| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
14,794 |
11,782 |
$3.15M |
| 99283 |
|
12,868 |
9,705 |
$1.70M |
| 90853 |
|
11,364 |
1,557 |
$1.50M |
| 99285 |
|
3,165 |
2,678 |
$928K |
| 87428 |
|
7,906 |
6,786 |
$401K |
| 96374 |
|
3,153 |
2,774 |
$377K |
| 92507 |
|
5,588 |
1,419 |
$278K |
| 70450 |
|
2,428 |
2,168 |
$276K |
| 96372 |
|
5,752 |
4,798 |
$264K |
| 71045 |
|
5,167 |
4,451 |
$257K |
| 97110 |
|
5,464 |
1,091 |
$239K |
| 74177 |
|
753 |
675 |
$237K |
| 99282 |
|
3,156 |
2,580 |
$195K |
| 71046 |
|
2,811 |
2,492 |
$138K |
| 94640 |
|
1,161 |
798 |
$133K |
| 93005 |
|
4,065 |
3,455 |
$126K |
| 96365 |
|
1,023 |
900 |
$123K |
| 74176 |
|
446 |
397 |
$119K |
| 96375 |
|
2,661 |
2,249 |
$109K |
| 96361 |
|
2,098 |
1,731 |
$102K |
| 85025 |
|
14,255 |
11,558 |
$81K |
| 87880 |
|
6,455 |
5,588 |
$81K |
| 80053 |
|
9,775 |
8,278 |
$74K |
| 72125 |
|
358 |
322 |
$59K |
| 87804 |
|
3,462 |
1,832 |
$54K |
| G0480 |
Drug test def 1-7 classes |
879 |
757 |
$49K |
| 87426 |
|
1,724 |
1,169 |
$46K |
| 80048 |
|
4,896 |
3,965 |
$31K |
| 84443 |
|
2,262 |
2,053 |
$27K |
| 80061 |
|
2,502 |
2,284 |
$27K |
| 83880 |
|
1,194 |
1,048 |
$26K |
| 84484 |
|
3,339 |
2,643 |
$26K |
| G0481 |
Drug test def 8-14 classes |
322 |
270 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,529 |
1,335 |
$23K |
| 83036 |
|
2,535 |
2,337 |
$21K |
| 36415 |
|
6,840 |
5,067 |
$14K |
| 87081 |
|
2,484 |
2,226 |
$14K |
| 96360 |
|
104 |
91 |
$14K |
| 87807 |
|
1,267 |
1,098 |
$13K |
| 83690 |
|
2,317 |
2,043 |
$11K |
| 81001 |
|
4,193 |
3,657 |
$11K |
| 82306 |
|
537 |
487 |
$10K |
| 87040 |
|
1,513 |
771 |
$10K |
| 87086 |
|
1,684 |
1,481 |
$9K |
| 81025 |
|
1,153 |
1,026 |
$8K |
| 73630 |
|
162 |
136 |
$8K |
| 80076 |
|
1,083 |
1,003 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
1,467 |
1,270 |
$6K |
| 82728 |
|
677 |
590 |
$6K |
| J7030 |
Normal saline solution infus |
2,651 |
2,211 |
$5K |
| 73030 |
|
89 |
80 |
$5K |
| 81003 |
|
2,403 |
2,143 |
$5K |
| Q3014 |
Telehealth facility fee |
352 |
311 |
$5K |
| 87077 |
|
775 |
662 |
$4K |
| 87186 |
|
748 |
646 |
$4K |
| 82607 |
|
446 |
401 |
$4K |
| J2405 |
Ondansetron hcl injection |
1,959 |
1,669 |
$4K |
| 83605 |
|
669 |
535 |
$4K |
| 83735 |
|
940 |
762 |
$4K |
| 73562 |
|
75 |
70 |
$3K |
| 83550 |
|
582 |
513 |
$3K |
| 84703 |
|
587 |
502 |
$3K |
| 85027 |
|
542 |
453 |
$3K |
| 83540 |
|
701 |
623 |
$3K |
| 74018 |
|
67 |
61 |
$3K |
| 90832 |
|
45 |
30 |
$3K |
| 96376 |
|
220 |
166 |
$3K |
| 72100 |
|
46 |
39 |
$3K |
| 97161 |
|
15 |
14 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
34 |
33 |
$2K |
| 73610 |
|
46 |
38 |
$2K |
| 87400 |
|
82 |
73 |
$2K |
| 80305 |
|
129 |
123 |
$1K |
| 92526 |
|
33 |
12 |
$1K |
| 85610 |
|
587 |
298 |
$1K |
| 86140 |
|
329 |
279 |
$1K |
| A9270 |
Non-covered item or service |
1,518 |
1,160 |
$1K |
| 90471 |
|
46 |
38 |
$1K |
| 82550 |
|
187 |
150 |
$1K |
| J2930 |
Methylprednisolone injection |
796 |
656 |
$1K |
| 82553 |
|
102 |
92 |
$987.65 |
| 97165 |
|
29 |
28 |
$962.92 |
| 85379 |
|
91 |
84 |
$774.08 |
| J1885 |
Ketorolac tromethamine inj |
2,190 |
1,911 |
$702.81 |
| 82962 |
|
258 |
176 |
$582.39 |
| 82570 |
|
69 |
61 |
$534.94 |
| 96366 |
|
14 |
12 |
$519.01 |
| 82044 |
|
35 |
30 |
$381.47 |
| 86308 |
|
57 |
42 |
$359.61 |
| 73502 |
|
16 |
12 |
$332.70 |
| 87491 |
|
12 |
12 |
$316.76 |
| 87591 |
|
12 |
12 |
$316.76 |
| 82948 |
|
79 |
45 |
$295.10 |
| 99305 |
|
12 |
12 |
$271.04 |
| J2272 |
Inj, morphine (fresenius) |
357 |
315 |
$262.36 |
| 86738 |
|
21 |
20 |
$254.41 |
| 90715 |
|
46 |
38 |
$237.34 |
| J2270 |
Morphine sulfate injection |
1,064 |
877 |
$209.17 |
| J1100 |
Dexamethasone sodium phos |
304 |
267 |
$203.61 |
| Q0162 |
Ondansetron oral |
77 |
67 |
$176.08 |
| 99307 |
|
23 |
13 |
$157.89 |
| J7050 |
Normal saline solution infus |
109 |
83 |
$151.16 |
| 82150 |
|
32 |
30 |
$129.95 |
| 84145 |
|
377 |
335 |
$126.11 |
| J1170 |
Hydromorphone injection |
126 |
82 |
$103.66 |
| 83615 |
|
19 |
14 |
$76.21 |
| 82043 |
|
17 |
16 |
$59.42 |
| 85652 |
|
27 |
24 |
$43.84 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
35 |
29 |
$43.40 |
| J2060 |
Lorazepam injection |
22 |
12 |
$7.75 |
| J2919 |
Inj, methylpred sod succ 5mg |
37 |
27 |
$4.48 |
| J2550 |
Promethazine hcl injection |
92 |
75 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
66 |
63 |
$0.00 |
| 36416 |
|
198 |
167 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
16 |
12 |
$0.00 |