| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
5,044 |
2,583 |
$938K |
| 99283 |
|
6,841 |
3,660 |
$756K |
| 96374 |
|
1,272 |
1,149 |
$152K |
| 97110 |
|
3,428 |
910 |
$98K |
| 96361 |
|
1,725 |
1,329 |
$85K |
| 96365 |
|
717 |
450 |
$80K |
| 99285 |
|
247 |
185 |
$66K |
| 71046 |
|
1,363 |
1,277 |
$62K |
| 80061 |
|
2,645 |
2,638 |
$39K |
| 87811 |
|
1,584 |
1,412 |
$37K |
| 99282 |
|
534 |
362 |
$36K |
| 74177 |
|
190 |
187 |
$35K |
| 96375 |
|
984 |
835 |
$33K |
| C9803 |
Hopd covid-19 spec collect |
1,886 |
1,699 |
$33K |
| 80053 |
|
8,406 |
7,295 |
$30K |
| 84443 |
|
3,366 |
3,276 |
$28K |
| 36415 |
|
13,583 |
11,256 |
$25K |
| 97140 |
|
1,261 |
381 |
$24K |
| 87637 |
|
225 |
219 |
$23K |
| 96360 |
|
176 |
127 |
$22K |
| 71045 |
|
343 |
327 |
$20K |
| 95810 |
|
52 |
26 |
$20K |
| 85025 |
|
7,989 |
6,846 |
$19K |
| 93005 |
|
2,090 |
1,878 |
$18K |
| 70450 |
|
128 |
114 |
$16K |
| 77067 |
|
234 |
234 |
$15K |
| 87502 |
|
521 |
474 |
$11K |
| 93010 |
|
2,154 |
1,877 |
$11K |
| 87635 |
|
364 |
348 |
$10K |
| 87430 |
|
1,092 |
1,059 |
$10K |
| 83036 |
|
1,615 |
1,608 |
$9K |
| 80306 |
|
833 |
730 |
$5K |
| 93306 |
|
13 |
13 |
$5K |
| M0243 |
Casirivi and imdevi inj |
13 |
13 |
$5K |
| M0245 |
Bamlan and etesev infusion |
14 |
13 |
$4K |
| 87088 |
|
1,157 |
1,091 |
$4K |
| 85027 |
|
1,265 |
1,185 |
$4K |
| 77063 |
|
222 |
222 |
$4K |
| 80048 |
|
938 |
870 |
$4K |
| G0480 |
Drug test def 1-7 classes |
489 |
447 |
$3K |
| 83735 |
|
2,380 |
1,972 |
$2K |
| 81025 |
|
1,169 |
1,086 |
$2K |
| 84439 |
|
438 |
432 |
$2K |
| 87070 |
|
503 |
485 |
$2K |
| 82306 |
|
128 |
128 |
$2K |
| 81003 |
|
2,944 |
2,742 |
$2K |
| 87077 |
|
496 |
475 |
$2K |
| 85610 |
|
2,317 |
1,859 |
$2K |
| 87503 |
|
236 |
198 |
$2K |
| 82728 |
|
234 |
230 |
$2K |
| 87491 |
|
86 |
84 |
$2K |
| 96372 |
|
802 |
687 |
$2K |
| 87186 |
|
293 |
280 |
$1K |
| 86140 |
|
1,683 |
1,512 |
$987.60 |
| 73630 |
|
45 |
42 |
$980.10 |
| 97161 |
|
25 |
25 |
$962.21 |
| 83880 |
|
292 |
275 |
$951.69 |
| 81001 |
|
1,191 |
1,094 |
$944.10 |
| 82607 |
|
103 |
103 |
$796.61 |
| 83690 |
|
1,351 |
1,193 |
$753.95 |
| 73564 |
|
14 |
13 |
$697.43 |
| 99281 |
|
12 |
12 |
$648.44 |
| 73030 |
|
14 |
13 |
$520.32 |
| 84145 |
|
819 |
725 |
$493.58 |
| 85730 |
|
1,224 |
1,099 |
$349.29 |
| 87591 |
|
16 |
15 |
$338.52 |
| 73130 |
|
12 |
12 |
$262.04 |
| 82150 |
|
768 |
666 |
$221.02 |
| 82550 |
|
720 |
639 |
$203.03 |
| 86803 |
|
25 |
25 |
$195.62 |
| 83605 |
|
976 |
862 |
$191.01 |
| 82746 |
|
25 |
25 |
$179.87 |
| 84484 |
|
1,067 |
928 |
$137.41 |
| 87210 |
|
30 |
29 |
$116.04 |
| 84481 |
|
12 |
12 |
$114.66 |
| 0241U |
|
1,106 |
1,042 |
$108.76 |
| 85651 |
|
52 |
52 |
$95.62 |
| 85379 |
|
159 |
153 |
$93.93 |
| 90471 |
|
13 |
13 |
$87.91 |
| 87807 |
|
21 |
21 |
$72.62 |
| 87340 |
|
12 |
12 |
$57.19 |
| 82248 |
|
20 |
12 |
$47.25 |
| G2023 |
Specimen collect covid-19 |
71 |
71 |
$34.58 |
| 86308 |
|
12 |
12 |
$29.25 |
| 82270 |
|
13 |
12 |
$28.99 |
| J7030 |
Normal saline solution infus |
2,918 |
2,259 |
$12.04 |
| J1885 |
Ketorolac tromethamine inj |
1,024 |
876 |
$8.75 |
| 87040 |
|
15 |
13 |
$6.48 |
| J3010 |
Fentanyl citrate injection |
121 |
102 |
$5.06 |
| Q0245 |
Bamlanivimab and etesevima |
13 |
13 |
$0.03 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
905 |
853 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
108 |
100 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
12 |
12 |
$0.00 |
| 72125 |
|
12 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
107 |
94 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
54 |
50 |
$0.00 |
| 88305 |
|
12 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
17 |
14 |
$0.00 |
| J7050 |
Normal saline solution infus |
20 |
13 |
$0.00 |