| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,736 |
5,963 |
$364K |
| 99283 |
|
6,866 |
6,164 |
$348K |
| 80053 |
|
6,364 |
5,447 |
$230K |
| 0241U |
|
1,760 |
1,678 |
$212K |
| 74177 |
|
1,285 |
1,146 |
$210K |
| 99285 |
|
5,189 |
3,562 |
$179K |
| 96365 |
|
1,744 |
1,341 |
$143K |
| 70450 |
|
1,172 |
1,048 |
$136K |
| 85025 |
|
8,936 |
7,337 |
$85K |
| 87636 |
|
732 |
689 |
$80K |
| 80048 |
|
2,699 |
2,261 |
$74K |
| 84484 |
|
2,732 |
2,247 |
$73K |
| 36415 |
|
5,175 |
4,038 |
$64K |
| 71046 |
|
3,366 |
3,039 |
$62K |
| 83880 |
|
1,846 |
1,582 |
$52K |
| 97110 |
|
1,122 |
259 |
$43K |
| 83690 |
|
2,654 |
2,282 |
$41K |
| 87502 |
|
429 |
364 |
$39K |
| 87880 |
|
3,101 |
2,902 |
$35K |
| 80305 |
|
2,003 |
1,773 |
$35K |
| 93005 |
|
3,526 |
3,023 |
$29K |
| 87081 |
|
2,798 |
2,617 |
$26K |
| 83605 |
|
1,276 |
1,108 |
$24K |
| 81025 |
|
2,319 |
2,052 |
$21K |
| 71045 |
|
2,036 |
1,866 |
$21K |
| 0240U |
|
174 |
161 |
$18K |
| 87631 |
|
208 |
193 |
$16K |
| 81001 |
|
3,451 |
3,049 |
$15K |
| 87086 |
|
1,555 |
1,405 |
$15K |
| 87804 |
|
610 |
565 |
$13K |
| T1015 |
Clinic service |
1,359 |
852 |
$13K |
| 82077 |
|
704 |
632 |
$12K |
| 81003 |
|
2,901 |
2,568 |
$10K |
| 87186 |
|
818 |
741 |
$7K |
| 83735 |
|
673 |
600 |
$7K |
| 87040 |
|
445 |
402 |
$7K |
| 87077 |
|
726 |
659 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
90 |
80 |
$6K |
| 85610 |
|
925 |
769 |
$5K |
| J2405 |
Ondansetron hcl injection |
2,399 |
2,065 |
$5K |
| 80306 |
|
268 |
241 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
809 |
640 |
$4K |
| 86140 |
|
582 |
539 |
$4K |
| 71020 |
|
268 |
244 |
$4K |
| 85379 |
|
250 |
219 |
$3K |
| 82962 |
|
346 |
256 |
$3K |
| 80076 |
|
105 |
93 |
$3K |
| 84443 |
|
289 |
256 |
$3K |
| 87637 |
|
63 |
54 |
$3K |
| 85730 |
|
324 |
294 |
$3K |
| 82947 |
|
162 |
127 |
$3K |
| 74176 |
|
28 |
25 |
$3K |
| 80050 |
|
74 |
68 |
$2K |
| 87634 |
|
30 |
27 |
$2K |
| 87147 |
|
193 |
182 |
$2K |
| 96361 |
|
59 |
57 |
$2K |
| 71275 |
|
13 |
12 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,014 |
819 |
$2K |
| 72100 |
|
25 |
24 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
35 |
33 |
$1K |
| 87070 |
|
93 |
82 |
$1K |
| 96374 |
|
1,940 |
1,607 |
$1K |
| 96375 |
|
1,497 |
1,245 |
$1K |
| 87088 |
|
112 |
105 |
$1K |
| 74022 |
|
29 |
26 |
$1K |
| 97161 |
|
17 |
13 |
$1K |
| 82803 |
|
26 |
25 |
$1K |
| 83036 |
|
148 |
141 |
$921.89 |
| 80320 |
|
82 |
77 |
$863.63 |
| 73630 |
|
39 |
38 |
$853.42 |
| 73610 |
|
27 |
26 |
$848.72 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,536 |
925 |
$716.30 |
| 87807 |
|
55 |
53 |
$663.51 |
| 80061 |
|
86 |
79 |
$549.80 |
| 73130 |
|
12 |
12 |
$414.66 |
| 87205 |
|
80 |
70 |
$357.40 |
| 73110 |
|
14 |
14 |
$337.03 |
| 80179 |
|
12 |
12 |
$285.30 |
| 80143 |
|
12 |
12 |
$285.30 |
| 96372 |
|
77 |
66 |
$273.13 |
| J2930 |
Methylprednisolone injection |
111 |
96 |
$179.31 |
| J2270 |
Morphine sulfate injection |
637 |
523 |
$175.53 |
| 94761 |
|
54 |
37 |
$140.00 |
| J1200 |
Diphenhydramine hcl injectio |
410 |
331 |
$127.28 |
| J1170 |
Hydromorphone injection |
349 |
279 |
$99.40 |
| J7030 |
Normal saline solution infus |
247 |
162 |
$95.12 |
| J1100 |
Dexamethasone sodium phos |
51 |
39 |
$75.80 |
| J2060 |
Lorazepam injection |
69 |
63 |
$70.09 |
| A9270 |
Non-covered item or service |
463 |
341 |
$68.54 |
| J0780 |
Prochlorperazine injection |
111 |
87 |
$29.61 |
| 94640 |
|
26 |
24 |
$12.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
18 |
15 |
$8.52 |
| 93010 |
|
31 |
26 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
59 |
57 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
12 |
12 |
$0.00 |