| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,117 |
8,934 |
$2.36M |
| 99284 |
|
10,994 |
9,234 |
$2.22M |
| 96361 |
|
3,360 |
2,955 |
$1.61M |
| 99285 |
|
5,185 |
4,459 |
$1.37M |
| 99282 |
|
3,018 |
2,781 |
$651K |
| 97110 |
|
6,960 |
2,179 |
$559K |
| 74177 |
|
2,005 |
1,708 |
$557K |
| 70450 |
|
1,764 |
1,464 |
$454K |
| 0241U |
|
2,992 |
2,753 |
$288K |
| 93306 |
|
453 |
432 |
$243K |
| 96360 |
|
887 |
815 |
$191K |
| 96365 |
|
1,399 |
1,216 |
$153K |
| 71275 |
|
448 |
413 |
$148K |
| 76705 |
|
787 |
679 |
$110K |
| 80307 |
|
1,472 |
1,308 |
$102K |
| 74176 |
|
411 |
356 |
$101K |
| 77067 |
|
804 |
762 |
$69K |
| 97161 |
|
352 |
344 |
$66K |
| 96366 |
|
172 |
154 |
$61K |
| 71046 |
|
2,714 |
2,311 |
$52K |
| 97140 |
|
398 |
138 |
$44K |
| 94640 |
|
588 |
525 |
$42K |
| 80053 |
|
6,993 |
6,056 |
$42K |
| 97162 |
|
118 |
115 |
$31K |
| 80048 |
|
5,229 |
4,198 |
$30K |
| 99220 |
|
363 |
117 |
$24K |
| 99213 |
|
427 |
413 |
$23K |
| 96374 |
|
5,562 |
4,873 |
$19K |
| 93005 |
|
5,910 |
5,051 |
$18K |
| G0480 |
Drug test def 1-7 classes |
1,131 |
948 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
369 |
336 |
$12K |
| 74018 |
|
231 |
191 |
$10K |
| 43239 |
|
12 |
12 |
$10K |
| 96375 |
|
4,109 |
3,493 |
$9K |
| 71045 |
|
3,943 |
3,270 |
$9K |
| 72100 |
|
159 |
128 |
$8K |
| 99203 |
|
100 |
97 |
$8K |
| 99291 |
|
26 |
25 |
$8K |
| J8597 |
Antiemetic drug oral nos |
829 |
689 |
$7K |
| 99281 |
|
43 |
42 |
$6K |
| 83880 |
|
663 |
597 |
$6K |
| 93017 |
|
39 |
36 |
$6K |
| 76830 |
|
47 |
40 |
$6K |
| 97014 |
|
93 |
39 |
$5K |
| 84484 |
|
3,948 |
3,211 |
$5K |
| 85025 |
|
11,166 |
9,155 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,850 |
3,222 |
$4K |
| 73630 |
|
268 |
226 |
$4K |
| 72125 |
|
154 |
136 |
$4K |
| 73610 |
|
213 |
175 |
$3K |
| 73030 |
|
124 |
104 |
$3K |
| 73562 |
|
106 |
94 |
$3K |
| 99214 |
|
31 |
29 |
$3K |
| 85379 |
|
465 |
424 |
$2K |
| 99204 |
|
18 |
18 |
$2K |
| 81025 |
|
2,476 |
2,225 |
$2K |
| 83690 |
|
2,985 |
2,604 |
$2K |
| J3490 |
Drugs unclassified injection |
9,270 |
4,561 |
$2K |
| 83605 |
|
1,791 |
1,553 |
$1K |
| 81001 |
|
4,847 |
4,305 |
$1K |
| 80076 |
|
576 |
524 |
$987.12 |
| 87086 |
|
1,288 |
1,157 |
$837.21 |
| 87636 |
|
35 |
33 |
$828.46 |
| 36415 |
|
3,273 |
2,323 |
$808.37 |
| 83735 |
|
3,304 |
2,852 |
$768.47 |
| 73130 |
|
70 |
53 |
$764.29 |
| 82962 |
|
1,720 |
1,054 |
$684.69 |
| 99235 |
|
46 |
12 |
$674.82 |
| 99239 |
|
12 |
12 |
$647.77 |
| J7030 |
Normal saline solution infus |
4,671 |
3,775 |
$604.25 |
| 96372 |
|
1,415 |
1,157 |
$588.71 |
| 80306 |
|
322 |
283 |
$576.63 |
| 81003 |
|
1,354 |
1,242 |
$480.48 |
| 84703 |
|
1,366 |
1,239 |
$469.36 |
| 87804 |
|
499 |
464 |
$437.89 |
| 85027 |
|
183 |
144 |
$409.31 |
| J1100 |
Dexamethasone sodium phos |
1,114 |
977 |
$374.69 |
| G0378 |
Hospital observation per hr |
19 |
13 |
$370.21 |
| J1885 |
Ketorolac tromethamine inj |
2,813 |
2,399 |
$346.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,287 |
3,029 |
$340.47 |
| 87880 |
|
909 |
856 |
$287.88 |
| J7120 |
Ringers lactate infusion |
1,707 |
1,397 |
$238.72 |
| 71260 |
|
13 |
12 |
$228.77 |
| J3010 |
Fentanyl citrate injection |
2,388 |
1,653 |
$225.41 |
| 87040 |
|
177 |
144 |
$209.70 |
| 96376 |
|
801 |
596 |
$185.84 |
| 87591 |
|
15 |
14 |
$176.43 |
| J2001 |
Lidocaine injection |
1,514 |
1,242 |
$161.90 |
| J2270 |
Morphine sulfate injection |
1,309 |
1,038 |
$139.48 |
| 90471 |
|
44 |
39 |
$125.30 |
| 87081 |
|
732 |
685 |
$109.35 |
| J2704 |
Inj, propofol, 10 mg |
1,573 |
1,298 |
$109.05 |
| 73110 |
|
15 |
13 |
$99.13 |
| 80047 |
|
15 |
13 |
$96.14 |
| 86140 |
|
28 |
16 |
$83.40 |
| 88305 |
|
28 |
25 |
$51.17 |
| J2250 |
Inj midazolam hydrochloride |
562 |
454 |
$48.24 |
| 85610 |
|
241 |
216 |
$42.16 |
| J8499 |
Oral prescrip drug non chemo |
3,845 |
1,181 |
$36.02 |
| 87186 |
|
144 |
129 |
$32.42 |
| J0690 |
Cefazolin sodium injection |
440 |
342 |
$31.06 |
| 85652 |
|
58 |
43 |
$28.95 |
| 87491 |
|
15 |
14 |
$19.44 |
| 85014 |
|
16 |
14 |
$11.57 |
| J1200 |
Diphenhydramine hcl injectio |
301 |
255 |
$11.25 |
| 82803 |
|
16 |
13 |
$9.27 |
| 86850 |
|
32 |
26 |
$7.16 |
| J0696 |
Ceftriaxone sodium injection |
190 |
128 |
$5.01 |
| 86900 |
|
34 |
28 |
$3.58 |
| 86901 |
|
36 |
30 |
$3.58 |
| J7050 |
Normal saline solution infus |
54 |
40 |
$3.24 |
| J3475 |
Inj magnesium sulfate |
57 |
50 |
$1.80 |
| G1004 |
Cdsm ndsc |
521 |
356 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
51 |
26 |
$0.00 |
| S0164 |
Injection pantroprazole |
17 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
17 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
15 |
12 |
$0.00 |
| 84702 |
|
16 |
15 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
17 |
13 |
$0.00 |
| 87077 |
|
27 |
25 |
$0.00 |
| J2060 |
Lorazepam injection |
46 |
38 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
43 |
37 |
$0.00 |
| J7999 |
Compounded drug, noc |
206 |
135 |
$0.00 |
| 85730 |
|
31 |
29 |
$0.00 |
| J1790 |
Droperidol injection |
34 |
29 |
$0.00 |