| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
9,018 |
8,145 |
$2.56M |
| G0463 |
Hospital outpt clinic visit |
19,886 |
18,755 |
$1.55M |
| 99284 |
|
8,265 |
7,255 |
$1.54M |
| 99283 |
|
8,224 |
7,349 |
$1.23M |
| 96374 |
|
1,548 |
1,401 |
$155K |
| 87636 |
|
1,147 |
1,111 |
$138K |
| 96361 |
|
1,244 |
1,084 |
$104K |
| 87637 |
|
799 |
778 |
$102K |
| 36415 |
|
8,434 |
7,611 |
$56K |
| 80053 |
|
8,292 |
7,530 |
$50K |
| C9803 |
Hopd covid-19 spec collect |
1,909 |
1,834 |
$33K |
| 93005 |
|
1,427 |
1,290 |
$29K |
| U0003 |
Cov-19 amp prb hgh thruput |
280 |
269 |
$23K |
| 99213 |
|
509 |
497 |
$21K |
| 85025 |
|
15,471 |
14,012 |
$18K |
| 71046 |
|
343 |
322 |
$13K |
| 96375 |
|
256 |
239 |
$12K |
| 99281 |
|
108 |
103 |
$11K |
| 80048 |
|
625 |
553 |
$10K |
| 87651 |
|
1,128 |
1,096 |
$10K |
| 99214 |
|
117 |
112 |
$8K |
| 99282 |
|
152 |
152 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
96 |
95 |
$4K |
| 88305 |
|
111 |
68 |
$3K |
| 94060 |
|
12 |
12 |
$2K |
| U0005 |
Infec agen detec ampli probe |
93 |
93 |
$2K |
| 97110 |
|
41 |
24 |
$2K |
| 83690 |
|
693 |
647 |
$2K |
| 93010 |
|
233 |
212 |
$1K |
| 87081 |
|
1,103 |
1,010 |
$1K |
| 94726 |
|
12 |
12 |
$1K |
| 84484 |
|
184 |
147 |
$822.75 |
| 94729 |
|
24 |
24 |
$779.80 |
| 87880 |
|
2,699 |
2,478 |
$752.88 |
| 81001 |
|
1,402 |
1,309 |
$721.13 |
| 71045 |
|
13 |
13 |
$551.97 |
| J7120 |
Ringers lactate infusion |
897 |
773 |
$546.26 |
| J3490 |
Drugs unclassified injection |
60 |
56 |
$517.89 |
| J2704 |
Inj, propofol, 10 mg |
490 |
374 |
$373.19 |
| J7040 |
Normal saline solution infus |
682 |
505 |
$246.19 |
| J1030 |
Methylprednisolone 40 mg inj |
34 |
31 |
$132.71 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
229 |
196 |
$115.90 |
| 86140 |
|
64 |
61 |
$99.92 |
| 84703 |
|
15 |
15 |
$91.70 |
| J7030 |
Normal saline solution infus |
198 |
177 |
$89.43 |
| 87086 |
|
18 |
12 |
$31.13 |
| J2405 |
Ondansetron hcl injection |
63 |
52 |
$20.19 |
| 87804 |
|
563 |
332 |
$16.75 |
| J7050 |
Normal saline solution infus |
144 |
130 |
$16.32 |
| J1885 |
Ketorolac tromethamine inj |
58 |
54 |
$12.38 |
| J1100 |
Dexamethasone sodium phos |
17 |
15 |
$3.05 |
| 87807 |
|
14 |
14 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
16 |
14 |
$0.00 |
| 81025 |
|
29 |
25 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |