| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
28,257 |
24,605 |
$4.91M |
| 99283 |
|
28,541 |
25,871 |
$3.88M |
| 99285 |
|
5,535 |
4,497 |
$904K |
| G0378 |
Hospital observation per hr |
3,996 |
2,148 |
$694K |
| 41899 |
|
881 |
838 |
$325K |
| 87637 |
|
2,065 |
1,920 |
$225K |
| 85025 |
|
35,524 |
28,771 |
$139K |
| G0463 |
Hospital outpt clinic visit |
6,687 |
3,649 |
$102K |
| 96374 |
|
7,302 |
6,240 |
$94K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,559 |
1,403 |
$77K |
| 80053 |
|
23,432 |
19,402 |
$70K |
| C9803 |
Hopd covid-19 spec collect |
3,805 |
3,459 |
$39K |
| 99282 |
|
336 |
313 |
$34K |
| 87502 |
|
948 |
858 |
$33K |
| 43239 |
|
120 |
98 |
$32K |
| 84484 |
|
2,456 |
1,707 |
$26K |
| 71260 |
|
291 |
223 |
$20K |
| 11042 |
|
353 |
139 |
$20K |
| 99281 |
|
311 |
252 |
$19K |
| 96375 |
|
2,029 |
1,617 |
$17K |
| 59025 |
|
324 |
270 |
$17K |
| 45380 |
|
50 |
41 |
$17K |
| 74177 |
|
265 |
218 |
$16K |
| 93005 |
|
4,418 |
3,450 |
$15K |
| U0005 |
Infec agen detec ampli probe |
713 |
650 |
$13K |
| 83690 |
|
2,446 |
2,140 |
$11K |
| 81001 |
|
10,615 |
9,263 |
$9K |
| 87426 |
|
296 |
268 |
$8K |
| 71045 |
|
2,822 |
2,311 |
$8K |
| 96361 |
|
1,186 |
983 |
$6K |
| J2405 |
Ondansetron hcl injection |
1,224 |
1,182 |
$6K |
| 80048 |
|
3,184 |
1,744 |
$4K |
| 87633 |
|
15 |
15 |
$3K |
| 70450 |
|
89 |
76 |
$3K |
| 87651 |
|
147 |
137 |
$3K |
| 94640 |
|
107 |
56 |
$2K |
| 71046 |
|
397 |
352 |
$2K |
| 87071 |
|
1,784 |
1,346 |
$2K |
| 96372 |
|
240 |
209 |
$1K |
| 94726 |
|
98 |
67 |
$1K |
| 96376 |
|
164 |
67 |
$781.59 |
| 87086 |
|
176 |
148 |
$772.70 |
| 94626 |
|
178 |
41 |
$757.75 |
| 77067 |
|
17 |
14 |
$587.12 |
| 94729 |
|
79 |
56 |
$579.57 |
| 82962 |
|
334 |
98 |
$572.03 |
| 84703 |
|
109 |
97 |
$533.81 |
| 83880 |
|
97 |
74 |
$430.42 |
| 80306 |
|
39 |
39 |
$392.97 |
| 87430 |
|
76 |
68 |
$389.23 |
| 94060 |
|
16 |
12 |
$387.30 |
| 36415 |
|
423 |
233 |
$336.06 |
| 97597 |
|
31 |
12 |
$288.80 |
| 87081 |
|
71 |
63 |
$246.89 |
| 85027 |
|
178 |
78 |
$242.38 |
| 94669 |
|
184 |
42 |
$222.13 |
| 81025 |
|
92 |
82 |
$195.84 |
| 77063 |
|
17 |
14 |
$149.12 |
| 94618 |
|
16 |
12 |
$138.66 |
| 82565 |
|
67 |
54 |
$126.39 |
| 81003 |
|
235 |
195 |
$122.34 |
| 96365 |
|
18 |
12 |
$78.07 |
| 85610 |
|
77 |
53 |
$60.82 |
| 80061 |
|
12 |
12 |
$57.15 |
| 87205 |
|
21 |
12 |
$22.42 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$7.82 |
| G0307 |
Cbc without platelet |
15 |
12 |
$5.47 |
| J3010 |
Fentanyl citrate injection |
706 |
683 |
$5.45 |
| J1100 |
Dexamethasone sodium phos |
619 |
605 |
$1.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
579 |
533 |
$0.00 |
| J7030 |
Normal saline solution infus |
681 |
516 |
$0.00 |
| 86900 |
|
37 |
24 |
$0.00 |
| J7120 |
Ringers lactate infusion |
20 |
15 |
$0.00 |
| 87339 |
|
15 |
12 |
$0.00 |
| 88305 |
|
326 |
234 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
966 |
916 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
843 |
762 |
$0.00 |
| 86850 |
|
37 |
24 |
$0.00 |
| 86901 |
|
37 |
24 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
17 |
$0.00 |
| A9270 |
Non-covered item or service |
12 |
12 |
$0.00 |