| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
1,526 |
1,232 |
$290K |
| 99281 |
|
1,371 |
1,116 |
$230K |
| 99283 |
|
1,175 |
921 |
$179K |
| 0241U |
|
1,791 |
1,425 |
$63K |
| 99213 |
|
2,582 |
2,263 |
$61K |
| U0003 |
Cov-19 amp prb hgh thruput |
672 |
623 |
$56K |
| 99284 |
|
542 |
377 |
$45K |
| 87651 |
|
1,509 |
1,291 |
$43K |
| 97110 |
|
1,639 |
647 |
$33K |
| 85025 |
|
4,048 |
2,954 |
$22K |
| 80053 |
|
2,704 |
2,068 |
$22K |
| 80048 |
|
2,398 |
1,744 |
$19K |
| 71046 |
|
499 |
386 |
$18K |
| 84443 |
|
1,208 |
1,062 |
$16K |
| 93005 |
|
1,086 |
824 |
$16K |
| 87635 |
|
370 |
316 |
$13K |
| 83036 |
|
910 |
779 |
$7K |
| 96365 |
|
23 |
13 |
$7K |
| 85610 |
|
929 |
398 |
$6K |
| 81003 |
|
1,133 |
931 |
$6K |
| 96361 |
|
22 |
15 |
$6K |
| 80061 |
|
473 |
393 |
$5K |
| 99214 |
|
418 |
319 |
$5K |
| 85027 |
|
896 |
726 |
$4K |
| 87631 |
|
35 |
26 |
$4K |
| 87880 |
|
193 |
169 |
$4K |
| 36415 |
|
7,057 |
5,324 |
$3K |
| 81025 |
|
338 |
275 |
$3K |
| U0005 |
Infec agen detec ampli probe |
142 |
126 |
$3K |
| G0463 |
Hospital outpt clinic visit |
900 |
553 |
$2K |
| 81001 |
|
567 |
455 |
$2K |
| 87086 |
|
316 |
260 |
$2K |
| 97530 |
|
98 |
52 |
$2K |
| 82728 |
|
145 |
120 |
$1K |
| 97140 |
|
83 |
40 |
$1K |
| 97112 |
|
58 |
30 |
$944.21 |
| 96374 |
|
386 |
293 |
$896.24 |
| 82306 |
|
43 |
34 |
$822.67 |
| J3490 |
Drugs unclassified injection |
1,634 |
397 |
$775.72 |
| J2405 |
Ondansetron hcl injection |
606 |
383 |
$656.19 |
| 99391 |
|
14 |
13 |
$643.59 |
| 90686 |
|
81 |
78 |
$622.18 |
| 86140 |
|
169 |
126 |
$554.10 |
| 83735 |
|
146 |
111 |
$500.69 |
| 88305 |
|
93 |
26 |
$406.79 |
| 85018 |
|
173 |
138 |
$393.27 |
| 36416 |
|
717 |
318 |
$320.19 |
| 80306 |
|
18 |
14 |
$243.70 |
| 87634 |
|
29 |
27 |
$211.46 |
| 87502 |
|
29 |
27 |
$202.93 |
| 87210 |
|
36 |
26 |
$154.60 |
| 83690 |
|
35 |
24 |
$114.33 |
| 90471 |
|
13 |
12 |
$108.60 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
281 |
150 |
$98.09 |
| 96375 |
|
171 |
103 |
$91.65 |
| J2704 |
Inj, propofol, 10 mg |
658 |
268 |
$76.00 |
| 87081 |
|
13 |
12 |
$68.84 |
| J7040 |
Normal saline solution infus |
472 |
260 |
$12.28 |
| J7120 |
Ringers lactate infusion |
340 |
203 |
$7.83 |
| J1170 |
Hydromorphone injection |
38 |
13 |
$2.00 |
| 0353U |
|
13 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
198 |
132 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
56 |
39 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
48 |
39 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
38 |
29 |
$0.00 |
| G0008 |
Admin influenza virus vac |
23 |
20 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
30 |
25 |
$0.00 |