| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
23,819 |
20,217 |
$3.40M |
| 99284 |
|
9,440 |
7,608 |
$933K |
| 99285 |
|
10,873 |
8,140 |
$889K |
| 71045 |
|
7,481 |
5,471 |
$691K |
| 93005 |
|
9,686 |
6,674 |
$490K |
| 99282 |
|
2,384 |
2,094 |
$355K |
| G0378 |
Hospital observation per hr |
3,455 |
1,294 |
$279K |
| C9803 |
Hopd covid-19 spec collect |
5,885 |
4,840 |
$274K |
| 96361 |
|
3,800 |
1,858 |
$219K |
| 87428 |
|
10,163 |
8,117 |
$180K |
| 96374 |
|
4,194 |
3,241 |
$157K |
| 80053 |
|
27,013 |
19,565 |
$154K |
| 96372 |
|
1,863 |
1,455 |
$133K |
| 85025 |
|
27,943 |
18,870 |
$125K |
| 71046 |
|
1,245 |
971 |
$115K |
| 87637 |
|
934 |
867 |
$107K |
| 99281 |
|
711 |
637 |
$93K |
| 36415 |
|
32,201 |
22,255 |
$78K |
| 84484 |
|
7,914 |
5,073 |
$61K |
| 87650 |
|
3,507 |
3,057 |
$38K |
| 80306 |
|
4,320 |
3,343 |
$38K |
| 96365 |
|
940 |
684 |
$33K |
| U0003 |
Cov-19 amp prb hgh thruput |
814 |
566 |
$32K |
| 86403 |
|
5,132 |
4,469 |
$32K |
| 81001 |
|
9,739 |
7,160 |
$25K |
| 87804 |
|
2,105 |
1,443 |
$23K |
| 83735 |
|
4,281 |
2,879 |
$20K |
| 96375 |
|
2,577 |
1,718 |
$19K |
| 76376 |
|
919 |
572 |
$19K |
| 80061 |
|
2,562 |
2,166 |
$15K |
| 87651 |
|
493 |
472 |
$15K |
| 87086 |
|
3,212 |
2,315 |
$14K |
| 84443 |
|
1,283 |
1,072 |
$10K |
| 96366 |
|
427 |
186 |
$9K |
| G0480 |
Drug test def 1-7 classes |
164 |
140 |
$9K |
| U0005 |
Infec agen detec ampli probe |
690 |
470 |
$8K |
| 74177 |
|
19 |
14 |
$7K |
| 80307 |
|
154 |
132 |
$7K |
| 94640 |
|
245 |
99 |
$6K |
| 87040 |
|
572 |
298 |
$6K |
| 80048 |
|
1,389 |
722 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
178 |
153 |
$5K |
| 82306 |
|
448 |
348 |
$5K |
| 81025 |
|
964 |
749 |
$4K |
| 81003 |
|
1,361 |
1,048 |
$4K |
| 70450 |
|
42 |
36 |
$4K |
| 83880 |
|
260 |
197 |
$3K |
| 83036 |
|
763 |
634 |
$3K |
| 74176 |
|
13 |
13 |
$3K |
| 83690 |
|
453 |
336 |
$2K |
| 84439 |
|
477 |
385 |
$2K |
| 86756 |
|
320 |
283 |
$2K |
| 87635 |
|
98 |
76 |
$2K |
| 82948 |
|
346 |
115 |
$2K |
| 83605 |
|
149 |
107 |
$1K |
| 94762 |
|
33 |
25 |
$1K |
| 96376 |
|
490 |
193 |
$856.17 |
| 84436 |
|
124 |
115 |
$532.09 |
| 85730 |
|
128 |
104 |
$365.87 |
| 84703 |
|
82 |
62 |
$362.56 |
| 85379 |
|
46 |
39 |
$291.53 |
| 85610 |
|
129 |
105 |
$282.73 |
| 82550 |
|
155 |
105 |
$269.51 |
| 96367 |
|
16 |
13 |
$242.52 |
| 85027 |
|
43 |
35 |
$231.68 |
| 84481 |
|
17 |
17 |
$197.16 |
| 87491 |
|
16 |
13 |
$186.70 |
| 87591 |
|
16 |
13 |
$186.70 |
| 82150 |
|
32 |
24 |
$148.47 |
| 83970 |
|
13 |
13 |
$148.29 |
| 87070 |
|
34 |
29 |
$142.10 |
| J1650 |
Inj enoxaparin sodium |
131 |
54 |
$125.89 |
| J3490 |
Drugs unclassified injection |
67 |
40 |
$76.08 |
| 82570 |
|
42 |
39 |
$41.34 |
| 82043 |
|
16 |
14 |
$17.34 |
| 84100 |
|
13 |
13 |
$17.01 |
| 84156 |
|
12 |
12 |
$5.14 |
| J2405 |
Ondansetron hcl injection |
1,549 |
1,116 |
$0.13 |
| J7120 |
Ringers lactate infusion |
318 |
234 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
12 |
$0.00 |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
32 |
26 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31 |
24 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
3,016 |
2,352 |
$0.00 |
| A9270 |
Non-covered item or service |
358 |
258 |
$0.00 |