| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
32,487 |
28,079 |
$3.76M |
| 99284 |
|
19,919 |
16,608 |
$3.41M |
| 99285 |
|
4,074 |
3,279 |
$861K |
| 99282 |
|
7,196 |
6,335 |
$523K |
| 41899 |
|
407 |
380 |
$466K |
| 93005 |
|
8,760 |
6,971 |
$268K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,906 |
2,434 |
$236K |
| 87426 |
|
5,605 |
4,317 |
$188K |
| C9803 |
Hopd covid-19 spec collect |
7,372 |
5,887 |
$187K |
| 71045 |
|
4,497 |
3,779 |
$166K |
| 80053 |
|
18,167 |
14,905 |
$147K |
| 87400 |
|
6,329 |
4,349 |
$147K |
| 11042 |
|
1,646 |
604 |
$138K |
| 85025 |
|
19,693 |
16,098 |
$132K |
| 87636 |
|
645 |
549 |
$112K |
| 70450 |
|
839 |
676 |
$98K |
| 96374 |
|
6,091 |
5,063 |
$79K |
| 71046 |
|
1,875 |
1,566 |
$78K |
| 74177 |
|
189 |
152 |
$75K |
| 96361 |
|
3,351 |
2,675 |
$73K |
| 87651 |
|
2,335 |
1,983 |
$68K |
| U0005 |
Infec agen detec ampli probe |
2,623 |
2,153 |
$66K |
| 96372 |
|
3,954 |
3,249 |
$65K |
| 80307 |
|
879 |
693 |
$65K |
| 87502 |
|
1,120 |
1,072 |
$64K |
| 96375 |
|
3,039 |
2,429 |
$55K |
| 81001 |
|
17,785 |
14,890 |
$54K |
| 87798 |
|
2,453 |
1,348 |
$52K |
| 36415 |
|
17,442 |
14,043 |
$37K |
| 81025 |
|
4,430 |
3,750 |
$33K |
| J7030 |
Normal saline solution infus |
1,943 |
1,633 |
$28K |
| 84484 |
|
3,682 |
2,659 |
$26K |
| 99281 |
|
1,047 |
996 |
$24K |
| G0480 |
Drug test def 1-7 classes |
607 |
358 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
3,858 |
3,298 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
431 |
362 |
$16K |
| 99213 |
|
570 |
481 |
$15K |
| 84703 |
|
1,782 |
1,627 |
$13K |
| 83690 |
|
2,095 |
1,691 |
$12K |
| 96365 |
|
408 |
323 |
$10K |
| 87420 |
|
609 |
454 |
$9K |
| 80048 |
|
1,195 |
951 |
$9K |
| 87086 |
|
1,036 |
894 |
$8K |
| J2405 |
Ondansetron hcl injection |
1,350 |
1,182 |
$7K |
| 83735 |
|
1,122 |
935 |
$7K |
| 94640 |
|
321 |
241 |
$5K |
| J8499 |
Oral prescrip drug non chemo |
2,312 |
1,503 |
$5K |
| 93306 |
|
13 |
12 |
$4K |
| 84702 |
|
331 |
268 |
$3K |
| 96360 |
|
140 |
122 |
$3K |
| G0378 |
Hospital observation per hr |
54 |
37 |
$3K |
| G0463 |
Hospital outpt clinic visit |
376 |
175 |
$3K |
| 97110 |
|
184 |
82 |
$3K |
| 82550 |
|
519 |
400 |
$2K |
| 85730 |
|
432 |
365 |
$2K |
| 87591 |
|
72 |
69 |
$2K |
| 87491 |
|
72 |
69 |
$2K |
| 87430 |
|
100 |
99 |
$1K |
| Q0162 |
Ondansetron oral |
139 |
122 |
$1K |
| 85610 |
|
453 |
380 |
$1K |
| 85027 |
|
248 |
186 |
$1K |
| J7120 |
Ringers lactate infusion |
332 |
309 |
$1K |
| 82553 |
|
180 |
135 |
$1K |
| 87635 |
|
27 |
26 |
$1K |
| J7050 |
Normal saline solution infus |
109 |
92 |
$1K |
| A9150 |
Misc/exper non-prescript dru |
1,021 |
955 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
60 |
52 |
$1K |
| 76805 |
|
18 |
12 |
$942.85 |
| 94664 |
|
61 |
52 |
$848.65 |
| 83605 |
|
127 |
81 |
$776.04 |
| 80076 |
|
147 |
109 |
$740.08 |
| J3490 |
Drugs unclassified injection |
395 |
335 |
$732.35 |
| J2704 |
Inj, propofol, 10 mg |
116 |
109 |
$727.14 |
| A6197 |
Alginate drsg >16 <=48 sq in |
162 |
52 |
$580.58 |
| 87210 |
|
134 |
121 |
$566.66 |
| 87081 |
|
79 |
79 |
$535.12 |
| J1100 |
Dexamethasone sodium phos |
173 |
160 |
$439.50 |
| 83880 |
|
15 |
12 |
$320.51 |
| 74018 |
|
13 |
12 |
$283.36 |
| 84100 |
|
69 |
55 |
$254.06 |
| 80305 |
|
26 |
25 |
$233.57 |
| J2270 |
Morphine sulfate injection |
247 |
213 |
$215.93 |
| 82248 |
|
49 |
44 |
$208.21 |
| A4217 |
Sterile water/saline, 500 ml |
63 |
62 |
$112.50 |
| 85379 |
|
16 |
13 |
$101.83 |
| 87070 |
|
15 |
12 |
$63.78 |
| 82948 |
|
19 |
15 |
$39.45 |
| J3010 |
Fentanyl citrate injection |
26 |
25 |
$21.60 |
| 82962 |
|
25 |
13 |
$20.44 |
| J2370 |
Phenylephrine hcl injection |
77 |
71 |
$0.00 |