| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,950 |
15,092 |
$1.41M |
| 99284 |
|
3,621 |
3,290 |
$1.38M |
| 99285 |
|
660 |
593 |
$90K |
| 93005 |
|
1,155 |
1,001 |
$35K |
| 85025 |
|
4,779 |
4,064 |
$27K |
| 80053 |
|
3,230 |
2,804 |
$25K |
| 87400 |
|
1,061 |
1,020 |
$20K |
| 87880 |
|
875 |
836 |
$18K |
| 74177 |
|
155 |
147 |
$16K |
| 96374 |
|
892 |
782 |
$11K |
| 87635 |
|
132 |
128 |
$9K |
| 96375 |
|
455 |
381 |
$7K |
| 99282 |
|
98 |
95 |
$6K |
| 93975 |
|
28 |
24 |
$6K |
| 71045 |
|
554 |
502 |
$6K |
| 70450 |
|
90 |
86 |
$4K |
| 84484 |
|
1,102 |
825 |
$4K |
| 96361 |
|
323 |
282 |
$3K |
| 81001 |
|
1,555 |
1,370 |
$3K |
| 71046 |
|
63 |
59 |
$3K |
| 87420 |
|
131 |
126 |
$3K |
| 84703 |
|
391 |
356 |
$2K |
| 80048 |
|
456 |
382 |
$2K |
| 0241U |
|
350 |
334 |
$2K |
| 83880 |
|
174 |
156 |
$1K |
| 81025 |
|
249 |
217 |
$1K |
| 96372 |
|
173 |
143 |
$1K |
| J2405 |
Ondansetron hcl injection |
587 |
498 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
362 |
311 |
$866.74 |
| 83690 |
|
380 |
334 |
$746.53 |
| 96365 |
|
21 |
12 |
$746.52 |
| 88305 |
|
40 |
39 |
$732.06 |
| 81003 |
|
355 |
323 |
$613.96 |
| 87811 |
|
52 |
46 |
$573.11 |
| 84702 |
|
51 |
41 |
$556.48 |
| 83735 |
|
350 |
299 |
$512.28 |
| J7030 |
Normal saline solution infus |
608 |
527 |
$451.77 |
| 80307 |
|
20 |
12 |
$451.53 |
| 85379 |
|
53 |
52 |
$178.69 |
| J2270 |
Morphine sulfate injection |
74 |
59 |
$155.01 |
| 85610 |
|
116 |
103 |
$113.99 |
| 82947 |
|
117 |
70 |
$94.92 |
| 87086 |
|
28 |
26 |
$80.34 |
| 36415 |
|
3,255 |
2,610 |
$72.66 |
| J0696 |
Ceftriaxone sodium injection |
27 |
12 |
$41.71 |
| 85730 |
|
30 |
29 |
$30.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
416 |
390 |
$24.00 |
| J1100 |
Dexamethasone sodium phos |
77 |
74 |
$17.37 |
| 86901 |
|
13 |
13 |
$17.32 |
| 86900 |
|
13 |
13 |
$15.43 |
| J7120 |
Ringers lactate infusion |
59 |
55 |
$4.81 |
| 84100 |
|
17 |
12 |
$2.70 |
| A9270 |
Non-covered item or service |
7,038 |
4,705 |
$0.28 |
| J7040 |
Normal saline solution infus |
62 |
31 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
16 |
13 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
45 |
43 |
$0.00 |
| 36416 |
|
32 |
26 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
56 |
55 |
$0.00 |
| 76801 |
|
14 |
12 |
$0.00 |