| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,634 |
10,822 |
$1.38M |
| 99284 |
|
7,550 |
6,797 |
$1.30M |
| 99285 |
|
1,797 |
1,562 |
$288K |
| 87635 |
|
2,009 |
1,845 |
$64K |
| 99282 |
|
727 |
690 |
$51K |
| 87502 |
|
1,754 |
1,651 |
$43K |
| 96374 |
|
4,638 |
4,028 |
$34K |
| 84484 |
|
3,138 |
2,462 |
$19K |
| G0378 |
Hospital observation per hr |
107 |
92 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
344 |
306 |
$15K |
| 85025 |
|
4,782 |
4,221 |
$13K |
| 74177 |
|
282 |
262 |
$12K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
54 |
41 |
$11K |
| 80053 |
|
5,464 |
4,842 |
$11K |
| 85027 |
|
3,558 |
3,125 |
$8K |
| 93005 |
|
4,000 |
3,421 |
$8K |
| 70450 |
|
292 |
251 |
$6K |
| 87651 |
|
334 |
328 |
$6K |
| 84703 |
|
1,358 |
1,274 |
$5K |
| 96372 |
|
1,562 |
1,370 |
$5K |
| 96375 |
|
1,049 |
894 |
$5K |
| 83690 |
|
1,352 |
1,221 |
$4K |
| 87880 |
|
924 |
837 |
$4K |
| 71045 |
|
2,511 |
2,248 |
$3K |
| 80048 |
|
2,459 |
2,147 |
$3K |
| 83880 |
|
565 |
471 |
$3K |
| U0005 |
Infec agen detec ampli probe |
132 |
123 |
$2K |
| 71046 |
|
584 |
542 |
$2K |
| 87070 |
|
555 |
514 |
$2K |
| 83605 |
|
697 |
580 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,803 |
1,542 |
$1K |
| 87804 |
|
420 |
386 |
$1K |
| 81001 |
|
2,197 |
1,987 |
$1K |
| 83735 |
|
557 |
488 |
$943.53 |
| 74176 |
|
30 |
25 |
$645.06 |
| 80076 |
|
265 |
249 |
$467.24 |
| 87040 |
|
176 |
106 |
$344.93 |
| 80307 |
|
30 |
27 |
$271.99 |
| 73562 |
|
13 |
12 |
$213.96 |
| 85379 |
|
30 |
27 |
$162.12 |
| 81003 |
|
415 |
379 |
$161.05 |
| J1100 |
Dexamethasone sodium phos |
195 |
159 |
$131.10 |
| 85380 |
|
16 |
16 |
$97.86 |
| 85610 |
|
112 |
91 |
$77.30 |
| 96376 |
|
18 |
16 |
$32.10 |
| 96361 |
|
14 |
12 |
$25.62 |
| 82550 |
|
15 |
14 |
$25.42 |
| J1170 |
Hydromorphone injection |
78 |
67 |
$22.62 |
| 36415 |
|
144 |
105 |
$16.24 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
14 |
$1.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
778 |
703 |
$0.00 |
| J2270 |
Morphine sulfate injection |
271 |
226 |
$0.00 |
| 73630 |
|
15 |
12 |
$0.00 |
| 76000 |
|
39 |
27 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
16 |
14 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,548 |
1,907 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,404 |
1,242 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
600 |
500 |
$0.00 |
| 88305 |
|
71 |
66 |
$0.00 |
| A9270 |
Non-covered item or service |
371 |
270 |
$0.00 |
| J3490 |
Drugs unclassified injection |
265 |
211 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
33 |
24 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
160 |
143 |
$0.00 |
| 91301 |
|
18 |
13 |
$0.00 |
| 88304 |
|
15 |
14 |
$0.00 |