| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,594 |
8,883 |
$3.51M |
| 99283 |
|
16,472 |
16,025 |
$3.23M |
| 80053 |
|
7,523 |
6,739 |
$199K |
| 96374 |
|
2,345 |
2,119 |
$176K |
| 87804 |
|
5,086 |
4,434 |
$61K |
| 80048 |
|
1,107 |
731 |
$61K |
| 70450 |
|
793 |
703 |
$41K |
| 99285 |
|
883 |
728 |
$41K |
| 71045 |
|
3,930 |
3,617 |
$40K |
| 87070 |
|
1,655 |
1,635 |
$31K |
| 93005 |
|
2,673 |
2,290 |
$30K |
| 85027 |
|
10,129 |
8,625 |
$29K |
| 81003 |
|
7,370 |
6,919 |
$26K |
| 87880 |
|
2,287 |
2,256 |
$23K |
| 87635 |
|
1,386 |
1,338 |
$19K |
| 99282 |
|
157 |
151 |
$18K |
| 87420 |
|
603 |
595 |
$17K |
| 74177 |
|
214 |
194 |
$16K |
| G0383 |
Lev 4 hosp type b ed visit |
37 |
28 |
$14K |
| G0463 |
Hospital outpt clinic visit |
1,180 |
883 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
907 |
893 |
$9K |
| 84703 |
|
1,339 |
1,262 |
$8K |
| 74176 |
|
77 |
72 |
$7K |
| 87426 |
|
555 |
542 |
$5K |
| 77063 |
|
118 |
115 |
$5K |
| 71046 |
|
221 |
212 |
$5K |
| 84484 |
|
1,472 |
1,073 |
$5K |
| 77067 |
|
118 |
115 |
$4K |
| S3620 |
Newborn metabolic screening |
96 |
87 |
$4K |
| 96375 |
|
455 |
394 |
$3K |
| 82016 |
|
124 |
115 |
$2K |
| 81025 |
|
307 |
291 |
$2K |
| 59025 |
|
80 |
72 |
$2K |
| 72125 |
|
84 |
74 |
$2K |
| 84702 |
|
235 |
203 |
$2K |
| 94640 |
|
37 |
31 |
$2K |
| 83690 |
|
1,233 |
1,131 |
$2K |
| 82128 |
|
124 |
115 |
$2K |
| 87086 |
|
89 |
84 |
$1K |
| J7030 |
Normal saline solution infus |
1,467 |
1,226 |
$1K |
| 85730 |
|
1,176 |
1,020 |
$638.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
663 |
469 |
$555.52 |
| 82248 |
|
646 |
588 |
$525.71 |
| 85610 |
|
1,305 |
1,114 |
$523.32 |
| 71275 |
|
13 |
12 |
$360.68 |
| 83880 |
|
260 |
239 |
$301.40 |
| J0696 |
Ceftriaxone sodium injection |
146 |
111 |
$208.34 |
| 96361 |
|
13 |
12 |
$194.78 |
| 96372 |
|
110 |
96 |
$151.43 |
| J1885 |
Ketorolac tromethamine inj |
602 |
349 |
$143.15 |
| 86901 |
|
161 |
145 |
$141.92 |
| 86900 |
|
162 |
145 |
$141.92 |
| J2270 |
Morphine sulfate injection |
257 |
175 |
$125.23 |
| 83735 |
|
690 |
532 |
$104.87 |
| J2405 |
Ondansetron hcl injection |
882 |
710 |
$31.95 |
| 87040 |
|
69 |
48 |
$26.01 |
| J1100 |
Dexamethasone sodium phos |
159 |
104 |
$22.79 |
| J3010 |
Fentanyl citrate injection |
40 |
24 |
$10.06 |
| 83605 |
|
158 |
133 |
$9.72 |
| J3490 |
Drugs unclassified injection |
13 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
14 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
65 |
63 |
$0.00 |