| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,937 |
7,524 |
$1.08M |
| 99283 |
|
2,606 |
2,288 |
$634K |
| 59899 |
|
7,679 |
5,821 |
$458K |
| 81003 |
|
5,836 |
4,906 |
$400K |
| 76816 |
|
4,843 |
4,450 |
$282K |
| 80053 |
|
2,334 |
1,890 |
$281K |
| 59025 |
|
2,227 |
1,077 |
$253K |
| 84112 |
|
565 |
506 |
$163K |
| 76819 |
|
1,515 |
891 |
$159K |
| 76811 |
|
2,196 |
2,073 |
$123K |
| 36415 |
|
3,721 |
2,851 |
$112K |
| 87086 |
|
864 |
762 |
$107K |
| 76805 |
|
1,295 |
1,233 |
$77K |
| 87480 |
|
1,461 |
1,338 |
$75K |
| 84702 |
|
1,737 |
1,212 |
$69K |
| G0463 |
Hospital outpt clinic visit |
1,606 |
1,282 |
$58K |
| 76817 |
|
2,512 |
1,996 |
$50K |
| 76825 |
|
166 |
153 |
$39K |
| 76815 |
|
1,379 |
1,165 |
$37K |
| 80307 |
|
405 |
365 |
$32K |
| 99285 |
|
304 |
266 |
$28K |
| 87635 |
|
694 |
638 |
$25K |
| 82731 |
|
79 |
74 |
$24K |
| 77067 |
|
1,248 |
1,058 |
$23K |
| 88305 |
|
222 |
184 |
$15K |
| 87491 |
|
384 |
351 |
$15K |
| 86850 |
|
1,367 |
1,188 |
$12K |
| 96361 |
|
580 |
490 |
$10K |
| 96360 |
|
523 |
483 |
$9K |
| 86900 |
|
1,594 |
1,383 |
$8K |
| 76801 |
|
1,681 |
1,314 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
65 |
64 |
$6K |
| 85025 |
|
3,744 |
3,083 |
$5K |
| 87502 |
|
28 |
26 |
$4K |
| G0378 |
Hospital observation per hr |
1,146 |
502 |
$4K |
| 84156 |
|
476 |
358 |
$4K |
| J2791 |
Rhophylac injection |
47 |
43 |
$3K |
| 93325 |
|
143 |
133 |
$3K |
| 82948 |
|
89 |
52 |
$2K |
| 77066 |
Tomosynthesis, mammo |
58 |
42 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
42 |
42 |
$852.43 |
| 96365 |
|
33 |
24 |
$842.24 |
| J2405 |
Ondansetron hcl injection |
1,536 |
1,127 |
$783.70 |
| J2250 |
Inj midazolam hydrochloride |
192 |
146 |
$767.90 |
| J3010 |
Fentanyl citrate injection |
211 |
164 |
$765.44 |
| 86901 |
|
1,594 |
1,383 |
$753.76 |
| 76642 |
|
17 |
12 |
$633.05 |
| 87660 |
|
1,465 |
1,342 |
$579.85 |
| 77080 |
|
35 |
26 |
$532.80 |
| J1100 |
Dexamethasone sodium phos |
157 |
119 |
$472.03 |
| 0241U |
|
67 |
61 |
$347.95 |
| 76827 |
|
129 |
121 |
$330.47 |
| J2001 |
Lidocaine injection |
373 |
301 |
$306.58 |
| 87510 |
|
1,461 |
1,338 |
$274.24 |
| 76820 |
|
110 |
49 |
$225.80 |
| 87591 |
|
384 |
351 |
$75.32 |
| 77063 |
|
790 |
656 |
$46.58 |
| G0279 |
Tomosynthesis, mammo |
50 |
41 |
$30.15 |
| J2765 |
Metoclopramide hcl injection |
215 |
160 |
$6.33 |
| 96374 |
|
598 |
480 |
$5.97 |
| 96372 |
|
118 |
104 |
$2.40 |
| 82570 |
|
400 |
334 |
$1.74 |
| 84550 |
|
128 |
102 |
$0.87 |
| 85027 |
|
19 |
12 |
$0.62 |
| J1200 |
Diphenhydramine hcl injectio |
39 |
24 |
$0.60 |
| J0696 |
Ceftriaxone sodium injection |
29 |
25 |
$0.31 |
| 87077 |
|
16 |
15 |
$0.31 |
| U0005 |
Infec agen detec ampli probe |
65 |
64 |
$0.00 |
| J1170 |
Hydromorphone injection |
15 |
13 |
$0.00 |
| 0352U |
|
67 |
60 |
$0.00 |
| 96375 |
|
44 |
27 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
21 |
13 |
$0.00 |
| 87389 |
|
15 |
15 |
$0.00 |
| 86780 |
|
12 |
12 |
$0.00 |
| 0353U |
|
14 |
12 |
$0.00 |
| 0100U |
|
14 |
12 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$0.00 |
| 93005 |
|
14 |
13 |
$0.00 |