| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
|
883 |
638 |
$702K |
| 99283 |
|
7,915 |
5,244 |
$659K |
| 87811 |
|
11,196 |
8,959 |
$308K |
| D7210 |
|
586 |
315 |
$300K |
| 80307 |
|
6,567 |
4,621 |
$250K |
| 99282 |
|
4,242 |
3,186 |
$235K |
| 97110 |
|
6,355 |
934 |
$210K |
| 99284 |
|
2,111 |
1,432 |
$207K |
| 99285 |
|
1,365 |
772 |
$202K |
| D2930 |
|
2,229 |
1,565 |
$188K |
| G0480 |
Drug test def 1-7 classes |
4,441 |
3,391 |
$165K |
| 99213 |
|
1,764 |
1,126 |
$135K |
| 87804 |
|
9,265 |
5,961 |
$107K |
| D2934 |
|
920 |
699 |
$98K |
| 85025 |
|
18,789 |
14,144 |
$88K |
| 87880 |
|
7,160 |
5,946 |
$82K |
| 80053 |
|
12,614 |
9,683 |
$80K |
| 96372 |
|
2,648 |
1,815 |
$80K |
| 71045 |
|
2,314 |
1,754 |
$74K |
| 96374 |
|
933 |
666 |
$73K |
| 70450 |
|
817 |
611 |
$62K |
| 71046 |
|
2,030 |
1,600 |
$61K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,120 |
857 |
$57K |
| 93005 |
|
2,974 |
2,148 |
$51K |
| 80061 |
|
6,136 |
5,046 |
$48K |
| D3220 |
|
1,323 |
959 |
$42K |
| 84443 |
|
4,484 |
3,616 |
$42K |
| D2392 |
|
1,180 |
877 |
$40K |
| 82306 |
|
1,656 |
1,317 |
$28K |
| D7240 |
|
22 |
12 |
$26K |
| 36415 |
|
14,045 |
10,341 |
$25K |
| 90853 |
|
923 |
94 |
$22K |
| 83036 |
|
4,202 |
3,410 |
$22K |
| 95810 |
|
37 |
24 |
$20K |
| 94640 |
|
202 |
121 |
$18K |
| 81025 |
|
3,215 |
2,489 |
$16K |
| 97530 |
|
583 |
131 |
$16K |
| G0177 |
Opps/php/iop; train & educ |
791 |
94 |
$15K |
| D2391 |
|
984 |
682 |
$15K |
| D2931 |
|
259 |
168 |
$12K |
| 87633 |
|
63 |
41 |
$11K |
| 99281 |
|
452 |
332 |
$11K |
| 87088 |
|
1,883 |
1,497 |
$9K |
| 87798 |
|
66 |
42 |
$8K |
| 00170 |
|
1,323 |
852 |
$8K |
| 84484 |
|
1,178 |
805 |
$7K |
| 82607 |
|
910 |
729 |
$7K |
| 87807 |
|
664 |
563 |
$7K |
| 81001 |
|
3,611 |
2,743 |
$6K |
| 83880 |
|
345 |
259 |
$5K |
| 87400 |
|
572 |
486 |
$5K |
| 81003 |
|
3,334 |
2,577 |
$4K |
| 81000 |
|
1,485 |
1,193 |
$4K |
| 83735 |
|
1,109 |
832 |
$4K |
| 72100 |
|
67 |
54 |
$3K |
| U0005 |
Infec agen detec ampli probe |
160 |
131 |
$3K |
| D2330 |
|
200 |
145 |
$3K |
| 82962 |
|
826 |
602 |
$3K |
| 87800 |
|
95 |
81 |
$2K |
| M0243 |
Casirivi and imdevi inj |
20 |
17 |
$2K |
| 80047 |
|
456 |
288 |
$2K |
| 96375 |
|
134 |
78 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
4,886 |
3,420 |
$2K |
| 82728 |
|
299 |
253 |
$2K |
| 83550 |
|
288 |
229 |
$1K |
| 87502 |
|
30 |
26 |
$1K |
| 73030 |
|
30 |
26 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
47 |
41 |
$1K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
290 |
258 |
$1K |
| 74018 |
|
23 |
13 |
$1K |
| 87581 |
|
62 |
40 |
$1K |
| 87640 |
|
64 |
42 |
$1K |
| 87486 |
|
62 |
40 |
$1K |
| 97112 |
|
70 |
14 |
$1K |
| D2335 |
|
35 |
27 |
$1K |
| 82746 |
|
171 |
132 |
$1K |
| 80306 |
|
274 |
255 |
$842.58 |
| 73610 |
|
13 |
12 |
$751.04 |
| 86684 |
|
128 |
84 |
$689.40 |
| 59426 |
|
34 |
24 |
$670.04 |
| 36416 |
|
2,667 |
2,169 |
$613.20 |
| 83690 |
|
163 |
111 |
$531.22 |
| 97162 |
|
27 |
21 |
$376.67 |
| 84439 |
|
53 |
43 |
$337.82 |
| 87635 |
|
12 |
12 |
$328.65 |
| J1885 |
Ketorolac tromethamine inj |
943 |
639 |
$268.71 |
| 80048 |
|
37 |
29 |
$214.83 |
| 86580 |
|
59 |
51 |
$211.20 |
| 82150 |
|
54 |
41 |
$204.04 |
| 80076 |
|
62 |
44 |
$189.67 |
| 87210 |
|
44 |
41 |
$170.42 |
| 81002 |
|
70 |
57 |
$148.92 |
| 87420 |
|
22 |
13 |
$137.72 |
| J1100 |
Dexamethasone sodium phos |
2,552 |
1,727 |
$137.24 |
| 82310 |
|
98 |
77 |
$119.41 |
| 83540 |
|
32 |
25 |
$97.49 |
| J0330 |
Succinycholine chloride inj |
1,527 |
992 |
$96.77 |
| 86308 |
|
24 |
20 |
$88.54 |
| 82043 |
|
23 |
15 |
$59.24 |
| 82044 |
|
26 |
24 |
$50.49 |
| J2175 |
Meperidine hydrochl /100 mg |
324 |
255 |
$38.98 |
| 99214 |
|
52 |
35 |
$38.93 |
| 85018 |
|
15 |
15 |
$31.95 |
| J3010 |
Fentanyl citrate injection |
1,971 |
1,268 |
$30.23 |
| J2405 |
Ondansetron hcl injection |
1,648 |
1,086 |
$24.37 |
| J0696 |
Ceftriaxone sodium injection |
127 |
96 |
$22.70 |
| 93010 |
|
34 |
29 |
$16.73 |
| J7030 |
Normal saline solution infus |
47 |
43 |
$2.64 |
| J2550 |
Promethazine hcl injection |
39 |
36 |
$2.20 |
| Q0244 |
Casirivi and imdevi 1200 mg |
18 |
16 |
$0.00 |
| 90833 |
|
12 |
12 |
$0.00 |
| 94664 |
|
13 |
12 |
$0.00 |
| J3030 |
Sumatriptan succinate / 6 mg |
197 |
138 |
$0.00 |
| A9270 |
Non-covered item or service |
110 |
39 |
$0.00 |
| 99308 |
|
32 |
29 |
$0.00 |
| G0283 |
Elec stim other than wound |
79 |
18 |
$0.00 |