| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
6,713 |
5,312 |
$1.70M |
| 99284 |
|
20,999 |
18,364 |
$1.26M |
| 99283 |
|
19,513 |
17,489 |
$701K |
| 74177 |
|
2,151 |
1,787 |
$288K |
| 70450 |
|
3,156 |
2,691 |
$229K |
| D9420 |
|
1,233 |
754 |
$229K |
| 80053 |
|
18,402 |
15,461 |
$171K |
| 85025 |
|
20,624 |
17,395 |
$158K |
| 99282 |
|
4,299 |
4,077 |
$155K |
| G0463 |
Hospital outpt clinic visit |
3,634 |
2,415 |
$154K |
| 80307 |
|
3,200 |
2,770 |
$125K |
| U0002 |
Covid-19 lab test non-cdc |
2,981 |
2,558 |
$89K |
| 87088 |
|
8,604 |
7,422 |
$75K |
| 87430 |
|
4,646 |
4,348 |
$70K |
| 93005 |
|
6,962 |
5,723 |
$67K |
| 71045 |
|
10,348 |
8,863 |
$51K |
| 81001 |
|
13,217 |
11,169 |
$46K |
| 84484 |
|
5,208 |
4,073 |
$38K |
| 87081 |
|
3,843 |
3,619 |
$36K |
| G0330 |
Facility svs dental rehab |
51 |
28 |
$30K |
| 83690 |
|
5,361 |
4,485 |
$29K |
| 87400 |
|
5,294 |
4,722 |
$26K |
| 81025 |
|
7,745 |
6,736 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,666 |
3,066 |
$20K |
| 59025 |
|
3,606 |
2,415 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
319 |
313 |
$16K |
| 83735 |
|
1,930 |
1,581 |
$11K |
| 71046 |
|
936 |
885 |
$9K |
| 87651 |
|
269 |
234 |
$9K |
| 94640 |
|
817 |
734 |
$8K |
| 72125 |
|
97 |
78 |
$7K |
| U0005 |
Infec agen detec ampli probe |
344 |
337 |
$6K |
| 81003 |
|
2,438 |
2,065 |
$5K |
| 87420 |
|
321 |
312 |
$5K |
| 42820 |
|
12 |
12 |
$5K |
| 83880 |
|
242 |
202 |
$5K |
| 80048 |
|
353 |
338 |
$4K |
| 85610 |
|
849 |
716 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,130 |
3,291 |
$3K |
| 74176 |
|
59 |
50 |
$3K |
| 87426 |
|
129 |
119 |
$3K |
| 69436 |
|
19 |
14 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,355 |
1,632 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,776 |
2,088 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,248 |
1,086 |
$2K |
| 82550 |
|
304 |
274 |
$2K |
| 87186 |
|
186 |
172 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
28 |
28 |
$2K |
| 84100 |
|
386 |
303 |
$1K |
| 87040 |
|
108 |
83 |
$965.37 |
| J2405 |
Ondansetron hcl injection |
8,158 |
6,649 |
$838.01 |
| 87077 |
|
81 |
74 |
$660.45 |
| J2270 |
Morphine sulfate injection |
457 |
353 |
$622.20 |
| 84112 |
|
16 |
12 |
$570.16 |
| 74018 |
|
55 |
52 |
$555.66 |
| 84702 |
|
39 |
38 |
$518.76 |
| J2175 |
Meperidine hydrochl /100 mg |
216 |
179 |
$493.15 |
| 96372 |
|
56 |
40 |
$481.75 |
| 83605 |
|
65 |
54 |
$476.68 |
| 85730 |
|
286 |
226 |
$444.01 |
| 96360 |
|
18 |
13 |
$429.00 |
| 73564 |
|
26 |
24 |
$357.20 |
| 76815 |
|
12 |
12 |
$280.90 |
| 82150 |
|
45 |
40 |
$257.41 |
| 73610 |
|
15 |
13 |
$212.24 |
| 73630 |
|
14 |
13 |
$181.92 |
| 73130 |
|
12 |
12 |
$127.50 |
| J1170 |
Hydromorphone injection |
67 |
61 |
$98.40 |
| 86850 |
|
15 |
14 |
$91.65 |
| 86900 |
|
15 |
14 |
$42.77 |
| 86901 |
|
15 |
14 |
$42.38 |
| 88304 |
|
60 |
58 |
$25.59 |
| J3010 |
Fentanyl citrate injection |
96 |
84 |
$14.87 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
62 |
46 |
$6.10 |
| J2250 |
Inj midazolam hydrochloride |
331 |
252 |
$2.86 |
| G1004 |
Cdsm ndsc |
5,148 |
3,706 |
$0.01 |
| J7120 |
Ringers lactate infusion |
615 |
561 |
$0.00 |
| J7030 |
Normal saline solution infus |
14 |
14 |
$0.00 |
| 0240U |
|
1,686 |
1,495 |
$0.00 |
| 41899 |
|
205 |
192 |
$0.00 |
| 96374 |
|
36 |
26 |
$0.00 |
| 80320 |
|
13 |
13 |
$0.00 |
| 96375 |
|
17 |
12 |
$0.00 |