| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
5,418 |
5,104 |
$867K |
| 99284 |
|
3,802 |
3,548 |
$808K |
| 99285 |
|
1,575 |
1,485 |
$353K |
| 74177 |
|
229 |
220 |
$150K |
| 99282 |
|
708 |
681 |
$45K |
| 96375 |
|
1,826 |
1,610 |
$9K |
| 70450 |
|
92 |
88 |
$8K |
| 74176 |
|
16 |
16 |
$7K |
| 96361 |
|
2,323 |
2,081 |
$1K |
| 80053 |
|
3,391 |
3,113 |
$232.36 |
| 96372 |
|
838 |
779 |
$34.35 |
| 81001 |
|
1,838 |
1,736 |
$11.26 |
| 87400 |
|
1,112 |
1,063 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
417 |
396 |
$0.00 |
| 71046 |
|
613 |
594 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
351 |
310 |
$0.00 |
| 81003 |
|
633 |
608 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,522 |
1,387 |
$0.00 |
| 93005 |
|
695 |
646 |
$0.00 |
| 96360 |
|
86 |
84 |
$0.00 |
| 81025 |
|
294 |
283 |
$0.00 |
| 87420 |
|
28 |
28 |
$0.00 |
| J2270 |
Morphine sulfate injection |
198 |
174 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
12 |
$0.00 |
| J7030 |
Normal saline solution infus |
97 |
84 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| 80307 |
|
25 |
24 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
13 |
$0.00 |
| 84484 |
|
441 |
411 |
$0.00 |
| 71045 |
|
845 |
808 |
$0.00 |
| 85025 |
|
3,578 |
3,287 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,657 |
1,495 |
$0.00 |
| 83690 |
|
892 |
829 |
$0.00 |
| 83735 |
|
676 |
643 |
$0.00 |
| 87086 |
|
563 |
547 |
$0.00 |
| 96374 |
|
2,315 |
2,112 |
$0.00 |
| 87430 |
|
377 |
371 |
$0.00 |
| 96365 |
|
72 |
70 |
$0.00 |
| 87081 |
|
326 |
320 |
$0.00 |
| 87088 |
|
517 |
482 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
573 |
560 |
$0.00 |
| 84703 |
|
196 |
186 |
$0.00 |
| 84443 |
|
70 |
68 |
$0.00 |
| 80048 |
|
14 |
13 |
$0.00 |
| 87426 |
|
1,222 |
1,193 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
24 |
24 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
205 |
196 |
$0.00 |
| J3490 |
Drugs unclassified injection |
196 |
176 |
$0.00 |
| 96376 |
|
15 |
13 |
$0.00 |
| 82150 |
|
32 |
32 |
$0.00 |
| J2060 |
Lorazepam injection |
16 |
13 |
$0.00 |