| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
4,495 |
3,813 |
$320K |
| 64493 |
|
1,048 |
736 |
$281K |
| 64635 |
|
613 |
461 |
$217K |
| 99283 |
|
1,787 |
1,587 |
$208K |
| 0202U |
|
234 |
232 |
$92K |
| 99152 |
|
1,251 |
887 |
$48K |
| 80053 |
|
4,294 |
3,554 |
$47K |
| 87631 |
|
361 |
350 |
$45K |
| 99284 |
|
184 |
167 |
$43K |
| 64450 |
|
231 |
69 |
$41K |
| 96374 |
|
823 |
742 |
$28K |
| 85025 |
|
4,083 |
3,303 |
$27K |
| 64640 |
|
110 |
39 |
$25K |
| A4649 |
Surgical supplies |
249 |
175 |
$23K |
| 99281 |
|
496 |
459 |
$22K |
| 96375 |
|
414 |
351 |
$21K |
| 93005 |
|
436 |
363 |
$21K |
| 71046 |
|
517 |
472 |
$20K |
| 64494 |
|
118 |
80 |
$16K |
| 96361 |
|
389 |
345 |
$16K |
| 64495 |
|
87 |
67 |
$14K |
| 36415 |
|
2,905 |
2,527 |
$11K |
| 84443 |
|
542 |
528 |
$8K |
| 96365 |
|
76 |
68 |
$8K |
| J3490 |
Drugs unclassified injection |
1,245 |
840 |
$6K |
| 80061 |
|
403 |
391 |
$5K |
| 96372 |
|
144 |
126 |
$4K |
| 84484 |
|
260 |
188 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
288 |
226 |
$4K |
| J1100 |
Dexamethasone sodium phos |
944 |
705 |
$3K |
| 87804 |
|
119 |
81 |
$2K |
| 81001 |
|
393 |
368 |
$2K |
| 87635 |
|
34 |
34 |
$2K |
| 70450 |
|
12 |
12 |
$2K |
| 87086 |
|
206 |
197 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
345 |
309 |
$2K |
| 83605 |
|
121 |
101 |
$1K |
| J3010 |
Fentanyl citrate injection |
311 |
259 |
$1K |
| 83690 |
|
122 |
106 |
$929.86 |
| 84439 |
|
80 |
80 |
$692.77 |
| 81002 |
|
199 |
188 |
$682.33 |
| 80307 |
|
13 |
12 |
$674.23 |
| J2001 |
Lidocaine injection |
708 |
517 |
$583.76 |
| J8597 |
Antiemetic drug oral nos |
579 |
430 |
$562.20 |
| 83735 |
|
59 |
49 |
$423.35 |
| 87389 |
|
15 |
15 |
$375.28 |
| J7030 |
Normal saline solution infus |
123 |
108 |
$328.13 |
| 83880 |
|
16 |
13 |
$272.95 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
150 |
123 |
$271.63 |
| J2250 |
Inj midazolam hydrochloride |
120 |
96 |
$204.25 |
| C9803 |
Hopd covid-19 spec collect |
25 |
24 |
$190.38 |
| J2405 |
Ondansetron hcl injection |
69 |
57 |
$178.95 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
26 |
24 |
$149.13 |
| 86140 |
|
27 |
24 |
$148.37 |