| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,389 |
12,336 |
$2.42M |
| 99283 |
|
14,624 |
11,924 |
$2.19M |
| 71045 |
|
7,078 |
5,231 |
$889K |
| 99285 |
|
5,780 |
4,234 |
$735K |
| 74177 |
|
1,863 |
1,311 |
$722K |
| 93005 |
|
9,245 |
5,986 |
$470K |
| C9803 |
Hopd covid-19 spec collect |
5,677 |
4,443 |
$331K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,483 |
2,552 |
$258K |
| 70450 |
|
2,476 |
1,797 |
$232K |
| 87426 |
|
7,362 |
5,806 |
$182K |
| 43239 |
|
152 |
110 |
$143K |
| 74176 |
|
763 |
542 |
$117K |
| 80053 |
|
20,248 |
14,810 |
$115K |
| 96361 |
|
4,207 |
3,171 |
$108K |
| 80050 |
|
968 |
792 |
$104K |
| 99282 |
|
1,027 |
874 |
$100K |
| 87804 |
|
8,066 |
3,584 |
$97K |
| 85025 |
|
24,116 |
17,112 |
$94K |
| 71046 |
|
820 |
676 |
$74K |
| 96374 |
|
5,260 |
4,064 |
$63K |
| 84484 |
|
7,605 |
4,594 |
$43K |
| 36415 |
|
21,774 |
15,380 |
$39K |
| 72125 |
|
221 |
144 |
$33K |
| 29581 |
|
739 |
156 |
$33K |
| 80307 |
|
951 |
729 |
$30K |
| 71275 |
|
76 |
57 |
$26K |
| 29580 |
|
661 |
118 |
$23K |
| 96375 |
|
2,497 |
1,855 |
$23K |
| 87430 |
|
1,545 |
1,298 |
$18K |
| 83690 |
|
5,622 |
4,127 |
$17K |
| 82306 |
|
858 |
726 |
$16K |
| 81001 |
|
7,612 |
5,634 |
$13K |
| 80061 |
|
1,619 |
1,338 |
$12K |
| 83605 |
|
1,995 |
1,250 |
$12K |
| 80048 |
|
3,451 |
2,637 |
$11K |
| 99221 |
|
38 |
27 |
$10K |
| 96365 |
|
254 |
198 |
$10K |
| 84443 |
|
923 |
763 |
$9K |
| 96360 |
|
257 |
212 |
$8K |
| 87040 |
|
1,720 |
702 |
$8K |
| 83036 |
|
1,409 |
1,148 |
$7K |
| 72131 |
|
35 |
25 |
$6K |
| 87081 |
|
1,130 |
954 |
$6K |
| 96372 |
|
406 |
330 |
$6K |
| 83880 |
|
300 |
217 |
$5K |
| 99238 |
|
21 |
15 |
$5K |
| 81003 |
|
4,083 |
3,063 |
$5K |
| 82607 |
|
432 |
358 |
$4K |
| 95816 |
|
13 |
12 |
$4K |
| 85379 |
|
677 |
512 |
$4K |
| 87661 |
|
138 |
115 |
$4K |
| 87591 |
|
140 |
117 |
$4K |
| 87491 |
|
140 |
117 |
$4K |
| 74018 |
|
31 |
24 |
$4K |
| 85730 |
|
1,367 |
958 |
$4K |
| 99218 |
|
19 |
12 |
$4K |
| 85610 |
|
1,675 |
1,177 |
$3K |
| 84703 |
|
635 |
484 |
$3K |
| 73630 |
|
120 |
78 |
$3K |
| 82077 |
|
221 |
177 |
$3K |
| 87807 |
|
246 |
195 |
$3K |
| 83735 |
|
880 |
491 |
$3K |
| 99214 |
|
18 |
13 |
$2K |
| 80076 |
|
1,207 |
899 |
$2K |
| 96413 |
|
27 |
13 |
$2K |
| 84145 |
|
88 |
66 |
$2K |
| 84450 |
|
488 |
410 |
$2K |
| 87400 |
|
118 |
61 |
$2K |
| 94640 |
|
86 |
69 |
$1K |
| 87086 |
|
228 |
170 |
$879.51 |
| 87635 |
|
17 |
17 |
$847.63 |
| 81025 |
|
160 |
115 |
$811.72 |
| 88305 |
|
175 |
118 |
$801.68 |
| 86803 |
|
63 |
54 |
$682.55 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
12 |
$500.78 |
| 99213 |
|
19 |
12 |
$446.59 |
| G0463 |
Hospital outpt clinic visit |
48 |
26 |
$444.82 |
| 85027 |
|
82 |
71 |
$362.62 |
| 84439 |
|
91 |
68 |
$362.02 |
| 82378 |
|
14 |
12 |
$151.68 |
| 83615 |
|
49 |
39 |
$147.07 |
| 82746 |
|
17 |
12 |
$145.54 |
| 80069 |
|
36 |
18 |
$104.16 |
| 86850 |
|
28 |
25 |
$102.25 |
| 87077 |
|
14 |
12 |
$88.88 |
| 83550 |
|
13 |
12 |
$78.66 |
| 84550 |
|
31 |
25 |
$78.42 |
| 83540 |
|
13 |
12 |
$58.23 |
| J7030 |
Normal saline solution infus |
5,173 |
3,952 |
$53.67 |
| 86900 |
|
28 |
25 |
$50.83 |
| 86901 |
|
28 |
25 |
$50.83 |
| 82043 |
|
17 |
12 |
$18.69 |
| J2405 |
Ondansetron hcl injection |
3,946 |
2,962 |
$0.50 |
| J2270 |
Morphine sulfate injection |
63 |
55 |
$0.00 |
| J7040 |
Normal saline solution infus |
17 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,061 |
820 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
708 |
462 |
$0.00 |
| J1170 |
Hydromorphone injection |
181 |
134 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
369 |
304 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
14 |
13 |
$0.00 |