| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
32,149 |
29,172 |
$4.45M |
| 99284 |
|
30,952 |
27,601 |
$3.88M |
| 99285 |
|
8,719 |
7,392 |
$1.19M |
| 96361 |
|
3,007 |
2,571 |
$871K |
| 74177 |
|
3,702 |
3,194 |
$660K |
| 80053 |
|
30,909 |
26,768 |
$448K |
| 0241U |
|
3,718 |
3,276 |
$284K |
| 97110 |
|
7,149 |
2,146 |
$198K |
| 70450 |
|
759 |
631 |
$132K |
| 96365 |
|
1,124 |
446 |
$122K |
| J3490 |
Drugs unclassified injection |
68,561 |
34,941 |
$112K |
| 11042 |
|
1,301 |
397 |
$80K |
| 0202U |
|
773 |
703 |
$73K |
| 84484 |
|
8,052 |
4,317 |
$70K |
| 80048 |
|
7,434 |
6,236 |
$56K |
| 96360 |
|
367 |
73 |
$56K |
| 80307 |
|
871 |
793 |
$52K |
| U0003 |
Cov-19 amp prb hgh thruput |
724 |
626 |
$47K |
| 96366 |
|
99 |
36 |
$36K |
| 80320 |
|
304 |
261 |
$31K |
| 85025 |
|
44,108 |
37,704 |
$23K |
| 99282 |
|
175 |
143 |
$23K |
| 96374 |
|
22,169 |
19,491 |
$22K |
| 83605 |
|
1,575 |
1,104 |
$15K |
| 93005 |
|
10,711 |
8,909 |
$15K |
| 97161 |
|
215 |
152 |
$12K |
| 71275 |
|
55 |
45 |
$10K |
| 96375 |
|
13,791 |
12,006 |
$9K |
| U0005 |
Infec agen detec ampli probe |
711 |
614 |
$9K |
| 84443 |
|
728 |
694 |
$7K |
| G0480 |
Drug test def 1-7 classes |
1,100 |
931 |
$7K |
| 71045 |
|
5,215 |
4,491 |
$7K |
| 87635 |
|
192 |
116 |
$6K |
| 83036 |
|
924 |
896 |
$6K |
| G0472 |
Hep c screen high risk/other |
191 |
176 |
$5K |
| 36415 |
|
2,406 |
1,921 |
$5K |
| 87040 |
|
391 |
180 |
$5K |
| 97140 |
|
389 |
171 |
$4K |
| 80061 |
|
466 |
440 |
$4K |
| 81001 |
|
20,735 |
18,314 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,190 |
8,808 |
$3K |
| 87086 |
|
309 |
285 |
$3K |
| 94640 |
|
15 |
14 |
$3K |
| G0378 |
Hospital observation per hr |
25 |
12 |
$3K |
| G0432 |
Eia hiv-1/hiv-2 screen |
153 |
145 |
$2K |
| J7120 |
Ringers lactate infusion |
9,126 |
7,094 |
$2K |
| 86780 |
|
193 |
184 |
$1K |
| 84145 |
|
154 |
125 |
$1K |
| 96413 |
|
22 |
12 |
$1K |
| 80076 |
|
338 |
287 |
$942.60 |
| 84703 |
|
6,114 |
5,597 |
$903.28 |
| 97597 |
|
17 |
12 |
$877.31 |
| 82306 |
|
13 |
13 |
$826.51 |
| 85379 |
|
79 |
67 |
$795.55 |
| 85027 |
|
122 |
113 |
$726.27 |
| 71046 |
|
112 |
106 |
$638.16 |
| 86592 |
|
14 |
13 |
$590.50 |
| 83880 |
|
16 |
13 |
$574.96 |
| 83690 |
|
5,509 |
4,928 |
$467.26 |
| J1642 |
Inj heparin sodium per 10 u |
520 |
108 |
$430.94 |
| 80055 |
|
13 |
13 |
$394.82 |
| J1756 |
Iron sucrose injection |
88 |
41 |
$318.38 |
| 82728 |
|
40 |
37 |
$312.52 |
| 83550 |
|
39 |
38 |
$189.37 |
| J1885 |
Ketorolac tromethamine inj |
9,087 |
7,966 |
$163.90 |
| 86850 |
|
40 |
39 |
$146.80 |
| 83540 |
|
39 |
38 |
$146.59 |
| 81025 |
|
297 |
281 |
$133.16 |
| J7050 |
Normal saline solution infus |
10,202 |
7,658 |
$122.57 |
| 36591 |
|
26 |
12 |
$111.44 |
| 72125 |
|
15 |
12 |
$110.77 |
| 83735 |
|
928 |
792 |
$93.28 |
| 99212 |
|
17 |
12 |
$76.22 |
| 86900 |
|
40 |
39 |
$72.41 |
| 87340 |
|
25 |
24 |
$64.94 |
| 87804 |
|
1,014 |
957 |
$50.82 |
| 82950 |
|
12 |
12 |
$48.61 |
| 86901 |
|
40 |
39 |
$36.70 |
| 86787 |
|
13 |
12 |
$32.22 |
| J2405 |
Ondansetron hcl injection |
5,037 |
4,190 |
$31.32 |
| J2704 |
Inj, propofol, 10 mg |
1,163 |
1,003 |
$21.18 |
| J1200 |
Diphenhydramine hcl injectio |
937 |
782 |
$5.95 |
| J2250 |
Inj midazolam hydrochloride |
680 |
591 |
$2.24 |
| Q0162 |
Ondansetron oral |
342 |
318 |
$1.34 |
| J1100 |
Dexamethasone sodium phos |
1,041 |
903 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
172 |
151 |
$0.00 |
| 86140 |
|
67 |
50 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
947 |
596 |
$0.00 |
| 96372 |
|
42 |
40 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
206 |
187 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
223 |
164 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
100 |
90 |
$0.00 |
| J2060 |
Lorazepam injection |
187 |
138 |
$0.00 |
| 87651 |
|
108 |
99 |
$0.00 |
| 87426 |
|
16 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
53 |
39 |
$0.00 |
| 88304 |
|
80 |
69 |
$0.00 |
| J8540 |
Oral dexamethasone |
27 |
24 |
$0.00 |
| 87088 |
|
25 |
24 |
$0.00 |
| G1004 |
Cdsm ndsc |
363 |
266 |
$0.00 |
| J2270 |
Morphine sulfate injection |
148 |
114 |
$0.00 |
| 85610 |
|
279 |
271 |
$0.00 |
| J7030 |
Normal saline solution infus |
390 |
257 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
33 |
29 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
13 |
$0.00 |
| 80306 |
|
19 |
15 |
$0.00 |
| 84100 |
|
14 |
14 |
$0.00 |