| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,617 |
12,129 |
$1.44M |
| 99284 |
|
7,479 |
6,458 |
$984K |
| 99285 |
|
2,448 |
2,053 |
$514K |
| 99282 |
|
1,560 |
1,343 |
$106K |
| 96361 |
|
1,436 |
1,180 |
$78K |
| 74177 |
|
507 |
417 |
$47K |
| 0241U |
|
4,006 |
3,579 |
$39K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,077 |
961 |
$36K |
| 70450 |
|
562 |
472 |
$12K |
| 96360 |
|
429 |
369 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
1,927 |
1,700 |
$11K |
| 93975 |
|
92 |
82 |
$9K |
| 81025 |
|
3,123 |
2,581 |
$5K |
| 71275 |
|
100 |
88 |
$4K |
| 80053 |
|
1,624 |
1,317 |
$4K |
| 96374 |
|
1,711 |
1,391 |
$3K |
| 93976 |
|
149 |
124 |
$3K |
| 96365 |
|
145 |
123 |
$3K |
| 76856 |
|
202 |
176 |
$3K |
| 10060 |
|
12 |
12 |
$2K |
| 93005 |
|
1,375 |
1,096 |
$2K |
| 96372 |
|
749 |
628 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
666 |
544 |
$1K |
| 12011 |
|
14 |
14 |
$1K |
| 80048 |
|
1,518 |
1,235 |
$1K |
| 71045 |
|
1,696 |
1,412 |
$1K |
| 81001 |
|
2,996 |
2,465 |
$994.01 |
| 76830 |
|
81 |
70 |
$781.55 |
| 87081 |
|
565 |
474 |
$781.31 |
| 87430 |
|
1,483 |
1,284 |
$605.45 |
| 71046 |
|
914 |
808 |
$583.73 |
| 94640 |
|
413 |
328 |
$458.65 |
| 87210 |
|
563 |
448 |
$435.93 |
| 96375 |
|
1,006 |
811 |
$388.37 |
| 73610 |
|
66 |
60 |
$386.38 |
| 87491 |
|
339 |
281 |
$374.21 |
| 84484 |
|
1,120 |
809 |
$291.50 |
| 76705 |
|
114 |
96 |
$284.20 |
| 87088 |
|
1,111 |
928 |
$262.41 |
| 73630 |
|
96 |
78 |
$243.45 |
| 87070 |
|
134 |
130 |
$158.74 |
| 80305 |
|
224 |
188 |
$137.95 |
| 84704 |
|
327 |
249 |
$122.74 |
| 87631 |
|
39 |
39 |
$110.92 |
| 36415 |
|
2,046 |
1,606 |
$30.91 |
| 85025 |
|
3,745 |
3,042 |
$20.92 |
| 82248 |
|
126 |
92 |
$12.32 |
| 81003 |
|
324 |
262 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
84 |
72 |
$0.00 |
| 80076 |
|
642 |
525 |
$0.00 |
| 82947 |
|
80 |
70 |
$0.00 |
| J2270 |
Morphine sulfate injection |
228 |
162 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
733 |
597 |
$0.00 |
| 85610 |
|
250 |
206 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 87186 |
|
72 |
60 |
$0.00 |
| 82310 |
|
81 |
70 |
$0.00 |
| 73140 |
|
15 |
13 |
$0.00 |
| 73110 |
|
19 |
12 |
$0.00 |
| 72100 |
|
15 |
12 |
$0.00 |
| 84520 |
|
85 |
71 |
$0.00 |
| 73030 |
|
25 |
21 |
$0.00 |
| 74018 |
|
29 |
28 |
$0.00 |
| 82565 |
|
87 |
73 |
$0.00 |
| 73130 |
|
45 |
39 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
424 |
337 |
$0.00 |
| 83735 |
|
464 |
374 |
$0.00 |
| 83690 |
|
1,030 |
831 |
$0.00 |
| 85652 |
|
35 |
30 |
$0.00 |
| 76815 |
|
301 |
224 |
$0.00 |
| J7611 |
Albuterol non-comp con |
15 |
15 |
$0.00 |
| 80051 |
|
82 |
71 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
816 |
690 |
$0.00 |
| 86140 |
|
86 |
77 |
$0.00 |
| 87801 |
|
387 |
308 |
$0.00 |
| 87591 |
|
339 |
281 |
$0.00 |
| 85730 |
|
97 |
80 |
$0.00 |
| 87040 |
|
44 |
24 |
$0.00 |
| J2001 |
Lidocaine injection |
53 |
41 |
$0.00 |
| 85379 |
|
128 |
106 |
$0.00 |
| 84443 |
|
16 |
13 |
$0.00 |
| 82962 |
|
154 |
122 |
$0.00 |
| Q0162 |
Ondansetron oral |
181 |
144 |
$0.00 |
| 83880 |
|
80 |
61 |
$0.00 |
| 86901 |
|
175 |
147 |
$0.00 |
| 85027 |
|
28 |
25 |
$0.00 |
| 83605 |
|
128 |
104 |
$0.00 |
| 82077 |
|
16 |
12 |
$0.00 |
| 87635 |
|
35 |
28 |
$0.00 |
| 84703 |
|
14 |
14 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
12 |
$0.00 |
| 76817 |
|
19 |
15 |
$0.00 |
| 82550 |
|
18 |
15 |
$0.00 |
| 87077 |
|
26 |
19 |
$0.00 |
| 93971 |
|
14 |
13 |
$0.00 |
| 73564 |
|
18 |
12 |
$0.00 |