| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
4,456 |
3,323 |
$264K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
751 |
301 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
878 |
624 |
$34K |
| 0003A |
|
601 |
569 |
$23K |
| 0002A |
|
447 |
413 |
$17K |
| 0001A |
|
361 |
347 |
$14K |
| 0013A |
|
281 |
263 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
588 |
421 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,834 |
978 |
$9K |
| 0004A |
|
284 |
256 |
$9K |
| 0072A |
|
196 |
189 |
$8K |
| 0071A |
|
307 |
190 |
$7K |
| 0012A |
|
58 |
57 |
$2K |
| 0011A |
|
45 |
43 |
$2K |
| 0124A |
|
17 |
17 |
$680.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$286.87 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$221.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
657 |
466 |
$96.38 |
| S0028 |
Injection, famotidine, 20 mg |
34 |
24 |
$28.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
416 |
268 |
$24.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
890 |
657 |
$14.54 |
| 86738 |
|
227 |
177 |
$12.66 |
| 87275 |
|
561 |
410 |
$0.03 |
| 87400 |
|
19 |
14 |
$0.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
125 |
64 |
$0.01 |
| 87276 |
|
577 |
423 |
$0.01 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
43 |
15 |
$0.01 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33 |
28 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
37 |
13 |
$0.00 |