| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,545 |
13,628 |
$4.65M |
| 99285 |
|
4,960 |
4,515 |
$1.97M |
| 99283 |
|
22,988 |
21,844 |
$1.09M |
| 87637 |
|
6,560 |
6,070 |
$612K |
| 99282 |
|
3,484 |
3,382 |
$162K |
| 71045 |
|
5,794 |
5,282 |
$159K |
| 0225U |
|
2,542 |
2,475 |
$149K |
| 93005 |
|
5,304 |
4,707 |
$135K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,419 |
1,378 |
$131K |
| 80053 |
|
11,424 |
10,350 |
$126K |
| 85025 |
|
14,680 |
13,251 |
$115K |
| 41899 |
|
75 |
74 |
$91K |
| 87651 |
|
1,866 |
1,782 |
$82K |
| 76805 |
|
343 |
326 |
$66K |
| 42820 |
|
17 |
16 |
$54K |
| 96375 |
|
1,693 |
1,546 |
$51K |
| 96374 |
|
3,796 |
3,468 |
$51K |
| 81001 |
|
13,057 |
12,131 |
$40K |
| 81025 |
|
3,134 |
2,986 |
$29K |
| 96372 |
|
1,601 |
1,457 |
$28K |
| 80307 |
|
543 |
476 |
$25K |
| 84484 |
|
3,145 |
1,928 |
$21K |
| 96361 |
|
954 |
888 |
$21K |
| 87491 |
|
523 |
500 |
$16K |
| 87591 |
|
522 |
501 |
$15K |
| 87086 |
|
2,056 |
1,940 |
$15K |
| 80048 |
|
1,843 |
1,700 |
$14K |
| 84703 |
|
2,154 |
1,990 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
134 |
133 |
$13K |
| 76801 |
|
127 |
119 |
$12K |
| 76856 |
|
118 |
117 |
$10K |
| 74177 |
|
209 |
200 |
$10K |
| 93976 |
|
209 |
196 |
$10K |
| 69436 |
|
22 |
13 |
$8K |
| 84702 |
|
749 |
656 |
$7K |
| 70450 |
|
186 |
182 |
$6K |
| 76815 |
|
33 |
31 |
$6K |
| 83690 |
|
1,645 |
1,535 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,261 |
2,044 |
$5K |
| 86780 |
|
247 |
230 |
$4K |
| J7030 |
Normal saline solution infus |
1,806 |
1,624 |
$4K |
| 86703 |
|
190 |
177 |
$4K |
| 80074 |
|
54 |
54 |
$3K |
| 87529 |
|
74 |
35 |
$3K |
| 87801 |
|
57 |
56 |
$3K |
| 82077 |
|
252 |
204 |
$3K |
| 76830 |
|
25 |
25 |
$2K |
| 86850 |
|
120 |
116 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,660 |
1,517 |
$2K |
| J7050 |
Normal saline solution infus |
408 |
327 |
$2K |
| 86900 |
|
565 |
533 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
383 |
362 |
$1K |
| 86901 |
|
564 |
532 |
$1K |
| 80179 |
|
108 |
91 |
$1K |
| 0002A |
|
68 |
68 |
$1K |
| 80143 |
|
94 |
77 |
$1K |
| 0001A |
|
82 |
81 |
$1K |
| 86762 |
|
52 |
51 |
$990.28 |
| 86694 |
|
48 |
48 |
$962.24 |
| 86787 |
|
55 |
54 |
$938.26 |
| 0012A |
|
32 |
32 |
$922.04 |
| 0011A |
|
30 |
30 |
$890.78 |
| 87661 |
|
57 |
56 |
$775.30 |
| 84443 |
|
91 |
80 |
$679.57 |
| 76817 |
|
12 |
12 |
$652.61 |
| 83605 |
|
231 |
197 |
$596.12 |
| 82950 |
|
90 |
87 |
$590.95 |
| J1100 |
Dexamethasone sodium phos |
195 |
184 |
$563.07 |
| J2270 |
Morphine sulfate injection |
365 |
323 |
$377.15 |
| 85660 |
|
56 |
54 |
$374.66 |
| 36415 |
|
382 |
333 |
$319.21 |
| J7120 |
Ringers lactate infusion |
215 |
194 |
$296.94 |
| 87210 |
|
55 |
55 |
$253.68 |
| 71046 |
|
24 |
24 |
$249.20 |
| 94640 |
|
13 |
13 |
$244.57 |
| 87481 |
|
45 |
44 |
$235.84 |
| 82947 |
|
281 |
181 |
$173.28 |
| 85027 |
|
92 |
84 |
$169.00 |
| G0463 |
Hospital outpt clinic visit |
42 |
25 |
$117.39 |
| 87077 |
|
135 |
98 |
$81.92 |
| 83880 |
|
13 |
13 |
$65.96 |
| 87186 |
|
92 |
68 |
$51.36 |
| 85610 |
|
28 |
27 |
$50.40 |
| 85007 |
|
39 |
37 |
$49.01 |
| J1200 |
Diphenhydramine hcl injectio |
90 |
83 |
$47.31 |
| J3010 |
Fentanyl citrate injection |
17 |
14 |
$29.65 |
| J0136 |
Inj, acetaminophen (b braun) |
15 |
15 |
$25.83 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
69 |
66 |
$19.22 |
| G1010 |
Cdsm stanson |
16 |
12 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
109 |
101 |
$0.00 |