| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
3,639 |
3,305 |
$406K |
| 96361 |
|
1,561 |
1,359 |
$328K |
| 99284 |
|
1,905 |
1,730 |
$204K |
| 99285 |
|
1,055 |
930 |
$109K |
| 80053 |
|
6,209 |
5,505 |
$77K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,062 |
1,026 |
$69K |
| 87635 |
|
150 |
143 |
$10K |
| 0002A |
|
89 |
82 |
$5K |
| 96374 |
|
2,678 |
2,400 |
$5K |
| 74177 |
|
39 |
25 |
$5K |
| 70450 |
|
31 |
25 |
$4K |
| 0241U |
|
42 |
39 |
$3K |
| 0001A |
|
74 |
70 |
$3K |
| 80048 |
|
151 |
140 |
$2K |
| 99282 |
|
16 |
14 |
$1K |
| 84484 |
|
64 |
39 |
$991.55 |
| 80307 |
|
17 |
14 |
$976.36 |
| 85025 |
|
12,285 |
10,861 |
$972.05 |
| 96375 |
|
756 |
668 |
$967.40 |
| 93005 |
|
1,412 |
1,106 |
$934.70 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
388 |
333 |
$701.61 |
| 83605 |
|
18 |
13 |
$530.98 |
| 97140 |
|
39 |
13 |
$353.41 |
| 82728 |
|
12 |
12 |
$353.40 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$284.46 |
| 80061 |
|
12 |
12 |
$209.40 |
| 83540 |
|
24 |
24 |
$131.88 |
| 83036 |
|
24 |
24 |
$125.83 |
| 83550 |
|
24 |
24 |
$115.38 |
| 84443 |
|
12 |
12 |
$111.98 |
| 82306 |
|
12 |
12 |
$108.24 |
| 71045 |
|
222 |
201 |
$71.55 |
| 82607 |
|
12 |
12 |
$61.08 |
| 85610 |
|
25 |
24 |
$60.80 |
| 84425 |
|
12 |
12 |
$54.12 |
| 81001 |
|
12 |
12 |
$14.47 |
| J2704 |
Inj, propofol, 10 mg |
532 |
331 |
$11.28 |
| J2405 |
Ondansetron hcl injection |
160 |
143 |
$10.05 |
| J7120 |
Ringers lactate infusion |
527 |
478 |
$7.02 |
| J7030 |
Normal saline solution infus |
3,140 |
2,413 |
$1.53 |
| 84703 |
|
247 |
228 |
$0.00 |
| J7050 |
Normal saline solution infus |
75 |
67 |
$0.00 |
| 83690 |
|
42 |
29 |
$0.00 |
| J2001 |
Lidocaine injection |
108 |
79 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
17 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
14 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
15 |
13 |
$0.00 |
| 88305 |
|
84 |
49 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
13 |
$0.00 |
| 82077 |
|
18 |
13 |
$0.00 |
| 0753T |
|
38 |
24 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
13 |
$0.00 |
| 81003 |
|
151 |
114 |
$0.00 |