| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
27,956 |
23,470 |
$7.27M |
| 99283 |
|
36,175 |
29,972 |
$5.79M |
| 99285 |
|
17,274 |
14,870 |
$5.40M |
| 96374 |
|
10,856 |
9,501 |
$1.09M |
| 87636 |
|
3,897 |
3,722 |
$286K |
| 96361 |
|
6,542 |
5,525 |
$184K |
| 96375 |
|
4,664 |
4,059 |
$150K |
| G0463 |
Hospital outpt clinic visit |
1,280 |
778 |
$122K |
| 71046 |
|
1,822 |
1,597 |
$54K |
| 99282 |
|
329 |
303 |
$31K |
| 71045 |
|
536 |
495 |
$22K |
| U0003 |
Cov-19 amp prb hgh thruput |
232 |
215 |
$10K |
| 74177 |
|
39 |
37 |
$8K |
| 80053 |
|
31,850 |
28,467 |
$7K |
| 36415 |
|
3,710 |
2,827 |
$6K |
| 93010 |
|
819 |
802 |
$6K |
| 74176 |
|
41 |
37 |
$5K |
| 85025 |
|
32,388 |
28,986 |
$5K |
| 70450 |
|
91 |
82 |
$4K |
| U0005 |
Infec agen detec ampli probe |
126 |
122 |
$1K |
| 99281 |
|
12 |
12 |
$919.27 |
| 83036 |
|
152 |
144 |
$740.42 |
| 80061 |
|
95 |
91 |
$714.89 |
| G0480 |
Drug test def 1-7 classes |
116 |
110 |
$574.27 |
| 83690 |
|
2,890 |
2,621 |
$355.18 |
| 87502 |
|
149 |
141 |
$342.00 |
| 84484 |
|
2,608 |
2,245 |
$272.42 |
| 81025 |
|
860 |
650 |
$266.00 |
| 96372 |
|
611 |
504 |
$249.96 |
| 81001 |
|
1,958 |
1,790 |
$116.00 |
| 93005 |
|
9,520 |
8,570 |
$98.90 |
| 84443 |
|
12 |
12 |
$93.48 |
| 84703 |
|
261 |
251 |
$45.50 |
| 85610 |
|
377 |
340 |
$30.44 |
| 80307 |
|
194 |
175 |
$29.50 |
| 85730 |
|
280 |
255 |
$23.42 |
| 81003 |
|
441 |
422 |
$18.00 |
| 83605 |
|
66 |
58 |
$8.00 |
| J7030 |
Normal saline solution infus |
6,800 |
5,493 |
$6.65 |
| J2405 |
Ondansetron hcl injection |
2,765 |
2,194 |
$5.14 |
| G1004 |
Cdsm ndsc |
4,048 |
3,508 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
502 |
475 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,108 |
963 |
$0.00 |
| 84145 |
|
59 |
54 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
144 |
137 |
$0.00 |
| J2270 |
Morphine sulfate injection |
71 |
66 |
$0.00 |
| J0780 |
Prochlorperazine injection |
50 |
48 |
$0.00 |
| 80305 |
|
12 |
12 |
$0.00 |
| 87631 |
|
16 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
32 |
32 |
$0.00 |
| J7050 |
Normal saline solution infus |
246 |
221 |
$0.00 |
| J1170 |
Hydromorphone injection |
627 |
262 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,468 |
1,282 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
27 |
25 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
27 |
27 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
30 |
30 |
$0.00 |
| 83880 |
|
16 |
16 |
$0.00 |
| 92567 |
|
15 |
12 |
$0.00 |