| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
9,370 |
8,369 |
$2.40M |
| 99284 |
|
10,330 |
9,364 |
$2.01M |
| 99283 |
|
13,306 |
12,356 |
$1.58M |
| 99212 |
|
14,586 |
11,262 |
$372K |
| 85025 |
|
30,711 |
24,791 |
$200K |
| 80053 |
|
22,078 |
17,515 |
$162K |
| 96374 |
|
2,912 |
2,576 |
$108K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,154 |
1,054 |
$103K |
| 93005 |
|
3,678 |
3,123 |
$88K |
| 96413 |
|
1,235 |
715 |
$84K |
| 11042 |
|
1,119 |
788 |
$63K |
| 36415 |
|
27,478 |
23,981 |
$61K |
| U0002 |
Covid-19 lab test non-cdc |
1,163 |
1,053 |
$59K |
| 87502 |
|
815 |
755 |
$53K |
| 96375 |
|
674 |
560 |
$42K |
| 36591 |
|
1,332 |
689 |
$41K |
| U0005 |
Infec agen detec ampli probe |
1,134 |
1,040 |
$34K |
| 0002A |
|
540 |
516 |
$32K |
| 96361 |
|
1,390 |
1,164 |
$32K |
| 96372 |
|
985 |
901 |
$28K |
| 0001A |
|
501 |
490 |
$27K |
| J7030 |
Normal saline solution infus |
2,385 |
2,028 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
535 |
493 |
$14K |
| 99281 |
|
313 |
301 |
$13K |
| 83690 |
|
1,999 |
1,749 |
$13K |
| 80061 |
|
679 |
637 |
$12K |
| 81025 |
|
1,565 |
1,400 |
$12K |
| 95810 |
|
26 |
24 |
$11K |
| 87635 |
|
195 |
187 |
$9K |
| 83735 |
|
1,600 |
1,144 |
$9K |
| 80048 |
|
1,343 |
1,154 |
$9K |
| 0241U |
|
53 |
48 |
$8K |
| 0072A |
|
121 |
109 |
$8K |
| 87389 |
|
261 |
224 |
$8K |
| G0480 |
Drug test def 1-7 classes |
193 |
184 |
$7K |
| 71046 |
|
203 |
177 |
$7K |
| 87086 |
|
882 |
810 |
$7K |
| 82728 |
|
694 |
619 |
$7K |
| 85027 |
|
884 |
711 |
$6K |
| 80307 |
|
167 |
147 |
$6K |
| 81001 |
|
2,098 |
1,869 |
$6K |
| J3490 |
Drugs unclassified injection |
1,532 |
1,004 |
$5K |
| 82378 |
|
333 |
211 |
$5K |
| 87491 |
|
147 |
129 |
$5K |
| 0071A |
|
111 |
94 |
$5K |
| 87591 |
|
147 |
129 |
$5K |
| 86780 |
|
271 |
232 |
$5K |
| 84443 |
|
258 |
226 |
$5K |
| 87081 |
|
493 |
488 |
$4K |
| 83550 |
|
452 |
398 |
$3K |
| G0483 |
Drug test def 22+ classes |
30 |
26 |
$3K |
| J7050 |
Normal saline solution infus |
706 |
376 |
$3K |
| 83540 |
|
520 |
449 |
$3K |
| 96365 |
|
39 |
39 |
$3K |
| 84484 |
|
287 |
210 |
$2K |
| 96360 |
|
26 |
25 |
$2K |
| 83615 |
|
298 |
227 |
$2K |
| 87631 |
|
28 |
24 |
$2K |
| 83036 |
|
113 |
104 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,346 |
1,192 |
$2K |
| 87651 |
|
47 |
39 |
$1K |
| 97110 |
|
42 |
26 |
$1K |
| 87634 |
|
14 |
12 |
$1K |
| 85730 |
|
239 |
219 |
$1K |
| 86850 |
|
74 |
63 |
$1K |
| 0004A |
|
25 |
20 |
$1K |
| 85610 |
|
295 |
269 |
$942.76 |
| 81003 |
|
377 |
335 |
$836.96 |
| 84439 |
|
86 |
65 |
$815.53 |
| 85046 |
|
187 |
172 |
$795.79 |
| 82306 |
|
77 |
61 |
$702.52 |
| J7120 |
Ringers lactate infusion |
106 |
90 |
$651.28 |
| 84403 |
|
65 |
49 |
$641.82 |
| 99213 |
|
13 |
12 |
$555.84 |
| 84153 |
|
80 |
63 |
$539.39 |
| 71045 |
|
12 |
12 |
$450.09 |
| 82784 |
|
21 |
15 |
$312.44 |
| 82607 |
|
14 |
14 |
$293.68 |
| 86803 |
|
15 |
15 |
$280.20 |
| 86901 |
|
73 |
62 |
$273.22 |
| 86900 |
|
73 |
62 |
$273.22 |
| 82553 |
|
29 |
25 |
$208.65 |
| J2704 |
Inj, propofol, 10 mg |
108 |
74 |
$200.40 |
| 82248 |
|
44 |
36 |
$179.24 |
| 82950 |
|
28 |
24 |
$178.62 |
| 82550 |
|
30 |
26 |
$152.32 |
| 84165 |
|
14 |
14 |
$128.44 |
| J0134 |
Inj acetaminophen -fresenius |
16 |
16 |
$112.48 |
| 83521 |
|
18 |
12 |
$92.11 |
| 82040 |
|
16 |
12 |
$74.77 |
| J2405 |
Ondansetron hcl injection |
161 |
132 |
$64.16 |
| J3010 |
Fentanyl citrate injection |
27 |
27 |
$50.89 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
25 |
$49.61 |
| J0696 |
Ceftriaxone sodium injection |
61 |
59 |
$39.94 |
| J2001 |
Lidocaine injection |
43 |
42 |
$24.22 |
| J2270 |
Morphine sulfate injection |
17 |
15 |
$23.78 |
| J1100 |
Dexamethasone sodium phos |
112 |
106 |
$23.58 |
| 84460 |
|
38 |
24 |
$1.44 |
| D2930 |
|
12 |
12 |
$1.33 |
| 84450 |
|
38 |
24 |
$1.28 |
| 91307 |
|
269 |
234 |
$0.00 |
| 84075 |
|
16 |
12 |
$0.00 |
| 91300 |
|
1,477 |
1,342 |
$0.00 |
| 84155 |
|
16 |
12 |
$0.00 |
| 82247 |
|
16 |
12 |
$0.00 |