| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,927 |
14,721 |
$2.00M |
| 99283 |
|
11,474 |
10,161 |
$811K |
| 99285 |
|
4,982 |
4,397 |
$746K |
| 11042 |
|
2,609 |
1,009 |
$420K |
| 70450 |
|
1,237 |
1,117 |
$215K |
| 87635 |
|
4,705 |
4,159 |
$170K |
| 80307 |
|
2,013 |
1,700 |
$94K |
| 99282 |
|
1,836 |
1,624 |
$90K |
| 80053 |
|
12,264 |
10,696 |
$90K |
| 74177 |
|
157 |
144 |
$88K |
| 71045 |
|
3,724 |
3,322 |
$85K |
| 87804 |
|
6,080 |
2,781 |
$80K |
| 96372 |
|
3,290 |
2,678 |
$67K |
| 99281 |
|
1,848 |
1,668 |
$65K |
| 85027 |
|
12,302 |
10,873 |
$59K |
| 93005 |
|
2,856 |
2,510 |
$49K |
| 71046 |
|
1,018 |
881 |
$38K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
563 |
478 |
$34K |
| 99214 |
|
808 |
634 |
$32K |
| 96374 |
|
1,536 |
1,340 |
$29K |
| 96375 |
|
775 |
664 |
$26K |
| 84484 |
|
2,687 |
2,273 |
$20K |
| 81025 |
|
2,304 |
2,065 |
$16K |
| 96361 |
|
726 |
632 |
$14K |
| 43239 |
|
40 |
38 |
$11K |
| 87502 |
|
155 |
96 |
$9K |
| G0480 |
Drug test def 1-7 classes |
171 |
134 |
$9K |
| 74022 |
|
138 |
131 |
$9K |
| 87491 |
|
317 |
274 |
$9K |
| 81003 |
|
5,704 |
5,012 |
$9K |
| 87661 |
|
314 |
273 |
$9K |
| 87591 |
|
314 |
273 |
$9K |
| 83690 |
|
1,588 |
1,426 |
$8K |
| 81001 |
|
3,021 |
2,546 |
$8K |
| 85025 |
|
1,319 |
1,065 |
$6K |
| 76856 |
|
60 |
55 |
$6K |
| J2405 |
Ondansetron hcl injection |
5,409 |
4,723 |
$5K |
| 66984 |
|
15 |
14 |
$5K |
| 87426 |
|
201 |
189 |
$5K |
| 87081 |
|
675 |
603 |
$4K |
| 87086 |
|
630 |
561 |
$4K |
| 45378 |
|
13 |
12 |
$4K |
| 76805 |
|
28 |
28 |
$4K |
| 72100 |
|
103 |
93 |
$4K |
| 83880 |
|
154 |
141 |
$3K |
| 82553 |
|
480 |
410 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,859 |
3,345 |
$3K |
| 82150 |
|
568 |
517 |
$3K |
| 87420 |
|
186 |
170 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
447 |
398 |
$2K |
| 84702 |
|
246 |
206 |
$2K |
| 94640 |
|
89 |
80 |
$2K |
| 82550 |
|
587 |
501 |
$2K |
| Q0162 |
Ondansetron oral |
109 |
95 |
$2K |
| 59025 |
|
44 |
29 |
$2K |
| 83735 |
|
404 |
363 |
$2K |
| 87389 |
|
75 |
69 |
$1K |
| J7030 |
Normal saline solution infus |
352 |
257 |
$1K |
| 73564 |
|
16 |
16 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
12 |
$1K |
| 76817 |
|
15 |
15 |
$1K |
| 36415 |
|
546 |
415 |
$1K |
| J1100 |
Dexamethasone sodium phos |
686 |
594 |
$1K |
| G0481 |
Drug test def 8-14 classes |
24 |
12 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
4,633 |
3,726 |
$1K |
| 88305 |
|
207 |
190 |
$938.98 |
| 96365 |
|
13 |
12 |
$916.75 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
73 |
67 |
$882.71 |
| 96360 |
|
14 |
14 |
$840.20 |
| 72125 |
|
17 |
12 |
$822.45 |
| 77067 |
|
13 |
12 |
$641.28 |
| 85379 |
|
73 |
68 |
$626.31 |
| 80050 |
|
15 |
14 |
$546.48 |
| 85610 |
|
215 |
192 |
$533.75 |
| 73562 |
|
19 |
15 |
$520.96 |
| 80048 |
|
85 |
77 |
$488.19 |
| 86850 |
|
161 |
134 |
$456.11 |
| 86803 |
|
39 |
34 |
$430.96 |
| 73610 |
|
16 |
13 |
$426.24 |
| J2270 |
Morphine sulfate injection |
243 |
217 |
$393.95 |
| 86787 |
|
39 |
34 |
$388.98 |
| 86762 |
|
31 |
26 |
$319.46 |
| 86592 |
|
78 |
72 |
$256.19 |
| 87340 |
|
33 |
28 |
$249.98 |
| 86900 |
|
170 |
141 |
$221.54 |
| 86901 |
|
168 |
140 |
$221.54 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$216.86 |
| 87210 |
|
40 |
38 |
$193.05 |
| J2930 |
Methylprednisolone injection |
30 |
29 |
$182.30 |
| J0780 |
Prochlorperazine injection |
31 |
25 |
$180.16 |
| J1200 |
Diphenhydramine hcl injectio |
122 |
106 |
$145.62 |
| J2704 |
Inj, propofol, 10 mg |
3,416 |
2,771 |
$126.51 |
| 82950 |
|
31 |
26 |
$119.71 |
| 86140 |
|
26 |
24 |
$98.42 |
| 77063 |
|
13 |
12 |
$78.16 |
| J2550 |
Promethazine hcl injection |
41 |
39 |
$58.19 |
| J2250 |
Inj midazolam hydrochloride |
1,445 |
1,239 |
$47.12 |
| J3010 |
Fentanyl citrate injection |
1,135 |
986 |
$40.75 |
| J0690 |
Cefazolin sodium injection |
104 |
87 |
$15.66 |
| J1170 |
Hydromorphone injection |
190 |
110 |
$15.47 |
| J2274 |
Inj morphine pf epid ithc |
26 |
18 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
13 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
36 |
26 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
21 |
12 |
$0.00 |
| 80320 |
|
14 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
14 |
13 |
$0.00 |
| J3490 |
Drugs unclassified injection |
13 |
12 |
$0.00 |