| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
4,278 |
3,926 |
$1.37M |
| 99283 |
|
6,878 |
6,536 |
$872K |
| 99284 |
|
3,748 |
3,555 |
$735K |
| 97110 |
|
10,528 |
3,796 |
$310K |
| 96374 |
|
2,212 |
2,036 |
$213K |
| 92507 |
|
5,139 |
1,922 |
$210K |
| 97530 |
|
4,451 |
1,812 |
$164K |
| 99282 |
|
2,259 |
2,181 |
$159K |
| 74177 |
|
1,054 |
1,020 |
$156K |
| 96365 |
|
1,566 |
1,130 |
$152K |
| G0463 |
Hospital outpt clinic visit |
1,685 |
1,083 |
$102K |
| 71046 |
|
2,363 |
2,263 |
$88K |
| 96375 |
|
2,344 |
1,842 |
$76K |
| 96361 |
|
1,969 |
1,729 |
$65K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,461 |
1,402 |
$64K |
| 84443 |
|
8,350 |
8,066 |
$60K |
| 80053 |
|
18,293 |
16,272 |
$59K |
| 70450 |
|
656 |
632 |
$58K |
| 97140 |
|
3,465 |
1,277 |
$58K |
| 88305 |
|
2,421 |
1,243 |
$57K |
| 80061 |
|
5,079 |
5,062 |
$57K |
| 85025 |
|
21,526 |
18,762 |
$52K |
| 36415 |
|
29,889 |
25,374 |
$49K |
| 71045 |
|
1,032 |
981 |
$40K |
| 87491 |
|
1,664 |
1,632 |
$29K |
| 87591 |
|
1,608 |
1,576 |
$28K |
| 41899 |
|
12 |
12 |
$28K |
| U0002 |
Covid-19 lab test non-cdc |
1,065 |
1,033 |
$27K |
| 82306 |
|
1,840 |
1,827 |
$24K |
| G0330 |
Facility svs dental rehab |
13 |
13 |
$22K |
| 87637 |
|
286 |
285 |
$22K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,349 |
1,344 |
$21K |
| 83036 |
|
3,829 |
3,805 |
$19K |
| 87635 |
|
666 |
646 |
$18K |
| 97162 |
|
338 |
336 |
$18K |
| 77067 |
|
341 |
339 |
$16K |
| 84439 |
|
3,526 |
3,467 |
$16K |
| 86900 |
|
517 |
488 |
$15K |
| U0005 |
Infec agen detec ampli probe |
999 |
977 |
$15K |
| 87086 |
|
4,695 |
4,314 |
$13K |
| 82728 |
|
2,036 |
1,937 |
$13K |
| 76856 |
|
228 |
222 |
$12K |
| 87624 |
|
663 |
659 |
$12K |
| 87088 |
|
4,106 |
3,768 |
$12K |
| 87186 |
|
2,460 |
2,341 |
$11K |
| 96360 |
|
89 |
80 |
$10K |
| 96372 |
|
2,394 |
2,001 |
$9K |
| 76801 |
|
159 |
151 |
$9K |
| 87636 |
|
117 |
117 |
$9K |
| 87806 |
|
944 |
924 |
$9K |
| 76830 |
|
145 |
139 |
$8K |
| 73610 |
|
364 |
320 |
$8K |
| 83655 |
|
1,016 |
1,002 |
$7K |
| 93005 |
|
2,562 |
2,327 |
$7K |
| 87081 |
|
2,460 |
2,406 |
$7K |
| 82607 |
|
948 |
939 |
$7K |
| 96366 |
|
92 |
52 |
$6K |
| 81001 |
|
8,691 |
7,952 |
$6K |
| 86803 |
|
1,291 |
1,279 |
$6K |
| 87633 |
|
44 |
43 |
$5K |
| 80048 |
|
1,874 |
1,730 |
$5K |
| 87070 |
|
1,563 |
1,498 |
$5K |
| 87880 |
|
1,177 |
1,153 |
$5K |
| 93010 |
|
990 |
870 |
$5K |
| 43239 |
|
12 |
12 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$5K |
| 76816 |
|
98 |
84 |
$4K |
| 85027 |
|
1,615 |
1,486 |
$4K |
| 86850 |
|
594 |
570 |
$4K |
| 77063 |
|
308 |
308 |
$4K |
| 76705 |
|
62 |
62 |
$4K |
| 73630 |
|
230 |
219 |
$4K |
| 80305 |
|
1,289 |
1,079 |
$3K |
| 97161 |
|
64 |
64 |
$3K |
| 82570 |
|
1,257 |
1,189 |
$3K |
| 73110 |
|
108 |
85 |
$3K |
| 87804 |
|
1,020 |
593 |
$3K |
| 86140 |
|
1,569 |
1,508 |
$3K |
| 73562 |
|
107 |
99 |
$2K |
| 83735 |
|
3,884 |
3,461 |
$2K |
| 86592 |
|
815 |
803 |
$2K |
| 85652 |
|
2,082 |
2,027 |
$2K |
| 73130 |
|
114 |
85 |
$2K |
| 87340 |
|
816 |
805 |
$2K |
| 85610 |
|
2,095 |
1,762 |
$2K |
| 84481 |
|
204 |
200 |
$2K |
| 76805 |
|
29 |
29 |
$2K |
| 82043 |
|
533 |
533 |
$2K |
| 0012A |
|
45 |
45 |
$2K |
| 83540 |
|
455 |
447 |
$2K |
| 76815 |
|
47 |
45 |
$1K |
| 84703 |
|
3,229 |
2,995 |
$1K |
| 72148 |
|
12 |
12 |
$1K |
| 71275 |
|
12 |
12 |
$1K |
| 87389 |
|
200 |
200 |
$1K |
| 87077 |
|
312 |
296 |
$1K |
| 74176 |
|
12 |
12 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
198 |
192 |
$1K |
| 83690 |
|
2,009 |
1,837 |
$1K |
| 74019 |
|
70 |
67 |
$1K |
| 0011A |
|
70 |
61 |
$922.95 |
| 73030 |
|
47 |
40 |
$891.84 |
| 84702 |
|
144 |
107 |
$761.53 |
| 00170 |
|
13 |
13 |
$757.37 |
| 84145 |
|
1,155 |
1,047 |
$755.85 |
| 86038 |
|
174 |
174 |
$711.18 |
| 82950 |
|
255 |
253 |
$696.84 |
| Q0111 |
Wet mounts/ w preparations |
89 |
82 |
$686.03 |
| 80307 |
|
544 |
481 |
$605.87 |
| 85730 |
|
814 |
769 |
$471.75 |
| 87581 |
|
44 |
43 |
$460.56 |
| 87486 |
|
44 |
43 |
$460.56 |
| 87210 |
|
194 |
188 |
$438.15 |
| 83550 |
|
96 |
96 |
$420.21 |
| 99281 |
|
12 |
12 |
$419.40 |
| 72100 |
|
15 |
15 |
$387.88 |
| 86756 |
|
138 |
130 |
$382.78 |
| 83615 |
|
201 |
170 |
$343.51 |
| 85378 |
|
207 |
200 |
$236.70 |
| 73502 |
|
13 |
13 |
$220.67 |
| 83880 |
|
26 |
24 |
$206.18 |
| 86704 |
|
38 |
38 |
$204.67 |
| 84484 |
|
1,515 |
1,295 |
$190.38 |
| 94640 |
|
216 |
174 |
$166.34 |
| 88304 |
|
27 |
13 |
$154.90 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,105 |
2,022 |
$106.24 |
| 83605 |
|
1,807 |
1,635 |
$98.69 |
| 82550 |
|
209 |
183 |
$91.20 |
| 82077 |
|
731 |
654 |
$90.79 |
| 82652 |
|
13 |
13 |
$45.82 |
| 86430 |
|
13 |
13 |
$34.30 |
| 86431 |
|
26 |
26 |
$34.28 |
| 82042 |
|
12 |
12 |
$29.82 |
| 80076 |
|
16 |
14 |
$24.30 |
| 84550 |
|
16 |
14 |
$15.84 |
| 80143 |
|
298 |
274 |
$10.40 |
| 86762 |
|
13 |
13 |
$9.04 |
| J1885 |
Ketorolac tromethamine inj |
3,274 |
2,992 |
$0.00 |
| 0241U |
|
324 |
316 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
335 |
317 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,385 |
2,321 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,297 |
1,178 |
$0.00 |
| 86901 |
|
516 |
488 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
804 |
777 |
$0.00 |
| 0240U |
|
647 |
630 |
$0.00 |
| A9270 |
Non-covered item or service |
617 |
522 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
40 |
40 |
$0.00 |
| J1170 |
Hydromorphone injection |
88 |
79 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
43 |
40 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,742 |
2,525 |
$0.00 |
| 80179 |
|
294 |
272 |
$0.00 |
| J2270 |
Morphine sulfate injection |
13 |
13 |
$0.00 |
| 99001 |
|
14 |
13 |
$0.00 |