| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,025 |
14,390 |
$2.50M |
| 99284 |
|
6,028 |
4,774 |
$833K |
| 99282 |
|
4,947 |
4,345 |
$726K |
| 99213 |
|
4,970 |
4,069 |
$520K |
| 99214 |
|
3,403 |
2,485 |
$356K |
| 71045 |
|
1,998 |
1,572 |
$231K |
| 93005 |
|
4,154 |
3,185 |
$226K |
| 99281 |
|
1,483 |
1,317 |
$193K |
| 99391 |
|
918 |
865 |
$125K |
| 90837 |
|
958 |
493 |
$119K |
| 87426 |
|
3,140 |
2,764 |
$84K |
| 71046 |
|
861 |
707 |
$84K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,026 |
957 |
$80K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
448 |
208 |
$68K |
| 85025 |
|
14,024 |
10,983 |
$61K |
| 99392 |
|
373 |
365 |
$52K |
| 80048 |
|
11,649 |
9,036 |
$50K |
| 90834 |
|
302 |
181 |
$36K |
| 99203 |
|
493 |
395 |
$34K |
| 87400 |
|
3,614 |
1,881 |
$31K |
| 87502 |
|
808 |
657 |
$30K |
| 36415 |
|
13,371 |
10,016 |
$28K |
| J7030 |
Normal saline solution infus |
1,796 |
1,154 |
$24K |
| 87651 |
|
900 |
823 |
$22K |
| 97110 |
|
184 |
39 |
$21K |
| 84484 |
|
2,956 |
1,704 |
$17K |
| 96374 |
|
556 |
420 |
$16K |
| 70450 |
|
174 |
143 |
$15K |
| 80053 |
|
2,304 |
1,862 |
$15K |
| 87635 |
|
298 |
249 |
$12K |
| 99204 |
|
84 |
75 |
$9K |
| 81001 |
|
4,248 |
3,481 |
$8K |
| 83690 |
|
2,047 |
1,653 |
$7K |
| 92567 |
|
188 |
170 |
$7K |
| 80076 |
|
1,649 |
1,348 |
$6K |
| 87637 |
|
70 |
65 |
$6K |
| 95117 |
|
50 |
12 |
$5K |
| 92557 |
|
37 |
36 |
$5K |
| 83735 |
|
1,069 |
856 |
$4K |
| 87801 |
|
72 |
67 |
$3K |
| 96372 |
|
100 |
79 |
$3K |
| 84703 |
|
554 |
477 |
$2K |
| 84443 |
|
225 |
205 |
$2K |
| 80305 |
|
283 |
217 |
$2K |
| 94640 |
|
137 |
105 |
$2K |
| 80320 |
|
35 |
29 |
$2K |
| 80061 |
|
344 |
298 |
$2K |
| 87491 |
|
60 |
51 |
$2K |
| 87591 |
|
59 |
50 |
$2K |
| 85027 |
|
304 |
249 |
$1K |
| 81003 |
|
767 |
629 |
$1K |
| 87086 |
|
159 |
132 |
$796.76 |
| 83036 |
|
170 |
147 |
$710.37 |
| 82306 |
|
67 |
64 |
$651.20 |
| 87624 |
|
17 |
15 |
$624.62 |
| 96361 |
|
72 |
52 |
$607.89 |
| 86592 |
|
148 |
135 |
$508.37 |
| 88142 |
|
29 |
26 |
$399.50 |
| 87389 |
|
13 |
12 |
$288.96 |
| 87040 |
|
74 |
24 |
$240.72 |
| 88175 |
|
15 |
13 |
$175.65 |
| 86803 |
|
13 |
12 |
$171.24 |
| 82800 |
|
56 |
43 |
$138.71 |
| 83605 |
|
93 |
42 |
$132.59 |
| J3490 |
Drugs unclassified injection |
254 |
165 |
$116.67 |
| 84146 |
|
38 |
36 |
$77.52 |
| 84481 |
|
39 |
37 |
$67.76 |
| 82607 |
|
39 |
37 |
$60.32 |
| 82553 |
|
66 |
39 |
$58.78 |
| J7120 |
Ringers lactate infusion |
142 |
87 |
$49.00 |
| 82550 |
|
81 |
51 |
$44.43 |
| 85379 |
|
15 |
12 |
$36.54 |
| 84439 |
|
39 |
37 |
$36.08 |
| 82728 |
|
28 |
24 |
$27.26 |
| 82248 |
|
38 |
36 |
$20.08 |
| 83550 |
|
26 |
24 |
$17.48 |
| 83540 |
|
27 |
24 |
$12.94 |
| J1885 |
Ketorolac tromethamine inj |
1,012 |
627 |
$0.00 |
| 96375 |
|
127 |
99 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
224 |
125 |
$0.00 |
| A9270 |
Non-covered item or service |
70 |
50 |
$0.00 |
| J2001 |
Lidocaine injection |
131 |
53 |
$0.00 |
| G0378 |
Hospital observation per hr |
32 |
14 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
18 |
15 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
223 |
163 |
$0.00 |
| G1004 |
Cdsm ndsc |
77 |
68 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
17 |
13 |
$0.00 |