| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,516 |
18,286 |
$4.86M |
| 99283 |
|
21,988 |
20,883 |
$3.56M |
| 99285 |
|
5,181 |
4,782 |
$1.70M |
| 96374 |
|
8,227 |
7,503 |
$1.04M |
| 99211 |
|
44,613 |
41,880 |
$517K |
| 96375 |
|
7,851 |
7,050 |
$399K |
| 96361 |
|
6,891 |
6,311 |
$373K |
| 0202U |
|
1,038 |
1,000 |
$314K |
| G0463 |
Hospital outpt clinic visit |
4,124 |
3,894 |
$239K |
| 0241U |
|
1,662 |
1,587 |
$181K |
| 0240U |
|
1,295 |
1,263 |
$172K |
| 71045 |
|
2,409 |
2,248 |
$133K |
| 96365 |
|
749 |
665 |
$98K |
| 87651 |
|
2,563 |
2,492 |
$64K |
| U0003 |
Cov-19 amp prb hgh thruput |
807 |
783 |
$63K |
| 71046 |
|
1,090 |
1,013 |
$59K |
| 87635 |
|
1,089 |
1,065 |
$46K |
| 99282 |
|
411 |
393 |
$39K |
| 11042 |
|
262 |
101 |
$37K |
| 87636 |
|
245 |
242 |
$33K |
| 99281 |
|
3,985 |
3,842 |
$24K |
| 74177 |
|
94 |
91 |
$20K |
| 70450 |
|
145 |
132 |
$14K |
| U0005 |
Infec agen detec ampli probe |
398 |
390 |
$9K |
| 87491 |
|
289 |
274 |
$9K |
| 74176 |
|
42 |
37 |
$7K |
| 36415 |
|
18,901 |
17,001 |
$7K |
| 62323 |
|
27 |
25 |
$7K |
| 87591 |
|
289 |
274 |
$6K |
| 88305 |
|
138 |
132 |
$5K |
| 80053 |
|
14,922 |
13,772 |
$4K |
| 84443 |
|
340 |
323 |
$4K |
| 96372 |
|
2,335 |
2,192 |
$4K |
| 85025 |
|
18,620 |
17,136 |
$4K |
| 93306 |
|
14 |
13 |
$3K |
| 0353U |
|
124 |
115 |
$3K |
| 97110 |
|
100 |
31 |
$3K |
| 87086 |
|
1,395 |
1,295 |
$2K |
| 93005 |
|
4,650 |
4,240 |
$2K |
| 59025 |
|
13 |
12 |
$2K |
| 82306 |
|
44 |
44 |
$1K |
| 83036 |
|
125 |
124 |
$1K |
| 87798 |
|
426 |
204 |
$882.48 |
| 80307 |
|
209 |
190 |
$807.43 |
| 93017 |
|
25 |
25 |
$531.63 |
| 87633 |
|
519 |
487 |
$488.82 |
| 87661 |
|
29 |
28 |
$466.76 |
| 80061 |
|
37 |
36 |
$385.11 |
| 86140 |
|
2,470 |
2,232 |
$271.52 |
| 87389 |
|
13 |
13 |
$251.68 |
| 94640 |
|
931 |
873 |
$198.97 |
| 81000 |
|
4,265 |
3,892 |
$178.79 |
| 86780 |
|
13 |
13 |
$150.96 |
| 86803 |
|
13 |
13 |
$149.16 |
| J3301 |
Triamcinolone acet inj nos |
507 |
462 |
$117.45 |
| 87502 |
|
248 |
232 |
$112.01 |
| 87340 |
|
13 |
13 |
$107.91 |
| 87880 |
|
871 |
810 |
$75.70 |
| J2405 |
Ondansetron hcl injection |
4,462 |
4,071 |
$73.56 |
| J0696 |
Ceftriaxone sodium injection |
465 |
426 |
$60.12 |
| J1885 |
Ketorolac tromethamine inj |
3,898 |
3,640 |
$52.34 |
| 83690 |
|
3,693 |
3,410 |
$49.17 |
| 86850 |
|
12 |
12 |
$48.74 |
| 82950 |
|
14 |
12 |
$45.10 |
| 87486 |
|
204 |
192 |
$41.16 |
| 87581 |
|
204 |
192 |
$41.16 |
| 81025 |
|
891 |
830 |
$25.33 |
| 87081 |
|
660 |
617 |
$23.80 |
| 83605 |
|
1,337 |
1,154 |
$19.91 |
| 81001 |
|
3,571 |
3,324 |
$15.20 |
| 84703 |
|
1,228 |
1,158 |
$14.66 |
| 84484 |
|
2,864 |
2,053 |
$13.25 |
| 82010 |
|
562 |
520 |
$11.40 |
| J2930 |
Methylprednisolone injection |
513 |
483 |
$11.33 |
| 85610 |
|
1,251 |
1,132 |
$5.16 |
| 81003 |
|
940 |
890 |
$2.14 |
| J2300 |
Inj nalbuphine hydrochloride |
878 |
794 |
$1.52 |
| 82962 |
|
68 |
51 |
$0.23 |
| 80048 |
|
907 |
845 |
$0.00 |
| 85379 |
|
494 |
457 |
$0.00 |
| 87040 |
|
601 |
368 |
$0.00 |
| J1790 |
Droperidol injection |
97 |
91 |
$0.00 |
| 82803 |
|
533 |
476 |
$0.00 |
| J1170 |
Hydromorphone injection |
156 |
144 |
$0.00 |
| 83735 |
|
355 |
332 |
$0.00 |
| 87077 |
|
49 |
42 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
250 |
225 |
$0.00 |
| J2060 |
Lorazepam injection |
152 |
141 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
227 |
197 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
13 |
13 |
$0.00 |
| 81015 |
|
27 |
25 |
$0.00 |
| 83880 |
|
250 |
229 |
$0.00 |
| A9270 |
Non-covered item or service |
45 |
38 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
49 |
49 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
87 |
72 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |
| 85730 |
|
14 |
12 |
$0.00 |
| 82077 |
|
12 |
12 |
$0.00 |
| 87631 |
|
251 |
237 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
94 |
84 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
467 |
448 |
$0.00 |
| 84145 |
|
323 |
294 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
135 |
124 |
$0.00 |
| 87804 |
|
28 |
28 |
$0.00 |
| 85380 |
|
197 |
177 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
25 |
25 |
$0.00 |
| J7120 |
Ringers lactate infusion |
29 |
25 |
$0.00 |
| 82272 |
|
14 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$0.00 |