| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
9,761 |
8,220 |
$2.02M |
| 99284 |
|
12,978 |
11,401 |
$700K |
| 99283 |
|
14,066 |
12,472 |
$511K |
| 85025 |
|
14,041 |
11,648 |
$96K |
| 80053 |
|
10,637 |
8,942 |
$91K |
| 87633 |
|
289 |
248 |
$63K |
| 93005 |
|
5,923 |
4,867 |
$50K |
| 87428 |
|
968 |
774 |
$46K |
| 87804 |
|
3,537 |
1,671 |
$36K |
| 70450 |
|
431 |
351 |
$30K |
| 84484 |
|
3,636 |
2,592 |
$25K |
| 71045 |
|
5,031 |
4,218 |
$22K |
| 87880 |
|
1,359 |
1,271 |
$19K |
| 83690 |
|
2,704 |
2,306 |
$17K |
| 81001 |
|
5,032 |
4,325 |
$17K |
| 80307 |
|
413 |
351 |
$16K |
| 93458 |
|
53 |
39 |
$13K |
| 99281 |
|
331 |
295 |
$13K |
| 74176 |
|
159 |
132 |
$11K |
| 80048 |
|
1,572 |
1,224 |
$11K |
| 87486 |
|
301 |
260 |
$10K |
| 87581 |
|
299 |
258 |
$10K |
| 87798 |
|
301 |
260 |
$10K |
| 81025 |
|
3,106 |
2,636 |
$10K |
| 87070 |
|
820 |
754 |
$9K |
| 74177 |
|
47 |
40 |
$8K |
| 87086 |
|
836 |
711 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
134 |
131 |
$7K |
| 87426 |
|
189 |
173 |
$5K |
| J7030 |
Normal saline solution infus |
2,525 |
2,003 |
$4K |
| 81003 |
|
1,137 |
982 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,026 |
2,364 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
472 |
353 |
$2K |
| 83880 |
|
88 |
76 |
$2K |
| 85610 |
|
446 |
384 |
$1K |
| U0005 |
Infec agen detec ampli probe |
66 |
65 |
$962.50 |
| 87081 |
|
97 |
92 |
$869.46 |
| 71046 |
|
109 |
89 |
$794.95 |
| 94640 |
|
67 |
57 |
$566.16 |
| 96372 |
|
5,245 |
3,818 |
$564.47 |
| 96374 |
|
3,978 |
3,366 |
$486.76 |
| 82553 |
|
31 |
29 |
$417.05 |
| 80061 |
|
46 |
24 |
$352.45 |
| 82550 |
|
31 |
29 |
$235.37 |
| J1100 |
Dexamethasone sodium phos |
434 |
328 |
$190.18 |
| 85379 |
|
25 |
25 |
$189.99 |
| 85027 |
|
94 |
77 |
$185.60 |
| 85730 |
|
196 |
147 |
$169.36 |
| J0696 |
Ceftriaxone sodium injection |
105 |
86 |
$166.74 |
| 84443 |
|
14 |
12 |
$148.72 |
| 96365 |
|
18 |
12 |
$131.05 |
| 83036 |
|
14 |
12 |
$127.26 |
| 83735 |
|
17 |
14 |
$115.40 |
| 83605 |
|
14 |
13 |
$78.47 |
| 82565 |
|
55 |
41 |
$60.48 |
| 80076 |
|
13 |
12 |
$50.16 |
| J2405 |
Ondansetron hcl injection |
818 |
664 |
$44.02 |
| J1170 |
Hydromorphone injection |
16 |
15 |
$37.18 |
| 36415 |
|
2,368 |
1,898 |
$18.53 |
| 96361 |
|
875 |
729 |
$18.00 |
| J3010 |
Fentanyl citrate injection |
85 |
74 |
$17.65 |
| J1644 |
Inj heparin sodium per 1000u |
396 |
210 |
$14.14 |
| 96375 |
|
986 |
817 |
$0.00 |
| Q0162 |
Ondansetron oral |
55 |
50 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
217 |
169 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
226 |
144 |
$0.00 |
| 99406 |
|
29 |
24 |
$0.00 |
| C1887 |
Catheter, guiding |
151 |
117 |
$0.00 |
| 0202U |
|
189 |
176 |
$0.00 |
| 99152 |
|
212 |
169 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
255 |
238 |
$0.00 |
| C1760 |
Closure dev, vasc |
264 |
218 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
16 |
15 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
169 |
129 |
$0.00 |
| A4221 |
Supp non-insulin inf cath/wk |
12 |
12 |
$0.00 |