| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,509 |
4,012 |
$1.68M |
| 99283 |
|
7,719 |
7,052 |
$1.44M |
| 87426 |
|
3,888 |
3,514 |
$122K |
| 99285 |
|
166 |
152 |
$99K |
| G0378 |
Hospital observation per hr |
69 |
49 |
$77K |
| U0003 |
Cov-19 amp prb hgh thruput |
975 |
929 |
$68K |
| 85025 |
|
11,933 |
10,200 |
$64K |
| 80050 |
|
1,474 |
1,381 |
$62K |
| 80053 |
|
7,953 |
6,921 |
$60K |
| 36415 |
|
24,150 |
20,656 |
$51K |
| 80061 |
|
3,834 |
3,587 |
$44K |
| 0240U |
|
293 |
242 |
$33K |
| 0241U |
|
288 |
246 |
$31K |
| 87804 |
|
1,823 |
1,520 |
$23K |
| 87651 |
|
784 |
711 |
$21K |
| 43239 |
|
49 |
48 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
781 |
723 |
$11K |
| J7030 |
Normal saline solution infus |
259 |
232 |
$11K |
| 83036 |
|
1,367 |
1,272 |
$11K |
| 71045 |
|
183 |
169 |
$10K |
| 84439 |
|
1,015 |
931 |
$9K |
| 80048 |
|
882 |
748 |
$8K |
| 93005 |
|
398 |
352 |
$8K |
| U0005 |
Infec agen detec ampli probe |
330 |
307 |
$7K |
| 71046 |
|
375 |
348 |
$7K |
| 81001 |
|
2,744 |
2,458 |
$6K |
| M0243 |
Casirivi and imdevi inj |
58 |
14 |
$6K |
| 87400 |
|
514 |
376 |
$5K |
| 99282 |
|
85 |
73 |
$5K |
| 80307 |
|
92 |
89 |
$4K |
| 87428 |
|
190 |
180 |
$4K |
| 93041 |
|
76 |
70 |
$3K |
| 87430 |
|
248 |
215 |
$3K |
| 0011A |
|
175 |
158 |
$3K |
| 0012A |
|
89 |
87 |
$3K |
| 99281 |
|
50 |
47 |
$3K |
| 87070 |
|
284 |
271 |
$3K |
| 82306 |
|
125 |
110 |
$3K |
| 87635 |
|
78 |
73 |
$3K |
| 84443 |
|
181 |
171 |
$2K |
| G0480 |
Drug test def 1-7 classes |
23 |
23 |
$2K |
| 87491 |
|
51 |
46 |
$2K |
| 87591 |
|
51 |
46 |
$2K |
| 83735 |
|
333 |
275 |
$2K |
| 81025 |
|
174 |
165 |
$1K |
| 87086 |
|
222 |
197 |
$1K |
| J2765 |
Metoclopramide hcl injection |
104 |
98 |
$1K |
| Q3014 |
Telehealth facility fee |
362 |
321 |
$1K |
| 83880 |
|
42 |
41 |
$1K |
| J7120 |
Ringers lactate infusion |
625 |
562 |
$957.13 |
| 80074 |
|
17 |
16 |
$666.82 |
| J2405 |
Ondansetron hcl injection |
28 |
26 |
$601.76 |
| 84484 |
|
63 |
63 |
$511.27 |
| 87389 |
|
20 |
20 |
$481.60 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17 |
14 |
$376.90 |
| A9270 |
Non-covered item or service |
12,852 |
7,299 |
$304.66 |
| J2704 |
Inj, propofol, 10 mg |
693 |
586 |
$270.37 |
| 82607 |
|
13 |
13 |
$196.04 |
| 82746 |
|
13 |
13 |
$191.10 |
| 84481 |
|
13 |
13 |
$174.59 |
| J0702 |
Betamethasone acet&sod phosp |
18 |
14 |
$132.66 |
| 87807 |
|
13 |
12 |
$131.00 |
| J3490 |
Drugs unclassified injection |
974 |
467 |
$101.15 |
| 86592 |
|
20 |
20 |
$85.40 |
| 87077 |
|
52 |
51 |
$77.87 |
| 83690 |
|
14 |
13 |
$68.90 |
| 87186 |
|
12 |
12 |
$64.02 |
| 87210 |
|
24 |
24 |
$63.91 |
| J1100 |
Dexamethasone sodium phos |
19 |
13 |
$62.80 |
| 82570 |
|
12 |
12 |
$62.16 |
| 82043 |
|
12 |
12 |
$52.02 |
| 82044 |
|
12 |
12 |
$49.68 |
| C9399 |
Unclassified drugs or biolog |
25 |
24 |
$0.90 |
| 91301 |
|
189 |
169 |
$0.02 |
| Q0243 |
Casirivimab and imdevimab |
54 |
14 |
$0.00 |