| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
30,298 |
24,791 |
$1.56M |
| 99213 |
|
5,542 |
4,944 |
$195K |
| 99204 |
|
1,461 |
1,370 |
$110K |
| 80305 |
|
11,332 |
10,068 |
$88K |
| 96372 |
|
5,433 |
4,708 |
$56K |
| 90837 |
|
562 |
282 |
$38K |
| J3301 |
Triamcinolone acet inj nos |
3,977 |
3,447 |
$14K |
| 20610 |
|
444 |
354 |
$14K |
| 82947 |
|
5,979 |
4,846 |
$12K |
| 90834 |
|
215 |
163 |
$10K |
| J1040 |
Methylprednisolone 80 mg inj |
847 |
743 |
$8K |
| 90471 |
|
598 |
529 |
$7K |
| J3490 |
Drugs unclassified injection |
1,769 |
1,506 |
$7K |
| 90688 |
|
518 |
449 |
$6K |
| 20552 |
|
144 |
134 |
$5K |
| 90791 |
|
47 |
46 |
$4K |
| 96127 |
|
1,009 |
829 |
$3K |
| 71046 |
|
215 |
192 |
$3K |
| 87426 |
|
82 |
76 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
414 |
372 |
$2K |
| 94640 |
|
259 |
230 |
$2K |
| 99203 |
|
33 |
29 |
$2K |
| 94010 |
|
133 |
116 |
$2K |
| 0011A |
|
44 |
43 |
$1K |
| 94060 |
|
41 |
33 |
$1K |
| G2023 |
Specimen collect covid-19 |
50 |
50 |
$1K |
| 81002 |
|
604 |
556 |
$1K |
| 87804 |
|
88 |
50 |
$990.01 |
| 0012A |
|
25 |
25 |
$860.26 |
| 20551 |
|
36 |
25 |
$832.75 |
| 72110 |
|
27 |
27 |
$787.84 |
| 90686 |
|
64 |
57 |
$693.60 |
| 72100 |
|
29 |
25 |
$586.50 |
| 90832 |
|
13 |
12 |
$541.68 |
| 96110 |
|
62 |
52 |
$419.92 |
| 20553 |
|
15 |
14 |
$416.38 |
| 73560 |
|
13 |
13 |
$251.04 |
| 36415 |
|
175 |
158 |
$188.72 |
| 87880 |
|
16 |
15 |
$165.54 |
| J3420 |
Vitamin b12 injection |
115 |
102 |
$137.23 |
| J7605 |
Arformoterol non-comp unit |
14 |
12 |
$111.40 |
| J1010 |
Inj, methylpred acetate 1 mg |
58 |
46 |
$107.18 |
| A7015 |
Aerosol mask used w nebulize |
99 |
90 |
$88.85 |
| 82570 |
|
17 |
15 |
$32.45 |
| A7010 |
Disposable corrugated tubing |
123 |
109 |
$29.29 |
| G0008 |
Admin influenza virus vac |
21 |
18 |
$24.17 |
| J1885 |
Ketorolac tromethamine inj |
14 |
12 |
$18.65 |
| J1100 |
Dexamethasone sodium phos |
15 |
12 |
$4.91 |
| J2315 |
Naltrexone, depot form |
40 |
34 |
$3.26 |
| 91301 |
|
111 |
110 |
$0.95 |
| 91306 |
|
15 |
13 |
$0.10 |
| G0247 |
Routine footcare pt w lops |
15 |
15 |
$0.00 |
| 99000 |
|
17 |
17 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |