| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,594 |
7,511 |
$5.90M |
| 99284 |
|
3,771 |
3,176 |
$3.27M |
| 99282 |
|
4,129 |
3,798 |
$1.90M |
| 99285 |
|
2,098 |
1,644 |
$1.68M |
| 85025 |
|
11,916 |
9,223 |
$447K |
| 74177 |
|
86 |
75 |
$201K |
| 97110 |
|
2,867 |
1,051 |
$181K |
| 80053 |
|
9,440 |
7,790 |
$180K |
| 70450 |
|
293 |
245 |
$116K |
| 96365 |
|
876 |
619 |
$94K |
| 97140 |
|
1,361 |
526 |
$76K |
| 99281 |
|
112 |
105 |
$45K |
| 87502 |
|
1,119 |
1,003 |
$43K |
| 96374 |
|
2,412 |
1,886 |
$42K |
| 71046 |
|
812 |
721 |
$38K |
| 80048 |
|
3,609 |
2,844 |
$37K |
| 93005 |
|
2,995 |
2,376 |
$24K |
| 85027 |
|
291 |
269 |
$21K |
| 87880 |
|
626 |
589 |
$13K |
| 0001A |
|
309 |
281 |
$12K |
| 0002A |
|
269 |
259 |
$11K |
| 97161 |
|
94 |
91 |
$11K |
| 99213 |
|
160 |
95 |
$11K |
| 81001 |
|
4,341 |
3,623 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
1,478 |
1,129 |
$10K |
| 81025 |
|
1,783 |
1,612 |
$10K |
| 84550 |
|
752 |
670 |
$9K |
| 74176 |
|
33 |
25 |
$9K |
| 85610 |
|
1,599 |
1,216 |
$8K |
| 71045 |
|
1,797 |
1,413 |
$8K |
| 96361 |
|
431 |
324 |
$6K |
| 85018 |
|
227 |
212 |
$6K |
| 77067 |
|
63 |
60 |
$6K |
| 94640 |
|
695 |
577 |
$5K |
| 0064A |
|
161 |
148 |
$5K |
| 0012A |
|
127 |
120 |
$5K |
| 0011A |
|
149 |
129 |
$4K |
| 36415 |
|
15,130 |
11,975 |
$3K |
| 0071A |
|
84 |
81 |
$3K |
| 0072A |
|
76 |
74 |
$3K |
| 86900 |
|
51 |
42 |
$3K |
| 96375 |
|
2,005 |
1,477 |
$2K |
| 87635 |
|
612 |
553 |
$2K |
| Q3014 |
Telehealth facility fee |
277 |
171 |
$2K |
| 96372 |
|
918 |
743 |
$2K |
| 83880 |
|
54 |
43 |
$2K |
| 0054A |
|
32 |
32 |
$1K |
| 0004A |
|
33 |
30 |
$1K |
| 97597 |
|
23 |
12 |
$1K |
| 97162 |
|
13 |
12 |
$1K |
| 84484 |
|
1,792 |
1,080 |
$717.75 |
| 96366 |
|
44 |
12 |
$573.98 |
| 80076 |
|
20 |
16 |
$319.29 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
727 |
623 |
$304.40 |
| 83690 |
|
1,207 |
986 |
$299.34 |
| 81002 |
|
55 |
54 |
$282.12 |
| 0134A |
|
14 |
14 |
$171.76 |
| 85651 |
|
27 |
26 |
$72.08 |
| 96160 |
|
5,592 |
4,445 |
$58.90 |
| 83605 |
|
464 |
294 |
$52.16 |
| G0378 |
Hospital observation per hr |
27 |
12 |
$51.48 |
| 87040 |
|
140 |
63 |
$17.96 |
| J8499 |
Oral prescrip drug non chemo |
532 |
394 |
$17.32 |
| J2405 |
Ondansetron hcl injection |
800 |
612 |
$14.71 |
| 86140 |
|
35 |
30 |
$14.43 |
| 82948 |
|
49 |
40 |
$9.18 |
| 87070 |
|
128 |
115 |
$7.51 |
| 86850 |
|
49 |
42 |
$7.22 |
| 87086 |
|
352 |
291 |
$6.45 |
| 86901 |
|
52 |
43 |
$2.73 |
| J9999 |
Chemotherapy drug |
95 |
84 |
$2.00 |
| J3490 |
Drugs unclassified injection |
7,591 |
3,760 |
$0.84 |
| J7644 |
Ipratropium bromide non-comp |
119 |
89 |
$0.22 |
| J7613 |
Albuterol non-comp unit |
220 |
155 |
$0.12 |
| J7512 |
Prednisone ir or dr oral 1mg |
30 |
27 |
$0.00 |
| 96161 |
|
2,041 |
1,817 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
823 |
723 |
$0.00 |
| J2060 |
Lorazepam injection |
15 |
12 |
$0.00 |
| 96376 |
|
169 |
120 |
$0.00 |
| 77063 |
|
17 |
15 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
44 |
39 |
$0.00 |
| 83735 |
|
38 |
29 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
113 |
97 |
$0.00 |
| 82962 |
|
16 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
16 |
12 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
26 |
16 |
$0.00 |
| 85014 |
|
355 |
322 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
165 |
121 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
17 |
16 |
$0.00 |
| S1015 |
Iv tubing extension set |
135 |
109 |
$0.00 |
| J2270 |
Morphine sulfate injection |
162 |
121 |
$0.00 |
| A9999 |
Dme supply or accessory, nos |
95 |
86 |
$0.00 |
| 80307 |
|
14 |
13 |
$0.00 |
| A4663 |
Dialysis blood pressure cuff |
193 |
155 |
$0.00 |
| S5170 |
Homedelivered prepared meal |
12 |
12 |
$0.00 |
| A4606 |
Oxygen probe used w oximeter |
115 |
103 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
16 |
12 |
$0.00 |
| 87186 |
|
27 |
16 |
$0.00 |