| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,843 |
15,759 |
$599K |
| 99284 |
|
4,830 |
4,049 |
$175K |
| 99282 |
|
10,539 |
9,631 |
$158K |
| 99285 |
|
2,295 |
1,797 |
$20K |
| 97110 |
|
7,166 |
1,695 |
$15K |
| 74177 |
|
716 |
525 |
$14K |
| 87633 |
|
549 |
499 |
$10K |
| 99281 |
|
1,830 |
1,694 |
$8K |
| 87651 |
|
3,484 |
3,277 |
$8K |
| 70450 |
|
1,530 |
1,068 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,451 |
1,262 |
$5K |
| 0202U |
|
275 |
259 |
$3K |
| 87502 |
|
1,203 |
1,116 |
$3K |
| 80053 |
|
11,908 |
9,687 |
$3K |
| 93005 |
|
2,289 |
1,647 |
$3K |
| 96374 |
|
6,143 |
4,935 |
$3K |
| 87081 |
|
2,547 |
2,380 |
$2K |
| 97161 |
|
544 |
507 |
$2K |
| 85025 |
|
10,946 |
8,766 |
$2K |
| 71046 |
|
1,086 |
761 |
$2K |
| 96360 |
|
1,221 |
1,056 |
$2K |
| J7030 |
Normal saline solution infus |
4,062 |
2,709 |
$2K |
| 87635 |
|
753 |
682 |
$1K |
| 87070 |
|
2,630 |
2,390 |
$1K |
| 71045 |
|
2,685 |
1,702 |
$1K |
| 83605 |
|
3,352 |
2,507 |
$1K |
| 72125 |
|
306 |
240 |
$948.74 |
| 96372 |
|
2,555 |
2,359 |
$882.72 |
| J3490 |
Drugs unclassified injection |
597 |
274 |
$874.01 |
| 87086 |
|
4,304 |
3,770 |
$857.93 |
| J0561 |
Penicillin g benzathine inj |
69 |
64 |
$819.83 |
| G0480 |
Drug test def 1-7 classes |
2,089 |
1,629 |
$808.75 |
| J7120 |
Ringers lactate infusion |
2,267 |
1,606 |
$736.36 |
| J2405 |
Ondansetron hcl injection |
2,260 |
1,730 |
$669.43 |
| J7050 |
Normal saline solution infus |
2,357 |
1,269 |
$590.21 |
| J1885 |
Ketorolac tromethamine inj |
3,867 |
2,886 |
$586.38 |
| 87492 |
|
346 |
333 |
$577.46 |
| J0558 |
Peng benzathine/procaine inj |
42 |
42 |
$546.48 |
| 87634 |
|
103 |
100 |
$540.62 |
| 87592 |
|
343 |
331 |
$462.65 |
| 87077 |
|
2,436 |
2,076 |
$460.62 |
| 87186 |
|
2,316 |
1,976 |
$402.30 |
| 36415 |
|
5,583 |
4,587 |
$387.81 |
| 80305 |
|
2,407 |
2,074 |
$380.33 |
| 84443 |
|
2,454 |
2,340 |
$379.74 |
| 82077 |
|
835 |
677 |
$368.83 |
| 80074 |
|
471 |
457 |
$358.96 |
| 81025 |
|
1,346 |
1,249 |
$354.44 |
| 82306 |
|
727 |
704 |
$349.93 |
| 85027 |
|
1,727 |
1,517 |
$341.19 |
| J0696 |
Ceftriaxone sodium injection |
1,727 |
1,165 |
$277.31 |
| 81015 |
|
2,934 |
2,517 |
$261.92 |
| 86140 |
|
1,063 |
921 |
$261.53 |
| J0131 |
Inj, acetaminophen (nos) |
461 |
383 |
$249.03 |
| 80061 |
|
1,667 |
1,623 |
$230.45 |
| 73130 |
|
13 |
13 |
$219.58 |
| 76830 |
|
16 |
15 |
$175.15 |
| 83036 |
|
2,075 |
2,019 |
$172.25 |
| 84484 |
|
2,011 |
1,177 |
$171.79 |
| 83690 |
|
2,371 |
1,941 |
$164.26 |
| 87389 |
|
723 |
700 |
$155.50 |
| 81003 |
|
2,598 |
2,302 |
$149.63 |
| 97162 |
|
15 |
15 |
$139.67 |
| 80050 |
|
437 |
408 |
$137.16 |
| 85610 |
|
2,791 |
2,215 |
$135.42 |
| G2023 |
Specimen collect covid-19 |
599 |
534 |
$129.14 |
| 81001 |
|
1,200 |
1,062 |
$101.85 |
| 86592 |
|
937 |
882 |
$88.64 |
| 87040 |
|
188 |
90 |
$84.18 |
| 86803 |
|
201 |
189 |
$76.52 |
| 82657 |
|
123 |
118 |
$73.56 |
| J3535 |
Metered dose inhaler drug |
192 |
176 |
$67.51 |
| 87210 |
|
338 |
311 |
$62.44 |
| Q0162 |
Ondansetron oral |
738 |
650 |
$60.82 |
| 87491 |
|
115 |
110 |
$56.42 |
| 87591 |
|
115 |
110 |
$56.42 |
| 87807 |
|
30 |
28 |
$48.82 |
| 80307 |
|
370 |
327 |
$44.43 |
| 97140 |
|
307 |
120 |
$43.64 |
| 87798 |
|
27 |
25 |
$36.98 |
| 87581 |
|
26 |
24 |
$36.98 |
| 87486 |
|
26 |
24 |
$36.98 |
| 85007 |
|
389 |
327 |
$32.80 |
| 82607 |
|
14 |
13 |
$32.38 |
| 80048 |
|
228 |
192 |
$31.00 |
| 85730 |
|
307 |
263 |
$30.88 |
| 84703 |
|
300 |
269 |
$30.65 |
| 83735 |
|
1,076 |
907 |
$27.36 |
| J7613 |
Albuterol non-comp unit |
204 |
139 |
$26.99 |
| 82150 |
|
660 |
567 |
$26.40 |
| J3010 |
Fentanyl citrate injection |
247 |
126 |
$22.50 |
| 83540 |
|
25 |
24 |
$20.80 |
| 85652 |
|
253 |
225 |
$19.74 |
| 83550 |
|
12 |
12 |
$14.05 |
| 85380 |
|
31 |
27 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
58 |
51 |
$0.00 |
| 86703 |
|
62 |
54 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
410 |
263 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
182 |
137 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
21 |
14 |
$0.00 |
| 84439 |
|
56 |
55 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
169 |
124 |
$0.00 |
| 87338 |
|
13 |
13 |
$0.00 |
| 82140 |
|
30 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
17 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
19 |
12 |
$0.00 |
| 73610 |
|
14 |
13 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
637 |
340 |
$0.00 |
| J2060 |
Lorazepam injection |
317 |
186 |
$0.00 |
| J2001 |
Lidocaine injection |
153 |
139 |
$0.00 |
| 83880 |
|
102 |
70 |
$0.00 |
| 71260 |
|
15 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
44 |
26 |
$0.00 |
| H0049 |
Alcohol/drug screening |
156 |
120 |
$0.00 |
| 96365 |
|
19 |
16 |
$0.00 |
| 90471 |
|
13 |
13 |
$0.00 |
| G0378 |
Hospital observation per hr |
98 |
88 |
$0.00 |
| 87147 |
|
16 |
13 |
$0.00 |
| 87390 |
|
47 |
44 |
$0.00 |
| 96361 |
|
33 |
29 |
$0.00 |
| 76700 |
|
13 |
12 |
$0.00 |
| 96375 |
|
16 |
13 |
$0.00 |
| J2373 |
Inj, immphentiv, 20 mcg |
15 |
12 |
$0.00 |