| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,061 |
10,990 |
$629K |
| 99284 |
|
5,460 |
4,865 |
$586K |
| 74177 |
|
253 |
237 |
$219K |
| 99285 |
|
1,379 |
1,219 |
$214K |
| 70450 |
|
529 |
489 |
$164K |
| 71046 |
|
1,663 |
1,510 |
$118K |
| 96361 |
|
1,027 |
820 |
$110K |
| 96375 |
|
1,093 |
917 |
$95K |
| 96372 |
|
1,512 |
1,232 |
$89K |
| 96365 |
|
692 |
583 |
$65K |
| 96374 |
|
1,159 |
1,046 |
$59K |
| 94640 |
|
1,101 |
751 |
$57K |
| 93005 |
|
1,544 |
1,312 |
$51K |
| 99282 |
|
1,147 |
1,091 |
$35K |
| 74176 |
|
44 |
42 |
$33K |
| 97110 |
|
1,186 |
333 |
$27K |
| 85025 |
|
3,895 |
3,335 |
$27K |
| 80053 |
|
2,697 |
2,397 |
$27K |
| U0003 |
Cov-19 amp prb hgh thruput |
238 |
218 |
$20K |
| 87804 |
|
736 |
686 |
$18K |
| J3490 |
Drugs unclassified injection |
1,330 |
986 |
$13K |
| 93041 |
|
342 |
313 |
$11K |
| 94760 |
|
763 |
532 |
$10K |
| J7030 |
Normal saline solution infus |
1,159 |
971 |
$10K |
| 81025 |
|
1,411 |
1,231 |
$10K |
| 36415 |
|
5,411 |
4,383 |
$10K |
| 73564 |
|
139 |
126 |
$9K |
| 80061 |
|
652 |
609 |
$9K |
| 87880 |
|
702 |
685 |
$9K |
| 99281 |
|
585 |
547 |
$9K |
| 71045 |
|
171 |
153 |
$8K |
| 80069 |
|
1,501 |
1,160 |
$8K |
| J7040 |
Normal saline solution infus |
1,124 |
616 |
$7K |
| 73630 |
|
102 |
97 |
$7K |
| 84443 |
|
462 |
430 |
$7K |
| 81001 |
|
2,070 |
1,834 |
$6K |
| 94664 |
|
155 |
143 |
$6K |
| 87070 |
|
601 |
579 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,202 |
1,081 |
$5K |
| 84484 |
|
969 |
767 |
$5K |
| 87426 |
|
115 |
106 |
$5K |
| 80305 |
|
259 |
240 |
$5K |
| 83036 |
|
460 |
433 |
$5K |
| G0378 |
Hospital observation per hr |
65 |
24 |
$4K |
| A9270 |
Non-covered item or service |
24,510 |
14,397 |
$4K |
| 73610 |
|
58 |
51 |
$4K |
| 85027 |
|
884 |
754 |
$4K |
| 73130 |
|
40 |
39 |
$4K |
| 87086 |
|
568 |
510 |
$4K |
| 97010 |
|
253 |
68 |
$4K |
| 96376 |
|
34 |
26 |
$4K |
| 72100 |
|
41 |
40 |
$3K |
| J2405 |
Ondansetron hcl injection |
694 |
613 |
$3K |
| 0012A |
|
56 |
54 |
$3K |
| 83605 |
|
505 |
403 |
$3K |
| 0011A |
|
85 |
77 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
484 |
445 |
$3K |
| 87591 |
|
112 |
103 |
$3K |
| 87491 |
|
112 |
103 |
$3K |
| 83690 |
|
552 |
503 |
$3K |
| U0005 |
Infec agen detec ampli probe |
86 |
83 |
$3K |
| G0480 |
Drug test def 1-7 classes |
55 |
51 |
$3K |
| 83880 |
|
157 |
144 |
$3K |
| 96360 |
|
28 |
26 |
$2K |
| J2270 |
Morphine sulfate injection |
310 |
263 |
$2K |
| 94761 |
|
192 |
171 |
$2K |
| 77067 |
|
26 |
26 |
$2K |
| J1100 |
Dexamethasone sodium phos |
362 |
345 |
$2K |
| 81003 |
|
856 |
795 |
$2K |
| 82948 |
|
578 |
365 |
$2K |
| 87040 |
|
210 |
144 |
$2K |
| 80307 |
|
29 |
26 |
$2K |
| 97162 |
|
15 |
13 |
$1K |
| 73030 |
|
17 |
12 |
$958.17 |
| J0696 |
Ceftriaxone sodium injection |
268 |
203 |
$957.61 |
| 73140 |
|
14 |
14 |
$953.33 |
| 73110 |
|
12 |
12 |
$942.34 |
| 29125 |
|
13 |
12 |
$739.53 |
| J7620 |
Albuterol ipratrop non-comp |
427 |
317 |
$687.86 |
| 87077 |
|
84 |
73 |
$580.06 |
| 87186 |
|
77 |
67 |
$521.61 |
| 87210 |
|
88 |
77 |
$306.20 |
| J2930 |
Methylprednisolone injection |
16 |
14 |
$258.18 |
| 83735 |
|
51 |
42 |
$252.86 |
| 87807 |
|
15 |
15 |
$214.20 |
| J2550 |
Promethazine hcl injection |
42 |
28 |
$140.31 |
| J1200 |
Diphenhydramine hcl injectio |
24 |
24 |
$127.72 |
| 85610 |
|
41 |
32 |
$113.46 |
| 91301 |
|
147 |
125 |
$0.40 |
| G1004 |
Cdsm ndsc |
49 |
37 |
$0.00 |
| E0110 |
Crutch forearm pair |
13 |
12 |
$0.00 |