| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
3,870 |
3,016 |
$395K |
| 99284 |
|
1,269 |
1,016 |
$199K |
| 99285 |
|
471 |
415 |
$105K |
| 96372 |
|
2,666 |
2,058 |
$99K |
| 80307 |
|
2,156 |
1,728 |
$67K |
| 99282 |
|
858 |
658 |
$55K |
| G0481 |
Drug test def 8-14 classes |
667 |
624 |
$45K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,282 |
824 |
$45K |
| G0483 |
Drug test def 22+ classes |
1,099 |
671 |
$40K |
| G0482 |
Drug test def 15-21 classes |
565 |
444 |
$27K |
| 80053 |
|
2,484 |
1,882 |
$16K |
| 85025 |
|
2,686 |
1,932 |
$13K |
| 96365 |
|
177 |
90 |
$12K |
| 71046 |
|
280 |
219 |
$8K |
| 36415 |
|
3,314 |
2,401 |
$6K |
| 87634 |
|
177 |
148 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
156 |
125 |
$3K |
| 87633 |
|
13 |
12 |
$3K |
| 87400 |
|
305 |
259 |
$3K |
| U0005 |
Infec agen detec ampli probe |
220 |
160 |
$3K |
| 99281 |
|
74 |
66 |
$3K |
| G0463 |
Hospital outpt clinic visit |
356 |
254 |
$3K |
| 81001 |
|
1,449 |
1,120 |
$3K |
| 87430 |
|
205 |
171 |
$2K |
| 93005 |
|
118 |
101 |
$2K |
| 85049 |
|
406 |
256 |
$838.41 |
| 87801 |
|
37 |
25 |
$628.71 |
| 71045 |
|
21 |
16 |
$592.55 |
| 85041 |
|
405 |
257 |
$575.40 |
| 85048 |
|
409 |
258 |
$486.45 |
| 87551 |
|
24 |
12 |
$477.62 |
| 85014 |
|
405 |
258 |
$457.19 |
| 87481 |
|
38 |
25 |
$456.17 |
| 85018 |
|
415 |
269 |
$452.81 |
| 0011A |
|
48 |
36 |
$391.50 |
| 0012A |
|
22 |
18 |
$339.00 |
| 84443 |
|
38 |
31 |
$166.53 |
| 82565 |
|
43 |
34 |
$119.86 |
| 82310 |
|
43 |
34 |
$116.00 |
| 84295 |
|
44 |
34 |
$112.58 |
| 87556 |
|
12 |
12 |
$112.53 |
| 84132 |
|
44 |
34 |
$111.28 |
| 82374 |
|
43 |
34 |
$109.75 |
| 84460 |
|
37 |
32 |
$109.71 |
| 84075 |
|
37 |
32 |
$107.18 |
| 84450 |
|
37 |
32 |
$107.18 |
| 87651 |
|
15 |
13 |
$105.27 |
| 87541 |
|
12 |
12 |
$105.27 |
| 87581 |
|
13 |
12 |
$105.27 |
| 87486 |
|
13 |
12 |
$105.27 |
| 82435 |
|
41 |
34 |
$103.50 |
| J1885 |
Ketorolac tromethamine inj |
1,127 |
915 |
$97.61 |
| 82040 |
|
37 |
32 |
$93.58 |
| 0001A |
|
18 |
12 |
$93.00 |
| 84520 |
|
41 |
34 |
$89.00 |
| 81025 |
|
14 |
12 |
$81.00 |
| 80048 |
|
63 |
39 |
$79.61 |
| 84155 |
|
37 |
32 |
$75.90 |
| 84484 |
|
26 |
13 |
$72.93 |
| 82247 |
|
23 |
19 |
$67.80 |
| 83690 |
|
16 |
12 |
$65.10 |
| 82947 |
|
25 |
20 |
$56.64 |
| 83992 |
|
51 |
41 |
$54.45 |
| J1100 |
Dexamethasone sodium phos |
209 |
170 |
$14.44 |
| 99213 |
|
235 |
212 |
$0.00 |
| J2001 |
Lidocaine injection |
78 |
66 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
206 |
157 |
$0.00 |
| 99335 |
|
352 |
335 |
$0.00 |
| 80359 |
|
48 |
41 |
$0.00 |
| 82962 |
|
170 |
160 |
$0.00 |
| 80353 |
|
48 |
41 |
$0.00 |
| 80358 |
|
48 |
41 |
$0.00 |
| 80324 |
|
48 |
41 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
83 |
66 |
$0.00 |
| 80357 |
|
19 |
14 |
$0.00 |
| 99336 |
|
31 |
30 |
$0.00 |
| 87631 |
|
203 |
164 |
$0.00 |
| 80361 |
|
48 |
41 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 80323 |
|
48 |
41 |
$0.00 |
| 80348 |
|
48 |
41 |
$0.00 |
| 11720 |
|
29 |
29 |
$0.00 |
| 80365 |
|
48 |
41 |
$0.00 |
| 11721 |
|
13 |
13 |
$0.00 |
| 99334 |
|
900 |
652 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |
| 80354 |
|
48 |
41 |
$0.00 |
| 80356 |
|
48 |
41 |
$0.00 |
| 80369 |
|
25 |
23 |
$0.00 |
| 80373 |
|
48 |
41 |
$0.00 |
| 80372 |
|
47 |
40 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
14 |
$0.00 |
| 80362 |
|
19 |
14 |
$0.00 |
| 80346 |
|
48 |
41 |
$0.00 |