| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,311 |
1,125 |
$149K |
| 74177 |
|
578 |
548 |
$96K |
| 99283 |
|
1,103 |
941 |
$94K |
| 80053 |
|
7,008 |
5,907 |
$55K |
| 85025 |
|
8,739 |
7,132 |
$51K |
| 96374 |
|
738 |
574 |
$35K |
| G0480 |
Drug test def 1-7 classes |
422 |
393 |
$32K |
| 70450 |
|
511 |
482 |
$22K |
| 87591 |
|
559 |
500 |
$20K |
| 87491 |
|
559 |
500 |
$20K |
| 93005 |
|
1,221 |
965 |
$20K |
| 99285 |
|
142 |
114 |
$18K |
| 84443 |
|
1,215 |
1,191 |
$16K |
| 99282 |
|
230 |
206 |
$15K |
| 81001 |
|
4,441 |
3,873 |
$14K |
| 84484 |
|
1,908 |
1,535 |
$14K |
| 36415 |
|
6,805 |
5,430 |
$14K |
| 71046 |
|
1,073 |
1,032 |
$13K |
| 87804 |
|
727 |
670 |
$13K |
| 83690 |
|
1,869 |
1,637 |
$13K |
| 87086 |
|
1,812 |
1,635 |
$12K |
| J7050 |
Normal saline solution infus |
2,650 |
1,886 |
$11K |
| J7030 |
Normal saline solution infus |
1,930 |
1,689 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
143 |
138 |
$9K |
| 87880 |
|
656 |
637 |
$9K |
| 80048 |
|
1,351 |
1,155 |
$9K |
| 71045 |
|
1,323 |
1,181 |
$8K |
| 84702 |
|
455 |
332 |
$7K |
| 87081 |
|
942 |
924 |
$6K |
| 87077 |
|
745 |
706 |
$6K |
| 81025 |
|
856 |
799 |
$6K |
| 80061 |
|
730 |
715 |
$6K |
| J7120 |
Ringers lactate infusion |
998 |
825 |
$6K |
| 82962 |
|
3,767 |
683 |
$6K |
| 82306 |
|
274 |
269 |
$6K |
| 83605 |
|
545 |
456 |
$6K |
| 76830 |
|
83 |
81 |
$5K |
| G0463 |
Hospital outpt clinic visit |
874 |
752 |
$5K |
| 84439 |
|
651 |
638 |
$5K |
| 80306 |
|
281 |
268 |
$4K |
| 83880 |
|
173 |
157 |
$4K |
| 99213 |
|
434 |
378 |
$4K |
| 83036 |
|
744 |
721 |
$4K |
| 87186 |
|
427 |
407 |
$4K |
| 76856 |
|
59 |
58 |
$3K |
| 85379 |
|
288 |
264 |
$3K |
| 87040 |
|
218 |
153 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
939 |
855 |
$3K |
| 86140 |
|
370 |
327 |
$2K |
| 84481 |
|
180 |
177 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
86 |
76 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,049 |
925 |
$2K |
| 76705 |
|
51 |
50 |
$2K |
| 85610 |
|
489 |
338 |
$2K |
| 99214 |
|
342 |
295 |
$2K |
| 96375 |
|
44 |
41 |
$2K |
| 74176 |
|
27 |
27 |
$2K |
| 71275 |
|
12 |
12 |
$2K |
| J3010 |
Fentanyl citrate injection |
151 |
131 |
$2K |
| 87389 |
|
62 |
62 |
$2K |
| 73630 |
|
111 |
103 |
$1K |
| 86850 |
|
183 |
175 |
$1K |
| 74018 |
|
69 |
64 |
$1K |
| 87635 |
|
515 |
298 |
$1K |
| 73610 |
|
72 |
67 |
$1K |
| 87420 |
|
79 |
79 |
$1K |
| 72125 |
|
13 |
13 |
$1K |
| 86901 |
|
306 |
290 |
$958.48 |
| 73564 |
|
36 |
36 |
$814.66 |
| J2270 |
Morphine sulfate injection |
290 |
244 |
$801.40 |
| 86900 |
|
247 |
234 |
$770.46 |
| 73110 |
|
40 |
38 |
$726.20 |
| J0696 |
Ceftriaxone sodium injection |
191 |
149 |
$716.73 |
| U0002 |
Covid-19 lab test non-cdc |
17 |
17 |
$699.92 |
| 85652 |
|
133 |
117 |
$699.72 |
| S3620 |
Newborn metabolic screening |
13 |
12 |
$663.00 |
| J2001 |
Lidocaine injection |
61 |
58 |
$641.34 |
| 86593 |
|
132 |
130 |
$587.98 |
| 36416 |
|
209 |
155 |
$579.65 |
| 86703 |
|
43 |
42 |
$578.73 |
| J1170 |
Hydromorphone injection |
46 |
38 |
$560.97 |
| 82728 |
|
50 |
49 |
$530.25 |
| J1200 |
Diphenhydramine hcl injectio |
163 |
148 |
$500.83 |
| 84703 |
|
55 |
55 |
$483.65 |
| 82607 |
|
37 |
37 |
$476.36 |
| 99212 |
|
44 |
39 |
$472.05 |
| J1100 |
Dexamethasone sodium phos |
306 |
296 |
$458.30 |
| 87210 |
|
96 |
94 |
$447.90 |
| 83735 |
|
80 |
77 |
$402.19 |
| 96361 |
|
32 |
27 |
$402.18 |
| J2550 |
Promethazine hcl injection |
61 |
49 |
$262.07 |
| 87340 |
|
28 |
27 |
$252.54 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$243.26 |
| 86803 |
|
13 |
13 |
$198.28 |
| 90715 |
|
13 |
13 |
$185.70 |
| 86762 |
|
13 |
12 |
$143.91 |
| 72100 |
|
12 |
12 |
$136.22 |
| 90471 |
|
13 |
13 |
$128.59 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
158 |
126 |
$104.78 |
| 81002 |
|
44 |
38 |
$88.54 |
| S0119 |
Ondansetron 4 mg |
627 |
579 |
$70.00 |
| 99211 |
|
13 |
12 |
$60.90 |
| G0008 |
Admin influenza virus vac |
54 |
52 |
$45.07 |
| J7620 |
Albuterol ipratrop non-comp |
74 |
68 |
$37.50 |
| G1010 |
Cdsm stanson |
667 |
553 |
$0.03 |
| A9270 |
Non-covered item or service |
376 |
220 |
$0.00 |
| 80050 |
|
35 |
33 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
42 |
39 |
$-7.43 |