| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,270 |
14,943 |
$2.23M |
| 99284 |
|
9,946 |
8,002 |
$2.11M |
| 74177 |
|
2,677 |
1,963 |
$1.79M |
| 74176 |
|
2,000 |
1,567 |
$1.01M |
| 99285 |
|
2,966 |
2,223 |
$920K |
| 70450 |
|
3,211 |
2,196 |
$725K |
| 99282 |
|
5,539 |
4,872 |
$489K |
| 96361 |
|
7,417 |
2,555 |
$289K |
| 71046 |
|
4,794 |
3,483 |
$283K |
| 96365 |
|
2,793 |
1,630 |
$262K |
| 87633 |
|
849 |
702 |
$254K |
| 96372 |
|
8,038 |
5,315 |
$222K |
| 97110 |
|
4,828 |
1,461 |
$180K |
| 71045 |
|
5,113 |
3,079 |
$179K |
| 93005 |
|
4,572 |
3,794 |
$169K |
| 80053 |
|
22,427 |
11,572 |
$159K |
| 85025 |
|
18,472 |
14,890 |
$148K |
| 71250 |
|
693 |
437 |
$129K |
| J1885 |
Ketorolac tromethamine inj |
5,351 |
4,606 |
$125K |
| 76705 |
|
795 |
688 |
$121K |
| J7030 |
Normal saline solution infus |
3,493 |
2,342 |
$98K |
| 96374 |
|
3,611 |
2,764 |
$92K |
| 96375 |
|
2,739 |
2,084 |
$90K |
| J7120 |
Ringers lactate infusion |
2,481 |
1,692 |
$87K |
| 72100 |
|
838 |
722 |
$81K |
| J2704 |
Inj, propofol, 10 mg |
2,181 |
1,687 |
$80K |
| 73562 |
|
1,183 |
863 |
$77K |
| 73630 |
|
946 |
793 |
$69K |
| 77067 |
|
1,783 |
1,697 |
$69K |
| 80307 |
|
1,803 |
1,520 |
$69K |
| 81001 |
|
9,098 |
7,559 |
$68K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,753 |
2,394 |
$65K |
| 73610 |
|
954 |
750 |
$64K |
| 80048 |
|
10,447 |
5,467 |
$63K |
| 97530 |
|
2,602 |
953 |
$58K |
| J2405 |
Ondansetron hcl injection |
3,155 |
2,574 |
$57K |
| 36415 |
|
18,569 |
7,018 |
$53K |
| J0696 |
Ceftriaxone sodium injection |
2,260 |
1,968 |
$51K |
| 87400 |
|
2,499 |
2,027 |
$50K |
| 73030 |
|
638 |
495 |
$48K |
| 84443 |
|
3,501 |
3,214 |
$47K |
| 96360 |
|
1,445 |
445 |
$45K |
| 80061 |
|
4,470 |
3,726 |
$44K |
| 99281 |
|
876 |
776 |
$43K |
| U0003 |
Cov-19 amp prb hgh thruput |
660 |
623 |
$42K |
| Q0162 |
Ondansetron oral |
1,249 |
1,154 |
$41K |
| 87426 |
|
1,479 |
1,245 |
$40K |
| 84484 |
|
3,761 |
2,949 |
$35K |
| 87086 |
|
4,589 |
3,738 |
$34K |
| 94640 |
|
2,214 |
1,145 |
$33K |
| 76830 |
|
168 |
150 |
$31K |
| 82306 |
|
1,383 |
1,249 |
$30K |
| J2930 |
Methylprednisolone injection |
1,076 |
933 |
$30K |
| 97140 |
|
959 |
392 |
$29K |
| 83690 |
|
4,040 |
3,389 |
$28K |
| 73130 |
|
335 |
267 |
$24K |
| 82150 |
|
3,214 |
2,691 |
$23K |
| J2001 |
Lidocaine injection |
3,394 |
2,812 |
$22K |
| 83735 |
|
4,132 |
3,148 |
$19K |
| 87186 |
|
2,154 |
1,846 |
$19K |
| 83036 |
|
2,640 |
2,415 |
$19K |
| 85730 |
|
2,176 |
1,778 |
$19K |
| 82607 |
|
1,545 |
1,353 |
$19K |
| 87077 |
|
3,907 |
2,366 |
$18K |
| 93975 |
|
224 |
211 |
$17K |
| 81025 |
|
1,848 |
1,605 |
$16K |
| J1100 |
Dexamethasone sodium phos |
980 |
805 |
$15K |
| 82746 |
|
1,084 |
1,019 |
$13K |
| 87430 |
|
913 |
852 |
$13K |
| 80076 |
|
1,325 |
1,149 |
$12K |
| J3010 |
Fentanyl citrate injection |
860 |
636 |
$12K |
| 74018 |
|
158 |
145 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
907 |
677 |
$11K |
| C9803 |
Hopd covid-19 spec collect |
1,038 |
661 |
$11K |
| J2550 |
Promethazine hcl injection |
1,330 |
1,083 |
$11K |
| 85610 |
|
2,944 |
2,303 |
$11K |
| J2270 |
Morphine sulfate injection |
931 |
557 |
$11K |
| 88305 |
|
128 |
87 |
$10K |
| 83880 |
|
471 |
358 |
$9K |
| 73110 |
|
135 |
97 |
$9K |
| M0243 |
Casirivi and imdevi inj |
84 |
73 |
$9K |
| 77063 |
|
874 |
719 |
$9K |
| 76700 |
|
43 |
31 |
$9K |
| 87070 |
|
1,268 |
876 |
$8K |
| 97161 |
|
165 |
99 |
$8K |
| 82728 |
|
858 |
744 |
$8K |
| 83605 |
|
1,074 |
810 |
$7K |
| 72131 |
|
20 |
14 |
$7K |
| 84439 |
|
918 |
837 |
$7K |
| 84703 |
|
743 |
611 |
$6K |
| 93971 |
|
64 |
38 |
$5K |
| 96366 |
|
43 |
25 |
$5K |
| 73502 |
|
72 |
62 |
$5K |
| 86140 |
|
1,414 |
1,061 |
$5K |
| 87040 |
|
387 |
272 |
$5K |
| 72125 |
|
12 |
12 |
$5K |
| 87081 |
|
847 |
733 |
$4K |
| J7510 |
Prednisolone oral per 5 mg |
606 |
585 |
$4K |
| 70486 |
|
15 |
14 |
$4K |
| J2175 |
Meperidine hydrochl /100 mg |
272 |
237 |
$4K |
| 84436 |
|
674 |
614 |
$4K |
| 76856 |
|
23 |
17 |
$3K |
| J7040 |
Normal saline solution infus |
121 |
89 |
$3K |
| 84479 |
|
611 |
567 |
$3K |
| 72040 |
|
36 |
25 |
$3K |
| 83550 |
|
427 |
392 |
$3K |
| 87491 |
|
92 |
83 |
$3K |
| 83540 |
|
535 |
489 |
$3K |
| G0483 |
Drug test def 22+ classes |
37 |
13 |
$3K |
| 87591 |
|
92 |
83 |
$3K |
| 85379 |
|
370 |
297 |
$3K |
| 82962 |
|
735 |
388 |
$2K |
| U0005 |
Infec agen detec ampli probe |
95 |
93 |
$2K |
| 12001 |
|
31 |
28 |
$2K |
| 76536 |
|
16 |
12 |
$2K |
| G0480 |
Drug test def 1-7 classes |
86 |
26 |
$2K |
| 76642 |
|
31 |
27 |
$2K |
| 86171 |
|
162 |
157 |
$1K |
| 97162 |
|
13 |
13 |
$1K |
| 87651 |
|
33 |
28 |
$1K |
| J3490 |
Drugs unclassified injection |
404 |
254 |
$925.91 |
| 36600 |
|
149 |
24 |
$825.57 |
| 94060 |
|
14 |
12 |
$815.27 |
| J2919 |
Inj, methylpred sod succ 5mg |
24 |
21 |
$651.72 |
| C9113 |
Inj pantoprazole sodium, via |
18 |
16 |
$492.35 |
| J0690 |
Cefazolin sodium injection |
17 |
15 |
$452.53 |
| 82043 |
|
75 |
68 |
$423.35 |
| 82670 |
|
17 |
13 |
$405.39 |
| 82248 |
|
37 |
29 |
$361.07 |
| 84145 |
|
13 |
12 |
$345.91 |
| 83615 |
|
76 |
61 |
$305.61 |
| 82550 |
|
61 |
54 |
$291.28 |
| 0012A |
|
26 |
20 |
$269.11 |
| J2060 |
Lorazepam injection |
18 |
12 |
$253.04 |
| 87389 |
|
14 |
13 |
$229.01 |
| J0595 |
Butorphanol tartrate 1 mg |
12 |
12 |
$193.98 |
| 85652 |
|
96 |
79 |
$176.84 |
| 0011A |
|
26 |
19 |
$175.16 |
| 83001 |
|
16 |
12 |
$164.59 |
| 83002 |
|
16 |
12 |
$164.08 |
| 82570 |
|
51 |
42 |
$145.65 |
| G0279 |
Tomosynthesis, mammo |
18 |
12 |
$133.85 |
| J7512 |
Prednisone ir or dr oral 1mg |
97 |
79 |
$92.86 |
| 90471 |
|
15 |
12 |
$89.23 |
| 82542 |
|
15 |
12 |
$83.42 |
| 86900 |
|
29 |
26 |
$58.40 |
| 86901 |
|
29 |
26 |
$58.40 |
| J8540 |
Oral dexamethasone |
12 |
12 |
$39.80 |
| 86592 |
|
14 |
12 |
$31.24 |
| Q0244 |
Casirivi and imdevi 1200 mg |
37 |
36 |
$0.02 |
| 91301 |
|
51 |
38 |
$0.00 |