| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,707 |
8,624 |
$2.88M |
| 99285 |
|
5,940 |
4,227 |
$2.08M |
| 74177 |
|
1,735 |
1,390 |
$1.80M |
| 99283 |
|
7,566 |
6,580 |
$1.23M |
| 70450 |
|
1,956 |
1,521 |
$630K |
| 74176 |
|
1,108 |
929 |
$509K |
| 93005 |
|
4,187 |
3,349 |
$308K |
| 87502 |
|
4,473 |
3,921 |
$307K |
| 96374 |
|
8,280 |
4,258 |
$303K |
| 96375 |
|
4,191 |
3,291 |
$216K |
| 36415 |
|
24,212 |
12,767 |
$211K |
| 71045 |
|
4,093 |
3,401 |
$205K |
| 96365 |
|
2,619 |
1,548 |
$178K |
| 96372 |
|
4,345 |
3,247 |
$165K |
| 97110 |
|
2,490 |
493 |
$129K |
| 80053 |
|
12,593 |
9,134 |
$129K |
| 71046 |
|
1,598 |
1,320 |
$120K |
| 87635 |
|
3,205 |
2,673 |
$106K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,678 |
2,228 |
$100K |
| 85025 |
|
14,577 |
11,441 |
$96K |
| 87651 |
|
3,306 |
2,928 |
$94K |
| V2632 |
Post chmbr intraocular lens |
557 |
262 |
$78K |
| J7050 |
Normal saline solution infus |
4,903 |
2,567 |
$66K |
| 96361 |
|
2,620 |
2,093 |
$59K |
| J2405 |
Ondansetron hcl injection |
3,893 |
2,946 |
$58K |
| 99282 |
|
457 |
417 |
$53K |
| 87801 |
|
869 |
809 |
$44K |
| 84443 |
|
3,048 |
2,731 |
$43K |
| 84484 |
|
4,005 |
3,140 |
$41K |
| G0480 |
Drug test def 1-7 classes |
343 |
278 |
$41K |
| 94640 |
|
1,107 |
812 |
$38K |
| C1780 |
Lens, intraocular (new tech) |
214 |
111 |
$38K |
| 83880 |
|
1,282 |
1,080 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
483 |
426 |
$33K |
| 80048 |
|
4,586 |
3,534 |
$33K |
| 66984 |
|
141 |
92 |
$31K |
| 80061 |
|
2,067 |
1,903 |
$30K |
| J7030 |
Normal saline solution infus |
2,433 |
1,342 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
1,195 |
838 |
$28K |
| 73630 |
|
284 |
209 |
$27K |
| 83690 |
|
4,109 |
3,332 |
$27K |
| J7120 |
Ringers lactate infusion |
1,579 |
1,101 |
$26K |
| 80306 |
|
1,849 |
1,546 |
$26K |
| J1100 |
Dexamethasone sodium phos |
1,931 |
1,591 |
$25K |
| 77067 |
|
319 |
305 |
$24K |
| 82306 |
|
1,019 |
930 |
$24K |
| J1885 |
Ketorolac tromethamine inj |
3,603 |
3,036 |
$21K |
| 96360 |
|
269 |
206 |
$19K |
| 87631 |
|
194 |
163 |
$18K |
| 84703 |
|
2,374 |
2,029 |
$17K |
| 87086 |
|
2,316 |
1,757 |
$17K |
| 85379 |
|
1,793 |
1,541 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
792 |
541 |
$15K |
| 81015 |
|
3,763 |
3,115 |
$14K |
| 72125 |
|
32 |
26 |
$13K |
| 85730 |
|
2,318 |
1,985 |
$13K |
| 83036 |
|
1,748 |
1,533 |
$12K |
| 94664 |
|
1,153 |
851 |
$12K |
| J2270 |
Morphine sulfate injection |
1,029 |
702 |
$12K |
| 82150 |
|
1,917 |
1,537 |
$12K |
| 97140 |
|
394 |
105 |
$12K |
| 93971 |
|
52 |
48 |
$11K |
| 84145 |
|
534 |
438 |
$10K |
| 77063 |
|
306 |
260 |
$10K |
| 76700 |
|
39 |
26 |
$10K |
| 83605 |
|
1,051 |
801 |
$10K |
| 85610 |
|
2,918 |
2,392 |
$9K |
| 76705 |
|
84 |
62 |
$9K |
| 81003 |
|
3,150 |
2,721 |
$9K |
| 71275 |
|
16 |
14 |
$8K |
| 90853 |
|
320 |
26 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
425 |
333 |
$8K |
| 99281 |
|
152 |
139 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
327 |
256 |
$7K |
| J2550 |
Promethazine hcl injection |
575 |
400 |
$7K |
| 87798 |
|
291 |
109 |
$7K |
| 85027 |
|
750 |
653 |
$6K |
| 87040 |
|
589 |
429 |
$6K |
| 83735 |
|
1,136 |
917 |
$6K |
| 76830 |
|
35 |
29 |
$5K |
| J3010 |
Fentanyl citrate injection |
396 |
291 |
$5K |
| 82553 |
|
336 |
284 |
$5K |
| 82948 |
|
605 |
355 |
$5K |
| 80076 |
|
700 |
585 |
$5K |
| J2765 |
Metoclopramide hcl injection |
382 |
329 |
$5K |
| 86140 |
|
1,133 |
941 |
$5K |
| 82550 |
|
610 |
476 |
$4K |
| 82607 |
|
324 |
289 |
$4K |
| 87634 |
|
93 |
90 |
$4K |
| 85651 |
|
1,121 |
923 |
$3K |
| 74018 |
|
33 |
26 |
$3K |
| J3490 |
Drugs unclassified injection |
224 |
131 |
$3K |
| 87486 |
|
121 |
91 |
$3K |
| 76856 |
|
14 |
12 |
$3K |
| 87581 |
|
114 |
90 |
$2K |
| 87186 |
|
252 |
223 |
$2K |
| 36600 |
|
73 |
39 |
$2K |
| 90715 |
|
93 |
82 |
$2K |
| 84439 |
|
295 |
265 |
$2K |
| Q3014 |
Telehealth facility fee |
135 |
12 |
$2K |
| 90471 |
|
79 |
70 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
133 |
80 |
$2K |
| 73562 |
|
19 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
200 |
86 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
138 |
106 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
89 |
76 |
$1K |
| 81001 |
|
357 |
298 |
$1K |
| J2930 |
Methylprednisolone injection |
60 |
40 |
$792.91 |
| 82803 |
|
56 |
42 |
$782.10 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$672.98 |
| 82805 |
|
14 |
12 |
$655.01 |
| 87070 |
|
79 |
67 |
$491.47 |
| J8499 |
Oral prescrip drug non chemo |
64 |
49 |
$456.26 |
| 82375 |
|
55 |
42 |
$441.26 |
| J2175 |
Meperidine hydrochl /100 mg |
20 |
13 |
$440.45 |
| J2360 |
Orphenadrine injection |
32 |
28 |
$354.27 |
| 82728 |
|
34 |
28 |
$338.53 |
| J0780 |
Prochlorperazine injection |
14 |
12 |
$217.60 |
| 87491 |
|
15 |
14 |
$182.40 |
| 87591 |
|
15 |
14 |
$182.40 |
| 87661 |
|
15 |
14 |
$182.40 |
| 85018 |
|
84 |
67 |
$150.45 |
| U0001 |
2019-ncov diagnostic p |
22 |
18 |
$143.68 |
| 87081 |
|
21 |
17 |
$133.90 |
| 86308 |
|
27 |
26 |
$132.18 |
| 82010 |
|
13 |
12 |
$105.77 |
| 86900 |
|
17 |
13 |
$54.52 |
| 86901 |
|
17 |
13 |
$54.52 |