| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
7,838 |
7,491 |
$1.67M |
| 99283 |
|
10,790 |
10,472 |
$654K |
| 99285 |
|
1,277 |
1,177 |
$357K |
| 87502 |
|
3,786 |
3,722 |
$287K |
| 74177 |
|
642 |
587 |
$158K |
| 71045 |
|
4,079 |
3,888 |
$156K |
| 80053 |
|
5,042 |
4,480 |
$123K |
| 87635 |
|
3,209 |
3,156 |
$102K |
| 99282 |
|
1,490 |
1,457 |
$78K |
| 85025 |
|
6,230 |
5,494 |
$72K |
| C9803 |
Hopd covid-19 spec collect |
5,073 |
4,981 |
$63K |
| 87430 |
|
3,315 |
3,268 |
$54K |
| 93005 |
|
1,833 |
1,628 |
$50K |
| 70450 |
|
482 |
454 |
$35K |
| U0003 |
Cov-19 amp prb hgh thruput |
722 |
717 |
$32K |
| 81003 |
|
4,690 |
4,416 |
$28K |
| U0002 |
Covid-19 lab test non-cdc |
514 |
495 |
$22K |
| 83690 |
|
2,374 |
2,164 |
$22K |
| 99281 |
|
291 |
284 |
$14K |
| 87634 |
|
186 |
185 |
$13K |
| J7030 |
Normal saline solution infus |
2,698 |
2,189 |
$11K |
| U0005 |
Infec agen detec ampli probe |
721 |
716 |
$11K |
| 84484 |
|
1,547 |
1,211 |
$10K |
| 83880 |
|
559 |
511 |
$10K |
| 81025 |
|
881 |
834 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,113 |
712 |
$6K |
| 71046 |
|
86 |
81 |
$5K |
| 96365 |
|
228 |
222 |
$5K |
| 96375 |
|
865 |
764 |
$5K |
| 96374 |
|
970 |
892 |
$5K |
| 74176 |
|
35 |
33 |
$4K |
| 83605 |
|
436 |
289 |
$3K |
| 84703 |
|
514 |
485 |
$3K |
| 87040 |
|
477 |
234 |
$3K |
| 96361 |
|
650 |
610 |
$2K |
| 80048 |
|
393 |
359 |
$2K |
| 87086 |
|
400 |
365 |
$2K |
| 85730 |
|
512 |
483 |
$2K |
| 85610 |
|
568 |
534 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,596 |
1,392 |
$1K |
| CP007 |
|
31 |
30 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
206 |
189 |
$1K |
| 72125 |
|
12 |
12 |
$864.51 |
| J2270 |
Morphine sulfate injection |
576 |
459 |
$815.53 |
| Q0162 |
Ondansetron oral |
263 |
258 |
$530.96 |
| 87081 |
|
25 |
25 |
$380.15 |
| J2272 |
Inj, morphine (fresenius) |
262 |
214 |
$317.92 |
| 96372 |
|
118 |
109 |
$261.87 |
| 81001 |
|
84 |
74 |
$221.12 |
| 96376 |
|
48 |
37 |
$210.14 |
| J1885 |
Ketorolac tromethamine inj |
283 |
264 |
$207.71 |
| 85379 |
|
32 |
28 |
$159.87 |
| 86900 |
|
63 |
53 |
$107.06 |
| 86901 |
|
56 |
53 |
$97.46 |
| 83735 |
|
16 |
14 |
$75.32 |
| J1100 |
Dexamethasone sodium phos |
68 |
65 |
$73.27 |
| J7510 |
Prednisolone oral per 5 mg |
156 |
156 |
$31.05 |
| 94760 |
|
19 |
18 |
$19.39 |
| 36415 |
|
1,286 |
1,118 |
$10.72 |
| A9270 |
Non-covered item or service |
2,968 |
2,780 |
$0.00 |