| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,354 |
11,683 |
$5.41M |
| 99283 |
|
13,631 |
13,275 |
$1.64M |
| 99285 |
|
1,812 |
1,654 |
$493K |
| 80053 |
|
8,066 |
7,174 |
$350K |
| 85025 |
|
11,149 |
9,655 |
$211K |
| 81001 |
|
7,577 |
7,074 |
$149K |
| 76816 |
|
640 |
561 |
$120K |
| 87635 |
|
2,710 |
2,619 |
$108K |
| 93005 |
|
1,957 |
1,810 |
$107K |
| 87400 |
|
2,505 |
1,267 |
$79K |
| 76817 |
|
196 |
173 |
$41K |
| 71045 |
|
1,824 |
1,689 |
$35K |
| 74177 |
|
239 |
230 |
$31K |
| 76819 |
|
153 |
75 |
$30K |
| 70450 |
|
911 |
859 |
$29K |
| 84484 |
|
2,534 |
1,778 |
$27K |
| 80048 |
|
1,512 |
1,183 |
$20K |
| 99282 |
|
212 |
204 |
$19K |
| 83690 |
|
1,354 |
1,240 |
$18K |
| U0003 |
Cov-19 amp prb hgh thruput |
278 |
270 |
$16K |
| 84703 |
|
442 |
412 |
$15K |
| 97530 |
|
648 |
201 |
$15K |
| 74176 |
|
121 |
118 |
$14K |
| 97110 |
|
1,185 |
334 |
$14K |
| 93975 |
|
73 |
59 |
$14K |
| J7030 |
Normal saline solution infus |
2,525 |
2,257 |
$13K |
| 96361 |
|
450 |
380 |
$11K |
| 96374 |
|
1,105 |
996 |
$10K |
| 87807 |
|
229 |
227 |
$8K |
| 87804 |
|
277 |
134 |
$8K |
| 83880 |
|
762 |
715 |
$7K |
| 71046 |
|
155 |
147 |
$7K |
| 84450 |
|
238 |
208 |
$6K |
| 84075 |
|
241 |
208 |
$5K |
| 76801 |
|
56 |
46 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
817 |
774 |
$5K |
| 84702 |
|
277 |
241 |
$5K |
| 87086 |
|
460 |
451 |
$4K |
| 96375 |
|
703 |
551 |
$4K |
| 82247 |
|
241 |
208 |
$3K |
| 87880 |
|
121 |
116 |
$3K |
| 84155 |
|
238 |
208 |
$3K |
| 97112 |
|
42 |
12 |
$2K |
| 87651 |
|
48 |
47 |
$2K |
| 85730 |
|
1,112 |
1,030 |
$2K |
| 82550 |
|
905 |
830 |
$2K |
| 85610 |
|
1,190 |
1,069 |
$2K |
| 87081 |
|
64 |
60 |
$1K |
| 93306 |
|
12 |
12 |
$1K |
| 83735 |
|
808 |
656 |
$1K |
| 96372 |
|
282 |
187 |
$1K |
| 82040 |
|
240 |
207 |
$1K |
| 88305 |
|
18 |
14 |
$951.85 |
| J3490 |
Drugs unclassified injection |
209 |
112 |
$942.23 |
| 96376 |
|
127 |
80 |
$925.01 |
| 77063 |
|
52 |
51 |
$889.00 |
| 80076 |
|
27 |
26 |
$651.91 |
| J7120 |
Ringers lactate infusion |
377 |
336 |
$602.76 |
| 77067 |
|
52 |
51 |
$600.11 |
| J2270 |
Morphine sulfate injection |
545 |
418 |
$573.86 |
| 86900 |
|
201 |
193 |
$329.77 |
| 86901 |
|
188 |
180 |
$308.05 |
| J2405 |
Ondansetron hcl injection |
1,409 |
1,244 |
$302.38 |
| 83605 |
|
130 |
112 |
$280.31 |
| J1100 |
Dexamethasone sodium phos |
99 |
97 |
$260.07 |
| 97162 |
|
12 |
12 |
$235.98 |
| 87040 |
|
57 |
50 |
$199.97 |
| 84145 |
|
32 |
28 |
$180.91 |
| 86850 |
|
12 |
12 |
$180.42 |
| U0005 |
Infec agen detec ampli probe |
16 |
16 |
$128.45 |
| 72125 |
|
14 |
14 |
$127.60 |
| 83036 |
|
53 |
49 |
$111.84 |
| 36000 |
|
14 |
12 |
$108.15 |
| J2001 |
Lidocaine injection |
549 |
529 |
$102.45 |
| 84100 |
|
153 |
124 |
$100.52 |
| 81025 |
|
14 |
14 |
$84.07 |
| U0002 |
Covid-19 lab test non-cdc |
500 |
479 |
$63.74 |
| J0696 |
Ceftriaxone sodium injection |
92 |
81 |
$62.44 |
| 82947 |
|
180 |
117 |
$53.68 |
| J1885 |
Ketorolac tromethamine inj |
71 |
66 |
$43.90 |
| J7040 |
Normal saline solution infus |
37 |
35 |
$31.56 |
| J2704 |
Inj, propofol, 10 mg |
188 |
180 |
$30.67 |
| G0378 |
Hospital observation per hr |
27 |
26 |
$21.81 |
| 84443 |
|
15 |
13 |
$14.11 |
| Q0162 |
Ondansetron oral |
350 |
345 |
$10.56 |
| 80061 |
|
13 |
12 |
$5.99 |
| J2250 |
Inj midazolam hydrochloride |
30 |
28 |
$3.31 |