| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,911 |
11,302 |
$2.15M |
| 99285 |
|
5,763 |
3,887 |
$1.81M |
| 99284 |
|
4,417 |
3,496 |
$1.03M |
| 74177 |
|
428 |
403 |
$361K |
| 85025 |
|
11,783 |
9,912 |
$356K |
| 80053 |
|
9,237 |
8,170 |
$328K |
| 36415 |
|
12,323 |
10,253 |
$185K |
| 70450 |
|
636 |
602 |
$178K |
| 96361 |
|
1,988 |
1,651 |
$177K |
| 96374 |
|
1,872 |
1,722 |
$175K |
| 99282 |
|
1,231 |
1,142 |
$163K |
| 93005 |
|
4,264 |
3,669 |
$162K |
| 84443 |
|
3,325 |
3,186 |
$142K |
| 71046 |
|
2,604 |
2,442 |
$130K |
| 96375 |
|
1,630 |
1,451 |
$126K |
| 96365 |
|
1,044 |
884 |
$120K |
| 81001 |
|
3,729 |
3,395 |
$119K |
| 80061 |
|
2,556 |
2,467 |
$116K |
| 97110 |
|
2,087 |
670 |
$108K |
| 80048 |
|
2,911 |
2,473 |
$100K |
| 84484 |
|
2,548 |
1,903 |
$73K |
| 96372 |
|
1,392 |
1,119 |
$70K |
| 74176 |
|
120 |
114 |
$69K |
| 87804 |
|
1,970 |
947 |
$65K |
| 87086 |
|
2,021 |
1,841 |
$65K |
| 87880 |
|
2,006 |
1,891 |
$64K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,185 |
1,108 |
$56K |
| U0002 |
Covid-19 lab test non-cdc |
1,359 |
1,274 |
$53K |
| 83036 |
|
1,693 |
1,637 |
$52K |
| 71045 |
|
1,522 |
1,378 |
$48K |
| 77067 |
|
222 |
217 |
$47K |
| 87081 |
|
1,173 |
1,113 |
$43K |
| 83690 |
|
997 |
916 |
$41K |
| 82306 |
|
683 |
658 |
$41K |
| 0241U |
|
1,165 |
1,089 |
$39K |
| 94640 |
|
682 |
506 |
$36K |
| 82948 |
|
1,402 |
303 |
$34K |
| 87186 |
|
916 |
788 |
$32K |
| 83880 |
|
626 |
549 |
$29K |
| 80306 |
|
524 |
487 |
$28K |
| 85610 |
|
1,470 |
1,034 |
$28K |
| 87502 |
|
446 |
433 |
$26K |
| 93306 |
|
59 |
42 |
$23K |
| 81025 |
|
440 |
415 |
$21K |
| 84439 |
|
600 |
575 |
$21K |
| 97530 |
|
380 |
123 |
$20K |
| 85379 |
|
323 |
294 |
$20K |
| 94664 |
|
402 |
360 |
$19K |
| 82607 |
|
392 |
377 |
$19K |
| G0480 |
Drug test def 1-7 classes |
165 |
156 |
$18K |
| 96376 |
|
168 |
115 |
$16K |
| 87798 |
|
214 |
206 |
$16K |
| 87070 |
|
182 |
154 |
$16K |
| 81003 |
|
754 |
712 |
$16K |
| 80076 |
|
341 |
315 |
$15K |
| 87077 |
|
361 |
303 |
$15K |
| 87040 |
|
202 |
164 |
$15K |
| 83735 |
|
662 |
549 |
$12K |
| 73564 |
|
198 |
184 |
$12K |
| 83605 |
|
305 |
255 |
$11K |
| 82746 |
|
228 |
217 |
$11K |
| 87634 |
|
355 |
343 |
$10K |
| 99211 |
|
561 |
349 |
$10K |
| 84703 |
|
142 |
136 |
$10K |
| 73630 |
|
158 |
149 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
127 |
112 |
$7K |
| 84466 |
|
167 |
164 |
$7K |
| 96360 |
|
86 |
76 |
$7K |
| 76700 |
|
27 |
26 |
$6K |
| 72110 |
|
63 |
62 |
$6K |
| 87205 |
|
125 |
111 |
$6K |
| 94760 |
|
111 |
85 |
$6K |
| 82550 |
|
177 |
161 |
$5K |
| J7620 |
Albuterol ipratrop non-comp |
163 |
130 |
$5K |
| 92507 |
|
207 |
73 |
$5K |
| 73030 |
|
116 |
108 |
$5K |
| 97161 |
|
57 |
54 |
$5K |
| S0119 |
Ondansetron 4 mg |
52 |
45 |
$5K |
| G0378 |
Hospital observation per hr |
28 |
28 |
$5K |
| 73610 |
|
104 |
101 |
$5K |
| 83540 |
|
172 |
168 |
$4K |
| 87420 |
|
82 |
78 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
110 |
98 |
$4K |
| 97140 |
|
65 |
31 |
$3K |
| 76536 |
|
26 |
25 |
$3K |
| 88305 |
|
31 |
28 |
$3K |
| 73130 |
|
72 |
63 |
$3K |
| 87426 |
|
146 |
132 |
$3K |
| 11042 |
|
15 |
13 |
$3K |
| 82570 |
|
106 |
101 |
$3K |
| 77063 |
|
62 |
61 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
108 |
94 |
$2K |
| 86140 |
|
235 |
207 |
$2K |
| 96366 |
|
25 |
13 |
$2K |
| 12001 |
|
17 |
12 |
$2K |
| 87591 |
|
27 |
27 |
$2K |
| 87491 |
|
27 |
27 |
$2K |
| 85651 |
|
50 |
47 |
$2K |
| 93010 |
|
346 |
304 |
$2K |
| 82728 |
|
40 |
40 |
$1K |
| 73110 |
|
32 |
28 |
$1K |
| 82043 |
|
54 |
53 |
$1K |
| 97597 |
|
14 |
12 |
$1K |
| 82803 |
|
34 |
26 |
$1K |
| 73502 |
|
24 |
24 |
$1K |
| J7613 |
Albuterol non-comp unit |
15 |
13 |
$902.00 |
| 72040 |
|
13 |
12 |
$636.64 |
| 72100 |
|
13 |
12 |
$594.03 |
| 82565 |
|
28 |
24 |
$586.62 |
| 85652 |
|
66 |
66 |
$579.93 |
| 87428 |
|
12 |
12 |
$430.19 |
| 82947 |
|
55 |
15 |
$382.29 |
| 36600 |
|
17 |
13 |
$281.73 |
| 85730 |
|
12 |
12 |
$245.78 |
| 84145 |
|
13 |
12 |
$63.22 |
| 87635 |
|
43 |
41 |
$60.68 |
| J3490 |
Drugs unclassified injection |
31 |
25 |
$44.86 |
| J1885 |
Ketorolac tromethamine inj |
29 |
28 |
$29.83 |
| J8540 |
Oral dexamethasone |
15 |
15 |
$3.58 |
| G1004 |
Cdsm ndsc |
194 |
159 |
$0.01 |