| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,651 |
16,886 |
$1.27M |
| 99283 |
|
22,620 |
21,897 |
$946K |
| 99285 |
|
2,450 |
2,319 |
$683K |
| 87651 |
|
9,060 |
8,801 |
$301K |
| 87636 |
|
2,521 |
2,433 |
$277K |
| 80053 |
|
21,285 |
20,239 |
$265K |
| 85025 |
|
21,957 |
20,827 |
$217K |
| 87502 |
|
3,305 |
3,214 |
$155K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,024 |
1,956 |
$113K |
| 84443 |
|
5,736 |
5,529 |
$110K |
| 87637 |
|
993 |
962 |
$107K |
| 80061 |
|
4,300 |
4,204 |
$77K |
| 82607 |
|
3,700 |
3,596 |
$72K |
| 87631 |
|
1,160 |
1,127 |
$69K |
| 71046 |
|
4,627 |
4,476 |
$49K |
| 84703 |
|
7,739 |
7,360 |
$48K |
| 99282 |
|
1,011 |
979 |
$41K |
| 82306 |
|
3,655 |
3,559 |
$34K |
| 93005 |
|
2,504 |
2,347 |
$33K |
| 83036 |
|
2,079 |
2,027 |
$32K |
| 70450 |
|
309 |
289 |
$29K |
| 84484 |
|
2,512 |
2,328 |
$27K |
| 81003 |
|
13,465 |
12,819 |
$22K |
| 71045 |
|
3,122 |
2,971 |
$18K |
| 83690 |
|
2,435 |
2,328 |
$17K |
| 81001 |
|
4,024 |
3,840 |
$16K |
| 80307 |
|
381 |
362 |
$16K |
| 84439 |
|
1,350 |
1,288 |
$16K |
| 85027 |
|
1,818 |
1,773 |
$10K |
| 74176 |
|
133 |
120 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
191 |
174 |
$8K |
| 87070 |
|
637 |
628 |
$8K |
| 87804 |
|
331 |
323 |
$8K |
| 94640 |
|
382 |
358 |
$6K |
| 83735 |
|
686 |
650 |
$5K |
| 87086 |
|
412 |
389 |
$4K |
| 87635 |
|
76 |
72 |
$4K |
| 85652 |
|
768 |
723 |
$3K |
| 80048 |
|
293 |
277 |
$3K |
| 74177 |
|
13 |
13 |
$2K |
| 74022 |
|
90 |
87 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,642 |
1,575 |
$2K |
| 80074 |
|
24 |
24 |
$1K |
| 92507 |
|
120 |
37 |
$1K |
| 86038 |
|
70 |
63 |
$1K |
| 87529 |
|
13 |
13 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
552 |
534 |
$956.94 |
| J2270 |
Morphine sulfate injection |
492 |
466 |
$940.25 |
| 84481 |
|
51 |
49 |
$912.70 |
| 87040 |
|
57 |
54 |
$758.25 |
| 87807 |
|
54 |
54 |
$666.90 |
| 86430 |
|
71 |
64 |
$571.92 |
| J2405 |
Ondansetron hcl injection |
1,827 |
1,740 |
$567.22 |
| 86140 |
|
239 |
225 |
$498.42 |
| J1100 |
Dexamethasone sodium phos |
518 |
510 |
$488.56 |
| 87389 |
|
24 |
24 |
$486.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
56 |
54 |
$405.26 |
| 80076 |
|
41 |
39 |
$364.32 |
| 84702 |
|
29 |
25 |
$325.50 |
| 76801 |
|
14 |
12 |
$323.52 |
| 74018 |
|
26 |
25 |
$319.35 |
| 86780 |
|
12 |
12 |
$307.92 |
| 73630 |
|
14 |
14 |
$212.24 |
| 86308 |
|
14 |
13 |
$83.82 |
| 84100 |
|
14 |
14 |
$61.10 |
| 36415 |
|
134 |
120 |
$2.90 |
| J7510 |
Prednisolone oral per 5 mg |
17 |
17 |
$0.00 |