| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,119 |
7,621 |
$1.35M |
| 99283 |
|
9,880 |
8,609 |
$1.26M |
| U0003 |
Cov-19 amp prb hgh thruput |
3,730 |
3,056 |
$254K |
| G0463 |
Hospital outpt clinic visit |
1,886 |
1,495 |
$152K |
| 99221 |
|
343 |
286 |
$142K |
| 87637 |
|
1,395 |
1,179 |
$124K |
| C9803 |
Hopd covid-19 spec collect |
1,697 |
1,480 |
$120K |
| 71045 |
|
1,068 |
837 |
$114K |
| 99239 |
|
317 |
276 |
$108K |
| 99218 |
|
362 |
204 |
$93K |
| 93005 |
|
1,514 |
1,122 |
$89K |
| 99282 |
|
498 |
447 |
$80K |
| 99285 |
|
830 |
621 |
$68K |
| 99217 |
|
235 |
158 |
$59K |
| 97110 |
|
1,807 |
472 |
$52K |
| 85025 |
|
12,346 |
8,444 |
$51K |
| 80053 |
|
9,452 |
6,834 |
$50K |
| U0005 |
Infec agen detec ampli probe |
2,017 |
1,721 |
$41K |
| 36415 |
|
15,094 |
10,357 |
$32K |
| 73630 |
|
883 |
475 |
$31K |
| 71046 |
|
146 |
123 |
$22K |
| G0378 |
Hospital observation per hr |
280 |
103 |
$13K |
| 74176 |
|
64 |
58 |
$12K |
| 99231 |
|
21 |
12 |
$11K |
| 99213 |
|
252 |
217 |
$9K |
| 81001 |
|
3,457 |
2,804 |
$8K |
| 84484 |
|
987 |
640 |
$7K |
| 87651 |
|
226 |
210 |
$6K |
| 99214 |
|
279 |
152 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
184 |
120 |
$6K |
| 80050 |
|
37 |
37 |
$5K |
| 83735 |
|
1,471 |
652 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16 |
14 |
$4K |
| 83605 |
|
578 |
435 |
$4K |
| 87804 |
|
572 |
284 |
$3K |
| 80307 |
|
150 |
105 |
$3K |
| 96372 |
|
304 |
253 |
$3K |
| 87635 |
|
92 |
63 |
$3K |
| 84100 |
|
1,087 |
509 |
$3K |
| 87086 |
|
484 |
415 |
$2K |
| 80061 |
|
225 |
191 |
$2K |
| 70450 |
|
12 |
12 |
$2K |
| G0483 |
Drug test def 22+ classes |
80 |
59 |
$1K |
| 85610 |
|
521 |
353 |
$1K |
| 83690 |
|
274 |
238 |
$1K |
| 82306 |
|
66 |
60 |
$1K |
| 80306 |
|
107 |
96 |
$1K |
| 87040 |
|
220 |
156 |
$1K |
| 80048 |
|
395 |
249 |
$1K |
| 97140 |
|
307 |
90 |
$985.64 |
| 84443 |
|
57 |
54 |
$745.09 |
| 96365 |
|
22 |
12 |
$722.36 |
| 87430 |
|
118 |
99 |
$558.68 |
| 96374 |
|
45 |
36 |
$543.03 |
| 83036 |
|
95 |
87 |
$470.50 |
| 84145 |
|
32 |
25 |
$389.54 |
| 99204 |
|
12 |
12 |
$386.66 |
| 94640 |
|
31 |
27 |
$260.21 |
| 99308 |
|
149 |
73 |
$230.32 |
| 81003 |
|
364 |
304 |
$214.14 |
| 86140 |
|
66 |
48 |
$203.63 |
| 86376 |
|
16 |
15 |
$172.97 |
| 87880 |
|
19 |
17 |
$167.62 |
| 99309 |
|
99 |
56 |
$161.79 |
| P9604 |
One-way allow prorated trip |
314 |
174 |
$159.69 |
| 85379 |
|
12 |
12 |
$104.54 |
| 87807 |
|
14 |
12 |
$104.43 |
| 87081 |
|
32 |
30 |
$94.21 |
| 82553 |
|
29 |
12 |
$69.90 |
| 80331 |
|
19 |
18 |
$65.24 |
| J3490 |
Drugs unclassified injection |
153 |
94 |
$27.92 |
| 80366 |
|
18 |
17 |
$17.02 |
| 80373 |
|
18 |
17 |
$17.02 |
| 80344 |
|
18 |
17 |
$17.02 |
| 80355 |
|
18 |
17 |
$17.02 |
| 80377 |
|
18 |
17 |
$17.02 |
| 80338 |
|
18 |
17 |
$17.02 |
| 80372 |
|
18 |
17 |
$17.02 |
| 80337 |
|
18 |
17 |
$17.02 |
| 80370 |
|
18 |
17 |
$17.02 |
| 80334 |
|
18 |
17 |
$17.02 |
| 80357 |
|
18 |
17 |
$17.02 |
| 80341 |
|
18 |
17 |
$17.02 |
| 80368 |
|
18 |
17 |
$17.02 |
| J3301 |
Triamcinolone acet inj nos |
192 |
124 |
$0.00 |
| 80360 |
|
18 |
17 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
92 |
77 |
$0.00 |
| 80361 |
|
18 |
17 |
$0.00 |
| 82570 |
|
18 |
17 |
$0.00 |
| 80348 |
|
18 |
17 |
$0.00 |
| 80326 |
|
18 |
17 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
31 |
26 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
109 |
53 |
$0.00 |
| 80354 |
|
18 |
17 |
$0.00 |
| 80365 |
|
18 |
17 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
15 |
12 |
$0.00 |
| 80364 |
|
18 |
17 |
$0.00 |
| 83992 |
|
18 |
17 |
$0.00 |
| 80346 |
|
18 |
17 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
127 |
65 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
360 |
308 |
$0.00 |
| 80359 |
|
18 |
17 |
$0.00 |
| 88305 |
|
19 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
28 |
26 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
16 |
14 |
$0.00 |
| 80353 |
|
18 |
17 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
89 |
62 |
$0.00 |
| 80367 |
|
18 |
17 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
28 |
15 |
$0.00 |
| 80358 |
|
18 |
17 |
$0.00 |
| 80371 |
|
18 |
17 |
$0.00 |
| J2001 |
Lidocaine injection |
17 |
12 |
$0.00 |