| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,018 |
21,439 |
$4.06M |
| 99283 |
|
28,348 |
24,997 |
$3.09M |
| 99285 |
|
6,279 |
4,292 |
$1.81M |
| 74176 |
|
3,645 |
3,259 |
$1.21M |
| 96374 |
|
11,431 |
4,769 |
$938K |
| 96372 |
|
6,388 |
5,542 |
$549K |
| 80053 |
|
21,885 |
15,730 |
$548K |
| 70450 |
|
2,128 |
1,826 |
$518K |
| 96375 |
|
5,325 |
3,640 |
$444K |
| 96365 |
|
2,762 |
2,328 |
$410K |
| 97110 |
|
7,780 |
1,898 |
$361K |
| 85025 |
|
19,377 |
15,754 |
$340K |
| 92507 |
|
4,943 |
1,490 |
$279K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,195 |
2,942 |
$234K |
| 36415 |
|
34,139 |
19,989 |
$163K |
| 93005 |
|
5,160 |
4,516 |
$159K |
| 96361 |
|
2,744 |
2,482 |
$154K |
| 99282 |
|
1,803 |
1,674 |
$142K |
| 71046 |
|
3,730 |
3,297 |
$142K |
| 77067 |
|
1,092 |
1,064 |
$123K |
| 99281 |
|
1,622 |
1,521 |
$108K |
| 71045 |
|
3,620 |
3,123 |
$105K |
| 84484 |
|
5,200 |
4,295 |
$103K |
| 80061 |
|
2,329 |
2,082 |
$101K |
| 97530 |
|
2,306 |
819 |
$99K |
| G0378 |
Hospital observation per hr |
598 |
175 |
$72K |
| 96360 |
|
408 |
382 |
$58K |
| G2023 |
Specimen collect covid-19 |
4,037 |
3,245 |
$56K |
| 80305 |
|
2,124 |
1,932 |
$51K |
| J1885 |
Ketorolac tromethamine inj |
5,075 |
4,463 |
$49K |
| 99214 |
|
997 |
930 |
$48K |
| 84443 |
|
2,790 |
2,595 |
$47K |
| 97140 |
|
1,073 |
343 |
$42K |
| 86318 |
|
2,711 |
2,475 |
$41K |
| 71250 |
|
187 |
166 |
$40K |
| 73630 |
|
1,221 |
1,051 |
$40K |
| 87086 |
|
2,624 |
2,244 |
$37K |
| 94664 |
|
1,108 |
730 |
$33K |
| 76705 |
|
342 |
311 |
$32K |
| 87070 |
|
1,601 |
1,413 |
$31K |
| 76700 |
|
290 |
272 |
$30K |
| 73130 |
|
854 |
741 |
$29K |
| 74177 |
|
92 |
88 |
$29K |
| 81001 |
|
4,199 |
3,837 |
$28K |
| 73610 |
|
832 |
723 |
$28K |
| 85027 |
|
1,476 |
1,209 |
$26K |
| 80048 |
|
2,038 |
1,306 |
$26K |
| 88305 |
|
312 |
276 |
$25K |
| 83605 |
|
1,546 |
1,365 |
$24K |
| 99213 |
|
861 |
726 |
$23K |
| A9270 |
Non-covered item or service |
32,326 |
13,215 |
$21K |
| 83690 |
|
2,755 |
2,383 |
$21K |
| 87430 |
|
1,095 |
1,033 |
$20K |
| 87186 |
|
1,393 |
1,219 |
$20K |
| 81025 |
|
2,428 |
2,216 |
$20K |
| 74018 |
|
398 |
362 |
$20K |
| 97161 |
|
225 |
198 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
2,128 |
1,727 |
$19K |
| 86328 |
|
352 |
341 |
$18K |
| 76536 |
|
229 |
218 |
$17K |
| 87077 |
|
2,115 |
1,328 |
$16K |
| 99203 |
|
347 |
287 |
$16K |
| 81003 |
|
2,644 |
2,412 |
$15K |
| 43239 |
|
85 |
62 |
$15K |
| J2405 |
Ondansetron hcl injection |
3,487 |
3,023 |
$15K |
| J1100 |
Dexamethasone sodium phos |
2,284 |
2,117 |
$14K |
| 97112 |
|
433 |
114 |
$14K |
| 85379 |
|
688 |
644 |
$14K |
| 72110 |
|
304 |
241 |
$14K |
| 73564 |
|
339 |
270 |
$13K |
| 36000 |
|
1,563 |
1,403 |
$13K |
| 73030 |
|
327 |
249 |
$12K |
| 96366 |
|
236 |
226 |
$11K |
| 83880 |
|
421 |
360 |
$10K |
| 82150 |
|
1,316 |
1,143 |
$9K |
| 97162 |
|
95 |
87 |
$9K |
| 83036 |
|
677 |
627 |
$9K |
| 93010 |
|
1,395 |
1,134 |
$8K |
| 85610 |
|
1,508 |
1,002 |
$8K |
| 99204 |
|
108 |
90 |
$7K |
| 87807 |
|
313 |
302 |
$6K |
| 73110 |
|
134 |
113 |
$5K |
| 99212 |
|
219 |
200 |
$5K |
| 93971 |
|
39 |
36 |
$4K |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$4K |
| 82553 |
|
263 |
184 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
63 |
58 |
$4K |
| 12001 |
|
26 |
26 |
$4K |
| 97035 |
|
94 |
28 |
$3K |
| 86769 |
|
95 |
91 |
$3K |
| 97535 |
|
120 |
84 |
$3K |
| 99232 |
|
207 |
97 |
$3K |
| 99238 |
|
93 |
81 |
$3K |
| 86677 |
|
93 |
88 |
$3K |
| 82803 |
|
102 |
70 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
541 |
503 |
$2K |
| 76856 |
|
26 |
26 |
$2K |
| 99222 |
|
48 |
36 |
$2K |
| 84439 |
|
97 |
82 |
$2K |
| 85055 |
|
62 |
49 |
$2K |
| 82962 |
|
320 |
283 |
$2K |
| 82607 |
|
85 |
76 |
$2K |
| 87040 |
|
105 |
54 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
35 |
32 |
$2K |
| J3490 |
Drugs unclassified injection |
732 |
668 |
$1K |
| 85652 |
|
164 |
149 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
181 |
117 |
$1K |
| 99217 |
|
46 |
40 |
$1K |
| 83735 |
|
94 |
81 |
$979.16 |
| J0780 |
Prochlorperazine injection |
83 |
78 |
$968.82 |
| 71101 |
|
22 |
12 |
$951.09 |
| J7120 |
Ringers lactate infusion |
47 |
46 |
$828.45 |
| 36600 |
|
114 |
82 |
$822.39 |
| 84480 |
|
45 |
41 |
$805.65 |
| 73562 |
|
18 |
15 |
$796.99 |
| 84703 |
|
42 |
40 |
$792.67 |
| 87147 |
|
98 |
92 |
$766.61 |
| 72052 |
|
13 |
12 |
$704.10 |
| 73502 |
|
18 |
13 |
$631.80 |
| 82274 |
|
27 |
25 |
$613.58 |
| 90715 |
|
13 |
12 |
$557.73 |
| 99219 |
|
13 |
12 |
$535.87 |
| 87493 |
|
16 |
12 |
$525.40 |
| 87899 |
|
14 |
13 |
$515.64 |
| 82306 |
|
19 |
14 |
$457.13 |
| 88304 |
|
13 |
12 |
$425.22 |
| 17000 |
|
18 |
16 |
$368.01 |
| 84702 |
|
14 |
13 |
$327.94 |
| 84436 |
|
47 |
43 |
$321.96 |
| J2001 |
Lidocaine injection |
352 |
322 |
$309.22 |
| J1030 |
Methylprednisolone 40 mg inj |
26 |
25 |
$307.96 |
| 0064A |
|
20 |
16 |
$307.50 |
| J1010 |
Inj, methylpred acetate 1 mg |
14 |
13 |
$260.36 |
| 86625 |
|
15 |
14 |
$251.90 |
| J2060 |
Lorazepam injection |
49 |
40 |
$180.77 |
| 87045 |
|
15 |
14 |
$179.06 |
| 90689 |
|
12 |
12 |
$131.29 |
| 90686 |
|
12 |
12 |
$123.09 |
| J2270 |
Morphine sulfate injection |
37 |
30 |
$117.52 |
| G0008 |
Admin influenza virus vac |
30 |
28 |
$108.36 |
| 89055 |
|
14 |
13 |
$98.04 |
| 91301 |
|
18 |
15 |
$0.00 |
| 99024 |
|
98 |
79 |
$0.00 |