| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,711 |
6,219 |
$3.03M |
| 99283 |
|
8,633 |
7,920 |
$1.96M |
| 99285 |
|
3,420 |
3,114 |
$1.51M |
| 87633 |
|
694 |
663 |
$574K |
| 71045 |
|
3,465 |
3,176 |
$280K |
| 99282 |
|
1,297 |
1,249 |
$265K |
| 93005 |
|
2,181 |
1,844 |
$100K |
| 69436 |
|
179 |
173 |
$97K |
| 80047 |
|
5,777 |
5,204 |
$80K |
| 87635 |
|
3,617 |
2,979 |
$78K |
| 85025 |
|
9,132 |
7,740 |
$64K |
| 92507 |
|
354 |
74 |
$55K |
| 76805 |
|
307 |
290 |
$55K |
| 93306 |
|
328 |
325 |
$43K |
| 87486 |
|
508 |
486 |
$34K |
| 87581 |
|
508 |
486 |
$34K |
| 70450 |
|
541 |
504 |
$32K |
| 71046 |
|
294 |
280 |
$31K |
| 99215 |
Prolong outpt/office vis |
228 |
185 |
$27K |
| 96374 |
|
2,166 |
1,991 |
$27K |
| 59025 |
|
225 |
172 |
$21K |
| 87430 |
|
638 |
618 |
$19K |
| 76817 |
|
98 |
91 |
$18K |
| 42820 |
|
12 |
12 |
$17K |
| 74177 |
|
68 |
64 |
$15K |
| 96375 |
|
917 |
814 |
$15K |
| 80076 |
|
1,867 |
1,716 |
$13K |
| 87811 |
|
425 |
410 |
$12K |
| 81001 |
|
3,976 |
3,598 |
$10K |
| 0202U |
|
284 |
276 |
$9K |
| 87070 |
|
614 |
592 |
$7K |
| 87077 |
|
1,790 |
1,386 |
$6K |
| 80053 |
|
2,122 |
1,658 |
$6K |
| 87086 |
|
1,708 |
1,571 |
$6K |
| 87804 |
|
250 |
149 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
55 |
53 |
$5K |
| 81025 |
|
390 |
371 |
$4K |
| 87798 |
|
467 |
445 |
$4K |
| 84484 |
|
1,201 |
878 |
$4K |
| 77067 |
|
197 |
197 |
$4K |
| 83880 |
|
432 |
394 |
$3K |
| 99281 |
|
40 |
40 |
$3K |
| 76816 |
|
18 |
17 |
$3K |
| 83690 |
|
762 |
687 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,192 |
1,066 |
$3K |
| 77063 |
|
197 |
197 |
$2K |
| 87186 |
|
840 |
745 |
$2K |
| CP007 |
|
60 |
55 |
$2K |
| 0241U |
|
1,325 |
1,262 |
$2K |
| J2270 |
Morphine sulfate injection |
198 |
161 |
$2K |
| 96372 |
|
507 |
366 |
$2K |
| 81003 |
|
687 |
639 |
$2K |
| 80048 |
|
1,124 |
794 |
$2K |
| 87081 |
|
101 |
97 |
$2K |
| 76705 |
|
14 |
13 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
318 |
299 |
$1K |
| 76770 |
|
41 |
41 |
$1K |
| 96376 |
|
25 |
12 |
$967.47 |
| 83735 |
|
571 |
486 |
$914.02 |
| 80307 |
|
16 |
16 |
$865.35 |
| 85610 |
|
799 |
688 |
$824.79 |
| 36415 |
|
8,680 |
7,330 |
$778.44 |
| 84703 |
|
94 |
84 |
$729.74 |
| 77080 |
|
72 |
72 |
$681.24 |
| 84443 |
|
249 |
235 |
$661.51 |
| 85730 |
|
396 |
361 |
$573.81 |
| 87040 |
|
51 |
26 |
$456.44 |
| 83605 |
|
164 |
146 |
$439.41 |
| 87420 |
|
19 |
18 |
$344.35 |
| J1100 |
Dexamethasone sodium phos |
52 |
48 |
$273.66 |
| J1885 |
Ketorolac tromethamine inj |
78 |
72 |
$270.88 |
| J7040 |
Normal saline solution infus |
30 |
25 |
$229.77 |
| J0696 |
Ceftriaxone sodium injection |
45 |
42 |
$166.78 |
| J7120 |
Ringers lactate infusion |
42 |
38 |
$126.62 |
| 84702 |
|
17 |
14 |
$115.06 |
| G0480 |
Drug test def 1-7 classes |
28 |
24 |
$62.02 |
| 86901 |
|
31 |
27 |
$46.89 |
| 80061 |
|
46 |
45 |
$40.32 |
| J3010 |
Fentanyl citrate injection |
79 |
78 |
$39.91 |
| 85027 |
|
112 |
92 |
$29.09 |
| 83036 |
|
30 |
27 |
$13.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
333 |
313 |
$0.00 |
| A9270 |
Non-covered item or service |
750 |
613 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
13 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
30 |
29 |
$0.00 |