| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,823 |
5,344 |
$896K |
| 97110 |
|
6,195 |
1,625 |
$463K |
| 99284 |
|
1,333 |
1,140 |
$455K |
| 99285 |
|
536 |
413 |
$234K |
| 97530 |
|
1,910 |
592 |
$171K |
| 99213 |
|
4,589 |
4,084 |
$162K |
| 80053 |
|
4,118 |
3,438 |
$146K |
| 99282 |
|
731 |
702 |
$133K |
| 87880 |
|
3,819 |
3,695 |
$112K |
| 93005 |
|
878 |
706 |
$85K |
| 99212 |
|
3,097 |
2,534 |
$78K |
| J3490 |
Drugs unclassified injection |
3,605 |
1,669 |
$74K |
| 92507 |
|
622 |
174 |
$73K |
| 85025 |
|
3,181 |
2,618 |
$68K |
| 36415 |
|
6,020 |
4,854 |
$59K |
| 71046 |
|
308 |
284 |
$35K |
| 84443 |
|
1,044 |
958 |
$33K |
| 0241U |
|
250 |
231 |
$30K |
| 96374 |
|
302 |
255 |
$29K |
| 87631 |
|
357 |
307 |
$26K |
| 85027 |
|
1,452 |
1,309 |
$25K |
| 96375 |
|
218 |
138 |
$25K |
| 74177 |
|
15 |
12 |
$24K |
| 87088 |
|
874 |
745 |
$22K |
| 96372 |
|
233 |
188 |
$21K |
| J7030 |
Normal saline solution infus |
405 |
300 |
$20K |
| 99391 |
|
212 |
179 |
$17K |
| 81003 |
|
1,284 |
1,142 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
317 |
287 |
$16K |
| 81001 |
|
995 |
857 |
$12K |
| 96365 |
|
81 |
13 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
148 |
139 |
$11K |
| 84484 |
|
249 |
185 |
$11K |
| J7120 |
Ringers lactate infusion |
343 |
237 |
$10K |
| 80061 |
|
279 |
253 |
$10K |
| 97140 |
|
217 |
81 |
$10K |
| 90834 |
|
81 |
36 |
$9K |
| 96361 |
|
133 |
99 |
$9K |
| 71045 |
|
75 |
59 |
$7K |
| 83735 |
|
558 |
465 |
$7K |
| 80048 |
|
193 |
171 |
$7K |
| 83036 |
|
271 |
246 |
$7K |
| 87635 |
|
96 |
92 |
$7K |
| 86140 |
|
162 |
131 |
$6K |
| 99214 |
|
144 |
121 |
$6K |
| 99394 |
|
54 |
54 |
$5K |
| 81025 |
|
139 |
131 |
$5K |
| J8499 |
Oral prescrip drug non chemo |
888 |
479 |
$4K |
| 80306 |
|
42 |
39 |
$4K |
| 87502 |
|
85 |
80 |
$4K |
| J1100 |
Dexamethasone sodium phos |
182 |
142 |
$4K |
| 84145 |
|
85 |
57 |
$4K |
| 97161 |
|
55 |
53 |
$3K |
| A9270 |
Non-covered item or service |
251 |
43 |
$3K |
| 87591 |
|
48 |
44 |
$3K |
| 87491 |
|
48 |
44 |
$3K |
| 97164 |
|
74 |
70 |
$2K |
| 90686 |
|
276 |
274 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
340 |
247 |
$2K |
| 87651 |
|
41 |
41 |
$2K |
| 97168 |
|
40 |
38 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
338 |
256 |
$2K |
| 87400 |
|
16 |
14 |
$2K |
| J2405 |
Ondansetron hcl injection |
442 |
358 |
$2K |
| 84439 |
|
43 |
38 |
$1K |
| 99393 |
|
15 |
15 |
$1K |
| 99392 |
|
14 |
14 |
$1K |
| 87077 |
|
66 |
56 |
$1K |
| 99203 |
|
31 |
27 |
$1K |
| 99281 |
|
12 |
12 |
$1K |
| 87186 |
|
49 |
41 |
$1K |
| J3010 |
Fentanyl citrate injection |
241 |
195 |
$870.89 |
| 83690 |
|
15 |
13 |
$740.74 |
| J0131 |
Inj, acetaminophen (nos) |
48 |
39 |
$728.34 |
| Q3014 |
Telehealth facility fee |
13 |
12 |
$318.85 |
| 90656 |
|
16 |
16 |
$233.40 |
| 90471 |
|
28 |
27 |
$232.25 |
| J2250 |
Inj midazolam hydrochloride |
27 |
24 |
$144.71 |
| 90685 |
|
13 |
13 |
$139.23 |
| 90670 |
|
13 |
13 |
$131.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33 |
26 |
$129.92 |
| G0008 |
Admin influenza virus vac |
128 |
128 |
$0.00 |