| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,217 |
7,777 |
$1.17M |
| 99284 |
|
3,123 |
2,981 |
$579K |
| 99285 |
|
597 |
574 |
$180K |
| 74177 |
|
335 |
322 |
$157K |
| 99282 |
|
1,885 |
1,822 |
$152K |
| 74176 |
|
153 |
149 |
$55K |
| 70450 |
|
129 |
126 |
$19K |
| 96374 |
|
1,592 |
1,490 |
$2K |
| 99281 |
|
24 |
24 |
$741.46 |
| 96372 |
|
1,052 |
1,011 |
$634.12 |
| 96375 |
|
1,105 |
1,015 |
$424.35 |
| 87502 |
|
291 |
284 |
$229.92 |
| 87651 |
|
802 |
786 |
$159.43 |
| 87635 |
|
218 |
211 |
$102.62 |
| 71045 |
|
1,251 |
1,216 |
$90.10 |
| 71046 |
|
475 |
469 |
$82.17 |
| 87631 |
|
507 |
497 |
$61.07 |
| 80053 |
|
1,626 |
1,491 |
$49.38 |
| 93005 |
|
659 |
638 |
$46.24 |
| 85025 |
|
2,174 |
2,057 |
$28.00 |
| J7030 |
Normal saline solution infus |
1,370 |
1,265 |
$24.50 |
| 73630 |
|
85 |
82 |
$23.98 |
| 94640 |
|
311 |
277 |
$20.84 |
| 96361 |
|
306 |
292 |
$18.13 |
| 81003 |
|
1,316 |
1,261 |
$12.62 |
| J1885 |
Ketorolac tromethamine inj |
1,516 |
1,447 |
$11.76 |
| 87086 |
|
25 |
25 |
$10.90 |
| 82553 |
|
127 |
116 |
$10.13 |
| J1100 |
Dexamethasone sodium phos |
976 |
951 |
$9.35 |
| 84484 |
|
347 |
329 |
$8.47 |
| 81025 |
|
831 |
799 |
$7.83 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$5.53 |
| J2405 |
Ondansetron hcl injection |
949 |
881 |
$4.65 |
| J3490 |
Drugs unclassified injection |
748 |
681 |
$2.74 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
487 |
467 |
$0.17 |
| 36415 |
|
2,239 |
2,119 |
$0.00 |
| 82550 |
|
108 |
105 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
190 |
188 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
82 |
80 |
$0.00 |
| 83605 |
|
29 |
26 |
$0.00 |
| 85379 |
|
46 |
45 |
$0.00 |
| 80051 |
|
94 |
91 |
$0.00 |
| 82803 |
|
29 |
26 |
$0.00 |
| 87428 |
|
30 |
30 |
$0.00 |
| 96376 |
|
13 |
12 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |
| 82565 |
|
100 |
97 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
142 |
139 |
$0.00 |
| 84702 |
|
44 |
42 |
$0.00 |
| J2270 |
Morphine sulfate injection |
72 |
68 |
$0.00 |
| 82947 |
|
100 |
97 |
$0.00 |
| 84520 |
|
100 |
97 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
84 |
73 |
$0.00 |
| 73130 |
|
18 |
18 |
$0.00 |
| 73110 |
|
12 |
12 |
$0.00 |
| 73610 |
|
16 |
15 |
$0.00 |
| J7120 |
Ringers lactate infusion |
17 |
16 |
$0.00 |
| 87634 |
|
13 |
13 |
$0.00 |
| 80076 |
|
15 |
15 |
$0.00 |