| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
8,808 |
8,111 |
$2.90M |
| 99284 |
|
6,030 |
5,622 |
$1.33M |
| 99283 |
|
4,518 |
4,272 |
$811K |
| 96374 |
|
3,254 |
2,964 |
$353K |
| 36415 |
|
9,883 |
8,842 |
$194K |
| 87637 |
|
867 |
849 |
$111K |
| 96361 |
|
1,867 |
1,710 |
$105K |
| G0463 |
Hospital outpt clinic visit |
724 |
622 |
$69K |
| 80053 |
|
5,638 |
5,129 |
$51K |
| 93005 |
|
2,510 |
2,276 |
$42K |
| 96375 |
|
1,039 |
942 |
$37K |
| 87636 |
|
192 |
183 |
$24K |
| 99282 |
|
363 |
345 |
$20K |
| C9803 |
Hopd covid-19 spec collect |
1,148 |
1,112 |
$17K |
| 71046 |
|
457 |
439 |
$16K |
| 74177 |
|
86 |
80 |
$14K |
| 93798 |
|
148 |
26 |
$14K |
| 93010 |
|
4,614 |
3,541 |
$13K |
| 80048 |
|
1,282 |
1,137 |
$11K |
| 85025 |
|
9,527 |
8,706 |
$10K |
| 96360 |
|
56 |
53 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
70 |
68 |
$3K |
| 99281 |
|
33 |
33 |
$3K |
| 81001 |
|
1,937 |
1,804 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
41 |
38 |
$3K |
| J7030 |
Normal saline solution infus |
2,988 |
2,572 |
$2K |
| 84484 |
|
501 |
405 |
$1K |
| 71045 |
|
13 |
13 |
$853.18 |
| 96372 |
|
67 |
61 |
$775.41 |
| 85027 |
|
1,256 |
1,141 |
$745.42 |
| 87804 |
|
394 |
193 |
$610.36 |
| 83690 |
|
993 |
926 |
$513.20 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
791 |
729 |
$506.10 |
| 80307 |
|
16 |
13 |
$446.16 |
| 86141 |
|
45 |
42 |
$303.52 |
| J2405 |
Ondansetron hcl injection |
756 |
629 |
$233.56 |
| J7040 |
Normal saline solution infus |
193 |
164 |
$228.95 |
| 83735 |
|
217 |
200 |
$135.18 |
| J7120 |
Ringers lactate infusion |
71 |
63 |
$112.38 |
| 83605 |
|
34 |
27 |
$101.91 |
| 81025 |
|
131 |
118 |
$101.02 |
| 87651 |
|
13 |
13 |
$64.94 |
| J1885 |
Ketorolac tromethamine inj |
572 |
527 |
$52.76 |
| 81003 |
|
146 |
131 |
$51.71 |
| 87650 |
|
61 |
59 |
$49.54 |
| 82248 |
|
275 |
252 |
$45.79 |
| 86140 |
|
160 |
155 |
$37.46 |
| 87086 |
|
311 |
293 |
$31.13 |
| J2704 |
Inj, propofol, 10 mg |
15 |
12 |
$29.48 |
| 84703 |
|
44 |
39 |
$5.74 |
| J2270 |
Morphine sulfate injection |
17 |
14 |
$5.01 |
| 85610 |
|
55 |
54 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
400 |
251 |
$0.00 |
| 94640 |
|
17 |
14 |
$0.00 |