| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
49,022 |
48,190 |
$22.69M |
| 99284 |
|
13,270 |
13,047 |
$11.96M |
| 95782 |
|
1,809 |
1,776 |
$6.50M |
| 95810 |
|
2,336 |
2,296 |
$5.83M |
| 99282 |
|
16,270 |
16,051 |
$4.26M |
| 42820 |
|
543 |
541 |
$1.71M |
| 69436 |
|
1,076 |
1,065 |
$1.58M |
| 41899 |
|
898 |
882 |
$1.22M |
| 0202U |
|
23,164 |
22,849 |
$1.22M |
| 67311 |
|
418 |
404 |
$1.13M |
| 99285 |
|
1,378 |
1,334 |
$1.13M |
| 71046 |
|
4,275 |
4,221 |
$648K |
| 87086 |
|
7,692 |
7,598 |
$455K |
| 93005 |
|
2,177 |
2,136 |
$396K |
| 90853 |
|
1,207 |
118 |
$355K |
| 99281 |
|
2,429 |
2,406 |
$308K |
| 99212 |
|
5,082 |
4,883 |
$293K |
| U0002 |
Covid-19 lab test non-cdc |
3,668 |
3,612 |
$271K |
| 80053 |
|
3,930 |
3,817 |
$265K |
| 99211 |
|
4,304 |
4,206 |
$260K |
| 87633 |
|
349 |
347 |
$232K |
| 87636 |
|
1,469 |
1,407 |
$224K |
| 87428 |
|
2,880 |
2,859 |
$219K |
| 87880 |
|
4,363 |
4,312 |
$218K |
| 87070 |
|
3,425 |
3,381 |
$208K |
| 74018 |
|
1,056 |
1,031 |
$143K |
| 97803 |
|
2,147 |
2,044 |
$141K |
| J3010 |
Fentanyl citrate injection |
3,924 |
3,761 |
$130K |
| 95811 |
|
41 |
41 |
$129K |
| 76705 |
|
434 |
415 |
$99K |
| 97802 |
|
829 |
824 |
$94K |
| J1100 |
Dexamethasone sodium phos |
3,551 |
3,443 |
$85K |
| J2405 |
Ondansetron hcl injection |
3,736 |
3,511 |
$82K |
| 85025 |
|
2,383 |
2,296 |
$82K |
| 43239 |
|
25 |
25 |
$74K |
| 95812 |
|
64 |
64 |
$65K |
| 84443 |
|
768 |
742 |
$63K |
| 85027 |
|
1,384 |
1,139 |
$63K |
| 86140 |
|
1,903 |
1,814 |
$55K |
| 87040 |
|
779 |
749 |
$55K |
| 71045 |
|
287 |
285 |
$52K |
| 99213 |
|
1,003 |
989 |
$50K |
| 74019 |
|
243 |
240 |
$48K |
| 81001 |
|
1,662 |
1,641 |
$48K |
| 83036 |
|
1,244 |
1,227 |
$44K |
| 96156 |
|
173 |
172 |
$40K |
| 81003 |
|
2,146 |
2,103 |
$40K |
| 84439 |
|
1,026 |
998 |
$40K |
| J1885 |
Ketorolac tromethamine inj |
1,811 |
1,725 |
$39K |
| 82948 |
|
1,271 |
1,237 |
$34K |
| 92567 |
|
390 |
383 |
$33K |
| 95004 |
|
65 |
59 |
$31K |
| 54161 |
|
12 |
12 |
$28K |
| 92579 |
|
119 |
118 |
$26K |
| 96167 |
|
146 |
145 |
$23K |
| L8613 |
Ossicular implant |
893 |
883 |
$21K |
| 86003 |
|
323 |
109 |
$21K |
| 80069 |
|
140 |
128 |
$21K |
| 94640 |
|
262 |
259 |
$20K |
| 85007 |
|
1,248 |
1,014 |
$19K |
| 69210 |
|
171 |
171 |
$18K |
| 83690 |
|
225 |
225 |
$14K |
| 36415 |
|
13,219 |
12,317 |
$14K |
| 87631 |
|
58 |
57 |
$12K |
| 80048 |
|
205 |
191 |
$10K |
| 80050 |
|
55 |
54 |
$9K |
| 82306 |
|
103 |
103 |
$9K |
| 70486 |
|
15 |
15 |
$9K |
| 82784 |
|
108 |
106 |
$9K |
| 85652 |
|
263 |
254 |
$7K |
| 70450 |
|
12 |
12 |
$7K |
| 76770 |
|
25 |
25 |
$7K |
| 84145 |
|
196 |
187 |
$7K |
| 92552 |
|
57 |
54 |
$5K |
| J2795 |
Ropivacaine hcl injection |
161 |
160 |
$5K |
| 83516 |
|
66 |
62 |
$4K |
| 81025 |
|
81 |
80 |
$4K |
| 92557 |
|
17 |
17 |
$4K |
| 99202 |
|
46 |
42 |
$4K |
| 83001 |
|
49 |
39 |
$3K |
| 82728 |
|
73 |
73 |
$3K |
| 85045 |
|
89 |
87 |
$3K |
| 82627 |
|
34 |
25 |
$3K |
| 90471 |
|
3,060 |
3,032 |
$3K |
| 87491 |
|
25 |
25 |
$3K |
| 86480 |
|
43 |
42 |
$2K |
| 92587 |
|
14 |
14 |
$2K |
| 83002 |
|
34 |
27 |
$2K |
| 83498 |
|
12 |
12 |
$2K |
| 92556 |
|
28 |
26 |
$2K |
| 92555 |
|
42 |
41 |
$2K |
| 82977 |
|
27 |
24 |
$2K |
| 87804 |
|
31 |
31 |
$2K |
| 82610 |
|
28 |
26 |
$1K |
| 84146 |
|
15 |
12 |
$1K |
| 86803 |
|
57 |
55 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
39 |
39 |
$1K |
| 90472 |
|
2,239 |
1,207 |
$992.53 |
| 87389 |
|
34 |
32 |
$961.79 |
| 82040 |
|
15 |
15 |
$821.39 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$764.98 |
| 83540 |
|
13 |
13 |
$763.18 |
| 0241U |
|
199 |
199 |
$731.38 |
| 84460 |
|
13 |
12 |
$706.43 |
| 92551 |
|
12 |
12 |
$645.68 |
| 82043 |
|
12 |
12 |
$538.44 |
| 96374 |
|
28 |
28 |
$440.52 |
| 86592 |
|
93 |
86 |
$419.96 |
| 83735 |
|
13 |
12 |
$296.34 |
| 0099U |
|
61 |
61 |
$241.27 |
| J0696 |
Ceftriaxone sodium injection |
15 |
13 |
$175.56 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$107.13 |
| 90670 |
|
150 |
149 |
$0.00 |
| 90686 |
|
1,478 |
1,465 |
$0.00 |
| 90656 |
|
115 |
115 |
$0.00 |