| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
33,767 |
28,483 |
$4.99M |
| 99285 |
|
23,476 |
19,607 |
$3.40M |
| 99283 |
|
14,881 |
12,910 |
$2.23M |
| 71046 |
|
14,806 |
12,573 |
$1.99M |
| 93005 |
|
20,938 |
17,017 |
$1.30M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,095 |
5,103 |
$1.25M |
| 0241U |
|
9,572 |
8,427 |
$976K |
| 71045 |
|
7,637 |
6,412 |
$898K |
| 74177 |
|
1,813 |
1,541 |
$747K |
| C9803 |
Hopd covid-19 spec collect |
11,088 |
9,223 |
$671K |
| 96361 |
|
11,842 |
9,928 |
$620K |
| 70450 |
|
5,014 |
4,162 |
$535K |
| 74176 |
|
1,934 |
1,536 |
$371K |
| 66984 |
|
360 |
195 |
$348K |
| 99213 |
|
3,672 |
3,087 |
$318K |
| 80053 |
|
41,732 |
34,388 |
$236K |
| 11042 |
|
487 |
149 |
$230K |
| 96374 |
|
17,130 |
14,400 |
$180K |
| 85025 |
|
40,664 |
33,556 |
$169K |
| 36415 |
|
75,793 |
60,529 |
$155K |
| 43239 |
|
116 |
82 |
$120K |
| 87631 |
|
2,209 |
2,041 |
$117K |
| 96372 |
|
6,796 |
5,425 |
$115K |
| 87635 |
|
2,953 |
2,340 |
$92K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,273 |
1,126 |
$86K |
| 84484 |
|
9,948 |
7,379 |
$80K |
| 93306 |
|
252 |
167 |
$74K |
| 81025 |
|
12,906 |
11,066 |
$72K |
| 81001 |
|
30,373 |
25,551 |
$56K |
| 45385 |
|
32 |
25 |
$46K |
| 87651 |
|
1,760 |
1,602 |
$44K |
| 97110 |
|
1,200 |
257 |
$41K |
| 83690 |
|
10,962 |
9,122 |
$37K |
| 87637 |
|
313 |
277 |
$37K |
| 96375 |
|
11,454 |
9,559 |
$36K |
| 96365 |
|
1,018 |
903 |
$33K |
| 83735 |
|
8,981 |
7,445 |
$33K |
| 80307 |
|
933 |
767 |
$33K |
| 99212 |
|
290 |
256 |
$30K |
| 92507 |
|
191 |
64 |
$30K |
| 87491 |
|
1,144 |
999 |
$29K |
| 87591 |
|
1,145 |
1,000 |
$29K |
| 45378 |
|
14 |
12 |
$29K |
| 80050 |
|
162 |
152 |
$27K |
| 87086 |
|
5,680 |
4,754 |
$27K |
| 87040 |
|
2,972 |
2,094 |
$26K |
| 93296 |
|
235 |
167 |
$25K |
| 84443 |
|
2,624 |
2,361 |
$24K |
| 76816 |
|
179 |
151 |
$20K |
| 85027 |
|
5,311 |
4,512 |
$20K |
| 96360 |
|
296 |
261 |
$19K |
| G0463 |
Hospital outpt clinic visit |
1,095 |
776 |
$19K |
| 85730 |
|
5,409 |
4,437 |
$18K |
| 88305 |
|
803 |
632 |
$17K |
| U0005 |
Infec agen detec ampli probe |
817 |
711 |
$14K |
| 85610 |
|
6,066 |
4,916 |
$14K |
| 88142 |
|
1,335 |
1,207 |
$13K |
| 87804 |
|
957 |
539 |
$13K |
| 99282 |
|
114 |
105 |
$12K |
| 76805 |
|
110 |
92 |
$12K |
| 82306 |
|
599 |
554 |
$11K |
| 94640 |
|
694 |
586 |
$11K |
| 99232 |
|
33 |
14 |
$11K |
| 87624 |
|
449 |
400 |
$9K |
| 80048 |
|
2,208 |
1,913 |
$9K |
| 84439 |
|
1,589 |
1,456 |
$8K |
| 68841 |
|
62 |
42 |
$8K |
| 83605 |
|
1,162 |
923 |
$7K |
| 74018 |
|
41 |
38 |
$7K |
| 86140 |
|
2,187 |
1,982 |
$7K |
| 83036 |
|
1,362 |
1,253 |
$7K |
| 84481 |
|
610 |
565 |
$6K |
| 80061 |
|
683 |
635 |
$6K |
| 70553 |
|
19 |
14 |
$5K |
| 82565 |
|
1,645 |
1,519 |
$5K |
| 82077 |
|
405 |
344 |
$5K |
| 80076 |
|
836 |
770 |
$4K |
| 83880 |
|
207 |
187 |
$4K |
| 85652 |
|
2,106 |
1,911 |
$4K |
| 73630 |
|
311 |
227 |
$3K |
| 86780 |
|
298 |
272 |
$3K |
| 84145 |
|
211 |
173 |
$3K |
| 76830 |
|
53 |
48 |
$3K |
| 97140 |
|
751 |
169 |
$3K |
| 84460 |
|
908 |
838 |
$3K |
| 84450 |
|
909 |
840 |
$3K |
| 80051 |
|
659 |
609 |
$3K |
| 82607 |
|
274 |
257 |
$2K |
| 76819 |
|
40 |
26 |
$2K |
| 85379 |
|
319 |
284 |
$2K |
| 84520 |
|
875 |
810 |
$2K |
| 87880 |
|
200 |
115 |
$2K |
| 87081 |
|
304 |
283 |
$2K |
| G0480 |
Drug test def 1-7 classes |
60 |
50 |
$2K |
| 72125 |
|
12 |
12 |
$1K |
| 97014 |
|
53 |
13 |
$1K |
| 87807 |
|
100 |
44 |
$1K |
| 72110 |
|
18 |
18 |
$1K |
| 99281 |
|
21 |
14 |
$1K |
| 82310 |
|
386 |
362 |
$1K |
| A9576 |
Inj prohance multipack |
20 |
15 |
$870.10 |
| 82570 |
|
309 |
274 |
$791.98 |
| 82043 |
|
265 |
238 |
$777.99 |
| 82550 |
|
242 |
207 |
$738.91 |
| 88175 |
|
54 |
50 |
$615.76 |
| 77003 |
|
220 |
183 |
$581.44 |
| 80069 |
|
131 |
103 |
$547.75 |
| 99214 |
|
15 |
12 |
$367.20 |
| 82746 |
|
49 |
48 |
$356.88 |
| 86850 |
|
81 |
75 |
$355.05 |
| 87150 |
|
13 |
12 |
$321.46 |
| 87070 |
|
55 |
40 |
$292.72 |
| 87389 |
|
15 |
13 |
$264.88 |
| 82785 |
|
17 |
13 |
$181.06 |
| 86803 |
|
15 |
13 |
$156.97 |
| 87077 |
|
31 |
26 |
$145.44 |
| 86901 |
|
54 |
50 |
$140.95 |
| 83615 |
|
51 |
42 |
$126.95 |
| 83550 |
|
37 |
37 |
$120.59 |
| 86900 |
|
42 |
38 |
$114.13 |
| 87340 |
|
15 |
13 |
$100.83 |
| 83540 |
|
37 |
37 |
$89.27 |
| 86592 |
|
47 |
43 |
$51.63 |
| 82947 |
|
47 |
24 |
$48.58 |
| 86308 |
|
13 |
12 |
$46.62 |
| 84156 |
|
30 |
24 |
$29.61 |
| J2360 |
Orphenadrine injection |
3,429 |
2,798 |
$25.22 |
| J1885 |
Ketorolac tromethamine inj |
10,938 |
8,939 |
$20.07 |
| J2405 |
Ondansetron hcl injection |
4,297 |
3,456 |
$9.10 |
| J2270 |
Morphine sulfate injection |
1,201 |
940 |
$1.87 |
| J1100 |
Dexamethasone sodium phos |
1,407 |
1,160 |
$1.40 |
| J2765 |
Metoclopramide hcl injection |
57 |
48 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
247 |
211 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,200 |
879 |
$0.00 |
| J2060 |
Lorazepam injection |
61 |
51 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
533 |
439 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
74 |
63 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
132 |
92 |
$0.00 |
| J0500 |
Dicyclomine injection |
85 |
80 |
$0.00 |
| 87205 |
|
22 |
12 |
$0.00 |
| 82962 |
|
21 |
15 |
$0.00 |
| C1769 |
Guide wire |
29 |
25 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,209 |
644 |
$0.00 |
| G1004 |
Cdsm ndsc |
177 |
123 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
676 |
376 |
$0.00 |
| 84425 |
|
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
113 |
92 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
160 |
136 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
123 |
107 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
20 |
13 |
$0.00 |
| J1096 |
Dexametha opth insert 0.1 mg |
64 |
43 |
$0.00 |