| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
7,139 |
6,812 |
$3.23M |
| 99285 |
|
3,343 |
3,117 |
$1.61M |
| 99283 |
|
12,537 |
12,246 |
$1.23M |
| 87426 |
|
5,235 |
5,109 |
$179K |
| 87804 |
|
10,423 |
5,109 |
$152K |
| 87651 |
|
3,184 |
3,128 |
$80K |
| 99282 |
|
726 |
709 |
$76K |
| 0241U |
|
2,655 |
2,606 |
$65K |
| 71045 |
|
2,855 |
2,679 |
$56K |
| 87635 |
|
992 |
921 |
$44K |
| 80053 |
|
5,483 |
5,031 |
$39K |
| 87880 |
|
2,686 |
2,621 |
$33K |
| 93005 |
|
1,237 |
1,097 |
$31K |
| 85025 |
|
6,041 |
5,531 |
$29K |
| U0003 |
Cov-19 amp prb hgh thruput |
291 |
274 |
$28K |
| 94640 |
|
701 |
675 |
$27K |
| 74177 |
|
68 |
64 |
$26K |
| 87807 |
|
1,505 |
1,467 |
$25K |
| G0378 |
Hospital observation per hr |
28 |
13 |
$15K |
| 90715 |
|
182 |
180 |
$13K |
| 81025 |
|
1,750 |
1,626 |
$11K |
| 96374 |
|
911 |
825 |
$11K |
| 36415 |
|
8,570 |
7,809 |
$9K |
| 96375 |
|
502 |
457 |
$9K |
| 87081 |
|
1,657 |
1,611 |
$8K |
| 99281 |
|
90 |
88 |
$8K |
| 96361 |
|
352 |
323 |
$7K |
| J7030 |
Normal saline solution infus |
1,442 |
1,232 |
$7K |
| 81003 |
|
3,610 |
3,247 |
$6K |
| 76805 |
|
25 |
24 |
$5K |
| 84484 |
|
954 |
586 |
$5K |
| 80047 |
|
558 |
519 |
$5K |
| 59025 |
|
31 |
26 |
$4K |
| 90471 |
|
261 |
251 |
$4K |
| U0005 |
Infec agen detec ampli probe |
100 |
99 |
$4K |
| 83690 |
|
893 |
836 |
$4K |
| 81001 |
|
1,554 |
1,478 |
$3K |
| 83605 |
|
457 |
362 |
$3K |
| 99211 |
|
49 |
48 |
$3K |
| 87428 |
|
280 |
278 |
$3K |
| 81404 |
|
15 |
15 |
$3K |
| 85610 |
|
1,080 |
1,021 |
$3K |
| 85730 |
|
639 |
608 |
$2K |
| 96365 |
|
71 |
65 |
$2K |
| 87086 |
|
331 |
313 |
$2K |
| 83789 |
|
102 |
54 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
219 |
210 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
424 |
392 |
$2K |
| 84145 |
|
90 |
87 |
$2K |
| 82261 |
|
70 |
69 |
$2K |
| 81402 |
|
15 |
15 |
$1K |
| 83021 |
|
55 |
54 |
$1K |
| 90686 |
|
41 |
39 |
$1K |
| 70450 |
|
14 |
14 |
$1K |
| 83491 |
|
55 |
54 |
$1K |
| J7120 |
Ringers lactate infusion |
273 |
239 |
$1K |
| 80307 |
|
41 |
39 |
$1K |
| 82776 |
|
70 |
69 |
$1K |
| 83020 |
|
55 |
54 |
$921.90 |
| J2405 |
Ondansetron hcl injection |
1,844 |
1,623 |
$893.58 |
| 83498 |
|
15 |
15 |
$840.43 |
| 83516 |
|
55 |
54 |
$825.85 |
| 90674 |
|
14 |
14 |
$814.41 |
| 81479 |
|
71 |
69 |
$703.20 |
| J7510 |
Prednisolone oral per 5 mg |
180 |
171 |
$690.44 |
| 80048 |
|
69 |
67 |
$664.39 |
| 84437 |
|
70 |
69 |
$662.75 |
| 82726 |
|
15 |
15 |
$611.01 |
| 96360 |
|
12 |
12 |
$599.72 |
| 83520 |
|
15 |
15 |
$534.36 |
| 82016 |
|
15 |
15 |
$510.04 |
| 83919 |
|
15 |
15 |
$509.00 |
| 86141 |
|
42 |
42 |
$487.17 |
| 82128 |
|
15 |
15 |
$429.02 |
| 96372 |
|
137 |
116 |
$368.44 |
| 84702 |
|
30 |
27 |
$366.56 |
| S3620 |
Newborn metabolic screening |
114 |
113 |
$347.35 |
| 81401 |
|
15 |
15 |
$337.13 |
| J2270 |
Morphine sulfate injection |
193 |
161 |
$253.78 |
| 86140 |
|
46 |
42 |
$249.58 |
| J1885 |
Ketorolac tromethamine inj |
342 |
324 |
$236.29 |
| 90472 |
|
14 |
12 |
$217.33 |
| 87040 |
|
31 |
18 |
$213.30 |
| 83735 |
|
41 |
39 |
$178.40 |
| 83880 |
|
15 |
14 |
$170.38 |
| 85027 |
|
26 |
26 |
$149.77 |
| 36416 |
|
50 |
50 |
$93.27 |
| 87186 |
|
12 |
12 |
$90.88 |
| 85007 |
|
25 |
25 |
$87.22 |
| 88720 |
|
12 |
12 |
$72.33 |
| J1170 |
Hydromorphone injection |
34 |
25 |
$21.10 |
| J1100 |
Dexamethasone sodium phos |
18 |
16 |
$17.17 |
| J3010 |
Fentanyl citrate injection |
46 |
39 |
$7.25 |
| J2250 |
Inj midazolam hydrochloride |
42 |
39 |
$0.00 |
| A9270 |
Non-covered item or service |
546 |
298 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
15 |
13 |
$0.00 |