| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,849 |
3,930 |
$211K |
| 36415 |
|
7,978 |
5,090 |
$198K |
| 99283 |
|
2,262 |
1,830 |
$141K |
| 70450 |
|
1,538 |
1,255 |
$117K |
| 74177 |
|
752 |
637 |
$101K |
| 99285 |
|
2,911 |
2,350 |
$100K |
| 74176 |
|
759 |
616 |
$80K |
| G0378 |
Hospital observation per hr |
2,150 |
1,385 |
$66K |
| 97110 |
|
3,861 |
674 |
$34K |
| 80076 |
|
3,579 |
2,776 |
$24K |
| 80048 |
|
6,255 |
4,395 |
$22K |
| A9270 |
Non-covered item or service |
2,709 |
1,021 |
$13K |
| 85025 |
|
6,908 |
5,133 |
$9K |
| 87635 |
|
1,262 |
1,005 |
$7K |
| 97161 |
|
446 |
321 |
$6K |
| 84484 |
|
2,300 |
1,743 |
$5K |
| 0202U |
|
420 |
363 |
$5K |
| J7030 |
Normal saline solution infus |
923 |
670 |
$5K |
| 96361 |
|
604 |
477 |
$5K |
| 84295 |
|
854 |
761 |
$5K |
| 71275 |
|
46 |
39 |
$5K |
| 93005 |
|
3,407 |
2,545 |
$4K |
| 97140 |
|
1,084 |
191 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
819 |
664 |
$4K |
| J2405 |
Ondansetron hcl injection |
724 |
562 |
$4K |
| 84132 |
|
887 |
765 |
$4K |
| 85610 |
|
1,529 |
1,185 |
$4K |
| 82435 |
|
852 |
759 |
$4K |
| 82565 |
|
1,087 |
936 |
$4K |
| 82374 |
|
850 |
757 |
$4K |
| 96374 |
|
2,167 |
1,651 |
$4K |
| 85730 |
|
1,283 |
1,007 |
$4K |
| 84520 |
|
1,016 |
899 |
$4K |
| 94640 |
|
202 |
106 |
$3K |
| 82947 |
|
870 |
729 |
$3K |
| 71045 |
|
2,773 |
2,177 |
$3K |
| 96375 |
|
1,461 |
1,079 |
$3K |
| 83735 |
|
2,039 |
1,546 |
$3K |
| 85379 |
|
430 |
351 |
$2K |
| 81001 |
|
1,860 |
1,517 |
$2K |
| 96365 |
|
200 |
164 |
$2K |
| 93970 |
|
179 |
136 |
$2K |
| 83690 |
|
1,860 |
1,486 |
$2K |
| 72125 |
|
66 |
52 |
$2K |
| 86850 |
|
139 |
109 |
$1K |
| 81003 |
|
1,254 |
1,036 |
$1K |
| 82310 |
|
306 |
267 |
$1K |
| 86901 |
|
142 |
112 |
$1K |
| 71046 |
|
340 |
285 |
$1K |
| 87088 |
|
866 |
700 |
$780.92 |
| J1885 |
Ketorolac tromethamine inj |
232 |
158 |
$778.53 |
| 87040 |
|
205 |
157 |
$679.81 |
| U0002 |
Covid-19 lab test non-cdc |
548 |
352 |
$661.69 |
| 84145 |
|
89 |
68 |
$565.05 |
| 87633 |
|
34 |
32 |
$547.92 |
| J0690 |
Cefazolin sodium injection |
40 |
25 |
$543.56 |
| 83605 |
|
674 |
514 |
$353.85 |
| 82962 |
|
544 |
263 |
$333.57 |
| 87804 |
|
96 |
79 |
$186.51 |
| 84703 |
|
884 |
798 |
$167.53 |
| M0243 |
Casirivi and imdevi inj |
86 |
75 |
$129.16 |
| 80051 |
|
68 |
56 |
$108.67 |
| 86900 |
|
144 |
112 |
$94.00 |
| 96372 |
|
181 |
110 |
$91.41 |
| 85027 |
|
461 |
315 |
$85.60 |
| 87798 |
|
32 |
30 |
$84.15 |
| 99281 |
|
14 |
12 |
$83.22 |
| 87430 |
|
13 |
13 |
$81.75 |
| 87077 |
|
146 |
117 |
$60.54 |
| 86140 |
|
243 |
199 |
$58.32 |
| 73562 |
|
19 |
14 |
$35.45 |
| 85652 |
|
28 |
25 |
$16.09 |
| 83036 |
|
36 |
25 |
$6.68 |
| 87186 |
|
49 |
39 |
$0.00 |
| 84100 |
|
121 |
96 |
$0.00 |
| J7120 |
Ringers lactate infusion |
49 |
43 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
54 |
44 |
$0.00 |
| 82805 |
|
32 |
25 |
$0.00 |
| 80307 |
|
14 |
12 |
$0.00 |
| 87486 |
|
32 |
30 |
$0.00 |
| 84443 |
|
91 |
70 |
$0.00 |
| 96376 |
|
25 |
14 |
$0.00 |
| 87081 |
|
34 |
29 |
$0.00 |
| 83045 |
|
32 |
25 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
14 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
34 |
28 |
$0.00 |
| 82376 |
|
32 |
25 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
17 |
16 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
23 |
12 |
$0.00 |
| 0241U |
|
15 |
12 |
$0.00 |
| 83880 |
|
29 |
24 |
$0.00 |
| 93306 |
|
14 |
12 |
$0.00 |