| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,009 |
5,632 |
$410K |
| 99283 |
|
9,381 |
8,826 |
$348K |
| 99285 |
|
950 |
890 |
$245K |
| 87804 |
|
3,963 |
2,454 |
$63K |
| 87426 |
|
1,546 |
1,488 |
$44K |
| 80053 |
|
4,413 |
4,125 |
$43K |
| 87880 |
|
2,516 |
2,359 |
$40K |
| 85025 |
|
5,368 |
4,990 |
$38K |
| 87081 |
|
1,920 |
1,799 |
$19K |
| G2023 |
Specimen collect covid-19 |
831 |
811 |
$15K |
| 84443 |
|
705 |
697 |
$13K |
| 80061 |
|
707 |
698 |
$12K |
| 99282 |
|
217 |
212 |
$8K |
| 81001 |
|
2,105 |
1,959 |
$8K |
| 80306 |
|
544 |
510 |
$5K |
| 99281 |
|
132 |
123 |
$4K |
| 71046 |
|
303 |
283 |
$3K |
| 84436 |
|
565 |
559 |
$2K |
| 74176 |
|
25 |
24 |
$2K |
| 80048 |
|
736 |
662 |
$2K |
| 70450 |
|
24 |
24 |
$2K |
| 93005 |
|
309 |
289 |
$2K |
| 11042 |
|
20 |
12 |
$2K |
| 71045 |
|
401 |
368 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
681 |
640 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
14 |
14 |
$707.28 |
| J1885 |
Ketorolac tromethamine inj |
561 |
518 |
$646.18 |
| 82553 |
|
12 |
12 |
$474.41 |
| 84484 |
|
15 |
12 |
$456.74 |
| 97602 |
|
38 |
26 |
$447.20 |
| 82550 |
|
12 |
12 |
$437.36 |
| 83721 |
|
49 |
49 |
$431.04 |
| 87070 |
|
35 |
34 |
$399.63 |
| 82150 |
|
75 |
64 |
$395.43 |
| 94640 |
|
45 |
43 |
$377.44 |
| 87807 |
|
33 |
31 |
$358.15 |
| 83690 |
|
61 |
50 |
$315.12 |
| J1100 |
Dexamethasone sodium phos |
413 |
390 |
$283.80 |
| 87086 |
|
30 |
27 |
$234.65 |
| 81025 |
|
68 |
65 |
$223.31 |
| 86677 |
|
14 |
13 |
$213.90 |
| 0011A |
|
48 |
45 |
$200.00 |
| 0012A |
|
41 |
38 |
$160.00 |
| 81003 |
|
42 |
37 |
$78.96 |
| J2704 |
Inj, propofol, 10 mg |
812 |
757 |
$64.00 |
| J2405 |
Ondansetron hcl injection |
152 |
145 |
$32.96 |
| J0690 |
Cefazolin sodium injection |
73 |
63 |
$3.52 |
| J0697 |
Sterile cefuroxime injection |
13 |
12 |
$2.93 |
| J3010 |
Fentanyl citrate injection |
74 |
63 |
$1.26 |
| J2250 |
Inj midazolam hydrochloride |
139 |
129 |
$0.48 |
| A9270 |
Non-covered item or service |
606 |
324 |
$0.00 |
| 96361 |
|
30 |
24 |
$0.00 |
| 36415 |
|
58 |
51 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
68 |
64 |
$0.00 |