| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,738 |
9,095 |
$1.54M |
| 99283 |
|
13,185 |
12,663 |
$739K |
| 87502 |
|
4,226 |
4,144 |
$398K |
| 87635 |
|
4,705 |
4,620 |
$214K |
| 99285 |
|
1,151 |
1,094 |
$118K |
| 80053 |
|
9,039 |
8,006 |
$109K |
| C9803 |
Hopd covid-19 spec collect |
6,595 |
6,420 |
$108K |
| 87651 |
|
2,453 |
2,402 |
$77K |
| 85025 |
|
10,899 |
9,483 |
$72K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,258 |
1,196 |
$66K |
| 87634 |
|
789 |
775 |
$65K |
| 71045 |
|
2,301 |
2,199 |
$56K |
| 99282 |
|
1,078 |
1,032 |
$54K |
| 93005 |
|
1,742 |
1,571 |
$29K |
| U0002 |
Covid-19 lab test non-cdc |
614 |
597 |
$28K |
| U0005 |
Infec agen detec ampli probe |
1,062 |
1,030 |
$18K |
| 70450 |
|
371 |
356 |
$14K |
| 93976 |
|
256 |
230 |
$13K |
| 81001 |
|
4,166 |
3,899 |
$11K |
| CP007 |
|
200 |
162 |
$9K |
| 99281 |
|
194 |
181 |
$8K |
| 96374 |
|
1,268 |
1,208 |
$8K |
| 83690 |
|
1,556 |
1,442 |
$6K |
| 76801 |
|
81 |
67 |
$6K |
| J7030 |
Normal saline solution infus |
2,310 |
1,912 |
$5K |
| 84484 |
|
1,176 |
931 |
$5K |
| 74176 |
|
80 |
77 |
$5K |
| 96375 |
|
797 |
703 |
$5K |
| 74177 |
|
54 |
52 |
$4K |
| 81025 |
|
570 |
558 |
$4K |
| S3620 |
Newborn metabolic screening |
1,430 |
1,413 |
$4K |
| 87086 |
|
1,220 |
1,128 |
$4K |
| 84703 |
|
653 |
615 |
$4K |
| 80307 |
|
120 |
118 |
$3K |
| 80048 |
|
1,027 |
783 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
484 |
408 |
$3K |
| 71046 |
|
69 |
66 |
$2K |
| 96361 |
|
320 |
305 |
$2K |
| 84443 |
|
518 |
497 |
$2K |
| 84702 |
|
180 |
145 |
$2K |
| 96372 |
|
418 |
323 |
$2K |
| G0480 |
Drug test def 1-7 classes |
53 |
50 |
$1K |
| 96365 |
|
92 |
84 |
$1K |
| 76856 |
|
12 |
12 |
$1K |
| 83880 |
|
55 |
54 |
$893.28 |
| 77063 |
|
194 |
194 |
$831.64 |
| 83735 |
|
360 |
262 |
$826.26 |
| 76705 |
|
14 |
13 |
$825.32 |
| 85610 |
|
567 |
525 |
$775.52 |
| 77067 |
|
194 |
194 |
$696.97 |
| 81003 |
|
438 |
423 |
$649.64 |
| J2405 |
Ondansetron hcl injection |
1,128 |
1,002 |
$596.56 |
| 85730 |
|
190 |
183 |
$482.00 |
| J0696 |
Ceftriaxone sodium injection |
43 |
38 |
$403.51 |
| J0131 |
Inj, acetaminophen (nos) |
285 |
263 |
$348.46 |
| 87186 |
|
208 |
200 |
$329.77 |
| 86900 |
|
174 |
147 |
$311.32 |
| 86901 |
|
163 |
147 |
$305.68 |
| J1885 |
Ketorolac tromethamine inj |
461 |
427 |
$251.50 |
| 84439 |
|
242 |
233 |
$242.56 |
| 83605 |
|
30 |
24 |
$212.91 |
| J1100 |
Dexamethasone sodium phos |
206 |
201 |
$186.72 |
| 82140 |
|
30 |
27 |
$123.04 |
| 82247 |
|
12 |
12 |
$92.84 |
| Q0162 |
Ondansetron oral |
62 |
60 |
$62.98 |
| 85379 |
|
12 |
12 |
$62.89 |
| 80164 |
|
16 |
14 |
$56.85 |
| J7120 |
Ringers lactate infusion |
252 |
202 |
$49.50 |
| J3010 |
Fentanyl citrate injection |
89 |
78 |
$35.65 |
| 87077 |
|
41 |
38 |
$27.16 |
| 36415 |
|
1,900 |
1,741 |
$19.04 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
25 |
$1.17 |
| A9270 |
Non-covered item or service |
3,107 |
2,839 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
127 |
123 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
28 |
27 |
$0.00 |