| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
2,403 |
1,780 |
$647K |
| 99285 |
|
2,089 |
1,268 |
$625K |
| 99284 |
|
2,767 |
1,809 |
$601K |
| 74177 |
|
291 |
209 |
$149K |
| 99282 |
|
613 |
483 |
$107K |
| 70450 |
|
329 |
239 |
$75K |
| 93005 |
|
1,706 |
1,291 |
$49K |
| 96365 |
|
489 |
380 |
$44K |
| 96361 |
|
966 |
698 |
$41K |
| 96375 |
|
771 |
576 |
$38K |
| 71045 |
|
1,157 |
904 |
$32K |
| 96374 |
|
919 |
699 |
$30K |
| 97110 |
|
500 |
154 |
$27K |
| 87635 |
|
788 |
611 |
$23K |
| U0003 |
Cov-19 amp prb hgh thruput |
292 |
252 |
$18K |
| 71275 |
|
20 |
14 |
$18K |
| J3490 |
Drugs unclassified injection |
2,419 |
958 |
$16K |
| G2023 |
Specimen collect covid-19 |
754 |
652 |
$14K |
| 94640 |
|
102 |
81 |
$14K |
| 80050 |
|
1,693 |
1,328 |
$12K |
| G0480 |
Drug test def 1-7 classes |
330 |
261 |
$12K |
| J7030 |
Normal saline solution infus |
736 |
565 |
$11K |
| 80307 |
|
291 |
226 |
$11K |
| G0463 |
Hospital outpt clinic visit |
516 |
337 |
$10K |
| 96366 |
|
101 |
54 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
504 |
416 |
$8K |
| 96360 |
|
105 |
87 |
$8K |
| 96376 |
|
133 |
94 |
$7K |
| 71046 |
|
173 |
132 |
$7K |
| 96372 |
|
253 |
168 |
$6K |
| 84484 |
|
1,253 |
825 |
$5K |
| 80061 |
|
289 |
258 |
$3K |
| 80053 |
|
1,924 |
1,501 |
$3K |
| 83690 |
|
604 |
425 |
$3K |
| 85025 |
|
2,003 |
1,498 |
$2K |
| 82947 |
|
323 |
127 |
$2K |
| 83880 |
|
108 |
87 |
$2K |
| J7060 |
5% dextrose/water |
119 |
80 |
$2K |
| 87040 |
|
304 |
124 |
$2K |
| 97161 |
|
21 |
12 |
$2K |
| 83605 |
|
308 |
199 |
$1K |
| 83735 |
|
405 |
296 |
$1K |
| 87804 |
|
297 |
139 |
$1K |
| 99213 |
|
297 |
220 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
448 |
345 |
$1K |
| J2405 |
Ondansetron hcl injection |
450 |
319 |
$1K |
| 82306 |
|
51 |
37 |
$1K |
| 84703 |
|
222 |
171 |
$1K |
| 81001 |
|
785 |
575 |
$1K |
| 85610 |
|
557 |
347 |
$1K |
| 83036 |
|
148 |
123 |
$1K |
| 81025 |
|
231 |
175 |
$1K |
| 87186 |
|
209 |
135 |
$998.71 |
| 87086 |
|
271 |
211 |
$983.42 |
| 80048 |
|
205 |
153 |
$945.77 |
| 85379 |
|
139 |
118 |
$939.35 |
| 87077 |
|
205 |
138 |
$936.93 |
| J7120 |
Ringers lactate infusion |
50 |
44 |
$879.35 |
| 74018 |
|
18 |
14 |
$765.12 |
| 36415 |
|
2,413 |
1,860 |
$725.77 |
| C9803 |
Hopd covid-19 spec collect |
308 |
214 |
$708.34 |
| 73610 |
|
15 |
13 |
$600.83 |
| 73630 |
|
13 |
12 |
$585.51 |
| J0696 |
Ceftriaxone sodium injection |
44 |
33 |
$528.52 |
| 84443 |
|
52 |
38 |
$410.41 |
| 87491 |
|
15 |
15 |
$360.59 |
| 87591 |
|
15 |
15 |
$360.59 |
| 81003 |
|
335 |
254 |
$335.46 |
| J2270 |
Morphine sulfate injection |
39 |
30 |
$324.01 |
| 87880 |
|
33 |
28 |
$288.81 |
| 87807 |
|
25 |
25 |
$267.66 |
| J2060 |
Lorazepam injection |
93 |
52 |
$250.91 |
| 87088 |
|
97 |
54 |
$208.78 |
| 87081 |
|
49 |
44 |
$208.72 |
| J1100 |
Dexamethasone sodium phos |
35 |
33 |
$161.41 |
| 86140 |
|
32 |
31 |
$150.34 |
| Q0162 |
Ondansetron oral |
32 |
27 |
$141.84 |
| 82728 |
|
13 |
12 |
$126.12 |
| 36416 |
|
42 |
27 |
$115.92 |
| 80305 |
|
109 |
92 |
$67.34 |
| 93010 |
|
407 |
323 |
$64.48 |
| 85652 |
|
26 |
25 |
$55.74 |
| 85027 |
|
16 |
13 |
$5.91 |
| A9270 |
Non-covered item or service |
1,022 |
413 |
$0.00 |