| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
5,964 |
5,100 |
$1.42M |
| U0003 |
Cov-19 amp prb hgh thruput |
20,315 |
8,749 |
$821K |
| 99284 |
|
3,647 |
3,173 |
$445K |
| H2035 |
A/d tx program, per hour |
4,607 |
729 |
$381K |
| G0463 |
Hospital outpt clinic visit |
4,402 |
3,526 |
$308K |
| 99283 |
|
1,812 |
1,529 |
$183K |
| 90834 |
|
1,770 |
943 |
$181K |
| U0005 |
Infec agen detec ampli probe |
10,148 |
4,314 |
$119K |
| 80053 |
|
3,132 |
2,666 |
$75K |
| 80048 |
|
3,399 |
2,617 |
$59K |
| 96374 |
|
1,088 |
870 |
$57K |
| 80307 |
|
3,762 |
2,450 |
$50K |
| 36415 |
|
18,928 |
11,622 |
$50K |
| 93010 |
|
11,834 |
7,800 |
$33K |
| 96361 |
|
741 |
548 |
$33K |
| H0001 |
Alcohol and/or drug assess |
250 |
232 |
$31K |
| 90837 |
|
330 |
170 |
$21K |
| 93005 |
|
1,965 |
1,545 |
$21K |
| G0480 |
Drug test def 1-7 classes |
663 |
467 |
$9K |
| P9603 |
One-way allow prorated miles |
15,904 |
9,821 |
$8K |
| 96375 |
|
303 |
254 |
$7K |
| 85025 |
|
5,193 |
4,379 |
$5K |
| 99282 |
|
58 |
56 |
$4K |
| 71046 |
|
173 |
141 |
$3K |
| 90832 |
|
25 |
14 |
$3K |
| 90791 |
|
19 |
13 |
$2K |
| 82306 |
|
170 |
166 |
$2K |
| 84484 |
|
891 |
462 |
$2K |
| 85027 |
|
695 |
582 |
$2K |
| 86481 |
|
17 |
17 |
$2K |
| J7030 |
Normal saline solution infus |
1,842 |
1,322 |
$1K |
| G0475 |
Hiv combination assay |
45 |
45 |
$1K |
| 86682 |
|
82 |
41 |
$1K |
| 84443 |
|
194 |
185 |
$1K |
| 96372 |
|
104 |
55 |
$1K |
| 86480 |
|
12 |
12 |
$917.40 |
| 70450 |
|
29 |
24 |
$695.85 |
| 86803 |
|
43 |
43 |
$644.16 |
| 81001 |
|
433 |
357 |
$625.27 |
| 86708 |
|
44 |
44 |
$586.72 |
| 86787 |
|
41 |
41 |
$567.26 |
| 86704 |
|
43 |
42 |
$557.43 |
| P9604 |
One-way allow prorated trip |
578 |
406 |
$441.13 |
| 87340 |
|
39 |
39 |
$415.38 |
| 83036 |
|
112 |
108 |
$399.89 |
| 83970 |
|
15 |
12 |
$360.88 |
| 80061 |
|
95 |
95 |
$339.80 |
| 82607 |
|
70 |
65 |
$332.66 |
| 86706 |
|
29 |
29 |
$312.63 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
219 |
148 |
$219.78 |
| 71045 |
|
21 |
13 |
$188.68 |
| 83735 |
|
271 |
238 |
$144.80 |
| C1894 |
Intro/sheath, non-laser |
29 |
25 |
$125.69 |
| J2405 |
Ondansetron hcl injection |
299 |
215 |
$112.50 |
| 85018 |
|
98 |
76 |
$108.51 |
| C2617 |
Stent, non-cor, tem w/o del |
29 |
25 |
$85.84 |
| 82565 |
|
39 |
37 |
$63.47 |
| J1885 |
Ketorolac tromethamine inj |
165 |
144 |
$57.00 |
| 85610 |
|
172 |
92 |
$49.10 |
| 81003 |
|
462 |
396 |
$46.26 |
| 82365 |
|
15 |
12 |
$38.51 |
| J7040 |
Normal saline solution infus |
204 |
143 |
$29.76 |
| J7120 |
Ringers lactate infusion |
61 |
52 |
$26.35 |
| 82248 |
|
68 |
64 |
$16.45 |
| 84703 |
|
28 |
24 |
$15.36 |
| J1956 |
Levofloxacin injection |
43 |
37 |
$13.70 |
| J3010 |
Fentanyl citrate injection |
19 |
13 |
$7.37 |
| J2704 |
Inj, propofol, 10 mg |
52 |
39 |
$4.08 |
| J1100 |
Dexamethasone sodium phos |
28 |
24 |
$3.60 |
| J2250 |
Inj midazolam hydrochloride |
16 |
12 |
$2.62 |
| 74176 |
|
16 |
15 |
$0.00 |
| 87804 |
|
134 |
50 |
$0.00 |
| A9270 |
Non-covered item or service |
1,679 |
659 |
$0.00 |
| G0378 |
Hospital observation per hr |
57 |
27 |
$0.00 |
| J3490 |
Drugs unclassified injection |
26 |
13 |
$0.00 |
| 83690 |
|
162 |
140 |
$0.00 |
| 87635 |
|
12 |
12 |
$0.00 |
| 87086 |
|
33 |
25 |
$0.00 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |