| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,945 |
15,392 |
$2.79M |
| 99284 |
|
7,696 |
7,112 |
$2.52M |
| 96374 |
|
2,369 |
2,158 |
$131K |
| 99282 |
|
502 |
485 |
$93K |
| 80053 |
|
5,042 |
4,414 |
$72K |
| 87635 |
|
2,351 |
2,243 |
$68K |
| 71045 |
|
4,360 |
4,059 |
$54K |
| 87804 |
|
2,676 |
2,000 |
$39K |
| 80048 |
|
650 |
581 |
$28K |
| 36415 |
|
13,461 |
12,187 |
$27K |
| 74177 |
|
273 |
261 |
$21K |
| 85027 |
|
8,447 |
7,375 |
$20K |
| 70450 |
|
765 |
709 |
$18K |
| U0003 |
Cov-19 amp prb hgh thruput |
582 |
577 |
$16K |
| 99285 |
|
372 |
334 |
$15K |
| 99281 |
|
53 |
53 |
$11K |
| 84484 |
|
1,820 |
1,247 |
$11K |
| 87880 |
|
762 |
738 |
$10K |
| 83880 |
|
751 |
676 |
$8K |
| 81001 |
|
2,074 |
1,922 |
$5K |
| 93005 |
|
1,318 |
1,169 |
$5K |
| 83690 |
|
2,144 |
1,944 |
$4K |
| 87070 |
|
502 |
484 |
$4K |
| 72125 |
|
159 |
152 |
$3K |
| 84703 |
|
696 |
651 |
$2K |
| J7030 |
Normal saline solution infus |
1,774 |
1,591 |
$2K |
| 96361 |
|
12 |
12 |
$1K |
| 96375 |
|
302 |
252 |
$1K |
| 77063 |
|
63 |
63 |
$1K |
| J2405 |
Ondansetron hcl injection |
975 |
835 |
$1K |
| 87086 |
|
84 |
77 |
$987.50 |
| 81003 |
|
356 |
333 |
$973.81 |
| 77067 |
|
64 |
64 |
$766.75 |
| 85730 |
|
1,005 |
908 |
$702.91 |
| 80307 |
|
44 |
41 |
$620.59 |
| 86850 |
|
28 |
27 |
$605.88 |
| 85610 |
|
1,144 |
1,027 |
$583.19 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
513 |
295 |
$450.50 |
| 84702 |
|
33 |
29 |
$391.84 |
| 83605 |
|
205 |
182 |
$372.77 |
| 87040 |
|
193 |
130 |
$347.11 |
| 87420 |
|
29 |
29 |
$265.96 |
| 83735 |
|
363 |
309 |
$257.22 |
| J1885 |
Ketorolac tromethamine inj |
143 |
79 |
$182.29 |
| 82150 |
|
82 |
76 |
$176.99 |
| 87426 |
|
192 |
187 |
$135.25 |
| 84100 |
|
248 |
224 |
$80.52 |
| 86900 |
|
48 |
45 |
$77.81 |
| 86901 |
|
48 |
45 |
$77.81 |
| J3010 |
Fentanyl citrate injection |
56 |
51 |
$29.88 |
| J2270 |
Morphine sulfate injection |
50 |
38 |
$29.04 |
| 96372 |
|
37 |
36 |
$18.75 |
| J0696 |
Ceftriaxone sodium injection |
151 |
138 |
$16.78 |
| J3490 |
Drugs unclassified injection |
89 |
70 |
$2.21 |
| J1100 |
Dexamethasone sodium phos |
14 |
12 |
$0.62 |
| G1003 |
Cdsm medicalis |
248 |
235 |
$0.00 |
| J7040 |
Normal saline solution infus |
29 |
28 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
42 |
41 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
288 |
272 |
$0.00 |
| A9270 |
Non-covered item or service |
862 |
553 |
$0.00 |
| J7050 |
Normal saline solution infus |
17 |
14 |
$0.00 |