| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,666 |
9,909 |
$3.29M |
| 99285 |
|
1,223 |
1,141 |
$219K |
| 99283 |
|
4,065 |
3,754 |
$216K |
| 99282 |
|
3,759 |
3,471 |
$214K |
| 80053 |
|
8,596 |
7,288 |
$139K |
| 85025 |
|
9,483 |
7,963 |
$85K |
| 74177 |
|
740 |
691 |
$75K |
| 71045 |
|
3,242 |
2,913 |
$65K |
| 93005 |
|
2,455 |
2,133 |
$65K |
| 87636 |
|
1,086 |
1,016 |
$61K |
| 70450 |
|
848 |
786 |
$29K |
| 80061 |
|
190 |
184 |
$28K |
| 36415 |
|
11,211 |
9,823 |
$25K |
| 84443 |
|
515 |
461 |
$24K |
| 0241U |
|
907 |
855 |
$20K |
| 99291 |
|
100 |
87 |
$19K |
| U0003 |
Cov-19 amp prb hgh thruput |
343 |
314 |
$19K |
| 83036 |
|
216 |
207 |
$18K |
| 87651 |
|
544 |
504 |
$17K |
| 84439 |
|
156 |
150 |
$16K |
| 81001 |
|
3,508 |
3,129 |
$15K |
| 93976 |
|
146 |
123 |
$10K |
| 96361 |
|
191 |
151 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
378 |
353 |
$10K |
| 76801 |
|
128 |
105 |
$9K |
| 84484 |
|
1,973 |
1,602 |
$9K |
| C9803 |
Hopd covid-19 spec collect |
1,000 |
927 |
$9K |
| 87086 |
|
798 |
702 |
$7K |
| 81025 |
|
1,057 |
986 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
970 |
888 |
$6K |
| 0002A |
|
588 |
579 |
$6K |
| 83880 |
|
436 |
400 |
$5K |
| 80307 |
|
300 |
252 |
$5K |
| 0001A |
|
556 |
540 |
$4K |
| 84702 |
|
626 |
519 |
$4K |
| 83690 |
|
1,560 |
1,395 |
$4K |
| 99281 |
|
88 |
83 |
$3K |
| 96365 |
|
144 |
88 |
$3K |
| 96375 |
|
489 |
388 |
$3K |
| U0005 |
Infec agen detec ampli probe |
204 |
196 |
$3K |
| 80048 |
|
682 |
523 |
$2K |
| 94760 |
|
148 |
121 |
$2K |
| 96374 |
|
679 |
611 |
$2K |
| 74176 |
|
22 |
22 |
$2K |
| 76817 |
|
17 |
13 |
$1K |
| 83735 |
|
618 |
529 |
$1K |
| 85027 |
|
497 |
397 |
$1K |
| G0463 |
Hospital outpt clinic visit |
1,136 |
870 |
$1K |
| 85610 |
|
873 |
775 |
$1K |
| 72125 |
|
56 |
48 |
$879.40 |
| 85730 |
|
412 |
376 |
$715.29 |
| J2270 |
Morphine sulfate injection |
475 |
373 |
$708.69 |
| 81003 |
|
621 |
583 |
$637.51 |
| J0696 |
Ceftriaxone sodium injection |
206 |
170 |
$570.24 |
| 94640 |
|
27 |
25 |
$567.65 |
| J2405 |
Ondansetron hcl injection |
1,703 |
1,366 |
$557.32 |
| J1885 |
Ketorolac tromethamine inj |
1,348 |
791 |
$532.31 |
| 87420 |
|
15 |
13 |
$316.48 |
| 87430 |
|
44 |
37 |
$303.82 |
| G1004 |
Cdsm ndsc |
1,573 |
1,150 |
$281.80 |
| J3010 |
Fentanyl citrate injection |
354 |
307 |
$259.61 |
| 71046 |
|
13 |
12 |
$218.40 |
| 83605 |
|
54 |
45 |
$177.82 |
| 87186 |
|
77 |
66 |
$138.62 |
| 85007 |
|
84 |
77 |
$124.76 |
| 86901 |
|
61 |
58 |
$107.41 |
| 86900 |
|
64 |
58 |
$104.90 |
| 87077 |
|
28 |
26 |
$85.55 |
| 82728 |
|
32 |
31 |
$79.59 |
| 82962 |
|
902 |
513 |
$65.88 |
| 0012A |
|
94 |
92 |
$36.16 |
| 85379 |
|
14 |
12 |
$25.22 |
| 0011A |
|
31 |
30 |
$21.57 |
| J1100 |
Dexamethasone sodium phos |
35 |
25 |
$8.19 |
| 96372 |
|
80 |
51 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
47 |
24 |
$0.00 |
| 36592 |
|
57 |
47 |
$0.00 |