| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
15,143 |
12,255 |
$3.00M |
| 99284 |
|
17,237 |
15,045 |
$976K |
| 99283 |
|
18,539 |
16,990 |
$669K |
| 87633 |
|
3,262 |
2,960 |
$635K |
| 76376 |
|
9,456 |
7,646 |
$494K |
| 85025 |
|
32,068 |
26,232 |
$233K |
| 80053 |
|
23,015 |
18,690 |
$197K |
| 80307 |
|
4,274 |
3,640 |
$180K |
| 99282 |
|
4,161 |
3,814 |
$159K |
| 70450 |
|
2,271 |
1,901 |
$147K |
| 99281 |
|
2,890 |
2,676 |
$109K |
| 76805 |
|
3,862 |
3,581 |
$104K |
| 87635 |
|
2,769 |
2,407 |
$104K |
| 87486 |
|
3,121 |
2,810 |
$94K |
| 87581 |
|
3,120 |
2,809 |
$94K |
| 87798 |
|
3,121 |
2,810 |
$94K |
| 87502 |
|
1,926 |
1,803 |
$87K |
| 93005 |
|
8,413 |
6,693 |
$74K |
| 81001 |
|
17,590 |
14,856 |
$59K |
| 71045 |
|
11,979 |
10,071 |
$54K |
| 84703 |
|
8,992 |
7,846 |
$51K |
| 71046 |
|
3,938 |
3,525 |
$41K |
| 87430 |
|
2,012 |
1,804 |
$31K |
| 87389 |
|
1,300 |
1,195 |
$29K |
| 84484 |
|
4,440 |
2,886 |
$25K |
| 87086 |
|
2,545 |
2,160 |
$23K |
| 86762 |
|
1,086 |
1,001 |
$22K |
| 86592 |
|
3,512 |
3,244 |
$20K |
| G2023 |
Specimen collect covid-19 |
1,032 |
970 |
$19K |
| 85610 |
|
5,367 |
4,278 |
$17K |
| 83020 |
|
926 |
853 |
$16K |
| 87340 |
|
1,092 |
1,007 |
$15K |
| 82105 |
|
702 |
663 |
$15K |
| 80061 |
|
1,407 |
1,224 |
$14K |
| 86850 |
|
1,837 |
1,593 |
$12K |
| 83735 |
|
2,456 |
1,947 |
$11K |
| 83690 |
|
2,415 |
1,898 |
$11K |
| 74177 |
|
105 |
78 |
$11K |
| 83655 |
|
709 |
671 |
$11K |
| 83036 |
|
1,273 |
1,120 |
$10K |
| 83880 |
|
540 |
446 |
$10K |
| G0463 |
Hospital outpt clinic visit |
499 |
297 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
264 |
236 |
$9K |
| 85730 |
|
5,363 |
4,279 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
7,601 |
6,389 |
$8K |
| 80048 |
|
1,127 |
952 |
$8K |
| 84443 |
|
612 |
552 |
$7K |
| 70551 |
|
41 |
40 |
$6K |
| 85018 |
|
1,952 |
1,888 |
$6K |
| 72125 |
|
77 |
63 |
$6K |
| 97110 |
|
167 |
52 |
$6K |
| 85014 |
|
1,746 |
1,680 |
$6K |
| 82607 |
|
504 |
417 |
$5K |
| 86900 |
|
1,628 |
1,458 |
$5K |
| 86901 |
|
1,627 |
1,457 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
3,166 |
2,678 |
$5K |
| 0012A |
|
165 |
164 |
$4K |
| U0005 |
Infec agen detec ampli probe |
346 |
310 |
$4K |
| 82947 |
|
935 |
844 |
$4K |
| 0011A |
|
205 |
202 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
208 |
151 |
$3K |
| 86756 |
|
164 |
149 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
687 |
537 |
$3K |
| 85379 |
|
407 |
332 |
$3K |
| 82306 |
|
495 |
449 |
$2K |
| 82746 |
|
352 |
284 |
$2K |
| 73562 |
|
118 |
73 |
$2K |
| 87040 |
|
252 |
202 |
$2K |
| 74022 |
|
165 |
133 |
$2K |
| J7030 |
Normal saline solution infus |
1,595 |
1,178 |
$2K |
| 83550 |
|
341 |
283 |
$2K |
| 82728 |
|
328 |
270 |
$2K |
| 85027 |
|
351 |
321 |
$2K |
| 82805 |
|
86 |
63 |
$2K |
| 87400 |
|
362 |
319 |
$1K |
| 76856 |
|
40 |
37 |
$1K |
| 83540 |
|
341 |
283 |
$1K |
| 76818 |
|
26 |
14 |
$1K |
| 83605 |
|
147 |
110 |
$994.61 |
| 74176 |
|
18 |
14 |
$864.81 |
| 87070 |
|
82 |
76 |
$856.10 |
| 86140 |
|
455 |
382 |
$806.89 |
| J2930 |
Methylprednisolone injection |
219 |
185 |
$784.98 |
| 82043 |
|
183 |
172 |
$573.90 |
| 76801 |
|
28 |
25 |
$566.16 |
| 76815 |
|
16 |
12 |
$393.26 |
| 82247 |
|
88 |
76 |
$392.85 |
| 82248 |
|
115 |
98 |
$370.80 |
| 94640 |
|
24 |
24 |
$323.52 |
| J1790 |
Droperidol injection |
32 |
31 |
$241.08 |
| J0780 |
Prochlorperazine injection |
41 |
37 |
$226.56 |
| J2405 |
Ondansetron hcl injection |
1,844 |
1,396 |
$204.64 |
| 72170 |
|
12 |
12 |
$184.68 |
| J2270 |
Morphine sulfate injection |
166 |
122 |
$182.14 |
| 80076 |
|
34 |
30 |
$167.20 |
| 85007 |
|
31 |
28 |
$164.64 |
| 84702 |
|
16 |
13 |
$156.24 |
| 72110 |
|
12 |
12 |
$139.12 |
| 87186 |
|
36 |
27 |
$131.43 |
| 96361 |
|
276 |
214 |
$117.64 |
| 87077 |
|
35 |
27 |
$116.74 |
| 84439 |
|
18 |
14 |
$100.90 |
| J7120 |
Ringers lactate infusion |
87 |
54 |
$92.77 |
| J1100 |
Dexamethasone sodium phos |
139 |
97 |
$72.25 |
| 80069 |
|
15 |
15 |
$71.82 |
| 85660 |
|
13 |
12 |
$64.44 |
| 82570 |
|
14 |
14 |
$53.76 |
| 81003 |
|
14 |
13 |
$47.74 |
| 82150 |
|
27 |
13 |
$40.35 |
| 84156 |
|
14 |
14 |
$35.92 |
| 96372 |
|
1,826 |
1,266 |
$33.55 |
| 36415 |
|
18,382 |
14,683 |
$24.33 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
12 |
$10.30 |
| 90471 |
|
41 |
31 |
$8.85 |
| J2765 |
Metoclopramide hcl injection |
22 |
12 |
$6.88 |
| J0690 |
Cefazolin sodium injection |
28 |
26 |
$5.84 |
| J3010 |
Fentanyl citrate injection |
37 |
29 |
$1.98 |
| J2704 |
Inj, propofol, 10 mg |
81 |
70 |
$0.58 |
| J2250 |
Inj midazolam hydrochloride |
50 |
42 |
$0.28 |
| J2001 |
Lidocaine injection |
1,727 |
1,496 |
$0.19 |
| C9803 |
Hopd covid-19 spec collect |
1,306 |
1,182 |
$0.00 |
| 81025 |
|
36 |
33 |
$0.00 |
| 81420 |
|
275 |
255 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
36 |
36 |
$0.00 |
| A9270 |
Non-covered item or service |
674 |
458 |
$0.00 |
| Q0162 |
Ondansetron oral |
150 |
133 |
$0.00 |
| 0241U |
|
174 |
154 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
27 |
26 |
$0.00 |
| 96374 |
|
126 |
83 |
$0.00 |
| 91301 |
|
171 |
169 |
$0.00 |
| 96375 |
|
18 |
12 |
$0.00 |