| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
8,743 |
7,677 |
$1.70M |
| 99283 |
|
6,146 |
5,020 |
$580K |
| 99202 |
|
2,323 |
1,848 |
$380K |
| 97110 |
|
2,892 |
1,048 |
$344K |
| 96374 |
|
861 |
801 |
$168K |
| 97750 |
|
1,114 |
571 |
$166K |
| 93976 |
|
115 |
114 |
$98K |
| 93005 |
|
972 |
897 |
$89K |
| 96375 |
|
688 |
639 |
$87K |
| 77067 |
|
247 |
243 |
$87K |
| 99284 |
|
858 |
823 |
$78K |
| 96361 |
|
793 |
720 |
$72K |
| 96372 |
|
876 |
830 |
$71K |
| 74177 |
|
63 |
63 |
$50K |
| 70450 |
|
101 |
96 |
$44K |
| 96365 |
|
171 |
162 |
$43K |
| 71045 |
|
763 |
721 |
$30K |
| 74176 |
|
78 |
77 |
$29K |
| 73721 |
|
29 |
24 |
$29K |
| 73562 |
|
341 |
313 |
$29K |
| J3490 |
Drugs unclassified injection |
3,933 |
2,504 |
$26K |
| 76856 |
|
105 |
104 |
$24K |
| 80053 |
|
2,137 |
1,934 |
$20K |
| 93010 |
|
557 |
525 |
$17K |
| 76705 |
|
86 |
80 |
$17K |
| 87636 |
|
134 |
128 |
$17K |
| 76700 |
|
64 |
61 |
$17K |
| 85025 |
|
2,334 |
2,098 |
$16K |
| 99213 |
|
384 |
326 |
$16K |
| 96360 |
|
72 |
70 |
$14K |
| 71046 |
|
223 |
214 |
$14K |
| Q3014 |
Telehealth facility fee |
140 |
127 |
$14K |
| 80307 |
|
327 |
299 |
$13K |
| Z7502 |
|
345 |
330 |
$13K |
| 99070 |
|
837 |
413 |
$12K |
| 73110 |
|
126 |
111 |
$12K |
| 73030 |
|
117 |
104 |
$11K |
| 81001 |
|
1,095 |
1,027 |
$10K |
| 99203 |
|
128 |
126 |
$10K |
| 73130 |
|
96 |
87 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
201 |
195 |
$9K |
| 84484 |
|
707 |
581 |
$7K |
| 83690 |
|
999 |
933 |
$6K |
| 99282 |
|
190 |
179 |
$6K |
| 76830 |
|
25 |
25 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
998 |
936 |
$6K |
| 87635 |
|
109 |
102 |
$6K |
| 94640 |
|
67 |
62 |
$5K |
| J7030 |
Normal saline solution infus |
614 |
564 |
$5K |
| 73610 |
|
44 |
43 |
$4K |
| J2405 |
Ondansetron hcl injection |
833 |
760 |
$4K |
| 73630 |
|
44 |
38 |
$4K |
| 87651 |
|
147 |
143 |
$4K |
| G0480 |
Drug test def 1-7 classes |
29 |
28 |
$3K |
| 76817 |
|
12 |
12 |
$2K |
| 76801 |
|
12 |
12 |
$2K |
| 99214 |
|
58 |
52 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
250 |
235 |
$2K |
| 81025 |
|
577 |
555 |
$2K |
| 0450 |
|
33 |
31 |
$2K |
| J3010 |
Fentanyl citrate injection |
240 |
226 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
175 |
162 |
$1K |
| J1100 |
Dexamethasone sodium phos |
179 |
174 |
$1K |
| 87086 |
|
131 |
123 |
$915.67 |
| 87880 |
|
127 |
116 |
$851.36 |
| 83880 |
|
32 |
31 |
$771.84 |
| 87491 |
|
25 |
25 |
$748.08 |
| J2250 |
Inj midazolam hydrochloride |
160 |
156 |
$728.81 |
| 73140 |
|
12 |
12 |
$708.48 |
| 80305 |
|
68 |
62 |
$680.96 |
| 81003 |
|
319 |
295 |
$611.25 |
| J1170 |
Hydromorphone injection |
61 |
55 |
$606.48 |
| 82150 |
|
112 |
109 |
$590.54 |
| 90715 |
|
12 |
12 |
$513.24 |
| 83605 |
|
46 |
41 |
$421.57 |
| 82962 |
|
161 |
103 |
$381.28 |
| J7050 |
Normal saline solution infus |
62 |
52 |
$305.89 |
| 87077 |
|
42 |
38 |
$261.26 |
| J2270 |
Morphine sulfate injection |
16 |
15 |
$211.75 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$208.46 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
36 |
26 |
$199.65 |
| 96127 |
|
15 |
15 |
$188.31 |
| 87040 |
|
23 |
12 |
$172.32 |
| Z7610 |
|
21 |
12 |
$157.89 |
| 87070 |
|
15 |
12 |
$151.31 |
| 85610 |
|
44 |
40 |
$141.79 |
| J2060 |
Lorazepam injection |
26 |
25 |
$140.70 |
| 87081 |
|
17 |
13 |
$96.56 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$90.53 |
| 87205 |
|
15 |
12 |
$70.01 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
12 |
$11.88 |