| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
|
2,114 |
1,800 |
$2.17M |
| 99284 |
|
8,384 |
7,187 |
$1.87M |
| 99283 |
|
13,213 |
11,472 |
$1.81M |
| 99285 |
|
2,513 |
1,921 |
$992K |
| 97110 |
|
9,072 |
2,412 |
$536K |
| 80053 |
|
10,685 |
6,897 |
$358K |
| 71046 |
|
3,970 |
3,244 |
$356K |
| 99282 |
|
3,266 |
2,977 |
$280K |
| 70450 |
|
704 |
487 |
$262K |
| 96372 |
|
4,427 |
3,552 |
$223K |
| 93005 |
|
3,076 |
2,582 |
$209K |
| 96374 |
|
3,089 |
2,515 |
$162K |
| 97140 |
|
4,001 |
1,315 |
$145K |
| 85025 |
|
8,711 |
7,136 |
$144K |
| 77067 |
|
1,120 |
1,075 |
$135K |
| 96361 |
|
3,577 |
1,621 |
$132K |
| 36415 |
|
10,850 |
5,446 |
$128K |
| 96375 |
|
1,618 |
1,365 |
$121K |
| U0002 |
Covid-19 lab test non-cdc |
2,820 |
2,451 |
$104K |
| 97530 |
|
2,257 |
950 |
$97K |
| 80307 |
|
2,568 |
2,103 |
$94K |
| 87804 |
|
2,843 |
2,482 |
$93K |
| 71045 |
|
1,345 |
1,074 |
$91K |
| 81001 |
|
6,521 |
5,562 |
$90K |
| 76705 |
|
389 |
353 |
$85K |
| 84484 |
|
2,445 |
1,923 |
$61K |
| 81025 |
|
2,766 |
2,466 |
$61K |
| 97112 |
|
1,301 |
462 |
$57K |
| 93306 |
|
100 |
93 |
$56K |
| 97162 |
|
800 |
725 |
$54K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
850 |
696 |
$54K |
| 83690 |
|
2,382 |
2,046 |
$49K |
| 73630 |
|
485 |
412 |
$48K |
| 87070 |
|
2,377 |
2,024 |
$44K |
| J1885 |
Ketorolac tromethamine inj |
4,299 |
3,732 |
$43K |
| 87880 |
|
2,027 |
1,910 |
$36K |
| J7120 |
Ringers lactate infusion |
1,540 |
1,067 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
1,264 |
1,147 |
$34K |
| C9803 |
Hopd covid-19 spec collect |
2,843 |
1,743 |
$34K |
| 73562 |
|
344 |
254 |
$33K |
| 73130 |
|
303 |
244 |
$31K |
| 73610 |
|
293 |
251 |
$30K |
| 87086 |
|
1,636 |
1,413 |
$29K |
| J7030 |
Normal saline solution infus |
1,346 |
854 |
$24K |
| J2405 |
Ondansetron hcl injection |
1,738 |
1,447 |
$22K |
| 73030 |
|
208 |
167 |
$22K |
| 74177 |
|
14 |
13 |
$19K |
| 99281 |
|
343 |
328 |
$18K |
| J2001 |
Lidocaine injection |
2,612 |
2,256 |
$17K |
| 84443 |
|
391 |
349 |
$11K |
| 82962 |
|
470 |
333 |
$9K |
| 77063 |
|
462 |
399 |
$9K |
| 83605 |
|
387 |
297 |
$8K |
| 97164 |
|
193 |
169 |
$8K |
| 87186 |
|
258 |
231 |
$7K |
| 83735 |
|
501 |
424 |
$7K |
| 87077 |
|
432 |
331 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
250 |
223 |
$7K |
| 43239 |
|
13 |
13 |
$6K |
| J2270 |
Morphine sulfate injection |
605 |
489 |
$6K |
| 80048 |
|
249 |
178 |
$5K |
| J2930 |
Methylprednisolone injection |
318 |
275 |
$5K |
| G0283 |
Elec stim other than wound |
144 |
41 |
$4K |
| 83880 |
|
95 |
83 |
$4K |
| 87807 |
|
150 |
145 |
$3K |
| 86140 |
|
236 |
212 |
$3K |
| 96360 |
|
34 |
25 |
$3K |
| 72100 |
|
29 |
26 |
$3K |
| 71271 |
|
62 |
53 |
$3K |
| J3010 |
Fentanyl citrate injection |
140 |
122 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
246 |
215 |
$2K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$2K |
| J1100 |
Dexamethasone sodium phos |
264 |
236 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
483 |
439 |
$1K |
| 85610 |
|
142 |
121 |
$1K |
| 85379 |
|
44 |
37 |
$1K |
| 73110 |
|
14 |
12 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
35 |
30 |
$745.50 |
| 97035 |
|
24 |
12 |
$664.00 |
| J2550 |
Promethazine hcl injection |
80 |
73 |
$525.85 |
| G0279 |
Tomosynthesis, mammo |
103 |
83 |
$429.48 |
| 83036 |
|
28 |
27 |
$294.44 |
| 85027 |
|
12 |
12 |
$283.64 |
| J1170 |
Hydromorphone injection |
14 |
14 |
$202.23 |
| J0690 |
Cefazolin sodium injection |
17 |
12 |
$171.43 |