| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,389 |
11,615 |
$1.13M |
| 99284 |
|
5,253 |
4,899 |
$877K |
| 80053 |
|
8,748 |
7,496 |
$184K |
| 87804 |
|
2,788 |
2,388 |
$121K |
| 85025 |
|
11,969 |
9,700 |
$116K |
| 71045 |
|
4,591 |
4,231 |
$113K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,657 |
2,566 |
$104K |
| 93005 |
|
3,384 |
3,074 |
$92K |
| 74177 |
|
436 |
416 |
$66K |
| 41899 |
|
70 |
67 |
$56K |
| 87635 |
|
732 |
694 |
$45K |
| 70450 |
|
701 |
649 |
$40K |
| 99282 |
|
670 |
642 |
$31K |
| 99285 |
|
419 |
383 |
$30K |
| 74176 |
|
214 |
201 |
$21K |
| 84703 |
|
2,949 |
2,716 |
$17K |
| 81001 |
|
3,368 |
3,116 |
$15K |
| 83690 |
|
2,374 |
2,162 |
$14K |
| 83880 |
|
814 |
724 |
$12K |
| 84484 |
|
2,187 |
1,583 |
$12K |
| 87807 |
|
271 |
259 |
$12K |
| U0005 |
Infec agen detec ampli probe |
939 |
896 |
$11K |
| 96361 |
|
1,785 |
1,634 |
$9K |
| 80048 |
|
1,362 |
991 |
$9K |
| 84702 |
|
611 |
536 |
$8K |
| 87426 |
|
287 |
269 |
$8K |
| 71046 |
|
140 |
136 |
$6K |
| 96374 |
|
4,055 |
3,717 |
$5K |
| 87081 |
|
298 |
281 |
$4K |
| 87086 |
|
658 |
617 |
$3K |
| 80069 |
|
105 |
95 |
$3K |
| G0378 |
Hospital observation per hr |
38 |
24 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,028 |
938 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
313 |
275 |
$2K |
| 85610 |
|
940 |
848 |
$2K |
| 96375 |
|
2,214 |
1,982 |
$2K |
| 86850 |
|
154 |
144 |
$1K |
| 72125 |
|
28 |
27 |
$1K |
| 85730 |
|
499 |
462 |
$1K |
| 86769 |
|
47 |
47 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,385 |
1,253 |
$1K |
| 0241U |
|
269 |
246 |
$960.19 |
| 83735 |
|
339 |
228 |
$929.24 |
| 82550 |
|
317 |
289 |
$922.22 |
| 81003 |
|
524 |
492 |
$907.31 |
| 80076 |
|
28 |
25 |
$708.98 |
| 86901 |
|
437 |
360 |
$690.96 |
| 86900 |
|
437 |
360 |
$690.88 |
| J2270 |
Morphine sulfate injection |
1,123 |
835 |
$558.89 |
| 83605 |
|
64 |
51 |
$327.95 |
| J2405 |
Ondansetron hcl injection |
2,166 |
1,859 |
$234.82 |
| 96372 |
|
216 |
201 |
$124.73 |
| 85379 |
|
40 |
39 |
$120.75 |
| 96365 |
|
39 |
36 |
$117.72 |
| 96360 |
|
38 |
36 |
$115.27 |
| 84145 |
|
14 |
13 |
$106.14 |
| J3010 |
Fentanyl citrate injection |
334 |
292 |
$59.78 |
| 86140 |
|
14 |
13 |
$33.18 |
| 96376 |
|
26 |
24 |
$8.56 |
| 82962 |
|
1,790 |
501 |
$4.92 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$0.75 |
| J8499 |
Oral prescrip drug non chemo |
691 |
316 |
$0.27 |
| J3490 |
Drugs unclassified injection |
65 |
51 |
$0.00 |
| 36415 |
|
67 |
63 |
$0.00 |