| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
50,905 |
43,403 |
$5.24M |
| 99283 |
|
35,656 |
31,416 |
$3.93M |
| 96361 |
|
1,788 |
1,520 |
$456K |
| 80053 |
|
30,643 |
26,122 |
$387K |
| 99282 |
|
2,191 |
2,014 |
$224K |
| 80048 |
|
11,370 |
9,669 |
$157K |
| 74177 |
|
527 |
489 |
$99K |
| 76816 |
|
1,090 |
987 |
$88K |
| 84484 |
|
5,783 |
4,215 |
$73K |
| 76811 |
|
523 |
486 |
$42K |
| 70450 |
|
221 |
192 |
$35K |
| 99285 |
|
259 |
215 |
$30K |
| 96374 |
|
29,307 |
25,126 |
$27K |
| 80307 |
|
467 |
407 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
315 |
284 |
$21K |
| 80320 |
|
181 |
141 |
$16K |
| 94640 |
|
73 |
69 |
$15K |
| 77067 |
|
390 |
358 |
$9K |
| 85027 |
|
50,392 |
42,640 |
$9K |
| 11042 |
|
65 |
25 |
$6K |
| 93005 |
|
17,663 |
14,848 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
109 |
107 |
$4K |
| 96375 |
|
5,755 |
5,009 |
$3K |
| 76805 |
|
30 |
28 |
$3K |
| 76813 |
|
40 |
38 |
$3K |
| 77063 |
|
60 |
58 |
$2K |
| 84703 |
|
5,837 |
5,217 |
$2K |
| 81003 |
|
2,360 |
2,160 |
$2K |
| 76817 |
|
51 |
40 |
$2K |
| 71045 |
|
7,089 |
6,205 |
$2K |
| G0378 |
Hospital observation per hr |
36 |
24 |
$1K |
| 76815 |
|
13 |
12 |
$1K |
| 76820 |
|
18 |
12 |
$1K |
| 87637 |
|
281 |
268 |
$1K |
| J7030 |
Normal saline solution infus |
15,474 |
13,353 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 97597 |
|
39 |
12 |
$905.76 |
| 71046 |
|
669 |
589 |
$811.54 |
| 84425 |
|
14 |
13 |
$677.16 |
| 87636 |
|
273 |
251 |
$406.79 |
| J2405 |
Ondansetron hcl injection |
2,172 |
1,878 |
$330.76 |
| 81001 |
|
1,569 |
1,413 |
$212.89 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,660 |
2,394 |
$140.15 |
| 36415 |
|
84 |
74 |
$96.15 |
| J7040 |
Normal saline solution infus |
1,546 |
1,461 |
$94.41 |
| 82077 |
|
2,452 |
2,104 |
$77.07 |
| 83690 |
|
6,701 |
5,885 |
$43.02 |
| J1885 |
Ketorolac tromethamine inj |
5,865 |
4,200 |
$34.52 |
| J7120 |
Ringers lactate infusion |
158 |
146 |
$0.00 |
| 81025 |
|
32 |
29 |
$0.00 |
| J7050 |
Normal saline solution infus |
842 |
701 |
$0.00 |
| 96372 |
|
452 |
393 |
$0.00 |
| J2060 |
Lorazepam injection |
69 |
62 |
$0.00 |
| J1170 |
Hydromorphone injection |
27 |
26 |
$0.00 |
| A9270 |
Non-covered item or service |
65 |
41 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
12 |
$0.00 |
| 87081 |
|
14 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
20 |
14 |
$0.00 |