| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
5,763 |
4,988 |
$580K |
| 99284 |
|
6,611 |
5,722 |
$520K |
| 99283 |
|
5,925 |
5,193 |
$311K |
| 74177 |
|
1,322 |
1,163 |
$282K |
| 96374 |
|
4,814 |
3,922 |
$150K |
| 87636 |
|
1,215 |
1,153 |
$88K |
| 74176 |
|
631 |
566 |
$80K |
| 70450 |
|
948 |
825 |
$69K |
| 96375 |
|
3,299 |
2,663 |
$68K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,125 |
917 |
$54K |
| 99282 |
|
1,674 |
1,474 |
$52K |
| 96361 |
|
3,232 |
2,686 |
$32K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,984 |
1,732 |
$27K |
| 87651 |
|
1,398 |
1,301 |
$26K |
| 96360 |
|
773 |
697 |
$26K |
| 85025 |
|
7,259 |
6,058 |
$25K |
| 96372 |
|
1,580 |
1,321 |
$25K |
| 80053 |
|
4,791 |
4,089 |
$23K |
| 71045 |
|
3,096 |
2,701 |
$22K |
| 71046 |
|
1,309 |
1,220 |
$19K |
| 0241U |
|
874 |
824 |
$18K |
| 93005 |
|
3,701 |
3,103 |
$17K |
| 71275 |
|
69 |
60 |
$16K |
| 84484 |
|
3,774 |
2,150 |
$16K |
| 84702 |
|
2,387 |
2,081 |
$15K |
| 36415 |
|
7,770 |
6,363 |
$14K |
| 76856 |
|
158 |
150 |
$10K |
| 80048 |
|
2,613 |
2,246 |
$10K |
| 83690 |
|
2,841 |
2,422 |
$9K |
| 80307 |
|
270 |
242 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
2,696 |
2,388 |
$6K |
| 87086 |
|
1,741 |
1,524 |
$6K |
| 81001 |
|
3,960 |
3,415 |
$6K |
| 81025 |
|
1,687 |
1,539 |
$5K |
| 83605 |
|
1,149 |
918 |
$5K |
| 76705 |
|
75 |
72 |
$5K |
| J2270 |
Morphine sulfate injection |
1,623 |
1,306 |
$4K |
| 85379 |
|
874 |
761 |
$4K |
| 83880 |
|
271 |
245 |
$4K |
| 73630 |
|
258 |
237 |
$4K |
| 96365 |
|
97 |
87 |
$3K |
| U0005 |
Infec agen detec ampli probe |
495 |
408 |
$3K |
| 99281 |
|
153 |
126 |
$3K |
| 96376 |
|
289 |
222 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,744 |
1,600 |
$2K |
| 93971 |
|
43 |
38 |
$2K |
| 85730 |
|
689 |
573 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,659 |
1,475 |
$2K |
| 73564 |
|
82 |
74 |
$1K |
| 73130 |
|
92 |
87 |
$1K |
| 85610 |
|
803 |
657 |
$1K |
| 81003 |
|
1,182 |
1,006 |
$1K |
| 73610 |
|
68 |
65 |
$1K |
| 87077 |
|
268 |
221 |
$1K |
| 94640 |
|
80 |
77 |
$916.07 |
| J2405 |
Ondansetron hcl injection |
2,874 |
2,375 |
$908.00 |
| J0696 |
Ceftriaxone sodium injection |
613 |
553 |
$870.08 |
| 87186 |
|
216 |
181 |
$779.14 |
| 83735 |
|
207 |
186 |
$595.59 |
| 87491 |
|
40 |
31 |
$575.28 |
| 87591 |
|
40 |
31 |
$575.28 |
| J1200 |
Diphenhydramine hcl injectio |
547 |
429 |
$388.53 |
| 87040 |
|
87 |
41 |
$354.60 |
| J1170 |
Hydromorphone injection |
365 |
239 |
$350.70 |
| 80076 |
|
76 |
70 |
$293.12 |
| J2765 |
Metoclopramide hcl injection |
358 |
310 |
$283.73 |
| J8540 |
Oral dexamethasone |
77 |
76 |
$233.12 |
| 73030 |
|
12 |
12 |
$206.92 |
| 90471 |
|
15 |
14 |
$202.64 |
| 82550 |
|
30 |
27 |
$85.62 |
| J2001 |
Lidocaine injection |
216 |
182 |
$46.54 |
| 85027 |
|
14 |
13 |
$40.13 |
| 82248 |
|
14 |
12 |
$24.25 |
| J2060 |
Lorazepam injection |
34 |
25 |
$21.70 |
| 82962 |
|
15 |
12 |
$17.34 |
| 0353U |
|
47 |
44 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
77 |
40 |
$0.00 |