| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90853 |
|
21,125 |
2,555 |
$2.04M |
| 99284 |
|
5,469 |
4,135 |
$863K |
| 99283 |
|
5,668 |
4,721 |
$839K |
| 99285 |
|
3,302 |
2,403 |
$599K |
| 87428 |
|
7,789 |
6,563 |
$418K |
| 71046 |
|
6,107 |
4,977 |
$240K |
| 87804 |
|
12,732 |
7,085 |
$213K |
| 96372 |
|
4,112 |
3,195 |
$189K |
| 87880 |
|
15,078 |
12,255 |
$188K |
| 99282 |
|
2,111 |
1,772 |
$182K |
| 96374 |
|
1,954 |
1,618 |
$169K |
| 70450 |
|
1,361 |
1,137 |
$113K |
| 87502 |
|
1,377 |
1,304 |
$111K |
| 87426 |
|
3,700 |
2,977 |
$110K |
| 87635 |
|
2,314 |
2,152 |
$94K |
| 96365 |
|
946 |
771 |
$81K |
| 71045 |
|
2,402 |
1,911 |
$76K |
| 85025 |
|
9,441 |
7,572 |
$54K |
| 74018 |
|
1,314 |
1,120 |
$53K |
| 93005 |
|
2,767 |
2,305 |
$46K |
| 87651 |
|
1,458 |
1,360 |
$45K |
| 96375 |
|
1,636 |
1,262 |
$43K |
| 80053 |
|
5,244 |
4,187 |
$35K |
| 94640 |
|
306 |
245 |
$30K |
| 99281 |
|
641 |
534 |
$30K |
| 87807 |
|
2,490 |
2,136 |
$26K |
| 96361 |
|
1,040 |
805 |
$25K |
| 74176 |
|
179 |
148 |
$24K |
| 80307 |
|
566 |
476 |
$24K |
| 81025 |
|
3,835 |
3,344 |
$24K |
| 87634 |
|
353 |
346 |
$22K |
| 80305 |
|
1,854 |
1,642 |
$18K |
| 73560 |
|
474 |
383 |
$17K |
| 83880 |
|
764 |
621 |
$13K |
| 73030 |
|
310 |
256 |
$12K |
| 84484 |
|
1,889 |
1,405 |
$12K |
| 81001 |
|
4,451 |
3,721 |
$12K |
| 83036 |
|
1,250 |
1,140 |
$11K |
| 80048 |
|
1,520 |
1,283 |
$11K |
| Q3014 |
Telehealth facility fee |
485 |
429 |
$10K |
| 36415 |
|
5,420 |
4,158 |
$10K |
| 81003 |
|
5,430 |
4,574 |
$10K |
| 72100 |
|
254 |
214 |
$10K |
| 87081 |
|
1,277 |
1,095 |
$9K |
| 90832 |
|
81 |
64 |
$7K |
| 73630 |
|
180 |
146 |
$6K |
| 73610 |
|
131 |
103 |
$5K |
| 99213 |
|
112 |
80 |
$3K |
| 87210 |
|
902 |
824 |
$3K |
| 85018 |
|
1,553 |
1,447 |
$3K |
| 87186 |
|
392 |
316 |
$3K |
| 87077 |
|
463 |
367 |
$3K |
| 80061 |
|
237 |
222 |
$3K |
| M0243 |
Casirivi and imdevi inj |
30 |
23 |
$3K |
| 83690 |
|
537 |
445 |
$2K |
| 85610 |
|
711 |
376 |
$2K |
| 83605 |
|
510 |
362 |
$2K |
| 83735 |
|
652 |
532 |
$2K |
| 74019 |
|
33 |
27 |
$2K |
| 97110 |
|
50 |
12 |
$2K |
| 87086 |
|
339 |
295 |
$2K |
| 73502 |
|
76 |
53 |
$2K |
| 87040 |
|
174 |
104 |
$2K |
| 82553 |
|
136 |
121 |
$1K |
| 72110 |
|
25 |
15 |
$1K |
| 90837 |
|
84 |
12 |
$1K |
| 87088 |
|
139 |
128 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
15 |
13 |
$1K |
| 94660 |
|
60 |
27 |
$983.80 |
| 74022 |
|
17 |
12 |
$981.58 |
| 84443 |
|
81 |
67 |
$935.98 |
| J1100 |
Dexamethasone sodium phos |
393 |
357 |
$887.75 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
226 |
203 |
$686.06 |
| 82550 |
|
124 |
107 |
$672.64 |
| 73562 |
|
13 |
12 |
$623.48 |
| 36592 |
|
188 |
140 |
$392.00 |
| J0696 |
Ceftriaxone sodium injection |
1,003 |
897 |
$339.34 |
| 82962 |
|
156 |
91 |
$300.32 |
| J1885 |
Ketorolac tromethamine inj |
1,247 |
1,030 |
$240.52 |
| 82150 |
|
44 |
39 |
$233.40 |
| 88142 |
|
18 |
16 |
$220.03 |
| 85730 |
|
57 |
52 |
$197.19 |
| 87070 |
|
33 |
27 |
$178.48 |
| J2405 |
Ondansetron hcl injection |
918 |
724 |
$138.38 |
| 85378 |
|
16 |
12 |
$91.88 |
| J3490 |
Drugs unclassified injection |
1,468 |
987 |
$0.00 |
| P9612 |
Catheterize for urine spec |
48 |
41 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
806 |
552 |
$0.00 |
| J7030 |
Normal saline solution infus |
153 |
123 |
$0.00 |
| J7040 |
Normal saline solution infus |
15 |
13 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
12 |
12 |
$0.00 |