| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,917 |
24,467 |
$8.19M |
| 99283 |
|
44,430 |
42,681 |
$4.28M |
| 85027 |
|
29,746 |
27,772 |
$413K |
| G0410 |
Grp psych php/iop 45-50 |
840 |
86 |
$256K |
| 87400 |
|
6,730 |
6,400 |
$254K |
| 71045 |
|
7,169 |
6,782 |
$253K |
| 80053 |
|
11,867 |
11,033 |
$223K |
| 90853 |
|
684 |
112 |
$170K |
| 93005 |
|
6,719 |
6,304 |
$166K |
| 80048 |
|
9,284 |
8,785 |
$158K |
| 87635 |
|
5,067 |
4,904 |
$152K |
| G0411 |
Interactive grp psyc php/iop |
457 |
53 |
$152K |
| J7030 |
Normal saline solution infus |
7,687 |
7,183 |
$143K |
| 93975 |
|
613 |
533 |
$142K |
| 96374 |
|
10,883 |
10,269 |
$138K |
| 87880 |
|
3,983 |
3,858 |
$136K |
| 99282 |
|
1,369 |
1,325 |
$117K |
| 81001 |
|
14,437 |
13,689 |
$106K |
| 80307 |
|
2,017 |
1,854 |
$96K |
| 87070 |
|
2,944 |
2,849 |
$94K |
| 76801 |
|
815 |
698 |
$89K |
| 87426 |
|
2,995 |
2,907 |
$83K |
| J2405 |
Ondansetron hcl injection |
2,263 |
2,103 |
$82K |
| 80076 |
|
2,525 |
2,417 |
$78K |
| 74177 |
|
362 |
352 |
$56K |
| 84484 |
|
3,954 |
3,409 |
$54K |
| 76817 |
|
538 |
460 |
$49K |
| 70450 |
|
977 |
941 |
$48K |
| 83690 |
|
4,552 |
4,363 |
$41K |
| 84702 |
|
1,842 |
1,601 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
953 |
889 |
$31K |
| J1885 |
Ketorolac tromethamine inj |
1,593 |
1,030 |
$27K |
| 99285 |
|
362 |
327 |
$26K |
| 81025 |
|
1,162 |
1,128 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
288 |
281 |
$13K |
| J1756 |
Iron sucrose injection |
17 |
15 |
$9K |
| 74176 |
|
64 |
64 |
$7K |
| 81003 |
|
1,650 |
1,554 |
$6K |
| 83735 |
|
1,028 |
887 |
$6K |
| 96375 |
|
1,816 |
1,639 |
$5K |
| 87088 |
|
950 |
894 |
$5K |
| 83880 |
|
632 |
591 |
$4K |
| 84703 |
|
536 |
512 |
$4K |
| 76815 |
|
26 |
25 |
$3K |
| 96365 |
|
17 |
15 |
$3K |
| 87040 |
|
1,040 |
632 |
$3K |
| 83605 |
|
895 |
778 |
$3K |
| 86901 |
|
935 |
854 |
$2K |
| 86900 |
|
935 |
854 |
$2K |
| 99281 |
|
25 |
25 |
$2K |
| J7120 |
Ringers lactate infusion |
47 |
42 |
$2K |
| 72125 |
|
97 |
96 |
$1K |
| 84112 |
|
13 |
12 |
$1K |
| 82248 |
|
1,386 |
1,338 |
$1K |
| J2270 |
Morphine sulfate injection |
313 |
281 |
$977.05 |
| 87077 |
|
187 |
181 |
$802.29 |
| 36415 |
|
18,488 |
16,936 |
$704.70 |
| 85730 |
|
489 |
470 |
$628.70 |
| 85610 |
|
763 |
725 |
$622.90 |
| U0002 |
Covid-19 lab test non-cdc |
13 |
13 |
$509.56 |
| 87186 |
|
189 |
183 |
$369.84 |
| 87800 |
|
16 |
12 |
$366.80 |
| 96372 |
|
1,190 |
1,124 |
$356.00 |
| 86850 |
|
53 |
50 |
$302.96 |
| J1100 |
Dexamethasone sodium phos |
65 |
54 |
$280.69 |
| 87420 |
|
12 |
12 |
$265.98 |
| 82550 |
|
150 |
131 |
$257.14 |
| 84443 |
|
25 |
25 |
$254.08 |
| 71046 |
|
15 |
15 |
$172.44 |
| 85379 |
|
27 |
24 |
$131.51 |
| 82553 |
|
13 |
13 |
$124.43 |
| 87210 |
|
19 |
18 |
$106.19 |
| J7050 |
Normal saline solution infus |
17 |
15 |
$96.48 |
| 86140 |
|
28 |
25 |
$62.44 |
| J3010 |
Fentanyl citrate injection |
59 |
52 |
$43.09 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
783 |
496 |
$39.13 |
| 84100 |
|
16 |
13 |
$5.68 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$5.07 |
| A9270 |
Non-covered item or service |
2,054 |
1,267 |
$0.00 |
| 96361 |
|
54 |
50 |
$0.00 |
| G1003 |
Cdsm medicalis |
484 |
462 |
$0.00 |