| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,010 |
14,114 |
$2.94M |
| 99283 |
|
14,886 |
14,255 |
$2.15M |
| 99285 |
|
7,342 |
6,843 |
$1.90M |
| 70450 |
|
2,664 |
2,506 |
$402K |
| 93005 |
|
8,655 |
7,661 |
$393K |
| 80307 |
|
5,075 |
4,303 |
$373K |
| 96361 |
|
5,014 |
4,735 |
$348K |
| 74176 |
|
1,807 |
1,724 |
$338K |
| 96375 |
|
6,449 |
5,954 |
$325K |
| 87631 |
|
3,862 |
3,675 |
$321K |
| 99282 |
|
2,946 |
2,874 |
$267K |
| 80053 |
|
19,102 |
16,829 |
$247K |
| 74177 |
|
862 |
830 |
$244K |
| 96365 |
|
3,107 |
2,659 |
$217K |
| 96374 |
|
7,229 |
6,777 |
$209K |
| 71045 |
|
5,308 |
4,894 |
$206K |
| 85025 |
|
20,586 |
17,869 |
$142K |
| 96372 |
|
5,846 |
5,506 |
$138K |
| 99281 |
|
2,381 |
2,305 |
$125K |
| 94640 |
|
1,359 |
1,088 |
$124K |
| 97110 |
|
2,955 |
743 |
$124K |
| G0378 |
Hospital observation per hr |
375 |
350 |
$124K |
| 71046 |
|
2,170 |
2,088 |
$106K |
| 71250 |
|
788 |
759 |
$94K |
| 72125 |
|
503 |
486 |
$85K |
| 93306 |
|
231 |
224 |
$65K |
| 73610 |
|
726 |
681 |
$55K |
| 84484 |
|
6,053 |
4,476 |
$52K |
| 73030 |
|
695 |
645 |
$48K |
| 81001 |
|
10,260 |
9,601 |
$47K |
| 73562 |
|
616 |
577 |
$44K |
| 96360 |
|
818 |
784 |
$44K |
| 76705 |
|
550 |
538 |
$43K |
| 83690 |
|
3,499 |
3,208 |
$39K |
| 73130 |
|
702 |
653 |
$39K |
| 97140 |
|
1,426 |
469 |
$34K |
| 72100 |
|
468 |
459 |
$34K |
| 83880 |
|
1,781 |
1,573 |
$34K |
| U0002 |
Covid-19 lab test non-cdc |
744 |
694 |
$34K |
| 84443 |
|
2,721 |
2,522 |
$32K |
| 36415 |
|
7,962 |
7,059 |
$31K |
| 0002A |
|
768 |
744 |
$29K |
| 73110 |
|
514 |
474 |
$28K |
| 73630 |
|
497 |
475 |
$26K |
| 97530 |
|
808 |
390 |
$24K |
| 87081 |
|
1,968 |
1,351 |
$24K |
| 77067 |
|
165 |
162 |
$24K |
| 70486 |
|
125 |
121 |
$19K |
| 96366 |
|
814 |
745 |
$19K |
| 87040 |
|
1,999 |
1,110 |
$19K |
| 87086 |
|
2,103 |
1,989 |
$19K |
| 80048 |
|
1,475 |
1,222 |
$19K |
| 0001A |
|
706 |
698 |
$17K |
| 84703 |
|
2,216 |
2,089 |
$16K |
| 87804 |
|
1,054 |
1,031 |
$16K |
| 83605 |
|
1,457 |
1,190 |
$13K |
| 85610 |
|
3,454 |
3,138 |
$12K |
| 82550 |
|
1,820 |
1,653 |
$12K |
| 82553 |
|
1,105 |
1,044 |
$12K |
| 76856 |
|
128 |
126 |
$11K |
| 73721 |
|
39 |
38 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
794 |
670 |
$9K |
| 82962 |
|
1,380 |
905 |
$9K |
| 74018 |
|
191 |
184 |
$9K |
| 86140 |
|
951 |
914 |
$8K |
| 83735 |
|
865 |
734 |
$8K |
| 87077 |
|
580 |
559 |
$7K |
| 90471 |
|
405 |
390 |
$6K |
| 73560 |
|
130 |
121 |
$6K |
| 87490 |
|
233 |
229 |
$6K |
| 59025 |
|
66 |
43 |
$6K |
| 87186 |
|
559 |
538 |
$5K |
| 76700 |
|
68 |
66 |
$5K |
| 87420 |
|
203 |
199 |
$5K |
| 87590 |
|
233 |
229 |
$5K |
| 80320 |
|
145 |
130 |
$5K |
| 83036 |
|
369 |
358 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
781 |
740 |
$5K |
| 85027 |
|
782 |
711 |
$4K |
| Q0162 |
Ondansetron oral |
374 |
347 |
$4K |
| 76830 |
|
50 |
49 |
$4K |
| 73502 |
|
98 |
82 |
$4K |
| 80061 |
|
283 |
274 |
$4K |
| 86850 |
|
306 |
293 |
$4K |
| 85379 |
|
488 |
462 |
$4K |
| 84702 |
|
180 |
145 |
$4K |
| 76805 |
|
44 |
40 |
$3K |
| 71260 |
|
12 |
12 |
$3K |
| 82150 |
|
392 |
381 |
$3K |
| 97112 |
|
109 |
54 |
$3K |
| J0561 |
Penicillin g benzathine inj |
27 |
27 |
$3K |
| 85730 |
|
494 |
445 |
$2K |
| 71275 |
|
12 |
12 |
$2K |
| 87880 |
|
137 |
136 |
$2K |
| 80179 |
|
63 |
58 |
$2K |
| 80143 |
|
63 |
58 |
$2K |
| 93971 |
|
41 |
40 |
$2K |
| 86901 |
|
355 |
335 |
$2K |
| 73080 |
|
42 |
41 |
$2K |
| 87635 |
|
124 |
120 |
$2K |
| 86900 |
|
322 |
302 |
$2K |
| 87070 |
|
175 |
170 |
$2K |
| 90715 |
|
53 |
51 |
$2K |
| G0435 |
Oral hiv-1/hiv-2 screen |
133 |
131 |
$2K |
| 97161 |
|
70 |
67 |
$2K |
| G0283 |
Elec stim other than wound |
86 |
38 |
$1K |
| 82306 |
|
50 |
49 |
$1K |
| 96367 |
|
46 |
42 |
$1K |
| 73140 |
|
27 |
26 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,980 |
1,813 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
365 |
337 |
$1K |
| 76770 |
|
17 |
17 |
$1K |
| 87205 |
|
138 |
121 |
$1K |
| 73090 |
|
26 |
24 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,817 |
1,613 |
$1K |
| J7030 |
Normal saline solution infus |
1,450 |
1,191 |
$1K |
| 12002 |
|
17 |
15 |
$1K |
| 72050 |
|
12 |
12 |
$1K |
| 86592 |
|
180 |
173 |
$1K |
| 72170 |
|
16 |
16 |
$1K |
| J0690 |
Cefazolin sodium injection |
143 |
120 |
$924.24 |
| 97010 |
|
48 |
25 |
$832.91 |
| 51702 |
|
24 |
24 |
$764.63 |
| 81003 |
|
207 |
200 |
$678.72 |
| 72070 |
|
12 |
12 |
$663.00 |
| 76815 |
|
12 |
12 |
$609.40 |
| 94760 |
|
89 |
45 |
$604.25 |
| 82140 |
|
48 |
38 |
$594.48 |
| J3010 |
Fentanyl citrate injection |
808 |
728 |
$576.56 |
| 73590 |
|
14 |
13 |
$567.59 |
| 96376 |
|
581 |
535 |
$538.63 |
| 87340 |
|
42 |
40 |
$533.37 |
| 82803 |
|
23 |
21 |
$493.02 |
| 86762 |
|
28 |
26 |
$364.71 |
| 87591 |
|
12 |
12 |
$336.40 |
| 87491 |
|
12 |
12 |
$336.40 |
| 87075 |
|
32 |
29 |
$310.80 |
| J2930 |
Methylprednisolone injection |
125 |
113 |
$263.84 |
| 36600 |
|
17 |
17 |
$234.00 |
| J3475 |
Inj magnesium sulfate |
61 |
53 |
$205.85 |
| J2270 |
Morphine sulfate injection |
205 |
185 |
$195.63 |
| J1100 |
Dexamethasone sodium phos |
177 |
164 |
$181.31 |
| J2274 |
Inj morphine pf epid ithc |
189 |
165 |
$141.96 |
| J3411 |
Thiamine hcl 100 mg |
44 |
39 |
$133.69 |
| J2060 |
Lorazepam injection |
104 |
89 |
$104.41 |
| J2250 |
Inj midazolam hydrochloride |
199 |
182 |
$80.03 |
| 82950 |
|
12 |
12 |
$79.07 |
| J1030 |
Methylprednisolone 40 mg inj |
25 |
25 |
$77.04 |
| 85652 |
|
31 |
26 |
$71.99 |
| J1956 |
Levofloxacin injection |
12 |
12 |
$61.70 |
| 81002 |
|
14 |
13 |
$50.59 |
| J2550 |
Promethazine hcl injection |
78 |
73 |
$24.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
49 |
43 |
$23.18 |
| J2001 |
Lidocaine injection |
32 |
31 |
$4.97 |
| 94761 |
|
236 |
219 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
46 |
40 |
$0.00 |
| G1004 |
Cdsm ndsc |
737 |
660 |
$0.00 |