| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,738 |
8,097 |
$1.49M |
| 99283 |
|
15,308 |
14,625 |
$767K |
| 87637 |
|
2,693 |
2,630 |
$392K |
| C9803 |
Hopd covid-19 spec collect |
6,797 |
6,568 |
$121K |
| 99285 |
|
1,042 |
978 |
$114K |
| 80053 |
|
8,010 |
7,154 |
$90K |
| 99282 |
|
1,871 |
1,796 |
$90K |
| 87631 |
|
564 |
548 |
$66K |
| 85025 |
|
9,648 |
8,263 |
$64K |
| 71045 |
|
2,569 |
2,413 |
$61K |
| 87502 |
|
497 |
484 |
$44K |
| 74177 |
|
266 |
246 |
$37K |
| 93005 |
|
1,680 |
1,527 |
$28K |
| 87651 |
|
646 |
623 |
$27K |
| U0003 |
Cov-19 amp prb hgh thruput |
409 |
398 |
$24K |
| 99281 |
|
365 |
354 |
$18K |
| 70450 |
|
503 |
476 |
$18K |
| 87635 |
|
388 |
382 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
258 |
248 |
$12K |
| 76801 |
|
195 |
159 |
$12K |
| CP007 |
|
223 |
130 |
$9K |
| 96374 |
|
1,349 |
1,243 |
$8K |
| U0005 |
Infec agen detec ampli probe |
407 |
396 |
$8K |
| 84703 |
|
1,381 |
1,296 |
$8K |
| 81001 |
|
2,348 |
2,167 |
$6K |
| 96375 |
|
926 |
797 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,027 |
501 |
$5K |
| 93976 |
|
110 |
103 |
$5K |
| 84484 |
|
1,276 |
994 |
$4K |
| J7030 |
Normal saline solution infus |
2,093 |
1,721 |
$4K |
| 84702 |
|
384 |
295 |
$4K |
| 83690 |
|
1,322 |
1,209 |
$3K |
| 80048 |
|
676 |
530 |
$3K |
| 96361 |
|
468 |
424 |
$3K |
| 81025 |
|
426 |
404 |
$3K |
| G0480 |
Drug test def 1-7 classes |
98 |
88 |
$3K |
| 87491 |
|
54 |
52 |
$1K |
| 87591 |
|
54 |
52 |
$1K |
| 96365 |
|
71 |
67 |
$1K |
| 76856 |
|
13 |
13 |
$866.52 |
| 71046 |
|
21 |
21 |
$865.82 |
| 96372 |
|
207 |
175 |
$778.44 |
| J2405 |
Ondansetron hcl injection |
1,290 |
1,116 |
$740.44 |
| 83880 |
|
54 |
50 |
$729.87 |
| 81003 |
|
408 |
394 |
$645.46 |
| 80307 |
|
56 |
52 |
$634.06 |
| 83605 |
|
181 |
124 |
$573.99 |
| 86901 |
|
277 |
248 |
$539.47 |
| 83735 |
|
226 |
161 |
$509.66 |
| 87081 |
|
64 |
60 |
$342.89 |
| 84443 |
|
26 |
24 |
$282.50 |
| J1885 |
Ketorolac tromethamine inj |
570 |
541 |
$275.61 |
| 85610 |
|
153 |
145 |
$258.81 |
| J2270 |
Morphine sulfate injection |
319 |
250 |
$257.17 |
| 94760 |
|
48 |
39 |
$214.02 |
| 96376 |
|
66 |
44 |
$202.58 |
| 87040 |
|
68 |
37 |
$202.09 |
| J0696 |
Ceftriaxone sodium injection |
88 |
80 |
$181.83 |
| 87086 |
|
15 |
13 |
$136.26 |
| 86850 |
|
14 |
14 |
$107.32 |
| Q0162 |
Ondansetron oral |
40 |
39 |
$53.56 |
| J2272 |
Inj, morphine (fresenius) |
42 |
30 |
$43.89 |
| J1100 |
Dexamethasone sodium phos |
40 |
40 |
$40.51 |
| 85379 |
|
15 |
15 |
$37.31 |
| J7510 |
Prednisolone oral per 5 mg |
68 |
68 |
$30.94 |
| 86900 |
|
14 |
13 |
$25.61 |
| 36415 |
|
1,794 |
1,585 |
$23.70 |
| J3010 |
Fentanyl citrate injection |
17 |
14 |
$17.40 |
| J2060 |
Lorazepam injection |
12 |
12 |
$2.88 |
| A9270 |
Non-covered item or service |
1,937 |
1,711 |
$0.00 |