| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
24,327 |
20,660 |
$1.87M |
| 87798 |
|
24,287 |
19,055 |
$1.42M |
| 87502 |
|
16,896 |
14,616 |
$1.18M |
| 87634 |
|
16,877 |
14,600 |
$972K |
| 99213 |
|
15,605 |
13,488 |
$846K |
| 99204 |
|
7,178 |
6,470 |
$703K |
| U0004 |
Cov-19 test non-cdc hgh thru |
12,983 |
10,390 |
$675K |
| 87426 |
|
21,475 |
17,888 |
$541K |
| 87651 |
|
13,656 |
11,752 |
$386K |
| 87633 |
|
1,409 |
1,231 |
$367K |
| U0002 |
Covid-19 lab test non-cdc |
7,738 |
6,866 |
$342K |
| 99203 |
|
4,707 |
4,306 |
$307K |
| 87804 |
|
42,922 |
18,266 |
$231K |
| U0005 |
Infec agen detec ampli probe |
12,971 |
10,388 |
$213K |
| 87581 |
|
6,788 |
5,680 |
$187K |
| 87486 |
|
6,776 |
5,673 |
$187K |
| G2023 |
Specimen collect covid-19 |
13,619 |
10,918 |
$132K |
| 87481 |
|
1,242 |
1,041 |
$124K |
| 87801 |
|
1,222 |
1,006 |
$62K |
| 87880 |
|
4,635 |
4,063 |
$50K |
| 87631 |
|
631 |
271 |
$36K |
| 87640 |
|
1,318 |
1,115 |
$35K |
| 87653 |
|
1,229 |
1,035 |
$33K |
| 96372 |
|
2,195 |
1,790 |
$25K |
| 99050 |
|
8,463 |
7,499 |
$24K |
| 94640 |
|
2,697 |
1,204 |
$23K |
| 87500 |
|
845 |
640 |
$21K |
| 99072 |
|
14,304 |
11,522 |
$8K |
| 87807 |
|
827 |
729 |
$6K |
| 81002 |
|
2,272 |
2,002 |
$5K |
| 99401 |
|
231 |
186 |
$2K |
| 87491 |
|
105 |
78 |
$2K |
| 87591 |
|
100 |
75 |
$2K |
| A7003 |
Nebulizer administration set |
1,375 |
1,187 |
$2K |
| A7015 |
Aerosol mask used w nebulize |
1,366 |
1,178 |
$1K |
| 90686 |
|
99 |
99 |
$1K |
| 81025 |
|
181 |
163 |
$1K |
| 99173 |
|
754 |
682 |
$1K |
| 99212 |
|
28 |
25 |
$887.63 |
| 87661 |
|
89 |
66 |
$857.19 |
| 90460 |
|
318 |
267 |
$655.14 |
| 93000 |
|
63 |
58 |
$606.34 |
| 87635 |
|
15 |
13 |
$568.93 |
| 90619 |
|
21 |
17 |
$556.29 |
| 87541 |
|
14 |
14 |
$500.36 |
| 92551 |
|
57 |
46 |
$287.14 |
| 94760 |
|
600 |
528 |
$273.02 |
| 87529 |
|
20 |
13 |
$249.13 |
| 90715 |
|
12 |
12 |
$246.89 |
| 90713 |
|
24 |
21 |
$229.58 |
| 90707 |
|
18 |
14 |
$199.06 |
| 36415 |
|
124 |
109 |
$196.07 |
| 90700 |
|
20 |
17 |
$174.13 |
| 96110 |
|
38 |
25 |
$164.38 |
| J1100 |
Dexamethasone sodium phos |
1,158 |
1,007 |
$153.86 |
| J1885 |
Ketorolac tromethamine inj |
286 |
250 |
$150.32 |
| 90461 |
|
94 |
68 |
$141.66 |
| 90716 |
|
18 |
14 |
$121.00 |
| 87511 |
|
21 |
14 |
$107.37 |
| 99001 |
|
244 |
216 |
$82.76 |
| J7620 |
Albuterol ipratrop non-comp |
1,187 |
1,029 |
$79.46 |
| 96160 |
|
14 |
12 |
$15.89 |
| J0696 |
Ceftriaxone sodium injection |
49 |
25 |
$9.15 |
| H0033 |
Oral med adm direct observe |
12 |
12 |
$7.00 |
| S9088 |
Services provided in urgent |
397 |
286 |
$0.00 |