| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
3,873 |
2,847 |
$281K |
| 99284 |
|
5,538 |
3,839 |
$226K |
| 70450 |
|
1,017 |
927 |
$148K |
| 99283 |
|
3,689 |
2,863 |
$138K |
| 80053 |
|
6,714 |
5,443 |
$104K |
| 96365 |
|
2,643 |
2,008 |
$95K |
| 93005 |
|
4,176 |
3,375 |
$85K |
| 84484 |
|
3,884 |
2,790 |
$82K |
| 85025 |
|
7,443 |
5,694 |
$76K |
| 74176 |
|
256 |
236 |
$68K |
| 96375 |
|
3,078 |
2,348 |
$63K |
| 71045 |
|
3,094 |
2,522 |
$61K |
| 80048 |
|
3,572 |
2,748 |
$56K |
| 71046 |
|
1,304 |
1,195 |
$41K |
| 83690 |
|
2,297 |
1,977 |
$41K |
| 96374 |
|
2,147 |
1,846 |
$38K |
| 83880 |
|
2,070 |
1,673 |
$34K |
| 74177 |
|
75 |
65 |
$29K |
| 82550 |
|
2,185 |
1,628 |
$29K |
| 82553 |
|
1,058 |
646 |
$26K |
| 94640 |
|
1,121 |
616 |
$25K |
| 83735 |
|
2,216 |
1,776 |
$24K |
| 36415 |
|
9,489 |
6,916 |
$23K |
| 87637 |
|
515 |
450 |
$23K |
| 83605 |
|
2,563 |
2,136 |
$22K |
| G0378 |
Hospital observation per hr |
376 |
225 |
$22K |
| 87040 |
|
1,002 |
727 |
$22K |
| 82248 |
|
1,863 |
1,646 |
$21K |
| 80061 |
|
995 |
927 |
$21K |
| 84443 |
|
1,542 |
1,420 |
$20K |
| 99282 |
|
570 |
518 |
$19K |
| 96361 |
|
688 |
509 |
$19K |
| 85027 |
|
2,824 |
2,175 |
$18K |
| 96372 |
|
2,135 |
1,677 |
$17K |
| 82803 |
|
392 |
308 |
$15K |
| J2930 |
Methylprednisolone injection |
163 |
125 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
572 |
518 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
567 |
436 |
$11K |
| 81001 |
|
2,358 |
2,059 |
$11K |
| 0241U |
|
123 |
113 |
$9K |
| 80307 |
|
92 |
73 |
$8K |
| 81003 |
|
876 |
791 |
$8K |
| 83036 |
|
654 |
614 |
$7K |
| 87086 |
|
953 |
847 |
$7K |
| 85610 |
|
850 |
699 |
$6K |
| 96366 |
|
310 |
187 |
$6K |
| J2405 |
Ondansetron hcl injection |
1,368 |
1,158 |
$6K |
| 0099U |
|
12 |
12 |
$5K |
| 87633 |
|
52 |
50 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
261 |
216 |
$5K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
110 |
85 |
$4K |
| 93010 |
|
2,445 |
1,872 |
$4K |
| 93306 |
|
46 |
41 |
$4K |
| 87804 |
|
248 |
230 |
$4K |
| 85007 |
|
1,442 |
1,143 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
48 |
47 |
$3K |
| 96376 |
|
277 |
184 |
$3K |
| 0202U |
|
58 |
48 |
$3K |
| 71250 |
|
14 |
12 |
$3K |
| J2001 |
Lidocaine injection |
135 |
95 |
$2K |
| 80050 |
|
28 |
26 |
$2K |
| 85730 |
|
216 |
192 |
$2K |
| 87186 |
|
259 |
239 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,622 |
1,425 |
$2K |
| 73630 |
|
34 |
28 |
$1K |
| 96367 |
|
97 |
77 |
$1K |
| 99214 |
|
334 |
169 |
$1K |
| 82962 |
|
166 |
88 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
297 |
236 |
$1K |
| 74022 |
|
20 |
15 |
$950.84 |
| P9016 |
Rbc leukocytes reduced |
12 |
12 |
$934.20 |
| G0481 |
Drug test def 8-14 classes |
29 |
25 |
$828.12 |
| 82306 |
|
58 |
53 |
$757.29 |
| 87077 |
|
95 |
88 |
$688.55 |
| 82150 |
|
40 |
40 |
$586.98 |
| U0005 |
Infec agen detec ampli probe |
28 |
28 |
$586.66 |
| 85379 |
|
59 |
56 |
$471.63 |
| 87581 |
|
53 |
51 |
$469.99 |
| 73030 |
|
16 |
13 |
$465.21 |
| 87486 |
|
52 |
50 |
$462.64 |
| 82607 |
|
27 |
24 |
$442.63 |
| 83540 |
|
53 |
49 |
$436.44 |
| 82805 |
|
29 |
29 |
$398.09 |
| 82948 |
|
47 |
26 |
$325.61 |
| 86922 |
|
13 |
13 |
$323.11 |
| 36600 |
|
31 |
30 |
$251.07 |
| 99213 |
|
83 |
43 |
$241.92 |
| 36430 |
|
13 |
13 |
$241.53 |
| 94760 |
|
29 |
12 |
$225.24 |
| 82570 |
|
44 |
40 |
$211.27 |
| 87205 |
|
39 |
38 |
$174.38 |
| 87088 |
|
12 |
12 |
$173.77 |
| 87798 |
|
16 |
16 |
$168.07 |
| J2704 |
Inj, propofol, 10 mg |
32 |
28 |
$157.29 |
| 94761 |
|
26 |
14 |
$155.92 |
| 82043 |
|
14 |
13 |
$147.56 |
| 82728 |
|
14 |
12 |
$126.86 |
| 87070 |
|
14 |
14 |
$117.94 |
| 99204 |
|
24 |
14 |
$111.16 |
| J2270 |
Morphine sulfate injection |
31 |
25 |
$102.00 |
| 86140 |
|
15 |
12 |
$89.75 |
| 94664 |
|
18 |
12 |
$81.76 |
| 86850 |
|
14 |
14 |
$75.15 |
| 86901 |
|
13 |
13 |
$71.53 |
| 86900 |
|
13 |
13 |
$71.52 |
| 85652 |
|
12 |
12 |
$69.43 |
| J1940 |
Furosemide injection |
56 |
39 |
$68.08 |
| J3475 |
Inj magnesium sulfate |
14 |
13 |
$61.67 |
| J3490 |
Drugs unclassified injection |
390 |
130 |
$27.39 |
| J1642 |
Inj heparin sodium per 10 u |
22 |
14 |
$15.62 |
| J1100 |
Dexamethasone sodium phos |
17 |
12 |
$9.34 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
12 |
$3.07 |