| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
11,012 |
9,454 |
$848K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,205 |
6,651 |
$558K |
| 99213 |
|
7,524 |
6,420 |
$436K |
| 87635 |
|
6,095 |
5,589 |
$325K |
| U0005 |
Infec agen detec ampli probe |
7,048 |
6,518 |
$181K |
| 97110 |
|
2,312 |
662 |
$129K |
| 97530 |
|
1,216 |
390 |
$73K |
| 99490 |
Ccm add 20min |
2,161 |
2,155 |
$69K |
| 97140 |
|
2,061 |
645 |
$48K |
| 99204 |
|
252 |
248 |
$37K |
| G2023 |
Specimen collect covid-19 |
1,495 |
1,356 |
$36K |
| 99203 |
|
375 |
373 |
$35K |
| 95886 |
|
249 |
193 |
$30K |
| 97014 |
|
1,813 |
571 |
$27K |
| 87804 |
|
1,085 |
531 |
$17K |
| 99487 |
Ccm add 20min |
249 |
248 |
$16K |
| 80053 |
|
1,594 |
1,552 |
$15K |
| 95911 |
|
64 |
62 |
$14K |
| 87880 |
|
793 |
773 |
$12K |
| 99211 |
|
643 |
391 |
$11K |
| 85025 |
|
1,651 |
1,586 |
$11K |
| 99443 |
|
76 |
70 |
$11K |
| 76881 |
|
99 |
59 |
$11K |
| 96372 |
|
666 |
575 |
$10K |
| 36415 |
|
2,786 |
2,638 |
$10K |
| 97010 |
|
689 |
218 |
$9K |
| 0012A |
|
213 |
213 |
$9K |
| 96101 |
|
142 |
138 |
$9K |
| 99072 |
|
176 |
164 |
$8K |
| 0011A |
|
240 |
240 |
$8K |
| 97162 |
|
179 |
178 |
$8K |
| 99202 |
|
94 |
92 |
$7K |
| 80061 |
|
514 |
509 |
$6K |
| 87426 |
|
529 |
471 |
$6K |
| 95117 |
|
649 |
344 |
$6K |
| 94375 |
|
166 |
105 |
$5K |
| 96127 |
|
653 |
635 |
$5K |
| 80050 |
|
99 |
98 |
$5K |
| 99442 |
|
42 |
36 |
$5K |
| 90471 |
|
231 |
230 |
$4K |
| 82575 |
|
563 |
545 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
253 |
243 |
$3K |
| 80305 |
|
345 |
339 |
$3K |
| 90688 |
|
190 |
189 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$3K |
| G0506 |
Comp asses care plan ccm svc |
121 |
119 |
$3K |
| 83036 |
|
274 |
272 |
$2K |
| 81003 |
|
1,886 |
1,813 |
$2K |
| 85651 |
|
626 |
612 |
$2K |
| 0064A |
|
50 |
49 |
$2K |
| 82948 |
|
494 |
408 |
$2K |
| 84443 |
|
103 |
102 |
$2K |
| 99489 |
Ccm add 20min |
47 |
47 |
$1K |
| 80307 |
|
34 |
33 |
$1K |
| 86140 |
|
229 |
224 |
$950.54 |
| 96360 |
|
27 |
25 |
$785.23 |
| 99212 |
|
18 |
18 |
$769.24 |
| 97035 |
|
67 |
28 |
$693.69 |
| 99050 |
|
46 |
45 |
$659.46 |
| 99439 |
|
14 |
14 |
$599.98 |
| J1885 |
Ketorolac tromethamine inj |
333 |
320 |
$521.09 |
| 71046 |
|
25 |
25 |
$513.84 |
| 95921 |
|
12 |
12 |
$460.32 |
| 81025 |
|
48 |
47 |
$383.06 |
| 82306 |
|
13 |
13 |
$371.92 |
| 90756 |
|
12 |
12 |
$363.31 |
| 82962 |
|
122 |
94 |
$349.82 |
| 72100 |
|
12 |
12 |
$340.61 |
| 36416 |
|
184 |
150 |
$214.24 |
| 81001 |
|
107 |
106 |
$188.46 |
| 93000 |
|
13 |
13 |
$180.86 |
| 81007 |
|
12 |
12 |
$144.00 |
| G0008 |
Admin influenza virus vac |
24 |
24 |
$101.02 |
| 99408 |
|
32 |
26 |
$82.92 |
| 84550 |
|
12 |
12 |
$50.80 |
| J3490 |
Drugs unclassified injection |
61 |
60 |
$41.89 |
| J1100 |
Dexamethasone sodium phos |
15 |
14 |
$10.50 |
| J7040 |
Normal saline solution infus |
15 |
14 |
$8.28 |
| J2001 |
Lidocaine injection |
59 |
56 |
$3.19 |
| G8427 |
Docrev cur meds by elig clin |
1,111 |
872 |
$0.02 |
| 1160F |
|
114 |
81 |
$0.00 |
| 1159F |
|
119 |
84 |
$0.00 |
| 82565 |
|
13 |
13 |
$0.00 |