| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
2,645 |
1,997 |
$360K |
| 99283 |
|
3,634 |
3,281 |
$343K |
| 41899 |
|
798 |
553 |
$240K |
| 99284 |
|
4,000 |
3,469 |
$238K |
| 80053 |
|
7,031 |
5,755 |
$183K |
| 99285 |
|
3,892 |
3,347 |
$177K |
| 99282 |
|
1,064 |
981 |
$132K |
| 99001 |
|
1,914 |
1,615 |
$107K |
| 99212 |
|
1,593 |
1,114 |
$98K |
| 96365 |
|
1,464 |
804 |
$87K |
| 70450 |
|
1,136 |
985 |
$78K |
| G0480 |
Drug test def 1-7 classes |
1,559 |
1,292 |
$76K |
| 87637 |
|
545 |
516 |
$71K |
| 99211 |
|
699 |
616 |
$59K |
| 99213 |
|
969 |
720 |
$52K |
| 96360 |
|
461 |
396 |
$52K |
| 80048 |
|
2,331 |
1,885 |
$51K |
| 87502 |
|
342 |
301 |
$51K |
| 85025 |
|
7,180 |
5,787 |
$51K |
| 74177 |
|
723 |
599 |
$46K |
| 81001 |
|
3,360 |
2,258 |
$28K |
| 99281 |
|
175 |
161 |
$26K |
| C9803 |
Hopd covid-19 spec collect |
705 |
649 |
$23K |
| 84443 |
|
1,299 |
1,171 |
$22K |
| 97110 |
|
1,166 |
414 |
$21K |
| 87636 |
|
186 |
171 |
$21K |
| 87635 |
|
352 |
317 |
$19K |
| 80306 |
|
958 |
825 |
$18K |
| 84484 |
|
2,168 |
1,654 |
$16K |
| 81025 |
|
422 |
373 |
$14K |
| 97530 |
|
494 |
209 |
$13K |
| 83735 |
|
2,312 |
1,804 |
$11K |
| 80061 |
|
782 |
728 |
$10K |
| 85610 |
|
1,730 |
1,376 |
$9K |
| 87070 |
|
227 |
206 |
$9K |
| 81003 |
|
1,083 |
923 |
$8K |
| 83690 |
|
1,263 |
1,053 |
$7K |
| 87880 |
|
191 |
176 |
$7K |
| 99214 |
|
101 |
90 |
$7K |
| 94640 |
|
110 |
82 |
$6K |
| G0463 |
Hospital outpt clinic visit |
1,815 |
735 |
$6K |
| G0378 |
Hospital observation per hr |
230 |
172 |
$4K |
| 71046 |
|
1,230 |
1,097 |
$4K |
| 83605 |
|
518 |
407 |
$4K |
| 82947 |
|
216 |
135 |
$3K |
| 96374 |
|
2,611 |
2,181 |
$3K |
| 73630 |
|
179 |
167 |
$3K |
| 83036 |
|
350 |
325 |
$3K |
| 85651 |
|
884 |
660 |
$3K |
| 36415 |
|
4,682 |
3,775 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
42 |
38 |
$2K |
| 97112 |
|
72 |
25 |
$2K |
| 87086 |
|
178 |
162 |
$2K |
| 85730 |
|
475 |
406 |
$2K |
| 72125 |
|
63 |
49 |
$2K |
| 87040 |
|
123 |
102 |
$1K |
| 86140 |
|
370 |
307 |
$1K |
| 84703 |
|
88 |
80 |
$1K |
| 76705 |
|
16 |
13 |
$1K |
| 85027 |
|
238 |
198 |
$1K |
| 84145 |
|
68 |
51 |
$1K |
| 96375 |
|
1,932 |
1,559 |
$997.96 |
| 71045 |
|
1,544 |
1,327 |
$988.02 |
| 86803 |
|
55 |
54 |
$911.27 |
| 82306 |
|
30 |
30 |
$834.59 |
| 80076 |
|
94 |
67 |
$776.30 |
| 73610 |
|
27 |
25 |
$656.08 |
| 97140 |
|
25 |
13 |
$578.22 |
| 87807 |
|
18 |
15 |
$571.86 |
| G0399 |
Home sleep test/type 3 porta |
16 |
12 |
$509.95 |
| 85652 |
|
184 |
141 |
$393.57 |
| U0005 |
Infec agen detec ampli probe |
14 |
12 |
$366.85 |
| 82550 |
|
82 |
53 |
$350.63 |
| 93005 |
|
3,278 |
2,699 |
$340.54 |
| 77063 |
|
12 |
12 |
$234.84 |
| 86618 |
|
12 |
12 |
$191.34 |
| 83880 |
|
14 |
13 |
$170.77 |
| 85379 |
|
29 |
25 |
$169.59 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,876 |
1,449 |
$134.43 |
| 77067 |
|
12 |
12 |
$118.92 |
| 96372 |
|
734 |
589 |
$94.13 |
| 85007 |
|
29 |
27 |
$84.85 |
| 87077 |
|
17 |
12 |
$75.15 |
| J1885 |
Ketorolac tromethamine inj |
1,082 |
858 |
$74.49 |
| 87186 |
|
15 |
13 |
$71.52 |
| J2405 |
Ondansetron hcl injection |
1,953 |
1,417 |
$24.83 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$3.53 |
| J2270 |
Morphine sulfate injection |
546 |
392 |
$0.00 |
| A4641 |
Radiopharm dx agent noc |
14 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
17 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,384 |
592 |
$0.00 |
| J2001 |
Lidocaine injection |
19 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
789 |
574 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
91 |
50 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
764 |
562 |
$0.00 |
| 96376 |
|
40 |
24 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
15 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
66 |
48 |
$0.00 |
| J2060 |
Lorazepam injection |
24 |
13 |
$0.00 |