| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,137 |
12,874 |
$2.51M |
| 99284 |
|
6,826 |
6,707 |
$1.34M |
| 87636 |
|
2,632 |
2,604 |
$313K |
| 99285 |
|
1,248 |
1,231 |
$260K |
| 99282 |
|
3,765 |
3,710 |
$236K |
| 80053 |
|
5,152 |
5,021 |
$53K |
| 85025 |
|
5,479 |
5,375 |
$30K |
| 80061 |
|
2,060 |
2,036 |
$26K |
| 74177 |
|
125 |
123 |
$23K |
| U0003 |
Cov-19 amp prb hgh thruput |
211 |
205 |
$17K |
| 93005 |
|
2,678 |
2,620 |
$17K |
| 87389 |
|
549 |
537 |
$15K |
| 87635 |
|
304 |
302 |
$12K |
| G0378 |
Hospital observation per hr |
15 |
13 |
$11K |
| 86780 |
|
595 |
572 |
$9K |
| 86803 |
|
432 |
425 |
$8K |
| 80050 |
|
190 |
188 |
$8K |
| 96365 |
|
222 |
110 |
$7K |
| 87340 |
|
472 |
465 |
$6K |
| 96372 |
|
521 |
383 |
$6K |
| 87804 |
|
260 |
259 |
$6K |
| 87591 |
|
240 |
238 |
$6K |
| 87491 |
|
240 |
238 |
$6K |
| 81001 |
|
1,988 |
1,964 |
$6K |
| 80307 |
|
104 |
104 |
$5K |
| 82306 |
|
230 |
225 |
$4K |
| 83690 |
|
822 |
811 |
$4K |
| 87811 |
|
260 |
259 |
$4K |
| 71046 |
|
327 |
322 |
$3K |
| 83036 |
|
452 |
441 |
$3K |
| 83735 |
|
413 |
405 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
58 |
56 |
$2K |
| 82607 |
|
189 |
183 |
$2K |
| 80048 |
|
203 |
200 |
$2K |
| 71045 |
|
219 |
218 |
$1K |
| 84439 |
|
127 |
125 |
$901.11 |
| 70450 |
|
12 |
12 |
$813.76 |
| 82550 |
|
139 |
136 |
$645.32 |
| U0005 |
Infec agen detec ampli probe |
35 |
33 |
$617.00 |
| 82728 |
|
58 |
57 |
$484.77 |
| 84484 |
|
53 |
49 |
$428.15 |
| 83695 |
|
26 |
26 |
$247.25 |
| 73630 |
|
18 |
14 |
$235.40 |
| 84550 |
|
53 |
53 |
$198.88 |
| 88305 |
|
24 |
24 |
$194.40 |
| 86592 |
|
39 |
39 |
$187.20 |
| 84443 |
|
13 |
13 |
$183.05 |
| 82043 |
|
30 |
30 |
$172.23 |
| 82570 |
|
30 |
30 |
$153.91 |
| 87086 |
|
12 |
12 |
$86.40 |
| 83540 |
|
13 |
13 |
$65.44 |
| 83550 |
|
13 |
13 |
$38.73 |
| J1885 |
Ketorolac tromethamine inj |
4,902 |
3,463 |
$4.10 |
| J1100 |
Dexamethasone sodium phos |
1,472 |
1,284 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,218 |
1,277 |
$0.00 |
| J3420 |
Vitamin b12 injection |
445 |
283 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
629 |
575 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
743 |
629 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
364 |
344 |
$0.00 |
| J3490 |
Drugs unclassified injection |
152 |
105 |
$0.00 |
| 36415 |
|
388 |
364 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
37 |
37 |
$0.00 |
| J2060 |
Lorazepam injection |
70 |
62 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
343 |
302 |
$0.00 |
| J1170 |
Hydromorphone injection |
129 |
105 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
73 |
69 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
586 |
504 |
$0.00 |
| 90715 |
|
49 |
39 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,262 |
561 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,406 |
2,028 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
77 |
69 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
187 |
179 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
295 |
234 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
177 |
163 |
$0.00 |
| J7030 |
Normal saline solution infus |
179 |
166 |
$0.00 |
| J2270 |
Morphine sulfate injection |
34 |
32 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
26 |
25 |
$0.00 |
| J2426 |
Inj, invega sustenna, 1 mg |
12 |
12 |
$0.00 |