| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
18,913 |
18,202 |
$17.64M |
| 99285 |
|
6,339 |
5,997 |
$5.18M |
| 99283 |
|
10,090 |
9,721 |
$1.86M |
| 93005 |
|
5,662 |
5,127 |
$611K |
| 76805 |
|
501 |
497 |
$257K |
| C9803 |
Hopd covid-19 spec collect |
13,144 |
12,668 |
$217K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,130 |
2,945 |
$203K |
| 80053 |
|
17,762 |
15,987 |
$187K |
| 99281 |
|
1,267 |
1,222 |
$171K |
| 0202U |
|
10,353 |
10,154 |
$141K |
| 85025 |
|
20,787 |
18,068 |
$135K |
| 74177 |
|
823 |
787 |
$127K |
| 99282 |
|
1,001 |
968 |
$126K |
| 71046 |
|
3,566 |
3,468 |
$114K |
| 84703 |
|
8,367 |
7,635 |
$55K |
| 70450 |
|
996 |
949 |
$54K |
| 87088 |
|
7,211 |
6,810 |
$52K |
| 76801 |
|
611 |
530 |
$51K |
| 71045 |
|
2,276 |
2,112 |
$46K |
| 87880 |
|
3,628 |
3,544 |
$44K |
| U0005 |
Infec agen detec ampli probe |
2,235 |
2,097 |
$44K |
| 74176 |
|
581 |
539 |
$44K |
| 81001 |
|
12,579 |
11,787 |
$41K |
| J7120 |
Ringers lactate infusion |
1,128 |
934 |
$37K |
| 76817 |
|
437 |
390 |
$32K |
| 87651 |
|
996 |
970 |
$28K |
| 83880 |
|
1,895 |
1,665 |
$28K |
| 84484 |
|
4,155 |
2,406 |
$25K |
| 87070 |
|
2,693 |
2,575 |
$19K |
| 96361 |
|
194 |
176 |
$15K |
| 96375 |
|
1,237 |
943 |
$14K |
| 96374 |
|
1,240 |
1,076 |
$13K |
| 83690 |
|
3,154 |
2,929 |
$13K |
| 80048 |
|
2,752 |
2,094 |
$13K |
| 84702 |
|
1,075 |
909 |
$12K |
| G0378 |
Hospital observation per hr |
223 |
213 |
$12K |
| J1100 |
Dexamethasone sodium phos |
1,206 |
1,146 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,079 |
1,846 |
$8K |
| 76830 |
|
88 |
88 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
1,279 |
1,165 |
$8K |
| 96365 |
|
204 |
189 |
$8K |
| 76856 |
|
78 |
78 |
$7K |
| 86900 |
|
590 |
544 |
$6K |
| 83605 |
|
1,357 |
838 |
$6K |
| J2270 |
Morphine sulfate injection |
1,419 |
1,068 |
$6K |
| 80307 |
|
213 |
196 |
$6K |
| 86901 |
|
1,290 |
1,203 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,255 |
1,969 |
$6K |
| 84443 |
|
661 |
596 |
$5K |
| 82805 |
|
177 |
163 |
$5K |
| 83735 |
|
1,578 |
1,072 |
$4K |
| 87400 |
|
288 |
282 |
$4K |
| 85730 |
|
1,503 |
1,351 |
$4K |
| 85610 |
|
1,749 |
1,545 |
$3K |
| 36415 |
|
26,213 |
21,468 |
$3K |
| M0243 |
Casirivi and imdevi inj |
33 |
30 |
$3K |
| 93306 |
|
13 |
12 |
$3K |
| 77067 |
|
93 |
92 |
$3K |
| 87077 |
|
913 |
771 |
$3K |
| 87040 |
|
545 |
301 |
$3K |
| 85027 |
|
638 |
529 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
611 |
513 |
$2K |
| 77063 |
|
93 |
92 |
$2K |
| 86850 |
|
188 |
171 |
$2K |
| 72125 |
|
26 |
25 |
$2K |
| 87186 |
|
655 |
570 |
$2K |
| 83036 |
|
474 |
451 |
$1K |
| 80061 |
|
317 |
290 |
$1K |
| CP007 |
|
26 |
24 |
$1K |
| 76815 |
|
16 |
15 |
$1K |
| 80076 |
|
293 |
272 |
$1K |
| 87502 |
|
13 |
13 |
$977.85 |
| 87389 |
|
12 |
12 |
$917.82 |
| 0241U |
|
627 |
611 |
$906.21 |
| 86769 |
|
51 |
42 |
$838.82 |
| 84100 |
|
478 |
365 |
$789.05 |
| 82550 |
|
300 |
271 |
$723.52 |
| 0100U |
|
12 |
12 |
$711.12 |
| 94640 |
|
31 |
24 |
$685.70 |
| CP008 |
|
14 |
13 |
$665.23 |
| J1650 |
Inj enoxaparin sodium |
18 |
13 |
$608.62 |
| 82077 |
|
94 |
79 |
$604.72 |
| 87340 |
|
12 |
12 |
$566.39 |
| 87420 |
|
32 |
32 |
$528.61 |
| 84439 |
|
144 |
135 |
$423.00 |
| 85007 |
|
148 |
132 |
$419.05 |
| J1644 |
Inj heparin sodium per 1000u |
71 |
37 |
$395.45 |
| 86780 |
|
12 |
12 |
$330.84 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$328.58 |
| J3010 |
Fentanyl citrate injection |
368 |
338 |
$304.80 |
| 74018 |
|
13 |
12 |
$290.24 |
| J2250 |
Inj midazolam hydrochloride |
172 |
159 |
$189.41 |
| G0480 |
Drug test def 1-7 classes |
32 |
30 |
$179.56 |
| J1200 |
Diphenhydramine hcl injectio |
94 |
69 |
$134.78 |
| J2765 |
Metoclopramide hcl injection |
24 |
24 |
$76.59 |
| 87210 |
|
14 |
13 |
$54.13 |
| 96372 |
|
688 |
425 |
$43.19 |
| 80299 |
|
16 |
12 |
$14.88 |
| J0690 |
Cefazolin sodium injection |
14 |
13 |
$3.33 |
| J8540 |
Oral dexamethasone |
26 |
26 |
$2.80 |
| S3620 |
Newborn metabolic screening |
249 |
240 |
$0.00 |
| 96376 |
|
327 |
188 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
91 |
88 |
$0.00 |