| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,001 |
2,592 |
$615K |
| 99282 |
|
1,577 |
1,390 |
$229K |
| 99284 |
|
712 |
585 |
$179K |
| 87428 |
|
463 |
427 |
$26K |
| 71046 |
|
326 |
277 |
$24K |
| 96372 |
|
474 |
331 |
$20K |
| 80363 |
|
171 |
127 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
908 |
521 |
$13K |
| 80053 |
|
1,988 |
1,662 |
$12K |
| 80307 |
|
256 |
201 |
$12K |
| 87880 |
|
875 |
803 |
$11K |
| 80347 |
|
170 |
126 |
$10K |
| 85025 |
|
1,761 |
1,474 |
$10K |
| 80337 |
|
150 |
109 |
$7K |
| J3490 |
Drugs unclassified injection |
2,684 |
950 |
$7K |
| 80351 |
|
151 |
108 |
$7K |
| 87804 |
|
522 |
341 |
$7K |
| 80321 |
|
142 |
99 |
$7K |
| 87081 |
|
1,046 |
926 |
$6K |
| 80370 |
|
171 |
127 |
$6K |
| 80373 |
|
171 |
127 |
$6K |
| 80368 |
|
164 |
123 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
225 |
118 |
$5K |
| 80367 |
|
171 |
127 |
$5K |
| 80356 |
|
157 |
113 |
$5K |
| 80359 |
|
153 |
110 |
$5K |
| 80366 |
|
154 |
112 |
$5K |
| 80348 |
|
171 |
127 |
$5K |
| 80357 |
|
144 |
101 |
$4K |
| 80372 |
|
170 |
126 |
$4K |
| 80358 |
|
173 |
126 |
$4K |
| 80355 |
|
154 |
112 |
$4K |
| 80324 |
|
170 |
126 |
$4K |
| 80345 |
|
171 |
126 |
$4K |
| 80353 |
|
170 |
126 |
$4K |
| 80349 |
|
126 |
100 |
$3K |
| 80061 |
|
216 |
188 |
$3K |
| 87426 |
|
69 |
59 |
$2K |
| 99285 |
|
14 |
12 |
$2K |
| 83036 |
|
182 |
160 |
$2K |
| 83986 |
|
171 |
127 |
$1K |
| 97110 |
|
61 |
26 |
$1K |
| 93005 |
|
60 |
51 |
$1K |
| 84443 |
|
94 |
79 |
$1K |
| U0005 |
Infec agen detec ampli probe |
158 |
91 |
$1K |
| 81003 |
|
235 |
183 |
$1K |
| 71045 |
|
31 |
27 |
$1K |
| 36415 |
|
1,013 |
686 |
$940.41 |
| 73630 |
|
16 |
13 |
$934.90 |
| 94640 |
|
49 |
25 |
$757.06 |
| 81001 |
|
278 |
227 |
$534.51 |
| 96374 |
|
22 |
16 |
$517.75 |
| 81025 |
|
84 |
71 |
$511.34 |
| J2001 |
Lidocaine injection |
32 |
24 |
$448.89 |
| 80048 |
|
93 |
64 |
$440.37 |
| 83735 |
|
167 |
109 |
$429.64 |
| 87086 |
|
65 |
48 |
$288.88 |
| 83874 |
|
64 |
55 |
$252.11 |
| A9150 |
Misc/exper non-prescript dru |
860 |
548 |
$247.05 |
| J1885 |
Ketorolac tromethamine inj |
72 |
64 |
$228.93 |
| 82553 |
|
63 |
55 |
$225.65 |
| 80305 |
|
25 |
25 |
$207.87 |
| 84484 |
|
68 |
56 |
$196.41 |
| 97161 |
|
12 |
12 |
$178.72 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$126.86 |
| J7030 |
Normal saline solution infus |
71 |
50 |
$104.47 |
| J7120 |
Ringers lactate infusion |
29 |
24 |
$79.60 |
| A4216 |
Sterile water/saline, 10 ml |
117 |
84 |
$49.68 |
| G8979 |
Mobility goal status |
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
12 |
12 |
$0.00 |