| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,342 |
8,461 |
$2.35M |
| 99285 |
|
3,489 |
3,072 |
$1.12M |
| 99283 |
|
6,708 |
6,208 |
$1.08M |
| 80053 |
|
21,322 |
18,537 |
$162K |
| 93005 |
|
3,227 |
2,855 |
$146K |
| 0202U |
|
370 |
347 |
$141K |
| 85025 |
|
23,050 |
20,019 |
$131K |
| 43239 |
|
485 |
374 |
$121K |
| 87426 |
|
3,412 |
3,050 |
$106K |
| 70450 |
|
375 |
333 |
$83K |
| 71045 |
|
2,520 |
2,256 |
$77K |
| 94760 |
|
7,922 |
6,261 |
$66K |
| 96375 |
|
2,033 |
1,441 |
$66K |
| 36415 |
|
20,222 |
18,007 |
$46K |
| 93306 |
|
85 |
63 |
$44K |
| G0378 |
Hospital observation per hr |
135 |
116 |
$43K |
| 71046 |
|
678 |
624 |
$41K |
| 80307 |
|
796 |
682 |
$33K |
| 96365 |
|
1,014 |
808 |
$33K |
| 96361 |
|
1,207 |
641 |
$31K |
| 87880 |
|
2,213 |
1,998 |
$30K |
| 87804 |
|
1,840 |
1,612 |
$24K |
| 82306 |
|
1,160 |
1,055 |
$23K |
| 99282 |
|
228 |
212 |
$22K |
| 84443 |
|
1,650 |
1,536 |
$22K |
| 80061 |
|
1,735 |
1,628 |
$18K |
| 83036 |
|
2,393 |
2,199 |
$17K |
| 96374 |
|
1,032 |
713 |
$16K |
| 84484 |
|
2,385 |
1,830 |
$16K |
| 86710 |
|
1,137 |
1,051 |
$16K |
| 96372 |
|
2,190 |
1,597 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
439 |
354 |
$14K |
| 82607 |
|
915 |
843 |
$11K |
| 81000 |
|
3,809 |
3,414 |
$9K |
| 82746 |
|
727 |
662 |
$8K |
| 82728 |
|
734 |
672 |
$7K |
| 82550 |
|
1,823 |
1,500 |
$7K |
| 84439 |
|
982 |
886 |
$7K |
| 45380 |
|
122 |
100 |
$7K |
| 82553 |
|
1,055 |
872 |
$6K |
| 83735 |
|
1,379 |
1,181 |
$6K |
| 83550 |
|
761 |
693 |
$5K |
| 81003 |
|
3,589 |
3,067 |
$5K |
| 83540 |
|
782 |
720 |
$4K |
| 93880 |
|
14 |
14 |
$3K |
| 86376 |
|
284 |
258 |
$3K |
| 93925 |
|
15 |
15 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
443 |
379 |
$3K |
| 87081 |
|
436 |
408 |
$3K |
| 83880 |
|
138 |
119 |
$3K |
| 81025 |
|
372 |
337 |
$3K |
| 99281 |
|
48 |
45 |
$3K |
| 74018 |
|
39 |
37 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
33 |
33 |
$2K |
| 87086 |
|
282 |
265 |
$2K |
| 81002 |
|
726 |
667 |
$2K |
| 86803 |
|
172 |
164 |
$2K |
| 80050 |
|
49 |
43 |
$2K |
| J1100 |
Dexamethasone sodium phos |
192 |
161 |
$2K |
| 84703 |
|
205 |
187 |
$2K |
| J0780 |
Prochlorperazine injection |
66 |
64 |
$1K |
| 82784 |
|
506 |
268 |
$1K |
| J2405 |
Ondansetron hcl injection |
229 |
210 |
$1K |
| 93041 |
|
111 |
101 |
$1K |
| 96376 |
|
58 |
12 |
$927.72 |
| 82785 |
|
293 |
268 |
$821.42 |
| 36591 |
|
802 |
697 |
$802.49 |
| 73630 |
|
17 |
13 |
$786.71 |
| 80305 |
|
72 |
70 |
$775.74 |
| 83690 |
|
336 |
320 |
$757.74 |
| 80048 |
|
113 |
105 |
$728.31 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33 |
24 |
$693.49 |
| 84481 |
|
69 |
58 |
$633.98 |
| 72100 |
|
13 |
13 |
$560.80 |
| 87807 |
|
36 |
36 |
$458.50 |
| 82043 |
|
117 |
100 |
$452.58 |
| 86140 |
|
189 |
180 |
$425.28 |
| 87420 |
|
30 |
27 |
$416.82 |
| 86592 |
|
115 |
104 |
$380.03 |
| 82150 |
|
291 |
280 |
$363.97 |
| J1170 |
Hydromorphone injection |
28 |
24 |
$222.35 |
| J2704 |
Inj, propofol, 10 mg |
503 |
399 |
$193.27 |
| J2270 |
Morphine sulfate injection |
13 |
13 |
$191.56 |
| 83516 |
|
67 |
67 |
$148.77 |
| J2175 |
Meperidine hydrochl /100 mg |
121 |
83 |
$146.14 |
| 85651 |
|
42 |
41 |
$144.99 |
| 85730 |
|
26 |
24 |
$138.23 |
| 86677 |
|
184 |
181 |
$130.27 |
| 86038 |
|
13 |
12 |
$108.81 |
| 85610 |
|
37 |
36 |
$108.56 |
| 85379 |
|
19 |
18 |
$91.62 |
| 84480 |
|
13 |
12 |
$89.04 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
13 |
$54.72 |
| J2250 |
Inj midazolam hydrochloride |
268 |
209 |
$15.52 |
| 87338 |
|
51 |
51 |
$6.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
12 |
$3.90 |
| 00000 |
|
36 |
25 |
$0.00 |