| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,729 |
18,296 |
$2.37M |
| 99283 |
|
16,795 |
15,801 |
$2.19M |
| 99285 |
|
5,026 |
4,563 |
$614K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,453 |
5,274 |
$412K |
| 87635 |
|
6,052 |
5,736 |
$390K |
| 80053 |
|
20,673 |
18,768 |
$332K |
| 96361 |
|
1,271 |
1,192 |
$315K |
| 99282 |
|
2,879 |
2,730 |
$286K |
| 87591 |
|
4,192 |
4,028 |
$230K |
| 87086 |
|
7,073 |
6,595 |
$203K |
| 87491 |
|
4,177 |
4,015 |
$160K |
| U0005 |
Infec agen detec ampli probe |
7,071 |
5,861 |
$141K |
| 85025 |
|
26,974 |
24,720 |
$76K |
| 87081 |
|
3,376 |
3,063 |
$68K |
| 87631 |
|
1,010 |
927 |
$67K |
| 87653 |
|
1,094 |
1,049 |
$65K |
| 87636 |
|
1,323 |
1,252 |
$35K |
| 87510 |
|
655 |
624 |
$28K |
| 87077 |
|
1,895 |
1,800 |
$24K |
| 87480 |
|
655 |
624 |
$18K |
| 80307 |
|
306 |
280 |
$18K |
| 87632 |
|
252 |
214 |
$16K |
| 80320 |
|
304 |
248 |
$16K |
| 87505 |
|
244 |
234 |
$15K |
| 87660 |
|
655 |
624 |
$14K |
| 87070 |
|
490 |
459 |
$12K |
| 87186 |
|
1,998 |
1,885 |
$10K |
| J3490 |
Drugs unclassified injection |
6,019 |
4,835 |
$8K |
| 74177 |
|
40 |
38 |
$8K |
| 87147 |
|
1,002 |
959 |
$6K |
| 81001 |
|
2,995 |
2,790 |
$5K |
| 84484 |
|
459 |
381 |
$4K |
| 43239 |
|
14 |
14 |
$4K |
| 87088 |
|
445 |
433 |
$4K |
| 96374 |
|
9,527 |
8,864 |
$4K |
| J8597 |
Antiemetic drug oral nos |
53 |
53 |
$3K |
| 87177 |
|
85 |
81 |
$3K |
| 86769 |
|
62 |
62 |
$3K |
| 87502 |
|
57 |
57 |
$2K |
| 87651 |
|
54 |
51 |
$2K |
| 87209 |
|
85 |
81 |
$2K |
| 87205 |
|
240 |
226 |
$2K |
| 84443 |
|
524 |
456 |
$2K |
| 87506 |
|
15 |
14 |
$1K |
| 83605 |
|
46 |
41 |
$1K |
| 93005 |
|
2,808 |
2,492 |
$1K |
| 80048 |
|
150 |
141 |
$1K |
| 96375 |
|
5,640 |
5,174 |
$1K |
| 76805 |
|
13 |
13 |
$1K |
| 81003 |
|
751 |
693 |
$959.44 |
| 87449 |
|
53 |
50 |
$958.09 |
| 84439 |
|
133 |
128 |
$923.19 |
| 80061 |
|
126 |
125 |
$688.68 |
| 36415 |
|
128 |
116 |
$574.72 |
| 87075 |
|
12 |
12 |
$536.98 |
| 71045 |
|
1,209 |
1,128 |
$452.83 |
| 83735 |
|
383 |
344 |
$418.07 |
| 87324 |
|
53 |
50 |
$417.77 |
| 86140 |
|
35 |
23 |
$343.06 |
| J2405 |
Ondansetron hcl injection |
2,514 |
2,333 |
$265.03 |
| J7030 |
Normal saline solution infus |
5,322 |
4,956 |
$261.68 |
| J8499 |
Oral prescrip drug non chemo |
16,241 |
12,577 |
$200.51 |
| 84702 |
|
18 |
14 |
$170.24 |
| 85027 |
|
1,497 |
1,373 |
$138.67 |
| 84466 |
|
12 |
12 |
$105.84 |
| 83690 |
|
2,667 |
2,488 |
$102.51 |
| 87328 |
|
15 |
14 |
$90.48 |
| J1885 |
Ketorolac tromethamine inj |
2,183 |
2,050 |
$88.51 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
446 |
418 |
$65.80 |
| 83540 |
|
14 |
14 |
$48.48 |
| 80306 |
|
509 |
422 |
$29.57 |
| 96372 |
|
140 |
136 |
$24.79 |
| 84703 |
|
528 |
498 |
$22.71 |
| 85610 |
|
309 |
248 |
$5.56 |
| 87329 |
|
15 |
14 |
$3.48 |
| J1200 |
Diphenhydramine hcl injectio |
502 |
469 |
$2.56 |
| 81025 |
|
399 |
373 |
$0.00 |
| 71046 |
|
183 |
169 |
$0.00 |
| J2270 |
Morphine sulfate injection |
177 |
162 |
$0.00 |
| J7120 |
Ringers lactate infusion |
138 |
110 |
$0.00 |
| 84100 |
|
13 |
13 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
14 |
12 |
$0.00 |
| 82947 |
|
22 |
12 |
$0.00 |
| 36416 |
|
260 |
203 |
$0.00 |
| 88305 |
|
142 |
95 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
167 |
152 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
183 |
154 |
$0.00 |
| J1170 |
Hydromorphone injection |
31 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
18 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
31 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
13 |
$0.00 |