| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,027 |
2,823 |
$665K |
| 99283 |
|
7,633 |
7,301 |
$392K |
| 87502 |
|
3,035 |
2,924 |
$334K |
| 87635 |
|
2,484 |
2,393 |
$163K |
| 99285 |
|
794 |
710 |
$160K |
| 87651 |
|
1,756 |
1,691 |
$81K |
| C9803 |
Hopd covid-19 spec collect |
3,707 |
3,536 |
$77K |
| 80053 |
|
3,134 |
2,802 |
$37K |
| 93005 |
|
994 |
895 |
$33K |
| 85025 |
|
4,122 |
3,653 |
$32K |
| U0002 |
Covid-19 lab test non-cdc |
521 |
495 |
$24K |
| 71045 |
|
1,023 |
920 |
$23K |
| 87634 |
|
149 |
146 |
$15K |
| 71046 |
|
256 |
250 |
$13K |
| 74018 |
|
168 |
161 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
164 |
151 |
$11K |
| 99282 |
|
186 |
181 |
$9K |
| 96375 |
|
567 |
504 |
$8K |
| 81003 |
|
2,791 |
2,550 |
$7K |
| J7030 |
Normal saline solution infus |
1,001 |
816 |
$4K |
| 84484 |
|
708 |
534 |
$4K |
| 70450 |
|
59 |
56 |
$3K |
| U0005 |
Infec agen detec ampli probe |
142 |
138 |
$3K |
| 84702 |
|
206 |
180 |
$3K |
| 81025 |
|
393 |
376 |
$3K |
| 83605 |
|
605 |
395 |
$3K |
| 96374 |
|
542 |
493 |
$3K |
| 99281 |
|
51 |
48 |
$2K |
| 83880 |
|
119 |
111 |
$2K |
| 83690 |
|
585 |
539 |
$2K |
| 96365 |
|
42 |
41 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
76 |
68 |
$1K |
| 87040 |
|
194 |
94 |
$964.33 |
| 84145 |
|
72 |
64 |
$781.97 |
| J0131 |
Inj, acetaminophen (nos) |
94 |
83 |
$744.18 |
| 96361 |
|
204 |
188 |
$711.56 |
| 87086 |
|
70 |
67 |
$437.51 |
| 87591 |
|
12 |
12 |
$353.76 |
| 87491 |
|
12 |
12 |
$353.76 |
| J2405 |
Ondansetron hcl injection |
525 |
464 |
$347.27 |
| 96372 |
|
66 |
63 |
$269.76 |
| J1100 |
Dexamethasone sodium phos |
183 |
172 |
$244.35 |
| J1885 |
Ketorolac tromethamine inj |
255 |
242 |
$230.68 |
| 80307 |
|
14 |
12 |
$208.80 |
| 85610 |
|
75 |
73 |
$156.89 |
| Q0162 |
Ondansetron oral |
41 |
40 |
$131.96 |
| 80048 |
|
16 |
15 |
$102.00 |
| 83735 |
|
26 |
24 |
$79.97 |
| 85379 |
|
15 |
14 |
$51.98 |
| 85730 |
|
13 |
13 |
$30.50 |
| J2270 |
Morphine sulfate injection |
16 |
13 |
$16.30 |
| 86140 |
|
14 |
13 |
$8.88 |
| 36415 |
|
747 |
664 |
$8.27 |
| A9270 |
Non-covered item or service |
1,159 |
1,076 |
$0.00 |
| 80047 |
|
16 |
16 |
$0.00 |