| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,734 |
17,201 |
$3.13M |
| 99283 |
|
23,791 |
19,181 |
$3.03M |
| 99285 |
|
12,129 |
9,008 |
$1.36M |
| 93005 |
|
12,314 |
9,211 |
$608K |
| 71045 |
|
5,468 |
4,054 |
$573K |
| 59025 |
|
1,750 |
1,034 |
$433K |
| 96361 |
|
6,926 |
4,821 |
$189K |
| 80053 |
|
32,611 |
24,615 |
$154K |
| 85025 |
|
39,511 |
29,127 |
$136K |
| 36415 |
|
72,985 |
54,015 |
$135K |
| 70450 |
|
1,511 |
1,063 |
$103K |
| 71046 |
|
1,522 |
1,197 |
$101K |
| 74176 |
|
645 |
464 |
$96K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,151 |
1,063 |
$93K |
| 99282 |
|
910 |
736 |
$91K |
| 87502 |
|
1,541 |
1,154 |
$79K |
| 96374 |
|
11,360 |
8,205 |
$78K |
| 80074 |
|
2,059 |
1,709 |
$74K |
| U0002 |
Covid-19 lab test non-cdc |
2,527 |
1,859 |
$71K |
| J7030 |
Normal saline solution infus |
7,592 |
5,471 |
$67K |
| 87491 |
|
2,324 |
2,064 |
$65K |
| 87591 |
|
2,269 |
2,018 |
$63K |
| 0241U |
|
587 |
461 |
$56K |
| 74177 |
|
166 |
131 |
$54K |
| 62323 |
|
69 |
40 |
$52K |
| 11042 |
|
113 |
41 |
$48K |
| 80061 |
|
7,777 |
6,522 |
$47K |
| 80081 |
|
679 |
558 |
$37K |
| 80307 |
|
2,081 |
1,190 |
$36K |
| C9803 |
Hopd covid-19 spec collect |
602 |
537 |
$32K |
| 97110 |
|
367 |
120 |
$24K |
| 84484 |
|
4,600 |
3,181 |
$23K |
| 84443 |
|
3,104 |
2,509 |
$23K |
| 83036 |
|
5,264 |
4,379 |
$23K |
| 82306 |
|
1,438 |
1,187 |
$21K |
| 99212 |
|
559 |
202 |
$21K |
| G0482 |
Drug test def 15-21 classes |
1,273 |
1,040 |
$20K |
| J7050 |
Normal saline solution infus |
1,792 |
1,213 |
$20K |
| 87661 |
|
580 |
513 |
$17K |
| 87086 |
|
3,599 |
2,753 |
$16K |
| G0481 |
Drug test def 8-14 classes |
292 |
224 |
$15K |
| 96375 |
|
5,339 |
3,834 |
$14K |
| 87635 |
|
439 |
359 |
$13K |
| 81001 |
|
8,596 |
6,379 |
$13K |
| 99211 |
|
189 |
112 |
$12K |
| G0463 |
Hospital outpt clinic visit |
631 |
370 |
$12K |
| 82607 |
|
1,395 |
1,091 |
$10K |
| 88175 |
|
641 |
597 |
$9K |
| 0240U |
|
111 |
74 |
$9K |
| 83690 |
|
2,823 |
2,154 |
$9K |
| 96372 |
|
645 |
473 |
$8K |
| 81025 |
|
1,509 |
1,194 |
$8K |
| 80361 |
|
596 |
410 |
$8K |
| U0004 |
Cov-19 test non-cdc hgh thru |
87 |
86 |
$7K |
| 94010 |
|
127 |
95 |
$5K |
| 80069 |
|
1,800 |
1,353 |
$5K |
| 80048 |
|
1,559 |
1,307 |
$5K |
| 73130 |
|
157 |
112 |
$4K |
| 52204 |
|
14 |
12 |
$4K |
| 88142 |
|
492 |
433 |
$4K |
| 87426 |
|
135 |
111 |
$3K |
| 96360 |
|
118 |
89 |
$3K |
| 85610 |
|
2,214 |
1,190 |
$3K |
| 87624 |
|
114 |
103 |
$3K |
| 80050 |
|
13 |
12 |
$3K |
| 83735 |
|
764 |
505 |
$2K |
| G0483 |
Drug test def 22+ classes |
161 |
150 |
$2K |
| 87880 |
|
138 |
58 |
$2K |
| 64721 |
|
20 |
15 |
$2K |
| 82728 |
|
282 |
193 |
$2K |
| 73110 |
|
39 |
28 |
$2K |
| 86592 |
|
606 |
515 |
$2K |
| 83550 |
|
327 |
228 |
$1K |
| 84439 |
|
200 |
172 |
$1K |
| 83880 |
|
120 |
75 |
$1K |
| 87389 |
|
55 |
50 |
$1K |
| 83540 |
|
330 |
229 |
$984.13 |
| 99214 |
|
14 |
14 |
$945.12 |
| 99213 |
|
19 |
19 |
$883.83 |
| A4216 |
Sterile water/saline, 10 ml |
147 |
95 |
$772.67 |
| 85027 |
|
383 |
289 |
$706.88 |
| 84702 |
|
82 |
64 |
$676.59 |
| 73562 |
|
38 |
24 |
$673.52 |
| 84156 |
|
209 |
130 |
$590.25 |
| 83615 |
|
129 |
97 |
$586.28 |
| 82950 |
|
223 |
175 |
$569.56 |
| 82550 |
|
195 |
156 |
$532.03 |
| 76775 |
|
34 |
26 |
$490.07 |
| 87081 |
|
100 |
80 |
$484.13 |
| 84550 |
|
143 |
109 |
$477.48 |
| 87650 |
|
30 |
26 |
$454.34 |
| 82570 |
|
105 |
83 |
$443.85 |
| 88305 |
|
68 |
49 |
$435.63 |
| 82746 |
|
66 |
51 |
$417.01 |
| 82043 |
|
154 |
123 |
$408.75 |
| 81003 |
|
374 |
287 |
$406.74 |
| A4217 |
Sterile water/saline, 500 ml |
1,156 |
549 |
$327.11 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,819 |
1,241 |
$323.50 |
| 86850 |
|
115 |
95 |
$302.37 |
| 84703 |
|
56 |
44 |
$300.80 |
| 77077 |
|
18 |
12 |
$234.28 |
| 80305 |
|
30 |
26 |
$188.74 |
| 85379 |
|
59 |
38 |
$142.52 |
| 99001 |
|
13 |
13 |
$115.19 |
| 87186 |
|
15 |
12 |
$69.72 |
| 86703 |
|
12 |
12 |
$65.64 |
| 82565 |
|
34 |
30 |
$22.70 |
| 87651 |
|
26 |
19 |
$21.06 |
| J1885 |
Ketorolac tromethamine inj |
3,182 |
2,370 |
$10.29 |
| 82962 |
|
19 |
12 |
$6.18 |
| 86140 |
|
26 |
13 |
$5.02 |
| J7120 |
Ringers lactate infusion |
995 |
686 |
$4.00 |
| J2405 |
Ondansetron hcl injection |
4,077 |
2,930 |
$3.30 |
| 90686 |
|
12 |
12 |
$0.09 |
| J2704 |
Inj, propofol, 10 mg |
2,291 |
1,618 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
657 |
454 |
$0.00 |
| J2001 |
Lidocaine injection |
1,791 |
1,010 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
596 |
401 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
282 |
210 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
884 |
507 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
14 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
154 |
112 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
188 |
137 |
$0.00 |
| Q0162 |
Ondansetron oral |
82 |
54 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
12 |
$0.00 |
| 96376 |
|
20 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
16 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
41 |
28 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,977 |
2,079 |
$0.00 |
| J7040 |
Normal saline solution infus |
130 |
85 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
522 |
371 |
$0.00 |
| J2270 |
Morphine sulfate injection |
321 |
212 |
$0.00 |
| 0353U |
|
148 |
132 |
$0.00 |
| C1758 |
Catheter, ureteral |
35 |
24 |
$0.00 |
| 64417 |
|
32 |
25 |
$0.00 |