| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
27,658 |
26,213 |
$14.44M |
| 99283 |
|
89,610 |
86,948 |
$12.28M |
| 99282 |
|
19,635 |
19,238 |
$2.70M |
| 99285 |
|
3,135 |
2,964 |
$1.85M |
| 93005 |
|
7,828 |
7,357 |
$1.31M |
| 99281 |
|
3,719 |
3,657 |
$501K |
| 87804 |
|
21,058 |
20,108 |
$406K |
| 87635 |
|
9,134 |
8,937 |
$246K |
| 87880 |
|
17,454 |
17,019 |
$220K |
| 43239 |
|
197 |
189 |
$206K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,007 |
3,981 |
$171K |
| 80048 |
|
11,838 |
10,797 |
$167K |
| 88305 |
|
227 |
216 |
$155K |
| 74177 |
|
858 |
830 |
$136K |
| 85027 |
|
26,502 |
24,375 |
$129K |
| 80053 |
|
7,085 |
6,551 |
$116K |
| 87502 |
|
1,705 |
1,666 |
$110K |
| 87081 |
|
12,878 |
12,579 |
$106K |
| 71045 |
|
6,296 |
5,947 |
$104K |
| J1100 |
Dexamethasone sodium phos |
7,167 |
3,936 |
$95K |
| 96374 |
|
8,957 |
8,508 |
$93K |
| J7030 |
Normal saline solution infus |
3,589 |
3,253 |
$85K |
| 87426 |
|
2,827 |
2,713 |
$77K |
| 87086 |
|
8,205 |
8,024 |
$72K |
| 71046 |
|
2,450 |
2,390 |
$70K |
| 76801 |
|
701 |
637 |
$67K |
| 87807 |
|
5,832 |
5,735 |
$63K |
| 70450 |
|
1,236 |
1,174 |
$60K |
| 93976 |
|
634 |
581 |
$56K |
| 36415 |
|
45,788 |
43,184 |
$48K |
| 76705 |
|
552 |
535 |
$48K |
| 81001 |
|
11,813 |
11,451 |
$43K |
| 45380 |
|
13 |
13 |
$23K |
| 76817 |
|
245 |
223 |
$20K |
| 96375 |
|
1,481 |
1,373 |
$19K |
| 94640 |
|
456 |
446 |
$16K |
| 81003 |
|
6,475 |
6,174 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
287 |
287 |
$15K |
| J7120 |
Ringers lactate infusion |
767 |
703 |
$15K |
| 80076 |
|
1,715 |
1,648 |
$14K |
| 84484 |
|
3,506 |
2,957 |
$13K |
| 84702 |
|
1,478 |
1,306 |
$12K |
| 81025 |
|
1,889 |
1,838 |
$11K |
| 72125 |
|
329 |
319 |
$8K |
| 83690 |
|
2,420 |
2,292 |
$8K |
| 74018 |
|
303 |
288 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
713 |
632 |
$7K |
| 80307 |
|
331 |
319 |
$7K |
| 97804 |
|
184 |
171 |
$6K |
| 88312 |
|
68 |
63 |
$5K |
| J2405 |
Ondansetron hcl injection |
1,871 |
1,663 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,465 |
1,069 |
$5K |
| 76819 |
|
64 |
61 |
$4K |
| 76815 |
|
67 |
63 |
$4K |
| 83880 |
|
579 |
530 |
$3K |
| Q0162 |
Ondansetron oral |
9,644 |
9,452 |
$3K |
| 88313 |
|
32 |
32 |
$3K |
| 86403 |
|
181 |
176 |
$3K |
| 87040 |
|
755 |
644 |
$2K |
| 86900 |
|
1,082 |
983 |
$2K |
| 86140 |
|
493 |
486 |
$2K |
| 86850 |
|
138 |
135 |
$2K |
| 74176 |
|
88 |
86 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,385 |
859 |
$2K |
| 96372 |
|
1,008 |
921 |
$2K |
| 86901 |
|
1,042 |
987 |
$2K |
| 73630 |
|
28 |
25 |
$1K |
| 82565 |
|
137 |
130 |
$1K |
| 82248 |
|
1,295 |
1,221 |
$1K |
| 87186 |
|
68 |
65 |
$1K |
| 71275 |
|
14 |
13 |
$987.34 |
| 77063 |
|
39 |
39 |
$978.17 |
| 73110 |
|
14 |
13 |
$966.60 |
| 85730 |
|
827 |
763 |
$962.21 |
| 85610 |
|
1,113 |
1,024 |
$903.41 |
| J2270 |
Morphine sulfate injection |
978 |
760 |
$771.09 |
| 77067 |
|
40 |
40 |
$712.80 |
| 83605 |
|
555 |
484 |
$707.81 |
| 72131 |
|
12 |
12 |
$652.95 |
| G0480 |
Drug test def 1-7 classes |
39 |
36 |
$637.85 |
| 73090 |
|
26 |
25 |
$623.04 |
| 74019 |
|
12 |
12 |
$599.79 |
| 73610 |
|
31 |
31 |
$527.85 |
| 80061 |
|
306 |
293 |
$439.49 |
| 83735 |
|
537 |
430 |
$351.56 |
| J7042 |
5% dextrose/normal saline |
24 |
24 |
$311.53 |
| 73562 |
|
14 |
14 |
$283.17 |
| J7050 |
Normal saline solution infus |
283 |
226 |
$237.51 |
| J3490 |
Drugs unclassified injection |
292 |
278 |
$177.61 |
| 84703 |
|
92 |
90 |
$171.63 |
| 80320 |
|
24 |
24 |
$169.54 |
| A9270 |
Non-covered item or service |
1,934 |
1,064 |
$100.83 |
| 82247 |
|
16 |
13 |
$83.29 |
| J3010 |
Fentanyl citrate injection |
425 |
401 |
$75.58 |
| 84443 |
|
65 |
64 |
$70.55 |
| 82150 |
|
14 |
12 |
$61.84 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$16.64 |
| 83036 |
|
27 |
25 |
$16.32 |
| A4216 |
Sterile water/saline, 10 ml |
14 |
13 |
$6.19 |
| Q0111 |
Wet mounts/ w preparations |
29 |
26 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
297 |
280 |
$0.00 |
| S5000 |
Prescription drug, generic |
15 |
14 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
12 |
12 |
$0.00 |