| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
19,463 |
17,176 |
$4.81M |
| 99282 |
|
46,273 |
43,371 |
$1.87M |
| 99284 |
|
13,524 |
12,418 |
$922K |
| 87804 |
|
21,483 |
19,719 |
$503K |
| 99283 |
|
12,081 |
11,270 |
$471K |
| 99281 |
|
11,864 |
11,079 |
$449K |
| G0463 |
Hospital outpt clinic visit |
9,343 |
8,059 |
$343K |
| 80053 |
|
31,834 |
28,094 |
$339K |
| 87426 |
|
15,273 |
14,411 |
$316K |
| 85025 |
|
33,314 |
29,265 |
$287K |
| 93005 |
|
10,831 |
9,405 |
$117K |
| 71045 |
|
19,329 |
17,472 |
$107K |
| 87880 |
|
5,738 |
5,487 |
$96K |
| 81001 |
|
22,134 |
20,024 |
$87K |
| 87086 |
|
8,380 |
7,538 |
$84K |
| 70450 |
|
912 |
812 |
$75K |
| 74177 |
|
319 |
287 |
$56K |
| 83690 |
|
7,956 |
7,149 |
$55K |
| 84703 |
|
6,143 |
5,710 |
$40K |
| J7030 |
Normal saline solution infus |
10,824 |
9,503 |
$30K |
| 84484 |
|
3,266 |
2,805 |
$28K |
| 87801 |
|
1,137 |
1,071 |
$26K |
| 74176 |
|
246 |
225 |
$18K |
| 71260 |
|
141 |
129 |
$17K |
| 87633 |
|
72 |
65 |
$17K |
| 83880 |
|
558 |
470 |
$16K |
| 82553 |
|
1,231 |
1,038 |
$15K |
| 87389 |
|
638 |
599 |
$14K |
| 81025 |
|
4,006 |
3,708 |
$13K |
| 70470 |
|
88 |
76 |
$10K |
| 82550 |
|
1,417 |
1,191 |
$9K |
| 80055 |
|
117 |
110 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
7,624 |
6,892 |
$7K |
| 84443 |
|
418 |
346 |
$6K |
| 81003 |
|
2,091 |
1,752 |
$6K |
| 80306 |
|
502 |
426 |
$6K |
| 83036 |
|
507 |
431 |
$5K |
| 87637 |
|
46 |
44 |
$5K |
| 85610 |
|
1,340 |
1,127 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
99 |
91 |
$5K |
| 87535 |
|
167 |
159 |
$5K |
| 43239 |
|
29 |
24 |
$4K |
| 76805 |
|
158 |
150 |
$4K |
| 86592 |
|
639 |
612 |
$4K |
| J1100 |
Dexamethasone sodium phos |
5,053 |
4,548 |
$3K |
| 86803 |
|
174 |
164 |
$3K |
| 76816 |
|
87 |
81 |
$3K |
| 90686 |
|
191 |
173 |
$3K |
| 82150 |
|
291 |
255 |
$2K |
| 87635 |
|
61 |
54 |
$2K |
| 84439 |
|
231 |
190 |
$2K |
| 87807 |
|
125 |
119 |
$2K |
| 82306 |
|
233 |
189 |
$2K |
| J2405 |
Ondansetron hcl injection |
6,231 |
5,485 |
$1K |
| 72125 |
|
12 |
12 |
$1K |
| J2270 |
Morphine sulfate injection |
434 |
381 |
$1K |
| 87340 |
|
119 |
110 |
$1K |
| 85730 |
|
544 |
458 |
$1K |
| 80061 |
|
73 |
65 |
$1K |
| 71046 |
|
70 |
67 |
$952.26 |
| 83735 |
|
109 |
99 |
$756.38 |
| 87653 |
|
38 |
36 |
$624.00 |
| 82607 |
|
38 |
36 |
$584.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
594 |
540 |
$560.05 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
14 |
$502.74 |
| J0696 |
Ceftriaxone sodium injection |
525 |
482 |
$436.88 |
| 87070 |
|
31 |
30 |
$431.73 |
| 82677 |
|
13 |
13 |
$391.30 |
| 82105 |
|
13 |
13 |
$286.13 |
| 83021 |
|
14 |
14 |
$184.90 |
| 82947 |
|
28 |
26 |
$116.25 |
| 82330 |
|
15 |
12 |
$100.60 |
| 83540 |
|
12 |
12 |
$91.80 |
| J2360 |
Orphenadrine injection |
14 |
12 |
$46.20 |
| J1170 |
Hydromorphone injection |
19 |
13 |
$45.76 |
| 86900 |
|
13 |
12 |
$43.40 |
| 86901 |
|
13 |
12 |
$43.00 |
| 36415 |
|
9,397 |
8,422 |
$38.08 |
| 86140 |
|
16 |
13 |
$32.23 |
| 80069 |
|
12 |
12 |
$26.67 |
| J2704 |
Inj, propofol, 10 mg |
460 |
368 |
$12.63 |
| 85014 |
|
29 |
26 |
$10.41 |
| 90460 |
|
13 |
12 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
30 |
24 |
$0.00 |
| 85041 |
|
14 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
263 |
218 |
$0.00 |
| 90471 |
|
200 |
184 |
$0.00 |
| 82962 |
|
166 |
137 |
$0.00 |
| 85018 |
|
14 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |