| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,992 |
7,915 |
$2.09M |
| 99283 |
|
6,847 |
6,086 |
$1.16M |
| 99285 |
|
4,280 |
3,709 |
$890K |
| 96361 |
|
2,073 |
1,758 |
$872K |
| 0241U |
|
3,399 |
3,100 |
$282K |
| G0463 |
Hospital outpt clinic visit |
1,451 |
1,319 |
$225K |
| 70450 |
|
826 |
758 |
$223K |
| 99282 |
|
1,206 |
1,108 |
$206K |
| 99212 |
|
1,519 |
1,341 |
$175K |
| 74176 |
|
449 |
415 |
$121K |
| 80307 |
|
1,284 |
1,128 |
$104K |
| 74177 |
|
276 |
252 |
$76K |
| 80053 |
|
11,047 |
9,136 |
$66K |
| 96365 |
|
607 |
547 |
$46K |
| 96360 |
|
258 |
233 |
$40K |
| 71046 |
|
2,943 |
2,657 |
$39K |
| 96366 |
|
107 |
79 |
$35K |
| 94640 |
|
750 |
611 |
$35K |
| 36415 |
|
7,052 |
5,847 |
$30K |
| 84443 |
|
3,290 |
2,989 |
$23K |
| 82306 |
|
896 |
835 |
$19K |
| 99213 |
|
195 |
164 |
$17K |
| 85025 |
|
11,744 |
9,424 |
$16K |
| 80061 |
|
2,316 |
2,152 |
$14K |
| 93005 |
|
4,810 |
3,701 |
$12K |
| 80048 |
|
2,382 |
2,045 |
$12K |
| 83036 |
|
1,844 |
1,721 |
$10K |
| 87040 |
|
1,421 |
709 |
$9K |
| 72100 |
|
299 |
285 |
$8K |
| 83880 |
|
748 |
652 |
$7K |
| G0480 |
Drug test def 1-7 classes |
490 |
426 |
$7K |
| 84484 |
|
3,962 |
2,693 |
$5K |
| 85027 |
|
1,259 |
1,125 |
$5K |
| 96372 |
|
3,495 |
3,069 |
$5K |
| 81001 |
|
4,720 |
4,093 |
$4K |
| 84439 |
|
577 |
537 |
$4K |
| 82607 |
|
641 |
591 |
$4K |
| 87077 |
|
1,585 |
1,442 |
$3K |
| 87804 |
|
3,005 |
1,377 |
$3K |
| 73562 |
|
117 |
99 |
$3K |
| 96374 |
|
4,110 |
3,553 |
$3K |
| 71045 |
|
2,212 |
1,886 |
$2K |
| J3490 |
Drugs unclassified injection |
704 |
563 |
$2K |
| 87086 |
|
866 |
749 |
$2K |
| 83605 |
|
2,313 |
1,710 |
$2K |
| 87880 |
|
1,861 |
1,702 |
$2K |
| 74018 |
|
85 |
82 |
$2K |
| 80306 |
|
720 |
632 |
$2K |
| 81003 |
|
2,313 |
2,095 |
$2K |
| 80329 |
|
84 |
37 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
117 |
109 |
$2K |
| J0561 |
Penicillin g benzathine inj |
28 |
26 |
$1K |
| 87088 |
|
782 |
689 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,501 |
2,221 |
$1K |
| 73610 |
|
77 |
68 |
$873.86 |
| 96375 |
|
2,682 |
2,236 |
$850.74 |
| 81025 |
|
1,671 |
1,502 |
$840.83 |
| 85610 |
|
912 |
664 |
$832.62 |
| 73630 |
|
29 |
27 |
$783.04 |
| 83735 |
|
1,217 |
1,040 |
$703.98 |
| 85379 |
|
288 |
256 |
$641.39 |
| 80320 |
|
176 |
153 |
$564.41 |
| 80143 |
|
128 |
110 |
$548.08 |
| 99406 |
|
14 |
13 |
$517.82 |
| 83690 |
|
1,755 |
1,542 |
$513.52 |
| 87635 |
|
30 |
26 |
$451.94 |
| 90715 |
|
14 |
12 |
$448.41 |
| U0003 |
Cov-19 amp prb hgh thruput |
20 |
20 |
$413.94 |
| J2360 |
Orphenadrine injection |
67 |
60 |
$380.48 |
| J2405 |
Ondansetron hcl injection |
1,924 |
1,610 |
$366.78 |
| 80179 |
|
130 |
110 |
$325.63 |
| 87651 |
|
1,217 |
1,140 |
$323.41 |
| 87186 |
|
519 |
460 |
$280.26 |
| 80076 |
|
127 |
121 |
$277.16 |
| 96376 |
|
366 |
270 |
$234.60 |
| 90471 |
|
28 |
24 |
$220.96 |
| J0696 |
Ceftriaxone sodium injection |
1,109 |
971 |
$161.88 |
| 82140 |
|
57 |
50 |
$141.86 |
| 87081 |
|
661 |
599 |
$101.78 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
742 |
670 |
$99.44 |
| 94761 |
|
417 |
326 |
$76.34 |
| J1100 |
Dexamethasone sodium phos |
545 |
501 |
$74.97 |
| J7030 |
Normal saline solution infus |
483 |
396 |
$58.36 |
| U0002 |
Covid-19 lab test non-cdc |
15 |
12 |
$51.31 |
| 82150 |
|
29 |
25 |
$37.38 |
| J2930 |
Methylprednisolone injection |
391 |
341 |
$30.64 |
| 85730 |
|
106 |
93 |
$27.28 |
| 82043 |
|
12 |
12 |
$21.90 |
| 87070 |
|
15 |
13 |
$21.00 |
| 82248 |
|
17 |
15 |
$20.82 |
| 82570 |
|
12 |
12 |
$17.17 |
| 84100 |
|
77 |
63 |
$12.43 |
| 87205 |
|
15 |
13 |
$10.48 |
| 87807 |
|
99 |
95 |
$8.19 |
| J1170 |
Hydromorphone injection |
193 |
128 |
$6.54 |
| J2270 |
Morphine sulfate injection |
30 |
24 |
$3.33 |
| J7613 |
Albuterol non-comp unit |
14 |
12 |
$0.43 |
| 82803 |
|
15 |
12 |
$0.00 |
| 87811 |
|
51 |
48 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
17 |
$0.00 |