| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,095 |
10,479 |
$286K |
| 99282 |
|
3,110 |
3,014 |
$231K |
| 80053 |
|
4,038 |
3,742 |
$229K |
| 36415 |
|
2,648 |
2,449 |
$198K |
| 80048 |
|
2,022 |
1,912 |
$122K |
| 0241U |
|
1,565 |
1,526 |
$122K |
| 87804 |
|
1,590 |
1,551 |
$81K |
| 96361 |
|
1,870 |
1,716 |
$76K |
| 87081 |
|
922 |
904 |
$70K |
| 81025 |
|
2,500 |
2,379 |
$68K |
| 96374 |
|
2,189 |
2,032 |
$47K |
| 71046 |
|
2,580 |
2,479 |
$46K |
| 81001 |
|
3,338 |
3,151 |
$41K |
| 96372 |
|
1,203 |
1,131 |
$32K |
| 81003 |
|
1,432 |
1,382 |
$29K |
| 87086 |
|
1,412 |
1,335 |
$29K |
| 87651 |
|
748 |
728 |
$28K |
| 87077 |
|
585 |
558 |
$26K |
| 99284 |
|
4,511 |
4,264 |
$25K |
| 70553 |
|
24 |
24 |
$23K |
| 73630 |
|
501 |
489 |
$21K |
| 74177 |
|
868 |
848 |
$18K |
| 70450 |
|
652 |
630 |
$17K |
| 96365 |
|
589 |
551 |
$15K |
| 73130 |
|
146 |
143 |
$12K |
| 73610 |
|
348 |
336 |
$12K |
| 87880 |
|
1,161 |
1,139 |
$12K |
| 99285 |
|
2,932 |
2,763 |
$9K |
| 73721 |
|
12 |
12 |
$8K |
| 87210 |
|
181 |
178 |
$8K |
| 85025 |
|
5,902 |
5,362 |
$6K |
| 87491 |
|
472 |
460 |
$6K |
| 96360 |
|
383 |
372 |
$6K |
| 73110 |
|
108 |
105 |
$5K |
| 71045 |
|
869 |
837 |
$5K |
| 99281 |
|
41 |
38 |
$4K |
| 73564 |
|
124 |
122 |
$3K |
| 76705 |
|
69 |
68 |
$2K |
| 74176 |
|
41 |
41 |
$2K |
| 74018 |
|
38 |
37 |
$2K |
| 80047 |
|
24 |
24 |
$2K |
| 77067 |
|
61 |
61 |
$2K |
| 72100 |
|
50 |
49 |
$2K |
| 73030 |
|
25 |
25 |
$1K |
| 73090 |
|
15 |
15 |
$1K |
| 96375 |
|
1,510 |
1,367 |
$1K |
| 80307 |
|
81 |
76 |
$1K |
| 84484 |
|
1,311 |
1,149 |
$649.52 |
| 80061 |
|
161 |
159 |
$638.47 |
| 84702 |
|
43 |
41 |
$459.65 |
| 86140 |
|
259 |
237 |
$357.93 |
| 85379 |
|
138 |
136 |
$247.48 |
| 85610 |
|
197 |
170 |
$239.03 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,460 |
1,412 |
$140.42 |
| 80076 |
|
33 |
28 |
$112.40 |
| 87591 |
|
466 |
453 |
$103.65 |
| 84443 |
|
332 |
320 |
$76.74 |
| J2405 |
Ondansetron hcl injection |
1,081 |
1,013 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,993 |
1,838 |
$0.00 |
| J7120 |
Ringers lactate infusion |
104 |
100 |
$0.00 |
| 93005 |
|
2,169 |
1,967 |
$0.00 |
| J2270 |
Morphine sulfate injection |
257 |
240 |
$0.00 |
| J2550 |
Promethazine hcl injection |
99 |
94 |
$0.00 |
| G1004 |
Cdsm ndsc |
702 |
628 |
$0.00 |
| 87186 |
|
328 |
311 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
157 |
141 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
37 |
37 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
48 |
42 |
$0.00 |
| 93976 |
|
13 |
12 |
$0.00 |
| 94640 |
|
703 |
646 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,663 |
1,565 |
$0.00 |
| 83690 |
|
1,614 |
1,507 |
$0.00 |
| 83605 |
|
417 |
376 |
$0.00 |
| 83735 |
|
532 |
468 |
$0.00 |
| 83880 |
|
110 |
105 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
580 |
553 |
$0.00 |
| 87040 |
|
63 |
50 |
$0.00 |
| A9585 |
Gadobutrol injection |
123 |
115 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
443 |
418 |
$0.00 |
| 90471 |
|
14 |
14 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
123 |
100 |
$0.00 |
| 83036 |
|
40 |
40 |
$0.00 |
| 99291 |
|
39 |
37 |
$0.00 |
| 87661 |
|
73 |
69 |
$0.00 |
| 96376 |
|
27 |
25 |
$0.00 |
| 85651 |
|
25 |
25 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 85730 |
|
12 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$0.00 |