| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
20,113 |
17,423 |
$2.45M |
| 99284 |
|
9,565 |
8,100 |
$1.75M |
| G0463 |
Hospital outpt clinic visit |
5,913 |
4,431 |
$405K |
| 11042 |
|
1,138 |
483 |
$298K |
| 71045 |
|
1,024 |
821 |
$103K |
| 93005 |
|
1,711 |
1,374 |
$99K |
| 85025 |
|
21,453 |
15,921 |
$78K |
| 43239 |
|
72 |
54 |
$65K |
| 0241U |
|
543 |
492 |
$63K |
| 80053 |
|
12,071 |
9,053 |
$62K |
| U0003 |
Cov-19 amp prb hgh thruput |
564 |
458 |
$52K |
| 36415 |
|
28,083 |
20,317 |
$41K |
| 99285 |
|
418 |
322 |
$37K |
| 87591 |
|
1,160 |
1,023 |
$34K |
| 87491 |
|
1,157 |
1,023 |
$34K |
| 99282 |
|
140 |
127 |
$24K |
| 71046 |
|
230 |
206 |
$22K |
| 88305 |
|
323 |
268 |
$20K |
| 73630 |
|
504 |
377 |
$20K |
| 77067 |
|
109 |
105 |
$18K |
| 74177 |
|
46 |
39 |
$17K |
| 99214 |
|
131 |
105 |
$13K |
| 96374 |
|
237 |
204 |
$12K |
| 84443 |
|
982 |
860 |
$11K |
| 80307 |
|
247 |
212 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
218 |
188 |
$10K |
| 99213 |
|
89 |
85 |
$9K |
| 87635 |
|
159 |
146 |
$7K |
| 74176 |
|
20 |
14 |
$5K |
| 80048 |
|
2,345 |
1,552 |
$4K |
| G0483 |
Drug test def 22+ classes |
101 |
87 |
$3K |
| 87502 |
|
170 |
121 |
$3K |
| 80061 |
|
220 |
203 |
$2K |
| 77063 |
|
38 |
36 |
$2K |
| 83605 |
|
342 |
272 |
$2K |
| 81001 |
|
1,096 |
894 |
$2K |
| 70450 |
|
13 |
12 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
55 |
52 |
$2K |
| 87088 |
|
321 |
252 |
$2K |
| 83874 |
|
364 |
225 |
$2K |
| 81003 |
|
2,170 |
1,713 |
$2K |
| 84484 |
|
369 |
227 |
$2K |
| U0005 |
Infec agen detec ampli probe |
78 |
73 |
$1K |
| 97597 |
|
29 |
12 |
$1K |
| 83036 |
|
205 |
177 |
$1K |
| 96372 |
|
95 |
61 |
$1K |
| 84439 |
|
186 |
157 |
$1K |
| 82553 |
|
370 |
227 |
$1K |
| 81025 |
|
154 |
142 |
$955.45 |
| 85027 |
|
1,395 |
903 |
$943.43 |
| 87660 |
|
51 |
51 |
$905.25 |
| 87510 |
|
51 |
51 |
$865.15 |
| 87480 |
|
51 |
51 |
$865.15 |
| 83690 |
|
232 |
194 |
$823.24 |
| 88175 |
|
53 |
52 |
$731.15 |
| C9803 |
Hopd covid-19 spec collect |
14 |
13 |
$724.23 |
| 86803 |
|
41 |
38 |
$526.99 |
| 80306 |
|
31 |
25 |
$512.71 |
| 86703 |
|
41 |
38 |
$506.30 |
| 82728 |
|
66 |
52 |
$467.51 |
| 86592 |
|
100 |
80 |
$341.85 |
| 94640 |
|
18 |
13 |
$305.84 |
| 87661 |
|
18 |
12 |
$294.21 |
| 83550 |
|
67 |
51 |
$282.30 |
| 87081 |
|
49 |
46 |
$278.86 |
| 83540 |
|
67 |
51 |
$208.98 |
| J2405 |
Ondansetron hcl injection |
880 |
660 |
$183.54 |
| 87808 |
|
12 |
12 |
$183.02 |
| 87905 |
|
12 |
12 |
$146.27 |
| 86747 |
|
22 |
12 |
$145.36 |
| 86762 |
|
23 |
13 |
$142.56 |
| A9270 |
Non-covered item or service |
1,324 |
1,170 |
$134.80 |
| 87340 |
|
29 |
15 |
$110.61 |
| J1885 |
Ketorolac tromethamine inj |
800 |
663 |
$106.12 |
| 87220 |
|
12 |
12 |
$51.11 |
| 86850 |
|
23 |
13 |
$40.72 |
| 85379 |
|
12 |
12 |
$30.54 |
| J3490 |
Drugs unclassified injection |
27 |
15 |
$11.59 |
| 0202U |
|
48 |
42 |
$2.27 |
| J2270 |
Morphine sulfate injection |
91 |
68 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
36 |
29 |
$0.00 |
| G0435 |
Oral hiv-1/hiv-2 screen |
18 |
12 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
14 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
147 |
118 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
257 |
174 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
278 |
195 |
$0.00 |
| 96375 |
|
43 |
40 |
$0.00 |
| J1170 |
Hydromorphone injection |
47 |
25 |
$0.00 |
| G0378 |
Hospital observation per hr |
22 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
22 |
13 |
$0.00 |