| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
912 |
816 |
$1.62M |
| 99284 |
|
10,483 |
8,998 |
$428K |
| 99283 |
|
8,705 |
8,090 |
$384K |
| 87636 |
|
2,367 |
2,153 |
$216K |
| 99282 |
|
3,162 |
2,999 |
$140K |
| 80053 |
|
11,700 |
9,719 |
$124K |
| 11042 |
|
1,075 |
465 |
$111K |
| 85025 |
|
11,945 |
9,369 |
$70K |
| 96374 |
|
2,342 |
2,137 |
$50K |
| 87804 |
|
1,052 |
974 |
$38K |
| 42820 |
|
115 |
108 |
$37K |
| 69436 |
|
99 |
96 |
$36K |
| 81000 |
|
7,254 |
6,303 |
$25K |
| 96375 |
|
578 |
523 |
$21K |
| 71045 |
|
1,910 |
1,642 |
$17K |
| 36415 |
|
13,379 |
11,313 |
$15K |
| 93005 |
|
1,100 |
888 |
$12K |
| 80306 |
|
801 |
707 |
$12K |
| 84703 |
|
900 |
730 |
$10K |
| 83735 |
|
1,042 |
885 |
$9K |
| 70450 |
|
154 |
131 |
$9K |
| 96361 |
|
375 |
327 |
$8K |
| 93306 |
|
64 |
62 |
$7K |
| G0463 |
Hospital outpt clinic visit |
2,193 |
1,471 |
$6K |
| 97110 |
|
162 |
42 |
$5K |
| 94726 |
|
40 |
39 |
$5K |
| 83690 |
|
730 |
592 |
$5K |
| 87088 |
|
504 |
448 |
$4K |
| 87420 |
|
314 |
302 |
$4K |
| 86141 |
|
828 |
729 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
105 |
94 |
$4K |
| 87430 |
|
284 |
269 |
$3K |
| 82150 |
|
317 |
281 |
$3K |
| 85610 |
|
517 |
447 |
$3K |
| 71046 |
|
171 |
162 |
$3K |
| 99070 |
|
616 |
387 |
$2K |
| 85730 |
|
405 |
353 |
$2K |
| 96372 |
|
130 |
112 |
$2K |
| 93041 |
|
780 |
669 |
$2K |
| 88305 |
|
30 |
26 |
$2K |
| G0378 |
Hospital observation per hr |
21 |
18 |
$2K |
| 94729 |
|
43 |
41 |
$2K |
| 94060 |
|
45 |
43 |
$1K |
| 76805 |
|
17 |
17 |
$1K |
| 85027 |
|
173 |
149 |
$1K |
| 80048 |
|
110 |
91 |
$955.62 |
| J1100 |
Dexamethasone sodium phos |
1,360 |
1,147 |
$930.82 |
| 96365 |
|
14 |
13 |
$862.41 |
| J1885 |
Ketorolac tromethamine inj |
669 |
539 |
$857.02 |
| 84484 |
|
129 |
101 |
$845.86 |
| 94640 |
|
68 |
46 |
$703.25 |
| 80320 |
|
40 |
38 |
$671.73 |
| G0480 |
Drug test def 1-7 classes |
168 |
122 |
$652.85 |
| 88300 |
|
93 |
91 |
$579.08 |
| J7040 |
Normal saline solution infus |
842 |
741 |
$547.03 |
| 99281 |
|
15 |
13 |
$546.57 |
| J3010 |
Fentanyl citrate injection |
1,241 |
1,069 |
$487.31 |
| 72125 |
|
17 |
12 |
$478.22 |
| J2405 |
Ondansetron hcl injection |
1,346 |
1,158 |
$434.83 |
| J7120 |
Ringers lactate infusion |
816 |
610 |
$403.34 |
| J0696 |
Ceftriaxone sodium injection |
147 |
121 |
$365.68 |
| 84443 |
|
35 |
32 |
$364.58 |
| J2704 |
Inj, propofol, 10 mg |
1,423 |
1,203 |
$334.04 |
| 87040 |
|
31 |
27 |
$300.08 |
| 90834 |
|
93 |
37 |
$204.29 |
| 77067 |
|
12 |
12 |
$180.60 |
| J7030 |
Normal saline solution infus |
713 |
494 |
$159.22 |
| 85007 |
|
87 |
73 |
$143.53 |
| 87186 |
|
19 |
18 |
$123.24 |
| 87077 |
|
15 |
15 |
$85.50 |
| 85379 |
|
16 |
13 |
$84.39 |
| 80061 |
|
15 |
12 |
$70.28 |
| 82565 |
|
14 |
13 |
$57.46 |
| 84520 |
|
14 |
13 |
$44.40 |
| 82962 |
|
26 |
15 |
$31.59 |
| J7050 |
Normal saline solution infus |
105 |
76 |
$23.78 |
| 94760 |
|
36 |
13 |
$21.84 |
| J2001 |
Lidocaine injection |
48 |
44 |
$16.61 |
| A9270 |
Non-covered item or service |
577 |
306 |
$16.23 |
| J2250 |
Inj midazolam hydrochloride |
290 |
212 |
$1.34 |
| C8929 |
Tte w or wo fol wcon,doppler |
45 |
40 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
44 |
27 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
40 |
34 |
$0.00 |
| 36591 |
|
37 |
27 |
$0.00 |