| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,563 |
2,370 |
$883K |
| 99283 |
|
3,498 |
3,406 |
$760K |
| 87804 |
|
13,938 |
11,948 |
$702K |
| 99285 |
|
1,453 |
1,335 |
$364K |
| U0002 |
Covid-19 lab test non-cdc |
1,865 |
1,833 |
$135K |
| 87426 |
|
7,817 |
7,485 |
$128K |
| 87502 |
|
1,294 |
1,268 |
$111K |
| 85025 |
|
8,922 |
7,902 |
$78K |
| 87880 |
|
2,745 |
2,660 |
$62K |
| 87651 |
|
875 |
861 |
$58K |
| 71045 |
|
903 |
847 |
$57K |
| 87389 |
|
1,041 |
996 |
$56K |
| 87635 |
|
1,283 |
1,241 |
$51K |
| 80053 |
|
5,076 |
4,496 |
$36K |
| 36415 |
|
9,467 |
7,897 |
$36K |
| 80307 |
|
221 |
208 |
$34K |
| U0005 |
Infec agen detec ampli probe |
1,094 |
1,068 |
$33K |
| 87081 |
|
2,689 |
2,622 |
$32K |
| 86780 |
|
1,070 |
1,011 |
$31K |
| 84443 |
|
1,490 |
1,429 |
$27K |
| 87801 |
|
325 |
311 |
$25K |
| 87634 |
|
187 |
185 |
$21K |
| 81002 |
|
2,316 |
1,591 |
$20K |
| 87591 |
|
191 |
171 |
$17K |
| 87491 |
|
191 |
171 |
$17K |
| 87420 |
|
648 |
626 |
$16K |
| 87150 |
|
170 |
166 |
$15K |
| 87070 |
|
651 |
629 |
$15K |
| CP007 |
|
77 |
48 |
$14K |
| 76805 |
|
101 |
96 |
$14K |
| 87086 |
|
966 |
880 |
$11K |
| 93005 |
|
581 |
542 |
$11K |
| 81003 |
|
3,019 |
2,125 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
111 |
108 |
$9K |
| 99282 |
|
37 |
37 |
$8K |
| 71046 |
|
29 |
28 |
$7K |
| 84144 |
|
87 |
80 |
$6K |
| 81025 |
|
376 |
357 |
$5K |
| 0353U |
|
105 |
102 |
$5K |
| 87660 |
|
86 |
74 |
$5K |
| 86803 |
|
111 |
106 |
$4K |
| 86762 |
|
86 |
82 |
$4K |
| 83036 |
|
1,062 |
1,041 |
$4K |
| 86850 |
|
118 |
111 |
$4K |
| 87510 |
|
100 |
86 |
$4K |
| 0202U |
|
12 |
12 |
$3K |
| 87480 |
|
101 |
86 |
$3K |
| 82947 |
|
371 |
352 |
$3K |
| 96372 |
|
138 |
122 |
$3K |
| 87340 |
|
102 |
97 |
$3K |
| 81001 |
|
1,161 |
1,041 |
$3K |
| 73130 |
|
17 |
16 |
$3K |
| 93306 |
|
12 |
12 |
$3K |
| 87798 |
|
126 |
125 |
$2K |
| 97110 |
|
257 |
73 |
$2K |
| 80061 |
|
828 |
809 |
$2K |
| 73560 |
|
13 |
12 |
$2K |
| 96365 |
|
44 |
37 |
$2K |
| 96374 |
|
252 |
224 |
$1K |
| 87077 |
|
104 |
101 |
$1K |
| 84439 |
|
219 |
216 |
$1K |
| 84702 |
|
31 |
25 |
$1K |
| 81000 |
|
204 |
177 |
$1K |
| 86900 |
|
131 |
124 |
$968.04 |
| 86901 |
|
131 |
124 |
$951.59 |
| J2405 |
Ondansetron hcl injection |
61 |
57 |
$921.92 |
| 96375 |
|
126 |
108 |
$827.85 |
| J0696 |
Ceftriaxone sodium injection |
26 |
25 |
$806.87 |
| 82950 |
|
80 |
77 |
$805.23 |
| 97530 |
|
73 |
25 |
$792.84 |
| 80048 |
|
851 |
767 |
$759.52 |
| 82728 |
|
33 |
29 |
$681.39 |
| 83735 |
|
107 |
105 |
$631.26 |
| 82951 |
|
29 |
25 |
$420.59 |
| 84484 |
|
282 |
206 |
$350.23 |
| G0463 |
Hospital outpt clinic visit |
15 |
12 |
$268.81 |
| 83690 |
|
88 |
81 |
$209.72 |
| J1885 |
Ketorolac tromethamine inj |
70 |
65 |
$201.54 |
| 83880 |
|
110 |
97 |
$153.79 |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$90.56 |
| 82150 |
|
19 |
16 |
$61.70 |
| 86140 |
|
27 |
25 |
$33.07 |
| 85610 |
|
104 |
92 |
$26.91 |
| 85380 |
|
12 |
12 |
$13.94 |
| G1004 |
Cdsm ndsc |
426 |
321 |
$0.04 |
| A9270 |
Non-covered item or service |
259 |
177 |
$0.00 |
| 96361 |
|
13 |
13 |
$0.00 |
| 83605 |
|
54 |
38 |
$0.00 |
| 82306 |
|
12 |
12 |
$0.00 |
| 80164 |
|
13 |
12 |
$0.00 |