
983 |
947 |
$75.00 |
| 71046 |
|
1,120 |
1,088 |
$54.96 |
| 80053 |
|
2,519 |
2,350 |
$49.73 |
| 85025 |
|
2,619 |
2,463 |
$49.52 |
| 87491 |
|
73 |
72 |
$35.20 |
| 87591 |
|
77 |
76 |
$34.97 |
| J7030 |
Normal saline solution infus |
1,639 |
1,507 |
$31.34 |
| J1885 |
Ketorolac tromethamine inj |
1,723 |
1,648 |
$31.26 |
| 87661 |
|
12 |
12 |
$30.54 |
| J2405 |
Ondansetron hcl injection |
1,354 |
1,254 |
$29.94 |
| 96361 |
|
450 |
430 |
$29.05 |
| 71045 |
|
1,218 |
1,178 |
$17.67 |
| 94640 |
|
530 |
469 |
$16.78 |
| 93005 |
|
657 |
626 |
$16.24 |
| J1100 |
Dexamethasone sodium phos |
512 |
495 |
$16.20 |
| J3490 |
Drugs unclassified injection |
593 |
549 |
$16.20 |
| 80051 |
|
430 |
406 |
$12.40 |
| 82550 |
|
486 |
460 |
$11.52 |
| J2270 |
Morphine sulfate injection |
362 |
328 |
$9.13 |
| 85379 |
|
245 |
238 |
$9.05 |
| 82565 |
|
442 |
420 |
$8.58 |
| 84484 |
|
537 |
506 |
$8.47 |
| 87086 |
|
279 |
276 |
$7.15 |
| 82947 |
|
440 |
420 |
$6.57 |
| 84520 |
|
439 |
416 |
$6.27 |
| 81025 |
|
1,347 |
1,302 |
$5.03 |
| J0696 |
Ceftriaxone sodium injection |
212 |
199 |
$5.03 |
| 81003 |
|
1,778 |
1,703 |
$4.50 |
| J7040 |
Normal saline solution infus |
105 |
104 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
323 |
315 |
$0.00 |
| 73130 |
|
53 |
51 |
$0.00 |
| 80076 |
|
175 |
168 |
$0.00 |
| 73630 |
|
143 |
136 |
$0.00 |
| 73610 |
|
31 |
31 |
$0.00 |
| 87634 |
|
116 |
112 |
$0.00 |
| J7120 |
Ringers lactate infusion |
16 |
15 |
$0.00 |
| 73562 |
|
86 |
84 |
$0.00 |
| 82374 |
|
28 |
28 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
59 |
52 |
$0.00 |
| 73110 |
|
12 |
12 |
$0.00 |
| 73030 |
|
13 |
13 |
$0.00 |
| 84702 |
|
26 |
26 |
$0.00 |
| 84295 |
|
15 |
15 |
$0.00 |
| 74018 |
|
12 |
12 |
$0.00 |
| 96365 |
|
37 |
37 |
$0.00 |
| 84132 |
|
15 |
15 |
$0.00 |
| 82553 |
|
255 |
242 |
$0.00 |
| 82803 |
|
12 |
12 |
$0.00 |
| 36415 |
|
2,868 |
2,677 |
$0.00 |
| 87428 |
|
26 |
26 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
273 |
265 |
$0.00 |
| 84703 |
|
63 |
61 |
$0.00 |
| 87635 |
|
613 |
604 |
$0.00 |
| 82435 |
|
15 |
15 |
$0.00 |
| 83605 |
|
12 |
12 |
$0.00 |