| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,682 |
8,672 |
$905K |
| 99284 |
|
7,505 |
6,254 |
$481K |
| 99282 |
|
2,540 |
2,339 |
$187K |
| 99285 |
|
1,753 |
1,461 |
$166K |
| 70450 |
|
1,631 |
1,291 |
$150K |
| 81001 |
|
4,063 |
3,441 |
$123K |
| 80053 |
|
7,198 |
5,281 |
$118K |
| 96361 |
|
2,045 |
1,329 |
$118K |
| 74177 |
|
543 |
467 |
$108K |
| 74176 |
|
431 |
393 |
$90K |
| 36415 |
|
2,412 |
1,419 |
$84K |
| G0378 |
Hospital observation per hr |
2,431 |
823 |
$47K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
470 |
400 |
$36K |
| 96365 |
|
537 |
332 |
$35K |
| 85025 |
|
8,398 |
5,813 |
$28K |
| 87636 |
|
2,186 |
1,923 |
$24K |
| A9270 |
Non-covered item or service |
1,619 |
743 |
$12K |
| 80048 |
|
1,173 |
717 |
$12K |
| 80307 |
|
550 |
461 |
$11K |
| 93005 |
|
3,190 |
2,255 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
166 |
149 |
$9K |
| 71045 |
|
2,833 |
2,341 |
$9K |
| 81025 |
|
1,572 |
1,422 |
$9K |
| 85610 |
|
2,905 |
2,257 |
$9K |
| 96374 |
|
2,874 |
2,394 |
$9K |
| 94761 |
|
1,745 |
637 |
$8K |
| 87400 |
|
471 |
421 |
$8K |
| 96360 |
|
157 |
111 |
$6K |
| 84484 |
|
2,880 |
1,655 |
$6K |
| 87081 |
|
693 |
655 |
$5K |
| 82962 |
|
1,090 |
349 |
$5K |
| J2405 |
Ondansetron hcl injection |
1,750 |
1,333 |
$5K |
| J7030 |
Normal saline solution infus |
2,140 |
1,489 |
$5K |
| 85730 |
|
2,179 |
1,786 |
$5K |
| 94664 |
|
90 |
62 |
$3K |
| 96372 |
|
977 |
759 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
417 |
275 |
$3K |
| 72125 |
|
149 |
113 |
$3K |
| 96375 |
|
2,158 |
1,550 |
$3K |
| J3490 |
Drugs unclassified injection |
540 |
239 |
$2K |
| 83735 |
|
1,413 |
994 |
$2K |
| 73610 |
|
115 |
96 |
$2K |
| 94640 |
|
80 |
63 |
$2K |
| 83880 |
|
1,023 |
837 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
72 |
64 |
$1K |
| 83690 |
|
1,879 |
1,545 |
$1K |
| 71046 |
|
307 |
261 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
1,010 |
865 |
$1K |
| J3010 |
Fentanyl citrate injection |
30 |
25 |
$1K |
| 73564 |
|
64 |
57 |
$894.45 |
| 87088 |
|
1,126 |
951 |
$861.48 |
| 96376 |
|
145 |
72 |
$858.45 |
| 84703 |
|
539 |
487 |
$769.72 |
| 76705 |
|
28 |
24 |
$726.99 |
| 73630 |
|
74 |
64 |
$686.70 |
| 73130 |
|
42 |
38 |
$561.23 |
| J1885 |
Ketorolac tromethamine inj |
1,178 |
998 |
$541.86 |
| 73110 |
|
30 |
24 |
$527.24 |
| 96366 |
|
34 |
26 |
$314.84 |
| 84100 |
|
110 |
63 |
$307.43 |
| 87086 |
|
406 |
362 |
$239.78 |
| 87635 |
|
138 |
121 |
$219.56 |
| 0241U |
|
440 |
415 |
$212.29 |
| 87040 |
|
227 |
125 |
$196.99 |
| J2704 |
Inj, propofol, 10 mg |
17 |
14 |
$177.67 |
| J2001 |
Lidocaine injection |
14 |
12 |
$177.67 |
| 85379 |
|
68 |
54 |
$146.06 |
| 73030 |
|
18 |
18 |
$125.30 |
| 83605 |
|
144 |
112 |
$121.01 |
| Q0162 |
Ondansetron oral |
259 |
212 |
$81.18 |
| 87186 |
|
259 |
218 |
$23.44 |
| 80061 |
|
17 |
14 |
$10.29 |
| 86140 |
|
134 |
98 |
$6.61 |
| 82248 |
|
109 |
94 |
$0.00 |
| 87880 |
|
327 |
319 |
$0.00 |
| J2270 |
Morphine sulfate injection |
114 |
76 |
$0.00 |
| 87420 |
|
185 |
182 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
16 |
13 |
$0.00 |
| 84145 |
|
14 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
71 |
69 |
$0.00 |
| 84443 |
|
47 |
40 |
$0.00 |
| 87077 |
|
129 |
100 |
$0.00 |
| 87807 |
|
43 |
41 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
21 |
16 |
$0.00 |
| 82077 |
|
26 |
25 |
$0.00 |
| J1170 |
Hydromorphone injection |
55 |
28 |
$0.00 |
| J2770 |
Quinupristin/dalfopristin |
20 |
13 |
$0.00 |