| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,118 |
8,581 |
$1.35M |
| 99284 |
|
3,899 |
3,649 |
$573K |
| 74177 |
|
495 |
467 |
$241K |
| 99282 |
|
2,686 |
2,577 |
$196K |
| 99285 |
|
557 |
528 |
$159K |
| 70450 |
|
156 |
149 |
$51K |
| 74176 |
|
42 |
40 |
$17K |
| 96361 |
|
2,049 |
1,865 |
$4K |
| 94640 |
|
275 |
215 |
$1K |
| 84484 |
|
975 |
823 |
$1K |
| 87804 |
|
1,652 |
1,585 |
$589.83 |
| 96375 |
|
1,664 |
1,485 |
$302.27 |
| 96372 |
|
820 |
773 |
$243.85 |
| 93005 |
|
1,632 |
1,470 |
$175.36 |
| 96374 |
|
2,562 |
2,382 |
$94.90 |
| 85025 |
|
4,075 |
3,795 |
$27.46 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,004 |
944 |
$18.00 |
| 80053 |
|
3,218 |
3,001 |
$17.72 |
| 87086 |
|
687 |
656 |
$13.53 |
| 81001 |
|
1,720 |
1,615 |
$10.57 |
| 84703 |
|
1,124 |
1,069 |
$6.46 |
| J1885 |
Ketorolac tromethamine inj |
1,615 |
1,510 |
$6.06 |
| 81025 |
|
633 |
605 |
$5.60 |
| 71045 |
|
1,407 |
1,339 |
$0.00 |
| 87635 |
|
2,160 |
2,077 |
$0.00 |
| 83690 |
|
1,657 |
1,548 |
$0.00 |
| 36415 |
|
4,468 |
4,095 |
$0.00 |
| 80048 |
|
709 |
672 |
$0.00 |
| 84443 |
|
13 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
34 |
28 |
$0.00 |
| 83605 |
|
60 |
51 |
$0.00 |
| 83735 |
|
31 |
31 |
$0.00 |
| 87081 |
|
46 |
45 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.00 |
| 87077 |
|
26 |
25 |
$0.00 |
| 85379 |
|
25 |
25 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
54 |
52 |
$0.00 |
| 96365 |
|
19 |
17 |
$0.00 |
| 82077 |
|
12 |
12 |
$0.00 |
| 81000 |
|
16 |
16 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
31 |
29 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,356 |
1,252 |
$0.00 |
| 87880 |
|
999 |
964 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
2,060 |
1,970 |
$0.00 |
| 71046 |
|
645 |
609 |
$0.00 |
| 81003 |
|
1,048 |
996 |
$0.00 |
| J2270 |
Morphine sulfate injection |
163 |
148 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
41 |
40 |
$0.00 |
| 96360 |
|
96 |
94 |
$0.00 |
| 85610 |
|
15 |
14 |
$0.00 |
| 87400 |
|
19 |
14 |
$0.00 |
| 73630 |
|
12 |
12 |
$0.00 |
| 87186 |
|
26 |
25 |
$0.00 |