| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
|
4,011 |
3,778 |
$863K |
| 99285 |
|
2,313 |
2,157 |
$647K |
| 99283 |
|
10,017 |
9,609 |
$390K |
| 99284 |
|
3,942 |
3,715 |
$282K |
| 87798 |
|
7,837 |
3,805 |
$275K |
| 99282 |
|
7,188 |
6,830 |
$264K |
| 87635 |
|
3,859 |
3,629 |
$175K |
| 87486 |
|
4,057 |
3,822 |
$138K |
| 87581 |
|
4,056 |
3,821 |
$138K |
| 80053 |
|
7,440 |
7,010 |
$80K |
| 85025 |
|
8,772 |
8,216 |
$77K |
| 87426 |
|
1,568 |
1,495 |
$40K |
| G2023 |
Specimen collect covid-19 |
2,204 |
2,074 |
$36K |
| 84443 |
|
1,820 |
1,771 |
$33K |
| 82607 |
|
1,594 |
1,557 |
$29K |
| 83735 |
|
3,734 |
3,569 |
$27K |
| 80061 |
|
1,477 |
1,440 |
$25K |
| 87804 |
|
2,172 |
1,924 |
$24K |
| 83036 |
|
1,592 |
1,554 |
$22K |
| 87070 |
|
1,603 |
1,528 |
$21K |
| 82746 |
|
1,142 |
1,114 |
$16K |
| 82306 |
|
1,574 |
1,538 |
$14K |
| 84439 |
|
1,170 |
1,143 |
$11K |
| 87430 |
|
606 |
576 |
$10K |
| 81001 |
|
2,670 |
2,487 |
$10K |
| 93005 |
|
953 |
872 |
$10K |
| 86141 |
|
626 |
606 |
$9K |
| 84481 |
|
453 |
436 |
$7K |
| 71045 |
|
1,306 |
1,228 |
$7K |
| 87086 |
|
636 |
582 |
$7K |
| 83690 |
|
783 |
758 |
$6K |
| 82150 |
|
747 |
722 |
$6K |
| 83655 |
|
365 |
347 |
$6K |
| 82570 |
|
641 |
618 |
$4K |
| 86756 |
|
198 |
189 |
$4K |
| 71046 |
|
264 |
248 |
$4K |
| 70450 |
|
38 |
38 |
$4K |
| 82043 |
|
629 |
606 |
$3K |
| 85651 |
|
485 |
467 |
$2K |
| 80048 |
|
175 |
169 |
$2K |
| 81025 |
|
403 |
373 |
$1K |
| 84484 |
|
189 |
168 |
$959.89 |
| 80305 |
|
77 |
73 |
$715.98 |
| 80076 |
|
83 |
79 |
$687.38 |
| 82553 |
|
97 |
93 |
$646.38 |
| 82550 |
|
98 |
94 |
$374.40 |
| 81003 |
|
105 |
101 |
$357.63 |
| J1885 |
Ketorolac tromethamine inj |
491 |
457 |
$209.48 |
| 83525 |
|
12 |
12 |
$133.50 |
| J2175 |
Meperidine hydrochl /100 mg |
30 |
24 |
$86.70 |
| 36415 |
|
6,204 |
5,805 |
$58.69 |
| 87186 |
|
15 |
13 |
$50.55 |
| J1100 |
Dexamethasone sodium phos |
312 |
291 |
$45.32 |
| 87077 |
|
15 |
13 |
$44.90 |
| J2550 |
Promethazine hcl injection |
18 |
13 |
$22.32 |
| J2405 |
Ondansetron hcl injection |
266 |
231 |
$17.85 |
| J0696 |
Ceftriaxone sodium injection |
40 |
39 |
$16.70 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
28 |
24 |
$11.05 |
| 96361 |
|
257 |
228 |
$0.00 |
| 94760 |
|
27 |
27 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
46 |
44 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
12 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
1,022 |
983 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
68 |
61 |
$0.00 |