| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,358 |
5,739 |
$359K |
| 0450 |
|
7,116 |
6,414 |
$319K |
| 96374 |
|
2,527 |
2,285 |
$174K |
| 74177 |
|
460 |
454 |
$134K |
| 96375 |
|
1,727 |
1,579 |
$87K |
| 70450 |
|
644 |
620 |
$77K |
| 96372 |
|
1,850 |
1,708 |
$73K |
| 93005 |
|
2,786 |
2,537 |
$69K |
| 80053 |
|
5,921 |
5,406 |
$66K |
| 87631 |
|
917 |
884 |
$59K |
| 99284 |
|
1,227 |
1,081 |
$59K |
| 99203 |
|
1,855 |
1,606 |
$54K |
| 97110 |
|
1,725 |
454 |
$46K |
| 96361 |
|
1,681 |
1,539 |
$45K |
| 80307 |
|
803 |
723 |
$43K |
| U0003 |
Cov-19 amp prb hgh thruput |
493 |
382 |
$39K |
| G0480 |
Drug test def 1-7 classes |
583 |
512 |
$36K |
| 71046 |
|
1,290 |
1,266 |
$34K |
| 85025 |
|
6,071 |
5,479 |
$34K |
| 97139 |
|
1,147 |
317 |
$34K |
| 99283 |
|
450 |
425 |
$26K |
| 71045 |
|
2,104 |
1,987 |
$25K |
| 96365 |
|
266 |
243 |
$15K |
| 87633 |
|
43 |
41 |
$15K |
| 80048 |
|
1,569 |
1,486 |
$14K |
| 84443 |
|
942 |
935 |
$13K |
| 84484 |
|
1,844 |
1,675 |
$11K |
| 83690 |
|
2,167 |
1,986 |
$11K |
| 0760 |
|
247 |
231 |
$10K |
| J7030 |
Normal saline solution infus |
1,521 |
1,318 |
$10K |
| 80061 |
|
851 |
847 |
$9K |
| 87086 |
|
1,462 |
1,388 |
$9K |
| 87804 |
|
632 |
556 |
$8K |
| J3490 |
Drugs unclassified injection |
359 |
212 |
$8K |
| 87651 |
|
155 |
151 |
$7K |
| 87635 |
|
131 |
106 |
$7K |
| 83036 |
|
657 |
656 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
184 |
139 |
$6K |
| 82306 |
|
204 |
204 |
$5K |
| 94640 |
|
351 |
300 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,420 |
1,341 |
$5K |
| J2405 |
Ondansetron hcl injection |
1,492 |
1,355 |
$4K |
| 84703 |
|
723 |
688 |
$4K |
| 96360 |
|
69 |
63 |
$4K |
| 99282 |
|
77 |
74 |
$4K |
| 85027 |
|
695 |
663 |
$3K |
| 99214 |
|
375 |
354 |
$3K |
| 87426 |
|
70 |
68 |
$2K |
| 81015 |
|
917 |
885 |
$2K |
| J2270 |
Morphine sulfate injection |
166 |
135 |
$2K |
| Z7502 |
|
43 |
43 |
$2K |
| J1170 |
Hydromorphone injection |
241 |
203 |
$2K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,287 |
1,259 |
$2K |
| 77067 |
|
14 |
14 |
$2K |
| 85610 |
|
686 |
659 |
$1K |
| 76705 |
|
24 |
24 |
$1K |
| 99281 |
|
16 |
12 |
$1K |
| 90715 |
|
36 |
36 |
$1K |
| 0241U |
|
12 |
12 |
$1K |
| 87077 |
|
224 |
217 |
$1K |
| 73030 |
|
39 |
37 |
$914.36 |
| 87186 |
|
165 |
160 |
$882.05 |
| 85730 |
|
251 |
245 |
$868.60 |
| G0463 |
Hospital outpt clinic visit |
107 |
99 |
$821.00 |
| 87430 |
|
102 |
98 |
$808.20 |
| 73630 |
|
26 |
24 |
$724.55 |
| 73610 |
|
24 |
24 |
$678.12 |
| 83605 |
|
88 |
78 |
$674.89 |
| 73562 |
|
15 |
15 |
$450.77 |
| 87491 |
|
14 |
14 |
$426.02 |
| 87591 |
|
14 |
14 |
$424.62 |
| 87040 |
|
43 |
39 |
$410.19 |
| 73130 |
|
15 |
13 |
$409.61 |
| 81001 |
|
187 |
182 |
$396.41 |
| 87880 |
|
55 |
54 |
$391.70 |
| 72100 |
|
12 |
12 |
$391.41 |
| 85379 |
|
71 |
69 |
$386.57 |
| G8510 |
Scr dep neg, no plan reqd |
25 |
25 |
$321.00 |
| A4649 |
Surgical supplies |
3,496 |
1,991 |
$203.26 |
| 86803 |
|
12 |
12 |
$147.24 |
| 86780 |
|
13 |
13 |
$144.69 |
| J2060 |
Lorazepam injection |
26 |
24 |
$139.44 |
| 82150 |
|
27 |
27 |
$124.38 |
| 83880 |
|
12 |
12 |
$117.72 |
| 85014 |
|
106 |
101 |
$117.25 |
| 85018 |
|
106 |
101 |
$116.08 |
| 83735 |
|
28 |
24 |
$108.80 |
| 86701 |
|
14 |
14 |
$108.08 |
| J2550 |
Promethazine hcl injection |
14 |
14 |
$102.23 |
| J2765 |
Metoclopramide hcl injection |
16 |
12 |
$99.74 |
| U0005 |
Infec agen detec ampli probe |
26 |
24 |
$93.76 |
| 82948 |
|
27 |
25 |
$73.20 |
| J7120 |
Ringers lactate infusion |
13 |
12 |
$63.84 |
| 88142 |
|
12 |
12 |
$53.64 |
| 81003 |
|
13 |
13 |
$17.28 |
| J7611 |
Albuterol non-comp con |
68 |
53 |
$13.41 |
| 0259 |
|
227 |
161 |
$8.98 |
| 0637 |
|
46 |
42 |
$7.23 |
| 0270 |
|
81 |
72 |
$2.61 |
| 0250 |
|
12 |
12 |
$0.00 |