| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
13,812 |
12,785 |
$3.24M |
| 99283 |
|
18,838 |
17,773 |
$3.13M |
| 99285 |
|
4,753 |
4,324 |
$1.53M |
| 99282 |
|
6,358 |
6,035 |
$594K |
| 96374 |
|
7,034 |
6,466 |
$155K |
| 87426 |
|
5,410 |
5,089 |
$121K |
| 85025 |
|
19,507 |
17,811 |
$76K |
| 71045 |
|
6,041 |
5,560 |
$47K |
| 80053 |
|
13,003 |
11,837 |
$37K |
| 93010 |
|
13,064 |
11,661 |
$37K |
| 87276 |
|
5,625 |
5,329 |
$30K |
| 84484 |
|
2,694 |
2,382 |
$30K |
| 96375 |
|
3,205 |
2,965 |
$28K |
| 96361 |
|
3,256 |
3,027 |
$25K |
| 87275 |
|
5,625 |
5,329 |
$20K |
| J2405 |
Ondansetron hcl injection |
3,346 |
3,042 |
$13K |
| 87880 |
|
1,909 |
1,821 |
$12K |
| 80048 |
|
4,396 |
4,075 |
$12K |
| 83690 |
|
3,451 |
3,177 |
$11K |
| 87086 |
|
2,581 |
2,409 |
$11K |
| 70450 |
|
789 |
727 |
$10K |
| 74177 |
|
167 |
151 |
$10K |
| 80307 |
|
524 |
480 |
$10K |
| 74176 |
|
236 |
224 |
$7K |
| 97110 |
|
225 |
65 |
$7K |
| 87081 |
|
1,689 |
1,610 |
$6K |
| 71046 |
|
263 |
239 |
$5K |
| 96365 |
|
190 |
159 |
$5K |
| 81001 |
|
5,988 |
5,577 |
$5K |
| 81025 |
|
1,613 |
1,538 |
$4K |
| 93005 |
|
6,558 |
5,914 |
$3K |
| 83605 |
|
448 |
404 |
$2K |
| 81003 |
|
2,599 |
2,399 |
$2K |
| 87804 |
|
179 |
167 |
$1K |
| 84702 |
|
77 |
73 |
$989.89 |
| U0004 |
Cov-19 test non-cdc hgh thru |
13 |
13 |
$900.00 |
| 96372 |
|
697 |
651 |
$864.39 |
| U0003 |
Cov-19 amp prb hgh thruput |
16 |
15 |
$705.18 |
| 84703 |
|
132 |
122 |
$622.33 |
| 82077 |
|
92 |
82 |
$408.57 |
| 80076 |
|
102 |
100 |
$250.51 |
| 94640 |
|
258 |
238 |
$239.22 |
| 87040 |
|
15 |
12 |
$176.52 |
| 96360 |
|
29 |
25 |
$172.03 |
| 84443 |
|
29 |
26 |
$166.00 |
| 83735 |
|
28 |
26 |
$151.76 |
| 85610 |
|
156 |
138 |
$142.14 |
| 87807 |
|
27 |
26 |
$129.81 |
| 82805 |
|
13 |
12 |
$110.44 |
| 85730 |
|
46 |
44 |
$102.48 |
| 88305 |
|
78 |
69 |
$96.71 |
| 87186 |
|
13 |
13 |
$95.55 |
| 82550 |
|
20 |
19 |
$92.15 |
| 82150 |
|
12 |
12 |
$60.36 |
| 36415 |
|
69 |
49 |
$46.47 |
| J1100 |
Dexamethasone sodium phos |
25 |
25 |
$39.91 |
| J1885 |
Ketorolac tromethamine inj |
1,763 |
1,621 |
$0.00 |
| A9270 |
Non-covered item or service |
1,038 |
896 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
25 |
24 |
$0.00 |
| G0378 |
Hospital observation per hr |
27 |
14 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
104 |
97 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
16 |
15 |
$0.00 |