| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,069 |
5,675 |
$1.09M |
| 99284 |
|
3,102 |
2,921 |
$653K |
| 74177 |
|
450 |
439 |
$316K |
| 99285 |
|
673 |
647 |
$243K |
| 74176 |
|
350 |
334 |
$196K |
| 99282 |
|
1,311 |
1,237 |
$111K |
| 70450 |
|
184 |
181 |
$45K |
| 96372 |
|
1,151 |
1,081 |
$2K |
| 96375 |
|
1,151 |
1,066 |
$373.93 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
593 |
581 |
$360.30 |
| 96374 |
|
1,636 |
1,542 |
$266.59 |
| 94640 |
|
250 |
212 |
$136.20 |
| 87651 |
|
687 |
677 |
$85.54 |
| J7030 |
Normal saline solution infus |
1,513 |
1,423 |
$65.61 |
| 71046 |
|
643 |
628 |
$58.65 |
| J2360 |
Orphenadrine injection |
14 |
12 |
$39.37 |
| J1100 |
Dexamethasone sodium phos |
820 |
797 |
$35.00 |
| 85025 |
|
2,341 |
2,221 |
$7.69 |
| 96361 |
|
342 |
320 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,615 |
1,521 |
$0.00 |
| 71045 |
|
1,084 |
1,047 |
$0.00 |
| J3490 |
Drugs unclassified injection |
628 |
599 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
131 |
129 |
$0.00 |
| 80053 |
|
2,284 |
2,128 |
$0.00 |
| 36415 |
|
2,404 |
2,279 |
$0.00 |
| 84484 |
|
427 |
403 |
$0.00 |
| 82553 |
|
215 |
200 |
$0.00 |
| 87635 |
|
260 |
252 |
$0.00 |
| 82550 |
|
26 |
25 |
$0.00 |
| 96376 |
|
13 |
12 |
$0.00 |
| 87086 |
|
46 |
43 |
$0.00 |
| 87428 |
|
15 |
15 |
$0.00 |
| 80051 |
|
26 |
25 |
$0.00 |
| 83605 |
|
18 |
18 |
$0.00 |
| 87591 |
|
12 |
12 |
$0.00 |
| 82803 |
|
18 |
18 |
$0.00 |
| 96365 |
|
15 |
14 |
$0.00 |
| 87631 |
|
589 |
582 |
$0.00 |
| 93005 |
|
625 |
590 |
$0.00 |
| 81003 |
|
1,325 |
1,262 |
$0.00 |
| 73630 |
|
85 |
80 |
$0.00 |
| 73130 |
|
95 |
90 |
$0.00 |
| 87502 |
|
388 |
376 |
$0.00 |
| 81025 |
|
866 |
829 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
152 |
140 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
284 |
277 |
$0.00 |
| J2270 |
Morphine sulfate injection |
366 |
335 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,033 |
970 |
$0.00 |
| 87634 |
|
55 |
55 |
$0.00 |
| 73610 |
|
14 |
13 |
$0.00 |