| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
5,062 |
4,838 |
$1.36M |
| 99284 |
|
2,362 |
2,262 |
$887K |
| 80053 |
|
3,795 |
3,086 |
$342K |
| H2035 |
A/d tx program, per hour |
3,061 |
569 |
$236K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,554 |
2,489 |
$208K |
| 99285 |
|
401 |
387 |
$203K |
| 93005 |
|
1,573 |
1,432 |
$134K |
| 36415 |
|
15,023 |
13,361 |
$126K |
| 85025 |
|
3,795 |
3,065 |
$113K |
| 87636 |
|
367 |
360 |
$76K |
| J3490 |
Drugs unclassified injection |
10,397 |
4,935 |
$69K |
| 87635 |
|
640 |
620 |
$50K |
| 85027 |
|
1,988 |
1,894 |
$41K |
| 99211 |
|
3,584 |
3,022 |
$36K |
| 87651 |
|
545 |
537 |
$31K |
| U0005 |
Infec agen detec ampli probe |
1,891 |
1,840 |
$30K |
| 80048 |
|
536 |
490 |
$27K |
| 71046 |
|
236 |
226 |
$23K |
| Q3014 |
Telehealth facility fee |
1,795 |
1,632 |
$19K |
| 96374 |
|
244 |
232 |
$16K |
| 96361 |
|
300 |
282 |
$16K |
| 86140 |
|
682 |
642 |
$15K |
| 80307 |
|
94 |
73 |
$15K |
| 74177 |
|
13 |
13 |
$14K |
| J7030 |
Normal saline solution infus |
961 |
893 |
$12K |
| 81015 |
|
1,678 |
1,224 |
$11K |
| 97110 |
|
119 |
49 |
$11K |
| 87804 |
|
315 |
174 |
$11K |
| J7050 |
Normal saline solution infus |
674 |
186 |
$6K |
| 85018 |
|
776 |
717 |
$6K |
| 84512 |
|
125 |
115 |
$6K |
| 99282 |
|
39 |
38 |
$5K |
| 86780 |
|
175 |
164 |
$5K |
| 73630 |
|
47 |
36 |
$5K |
| 96375 |
|
64 |
55 |
$5K |
| 59025 |
|
17 |
12 |
$5K |
| 87591 |
|
92 |
91 |
$4K |
| 83735 |
|
270 |
250 |
$4K |
| 87491 |
|
92 |
91 |
$4K |
| 81001 |
|
334 |
319 |
$4K |
| 71045 |
|
27 |
27 |
$4K |
| 87880 |
|
198 |
191 |
$3K |
| 97140 |
|
58 |
26 |
$3K |
| 0241U |
|
13 |
13 |
$3K |
| 85610 |
|
173 |
141 |
$2K |
| 83880 |
|
29 |
29 |
$2K |
| 84484 |
|
60 |
40 |
$2K |
| 96365 |
|
12 |
12 |
$2K |
| 84443 |
|
41 |
41 |
$1K |
| 87086 |
|
63 |
61 |
$1K |
| 74018 |
|
12 |
12 |
$1K |
| 87081 |
|
124 |
118 |
$1K |
| 87150 |
|
12 |
12 |
$1K |
| 83605 |
|
51 |
41 |
$1K |
| 83036 |
|
36 |
35 |
$1K |
| 86850 |
|
39 |
37 |
$1K |
| 96372 |
|
23 |
15 |
$895.00 |
| 83655 |
|
70 |
63 |
$835.47 |
| 84145 |
|
13 |
12 |
$770.85 |
| 87502 |
|
15 |
14 |
$747.59 |
| 99212 |
|
22 |
14 |
$683.73 |
| 11721 |
|
81 |
60 |
$625.70 |
| 81003 |
|
57 |
54 |
$466.44 |
| 80061 |
|
12 |
12 |
$432.06 |
| 86787 |
|
13 |
12 |
$377.32 |
| 82306 |
|
12 |
12 |
$359.95 |
| 87389 |
|
13 |
12 |
$350.93 |
| 86762 |
|
13 |
12 |
$342.08 |
| 84702 |
|
14 |
12 |
$340.25 |
| 86803 |
|
13 |
12 |
$337.38 |
| J2704 |
Inj, propofol, 10 mg |
14 |
12 |
$334.19 |
| 84100 |
|
30 |
28 |
$320.72 |
| 87340 |
|
13 |
12 |
$312.86 |
| J1100 |
Dexamethasone sodium phos |
31 |
26 |
$305.94 |
| 86900 |
|
13 |
12 |
$262.53 |
| 86901 |
|
13 |
12 |
$262.17 |
| 81025 |
|
14 |
13 |
$190.52 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16 |
15 |
$152.86 |
| J1885 |
Ketorolac tromethamine inj |
12 |
12 |
$137.18 |
| 92014 |
|
12 |
12 |
$134.27 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$97.80 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$6.77 |