| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,706 |
12,065 |
$2.00M |
| 41899 |
|
487 |
442 |
$958K |
| 99284 |
|
5,719 |
4,960 |
$926K |
| 99282 |
|
3,390 |
3,052 |
$431K |
| 71045 |
|
2,474 |
2,087 |
$353K |
| 99285 |
|
2,248 |
1,774 |
$305K |
| C9803 |
Hopd covid-19 spec collect |
5,288 |
4,004 |
$279K |
| 71046 |
|
1,419 |
1,220 |
$193K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,597 |
1,846 |
$169K |
| 80053 |
|
15,015 |
11,992 |
$83K |
| 87636 |
|
664 |
613 |
$74K |
| 85025 |
|
19,526 |
14,993 |
$73K |
| 41115 |
|
98 |
93 |
$52K |
| 92507 |
|
360 |
132 |
$50K |
| 36415 |
|
25,776 |
19,168 |
$50K |
| 93005 |
|
620 |
485 |
$44K |
| 87502 |
|
531 |
475 |
$31K |
| 97110 |
|
234 |
61 |
$26K |
| 96374 |
|
1,851 |
1,492 |
$26K |
| 84443 |
|
2,645 |
2,410 |
$25K |
| 74177 |
|
76 |
67 |
$25K |
| 66984 |
|
16 |
12 |
$24K |
| 87637 |
|
178 |
167 |
$23K |
| 87651 |
|
582 |
480 |
$22K |
| 80061 |
|
2,195 |
2,043 |
$17K |
| 87635 |
|
463 |
389 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
718 |
518 |
$15K |
| 93306 |
|
31 |
24 |
$14K |
| 80307 |
|
281 |
244 |
$13K |
| 81001 |
|
7,365 |
6,354 |
$13K |
| 97530 |
|
120 |
40 |
$13K |
| 87591 |
|
465 |
382 |
$12K |
| 87491 |
|
474 |
381 |
$11K |
| 87631 |
|
58 |
23 |
$10K |
| 96361 |
|
314 |
268 |
$10K |
| U0005 |
Infec agen detec ampli probe |
689 |
514 |
$9K |
| 96375 |
|
928 |
719 |
$7K |
| 83036 |
|
1,453 |
1,353 |
$7K |
| 77067 |
|
30 |
27 |
$6K |
| 87086 |
|
661 |
543 |
$5K |
| 85027 |
|
928 |
818 |
$5K |
| 70450 |
|
38 |
32 |
$4K |
| 84703 |
|
804 |
701 |
$4K |
| 96372 |
|
165 |
126 |
$4K |
| 87804 |
|
144 |
59 |
$4K |
| 74018 |
|
28 |
26 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31 |
30 |
$3K |
| 80081 |
|
44 |
38 |
$2K |
| P9604 |
One-way allow prorated trip |
1,275 |
970 |
$2K |
| 83655 |
|
191 |
181 |
$2K |
| 87389 |
|
131 |
112 |
$2K |
| 80048 |
|
661 |
523 |
$2K |
| G0378 |
Hospital observation per hr |
218 |
89 |
$2K |
| 84484 |
|
233 |
148 |
$2K |
| 77063 |
|
30 |
27 |
$1K |
| 83605 |
|
220 |
157 |
$1K |
| 83690 |
|
416 |
348 |
$1K |
| 87633 |
|
16 |
12 |
$1K |
| 86762 |
|
107 |
96 |
$1K |
| 86780 |
|
120 |
101 |
$1K |
| 76805 |
|
13 |
12 |
$1K |
| 87634 |
|
33 |
32 |
$1K |
| 88175 |
|
86 |
72 |
$975.13 |
| 81025 |
|
278 |
239 |
$970.77 |
| 87660 |
|
52 |
43 |
$757.97 |
| 87480 |
|
52 |
43 |
$737.92 |
| 87510 |
|
52 |
43 |
$737.92 |
| 87340 |
|
106 |
90 |
$675.43 |
| 86803 |
|
53 |
46 |
$621.44 |
| 86850 |
|
159 |
130 |
$562.79 |
| 82043 |
|
118 |
110 |
$547.99 |
| 82728 |
|
74 |
64 |
$501.77 |
| 82570 |
|
106 |
98 |
$450.60 |
| 83735 |
|
88 |
74 |
$415.41 |
| 73630 |
|
12 |
12 |
$380.70 |
| 83550 |
|
76 |
65 |
$335.44 |
| 84439 |
|
68 |
63 |
$330.14 |
| 82306 |
|
12 |
12 |
$306.81 |
| 88143 |
|
19 |
16 |
$291.24 |
| 83540 |
|
75 |
65 |
$264.05 |
| 86900 |
|
119 |
104 |
$256.59 |
| 86901 |
|
119 |
104 |
$256.58 |
| 82077 |
|
12 |
12 |
$184.25 |
| 82607 |
|
14 |
14 |
$180.17 |
| 85730 |
|
24 |
19 |
$118.98 |
| 85610 |
|
24 |
19 |
$84.96 |
| 82950 |
|
12 |
12 |
$55.11 |
| 85014 |
|
12 |
12 |
$39.24 |
| J2704 |
Inj, propofol, 10 mg |
432 |
400 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
373 |
349 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
380 |
355 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
87 |
85 |
$0.00 |
| 83880 |
|
24 |
12 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
81 |
75 |
$0.00 |
| J7030 |
Normal saline solution infus |
385 |
343 |
$0.00 |
| J7120 |
Ringers lactate infusion |
95 |
82 |
$0.00 |
| 0202U |
|
351 |
312 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
431 |
385 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
37 |
37 |
$0.00 |