| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,406 |
6,055 |
$4.38M |
| 99285 |
|
2,028 |
1,879 |
$571K |
| 76805 |
|
509 |
499 |
$206K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,841 |
1,752 |
$159K |
| 99283 |
|
1,810 |
1,737 |
$155K |
| 93005 |
|
1,881 |
1,701 |
$108K |
| 80053 |
|
12,858 |
11,576 |
$95K |
| 85025 |
|
13,237 |
11,728 |
$62K |
| 74177 |
|
358 |
341 |
$61K |
| C9803 |
Hopd covid-19 spec collect |
2,841 |
2,692 |
$53K |
| 76801 |
|
506 |
441 |
$50K |
| 76817 |
|
335 |
293 |
$28K |
| 76816 |
|
125 |
125 |
$25K |
| U0005 |
Infec agen detec ampli probe |
1,214 |
1,147 |
$23K |
| 70450 |
|
488 |
474 |
$23K |
| 0202U |
|
747 |
712 |
$18K |
| 71045 |
|
1,394 |
1,308 |
$17K |
| G0378 |
Hospital observation per hr |
329 |
313 |
$16K |
| 84703 |
|
2,867 |
2,667 |
$14K |
| 83880 |
|
1,331 |
1,224 |
$13K |
| 81001 |
|
4,891 |
4,566 |
$12K |
| 84484 |
|
2,842 |
1,560 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,127 |
992 |
$9K |
| 87088 |
|
1,535 |
1,438 |
$7K |
| 84702 |
|
717 |
622 |
$7K |
| 96361 |
|
98 |
87 |
$4K |
| 74176 |
|
44 |
42 |
$4K |
| J7120 |
Ringers lactate infusion |
180 |
157 |
$4K |
| 0241U |
|
413 |
399 |
$3K |
| 86850 |
|
169 |
149 |
$3K |
| 83690 |
|
945 |
870 |
$3K |
| 99281 |
|
40 |
38 |
$3K |
| 99282 |
|
24 |
24 |
$2K |
| 86901 |
|
905 |
827 |
$2K |
| 96374 |
|
845 |
776 |
$2K |
| J2270 |
Morphine sulfate injection |
548 |
434 |
$2K |
| 85730 |
|
718 |
679 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,291 |
1,112 |
$2K |
| 85610 |
|
971 |
884 |
$1K |
| 71046 |
|
82 |
81 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
327 |
294 |
$1K |
| 80048 |
|
457 |
361 |
$858.98 |
| 87651 |
|
44 |
44 |
$838.35 |
| CP007 |
|
14 |
14 |
$686.00 |
| 96365 |
|
25 |
25 |
$638.06 |
| 87880 |
|
54 |
54 |
$626.39 |
| 96375 |
|
635 |
543 |
$532.62 |
| 86900 |
|
229 |
204 |
$514.67 |
| 87077 |
|
131 |
114 |
$384.52 |
| 87400 |
|
30 |
29 |
$261.76 |
| 83735 |
|
99 |
77 |
$248.65 |
| J0696 |
Ceftriaxone sodium injection |
96 |
84 |
$242.40 |
| 81025 |
|
41 |
40 |
$200.03 |
| 87070 |
|
33 |
31 |
$180.12 |
| 83605 |
|
96 |
52 |
$163.88 |
| 96372 |
|
41 |
38 |
$44.21 |
| 87040 |
|
24 |
12 |
$34.68 |
| 82550 |
|
19 |
15 |
$27.35 |
| 87186 |
|
12 |
12 |
$14.54 |
| J3010 |
Fentanyl citrate injection |
16 |
13 |
$2.97 |
| 36415 |
|
764 |
672 |
$1.80 |
| J2704 |
Inj, propofol, 10 mg |
108 |
89 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$0.00 |