| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
4,629 |
4,224 |
$1.52M |
| 99284 |
|
4,223 |
3,933 |
$1.03M |
| 59025 |
|
3,934 |
3,181 |
$478K |
| 76815 |
|
3,936 |
3,350 |
$444K |
| 99213 |
|
4,335 |
3,317 |
$292K |
| 99283 |
|
3,153 |
2,973 |
$160K |
| 99203 |
|
2,653 |
2,559 |
$160K |
| 87635 |
|
2,249 |
2,133 |
$130K |
| 80307 |
|
1,937 |
1,757 |
$113K |
| 93005 |
|
1,905 |
1,671 |
$106K |
| 80053 |
|
9,337 |
8,309 |
$105K |
| 99214 |
|
1,129 |
939 |
$104K |
| 99204 |
|
1,049 |
1,020 |
$94K |
| 85025 |
|
10,988 |
9,764 |
$88K |
| 99212 |
|
1,581 |
1,342 |
$79K |
| 87653 |
|
1,376 |
1,344 |
$56K |
| 70450 |
|
329 |
310 |
$46K |
| 81002 |
|
8,867 |
6,070 |
$37K |
| 71045 |
|
1,411 |
1,290 |
$36K |
| 99202 |
|
656 |
644 |
$28K |
| 86850 |
|
1,261 |
1,147 |
$23K |
| U0002 |
Covid-19 lab test non-cdc |
253 |
247 |
$18K |
| 87486 |
|
418 |
397 |
$18K |
| 87591 |
|
421 |
397 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
142 |
135 |
$15K |
| 96361 |
|
101 |
98 |
$14K |
| 81001 |
|
4,177 |
3,611 |
$13K |
| 84484 |
|
1,287 |
695 |
$11K |
| 88305 |
|
153 |
94 |
$9K |
| 86780 |
|
615 |
594 |
$9K |
| 87086 |
|
1,132 |
967 |
$9K |
| 96374 |
|
429 |
404 |
$8K |
| 82077 |
|
476 |
444 |
$8K |
| 86701 |
|
722 |
694 |
$7K |
| 56820 |
|
82 |
77 |
$6K |
| 0241U |
|
364 |
336 |
$6K |
| 83615 |
|
723 |
580 |
$5K |
| 82570 |
|
731 |
612 |
$5K |
| 80320 |
|
351 |
322 |
$5K |
| 86703 |
|
226 |
205 |
$4K |
| 74177 |
|
12 |
12 |
$4K |
| 83880 |
|
147 |
134 |
$4K |
| J7030 |
Normal saline solution infus |
1,318 |
1,053 |
$4K |
| 86901 |
|
1,296 |
1,172 |
$4K |
| 86900 |
|
1,296 |
1,172 |
$4K |
| 86803 |
|
221 |
211 |
$4K |
| 84156 |
|
734 |
613 |
$3K |
| 87899 |
|
164 |
146 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
31 |
28 |
$3K |
| 76818 |
|
19 |
16 |
$3K |
| U0005 |
Infec agen detec ampli probe |
95 |
91 |
$2K |
| 96375 |
|
79 |
72 |
$2K |
| 84112 |
|
26 |
25 |
$2K |
| 99211 |
|
78 |
68 |
$2K |
| 86762 |
|
143 |
101 |
$2K |
| 43239 |
|
13 |
12 |
$2K |
| 86592 |
|
344 |
309 |
$2K |
| 83690 |
|
267 |
256 |
$2K |
| 90471 |
|
116 |
114 |
$2K |
| 85027 |
|
253 |
220 |
$2K |
| 81003 |
|
678 |
612 |
$2K |
| 85610 |
|
534 |
498 |
$2K |
| 96372 |
|
43 |
39 |
$1K |
| 84702 |
|
114 |
94 |
$1K |
| 59430 |
|
44 |
38 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
83 |
80 |
$1K |
| 87340 |
|
104 |
98 |
$1K |
| 99281 |
|
33 |
25 |
$1K |
| 82550 |
|
120 |
110 |
$938.94 |
| 36415 |
|
13,245 |
10,859 |
$874.01 |
| 81025 |
|
85 |
78 |
$725.05 |
| G0378 |
Hospital observation per hr |
29 |
12 |
$640.33 |
| 90674 |
|
44 |
44 |
$635.42 |
| 87804 |
|
29 |
15 |
$586.04 |
| J7120 |
Ringers lactate infusion |
448 |
355 |
$537.10 |
| 80048 |
|
104 |
83 |
$508.52 |
| 87088 |
|
26 |
24 |
$463.82 |
| 85730 |
|
116 |
109 |
$405.92 |
| 87210 |
|
67 |
66 |
$392.67 |
| 90661 |
|
27 |
27 |
$341.54 |
| 84703 |
|
16 |
14 |
$256.47 |
| 87880 |
|
15 |
15 |
$242.12 |
| 83020 |
|
13 |
13 |
$185.74 |
| 90656 |
|
13 |
13 |
$94.15 |
| 87147 |
|
18 |
17 |
$89.56 |
| 83605 |
|
12 |
12 |
$82.57 |
| J2405 |
Ondansetron hcl injection |
338 |
281 |
$82.24 |
| 87081 |
|
13 |
13 |
$81.49 |
| J2270 |
Morphine sulfate injection |
77 |
54 |
$41.75 |
| J1885 |
Ketorolac tromethamine inj |
52 |
37 |
$24.42 |
| G0480 |
Drug test def 1-7 classes |
56 |
52 |
$20.70 |
| J3010 |
Fentanyl citrate injection |
62 |
39 |
$6.41 |
| J2704 |
Inj, propofol, 10 mg |
381 |
258 |
$0.00 |
| A9270 |
Non-covered item or service |
695 |
238 |
$0.00 |
| 82962 |
|
215 |
123 |
$0.00 |