| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
15,181 |
11,829 |
$2.72M |
| 74177 |
|
1,218 |
924 |
$1.09M |
| 99284 |
|
8,007 |
4,855 |
$1000K |
| 99285 |
|
5,390 |
2,676 |
$807K |
| 70450 |
|
1,833 |
1,260 |
$468K |
| 97140 |
|
5,643 |
1,485 |
$409K |
| 87635 |
|
5,520 |
4,594 |
$260K |
| 97110 |
|
5,023 |
1,369 |
$218K |
| 93005 |
|
5,841 |
3,643 |
$216K |
| 96361 |
|
3,001 |
2,075 |
$177K |
| 96365 |
|
2,696 |
1,600 |
$176K |
| 87636 |
|
2,028 |
1,672 |
$174K |
| 99282 |
|
2,380 |
1,761 |
$158K |
| 71275 |
|
194 |
156 |
$145K |
| 96374 |
|
3,281 |
2,310 |
$143K |
| 99281 |
|
2,247 |
1,768 |
$131K |
| 96375 |
|
2,979 |
1,951 |
$128K |
| 99214 |
|
12,534 |
4,218 |
$121K |
| 71045 |
|
2,996 |
2,079 |
$109K |
| 71046 |
|
1,830 |
1,379 |
$105K |
| 74176 |
|
102 |
86 |
$89K |
| 72125 |
|
254 |
175 |
$82K |
| 99213 |
|
8,162 |
3,098 |
$71K |
| 80053 |
|
12,051 |
8,882 |
$66K |
| 85025 |
|
16,488 |
11,456 |
$63K |
| 96372 |
|
3,910 |
2,254 |
$56K |
| 94640 |
|
1,555 |
858 |
$48K |
| 73630 |
|
571 |
419 |
$45K |
| 87804 |
|
3,079 |
1,726 |
$34K |
| 96360 |
|
447 |
342 |
$33K |
| 73130 |
|
308 |
232 |
$32K |
| J7030 |
Normal saline solution infus |
5,245 |
2,930 |
$31K |
| G0480 |
Drug test def 1-7 classes |
1,169 |
802 |
$31K |
| 77067 |
|
161 |
130 |
$31K |
| 73610 |
|
307 |
219 |
$29K |
| 96376 |
|
637 |
363 |
$26K |
| 97162 |
|
317 |
247 |
$24K |
| 84443 |
|
2,598 |
2,126 |
$23K |
| 80061 |
|
1,973 |
1,696 |
$20K |
| 87880 |
|
2,295 |
1,930 |
$19K |
| 84484 |
|
5,348 |
2,774 |
$19K |
| 73562 |
|
194 |
141 |
$18K |
| 73110 |
|
178 |
132 |
$18K |
| 96366 |
|
311 |
192 |
$16K |
| 80048 |
|
4,153 |
2,785 |
$16K |
| 99203 |
|
1,043 |
405 |
$15K |
| 80306 |
|
2,006 |
1,415 |
$15K |
| 87491 |
|
618 |
530 |
$13K |
| 87591 |
|
602 |
516 |
$12K |
| 82306 |
|
537 |
443 |
$11K |
| 87070 |
|
1,844 |
1,496 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,462 |
858 |
$10K |
| G2023 |
Specimen collect covid-19 |
552 |
448 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
328 |
228 |
$9K |
| 87086 |
|
2,488 |
1,821 |
$9K |
| 83036 |
|
1,997 |
1,531 |
$8K |
| 83690 |
|
2,234 |
1,675 |
$8K |
| 73030 |
|
105 |
63 |
$8K |
| 99215 |
Prolong outpt/office vis |
566 |
254 |
$7K |
| 97530 |
|
141 |
60 |
$7K |
| 87077 |
|
1,405 |
904 |
$6K |
| 84703 |
|
1,218 |
917 |
$6K |
| 97161 |
|
63 |
55 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,012 |
732 |
$6K |
| 77063 |
|
146 |
115 |
$6K |
| 81001 |
|
3,744 |
2,693 |
$5K |
| 87040 |
|
1,448 |
535 |
$5K |
| 81025 |
|
1,254 |
1,016 |
$5K |
| 71250 |
|
14 |
13 |
$5K |
| 87186 |
|
1,087 |
722 |
$5K |
| 83880 |
|
460 |
291 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,556 |
1,117 |
$4K |
| 87389 |
|
177 |
155 |
$4K |
| 83735 |
|
1,645 |
1,018 |
$4K |
| 83605 |
|
998 |
574 |
$3K |
| 82077 |
|
326 |
227 |
$3K |
| 85379 |
|
559 |
430 |
$3K |
| 97112 |
|
63 |
13 |
$3K |
| 36415 |
|
9,925 |
7,377 |
$3K |
| 80143 |
|
292 |
204 |
$3K |
| 94375 |
|
30 |
25 |
$3K |
| 80179 |
|
266 |
197 |
$3K |
| 87807 |
|
258 |
225 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,811 |
1,257 |
$3K |
| 84439 |
|
356 |
307 |
$2K |
| 74018 |
|
22 |
12 |
$2K |
| J7120 |
Ringers lactate infusion |
295 |
225 |
$2K |
| 81003 |
|
2,198 |
1,674 |
$2K |
| 80076 |
|
338 |
268 |
$2K |
| 90715 |
|
58 |
38 |
$2K |
| 85610 |
|
917 |
553 |
$2K |
| 82607 |
|
194 |
164 |
$2K |
| J7050 |
Normal saline solution infus |
322 |
171 |
$2K |
| 72100 |
|
13 |
12 |
$1K |
| 86140 |
|
397 |
301 |
$1K |
| 76376 |
|
19 |
13 |
$1K |
| 90471 |
|
166 |
124 |
$1K |
| 87147 |
|
212 |
139 |
$1K |
| J1170 |
Hydromorphone injection |
69 |
45 |
$1K |
| 81002 |
|
668 |
496 |
$1K |
| 96367 |
|
17 |
13 |
$981.47 |
| 86803 |
|
89 |
79 |
$968.17 |
| 97535 |
|
34 |
27 |
$952.03 |
| J1200 |
Diphenhydramine hcl injectio |
106 |
81 |
$872.42 |
| J2060 |
Lorazepam injection |
488 |
292 |
$845.49 |
| 99442 |
|
47 |
26 |
$844.15 |
| 36416 |
|
459 |
313 |
$813.37 |
| 85027 |
|
199 |
147 |
$636.48 |
| 93010 |
|
105 |
57 |
$541.15 |
| 99202 |
|
24 |
14 |
$535.51 |
| 81015 |
|
373 |
237 |
$467.00 |
| 80050 |
|
54 |
50 |
$391.37 |
| 82803 |
|
35 |
25 |
$357.75 |
| J1650 |
Inj enoxaparin sodium |
27 |
12 |
$347.97 |
| 82728 |
|
34 |
31 |
$301.93 |
| 83655 |
|
29 |
27 |
$297.08 |
| 88175 |
|
12 |
12 |
$296.16 |
| G0008 |
Admin influenza virus vac |
260 |
161 |
$264.99 |
| J3010 |
Fentanyl citrate injection |
117 |
76 |
$248.81 |
| 90686 |
|
203 |
132 |
$223.92 |
| J7040 |
Normal saline solution infus |
52 |
28 |
$219.02 |
| 82248 |
|
44 |
32 |
$184.83 |
| 85652 |
|
94 |
78 |
$169.87 |
| 83550 |
|
38 |
26 |
$144.31 |
| J2550 |
Promethazine hcl injection |
70 |
49 |
$138.06 |
| 83540 |
|
38 |
26 |
$107.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
64 |
41 |
$83.89 |
| 90653 |
|
44 |
28 |
$78.93 |
| 87205 |
|
28 |
24 |
$72.86 |
| 82150 |
|
16 |
14 |
$60.93 |
| 85730 |
|
20 |
13 |
$46.89 |
| 87210 |
|
14 |
14 |
$37.28 |
| 85014 |
|
14 |
13 |
$25.96 |
| 85018 |
|
14 |
13 |
$25.96 |
| 90662 |
|
17 |
14 |
$17.60 |
| A9270 |
Non-covered item or service |
434 |
116 |
$0.00 |