| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
20,178 |
19,985 |
$4.77M |
| 99285 |
|
9,052 |
8,989 |
$2.99M |
| 99283 |
|
14,779 |
14,671 |
$2.37M |
| 42820 |
|
398 |
398 |
$1.42M |
| 96374 |
|
7,280 |
7,188 |
$870K |
| 69436 |
|
936 |
935 |
$678K |
| 87631 |
|
3,923 |
3,915 |
$495K |
| 96413 |
|
2,731 |
1,726 |
$466K |
| 96375 |
|
7,723 |
6,538 |
$342K |
| D9999 |
|
342 |
342 |
$291K |
| 80053 |
|
21,296 |
20,260 |
$261K |
| 96361 |
|
5,188 |
5,013 |
$251K |
| 85025 |
|
24,222 |
22,910 |
$163K |
| 43239 |
|
423 |
423 |
$157K |
| J0897 |
Denosumab injection |
124 |
118 |
$149K |
| 71045 |
|
9,616 |
9,535 |
$113K |
| 74177 |
|
581 |
578 |
$96K |
| 93010 |
|
12,501 |
10,997 |
$83K |
| 11042 |
|
351 |
189 |
$70K |
| 99282 |
|
731 |
725 |
$55K |
| 70450 |
|
1,153 |
1,150 |
$52K |
| 99291 |
|
117 |
116 |
$51K |
| 78815 |
|
65 |
65 |
$48K |
| 99214 |
|
739 |
666 |
$48K |
| 96365 |
|
385 |
371 |
$44K |
| U0003 |
Cov-19 amp prb hgh thruput |
618 |
618 |
$43K |
| 80307 |
|
774 |
717 |
$41K |
| 93005 |
|
6,774 |
6,664 |
$40K |
| 81001 |
|
10,375 |
10,028 |
$32K |
| 36415 |
|
5,990 |
5,042 |
$26K |
| 84703 |
|
4,031 |
3,982 |
$25K |
| 87804 |
|
975 |
864 |
$22K |
| 74176 |
|
271 |
270 |
$21K |
| 42830 |
|
12 |
12 |
$20K |
| 84484 |
|
1,770 |
1,479 |
$19K |
| 96523 |
|
365 |
313 |
$19K |
| 83690 |
|
2,565 |
2,543 |
$15K |
| U0005 |
Infec agen detec ampli probe |
618 |
618 |
$14K |
| 88305 |
|
189 |
189 |
$14K |
| 43249 |
|
12 |
12 |
$12K |
| 83735 |
|
1,923 |
1,418 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
184 |
183 |
$9K |
| 83605 |
|
888 |
802 |
$9K |
| 99281 |
|
150 |
150 |
$9K |
| 88300 |
|
403 |
403 |
$8K |
| 76805 |
|
82 |
82 |
$7K |
| 87635 |
|
112 |
111 |
$5K |
| 93306 |
|
62 |
62 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
772 |
765 |
$4K |
| 96372 |
|
72 |
64 |
$4K |
| 96417 |
|
57 |
36 |
$3K |
| 71046 |
|
161 |
161 |
$3K |
| 99213 |
|
66 |
65 |
$2K |
| 81025 |
|
323 |
319 |
$2K |
| 73721 |
|
15 |
15 |
$2K |
| 83880 |
|
42 |
41 |
$1K |
| 87807 |
|
108 |
107 |
$1K |
| 87077 |
|
202 |
202 |
$1K |
| 85027 |
|
192 |
183 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,065 |
1,049 |
$993.81 |
| 84443 |
|
68 |
65 |
$972.60 |
| 96401 |
|
26 |
25 |
$792.72 |
| J2469 |
Palonosetron hcl |
80 |
52 |
$754.00 |
| 87880 |
|
51 |
51 |
$720.30 |
| 82728 |
|
58 |
57 |
$657.54 |
| 76705 |
|
14 |
13 |
$625.80 |
| 84466 |
|
58 |
57 |
$615.78 |
| J2405 |
Ondansetron hcl injection |
1,593 |
1,585 |
$589.33 |
| 86780 |
|
50 |
50 |
$589.00 |
| 86850 |
|
71 |
64 |
$543.27 |
| 87798 |
|
17 |
17 |
$530.57 |
| 87486 |
|
17 |
17 |
$530.57 |
| 87581 |
|
17 |
17 |
$530.57 |
| 85007 |
|
159 |
155 |
$507.40 |
| 81003 |
|
211 |
207 |
$456.27 |
| 87070 |
|
56 |
56 |
$427.11 |
| 80048 |
|
28 |
26 |
$349.01 |
| 83540 |
|
58 |
57 |
$311.95 |
| 94060 |
|
13 |
13 |
$270.07 |
| 73630 |
|
14 |
12 |
$264.13 |
| 87081 |
|
33 |
33 |
$222.09 |
| 86900 |
|
84 |
77 |
$198.87 |
| 94761 |
|
6,237 |
6,175 |
$185.22 |
| 87086 |
|
25 |
25 |
$172.32 |
| 86901 |
|
71 |
64 |
$161.85 |
| G0463 |
Hospital outpt clinic visit |
27 |
27 |
$154.38 |
| 82950 |
|
12 |
12 |
$46.53 |
| J1885 |
Ketorolac tromethamine inj |
149 |
149 |
$4.45 |
| J1200 |
Diphenhydramine hcl injectio |
298 |
210 |
$0.00 |
| J7030 |
Normal saline solution infus |
73 |
69 |
$0.00 |
| J7120 |
Ringers lactate infusion |
41 |
41 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
569 |
465 |
$0.00 |
| C1889 |
Implant/insert device, noc |
134 |
134 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
18 |
14 |
$0.00 |