| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,397 |
19,645 |
$3.88M |
| 99284 |
|
10,142 |
8,424 |
$1.42M |
| 11042 |
|
1,780 |
695 |
$890K |
| 93005 |
|
5,840 |
4,794 |
$349K |
| 99282 |
|
2,110 |
1,916 |
$348K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,320 |
1,090 |
$277K |
| 71045 |
|
1,908 |
1,546 |
$243K |
| 87502 |
|
1,971 |
1,709 |
$138K |
| 74177 |
|
336 |
281 |
$116K |
| 87426 |
|
3,692 |
3,121 |
$96K |
| 71046 |
|
718 |
632 |
$74K |
| 80048 |
|
16,800 |
13,551 |
$71K |
| 85025 |
|
16,397 |
13,479 |
$67K |
| G0463 |
Hospital outpt clinic visit |
1,042 |
583 |
$61K |
| 36415 |
|
17,914 |
14,630 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
494 |
414 |
$31K |
| 80050 |
|
172 |
147 |
$23K |
| 80076 |
|
5,428 |
4,503 |
$23K |
| 80074 |
|
534 |
488 |
$23K |
| 84484 |
|
3,275 |
2,500 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
307 |
259 |
$19K |
| J7030 |
Normal saline solution infus |
1,102 |
854 |
$18K |
| 84443 |
|
1,646 |
1,512 |
$17K |
| 70450 |
|
206 |
152 |
$16K |
| 80307 |
|
485 |
405 |
$16K |
| 80061 |
|
1,598 |
1,465 |
$13K |
| 83036 |
|
1,997 |
1,802 |
$11K |
| 87651 |
|
403 |
362 |
$11K |
| 87636 |
|
80 |
75 |
$10K |
| 99217 |
|
22 |
15 |
$10K |
| 83690 |
|
3,396 |
2,818 |
$10K |
| 99213 |
|
26 |
14 |
$9K |
| 96374 |
|
580 |
532 |
$9K |
| 80053 |
|
1,051 |
966 |
$8K |
| 99219 |
|
22 |
17 |
$8K |
| 81001 |
|
4,549 |
3,849 |
$8K |
| 87635 |
|
145 |
130 |
$6K |
| 99238 |
|
14 |
14 |
$6K |
| 96361 |
|
225 |
196 |
$6K |
| 83735 |
|
1,460 |
1,165 |
$5K |
| 82306 |
|
456 |
425 |
$5K |
| 87801 |
|
124 |
119 |
$5K |
| 96372 |
|
121 |
112 |
$5K |
| 76801 |
|
25 |
24 |
$5K |
| 94640 |
|
355 |
276 |
$4K |
| G0480 |
Drug test def 1-7 classes |
71 |
65 |
$4K |
| 87086 |
|
930 |
784 |
$4K |
| 87389 |
|
174 |
163 |
$4K |
| 87637 |
|
30 |
28 |
$3K |
| 87634 |
|
61 |
50 |
$3K |
| 81025 |
|
500 |
440 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
87 |
83 |
$3K |
| 82607 |
|
453 |
422 |
$3K |
| 85027 |
|
777 |
627 |
$2K |
| 86481 |
|
30 |
29 |
$2K |
| U0005 |
Infec agen detec ampli probe |
301 |
257 |
$2K |
| 80055 |
|
49 |
44 |
$2K |
| 87880 |
|
118 |
104 |
$1K |
| 73630 |
|
14 |
14 |
$697.95 |
| 96375 |
|
251 |
222 |
$590.46 |
| 86803 |
|
51 |
45 |
$514.58 |
| 96365 |
|
14 |
12 |
$453.60 |
| 80355 |
|
12 |
12 |
$420.00 |
| 84460 |
|
210 |
199 |
$377.05 |
| 84450 |
|
211 |
200 |
$374.75 |
| 84439 |
|
120 |
108 |
$372.56 |
| 81003 |
|
273 |
222 |
$363.08 |
| 71275 |
|
16 |
13 |
$272.76 |
| A0429 |
Bls-emergency |
964 |
757 |
$270.00 |
| 85379 |
|
31 |
24 |
$226.04 |
| 82728 |
|
43 |
40 |
$199.23 |
| 82962 |
|
85 |
73 |
$154.73 |
| 83550 |
|
43 |
40 |
$127.87 |
| 87081 |
|
31 |
27 |
$127.70 |
| 84703 |
|
19 |
15 |
$116.61 |
| 83540 |
|
43 |
40 |
$94.75 |
| 80047 |
|
14 |
12 |
$82.38 |
| 82947 |
|
17 |
17 |
$57.71 |
| 86592 |
|
28 |
25 |
$54.79 |
| 85610 |
|
37 |
28 |
$40.64 |
| A0425 |
Ground mileage |
3,210 |
2,309 |
$15.05 |
| 86850 |
|
12 |
12 |
$5.05 |
| J2405 |
Ondansetron hcl injection |
473 |
409 |
$0.00 |
| G1004 |
Cdsm ndsc |
182 |
139 |
$0.00 |
| J2270 |
Morphine sulfate injection |
57 |
51 |
$0.00 |
| 93041 |
|
13 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
446 |
375 |
$0.00 |
| A0428 |
Bls |
451 |
349 |
$0.00 |
| A0427 |
Als1-emergency |
466 |
392 |
$0.00 |
| A9270 |
Non-covered item or service |
180 |
139 |
$0.00 |