| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,531 |
11,923 |
$2.26M |
| 99283 |
|
14,567 |
12,694 |
$2.09M |
| 99285 |
|
3,601 |
3,141 |
$1.18M |
| 99282 |
|
6,934 |
5,299 |
$457K |
| 96374 |
|
2,835 |
2,789 |
$404K |
| 80053 |
|
5,521 |
5,463 |
$68K |
| 96375 |
|
2,043 |
1,941 |
$61K |
| 74177 |
|
285 |
283 |
$53K |
| 87804 |
|
3,285 |
1,643 |
$48K |
| 85025 |
|
6,428 |
6,330 |
$43K |
| 87635 |
|
820 |
815 |
$38K |
| 71046 |
|
1,786 |
1,777 |
$30K |
| 96361 |
|
421 |
420 |
$13K |
| 70450 |
|
191 |
190 |
$13K |
| 93005 |
|
1,781 |
1,758 |
$11K |
| 96372 |
|
191 |
181 |
$9K |
| 87880 |
|
478 |
477 |
$7K |
| 83690 |
|
1,053 |
1,044 |
$6K |
| 71045 |
|
405 |
400 |
$6K |
| 84484 |
|
478 |
436 |
$5K |
| 81025 |
|
593 |
591 |
$4K |
| 71275 |
|
26 |
26 |
$4K |
| 81001 |
|
1,250 |
1,242 |
$4K |
| 82550 |
|
600 |
594 |
$3K |
| 83735 |
|
500 |
497 |
$3K |
| 96365 |
|
25 |
25 |
$3K |
| 87081 |
|
417 |
416 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
39 |
39 |
$3K |
| 36415 |
|
538 |
535 |
$2K |
| 87807 |
|
186 |
184 |
$2K |
| 83605 |
|
194 |
179 |
$2K |
| 74176 |
|
15 |
15 |
$1K |
| 81003 |
|
185 |
183 |
$1K |
| U0005 |
Infec agen detec ampli probe |
39 |
39 |
$878.75 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
968 |
965 |
$624.35 |
| J2405 |
Ondansetron hcl injection |
508 |
495 |
$427.88 |
| 83880 |
|
12 |
12 |
$419.04 |
| 80048 |
|
56 |
55 |
$387.63 |
| 85730 |
|
71 |
70 |
$379.85 |
| 85610 |
|
71 |
70 |
$271.22 |
| 84703 |
|
41 |
41 |
$260.91 |
| 73130 |
|
13 |
12 |
$230.00 |
| 85027 |
|
32 |
31 |
$178.25 |
| J1885 |
Ketorolac tromethamine inj |
592 |
586 |
$164.64 |
| 87086 |
|
15 |
13 |
$107.70 |
| J7030 |
Normal saline solution infus |
50 |
50 |
$105.00 |
| J2270 |
Morphine sulfate injection |
26 |
25 |
$26.01 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$5.25 |
| J1100 |
Dexamethasone sodium phos |
32 |
32 |
$0.00 |
| 94761 |
|
85 |
85 |
$0.00 |