| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,063 |
8,555 |
$2.72M |
| 99283 |
|
12,245 |
11,884 |
$1.55M |
| 99285 |
|
1,399 |
1,270 |
$335K |
| 87400 |
|
5,370 |
5,018 |
$295K |
| 99282 |
|
2,919 |
2,857 |
$249K |
| 87635 |
|
5,973 |
5,786 |
$248K |
| 71045 |
|
2,341 |
2,149 |
$231K |
| C9803 |
Hopd covid-19 spec collect |
5,820 |
5,661 |
$149K |
| 93005 |
|
2,192 |
1,969 |
$118K |
| 71046 |
|
706 |
696 |
$100K |
| 80053 |
|
6,180 |
5,535 |
$79K |
| 85025 |
|
6,846 |
6,079 |
$66K |
| 74177 |
|
83 |
82 |
$65K |
| 80307 |
|
684 |
542 |
$63K |
| 87880 |
|
3,117 |
3,056 |
$60K |
| 96374 |
|
2,569 |
2,331 |
$56K |
| 96361 |
|
1,290 |
1,192 |
$52K |
| J7030 |
Normal saline solution infus |
2,448 |
2,180 |
$41K |
| 87807 |
|
1,387 |
1,374 |
$40K |
| 87081 |
|
2,418 |
2,379 |
$32K |
| 83498 |
|
499 |
477 |
$27K |
| 70450 |
|
243 |
229 |
$23K |
| U0002 |
Covid-19 lab test non-cdc |
413 |
405 |
$21K |
| 83021 |
|
502 |
480 |
$18K |
| 82261 |
|
499 |
477 |
$17K |
| 81025 |
|
1,220 |
1,161 |
$17K |
| 81001 |
|
3,923 |
3,657 |
$15K |
| 96375 |
|
901 |
785 |
$12K |
| U0004 |
Cov-19 test non-cdc hgh thru |
98 |
98 |
$11K |
| 99281 |
|
170 |
165 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
74 |
70 |
$7K |
| 84484 |
|
1,089 |
828 |
$6K |
| 87086 |
|
734 |
693 |
$6K |
| 84030 |
|
501 |
479 |
$5K |
| 83690 |
|
552 |
520 |
$5K |
| 96372 |
|
280 |
259 |
$4K |
| 96365 |
|
100 |
97 |
$4K |
| J2405 |
Ondansetron hcl injection |
805 |
733 |
$4K |
| 82550 |
|
759 |
675 |
$3K |
| 82150 |
|
329 |
312 |
$3K |
| 83605 |
|
459 |
390 |
$3K |
| 80048 |
|
491 |
400 |
$3K |
| 81003 |
|
882 |
852 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
204 |
185 |
$2K |
| 82247 |
|
230 |
200 |
$2K |
| 82553 |
|
453 |
408 |
$2K |
| U0005 |
Infec agen detec ampli probe |
58 |
57 |
$2K |
| 83735 |
|
562 |
431 |
$2K |
| 87040 |
|
300 |
163 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
292 |
273 |
$1K |
| 80061 |
|
81 |
72 |
$1K |
| J2270 |
Morphine sulfate injection |
225 |
196 |
$1K |
| 83655 |
|
39 |
39 |
$991.40 |
| 84443 |
|
111 |
100 |
$477.38 |
| 0011A |
|
126 |
107 |
$410.56 |
| 0031A |
|
41 |
38 |
$392.22 |
| 87426 |
|
98 |
87 |
$340.92 |
| 84100 |
|
162 |
126 |
$331.74 |
| 96360 |
|
27 |
25 |
$308.30 |
| 84702 |
|
20 |
14 |
$298.80 |
| 85027 |
|
128 |
94 |
$260.97 |
| 86850 |
|
18 |
12 |
$200.14 |
| 87077 |
|
54 |
36 |
$158.77 |
| 85018 |
|
44 |
44 |
$135.41 |
| 85610 |
|
75 |
62 |
$125.29 |
| 86140 |
|
79 |
62 |
$111.05 |
| 82306 |
|
19 |
18 |
$107.54 |
| 85730 |
|
43 |
36 |
$81.88 |
| 36416 |
|
1,408 |
962 |
$77.98 |
| 86901 |
|
36 |
28 |
$71.04 |
| 86900 |
|
36 |
28 |
$71.04 |
| 85007 |
|
38 |
24 |
$52.04 |
| 82803 |
|
15 |
13 |
$35.71 |
| 83036 |
|
24 |
18 |
$35.30 |
| 36415 |
|
1,109 |
1,039 |
$25.35 |
| 82962 |
|
213 |
108 |
$0.00 |
| A9270 |
Non-covered item or service |
915 |
807 |
$0.00 |
| 83880 |
|
13 |
13 |
$0.00 |
| 91303 |
|
16 |
16 |
$0.00 |
| J2001 |
Lidocaine injection |
14 |
12 |
$0.00 |