| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,195 |
16,283 |
$719K |
| 99284 |
|
2,931 |
2,723 |
$113K |
| 80053 |
|
9,225 |
8,495 |
$93K |
| 87502 |
|
682 |
660 |
$62K |
| 85025 |
|
10,096 |
9,279 |
$43K |
| 96361 |
|
2,318 |
2,149 |
$42K |
| 96374 |
|
2,330 |
2,167 |
$36K |
| G0463 |
Hospital outpt clinic visit |
853 |
803 |
$28K |
| 99282 |
|
1,118 |
1,069 |
$27K |
| 96375 |
|
869 |
785 |
$26K |
| U0002 |
Covid-19 lab test non-cdc |
732 |
708 |
$26K |
| 81001 |
|
5,099 |
4,778 |
$17K |
| 87631 |
|
148 |
144 |
$16K |
| 93005 |
|
965 |
886 |
$11K |
| 99285 |
|
252 |
227 |
$8K |
| 86140 |
|
1,182 |
1,089 |
$6K |
| 71046 |
|
159 |
150 |
$2K |
| 96372 |
|
121 |
113 |
$2K |
| 83690 |
|
321 |
291 |
$2K |
| 96365 |
|
35 |
30 |
$2K |
| 80307 |
|
32 |
30 |
$2K |
| 84484 |
|
147 |
133 |
$2K |
| 87400 |
|
178 |
88 |
$2K |
| 71045 |
|
397 |
368 |
$2K |
| 36415 |
|
10,740 |
9,767 |
$1K |
| 81025 |
|
117 |
112 |
$979.23 |
| 87430 |
|
74 |
71 |
$805.87 |
| 87088 |
|
76 |
67 |
$646.42 |
| 87591 |
|
13 |
13 |
$644.53 |
| 87491 |
|
13 |
13 |
$644.53 |
| 97110 |
|
42 |
13 |
$638.23 |
| 87420 |
|
46 |
46 |
$589.53 |
| 84703 |
|
65 |
62 |
$573.38 |
| 87081 |
|
71 |
68 |
$544.28 |
| 96360 |
|
13 |
12 |
$502.48 |
| 84443 |
|
49 |
48 |
$474.18 |
| J1885 |
Ketorolac tromethamine inj |
189 |
165 |
$294.21 |
| 80048 |
|
44 |
38 |
$227.84 |
| 82962 |
|
33 |
24 |
$215.40 |
| J2405 |
Ondansetron hcl injection |
422 |
362 |
$199.33 |
| J7030 |
Normal saline solution infus |
2,812 |
2,324 |
$159.02 |
| 94640 |
|
14 |
14 |
$129.12 |
| 85610 |
|
26 |
26 |
$82.63 |
| 87210 |
|
13 |
13 |
$78.23 |
| J2270 |
Morphine sulfate injection |
34 |
28 |
$60.98 |
| J1170 |
Hydromorphone injection |
55 |
32 |
$60.13 |
| J2550 |
Promethazine hcl injection |
19 |
19 |
$35.71 |
| J0696 |
Ceftriaxone sodium injection |
14 |
12 |
$19.80 |
| J2704 |
Inj, propofol, 10 mg |
30 |
26 |
$14.55 |
| J3010 |
Fentanyl citrate injection |
51 |
33 |
$11.46 |
| A9270 |
Non-covered item or service |
1,319 |
630 |
$0.38 |
| J2250 |
Inj midazolam hydrochloride |
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
94 |
89 |
$0.00 |