| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,081 |
3,779 |
$317K |
| 99284 |
|
3,239 |
2,989 |
$255K |
| 0450 |
|
2,955 |
2,669 |
$147K |
| 99285 |
|
1,002 |
945 |
$125K |
| 96374 |
|
2,294 |
2,077 |
$122K |
| 0241U |
|
646 |
641 |
$96K |
| 99282 |
|
1,216 |
1,108 |
$69K |
| 74177 |
|
294 |
293 |
$61K |
| 70450 |
|
396 |
387 |
$56K |
| 80053 |
|
4,983 |
4,607 |
$43K |
| 96375 |
|
1,160 |
1,018 |
$41K |
| 93005 |
|
2,224 |
2,035 |
$39K |
| 85025 |
|
5,058 |
4,513 |
$32K |
| 97139 |
|
1,480 |
273 |
$28K |
| 71045 |
|
1,488 |
1,402 |
$22K |
| 96372 |
|
860 |
735 |
$18K |
| 84484 |
|
1,305 |
1,180 |
$12K |
| 71046 |
|
610 |
574 |
$10K |
| Z7502 |
|
260 |
257 |
$10K |
| 96361 |
|
705 |
589 |
$9K |
| 83690 |
|
867 |
826 |
$9K |
| 87502 |
|
143 |
138 |
$8K |
| 99070 |
|
3,368 |
2,172 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
1,132 |
1,075 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
391 |
383 |
$6K |
| 81001 |
|
1,442 |
1,383 |
$6K |
| 84443 |
|
595 |
588 |
$5K |
| 87086 |
|
653 |
632 |
$5K |
| 94640 |
|
250 |
217 |
$5K |
| J2405 |
Ondansetron hcl injection |
938 |
869 |
$4K |
| J3490 |
Drugs unclassified injection |
1,446 |
1,129 |
$4K |
| 81025 |
|
460 |
450 |
$4K |
| 74176 |
|
33 |
33 |
$3K |
| J7030 |
Normal saline solution infus |
636 |
546 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
165 |
162 |
$3K |
| 80061 |
|
561 |
555 |
$2K |
| 82550 |
|
400 |
366 |
$2K |
| 82553 |
|
213 |
194 |
$2K |
| 99281 |
|
26 |
26 |
$2K |
| 83036 |
|
274 |
271 |
$2K |
| 81003 |
|
425 |
419 |
$1K |
| 84439 |
|
208 |
206 |
$1K |
| 87430 |
|
80 |
80 |
$1K |
| 97750 |
|
30 |
29 |
$1K |
| 87186 |
|
97 |
93 |
$1K |
| 96360 |
|
51 |
45 |
$1K |
| 96365 |
|
19 |
13 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
181 |
174 |
$996.61 |
| J1170 |
Hydromorphone injection |
128 |
96 |
$921.53 |
| 76830 |
|
13 |
13 |
$859.32 |
| 76856 |
|
13 |
13 |
$859.32 |
| J2270 |
Morphine sulfate injection |
112 |
108 |
$822.93 |
| 80048 |
|
92 |
78 |
$703.50 |
| 97110 |
|
66 |
25 |
$619.49 |
| 83880 |
|
42 |
40 |
$593.40 |
| 77067 |
|
13 |
13 |
$543.60 |
| 87081 |
|
54 |
54 |
$481.18 |
| 73562 |
|
12 |
12 |
$450.96 |
| 87040 |
|
30 |
28 |
$442.29 |
| 87077 |
|
85 |
83 |
$417.88 |
| 36415 |
|
2,679 |
2,262 |
$355.71 |
| 83735 |
|
44 |
42 |
$322.43 |
| 84703 |
|
34 |
33 |
$322.20 |
| 83605 |
|
28 |
28 |
$233.11 |
| 85610 |
|
54 |
50 |
$176.28 |
| 85379 |
|
13 |
13 |
$170.55 |
| J1200 |
Diphenhydramine hcl injectio |
30 |
27 |
$144.61 |
| J2765 |
Metoclopramide hcl injection |
27 |
26 |
$138.45 |
| 77063 |
|
12 |
12 |
$109.88 |
| 82306 |
|
29 |
29 |
$104.94 |
| A9270 |
Non-covered item or service |
881 |
344 |
$0.00 |
| 82607 |
|
14 |
14 |
$0.00 |