| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,175 |
13,720 |
$3.39M |
| 99284 |
|
5,816 |
5,508 |
$2.04M |
| 99282 |
|
942 |
929 |
$250K |
| 93005 |
|
1,850 |
1,726 |
$73K |
| 99281 |
|
242 |
236 |
$70K |
| 87804 |
|
3,808 |
3,579 |
$64K |
| 87426 |
|
4,209 |
4,107 |
$54K |
| 55180 |
|
32 |
32 |
$47K |
| 80048 |
|
4,210 |
3,929 |
$44K |
| J7030 |
Normal saline solution infus |
2,440 |
2,235 |
$37K |
| 99285 |
|
193 |
183 |
$37K |
| 85027 |
|
6,041 |
5,580 |
$30K |
| 96374 |
|
2,659 |
2,522 |
$28K |
| 71045 |
|
1,445 |
1,364 |
$24K |
| 81003 |
|
4,930 |
4,696 |
$15K |
| 80053 |
|
1,054 |
967 |
$14K |
| 80076 |
|
1,341 |
1,304 |
$9K |
| 71046 |
|
329 |
321 |
$8K |
| 84702 |
|
920 |
852 |
$7K |
| 87651 |
|
689 |
672 |
$5K |
| 84484 |
|
912 |
772 |
$4K |
| 87081 |
|
494 |
488 |
$4K |
| 54300 |
|
12 |
12 |
$4K |
| 83690 |
|
828 |
790 |
$4K |
| 81025 |
|
501 |
480 |
$3K |
| J2405 |
Ondansetron hcl injection |
385 |
351 |
$2K |
| 14040 |
|
12 |
12 |
$2K |
| 74177 |
|
14 |
12 |
$2K |
| 87420 |
|
206 |
206 |
$2K |
| 54161 |
|
13 |
13 |
$2K |
| 96375 |
|
149 |
141 |
$796.82 |
| 82248 |
|
206 |
195 |
$594.22 |
| 87798 |
|
15 |
15 |
$417.82 |
| 70450 |
|
12 |
12 |
$340.20 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$181.99 |
| 87635 |
|
27 |
26 |
$100.66 |
| J1100 |
Dexamethasone sodium phos |
15 |
12 |
$56.59 |
| 85730 |
|
42 |
40 |
$47.35 |
| 85610 |
|
55 |
53 |
$46.12 |
| J2765 |
Metoclopramide hcl injection |
28 |
26 |
$45.20 |
| 86900 |
|
27 |
24 |
$26.53 |
| 86901 |
|
27 |
24 |
$26.53 |
| J0696 |
Ceftriaxone sodium injection |
19 |
12 |
$17.21 |
| 85049 |
|
12 |
12 |
$12.06 |
| 96372 |
|
82 |
78 |
$9.32 |
| 83735 |
|
14 |
12 |
$9.01 |
| J2270 |
Morphine sulfate injection |
17 |
13 |
$7.46 |
| 85014 |
|
12 |
12 |
$6.38 |
| 85018 |
|
12 |
12 |
$6.38 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
182 |
77 |
$0.00 |