| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
3,138 |
3,038 |
$469K |
| 99283 |
|
4,448 |
4,366 |
$324K |
| 99284 |
|
2,902 |
2,829 |
$309K |
| U0003 |
Cov-19 amp prb hgh thruput |
789 |
758 |
$60K |
| 80053 |
|
3,588 |
3,365 |
$34K |
| 99282 |
|
798 |
788 |
$30K |
| U0004 |
Cov-19 test non-cdc hgh thru |
411 |
396 |
$30K |
| X0621 |
|
135 |
42 |
$29K |
| 74177 |
|
163 |
156 |
$25K |
| 96374 |
|
909 |
878 |
$22K |
| 87426 |
|
707 |
691 |
$22K |
| 85025 |
|
4,229 |
3,908 |
$21K |
| U0005 |
Infec agen detec ampli probe |
927 |
896 |
$16K |
| C9803 |
Hopd covid-19 spec collect |
1,353 |
1,301 |
$13K |
| 80050 |
|
288 |
280 |
$12K |
| 87804 |
|
1,003 |
510 |
$11K |
| 84443 |
|
518 |
507 |
$10K |
| 70450 |
|
165 |
159 |
$9K |
| 80061 |
|
666 |
656 |
$8K |
| 96372 |
|
630 |
619 |
$8K |
| 84484 |
|
889 |
696 |
$7K |
| 80048 |
|
851 |
777 |
$7K |
| 93005 |
|
915 |
835 |
$6K |
| 96361 |
|
464 |
449 |
$6K |
| 87635 |
|
169 |
166 |
$5K |
| T1015 |
Clinic service |
145 |
101 |
$5K |
| 77067 |
|
70 |
70 |
$5K |
| 82306 |
|
210 |
209 |
$5K |
| 71046 |
|
377 |
362 |
$5K |
| 69436 |
|
14 |
14 |
$5K |
| G0378 |
Hospital observation per hr |
12 |
12 |
$5K |
| 74176 |
|
70 |
67 |
$4K |
| 96375 |
|
305 |
293 |
$4K |
| 83735 |
|
693 |
626 |
$4K |
| 88175 |
|
129 |
125 |
$4K |
| 83036 |
|
548 |
540 |
$4K |
| 87491 |
|
149 |
143 |
$3K |
| 87624 |
|
84 |
83 |
$3K |
| 87591 |
|
147 |
141 |
$3K |
| 87040 |
|
270 |
168 |
$3K |
| 84703 |
|
355 |
343 |
$3K |
| 76816 |
|
72 |
67 |
$3K |
| 84702 |
|
176 |
136 |
$3K |
| 85027 |
|
366 |
333 |
$2K |
| 85610 |
|
821 |
728 |
$2K |
| 84439 |
|
314 |
307 |
$2K |
| 81001 |
|
955 |
893 |
$2K |
| G0480 |
Drug test def 1-7 classes |
147 |
139 |
$2K |
| 87389 |
|
83 |
82 |
$2K |
| 83690 |
|
549 |
523 |
$2K |
| 82607 |
|
178 |
176 |
$2K |
| 85730 |
|
368 |
345 |
$2K |
| 87086 |
|
262 |
246 |
$2K |
| 84100 |
|
314 |
305 |
$2K |
| 81003 |
|
653 |
635 |
$2K |
| 87077 |
|
274 |
255 |
$2K |
| 87088 |
|
267 |
247 |
$2K |
| 87186 |
|
207 |
193 |
$1K |
| 76805 |
|
28 |
26 |
$1K |
| 59025 |
|
223 |
78 |
$1K |
| 36415 |
|
6,294 |
5,649 |
$1K |
| 83605 |
|
242 |
214 |
$1K |
| 71045 |
|
179 |
172 |
$1K |
| 76830 |
|
30 |
28 |
$1K |
| 85379 |
|
156 |
143 |
$1K |
| 82570 |
|
181 |
174 |
$1K |
| 80305 |
|
118 |
114 |
$1K |
| 87070 |
|
183 |
175 |
$1K |
| 87880 |
|
170 |
167 |
$1K |
| 87081 |
|
228 |
224 |
$1K |
| 86762 |
|
52 |
51 |
$1K |
| 83880 |
|
48 |
46 |
$1K |
| 86803 |
|
59 |
59 |
$1K |
| 0002A |
|
31 |
31 |
$956.77 |
| 86900 |
|
229 |
212 |
$888.57 |
| 82043 |
|
124 |
120 |
$872.96 |
| 82728 |
|
79 |
75 |
$868.38 |
| 85007 |
|
207 |
185 |
$794.55 |
| 85652 |
|
308 |
285 |
$779.65 |
| 86850 |
|
104 |
93 |
$771.51 |
| 86885 |
|
97 |
94 |
$770.25 |
| 99281 |
|
41 |
41 |
$768.70 |
| 87340 |
|
54 |
52 |
$740.22 |
| 80076 |
|
80 |
78 |
$693.79 |
| 93306 |
|
12 |
12 |
$647.70 |
| 84481 |
|
29 |
28 |
$609.42 |
| 87807 |
|
46 |
45 |
$596.38 |
| 0001A |
|
33 |
33 |
$570.77 |
| 96365 |
|
28 |
27 |
$558.06 |
| 86901 |
|
139 |
131 |
$552.45 |
| 88305 |
|
104 |
96 |
$539.08 |
| 83540 |
|
61 |
59 |
$500.46 |
| 87205 |
|
126 |
119 |
$489.75 |
| 93000 |
|
26 |
25 |
$450.80 |
| 82150 |
|
113 |
109 |
$429.00 |
| 86140 |
|
161 |
150 |
$424.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
169 |
161 |
$394.25 |
| 86592 |
|
90 |
89 |
$373.00 |
| 82950 |
|
56 |
56 |
$370.11 |
| 73610 |
|
26 |
25 |
$359.60 |
| 84550 |
|
44 |
43 |
$228.44 |
| 86780 |
|
12 |
12 |
$167.00 |
| 81025 |
|
73 |
73 |
$160.00 |
| 82746 |
|
15 |
14 |
$148.92 |
| 83655 |
|
13 |
13 |
$132.00 |
| 73130 |
|
14 |
13 |
$114.71 |
| 73630 |
|
12 |
12 |
$87.40 |
| J7030 |
Normal saline solution infus |
560 |
504 |
$68.78 |
| J1885 |
Ketorolac tromethamine inj |
764 |
698 |
$61.99 |
| J2704 |
Inj, propofol, 10 mg |
440 |
268 |
$57.64 |
| 82948 |
|
64 |
39 |
$47.20 |
| 85018 |
|
14 |
14 |
$44.97 |
| 85014 |
|
14 |
14 |
$44.97 |
| J1170 |
Hydromorphone injection |
69 |
55 |
$17.13 |
| J7120 |
Ringers lactate infusion |
321 |
293 |
$15.11 |
| J2405 |
Ondansetron hcl injection |
848 |
733 |
$11.28 |
| 90471 |
|
12 |
12 |
$11.00 |
| J1100 |
Dexamethasone sodium phos |
368 |
336 |
$10.84 |
| J7050 |
Normal saline solution infus |
152 |
135 |
$6.58 |
| J3010 |
Fentanyl citrate injection |
385 |
356 |
$2.59 |
| J2250 |
Inj midazolam hydrochloride |
293 |
262 |
$1.26 |
| J2795 |
Ropivacaine hcl injection |
26 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
31 |
26 |
$0.00 |