| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,863 |
17,816 |
$2.09M |
| 99284 |
|
8,797 |
7,682 |
$1.26M |
| 70450 |
|
1,523 |
1,258 |
$636K |
| 74176 |
|
2,636 |
2,219 |
$611K |
| 71046 |
|
9,026 |
6,994 |
$595K |
| 87635 |
|
9,301 |
7,646 |
$509K |
| 80053 |
|
12,182 |
10,461 |
$490K |
| 71045 |
|
9,106 |
5,423 |
$334K |
| 99285 |
|
1,389 |
1,164 |
$315K |
| 36415 |
|
36,590 |
17,640 |
$291K |
| 93005 |
|
3,730 |
3,030 |
$285K |
| 85025 |
|
11,444 |
9,766 |
$263K |
| 96375 |
|
2,335 |
2,015 |
$181K |
| 96372 |
|
3,498 |
3,083 |
$173K |
| 96360 |
|
1,643 |
1,328 |
$170K |
| G2023 |
Specimen collect covid-19 |
8,105 |
6,260 |
$158K |
| 80306 |
|
4,710 |
3,346 |
$148K |
| 82306 |
|
860 |
768 |
$142K |
| 84443 |
|
3,142 |
3,005 |
$133K |
| 80061 |
|
2,529 |
2,376 |
$130K |
| 87276 |
|
5,423 |
4,996 |
$119K |
| 87275 |
|
5,446 |
5,002 |
$115K |
| 87086 |
|
1,827 |
1,494 |
$100K |
| 87636 |
|
747 |
703 |
$98K |
| 99282 |
|
1,327 |
1,184 |
$97K |
| 72100 |
|
1,084 |
903 |
$94K |
| 84484 |
|
2,607 |
1,941 |
$92K |
| 73562 |
|
826 |
721 |
$90K |
| 96365 |
|
690 |
621 |
$74K |
| 73630 |
|
902 |
788 |
$72K |
| 76705 |
|
303 |
256 |
$67K |
| 87880 |
|
3,701 |
3,482 |
$63K |
| 71250 |
|
128 |
95 |
$62K |
| 87502 |
|
733 |
665 |
$56K |
| 87651 |
|
813 |
771 |
$52K |
| 83036 |
|
1,895 |
1,808 |
$49K |
| 99281 |
|
614 |
569 |
$49K |
| 83690 |
|
1,947 |
1,776 |
$48K |
| 81001 |
|
3,714 |
3,247 |
$48K |
| 80048 |
|
1,384 |
1,133 |
$45K |
| 96374 |
|
448 |
376 |
$43K |
| U0003 |
Cov-19 amp prb hgh thruput |
464 |
405 |
$42K |
| 77067 |
|
499 |
409 |
$40K |
| 82607 |
|
570 |
535 |
$39K |
| 74018 |
|
644 |
580 |
$38K |
| 82150 |
|
1,842 |
1,679 |
$36K |
| 83735 |
|
1,400 |
1,113 |
$33K |
| 87081 |
|
3,577 |
3,303 |
$33K |
| 73610 |
|
391 |
331 |
$31K |
| J1885 |
Ketorolac tromethamine inj |
3,069 |
2,780 |
$29K |
| 85027 |
|
1,633 |
1,502 |
$29K |
| 73030 |
|
298 |
239 |
$27K |
| 84439 |
|
1,080 |
1,038 |
$25K |
| 94640 |
|
529 |
355 |
$24K |
| 82550 |
|
712 |
609 |
$23K |
| 73130 |
|
196 |
169 |
$19K |
| 81025 |
|
634 |
596 |
$18K |
| 87186 |
|
347 |
311 |
$16K |
| 87807 |
|
475 |
443 |
$13K |
| M0243 |
Casirivi and imdevi inj |
31 |
27 |
$13K |
| G0480 |
Drug test def 1-7 classes |
204 |
163 |
$12K |
| 83880 |
|
290 |
180 |
$11K |
| 82553 |
|
342 |
291 |
$11K |
| 94664 |
|
362 |
296 |
$10K |
| 84703 |
|
269 |
239 |
$9K |
| 82652 |
|
58 |
54 |
$8K |
| 85610 |
|
441 |
335 |
$8K |
| 77063 |
|
244 |
185 |
$7K |
| 93971 |
|
47 |
36 |
$7K |
| 96366 |
|
91 |
84 |
$6K |
| 81002 |
|
707 |
642 |
$5K |
| 80307 |
|
79 |
55 |
$5K |
| J7030 |
Normal saline solution infus |
654 |
564 |
$5K |
| 87040 |
|
96 |
85 |
$4K |
| 72040 |
|
31 |
25 |
$4K |
| 80349 |
|
330 |
269 |
$4K |
| 96367 |
|
38 |
29 |
$3K |
| 83605 |
|
54 |
50 |
$3K |
| 87280 |
|
127 |
108 |
$2K |
| 94760 |
|
109 |
79 |
$2K |
| 99308 |
|
2,176 |
1,531 |
$2K |
| 82803 |
|
21 |
16 |
$2K |
| 96361 |
|
40 |
38 |
$2K |
| 85379 |
|
113 |
102 |
$2K |
| 85652 |
|
192 |
178 |
$2K |
| 85730 |
|
72 |
71 |
$2K |
| J2405 |
Ondansetron hcl injection |
393 |
363 |
$2K |
| 81003 |
|
235 |
210 |
$2K |
| J2930 |
Methylprednisolone injection |
76 |
67 |
$1K |
| 0011A |
|
49 |
44 |
$1K |
| 96368 |
|
27 |
27 |
$1K |
| 0012A |
|
42 |
40 |
$1K |
| 80324 |
|
128 |
108 |
$821.35 |
| J0696 |
Ceftriaxone sodium injection |
131 |
124 |
$740.54 |
| 90471 |
|
46 |
40 |
$696.90 |
| 80348 |
|
37 |
30 |
$498.88 |
| 36600 |
|
20 |
15 |
$482.29 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
14 |
$339.30 |
| 80346 |
|
13 |
12 |
$291.00 |
| 86308 |
|
24 |
13 |
$232.20 |
| 80361 |
|
31 |
27 |
$200.09 |
| 85651 |
|
19 |
13 |
$171.74 |
| 99213 |
|
19 |
13 |
$170.00 |
| J1100 |
Dexamethasone sodium phos |
14 |
13 |
$155.40 |
| 80305 |
|
45 |
43 |
$13.78 |