| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,332 |
10,926 |
$2.31M |
| 99283 |
|
8,562 |
8,297 |
$1.84M |
| U0003 |
Cov-19 amp prb hgh thruput |
999 |
677 |
$107K |
| 99281 |
|
449 |
425 |
$93K |
| X0621 |
|
183 |
82 |
$92K |
| T1015 |
Clinic service |
964 |
301 |
$69K |
| 74177 |
|
230 |
226 |
$24K |
| 76816 |
|
231 |
213 |
$23K |
| 76817 |
|
174 |
164 |
$22K |
| 76801 |
|
219 |
207 |
$21K |
| 77067 |
|
124 |
124 |
$19K |
| 99282 |
|
80 |
73 |
$16K |
| 96374 |
|
1,903 |
1,777 |
$12K |
| 76815 |
|
135 |
81 |
$12K |
| 76830 |
|
105 |
103 |
$11K |
| 93005 |
|
1,934 |
1,794 |
$9K |
| 80053 |
|
3,725 |
3,509 |
$8K |
| 85025 |
|
5,565 |
5,226 |
$8K |
| 70450 |
|
332 |
316 |
$7K |
| 76856 |
|
91 |
89 |
$6K |
| 99285 |
|
34 |
32 |
$5K |
| 87637 |
|
418 |
388 |
$5K |
| 77063 |
|
112 |
112 |
$5K |
| 93971 |
|
45 |
43 |
$4K |
| 85027 |
|
363 |
318 |
$4K |
| 76805 |
|
32 |
32 |
$4K |
| 80048 |
|
586 |
530 |
$3K |
| 36415 |
|
6,013 |
5,384 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
156 |
149 |
$3K |
| 76642 |
|
36 |
36 |
$3K |
| 71046 |
|
116 |
112 |
$3K |
| 74176 |
|
46 |
42 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,323 |
1,256 |
$2K |
| 71045 |
|
730 |
703 |
$2K |
| 96361 |
|
802 |
740 |
$2K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$2K |
| 96375 |
|
493 |
450 |
$2K |
| 76813 |
|
13 |
12 |
$2K |
| 84484 |
|
782 |
597 |
$2K |
| 86900 |
|
217 |
202 |
$2K |
| G0279 |
Tomosynthesis, mammo |
45 |
45 |
$1K |
| A9585 |
Gadobutrol injection |
103 |
102 |
$1K |
| 81001 |
|
1,268 |
1,197 |
$1K |
| 85730 |
|
301 |
293 |
$1K |
| 96360 |
|
78 |
74 |
$1K |
| 84703 |
|
101 |
98 |
$1K |
| 85610 |
|
373 |
361 |
$955.63 |
| 71260 |
|
14 |
14 |
$891.35 |
| 87086 |
|
258 |
240 |
$495.10 |
| 73564 |
|
12 |
12 |
$239.11 |
| C1769 |
Guide wire |
15 |
13 |
$232.80 |
| 83735 |
|
174 |
152 |
$218.27 |
| 83690 |
|
109 |
101 |
$152.18 |
| J2704 |
Inj, propofol, 10 mg |
793 |
646 |
$152.04 |
| 82248 |
|
14 |
13 |
$98.08 |
| J1885 |
Ketorolac tromethamine inj |
2,129 |
1,818 |
$83.45 |
| 96365 |
|
16 |
16 |
$78.17 |
| 85379 |
|
25 |
25 |
$63.60 |
| 86850 |
|
16 |
13 |
$36.58 |
| J2405 |
Ondansetron hcl injection |
1,752 |
1,533 |
$33.21 |
| 87077 |
|
44 |
37 |
$28.40 |
| 84443 |
|
13 |
13 |
$23.21 |
| 86901 |
|
16 |
13 |
$18.04 |
| 87186 |
|
13 |
12 |
$8.00 |
| 81003 |
|
12 |
12 |
$6.20 |
| J2250 |
Inj midazolam hydrochloride |
508 |
489 |
$3.02 |
| J1100 |
Dexamethasone sodium phos |
640 |
535 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
196 |
176 |
$0.00 |
| J1170 |
Hydromorphone injection |
170 |
128 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
659 |
447 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
97 |
62 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
117 |
105 |
$0.00 |
| J2001 |
Lidocaine injection |
56 |
56 |
$0.00 |
| 83605 |
|
12 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
296 |
243 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
34 |
33 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
268 |
243 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
56 |
53 |
$0.00 |
| J2930 |
Methylprednisolone injection |
30 |
28 |
$0.00 |