| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
17,899 |
16,412 |
$6.58M |
| 99284 |
|
22,262 |
20,343 |
$6.16M |
| 99283 |
|
20,574 |
18,025 |
$3.68M |
| 96374 |
|
15,821 |
14,450 |
$1.76M |
| 96375 |
|
9,756 |
8,695 |
$372K |
| 96361 |
|
8,935 |
7,675 |
$291K |
| 87636 |
|
2,757 |
2,627 |
$215K |
| G0463 |
Hospital outpt clinic visit |
1,537 |
1,197 |
$112K |
| 71045 |
|
2,131 |
1,979 |
$107K |
| 71046 |
|
1,699 |
1,546 |
$54K |
| 96413 |
|
222 |
151 |
$46K |
| 74177 |
|
165 |
156 |
$34K |
| 96365 |
|
196 |
181 |
$25K |
| 70450 |
|
192 |
182 |
$11K |
| 93010 |
|
1,075 |
1,036 |
$8K |
| 99282 |
|
84 |
79 |
$8K |
| 96360 |
|
62 |
62 |
$6K |
| 80053 |
|
34,136 |
30,954 |
$4K |
| 85025 |
|
36,180 |
32,678 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
28 |
28 |
$1K |
| 83690 |
|
8,918 |
8,232 |
$1K |
| 84484 |
|
5,919 |
4,858 |
$999.66 |
| G0480 |
Drug test def 1-7 classes |
243 |
229 |
$800.00 |
| 87633 |
|
96 |
88 |
$674.00 |
| 93005 |
|
12,187 |
11,004 |
$500.70 |
| 81025 |
|
1,445 |
1,318 |
$458.40 |
| 36415 |
|
975 |
886 |
$351.49 |
| U0005 |
Infec agen detec ampli probe |
28 |
28 |
$298.26 |
| 80305 |
|
535 |
439 |
$266.00 |
| 84145 |
|
1,782 |
1,671 |
$241.99 |
| 80307 |
|
1,045 |
970 |
$239.47 |
| 83605 |
|
1,445 |
1,274 |
$184.73 |
| 87798 |
|
130 |
88 |
$148.00 |
| 81001 |
|
1,960 |
1,760 |
$141.54 |
| 87502 |
|
126 |
118 |
$141.00 |
| J7030 |
Normal saline solution infus |
9,206 |
7,719 |
$139.38 |
| J1885 |
Ketorolac tromethamine inj |
5,228 |
4,679 |
$82.07 |
| 85610 |
|
967 |
887 |
$75.16 |
| J2405 |
Ondansetron hcl injection |
5,916 |
5,187 |
$52.45 |
| 81003 |
|
937 |
890 |
$46.00 |
| 84703 |
|
713 |
672 |
$31.50 |
| 84443 |
|
75 |
69 |
$12.00 |
| 96372 |
|
236 |
222 |
$9.00 |
| G1004 |
Cdsm ndsc |
5,278 |
4,129 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,309 |
1,252 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,006 |
891 |
$0.00 |
| 87631 |
|
14 |
14 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
54 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,105 |
1,651 |
$0.00 |
| J7050 |
Normal saline solution infus |
947 |
723 |
$0.00 |
| 96376 |
|
124 |
108 |
$0.00 |
| 80048 |
|
55 |
51 |
$0.00 |
| 83735 |
|
136 |
128 |
$0.00 |
| 83880 |
|
106 |
90 |
$0.00 |
| 87040 |
|
14 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
143 |
127 |
$0.00 |
| 82803 |
|
14 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
16 |
16 |
$0.00 |
| 94640 |
|
14 |
14 |
$0.00 |
| J8540 |
Oral dexamethasone |
24 |
13 |
$0.00 |