| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
45,630 |
29,963 |
$9.61M |
| 99283 |
|
66,831 |
44,798 |
$9.10M |
| 99285 |
|
6,150 |
3,563 |
$2.03M |
| 99282 |
|
24,740 |
19,143 |
$1.94M |
| 71045 |
|
19,095 |
7,709 |
$908K |
| 93005 |
|
12,188 |
9,692 |
$634K |
| 74177 |
|
1,116 |
506 |
$588K |
| 99214 |
|
8,553 |
3,946 |
$457K |
| 96375 |
|
7,980 |
6,683 |
$451K |
| 99213 |
|
8,197 |
3,605 |
$432K |
| 96374 |
|
11,942 |
10,199 |
$429K |
| 0241U |
|
4,218 |
3,768 |
$421K |
| 96361 |
|
8,210 |
6,870 |
$384K |
| 99215 |
Prolong outpt/office vis |
2,082 |
781 |
$355K |
| 87633 |
|
1,083 |
1,039 |
$265K |
| 70450 |
|
1,264 |
492 |
$227K |
| 93010 |
|
12,481 |
9,711 |
$194K |
| 80053 |
|
31,956 |
26,358 |
$182K |
| 76816 |
|
1,346 |
608 |
$162K |
| 87635 |
|
4,541 |
3,951 |
$160K |
| 85025 |
|
37,497 |
30,668 |
$158K |
| 99212 |
|
9,365 |
5,374 |
$132K |
| 36415 |
|
50,301 |
40,966 |
$119K |
| 96365 |
|
1,306 |
1,070 |
$113K |
| 92507 |
|
1,496 |
527 |
$101K |
| 74176 |
|
284 |
127 |
$93K |
| 87502 |
|
1,578 |
1,492 |
$88K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,080 |
1,650 |
$85K |
| J7030 |
Normal saline solution infus |
3,382 |
2,499 |
$69K |
| J2704 |
Inj, propofol, 10 mg |
2,326 |
1,498 |
$52K |
| 76805 |
|
187 |
106 |
$51K |
| 80307 |
|
1,207 |
1,016 |
$49K |
| 81000 |
|
17,130 |
14,721 |
$39K |
| 96372 |
|
1,578 |
1,387 |
$37K |
| 99211 |
|
1,980 |
1,027 |
$35K |
| 87651 |
|
1,546 |
1,475 |
$34K |
| 84484 |
|
5,801 |
4,430 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
3,220 |
2,909 |
$29K |
| 96360 |
|
367 |
309 |
$29K |
| 73630 |
|
280 |
175 |
$25K |
| 94640 |
|
613 |
502 |
$22K |
| 83690 |
|
5,097 |
4,367 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
305 |
282 |
$18K |
| 82306 |
|
1,333 |
1,190 |
$17K |
| 99291 |
|
20 |
13 |
$17K |
| 84703 |
|
2,932 |
2,729 |
$16K |
| J1170 |
Hydromorphone injection |
1,242 |
939 |
$16K |
| 84443 |
|
2,036 |
1,758 |
$15K |
| 87624 |
|
502 |
481 |
$14K |
| 83036 |
|
3,063 |
2,690 |
$13K |
| 83880 |
|
835 |
640 |
$13K |
| 99281 |
|
360 |
284 |
$11K |
| 76830 |
|
64 |
31 |
$10K |
| 87086 |
|
2,205 |
1,848 |
$9K |
| J2405 |
Ondansetron hcl injection |
5,475 |
4,551 |
$9K |
| 95806 |
|
77 |
38 |
$9K |
| 99203 |
|
226 |
207 |
$9K |
| 80048 |
|
2,298 |
1,763 |
$8K |
| C9290 |
Inj, bupivacaine liposome |
44 |
39 |
$8K |
| 80061 |
|
1,551 |
1,309 |
$8K |
| 76819 |
|
44 |
12 |
$7K |
| 96376 |
|
247 |
193 |
$7K |
| 85610 |
|
3,655 |
2,343 |
$5K |
| 81025 |
|
966 |
906 |
$5K |
| 98942 |
|
751 |
359 |
$5K |
| 87801 |
|
131 |
114 |
$5K |
| 96413 |
|
28 |
13 |
$5K |
| 87491 |
|
294 |
268 |
$4K |
| U0005 |
Infec agen detec ampli probe |
222 |
205 |
$4K |
| 87591 |
|
292 |
266 |
$4K |
| 90960 |
|
181 |
159 |
$4K |
| J2270 |
Morphine sulfate injection |
245 |
205 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
55 |
45 |
$4K |
| 29581 |
|
67 |
12 |
$4K |
| J0134 |
Inj acetaminophen -fresenius |
134 |
117 |
$3K |
| 87661 |
|
172 |
150 |
$3K |
| J3010 |
Fentanyl citrate injection |
608 |
474 |
$3K |
| 83605 |
|
565 |
462 |
$3K |
| 88305 |
|
74 |
69 |
$3K |
| 99239 |
|
37 |
37 |
$3K |
| 97110 |
|
102 |
12 |
$3K |
| 86780 |
|
324 |
299 |
$2K |
| 84439 |
|
505 |
448 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
82 |
65 |
$2K |
| 82803 |
|
107 |
99 |
$2K |
| 85730 |
|
634 |
486 |
$2K |
| 73610 |
|
32 |
15 |
$2K |
| 86850 |
|
182 |
170 |
$2K |
| 71046 |
|
24 |
12 |
$2K |
| 83735 |
|
492 |
417 |
$2K |
| 82043 |
|
907 |
754 |
$2K |
| 86803 |
|
180 |
169 |
$2K |
| 76811 |
|
28 |
12 |
$2K |
| J1100 |
Dexamethasone sodium phos |
359 |
321 |
$2K |
| J3490 |
Drugs unclassified injection |
64 |
44 |
$1K |
| 87653 |
|
70 |
66 |
$1K |
| 84481 |
|
162 |
142 |
$1K |
| J7120 |
Ringers lactate infusion |
57 |
39 |
$1K |
| 87389 |
|
88 |
84 |
$1K |
| 73562 |
|
21 |
12 |
$1K |
| 83970 |
|
96 |
82 |
$1K |
| J0690 |
Cefazolin sodium injection |
33 |
26 |
$1K |
| 84702 |
|
79 |
64 |
$973.17 |
| 87481 |
|
132 |
114 |
$900.54 |
| 85027 |
|
342 |
279 |
$876.36 |
| 87660 |
|
64 |
59 |
$873.60 |
| 87480 |
|
65 |
60 |
$873.60 |
| 87510 |
|
65 |
60 |
$873.60 |
| 86762 |
|
86 |
83 |
$785.46 |
| 87798 |
|
29 |
28 |
$758.25 |
| 87486 |
|
29 |
28 |
$758.25 |
| 87581 |
|
29 |
28 |
$758.25 |
| 80069 |
|
277 |
189 |
$707.02 |
| 85379 |
|
95 |
79 |
$622.44 |
| 87077 |
|
184 |
139 |
$609.21 |
| 87340 |
|
86 |
82 |
$556.71 |
| 87186 |
|
140 |
105 |
$504.90 |
| G0108 |
Diab manage trn per indiv |
33 |
25 |
$500.65 |
| 84550 |
|
303 |
267 |
$473.91 |
| 99441 |
|
37 |
25 |
$424.16 |
| 82607 |
|
46 |
41 |
$380.16 |
| 87040 |
|
50 |
46 |
$357.55 |
| 82962 |
|
207 |
156 |
$336.86 |
| 82550 |
|
82 |
62 |
$336.29 |
| 82150 |
|
78 |
62 |
$309.49 |
| 99232 |
|
24 |
12 |
$298.87 |
| 82947 |
|
124 |
117 |
$283.95 |
| 82330 |
|
33 |
28 |
$279.96 |
| 86140 |
|
86 |
68 |
$270.74 |
| J1200 |
Diphenhydramine hcl injectio |
116 |
100 |
$243.69 |
| 85652 |
|
79 |
67 |
$185.11 |
| J2765 |
Metoclopramide hcl injection |
33 |
26 |
$179.69 |
| 83874 |
|
15 |
12 |
$168.59 |
| 84156 |
|
119 |
110 |
$159.34 |
| 84100 |
|
16 |
13 |
$155.51 |
| 84132 |
|
48 |
40 |
$148.60 |
| 84295 |
|
49 |
40 |
$148.32 |
| J2250 |
Inj midazolam hydrochloride |
66 |
50 |
$128.59 |
| 82565 |
|
34 |
28 |
$127.92 |
| 82435 |
|
49 |
40 |
$124.13 |
| 83655 |
|
14 |
14 |
$118.72 |
| 82746 |
|
17 |
13 |
$113.19 |
| 86900 |
|
54 |
52 |
$105.72 |
| 86901 |
|
54 |
52 |
$105.72 |
| 83516 |
|
24 |
12 |
$102.67 |
| 86141 |
|
12 |
12 |
$99.77 |
| 82784 |
|
12 |
12 |
$82.84 |
| J2060 |
Lorazepam injection |
32 |
27 |
$76.15 |
| 87015 |
|
14 |
12 |
$51.48 |
| 85014 |
|
33 |
28 |
$50.24 |
| 98943 |
|
21 |
12 |
$26.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
12 |
$20.37 |
| 81003 |
|
12 |
12 |
$12.00 |