| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,610 |
11,151 |
$3.64M |
| 99283 |
|
7,003 |
6,275 |
$1.29M |
| 99285 |
|
4,042 |
3,517 |
$1.23M |
| 96374 |
|
3,898 |
3,404 |
$555K |
| 74177 |
|
974 |
896 |
$438K |
| 85025 |
|
13,789 |
11,213 |
$308K |
| 80053 |
|
11,225 |
9,220 |
$296K |
| 93005 |
|
5,258 |
4,533 |
$248K |
| 36415 |
|
14,233 |
11,497 |
$242K |
| 96365 |
|
1,947 |
1,462 |
$236K |
| 96372 |
|
2,822 |
2,209 |
$229K |
| 71045 |
|
4,583 |
3,866 |
$220K |
| 87636 |
|
2,245 |
2,054 |
$203K |
| 70450 |
|
1,441 |
1,318 |
$194K |
| 81000 |
|
10,806 |
9,033 |
$187K |
| 96361 |
|
2,114 |
1,846 |
$172K |
| 74176 |
|
582 |
544 |
$163K |
| 59025 |
|
1,281 |
622 |
$144K |
| 96375 |
|
2,701 |
2,227 |
$140K |
| 94640 |
|
933 |
637 |
$127K |
| 71046 |
|
2,224 |
1,971 |
$119K |
| 87086 |
|
5,706 |
4,838 |
$115K |
| 80306 |
|
3,509 |
2,840 |
$114K |
| U0003 |
Cov-19 amp prb hgh thruput |
993 |
931 |
$108K |
| G0378 |
Hospital observation per hr |
602 |
497 |
$102K |
| 93041 |
|
2,252 |
1,993 |
$99K |
| G0480 |
Drug test def 1-7 classes |
1,015 |
787 |
$94K |
| 84484 |
|
3,207 |
2,656 |
$85K |
| 84443 |
|
4,168 |
3,789 |
$81K |
| 97110 |
|
1,498 |
400 |
$77K |
| 96360 |
|
589 |
524 |
$69K |
| 87502 |
|
624 |
558 |
$68K |
| 87631 |
|
364 |
332 |
$60K |
| 81025 |
|
1,658 |
1,462 |
$56K |
| 80048 |
|
3,386 |
2,757 |
$51K |
| J2405 |
Ondansetron hcl injection |
1,989 |
1,688 |
$48K |
| 83690 |
|
1,787 |
1,552 |
$48K |
| J1885 |
Ketorolac tromethamine inj |
2,143 |
1,857 |
$47K |
| 86900 |
|
1,012 |
825 |
$46K |
| 86850 |
|
1,766 |
1,550 |
$45K |
| 85007 |
|
2,345 |
1,947 |
$44K |
| 88305 |
|
424 |
376 |
$42K |
| 80061 |
|
1,745 |
1,650 |
$39K |
| 85730 |
|
1,508 |
1,337 |
$35K |
| 87591 |
|
774 |
680 |
$35K |
| 87491 |
|
774 |
684 |
$35K |
| J3010 |
Fentanyl citrate injection |
1,237 |
1,017 |
$34K |
| 85610 |
|
1,845 |
1,593 |
$34K |
| 87651 |
|
661 |
608 |
$32K |
| 84439 |
|
1,222 |
1,099 |
$32K |
| 73564 |
|
387 |
309 |
$30K |
| 86901 |
|
940 |
825 |
$30K |
| 82550 |
|
926 |
781 |
$28K |
| J2250 |
Inj midazolam hydrochloride |
920 |
764 |
$27K |
| 83880 |
|
1,479 |
1,195 |
$27K |
| 82306 |
|
1,183 |
1,138 |
$26K |
| J3490 |
Drugs unclassified injection |
623 |
323 |
$25K |
| 83036 |
|
1,327 |
1,256 |
$24K |
| J2001 |
Lidocaine injection |
533 |
410 |
$24K |
| 82947 |
|
1,541 |
1,334 |
$23K |
| 71275 |
|
85 |
77 |
$22K |
| 87186 |
|
980 |
859 |
$21K |
| 87077 |
|
867 |
769 |
$20K |
| 87205 |
|
1,333 |
1,157 |
$20K |
| 86803 |
|
560 |
495 |
$20K |
| 87389 |
|
337 |
302 |
$20K |
| 88142 |
|
348 |
306 |
$19K |
| 87040 |
|
954 |
842 |
$19K |
| 99203 |
|
250 |
159 |
$18K |
| 87804 |
|
367 |
327 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
297 |
242 |
$17K |
| 99202 |
|
238 |
140 |
$16K |
| 77067 |
|
179 |
176 |
$16K |
| 96366 |
|
333 |
228 |
$16K |
| 73030 |
|
269 |
237 |
$15K |
| 87653 |
|
382 |
348 |
$15K |
| 74018 |
|
286 |
252 |
$15K |
| 66984 |
|
16 |
12 |
$15K |
| J1100 |
Dexamethasone sodium phos |
345 |
285 |
$14K |
| 82150 |
|
488 |
430 |
$14K |
| 73610 |
|
219 |
192 |
$13K |
| 87340 |
|
314 |
283 |
$13K |
| 87880 |
|
313 |
284 |
$13K |
| 83605 |
|
710 |
620 |
$13K |
| 36600 |
|
185 |
151 |
$13K |
| 86592 |
|
413 |
367 |
$12K |
| 85027 |
|
1,585 |
1,295 |
$12K |
| 86762 |
|
255 |
233 |
$12K |
| 82805 |
|
186 |
156 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
239 |
221 |
$11K |
| 87081 |
|
415 |
381 |
$10K |
| 94760 |
|
193 |
98 |
$9K |
| 73630 |
|
160 |
142 |
$9K |
| 80081 |
|
99 |
81 |
$9K |
| 82951 |
|
585 |
492 |
$9K |
| 84702 |
|
175 |
135 |
$8K |
| U0005 |
Infec agen detec ampli probe |
272 |
262 |
$7K |
| 73110 |
|
88 |
78 |
$6K |
| M0243 |
Casirivi and imdevi inj |
41 |
39 |
$6K |
| 73502 |
|
88 |
81 |
$6K |
| 85379 |
|
277 |
264 |
$6K |
| 83735 |
|
509 |
424 |
$6K |
| 82607 |
|
160 |
151 |
$5K |
| J0690 |
Cefazolin sodium injection |
82 |
58 |
$4K |
| 76705 |
|
32 |
26 |
$4K |
| 77063 |
|
96 |
93 |
$3K |
| 85651 |
|
136 |
128 |
$3K |
| 80076 |
|
242 |
224 |
$3K |
| 73130 |
|
54 |
41 |
$3K |
| J2270 |
Morphine sulfate injection |
14 |
12 |
$3K |
| 84703 |
|
150 |
138 |
$3K |
| 96376 |
|
119 |
91 |
$3K |
| J7030 |
Normal saline solution infus |
320 |
255 |
$3K |
| 93971 |
|
15 |
12 |
$3K |
| 90471 |
|
51 |
36 |
$2K |
| 72148 |
|
14 |
13 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
110 |
102 |
$2K |
| Q0162 |
Ondansetron oral |
156 |
138 |
$2K |
| 72125 |
|
17 |
16 |
$2K |
| 87420 |
|
32 |
26 |
$2K |
| 76700 |
|
13 |
13 |
$2K |
| 76536 |
|
14 |
14 |
$2K |
| 51702 |
|
31 |
26 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
381 |
258 |
$2K |
| 86140 |
|
43 |
38 |
$1K |
| J7060 |
5% dextrose/water |
83 |
68 |
$1K |
| 72110 |
|
15 |
15 |
$1K |
| 87635 |
|
26 |
21 |
$734.98 |
| 85018 |
|
33 |
25 |
$707.59 |
| 85014 |
|
33 |
25 |
$707.58 |
| 97162 |
|
12 |
12 |
$688.53 |
| 87076 |
|
22 |
16 |
$603.08 |
| 87280 |
|
21 |
19 |
$532.98 |
| Q0163 |
Diphenhydramine hcl 50mg |
15 |
12 |
$531.47 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$508.32 |
| 82247 |
|
18 |
12 |
$466.80 |
| 82746 |
|
41 |
39 |
$430.66 |
| 84132 |
|
17 |
12 |
$404.53 |
| 82435 |
|
17 |
12 |
$404.53 |
| 84295 |
|
17 |
12 |
$404.53 |
| 87624 |
|
15 |
14 |
$341.25 |
| 73140 |
|
14 |
13 |
$328.87 |
| 82728 |
|
12 |
12 |
$209.99 |
| J2930 |
Methylprednisolone injection |
15 |
14 |
$173.86 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$110.94 |
| 83540 |
|
13 |
12 |
$80.93 |
| G0463 |
Hospital outpt clinic visit |
37 |
31 |
$54.18 |
| J7613 |
Albuterol non-comp unit |
17 |
13 |
$28.92 |