| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,783 |
2,592 |
$447K |
| 99283 |
|
3,878 |
3,685 |
$190K |
| 87502 |
|
956 |
927 |
$81K |
| 99285 |
|
513 |
476 |
$66K |
| 87635 |
|
765 |
751 |
$31K |
| C9803 |
Hopd covid-19 spec collect |
1,793 |
1,743 |
$29K |
| 80053 |
|
2,481 |
2,135 |
$24K |
| 85025 |
|
3,741 |
3,167 |
$24K |
| 71045 |
|
943 |
872 |
$20K |
| 93005 |
|
718 |
632 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
337 |
325 |
$15K |
| 74177 |
|
53 |
52 |
$12K |
| 87651 |
|
177 |
177 |
$5K |
| 81001 |
|
1,572 |
1,433 |
$4K |
| 84484 |
|
408 |
327 |
$3K |
| 96374 |
|
327 |
300 |
$3K |
| 99282 |
|
50 |
50 |
$3K |
| 84703 |
|
436 |
390 |
$2K |
| 99281 |
|
41 |
38 |
$2K |
| 87634 |
|
31 |
31 |
$2K |
| 76819 |
|
18 |
13 |
$2K |
| 93976 |
|
45 |
38 |
$2K |
| 80048 |
|
194 |
160 |
$1K |
| 96375 |
|
179 |
152 |
$1K |
| J7030 |
Normal saline solution infus |
691 |
541 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
168 |
144 |
$829.31 |
| 83690 |
|
337 |
296 |
$713.27 |
| 70450 |
|
14 |
13 |
$551.32 |
| 76801 |
|
17 |
13 |
$439.34 |
| J2270 |
Morphine sulfate injection |
289 |
210 |
$371.36 |
| J2405 |
Ondansetron hcl injection |
551 |
451 |
$321.87 |
| 84702 |
|
22 |
13 |
$202.24 |
| J7120 |
Ringers lactate infusion |
16 |
13 |
$125.27 |
| 96361 |
|
45 |
40 |
$81.03 |
| 36415 |
|
884 |
806 |
$61.32 |
| 83735 |
|
27 |
17 |
$50.25 |
| J1885 |
Ketorolac tromethamine inj |
58 |
52 |
$44.98 |
| S3620 |
Newborn metabolic screening |
55 |
53 |
$37.84 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$17.51 |
| A9270 |
Non-covered item or service |
561 |
507 |
$0.05 |