| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,792 |
16,277 |
$2.72M |
| 99284 |
|
9,938 |
8,266 |
$1.04M |
| 99285 |
|
5,923 |
4,981 |
$547K |
| 71045 |
|
1,947 |
1,683 |
$292K |
| 96361 |
|
1,234 |
1,017 |
$201K |
| 74177 |
|
321 |
271 |
$147K |
| 96374 |
|
3,059 |
2,474 |
$126K |
| 96372 |
|
2,261 |
1,770 |
$114K |
| 93005 |
|
1,417 |
1,218 |
$102K |
| 87635 |
|
1,918 |
1,706 |
$89K |
| 80053 |
|
11,267 |
9,411 |
$69K |
| 85025 |
|
12,644 |
10,492 |
$57K |
| 87502 |
|
536 |
502 |
$49K |
| 70450 |
|
252 |
204 |
$25K |
| 74176 |
|
145 |
116 |
$25K |
| 87449 |
|
1,364 |
592 |
$10K |
| 84484 |
|
1,221 |
1,020 |
$9K |
| 99281 |
|
49 |
37 |
$6K |
| 83690 |
|
1,271 |
1,064 |
$5K |
| 96375 |
|
1,152 |
880 |
$5K |
| 84443 |
|
534 |
451 |
$3K |
| 87651 |
|
72 |
67 |
$3K |
| 87426 |
|
156 |
143 |
$2K |
| 81001 |
|
1,447 |
1,251 |
$2K |
| 36415 |
|
1,611 |
1,303 |
$2K |
| 83036 |
|
438 |
387 |
$2K |
| 80061 |
|
321 |
282 |
$2K |
| 83880 |
|
111 |
89 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
36 |
27 |
$2K |
| 87086 |
|
309 |
265 |
$2K |
| 81025 |
|
222 |
195 |
$2K |
| 84439 |
|
428 |
352 |
$1K |
| 80305 |
|
163 |
139 |
$1K |
| 82746 |
|
209 |
183 |
$1K |
| 82728 |
|
190 |
171 |
$954.12 |
| 80048 |
|
120 |
114 |
$721.52 |
| G0463 |
Hospital outpt clinic visit |
105 |
61 |
$680.33 |
| 83550 |
|
189 |
171 |
$602.69 |
| 82977 |
|
289 |
229 |
$598.25 |
| 84703 |
|
108 |
89 |
$597.90 |
| 96360 |
|
14 |
12 |
$591.24 |
| 81003 |
|
415 |
355 |
$569.11 |
| 86140 |
|
164 |
152 |
$553.35 |
| G0480 |
Drug test def 1-7 classes |
20 |
12 |
$539.84 |
| 83540 |
|
189 |
171 |
$446.42 |
| 71046 |
|
13 |
12 |
$407.19 |
| 82150 |
|
110 |
94 |
$380.38 |
| 87880 |
|
71 |
61 |
$350.55 |
| 83735 |
|
113 |
97 |
$289.98 |
| 85652 |
|
135 |
127 |
$250.62 |
| 82306 |
|
53 |
51 |
$182.54 |
| 85379 |
|
12 |
12 |
$92.99 |
| 85730 |
|
32 |
26 |
$77.59 |
| 80307 |
|
17 |
14 |
$62.14 |
| 85610 |
|
33 |
27 |
$59.67 |
| 82607 |
|
38 |
28 |
$36.10 |
| J1885 |
Ketorolac tromethamine inj |
2,407 |
1,987 |
$15.82 |
| J3010 |
Fentanyl citrate injection |
13 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
14 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
19 |
14 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
660 |
552 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,130 |
940 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
698 |
534 |
$0.00 |
| J7030 |
Normal saline solution infus |
88 |
54 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
15 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
33 |
24 |
$0.00 |
| J2270 |
Morphine sulfate injection |
15 |
12 |
$0.00 |