| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
51,319 |
50,790 |
$8.58M |
| 99284 |
|
24,543 |
24,374 |
$6.23M |
| 99285 |
|
9,779 |
9,611 |
$3.19M |
| 96374 |
|
2,977 |
2,947 |
$407K |
| 99282 |
|
2,656 |
2,647 |
$265K |
| 87636 |
|
1,854 |
1,848 |
$250K |
| 99281 |
|
3,502 |
3,481 |
$205K |
| 96372 |
|
2,789 |
2,650 |
$172K |
| 71045 |
|
9,699 |
9,574 |
$141K |
| 11042 |
|
543 |
361 |
$79K |
| 93005 |
|
8,718 |
8,306 |
$50K |
| 85027 |
|
8,444 |
8,138 |
$48K |
| 81025 |
|
6,177 |
6,153 |
$46K |
| U0002 |
Covid-19 lab test non-cdc |
929 |
927 |
$45K |
| 96375 |
|
671 |
653 |
$28K |
| 81001 |
|
5,204 |
5,164 |
$28K |
| D9999 |
|
31 |
31 |
$27K |
| 80053 |
|
2,712 |
2,365 |
$24K |
| 36415 |
|
4,751 |
3,213 |
$24K |
| 96361 |
|
432 |
430 |
$21K |
| 62323 |
|
46 |
45 |
$20K |
| 84484 |
|
1,710 |
1,380 |
$19K |
| 80048 |
|
1,774 |
1,654 |
$13K |
| 71046 |
|
780 |
779 |
$12K |
| 95811 |
|
25 |
25 |
$10K |
| 81003 |
|
2,032 |
2,019 |
$8K |
| 94060 |
|
197 |
197 |
$7K |
| 85025 |
|
879 |
690 |
$6K |
| 74177 |
|
25 |
25 |
$5K |
| 87086 |
|
588 |
574 |
$4K |
| 82550 |
|
625 |
568 |
$4K |
| 76000 |
|
173 |
164 |
$4K |
| 87491 |
|
94 |
94 |
$3K |
| 87591 |
|
94 |
94 |
$3K |
| 72148 |
|
29 |
29 |
$2K |
| 70450 |
|
39 |
39 |
$2K |
| 80307 |
|
37 |
36 |
$2K |
| 83690 |
|
296 |
295 |
$2K |
| 87635 |
|
34 |
32 |
$2K |
| 94640 |
|
126 |
101 |
$1K |
| 74176 |
|
14 |
14 |
$1K |
| 97597 |
|
116 |
92 |
$1K |
| 83735 |
|
176 |
135 |
$1K |
| G0463 |
Hospital outpt clinic visit |
235 |
136 |
$868.88 |
| 99213 |
|
14 |
14 |
$546.03 |
| 82962 |
|
187 |
102 |
$543.12 |
| 94729 |
|
13 |
13 |
$479.05 |
| 94726 |
|
13 |
13 |
$417.80 |
| 73564 |
|
12 |
12 |
$363.81 |
| 87210 |
|
56 |
55 |
$269.58 |
| 87077 |
|
29 |
24 |
$208.51 |
| 71250 |
|
12 |
12 |
$190.85 |
| 82948 |
|
44 |
26 |
$167.15 |
| 86780 |
|
24 |
24 |
$153.14 |
| 87807 |
|
13 |
13 |
$151.45 |
| J2405 |
Ondansetron hcl injection |
234 |
226 |
$86.04 |
| J3010 |
Fentanyl citrate injection |
29 |
29 |
$52.58 |
| J1100 |
Dexamethasone sodium phos |
667 |
666 |
$36.90 |
| Q0162 |
Ondansetron oral |
93 |
92 |
$6.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
140 |
133 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
76 |
75 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
42 |
27 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
82 |
79 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
124 |
123 |
$0.00 |
| 94761 |
|
68 |
68 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
26 |
26 |
$0.00 |