| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,948 |
2,199 |
$601K |
| 99214 |
|
3,062 |
2,435 |
$563K |
| 99285 |
|
3,105 |
1,993 |
$542K |
| 99212 |
|
1,916 |
1,702 |
$523K |
| 99283 |
|
2,101 |
1,663 |
$475K |
| 99213 |
|
3,580 |
3,163 |
$468K |
| 96361 |
|
662 |
529 |
$353K |
| 99215 |
Prolong outpt/office vis |
1,003 |
861 |
$223K |
| 99211 |
|
1,403 |
1,268 |
$169K |
| 70450 |
|
457 |
378 |
$158K |
| 96365 |
|
532 |
302 |
$111K |
| 87637 |
|
1,014 |
930 |
$106K |
| 99282 |
|
463 |
387 |
$105K |
| 80053 |
|
5,163 |
4,123 |
$38K |
| 80048 |
|
2,456 |
2,102 |
$34K |
| 85025 |
|
6,688 |
5,228 |
$33K |
| 97110 |
|
1,803 |
595 |
$26K |
| 87502 |
|
238 |
218 |
$19K |
| 96372 |
|
1,278 |
944 |
$19K |
| 84443 |
|
1,418 |
1,278 |
$18K |
| G0463 |
Hospital outpt clinic visit |
477 |
331 |
$18K |
| 87635 |
|
646 |
559 |
$17K |
| 80061 |
|
1,323 |
1,232 |
$16K |
| C9803 |
Hopd covid-19 spec collect |
919 |
807 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
315 |
278 |
$15K |
| 99001 |
|
1,811 |
1,592 |
$13K |
| 74177 |
|
29 |
25 |
$13K |
| 87880 |
|
817 |
756 |
$12K |
| 97140 |
|
967 |
301 |
$11K |
| 84484 |
|
2,334 |
1,594 |
$11K |
| 83036 |
|
843 |
776 |
$8K |
| 97112 |
|
586 |
205 |
$7K |
| 71046 |
|
604 |
538 |
$6K |
| 81001 |
|
2,493 |
2,137 |
$5K |
| 87802 |
|
369 |
341 |
$5K |
| 93005 |
|
2,597 |
1,966 |
$5K |
| 87086 |
|
803 |
715 |
$5K |
| 83690 |
|
844 |
699 |
$5K |
| 87070 |
|
606 |
557 |
$5K |
| 85610 |
|
1,280 |
996 |
$4K |
| 83605 |
|
804 |
653 |
$3K |
| 83880 |
|
257 |
181 |
$3K |
| 87081 |
|
263 |
241 |
$3K |
| 80306 |
|
195 |
166 |
$2K |
| 83735 |
|
684 |
581 |
$2K |
| 96374 |
|
1,337 |
1,078 |
$2K |
| 99203 |
|
15 |
13 |
$2K |
| 36415 |
|
4,594 |
3,662 |
$1K |
| 85379 |
|
219 |
189 |
$978.83 |
| 71045 |
|
1,099 |
918 |
$750.20 |
| 86140 |
|
214 |
182 |
$727.68 |
| 97530 |
|
76 |
27 |
$653.96 |
| G0480 |
Drug test def 1-7 classes |
15 |
12 |
$583.23 |
| 81003 |
|
234 |
199 |
$550.83 |
| 87077 |
|
74 |
64 |
$528.37 |
| 85730 |
|
212 |
193 |
$499.99 |
| 87804 |
|
26 |
23 |
$402.88 |
| 82805 |
|
15 |
12 |
$359.99 |
| 82150 |
|
81 |
69 |
$338.43 |
| 82306 |
|
14 |
12 |
$324.05 |
| 81025 |
|
29 |
28 |
$264.84 |
| 96375 |
|
855 |
687 |
$226.99 |
| 85027 |
|
45 |
40 |
$196.86 |
| 87420 |
|
16 |
14 |
$191.81 |
| 84153 |
|
12 |
12 |
$143.02 |
| 87088 |
|
32 |
28 |
$142.12 |
| 87040 |
|
22 |
12 |
$63.96 |
| 87186 |
|
14 |
12 |
$63.48 |
| 82550 |
|
35 |
28 |
$54.97 |
| J1885 |
Ketorolac tromethamine inj |
806 |
618 |
$29.08 |
| 94762 |
|
162 |
142 |
$13.15 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
235 |
194 |
$7.76 |
| J7030 |
Normal saline solution infus |
770 |
602 |
$6.49 |
| J2405 |
Ondansetron hcl injection |
621 |
491 |
$1.99 |
| A9270 |
Non-covered item or service |
933 |
553 |
$0.56 |
| J2704 |
Inj, propofol, 10 mg |
68 |
56 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
26 |
24 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
32 |
27 |
$0.00 |
| 94640 |
|
15 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
17 |
12 |
$0.00 |