| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,013 |
8,664 |
$1.46M |
| 99284 |
|
5,107 |
4,637 |
$1.25M |
| 96374 |
|
1,530 |
1,359 |
$111K |
| 80053 |
|
2,208 |
1,932 |
$60K |
| 87635 |
|
2,304 |
2,245 |
$54K |
| 36415 |
|
7,208 |
6,313 |
$50K |
| 80048 |
|
1,380 |
1,128 |
$40K |
| 99282 |
|
280 |
275 |
$39K |
| 87804 |
|
3,601 |
3,357 |
$31K |
| 93005 |
|
1,558 |
1,348 |
$22K |
| 71045 |
|
1,849 |
1,665 |
$19K |
| 81001 |
|
1,983 |
1,796 |
$18K |
| 70450 |
|
257 |
228 |
$15K |
| 96361 |
|
45 |
39 |
$15K |
| 85027 |
|
5,224 |
4,386 |
$14K |
| 87426 |
|
656 |
621 |
$9K |
| 99285 |
|
99 |
90 |
$8K |
| 87880 |
|
991 |
972 |
$7K |
| 86171 |
|
143 |
139 |
$7K |
| 81025 |
|
1,364 |
1,263 |
$7K |
| J7030 |
Normal saline solution infus |
1,782 |
1,563 |
$4K |
| 81003 |
|
417 |
378 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
304 |
298 |
$4K |
| 84484 |
|
1,177 |
850 |
$4K |
| J2405 |
Ondansetron hcl injection |
631 |
534 |
$3K |
| 74177 |
|
47 |
43 |
$3K |
| 83880 |
|
619 |
523 |
$3K |
| 96375 |
|
369 |
298 |
$3K |
| 77067 |
|
26 |
26 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
225 |
175 |
$2K |
| 77063 |
|
26 |
26 |
$2K |
| 76801 |
|
31 |
27 |
$2K |
| 83690 |
|
1,028 |
925 |
$1K |
| 71046 |
|
38 |
38 |
$963.63 |
| 86850 |
|
73 |
64 |
$945.94 |
| 83655 |
|
79 |
78 |
$743.81 |
| 85014 |
|
66 |
66 |
$665.89 |
| 87086 |
|
42 |
41 |
$577.39 |
| 86900 |
|
442 |
398 |
$552.02 |
| 85018 |
|
66 |
66 |
$538.25 |
| 86901 |
|
444 |
399 |
$502.80 |
| 84702 |
|
74 |
60 |
$480.32 |
| 85610 |
|
293 |
250 |
$231.67 |
| 96372 |
|
147 |
133 |
$91.03 |
| 85730 |
|
127 |
110 |
$79.77 |
| J1885 |
Ketorolac tromethamine inj |
154 |
82 |
$74.81 |
| 80047 |
|
33 |
32 |
$25.82 |
| J2270 |
Morphine sulfate injection |
88 |
77 |
$21.59 |
| J1100 |
Dexamethasone sodium phos |
17 |
15 |
$5.95 |
| J0696 |
Ceftriaxone sodium injection |
16 |
15 |
$1.87 |
| A9270 |
Non-covered item or service |
66 |
42 |
$0.00 |