| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,199 |
10,442 |
$1.92M |
| 99284 |
|
8,258 |
6,118 |
$919K |
| 96361 |
|
2,372 |
1,627 |
$819K |
| 99282 |
|
2,916 |
2,498 |
$451K |
| 99213 |
|
5,155 |
4,127 |
$425K |
| 99285 |
|
3,625 |
2,459 |
$422K |
| 70450 |
|
1,180 |
1,027 |
$296K |
| 96365 |
|
1,768 |
1,121 |
$259K |
| 74177 |
|
1,097 |
948 |
$256K |
| 41899 |
|
188 |
168 |
$240K |
| 99214 |
|
1,895 |
1,462 |
$219K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,917 |
1,696 |
$154K |
| G0382 |
Lev 3 hosp type b ed visit |
896 |
724 |
$76K |
| G0383 |
Lev 4 hosp type b ed visit |
577 |
452 |
$63K |
| 87651 |
|
1,695 |
1,487 |
$56K |
| 80053 |
|
7,847 |
6,200 |
$51K |
| 87635 |
|
1,196 |
1,016 |
$47K |
| 85025 |
|
10,051 |
7,509 |
$45K |
| 96372 |
|
2,509 |
1,665 |
$37K |
| 87502 |
|
592 |
486 |
$34K |
| G0330 |
Facility svs dental rehab |
37 |
17 |
$31K |
| 80061 |
|
2,403 |
2,182 |
$27K |
| 71046 |
|
1,749 |
1,481 |
$27K |
| 84443 |
|
1,855 |
1,628 |
$23K |
| 97110 |
|
2,291 |
741 |
$22K |
| 00170 |
|
131 |
124 |
$22K |
| 0241U |
|
984 |
862 |
$22K |
| 80048 |
|
3,554 |
2,859 |
$21K |
| 83880 |
|
1,508 |
1,223 |
$21K |
| 84484 |
|
3,849 |
2,427 |
$19K |
| 99212 |
|
311 |
252 |
$18K |
| 87634 |
|
432 |
365 |
$18K |
| 80050 |
|
977 |
856 |
$14K |
| 81025 |
|
1,668 |
1,408 |
$13K |
| U0005 |
Infec agen detec ampli probe |
1,267 |
1,107 |
$13K |
| 93005 |
|
4,256 |
3,413 |
$12K |
| 81001 |
|
5,620 |
4,646 |
$12K |
| 71275 |
|
92 |
75 |
$12K |
| 83036 |
|
1,428 |
1,308 |
$11K |
| 87637 |
|
94 |
82 |
$11K |
| 77067 |
|
162 |
151 |
$11K |
| 80307 |
|
282 |
226 |
$11K |
| 85610 |
|
2,628 |
1,746 |
$11K |
| 83605 |
|
2,124 |
1,623 |
$10K |
| 82306 |
|
393 |
350 |
$10K |
| 87086 |
|
1,562 |
1,378 |
$9K |
| 11721 |
|
298 |
257 |
$8K |
| 83690 |
|
1,795 |
1,484 |
$8K |
| 74176 |
|
28 |
24 |
$8K |
| 83735 |
|
2,547 |
1,752 |
$7K |
| 99203 |
|
56 |
45 |
$7K |
| 96360 |
|
34 |
27 |
$7K |
| 84145 |
|
707 |
560 |
$6K |
| 73630 |
|
285 |
223 |
$6K |
| 96374 |
|
2,521 |
1,899 |
$6K |
| 86140 |
|
1,715 |
1,388 |
$5K |
| 82728 |
|
459 |
407 |
$5K |
| 36415 |
|
14,366 |
10,297 |
$4K |
| G0384 |
Lev 5 hosp type b ed visit |
35 |
27 |
$4K |
| G0381 |
Lev 2 hosp type b ed visit |
66 |
48 |
$4K |
| 36592 |
|
1,990 |
1,621 |
$4K |
| 94640 |
|
33 |
26 |
$4K |
| 85027 |
|
817 |
721 |
$4K |
| 85379 |
|
783 |
668 |
$4K |
| 71045 |
|
2,285 |
1,860 |
$3K |
| M0243 |
Casirivi and imdevi inj |
16 |
14 |
$3K |
| 77063 |
|
82 |
77 |
$2K |
| 99204 |
|
15 |
14 |
$2K |
| 73562 |
|
105 |
89 |
$2K |
| 72125 |
|
27 |
24 |
$1K |
| 85730 |
|
613 |
505 |
$1K |
| 87186 |
|
225 |
188 |
$1K |
| 92507 |
|
56 |
12 |
$1K |
| 87088 |
|
205 |
151 |
$1K |
| 87491 |
|
26 |
26 |
$849.98 |
| 83550 |
|
114 |
111 |
$849.63 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$848.85 |
| 87591 |
|
25 |
25 |
$813.72 |
| 83540 |
|
140 |
135 |
$783.93 |
| 88305 |
|
66 |
37 |
$763.12 |
| 87040 |
|
250 |
123 |
$749.89 |
| 83615 |
|
250 |
200 |
$724.40 |
| 82150 |
|
151 |
133 |
$670.36 |
| 99281 |
|
32 |
28 |
$624.58 |
| 84153 |
|
41 |
37 |
$581.71 |
| 73610 |
|
38 |
38 |
$532.40 |
| 96375 |
|
2,029 |
1,512 |
$425.24 |
| 81003 |
|
206 |
156 |
$416.96 |
| 85652 |
|
216 |
190 |
$404.69 |
| 87661 |
|
13 |
13 |
$402.12 |
| 86803 |
|
28 |
26 |
$402.00 |
| 80306 |
|
29 |
26 |
$314.45 |
| 82550 |
|
134 |
109 |
$302.63 |
| 73030 |
|
15 |
13 |
$283.20 |
| 82570 |
|
70 |
65 |
$264.02 |
| J7030 |
Normal saline solution infus |
1,352 |
882 |
$234.01 |
| 82962 |
|
236 |
105 |
$188.70 |
| 86618 |
|
14 |
14 |
$176.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,976 |
1,661 |
$155.56 |
| 80305 |
|
14 |
12 |
$154.01 |
| 87077 |
|
45 |
36 |
$150.30 |
| G0463 |
Hospital outpt clinic visit |
14 |
12 |
$125.86 |
| 85018 |
|
61 |
56 |
$123.84 |
| 82043 |
|
29 |
28 |
$119.94 |
| 84439 |
|
16 |
16 |
$102.52 |
| U0002 |
Covid-19 lab test non-cdc |
485 |
421 |
$83.93 |
| 87081 |
|
24 |
14 |
$82.00 |
| 82977 |
|
13 |
12 |
$76.17 |
| J2405 |
Ondansetron hcl injection |
2,309 |
1,667 |
$64.52 |
| J1885 |
Ketorolac tromethamine inj |
1,333 |
1,010 |
$61.18 |
| J2704 |
Inj, propofol, 10 mg |
519 |
386 |
$36.13 |
| J3490 |
Drugs unclassified injection |
161 |
109 |
$26.66 |
| 96376 |
|
190 |
154 |
$23.45 |
| J3010 |
Fentanyl citrate injection |
678 |
494 |
$3.58 |
| J8499 |
Oral prescrip drug non chemo |
609 |
468 |
$1.67 |
| J7120 |
Ringers lactate infusion |
147 |
75 |
$0.23 |
| J1100 |
Dexamethasone sodium phos |
585 |
416 |
$0.14 |
| A9270 |
Non-covered item or service |
796 |
578 |
$0.00 |
| J7040 |
Normal saline solution infus |
259 |
211 |
$0.00 |
| J2930 |
Methylprednisolone injection |
16 |
13 |
$0.00 |