| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
21,074 |
18,292 |
$1.16M |
| 99283 |
|
24,168 |
21,446 |
$979K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,373 |
4,754 |
$413K |
| 99285 |
|
4,851 |
4,229 |
$354K |
| G0463 |
Hospital outpt clinic visit |
15,576 |
12,946 |
$278K |
| 96374 |
|
1,091 |
987 |
$258K |
| 80053 |
|
6,229 |
5,496 |
$137K |
| 99282 |
|
1,722 |
1,580 |
$128K |
| 88305 |
|
4,619 |
4,424 |
$112K |
| 84443 |
|
2,212 |
2,139 |
$104K |
| U0005 |
Infec agen detec ampli probe |
5,421 |
3,935 |
$97K |
| 71046 |
|
877 |
842 |
$85K |
| 36415 |
|
4,324 |
3,852 |
$82K |
| 85025 |
|
6,796 |
5,929 |
$77K |
| 84703 |
|
1,194 |
1,109 |
$71K |
| 84484 |
|
799 |
555 |
$68K |
| 99213 |
|
920 |
901 |
$59K |
| 93010 |
|
18,653 |
15,076 |
$55K |
| 99232 |
|
1,924 |
1,012 |
$40K |
| 74177 |
|
138 |
135 |
$40K |
| 96375 |
|
647 |
550 |
$35K |
| 87491 |
|
652 |
632 |
$32K |
| 87086 |
|
1,452 |
1,330 |
$28K |
| 87591 |
|
653 |
634 |
$27K |
| 0202U |
|
114 |
113 |
$27K |
| 93005 |
|
3,246 |
2,800 |
$23K |
| 80061 |
|
674 |
671 |
$20K |
| 99239 |
|
566 |
538 |
$20K |
| 76816 |
|
81 |
74 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
343 |
297 |
$18K |
| 80048 |
|
659 |
566 |
$17K |
| 87081 |
|
673 |
663 |
$17K |
| 83036 |
|
513 |
512 |
$17K |
| 81003 |
|
1,127 |
1,070 |
$16K |
| 71045 |
|
356 |
343 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
492 |
303 |
$15K |
| 87798 |
|
180 |
177 |
$12K |
| 87070 |
|
345 |
330 |
$12K |
| 73610 |
|
71 |
64 |
$12K |
| 96361 |
|
112 |
105 |
$11K |
| 87502 |
|
193 |
183 |
$9K |
| 81001 |
|
1,178 |
1,073 |
$9K |
| 77067 |
|
50 |
50 |
$9K |
| 99309 |
|
355 |
292 |
$9K |
| 96372 |
|
148 |
130 |
$9K |
| 80306 |
|
101 |
94 |
$9K |
| 84439 |
|
310 |
303 |
$8K |
| 88141 |
|
642 |
614 |
$8K |
| 82306 |
|
123 |
123 |
$7K |
| 87635 |
|
175 |
171 |
$7K |
| 82947 |
|
82 |
68 |
$7K |
| 87661 |
|
164 |
160 |
$6K |
| 86618 |
|
237 |
230 |
$4K |
| 87205 |
|
203 |
197 |
$4K |
| 99308 |
|
138 |
119 |
$3K |
| 83690 |
|
1,037 |
967 |
$3K |
| 0012A |
|
37 |
37 |
$2K |
| 90471 |
|
99 |
99 |
$2K |
| 87186 |
|
87 |
80 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12 |
12 |
$2K |
| 77063 |
|
50 |
50 |
$1K |
| 94010 |
|
511 |
445 |
$1K |
| 81000 |
|
102 |
83 |
$1K |
| 86803 |
|
50 |
50 |
$1K |
| 0011A |
|
36 |
36 |
$938.86 |
| 83655 |
|
43 |
43 |
$871.10 |
| 85652 |
|
81 |
77 |
$843.64 |
| 99462 |
|
30 |
12 |
$740.92 |
| G0123 |
Screen cerv/vag thin layer |
25 |
25 |
$497.60 |
| 87468 |
|
12 |
12 |
$444.65 |
| 87469 |
|
12 |
12 |
$425.32 |
| 87484 |
|
12 |
12 |
$425.32 |
| 99310 |
Prolong nursin fac eval 15m |
16 |
12 |
$335.40 |
| 82570 |
|
38 |
38 |
$325.69 |
| J3490 |
Drugs unclassified injection |
152 |
114 |
$308.47 |
| 83735 |
|
28 |
25 |
$306.57 |
| 85027 |
|
13 |
13 |
$156.86 |
| 82077 |
|
15 |
14 |
$111.87 |
| 82043 |
|
12 |
12 |
$107.32 |
| 85610 |
|
18 |
14 |
$102.30 |
| J2405 |
Ondansetron hcl injection |
864 |
764 |
$73.54 |
| 88304 |
|
13 |
13 |
$44.09 |
| J1100 |
Dexamethasone sodium phos |
298 |
261 |
$43.76 |
| G0500 |
Mod sedat endo service >5yrs |
13 |
12 |
$21.65 |
| 51798 |
|
15 |
15 |
$11.93 |
| J1885 |
Ketorolac tromethamine inj |
636 |
579 |
$11.38 |
| J2250 |
Inj midazolam hydrochloride |
194 |
190 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
121 |
120 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 91301 |
|
69 |
69 |
$0.00 |