| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,967 |
10,298 |
$5.76M |
| 99283 |
|
27,123 |
26,214 |
$3.93M |
| 87426 |
|
11,052 |
10,737 |
$230K |
| 87804 |
|
10,247 |
9,045 |
$188K |
| 71045 |
|
6,238 |
6,026 |
$119K |
| J7030 |
Normal saline solution infus |
2,485 |
2,257 |
$108K |
| 99285 |
|
1,039 |
937 |
$80K |
| 93005 |
|
1,841 |
1,716 |
$67K |
| 87880 |
|
6,042 |
5,920 |
$64K |
| 85027 |
|
13,107 |
12,039 |
$52K |
| 80048 |
|
5,407 |
5,001 |
$48K |
| 87634 |
|
974 |
962 |
$47K |
| 99282 |
|
347 |
339 |
$46K |
| 80053 |
|
4,267 |
3,878 |
$43K |
| 74177 |
|
142 |
134 |
$34K |
| 71046 |
|
786 |
705 |
$33K |
| 70450 |
|
595 |
555 |
$32K |
| 76801 |
|
315 |
279 |
$30K |
| 87081 |
|
4,521 |
4,435 |
$26K |
| 93976 |
|
255 |
227 |
$24K |
| J2405 |
Ondansetron hcl injection |
877 |
782 |
$23K |
| 81001 |
|
6,801 |
6,538 |
$21K |
| 87635 |
|
702 |
692 |
$15K |
| 96374 |
|
4,510 |
4,200 |
$10K |
| 99281 |
|
68 |
65 |
$7K |
| 76817 |
|
79 |
69 |
$6K |
| 84702 |
|
582 |
521 |
$5K |
| 83690 |
|
1,680 |
1,583 |
$5K |
| 80076 |
|
813 |
784 |
$4K |
| 81025 |
|
675 |
665 |
$4K |
| 87086 |
|
438 |
410 |
$4K |
| G0330 |
Facility svs dental rehab |
12 |
12 |
$4K |
| 84484 |
|
1,552 |
1,341 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
173 |
162 |
$3K |
| 96372 |
|
1,818 |
1,600 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,079 |
730 |
$2K |
| 81003 |
|
917 |
891 |
$2K |
| 84703 |
|
636 |
608 |
$2K |
| 80307 |
|
79 |
76 |
$2K |
| 86900 |
|
614 |
580 |
$1K |
| 83880 |
|
204 |
191 |
$1K |
| 77067 |
|
38 |
38 |
$1K |
| 86901 |
|
614 |
580 |
$870.99 |
| U0003 |
Cov-19 amp prb hgh thruput |
31 |
28 |
$784.52 |
| 82248 |
|
646 |
603 |
$758.71 |
| J1100 |
Dexamethasone sodium phos |
88 |
57 |
$636.80 |
| 77063 |
|
38 |
38 |
$547.84 |
| 84030 |
|
74 |
69 |
$527.02 |
| 72125 |
|
13 |
13 |
$427.52 |
| 85610 |
|
305 |
282 |
$371.35 |
| 96375 |
|
762 |
655 |
$361.22 |
| 74018 |
|
12 |
12 |
$273.07 |
| 83605 |
|
64 |
49 |
$165.31 |
| J2270 |
Morphine sulfate injection |
118 |
92 |
$102.17 |
| 82077 |
|
38 |
38 |
$99.50 |
| 85730 |
|
73 |
67 |
$60.60 |
| 87040 |
|
13 |
13 |
$34.68 |
| 83735 |
|
17 |
14 |
$33.29 |
| A9270 |
Non-covered item or service |
2,006 |
669 |
$0.00 |
| G1003 |
Cdsm medicalis |
77 |
69 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
15 |
$0.00 |