| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
2,639 |
2,463 |
$756K |
| 99284 |
|
8,846 |
8,289 |
$626K |
| 99283 |
|
12,154 |
11,598 |
$509K |
| 87636 |
|
2,423 |
2,330 |
$243K |
| 87502 |
|
1,914 |
1,772 |
$92K |
| 80053 |
|
5,208 |
4,802 |
$59K |
| 85025 |
|
6,279 |
5,780 |
$57K |
| 87651 |
|
519 |
501 |
$19K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
478 |
468 |
$19K |
| 87070 |
|
711 |
656 |
$8K |
| 87880 |
|
475 |
437 |
$7K |
| 71046 |
|
588 |
558 |
$6K |
| 81025 |
|
1,775 |
1,648 |
$6K |
| 81001 |
|
1,360 |
1,267 |
$5K |
| 70450 |
|
52 |
48 |
$5K |
| 83690 |
|
628 |
588 |
$4K |
| 71045 |
|
659 |
632 |
$4K |
| 74176 |
|
40 |
38 |
$3K |
| 93005 |
|
236 |
228 |
$3K |
| 87634 |
|
44 |
41 |
$2K |
| 84484 |
|
139 |
129 |
$1K |
| 99282 |
|
31 |
28 |
$1K |
| 83605 |
|
86 |
76 |
$949.84 |
| 87086 |
|
105 |
93 |
$901.55 |
| 80307 |
|
16 |
15 |
$838.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
614 |
586 |
$699.76 |
| 80061 |
|
40 |
38 |
$645.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
391 |
370 |
$587.28 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
68 |
$482.60 |
| 81003 |
|
181 |
169 |
$448.58 |
| 87420 |
|
27 |
27 |
$433.08 |
| 84443 |
|
25 |
25 |
$427.57 |
| 83735 |
|
53 |
51 |
$323.38 |
| 85610 |
|
65 |
64 |
$262.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
232 |
219 |
$234.91 |
| 82150 |
|
30 |
28 |
$222.06 |
| 94640 |
|
16 |
13 |
$188.72 |
| 82550 |
|
13 |
12 |
$177.38 |
| 80048 |
|
12 |
12 |
$147.96 |
| 82306 |
|
13 |
13 |
$107.76 |
| 85027 |
|
15 |
15 |
$92.17 |
| 85730 |
|
39 |
39 |
$91.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
226 |
206 |
$42.26 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
704 |
225 |
$14.66 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
83 |
50 |
$11.93 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
538 |
488 |
$7.80 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
55 |
30 |
$6.07 |
| J2704 |
Injection, propofol, 10 mg |
371 |
200 |
$4.15 |
| 96374 |
|
343 |
303 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
274 |
147 |
$0.00 |
| A9270 |
Non-covered item or service |
501 |
437 |
$0.00 |
| 96375 |
|
94 |
87 |
$0.00 |
| 36415 |
|
65 |
56 |
$0.00 |
| 96372 |
|
162 |
129 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
22 |
12 |
$0.00 |