| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,039 |
7,269 |
$1.54M |
| 99283 |
|
11,016 |
9,039 |
$1.42M |
| 99285 |
|
2,663 |
1,797 |
$491K |
| 93005 |
|
2,642 |
2,022 |
$182K |
| 96372 |
|
4,340 |
3,283 |
$177K |
| 87502 |
|
2,127 |
1,738 |
$144K |
| 70450 |
|
188 |
156 |
$103K |
| 96374 |
|
1,046 |
745 |
$87K |
| 87635 |
|
2,418 |
1,885 |
$75K |
| 80053 |
|
10,605 |
8,370 |
$69K |
| 71046 |
|
822 |
666 |
$66K |
| 71045 |
|
980 |
744 |
$63K |
| J3490 |
Drugs unclassified injection |
5,232 |
2,865 |
$59K |
| 96375 |
|
454 |
312 |
$55K |
| 85025 |
|
9,461 |
7,653 |
$47K |
| 99282 |
|
405 |
354 |
$42K |
| 96365 |
|
231 |
167 |
$28K |
| 74176 |
|
31 |
27 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
359 |
329 |
$25K |
| 36415 |
|
8,761 |
6,179 |
$15K |
| J8499 |
Oral prescrip drug non chemo |
2,356 |
1,317 |
$14K |
| 96361 |
|
288 |
209 |
$13K |
| G0480 |
Drug test def 1-7 classes |
155 |
112 |
$12K |
| 87426 |
|
518 |
448 |
$12K |
| 87400 |
|
984 |
422 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
598 |
510 |
$10K |
| 80061 |
|
858 |
817 |
$10K |
| 87430 |
|
752 |
619 |
$9K |
| 83735 |
|
2,321 |
1,787 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
147 |
100 |
$8K |
| 84443 |
|
531 |
493 |
$7K |
| 94664 |
|
170 |
141 |
$7K |
| 80050 |
|
191 |
149 |
$7K |
| 84484 |
|
1,113 |
792 |
$6K |
| Q0162 |
Ondansetron oral |
66 |
60 |
$6K |
| 97110 |
|
205 |
50 |
$6K |
| 81001 |
|
2,998 |
2,343 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
88 |
74 |
$5K |
| 81025 |
|
770 |
590 |
$5K |
| J7030 |
Normal saline solution infus |
100 |
85 |
$4K |
| 83036 |
|
662 |
545 |
$4K |
| 82553 |
|
911 |
557 |
$4K |
| 82550 |
|
853 |
615 |
$3K |
| 87449 |
|
237 |
188 |
$3K |
| 82306 |
|
159 |
135 |
$3K |
| 80305 |
|
325 |
229 |
$3K |
| J2405 |
Ondansetron hcl injection |
184 |
139 |
$2K |
| 84481 |
|
293 |
158 |
$2K |
| 83880 |
|
139 |
98 |
$2K |
| 74018 |
|
15 |
15 |
$2K |
| 82607 |
|
157 |
143 |
$2K |
| 84439 |
|
329 |
191 |
$2K |
| 87591 |
|
24 |
24 |
$1K |
| 87491 |
|
24 |
24 |
$1K |
| 94640 |
|
17 |
12 |
$874.10 |
| 85027 |
|
121 |
110 |
$627.79 |
| J2270 |
Morphine sulfate injection |
40 |
15 |
$588.59 |
| 87040 |
|
125 |
66 |
$581.48 |
| 83690 |
|
107 |
90 |
$509.90 |
| 82150 |
|
67 |
53 |
$278.64 |
| 84480 |
|
33 |
33 |
$244.44 |
| 81003 |
|
214 |
132 |
$228.75 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$122.94 |
| 93010 |
|
48 |
42 |
$108.44 |
| 83605 |
|
13 |
13 |
$92.33 |
| 80048 |
|
12 |
12 |
$84.60 |
| 82570 |
|
13 |
13 |
$59.42 |
| 85007 |
|
17 |
12 |
$27.13 |
| 90853 |
|
803 |
72 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
14 |
14 |
$0.00 |