| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,078 |
8,284 |
$1.12M |
| 99284 |
|
3,564 |
3,148 |
$487K |
| 96361 |
|
1,024 |
714 |
$378K |
| 99282 |
|
2,249 |
2,000 |
$257K |
| 0240U |
|
926 |
787 |
$139K |
| 99285 |
|
900 |
726 |
$120K |
| 70450 |
|
434 |
360 |
$101K |
| 97110 |
|
1,308 |
300 |
$100K |
| 74177 |
|
435 |
350 |
$98K |
| 74176 |
|
328 |
272 |
$86K |
| 96365 |
|
543 |
338 |
$46K |
| 96360 |
|
120 |
100 |
$35K |
| 80053 |
|
4,262 |
3,497 |
$24K |
| 96366 |
|
125 |
64 |
$20K |
| 73130 |
|
230 |
188 |
$18K |
| 94640 |
|
135 |
114 |
$16K |
| 36415 |
|
4,423 |
3,545 |
$10K |
| 73110 |
|
101 |
74 |
$9K |
| J3490 |
Drugs unclassified injection |
374 |
168 |
$7K |
| 71046 |
|
252 |
206 |
$6K |
| 93005 |
|
1,675 |
1,415 |
$6K |
| 96374 |
|
958 |
712 |
$6K |
| 93306 |
|
16 |
14 |
$5K |
| 87636 |
|
104 |
103 |
$5K |
| 87502 |
|
292 |
271 |
$4K |
| 85025 |
|
6,861 |
5,654 |
$3K |
| 80048 |
|
998 |
804 |
$3K |
| 96372 |
|
725 |
452 |
$3K |
| 84484 |
|
1,646 |
1,353 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
12 |
$2K |
| 71260 |
|
16 |
12 |
$2K |
| 84443 |
|
379 |
324 |
$2K |
| 71045 |
|
1,126 |
954 |
$1K |
| 73630 |
|
103 |
80 |
$1K |
| 84703 |
|
747 |
599 |
$1K |
| 80307 |
|
165 |
124 |
$1K |
| 87651 |
|
330 |
258 |
$1K |
| 73030 |
|
31 |
25 |
$1K |
| 81001 |
|
2,780 |
2,432 |
$853.32 |
| 73610 |
|
28 |
26 |
$592.95 |
| 82248 |
|
2,866 |
2,473 |
$577.07 |
| 77067 |
|
12 |
12 |
$491.43 |
| 83880 |
|
307 |
248 |
$438.64 |
| 87086 |
|
304 |
258 |
$388.17 |
| 87077 |
|
18 |
13 |
$309.94 |
| 80076 |
|
12 |
12 |
$252.36 |
| 96375 |
|
994 |
665 |
$249.72 |
| 80061 |
|
78 |
69 |
$234.50 |
| 36591 |
|
29 |
14 |
$230.51 |
| U0002 |
Covid-19 lab test non-cdc |
360 |
349 |
$222.92 |
| 83690 |
|
1,075 |
860 |
$131.84 |
| 84702 |
|
77 |
67 |
$129.35 |
| 85610 |
|
194 |
147 |
$126.27 |
| 97162 |
|
12 |
12 |
$124.51 |
| 82077 |
|
70 |
58 |
$103.77 |
| 83605 |
|
411 |
333 |
$63.85 |
| 83036 |
|
18 |
12 |
$63.28 |
| 83735 |
|
74 |
46 |
$58.07 |
| 80051 |
|
48 |
47 |
$47.17 |
| 82565 |
|
60 |
59 |
$45.03 |
| J7030 |
Normal saline solution infus |
1,420 |
1,046 |
$43.53 |
| 85379 |
|
265 |
209 |
$34.70 |
| 82947 |
|
48 |
47 |
$25.60 |
| 81003 |
|
502 |
464 |
$21.33 |
| 87186 |
|
17 |
12 |
$13.80 |
| 84520 |
|
48 |
47 |
$13.32 |
| J1642 |
Inj heparin sodium per 10 u |
88 |
49 |
$11.80 |
| J1885 |
Ketorolac tromethamine inj |
674 |
480 |
$11.63 |
| J7120 |
Ringers lactate infusion |
237 |
172 |
$8.09 |
| J2405 |
Ondansetron hcl injection |
931 |
641 |
$6.68 |
| J1100 |
Dexamethasone sodium phos |
326 |
233 |
$2.30 |
| J0696 |
Ceftriaxone sodium injection |
15 |
14 |
$1.93 |
| J2250 |
Inj midazolam hydrochloride |
178 |
132 |
$0.62 |
| 82803 |
|
196 |
162 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
150 |
93 |
$0.00 |
| 87040 |
|
56 |
52 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
158 |
126 |
$0.00 |
| J7050 |
Normal saline solution infus |
30 |
14 |
$0.00 |
| 87081 |
|
29 |
26 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
13 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
781 |
642 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
55 |
30 |
$0.00 |
| 85014 |
|
219 |
177 |
$0.00 |
| 72125 |
|
14 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$0.00 |
| 87880 |
|
15 |
15 |
$0.00 |