| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
35,390 |
32,172 |
$9.30M |
| 99285 |
|
14,056 |
12,622 |
$3.51M |
| 99283 |
|
20,824 |
19,307 |
$3.36M |
| 99213 |
|
60,717 |
52,977 |
$2.07M |
| 87502 |
|
17,395 |
15,840 |
$1.11M |
| 96372 |
|
20,940 |
17,637 |
$817K |
| 87635 |
|
17,164 |
15,578 |
$679K |
| 70450 |
|
3,384 |
3,030 |
$667K |
| 71045 |
|
8,142 |
7,376 |
$555K |
| 99214 |
|
11,085 |
9,934 |
$431K |
| 74177 |
|
1,079 |
979 |
$419K |
| 80307 |
|
7,632 |
6,468 |
$348K |
| 99212 |
|
11,196 |
7,991 |
$340K |
| 87651 |
|
10,268 |
9,463 |
$311K |
| 74176 |
|
928 |
833 |
$296K |
| 93005 |
|
9,962 |
8,857 |
$276K |
| 99282 |
|
2,550 |
2,374 |
$261K |
| 96374 |
|
5,340 |
4,370 |
$248K |
| 80053 |
|
30,634 |
26,599 |
$236K |
| 71046 |
|
3,116 |
2,907 |
$222K |
| 81514 |
|
1,154 |
995 |
$220K |
| 11042 |
|
487 |
211 |
$182K |
| 96361 |
|
5,897 |
4,454 |
$181K |
| 85025 |
|
30,056 |
26,072 |
$172K |
| 96375 |
|
4,049 |
3,209 |
$161K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,506 |
1,951 |
$157K |
| 74019 |
|
1,495 |
1,351 |
$134K |
| 96365 |
|
2,607 |
2,115 |
$130K |
| 83880 |
|
5,266 |
4,709 |
$126K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,730 |
1,505 |
$115K |
| 87491 |
|
3,637 |
3,238 |
$110K |
| 87591 |
|
3,650 |
3,236 |
$108K |
| 36415 |
|
45,030 |
37,738 |
$106K |
| M0243 |
Casirivi and imdevi inj |
472 |
371 |
$97K |
| 81025 |
|
12,147 |
10,880 |
$85K |
| 84484 |
|
10,170 |
7,599 |
$78K |
| 87634 |
|
1,147 |
1,051 |
$72K |
| 96360 |
|
1,084 |
903 |
$69K |
| 20610 |
|
236 |
194 |
$53K |
| G0480 |
Drug test def 1-7 classes |
1,949 |
1,462 |
$52K |
| 72100 |
|
751 |
689 |
$51K |
| 87481 |
|
771 |
684 |
$50K |
| 73564 |
|
530 |
493 |
$47K |
| 87801 |
|
718 |
681 |
$45K |
| 73630 |
|
562 |
507 |
$44K |
| 87880 |
|
2,931 |
2,696 |
$41K |
| 83690 |
|
7,484 |
6,713 |
$40K |
| 82553 |
|
5,234 |
3,881 |
$40K |
| J0561 |
Penicillin g benzathine inj |
270 |
224 |
$40K |
| 73130 |
|
452 |
415 |
$38K |
| 84443 |
|
3,119 |
2,717 |
$35K |
| 88175 |
|
1,631 |
1,473 |
$34K |
| 81000 |
|
11,227 |
9,921 |
$31K |
| J2930 |
Methylprednisolone injection |
2,930 |
2,643 |
$28K |
| 80050 |
|
769 |
700 |
$28K |
| 82550 |
|
6,571 |
5,053 |
$28K |
| U0005 |
Infec agen detec ampli probe |
1,294 |
1,128 |
$27K |
| 59025 |
|
258 |
172 |
$26K |
| 87040 |
|
3,664 |
1,951 |
$25K |
| 87400 |
|
1,748 |
816 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
6,588 |
5,921 |
$25K |
| 94640 |
|
669 |
594 |
$22K |
| 87086 |
|
3,554 |
3,182 |
$22K |
| 73560 |
|
311 |
290 |
$22K |
| 99291 |
|
43 |
43 |
$22K |
| 80061 |
|
1,962 |
1,814 |
$20K |
| 87661 |
|
776 |
684 |
$19K |
| 87081 |
|
2,749 |
2,566 |
$19K |
| 83605 |
|
2,550 |
2,054 |
$19K |
| J2405 |
Ondansetron hcl injection |
6,041 |
5,291 |
$15K |
| 73610 |
|
195 |
180 |
$15K |
| 82306 |
|
799 |
659 |
$15K |
| 85379 |
|
2,031 |
1,845 |
$15K |
| 81003 |
|
8,773 |
7,527 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
2,638 |
2,420 |
$14K |
| 73562 |
|
191 |
179 |
$13K |
| J2360 |
Orphenadrine injection |
720 |
655 |
$13K |
| 73030 |
|
181 |
167 |
$12K |
| 87807 |
|
908 |
834 |
$12K |
| 80179 |
|
902 |
802 |
$11K |
| 87389 |
|
513 |
469 |
$11K |
| 87811 |
|
261 |
229 |
$10K |
| 83036 |
|
1,246 |
1,146 |
$10K |
| 87660 |
|
447 |
377 |
$9K |
| 87510 |
|
432 |
365 |
$8K |
| 87480 |
|
432 |
365 |
$8K |
| J2920 |
Methylprednisolone injection |
955 |
914 |
$8K |
| 72040 |
|
141 |
124 |
$8K |
| 82607 |
|
769 |
633 |
$8K |
| 82746 |
|
764 |
628 |
$8K |
| 83735 |
|
1,587 |
1,385 |
$7K |
| 99215 |
Prolong outpt/office vis |
129 |
125 |
$7K |
| 85730 |
|
1,885 |
1,662 |
$7K |
| 84439 |
|
1,087 |
913 |
$7K |
| 77067 |
|
66 |
66 |
$6K |
| 84145 |
|
396 |
327 |
$6K |
| 86803 |
|
448 |
413 |
$6K |
| J2270 |
Morphine sulfate injection |
1,993 |
1,729 |
$6K |
| 71275 |
|
17 |
13 |
$5K |
| 87624 |
|
198 |
172 |
$5K |
| 85610 |
|
1,995 |
1,771 |
$5K |
| 76856 |
|
60 |
54 |
$5K |
| 76816 |
|
116 |
109 |
$5K |
| 84100 |
|
1,450 |
1,272 |
$5K |
| 0002A |
|
144 |
128 |
$5K |
| 96366 |
|
30 |
27 |
$4K |
| J1170 |
Hydromorphone injection |
941 |
786 |
$4K |
| 76830 |
|
41 |
39 |
$4K |
| 86703 |
|
345 |
293 |
$4K |
| 90686 |
|
335 |
299 |
$4K |
| 84702 |
|
273 |
212 |
$4K |
| 87186 |
|
714 |
592 |
$3K |
| 0001A |
|
135 |
131 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
194 |
164 |
$3K |
| 87077 |
|
699 |
577 |
$3K |
| 87088 |
|
519 |
459 |
$3K |
| 84481 |
|
379 |
290 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
296 |
270 |
$3K |
| 80320 |
|
408 |
303 |
$3K |
| 59430 |
|
19 |
13 |
$3K |
| J2272 |
Inj, morphine (fresenius) |
627 |
467 |
$2K |
| 72125 |
|
14 |
13 |
$2K |
| 90715 |
|
90 |
82 |
$2K |
| 99281 |
|
26 |
25 |
$2K |
| 85027 |
|
402 |
341 |
$2K |
| 80329 |
|
288 |
230 |
$2K |
| 96160 |
|
114 |
94 |
$2K |
| 84425 |
|
147 |
118 |
$2K |
| 76805 |
|
13 |
12 |
$2K |
| J7030 |
Normal saline solution infus |
519 |
360 |
$2K |
| 80048 |
|
211 |
192 |
$1K |
| 72170 |
|
39 |
38 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
304 |
209 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 76817 |
|
15 |
14 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
507 |
441 |
$1K |
| 74018 |
|
12 |
12 |
$1K |
| J1100 |
Dexamethasone sodium phos |
496 |
452 |
$1K |
| 82962 |
|
324 |
262 |
$1K |
| 77063 |
|
66 |
65 |
$1K |
| 99211 |
|
27 |
24 |
$916.27 |
| 80055 |
|
37 |
37 |
$878.02 |
| 86593 |
|
243 |
211 |
$864.66 |
| 81220 |
|
13 |
12 |
$864.00 |
| 85007 |
|
341 |
286 |
$839.80 |
| J3301 |
Triamcinolone acet inj nos |
145 |
137 |
$830.01 |
| J2060 |
Lorazepam injection |
312 |
266 |
$826.58 |
| 87653 |
|
26 |
25 |
$820.05 |
| 94760 |
|
127 |
105 |
$816.03 |
| 82728 |
|
87 |
76 |
$788.96 |
| 96376 |
|
54 |
41 |
$743.85 |
| 0071A |
|
18 |
17 |
$688.17 |
| J2550 |
Promethazine hcl injection |
391 |
334 |
$638.80 |
| J2175 |
Meperidine hydrochl /100 mg |
200 |
182 |
$603.49 |
| 86850 |
|
143 |
119 |
$574.03 |
| 83655 |
|
46 |
45 |
$549.05 |
| 86140 |
|
143 |
125 |
$520.11 |
| 85651 |
|
181 |
159 |
$506.61 |
| 0072A |
|
13 |
13 |
$498.94 |
| J3490 |
Drugs unclassified injection |
92 |
55 |
$464.77 |
| 87147 |
|
66 |
50 |
$405.66 |
| J7120 |
Ringers lactate infusion |
100 |
95 |
$325.15 |
| 83615 |
|
72 |
66 |
$324.68 |
| 84144 |
|
15 |
13 |
$310.11 |
| 82950 |
|
70 |
66 |
$284.15 |
| 86901 |
|
128 |
105 |
$278.63 |
| 86900 |
|
128 |
105 |
$278.62 |
| 84466 |
|
26 |
26 |
$271.16 |
| 87340 |
|
30 |
25 |
$244.48 |
| 90833 |
|
24 |
14 |
$220.51 |
| 86308 |
|
48 |
38 |
$217.93 |
| 86762 |
|
12 |
12 |
$174.85 |
| 90656 |
|
44 |
34 |
$158.25 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$142.29 |
| 83540 |
|
26 |
26 |
$137.47 |
| 81002 |
|
37 |
37 |
$123.21 |
| 99459 |
|
197 |
160 |
$113.36 |
| 0352U |
|
112 |
93 |
$89.50 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
43 |
31 |
$79.96 |
| 82803 |
|
12 |
12 |
$57.92 |
| 81001 |
|
13 |
12 |
$56.11 |
| 82043 |
|
12 |
12 |
$46.77 |
| 82570 |
|
12 |
12 |
$41.90 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$41.83 |
| 91300 |
|
329 |
277 |
$5.62 |
| G0463 |
Hospital outpt clinic visit |
3,469 |
2,489 |
$0.00 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$0.00 |
| 99309 |
|
77 |
32 |
$0.00 |
| 91307 |
|
45 |
42 |
$0.00 |
| 99308 |
|
40 |
21 |
$0.00 |
| 99490 |
Ccm add 20min |
660 |
328 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
210 |
193 |
$0.00 |