| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,794 |
5,966 |
$590K |
| 99283 |
|
6,010 |
5,520 |
$526K |
| 99285 |
|
3,261 |
2,813 |
$305K |
| 99282 |
|
1,140 |
1,054 |
$94K |
| 80053 |
|
7,573 |
6,150 |
$80K |
| 36415 |
|
5,181 |
3,908 |
$63K |
| 74177 |
|
1,069 |
952 |
$54K |
| 82947 |
|
404 |
294 |
$41K |
| 70450 |
|
1,233 |
995 |
$37K |
| 87430 |
|
636 |
607 |
$25K |
| 74176 |
|
226 |
197 |
$19K |
| 87400 |
|
597 |
536 |
$18K |
| 71045 |
|
2,916 |
2,501 |
$18K |
| 87088 |
|
1,541 |
1,348 |
$16K |
| A9270 |
Non-covered item or service |
7,199 |
4,217 |
$15K |
| 81001 |
|
3,734 |
3,261 |
$13K |
| 87636 |
|
590 |
535 |
$12K |
| 85025 |
|
7,642 |
6,065 |
$10K |
| 84484 |
|
1,760 |
1,359 |
$9K |
| 87486 |
|
900 |
845 |
$9K |
| 93005 |
|
2,723 |
2,256 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
1,864 |
1,591 |
$7K |
| 81003 |
|
1,017 |
905 |
$6K |
| 87633 |
|
986 |
921 |
$6K |
| 80307 |
|
218 |
200 |
$5K |
| 94640 |
|
291 |
227 |
$5K |
| 71046 |
|
299 |
270 |
$5K |
| J2405 |
Ondansetron hcl injection |
2,151 |
1,809 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,458 |
1,292 |
$4K |
| 96374 |
|
1,014 |
782 |
$3K |
| 78815 |
|
18 |
15 |
$2K |
| 81025 |
|
1,725 |
1,595 |
$2K |
| 93041 |
|
1,315 |
1,118 |
$2K |
| 59025 |
|
15 |
12 |
$2K |
| 80048 |
|
499 |
391 |
$2K |
| 94760 |
|
431 |
314 |
$2K |
| J2270 |
Morphine sulfate injection |
1,040 |
824 |
$2K |
| J1100 |
Dexamethasone sodium phos |
809 |
743 |
$2K |
| 93306 |
|
16 |
14 |
$2K |
| 94664 |
|
215 |
167 |
$1K |
| 96361 |
|
338 |
281 |
$1K |
| 87210 |
|
94 |
88 |
$1K |
| 83690 |
|
1,553 |
1,353 |
$772.90 |
| 87635 |
|
74 |
66 |
$730.63 |
| 84443 |
|
316 |
267 |
$691.65 |
| J2704 |
Inj, propofol, 10 mg |
387 |
336 |
$655.57 |
| 85027 |
|
641 |
536 |
$652.80 |
| 71275 |
|
15 |
13 |
$612.23 |
| U0002 |
Covid-19 lab test non-cdc |
30 |
28 |
$565.84 |
| 87798 |
|
902 |
845 |
$534.78 |
| 87581 |
|
900 |
845 |
$451.32 |
| 96375 |
|
554 |
400 |
$359.91 |
| 85610 |
|
639 |
505 |
$359.03 |
| 85730 |
|
343 |
280 |
$350.13 |
| 93975 |
|
28 |
28 |
$242.47 |
| 83735 |
|
523 |
408 |
$173.29 |
| 87186 |
|
192 |
161 |
$170.83 |
| 72125 |
|
17 |
12 |
$164.88 |
| 87491 |
|
155 |
145 |
$154.87 |
| U0003 |
Cov-19 amp prb hgh thruput |
40 |
39 |
$147.53 |
| 87591 |
|
155 |
145 |
$69.60 |
| 76817 |
|
27 |
25 |
$67.91 |
| 80061 |
|
58 |
50 |
$42.89 |
| 83880 |
|
80 |
64 |
$38.98 |
| 84703 |
|
392 |
357 |
$32.22 |
| 87040 |
|
61 |
39 |
$27.84 |
| 83605 |
|
205 |
174 |
$7.79 |
| 84702 |
|
49 |
42 |
$7.68 |
| 86900 |
|
128 |
112 |
$6.72 |
| 87081 |
|
585 |
559 |
$5.18 |
| 86850 |
|
17 |
13 |
$2.90 |
| 86901 |
|
128 |
112 |
$1.38 |
| 88305 |
|
62 |
53 |
$0.00 |
| Q0162 |
Ondansetron oral |
476 |
450 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
481 |
432 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
54 |
53 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
46 |
41 |
$0.00 |
| 96372 |
|
109 |
97 |
$0.00 |
| 87426 |
|
28 |
26 |
$0.00 |
| 85379 |
|
29 |
28 |
$0.00 |
| J1790 |
Droperidol injection |
15 |
12 |
$0.00 |
| 73562 |
|
13 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
74 |
64 |
$0.00 |
| A9552 |
F18 fdg |
30 |
27 |
$0.00 |
| 73630 |
|
15 |
14 |
$0.00 |
| 96360 |
|
16 |
14 |
$0.00 |
| 87420 |
|
14 |
14 |
$0.00 |
| J2550 |
Promethazine hcl injection |
14 |
13 |
$0.00 |