| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,349 |
22,594 |
$1.50M |
| 99283 |
|
35,445 |
33,003 |
$1.31M |
| 99285 |
|
4,317 |
3,909 |
$1.21M |
| 99282 |
|
11,932 |
11,015 |
$437K |
| 87635 |
|
8,825 |
8,216 |
$368K |
| 87804 |
|
27,697 |
16,557 |
$313K |
| 85025 |
|
33,222 |
29,981 |
$258K |
| 80053 |
|
26,025 |
23,686 |
$246K |
| 93005 |
|
11,267 |
10,184 |
$115K |
| 80307 |
|
2,705 |
2,305 |
$110K |
| 87430 |
|
6,410 |
6,043 |
$98K |
| 87426 |
|
3,183 |
2,962 |
$89K |
| 81001 |
|
19,922 |
18,065 |
$67K |
| 87088 |
|
6,803 |
6,169 |
$63K |
| 87081 |
|
5,479 |
5,170 |
$52K |
| 70450 |
|
662 |
608 |
$46K |
| 71045 |
|
6,821 |
6,302 |
$35K |
| 71046 |
|
3,644 |
3,425 |
$31K |
| 87807 |
|
2,353 |
2,243 |
$30K |
| 80061 |
|
1,940 |
1,837 |
$29K |
| 93010 |
|
9,897 |
6,684 |
$29K |
| 84443 |
|
1,641 |
1,543 |
$29K |
| 81025 |
|
8,898 |
7,994 |
$28K |
| 87389 |
|
1,156 |
1,025 |
$24K |
| 87801 |
|
1,113 |
997 |
$23K |
| 74177 |
|
185 |
167 |
$22K |
| 87070 |
|
1,907 |
1,775 |
$21K |
| 83735 |
|
2,572 |
2,333 |
$18K |
| 83036 |
|
1,513 |
1,443 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
342 |
325 |
$17K |
| 84484 |
|
2,640 |
2,178 |
$17K |
| 80048 |
|
1,273 |
1,140 |
$13K |
| 83690 |
|
2,102 |
1,915 |
$13K |
| 82306 |
|
1,420 |
1,358 |
$13K |
| 84480 |
|
648 |
623 |
$12K |
| 84439 |
|
1,158 |
1,091 |
$12K |
| 83525 |
|
1,152 |
1,104 |
$12K |
| 83880 |
|
507 |
473 |
$11K |
| 83721 |
|
1,171 |
1,122 |
$8K |
| 95810 |
|
27 |
25 |
$7K |
| 86762 |
|
356 |
311 |
$7K |
| 80305 |
|
794 |
720 |
$7K |
| 74176 |
|
91 |
81 |
$6K |
| 86803 |
|
358 |
314 |
$6K |
| 0002A |
|
162 |
156 |
$6K |
| 86592 |
|
1,119 |
991 |
$6K |
| 83655 |
|
344 |
325 |
$5K |
| 0001A |
|
180 |
170 |
$5K |
| 82607 |
|
249 |
238 |
$5K |
| 83605 |
|
597 |
513 |
$5K |
| 87340 |
|
361 |
313 |
$5K |
| 83020 |
|
286 |
248 |
$5K |
| 83021 |
|
280 |
248 |
$4K |
| 82550 |
|
797 |
682 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
320 |
181 |
$4K |
| U0005 |
Infec agen detec ampli probe |
192 |
188 |
$3K |
| 78452 |
|
40 |
40 |
$3K |
| 81003 |
|
1,172 |
958 |
$3K |
| 76805 |
|
116 |
101 |
$3K |
| 86850 |
|
455 |
386 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
518 |
455 |
$2K |
| 86140 |
|
1,200 |
1,106 |
$2K |
| 85610 |
|
554 |
511 |
$2K |
| A9500 |
Tc99m sestamibi |
44 |
44 |
$2K |
| 93306 |
|
57 |
57 |
$2K |
| 94640 |
|
173 |
142 |
$2K |
| 86900 |
|
513 |
436 |
$1K |
| 80076 |
|
207 |
175 |
$1K |
| 86901 |
|
513 |
436 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,981 |
1,787 |
$1K |
| 85027 |
|
271 |
258 |
$1K |
| J7030 |
Normal saline solution infus |
3,448 |
3,047 |
$1K |
| 83540 |
|
124 |
121 |
$1K |
| G0480 |
Drug test def 1-7 classes |
30 |
27 |
$887.68 |
| 85730 |
|
442 |
401 |
$885.55 |
| 82948 |
|
279 |
246 |
$844.14 |
| 74022 |
|
44 |
39 |
$837.21 |
| 82077 |
|
104 |
94 |
$834.21 |
| J0696 |
Ceftriaxone sodium injection |
513 |
462 |
$826.99 |
| 85379 |
|
96 |
86 |
$709.24 |
| 82150 |
|
132 |
114 |
$661.74 |
| 84100 |
|
150 |
135 |
$595.80 |
| 93017 |
|
60 |
59 |
$561.20 |
| 85018 |
|
157 |
142 |
$468.45 |
| 85014 |
|
140 |
126 |
$416.40 |
| 83550 |
|
28 |
28 |
$374.34 |
| 84702 |
|
36 |
29 |
$364.56 |
| 72110 |
|
20 |
19 |
$318.36 |
| 84481 |
|
22 |
13 |
$271.92 |
| 87040 |
|
49 |
28 |
$262.86 |
| 59025 |
|
77 |
61 |
$256.28 |
| 87186 |
|
32 |
29 |
$222.42 |
| 82728 |
|
15 |
15 |
$207.20 |
| 87077 |
|
32 |
29 |
$197.56 |
| 73562 |
|
13 |
12 |
$188.79 |
| 86800 |
|
21 |
12 |
$179.78 |
| 72050 |
|
14 |
13 |
$169.74 |
| J2405 |
Ondansetron hcl injection |
445 |
399 |
$127.32 |
| 96372 |
|
4,774 |
4,269 |
$86.76 |
| 82465 |
|
12 |
12 |
$76.92 |
| J2765 |
Metoclopramide hcl injection |
103 |
93 |
$66.62 |
| J1170 |
Hydromorphone injection |
16 |
13 |
$53.90 |
| 88305 |
|
16 |
15 |
$25.68 |
| J1100 |
Dexamethasone sodium phos |
27 |
26 |
$19.76 |
| 93041 |
|
15 |
12 |
$17.79 |
| 36415 |
|
116 |
109 |
$4.48 |
| 80353 |
|
550 |
510 |
$0.00 |
| A9270 |
Non-covered item or service |
1,202 |
679 |
$0.00 |
| 80358 |
|
550 |
510 |
$0.00 |
| 80324 |
|
549 |
509 |
$0.00 |
| 80345 |
|
550 |
510 |
$0.00 |
| 96374 |
|
990 |
914 |
$0.00 |
| 96375 |
|
260 |
239 |
$0.00 |
| 96365 |
|
129 |
117 |
$0.00 |
| 96361 |
|
169 |
147 |
$0.00 |
| 80361 |
|
550 |
510 |
$0.00 |
| 80346 |
|
550 |
510 |
$0.00 |
| 80365 |
|
550 |
510 |
$0.00 |
| 83992 |
|
550 |
510 |
$0.00 |
| J7120 |
Ringers lactate infusion |
58 |
50 |
$0.00 |