| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
8,659 |
7,012 |
$1.16M |
| 99284 |
|
2,901 |
2,346 |
$477K |
| 99282 |
|
3,128 |
2,721 |
$265K |
| 99285 |
|
857 |
653 |
$207K |
| 96374 |
|
1,624 |
1,361 |
$159K |
| 87502 |
|
2,587 |
2,129 |
$151K |
| 97110 |
|
8,642 |
559 |
$150K |
| 87634 |
|
2,562 |
2,110 |
$110K |
| 70450 |
|
1,130 |
967 |
$98K |
| 71046 |
|
2,247 |
1,844 |
$94K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,604 |
2,135 |
$82K |
| 99213 |
|
932 |
785 |
$82K |
| 97530 |
|
5,482 |
451 |
$75K |
| 96372 |
|
1,788 |
1,435 |
$60K |
| 87426 |
|
1,529 |
1,376 |
$50K |
| 87651 |
|
1,906 |
1,575 |
$45K |
| 93005 |
|
1,987 |
1,637 |
$44K |
| 71045 |
|
1,077 |
888 |
$41K |
| 85025 |
|
6,399 |
4,938 |
$34K |
| 11042 |
|
227 |
68 |
$33K |
| 80053 |
|
4,259 |
3,486 |
$32K |
| 96361 |
|
875 |
749 |
$25K |
| 94640 |
|
241 |
187 |
$24K |
| 97116 |
|
1,977 |
196 |
$23K |
| 96375 |
|
809 |
631 |
$18K |
| 87804 |
|
1,414 |
909 |
$17K |
| 87428 |
|
306 |
266 |
$14K |
| 80305 |
|
916 |
876 |
$12K |
| 84443 |
|
891 |
803 |
$12K |
| 80048 |
|
1,717 |
1,319 |
$10K |
| 82306 |
|
390 |
349 |
$10K |
| 36415 |
|
4,394 |
3,012 |
$10K |
| 84484 |
|
1,316 |
1,031 |
$9K |
| 83880 |
|
492 |
409 |
$9K |
| 81001 |
|
3,602 |
2,998 |
$9K |
| 80061 |
|
705 |
633 |
$8K |
| 83036 |
|
692 |
605 |
$5K |
| 81025 |
|
701 |
604 |
$5K |
| 83690 |
|
1,069 |
902 |
$5K |
| 97112 |
|
403 |
59 |
$4K |
| 74176 |
|
27 |
25 |
$4K |
| 87880 |
|
351 |
301 |
$4K |
| 87430 |
|
322 |
298 |
$4K |
| 96360 |
|
39 |
37 |
$4K |
| 87086 |
|
578 |
463 |
$4K |
| 73630 |
|
66 |
56 |
$3K |
| 96365 |
|
37 |
25 |
$3K |
| 80307 |
|
71 |
58 |
$3K |
| 97597 |
|
37 |
12 |
$2K |
| 87807 |
|
172 |
152 |
$2K |
| 80076 |
|
292 |
263 |
$2K |
| 82150 |
|
413 |
351 |
$2K |
| 97161 |
|
57 |
41 |
$2K |
| 82607 |
|
126 |
115 |
$2K |
| 36592 |
|
1,221 |
1,034 |
$2K |
| 82553 |
|
292 |
245 |
$2K |
| 87081 |
|
303 |
279 |
$1K |
| 99214 |
|
49 |
12 |
$1K |
| 93000 |
|
35 |
31 |
$1K |
| 0012A |
|
49 |
48 |
$1K |
| 87186 |
|
158 |
103 |
$1K |
| 82550 |
|
327 |
265 |
$996.14 |
| G0008 |
Administration of influenza virus vaccine |
19 |
13 |
$951.90 |
| 0011A |
|
71 |
60 |
$941.21 |
| 73130 |
|
14 |
14 |
$881.24 |
| J1741 |
Injection, ibuprofen, 100 mg |
23 |
12 |
$787.00 |
| 73610 |
|
23 |
15 |
$752.76 |
| A9150 |
Non-prescription drugs |
14 |
12 |
$750.00 |
| 87798 |
|
20 |
12 |
$705.74 |
| 83735 |
|
109 |
98 |
$679.97 |
| 90791 |
|
19 |
13 |
$649.25 |
| 97166 |
|
12 |
12 |
$558.84 |
| 85378 |
|
118 |
106 |
$518.01 |
| 85610 |
|
179 |
110 |
$470.87 |
| 99212 |
|
14 |
13 |
$393.25 |
| 87420 |
|
28 |
27 |
$310.00 |
| 80176 |
|
17 |
17 |
$229.04 |
| 82746 |
|
14 |
14 |
$228.76 |
| 84439 |
|
24 |
24 |
$169.31 |
| 85730 |
|
75 |
51 |
$167.82 |
| 87070 |
|
17 |
16 |
$117.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,220 |
1,024 |
$111.69 |
| 94664 |
|
154 |
109 |
$94.25 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
602 |
494 |
$89.28 |
| 83615 |
|
13 |
13 |
$87.23 |
| 87077 |
|
15 |
12 |
$73.66 |
| 87040 |
|
18 |
13 |
$65.03 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
14 |
$57.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
186 |
154 |
$23.40 |
| 97535 |
|
373 |
75 |
$16.78 |
| 85379 |
|
24 |
24 |
$9.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
14 |
$7.80 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
210 |
104 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
116 |
62 |
$0.00 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
274 |
134 |
$0.00 |
| G8987 |
Self care functional limitation, current status, at therapy episode outset and at reporting intervals |
175 |
86 |
$0.00 |
| A9270 |
Non-covered item or service |
83 |
68 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
14 |
$0.00 |