| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
2,900 |
2,623 |
$672K |
| 99284 |
|
5,256 |
4,852 |
$321K |
| 99283 |
|
3,966 |
3,683 |
$140K |
| 85025 |
|
8,583 |
7,789 |
$64K |
| 80053 |
|
6,653 |
6,059 |
$61K |
| 93005 |
|
722 |
653 |
$8K |
| 81001 |
|
946 |
848 |
$3K |
| 84484 |
|
359 |
327 |
$3K |
| 71045 |
|
571 |
539 |
$3K |
| 87502 |
|
56 |
55 |
$3K |
| 87636 |
|
26 |
25 |
$3K |
| 81025 |
|
796 |
718 |
$2K |
| 83690 |
|
375 |
340 |
$2K |
| 85610 |
|
537 |
494 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
60 |
58 |
$2K |
| 83735 |
|
150 |
141 |
$1K |
| 85730 |
|
437 |
399 |
$838.08 |
| 99282 |
|
12 |
12 |
$387.81 |
| 80048 |
|
29 |
27 |
$271.26 |
| J1885 |
Ketorolac tromethamine inj |
77 |
74 |
$111.44 |
| J2405 |
Ondansetron hcl injection |
30 |
26 |
$5.40 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
24 |
16 |
$0.34 |
| 96374 |
|
51 |
40 |
$0.00 |
| 36415 |
|
62 |
57 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
23 |
17 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
15 |
12 |
$0.00 |
| T1016 |
Case management |
27 |
26 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
18 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
33 |
24 |
$0.00 |
| 96372 |
|
22 |
19 |
$0.00 |
| 97110 |
|
114 |
24 |
$0.00 |
| J7030 |
Normal saline solution infus |
14 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
18 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
20 |
15 |
$0.00 |