| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,362 |
9,179 |
$1.56M |
| 99284 |
|
9,000 |
7,946 |
$1.37M |
| 99285 |
|
6,085 |
5,181 |
$990K |
| 96361 |
|
3,660 |
3,249 |
$858K |
| 70450 |
|
3,455 |
2,605 |
$458K |
| 99282 |
|
3,422 |
3,071 |
$457K |
| 74177 |
|
2,352 |
1,739 |
$427K |
| 97110 |
|
6,381 |
1,688 |
$355K |
| 0241U |
|
4,573 |
4,185 |
$265K |
| 74176 |
|
1,437 |
1,087 |
$206K |
| 96365 |
|
2,432 |
2,071 |
$169K |
| 96366 |
|
589 |
519 |
$135K |
| 80307 |
|
2,165 |
1,914 |
$84K |
| 94640 |
|
1,477 |
1,172 |
$78K |
| 96360 |
|
474 |
439 |
$63K |
| 80053 |
|
14,722 |
11,255 |
$62K |
| 71046 |
|
4,091 |
3,099 |
$51K |
| 97161 |
|
349 |
333 |
$46K |
| 71045 |
|
8,672 |
6,197 |
$38K |
| G0480 |
Drug test def 1-7 classes |
2,104 |
1,661 |
$30K |
| 83880 |
|
2,767 |
2,386 |
$26K |
| 99281 |
|
202 |
176 |
$25K |
| 93005 |
|
7,852 |
6,160 |
$24K |
| 96374 |
|
6,368 |
5,423 |
$18K |
| 85025 |
|
15,560 |
11,736 |
$18K |
| 87040 |
|
2,247 |
1,652 |
$15K |
| 72125 |
|
359 |
276 |
$13K |
| 84484 |
|
6,295 |
4,593 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
784 |
707 |
$12K |
| 77067 |
|
249 |
180 |
$12K |
| 71275 |
|
63 |
50 |
$9K |
| 96372 |
|
4,145 |
3,531 |
$9K |
| 97014 |
|
279 |
85 |
$8K |
| 96375 |
|
5,131 |
4,165 |
$8K |
| 83735 |
|
8,525 |
6,911 |
$8K |
| 85379 |
|
1,474 |
1,322 |
$7K |
| 81001 |
|
5,217 |
4,566 |
$6K |
| 87804 |
|
2,291 |
1,875 |
$5K |
| 83605 |
|
3,439 |
2,905 |
$5K |
| J2930 |
Methylprednisolone injection |
846 |
668 |
$5K |
| 99220 |
|
138 |
44 |
$5K |
| 73564 |
|
354 |
260 |
$4K |
| 87880 |
|
3,985 |
3,688 |
$4K |
| J7030 |
Normal saline solution infus |
4,902 |
3,949 |
$4K |
| 73630 |
|
303 |
213 |
$4K |
| 85610 |
|
5,835 |
5,011 |
$3K |
| 72100 |
|
182 |
133 |
$3K |
| 36600 |
|
1,117 |
840 |
$3K |
| J3490 |
Drugs unclassified injection |
4,033 |
2,729 |
$3K |
| 85730 |
|
4,702 |
4,117 |
$3K |
| 73030 |
|
239 |
175 |
$3K |
| 80179 |
|
572 |
501 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,384 |
2,947 |
$3K |
| 72131 |
|
45 |
38 |
$2K |
| 87081 |
|
3,417 |
3,176 |
$2K |
| 36415 |
|
3,028 |
1,923 |
$2K |
| 82150 |
|
1,744 |
1,537 |
$2K |
| J8597 |
Antiemetic drug oral nos |
278 |
260 |
$2K |
| 87086 |
|
1,451 |
1,293 |
$2K |
| 81025 |
|
930 |
862 |
$2K |
| 80143 |
|
590 |
520 |
$2K |
| 73130 |
|
101 |
68 |
$1K |
| 73610 |
|
225 |
171 |
$1K |
| 81003 |
|
2,318 |
2,101 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,109 |
1,787 |
$1K |
| 82962 |
|
1,797 |
848 |
$1K |
| 96376 |
|
1,223 |
896 |
$1K |
| 80048 |
|
553 |
476 |
$1K |
| 82803 |
|
767 |
568 |
$1K |
| 84703 |
|
1,640 |
1,474 |
$1K |
| 87635 |
|
50 |
50 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,003 |
1,568 |
$1K |
| 93971 |
|
33 |
26 |
$1K |
| J8499 |
Oral prescrip drug non chemo |
7,882 |
1,876 |
$834.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,878 |
2,625 |
$650.97 |
| J3010 |
Fentanyl citrate injection |
1,328 |
1,086 |
$633.76 |
| 87186 |
|
870 |
728 |
$616.54 |
| J2550 |
Promethazine hcl injection |
500 |
420 |
$526.50 |
| 71260 |
|
14 |
12 |
$484.74 |
| 87807 |
|
61 |
55 |
$477.67 |
| 90715 |
|
27 |
25 |
$474.90 |
| 80306 |
|
350 |
308 |
$443.93 |
| 71250 |
|
13 |
12 |
$364.25 |
| 87077 |
|
668 |
555 |
$299.29 |
| 82140 |
|
187 |
158 |
$237.59 |
| J1100 |
Dexamethasone sodium phos |
732 |
638 |
$184.06 |
| 93010 |
|
34 |
26 |
$178.98 |
| 85652 |
|
190 |
166 |
$132.24 |
| 73110 |
|
20 |
14 |
$130.10 |
| J1200 |
Diphenhydramine hcl injectio |
189 |
161 |
$125.60 |
| J2250 |
Inj midazolam hydrochloride |
255 |
199 |
$96.19 |
| 85027 |
|
19 |
19 |
$53.48 |
| 83690 |
|
807 |
708 |
$47.40 |
| J0780 |
Prochlorperazine injection |
313 |
283 |
$25.96 |
| Q0169 |
Promethazine hcl 12.5mg oral |
17 |
13 |
$18.73 |
| J7040 |
Normal saline solution infus |
208 |
177 |
$16.88 |
| P9612 |
Catheterize for urine spec |
131 |
125 |
$16.14 |
| 90471 |
|
34 |
27 |
$16.10 |
| 87147 |
|
26 |
25 |
$9.44 |
| 82550 |
|
16 |
13 |
$5.06 |
| J2001 |
Lidocaine injection |
76 |
68 |
$4.85 |
| J2060 |
Lorazepam injection |
56 |
43 |
$4.63 |
| J3480 |
Inj potassium chloride |
87 |
61 |
$2.20 |
| J7050 |
Normal saline solution infus |
16 |
12 |
$1.69 |
| C9113 |
Inj pantoprazole sodium, via |
14 |
13 |
$1.40 |
| J2270 |
Morphine sulfate injection |
18 |
16 |
$1.36 |
| J1815 |
Insulin injection |
19 |
13 |
$0.33 |
| J2360 |
Orphenadrine injection |
132 |
127 |
$0.00 |
| 87205 |
|
12 |
12 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
45 |
41 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
14 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,552 |
1,844 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
14 |
14 |
$0.00 |
| S0164 |
Injection pantroprazole |
65 |
61 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
45 |
40 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
13 |
13 |
$0.00 |