| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
28,556 |
27,114 |
$13.75M |
| 99283 |
|
26,090 |
25,309 |
$3.02M |
| 99285 |
|
5,236 |
4,863 |
$2.54M |
| 80053 |
|
23,555 |
21,760 |
$1.37M |
| 93005 |
|
9,705 |
9,007 |
$1.08M |
| 85025 |
|
29,975 |
27,283 |
$746K |
| 81001 |
|
24,200 |
22,905 |
$652K |
| 71045 |
|
11,448 |
10,851 |
$555K |
| 87635 |
|
11,859 |
11,517 |
$477K |
| 87400 |
|
11,550 |
5,730 |
$449K |
| 83690 |
|
8,967 |
8,388 |
$332K |
| 84484 |
|
6,908 |
5,014 |
$232K |
| 93975 |
|
1,032 |
933 |
$227K |
| 74177 |
|
788 |
750 |
$163K |
| 84703 |
|
3,849 |
3,620 |
$152K |
| 76801 |
|
1,051 |
918 |
$108K |
| 80048 |
|
3,081 |
2,515 |
$83K |
| 99282 |
|
839 |
819 |
$74K |
| 96374 |
|
2,131 |
1,926 |
$68K |
| 70450 |
|
919 |
894 |
$57K |
| 87804 |
|
1,424 |
702 |
$44K |
| 84702 |
|
1,806 |
1,603 |
$40K |
| 87880 |
|
1,427 |
1,407 |
$40K |
| 87651 |
|
1,062 |
1,045 |
$38K |
| 82550 |
|
2,533 |
2,332 |
$34K |
| 84450 |
|
879 |
822 |
$33K |
| J7030 |
Normal saline solution infus |
4,830 |
4,509 |
$32K |
| 84075 |
|
883 |
823 |
$30K |
| 76817 |
|
314 |
274 |
$28K |
| 71046 |
|
629 |
616 |
$28K |
| 85610 |
|
4,854 |
4,475 |
$27K |
| 85730 |
|
4,738 |
4,389 |
$26K |
| 80307 |
|
280 |
263 |
$20K |
| 83880 |
|
1,443 |
1,276 |
$19K |
| 82247 |
|
882 |
823 |
$19K |
| 81025 |
|
703 |
680 |
$18K |
| 87807 |
|
586 |
580 |
$16K |
| 96361 |
|
481 |
441 |
$15K |
| 84155 |
|
878 |
821 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,186 |
1,127 |
$15K |
| 87081 |
|
623 |
610 |
$15K |
| 96375 |
|
981 |
785 |
$14K |
| 87086 |
|
1,302 |
1,239 |
$13K |
| 99211 |
|
139 |
120 |
$11K |
| 76805 |
|
29 |
26 |
$8K |
| 82040 |
|
873 |
816 |
$5K |
| 96372 |
|
314 |
192 |
$4K |
| 97110 |
|
149 |
36 |
$4K |
| J3490 |
Drugs unclassified injection |
840 |
536 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
50 |
49 |
$4K |
| 71275 |
|
28 |
28 |
$3K |
| 86900 |
|
1,166 |
1,087 |
$2K |
| 83735 |
|
1,244 |
947 |
$2K |
| 86901 |
|
1,164 |
1,086 |
$2K |
| 80076 |
|
79 |
75 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,967 |
1,846 |
$2K |
| 96360 |
|
24 |
24 |
$2K |
| 36000 |
|
246 |
241 |
$2K |
| 84145 |
|
184 |
168 |
$1K |
| G0257 |
Unsched dialysis esrd pt hos |
20 |
12 |
$1K |
| J7120 |
Ringers lactate infusion |
315 |
276 |
$1K |
| 76815 |
|
14 |
13 |
$1K |
| 83605 |
|
384 |
330 |
$1K |
| 87186 |
|
284 |
259 |
$1K |
| 74176 |
|
16 |
15 |
$1K |
| 86850 |
|
106 |
95 |
$957.45 |
| J2270 |
Morphine sulfate injection |
685 |
560 |
$904.64 |
| 96376 |
|
123 |
78 |
$748.29 |
| J2405 |
Ondansetron hcl injection |
2,348 |
2,143 |
$729.81 |
| 74018 |
|
12 |
12 |
$632.92 |
| 84100 |
|
655 |
502 |
$582.17 |
| 82077 |
|
26 |
24 |
$230.26 |
| J2001 |
Lidocaine injection |
446 |
428 |
$225.56 |
| U0002 |
Covid-19 lab test non-cdc |
774 |
709 |
$204.37 |
| J0696 |
Ceftriaxone sodium injection |
231 |
209 |
$190.57 |
| J7040 |
Normal saline solution infus |
80 |
70 |
$168.89 |
| J2765 |
Metoclopramide hcl injection |
151 |
142 |
$161.04 |
| 82947 |
|
417 |
278 |
$150.86 |
| 87077 |
|
28 |
26 |
$137.74 |
| J1100 |
Dexamethasone sodium phos |
87 |
84 |
$112.74 |
| J1644 |
Inj heparin sodium per 1000u |
83 |
55 |
$82.49 |
| 85027 |
|
32 |
25 |
$59.38 |
| J7050 |
Normal saline solution infus |
32 |
26 |
$44.73 |
| 87040 |
|
17 |
14 |
$37.62 |
| 94640 |
|
13 |
12 |
$30.82 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$20.13 |
| J0360 |
Hydralazine hcl injection |
13 |
12 |
$18.20 |
| Q0162 |
Ondansetron oral |
194 |
189 |
$14.21 |
| J2250 |
Inj midazolam hydrochloride |
40 |
40 |
$4.17 |
| G0463 |
Hospital outpt clinic visit |
17 |
12 |
$0.00 |