| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
37,013 |
31,623 |
$6.01M |
| 99283 |
|
24,156 |
21,280 |
$4.01M |
| 99285 |
|
15,728 |
13,388 |
$2.52M |
| 41899 |
|
902 |
591 |
$1.33M |
| 93005 |
|
16,606 |
13,764 |
$1.18M |
| 71046 |
|
7,103 |
6,128 |
$1.07M |
| 71045 |
|
6,971 |
5,885 |
$992K |
| 0241U |
|
7,510 |
6,805 |
$907K |
| 43239 |
|
776 |
589 |
$795K |
| C9803 |
Hopd covid-19 spec collect |
10,975 |
9,467 |
$729K |
| 64483 |
|
545 |
420 |
$502K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,206 |
3,741 |
$300K |
| 11042 |
|
574 |
149 |
$298K |
| 92507 |
|
2,088 |
673 |
$291K |
| 80053 |
|
36,398 |
29,376 |
$224K |
| 85025 |
|
44,777 |
36,314 |
$199K |
| 36415 |
|
81,609 |
62,077 |
$183K |
| 97110 |
|
1,406 |
329 |
$153K |
| 99232 |
|
366 |
143 |
$143K |
| 97530 |
|
1,257 |
417 |
$117K |
| 87631 |
|
1,606 |
1,497 |
$114K |
| 96361 |
|
2,302 |
1,660 |
$98K |
| 81025 |
|
17,549 |
15,145 |
$89K |
| 70450 |
|
688 |
549 |
$85K |
| 93306 |
|
207 |
159 |
$77K |
| 99282 |
|
469 |
418 |
$77K |
| 87491 |
|
2,441 |
2,166 |
$72K |
| 87591 |
|
2,415 |
2,143 |
$71K |
| 87633 |
|
162 |
99 |
$68K |
| 96372 |
|
3,301 |
2,529 |
$66K |
| 87635 |
|
1,898 |
1,591 |
$64K |
| U0005 |
Infec agen detec ampli probe |
2,732 |
2,459 |
$60K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
283 |
226 |
$60K |
| 74176 |
|
239 |
201 |
$56K |
| 84484 |
|
5,674 |
4,281 |
$56K |
| 81001 |
|
24,260 |
20,407 |
$47K |
| 96374 |
|
4,374 |
3,677 |
$42K |
| 45385 |
|
15 |
12 |
$38K |
| 88142 |
|
3,110 |
2,834 |
$32K |
| 87651 |
|
1,199 |
1,088 |
$32K |
| 76816 |
|
171 |
149 |
$26K |
| 83690 |
|
6,075 |
5,030 |
$23K |
| 84443 |
|
2,084 |
1,840 |
$22K |
| 87804 |
|
1,193 |
683 |
$21K |
| 80061 |
|
2,282 |
2,032 |
$21K |
| 87624 |
|
841 |
778 |
$19K |
| 83735 |
|
4,676 |
3,763 |
$19K |
| 80050 |
|
119 |
110 |
$18K |
| 82306 |
|
1,043 |
940 |
$17K |
| 87637 |
|
124 |
118 |
$17K |
| 99220 |
|
178 |
26 |
$11K |
| 99281 |
|
62 |
55 |
$11K |
| 85027 |
|
2,047 |
1,633 |
$10K |
| 83036 |
|
1,495 |
1,350 |
$10K |
| 78452 |
|
16 |
16 |
$9K |
| 80048 |
|
2,572 |
1,731 |
$9K |
| 31579 |
|
13 |
12 |
$9K |
| 87086 |
|
1,328 |
1,065 |
$9K |
| 86780 |
|
763 |
695 |
$9K |
| 84439 |
|
1,286 |
1,165 |
$8K |
| 88305 |
|
2,445 |
1,982 |
$8K |
| 92567 |
|
204 |
180 |
$8K |
| 74177 |
|
15 |
12 |
$8K |
| 96375 |
|
1,902 |
1,333 |
$7K |
| 76818 |
|
35 |
26 |
$5K |
| 86769 |
|
196 |
149 |
$4K |
| 87798 |
|
96 |
50 |
$4K |
| 87581 |
|
94 |
49 |
$4K |
| 87486 |
|
94 |
49 |
$4K |
| 87880 |
|
238 |
133 |
$4K |
| 86140 |
|
1,165 |
1,035 |
$4K |
| 97112 |
|
99 |
27 |
$3K |
| 93296 |
|
13 |
12 |
$3K |
| 83655 |
|
227 |
179 |
$3K |
| 85730 |
|
1,131 |
836 |
$3K |
| 82607 |
|
307 |
266 |
$3K |
| 76536 |
|
13 |
13 |
$3K |
| 96365 |
|
228 |
131 |
$3K |
| 85610 |
|
1,443 |
1,003 |
$3K |
| 80076 |
|
553 |
503 |
$3K |
| 82947 |
|
836 |
647 |
$2K |
| 94640 |
|
175 |
80 |
$2K |
| 96376 |
|
1,001 |
360 |
$2K |
| 92557 |
|
13 |
13 |
$2K |
| 84550 |
|
614 |
548 |
$2K |
| 85652 |
|
1,149 |
1,026 |
$2K |
| 87807 |
|
127 |
56 |
$2K |
| 83880 |
|
66 |
61 |
$2K |
| 84481 |
|
213 |
201 |
$2K |
| 92588 |
|
27 |
13 |
$2K |
| 82565 |
|
460 |
420 |
$1K |
| 88175 |
|
130 |
112 |
$1K |
| 87150 |
|
44 |
40 |
$1K |
| 93017 |
|
16 |
16 |
$950.90 |
| 87641 |
|
53 |
42 |
$854.15 |
| 87389 |
|
39 |
38 |
$781.72 |
| 87640 |
|
52 |
41 |
$750.98 |
| 86850 |
|
205 |
164 |
$608.58 |
| 87081 |
|
49 |
32 |
$388.57 |
| 84207 |
|
57 |
41 |
$371.55 |
| 87070 |
|
43 |
40 |
$370.06 |
| 86900 |
|
205 |
164 |
$347.23 |
| 86901 |
|
205 |
164 |
$341.25 |
| 88143 |
|
13 |
13 |
$276.48 |
| 87340 |
|
27 |
26 |
$189.30 |
| 82746 |
|
36 |
25 |
$158.49 |
| 84436 |
|
40 |
36 |
$158.12 |
| 86803 |
|
12 |
12 |
$146.98 |
| 86762 |
|
12 |
12 |
$142.47 |
| 84702 |
|
14 |
13 |
$135.45 |
| 86200 |
|
19 |
13 |
$123.85 |
| 86765 |
|
12 |
12 |
$114.62 |
| 86038 |
|
16 |
12 |
$113.79 |
| J2785 |
Regadenoson injection |
13 |
13 |
$105.00 |
| 82550 |
|
49 |
38 |
$94.70 |
| 85007 |
|
19 |
14 |
$78.09 |
| 84703 |
|
17 |
15 |
$72.90 |
| 82962 |
|
96 |
79 |
$68.02 |
| 86431 |
|
18 |
12 |
$43.99 |
| J1885 |
Ketorolac tromethamine inj |
5,118 |
4,195 |
$17.97 |
| J2405 |
Ondansetron hcl injection |
1,536 |
1,002 |
$1.04 |
| J2250 |
Inj midazolam hydrochloride |
1,157 |
878 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,261 |
1,330 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
907 |
631 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
228 |
173 |
$0.00 |
| 88342 |
|
16 |
12 |
$0.00 |
| 85379 |
|
14 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
16 |
16 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
59 |
49 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,031 |
760 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
717 |
523 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
317 |
85 |
$0.00 |
| G1004 |
Cdsm ndsc |
51 |
39 |
$0.00 |
| 77003 |
|
771 |
565 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
203 |
166 |
$0.00 |
| J2270 |
Morphine sulfate injection |
68 |
26 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
157 |
119 |
$0.00 |