| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
2,228 |
1,881 |
$247K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,296 |
1,873 |
$223K |
| 99284 |
|
3,479 |
2,982 |
$204K |
| 87637 |
|
1,916 |
1,674 |
$188K |
| 99283 |
|
3,168 |
2,738 |
$186K |
| 99285 |
|
3,052 |
2,654 |
$168K |
| 99282 |
|
2,595 |
2,244 |
$167K |
| 80053 |
|
5,827 |
4,868 |
$79K |
| 74177 |
|
973 |
866 |
$64K |
| C9803 |
Hopd covid-19 spec collect |
1,875 |
1,575 |
$47K |
| 70450 |
|
574 |
512 |
$38K |
| 96365 |
|
534 |
451 |
$32K |
| 85025 |
|
5,554 |
4,639 |
$27K |
| 87635 |
|
588 |
513 |
$21K |
| 87070 |
|
811 |
694 |
$20K |
| 71046 |
|
626 |
577 |
$17K |
| 81001 |
|
3,034 |
2,574 |
$12K |
| 87880 |
|
849 |
739 |
$12K |
| G0480 |
Drug test def 1-7 classes |
260 |
217 |
$10K |
| U0005 |
Infec agen detec ampli probe |
1,555 |
1,289 |
$9K |
| 84443 |
|
724 |
645 |
$9K |
| 83690 |
|
2,270 |
1,926 |
$9K |
| 81025 |
|
310 |
260 |
$9K |
| 84703 |
|
1,407 |
1,242 |
$8K |
| 80048 |
|
319 |
264 |
$8K |
| 84484 |
|
1,176 |
740 |
$8K |
| 80061 |
|
561 |
500 |
$8K |
| 82306 |
|
255 |
222 |
$7K |
| 87086 |
|
472 |
397 |
$6K |
| 87491 |
|
202 |
181 |
$6K |
| 73630 |
|
307 |
283 |
$6K |
| 87636 |
|
91 |
77 |
$6K |
| 74018 |
|
172 |
160 |
$5K |
| 94640 |
|
446 |
316 |
$5K |
| 83605 |
|
819 |
687 |
$5K |
| 85610 |
|
309 |
224 |
$5K |
| 71045 |
|
2,367 |
2,057 |
$4K |
| 87591 |
|
186 |
166 |
$4K |
| 96360 |
|
41 |
38 |
$4K |
| 74176 |
|
67 |
60 |
$4K |
| 83735 |
|
940 |
817 |
$4K |
| 80306 |
|
178 |
158 |
$3K |
| 83036 |
|
342 |
311 |
$3K |
| 87426 |
|
254 |
195 |
$3K |
| 87807 |
|
49 |
44 |
$3K |
| 83880 |
|
112 |
92 |
$2K |
| 73610 |
|
91 |
82 |
$2K |
| 85027 |
|
433 |
381 |
$2K |
| 87077 |
|
159 |
128 |
$2K |
| 96374 |
|
3,370 |
2,800 |
$2K |
| 82948 |
|
356 |
270 |
$2K |
| 85379 |
|
160 |
146 |
$1K |
| 99291 |
|
17 |
14 |
$1K |
| 87502 |
|
15 |
15 |
$1K |
| 87210 |
|
76 |
68 |
$951.00 |
| 84439 |
|
45 |
39 |
$825.14 |
| 83655 |
|
16 |
12 |
$824.10 |
| 87088 |
|
161 |
131 |
$689.26 |
| 87186 |
|
117 |
101 |
$647.52 |
| 85007 |
|
257 |
225 |
$596.88 |
| 96375 |
|
2,618 |
2,171 |
$491.75 |
| 82728 |
|
14 |
13 |
$407.80 |
| 93005 |
|
2,492 |
2,103 |
$406.16 |
| 73564 |
|
25 |
25 |
$345.85 |
| 36415 |
|
1,235 |
1,035 |
$339.41 |
| 87389 |
|
13 |
12 |
$199.04 |
| 86850 |
|
13 |
12 |
$190.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,794 |
1,345 |
$190.26 |
| 73140 |
|
13 |
12 |
$171.10 |
| 82550 |
|
52 |
50 |
$161.86 |
| 87040 |
|
25 |
13 |
$161.80 |
| 86140 |
|
16 |
15 |
$74.90 |
| 85652 |
|
30 |
28 |
$57.41 |
| 96372 |
|
815 |
711 |
$50.11 |
| 36000 |
|
595 |
532 |
$20.85 |
| 85018 |
|
15 |
12 |
$19.60 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
13 |
$10.37 |
| 96376 |
|
144 |
116 |
$3.50 |
| J1885 |
Ketorolac tromethamine inj |
1,774 |
1,417 |
$2.79 |
| J2405 |
Ondansetron hcl injection |
1,660 |
1,409 |
$2.64 |
| J2704 |
Inj, propofol, 10 mg |
131 |
66 |
$2.00 |
| J1170 |
Hydromorphone injection |
713 |
540 |
$0.54 |
| G1004 |
Cdsm ndsc |
295 |
162 |
$0.16 |
| J1100 |
Dexamethasone sodium phos |
832 |
529 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
125 |
106 |
$0.00 |
| A9270 |
Non-covered item or service |
133 |
52 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
30 |
26 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
31 |
24 |
$0.00 |
| J2060 |
Lorazepam injection |
51 |
38 |
$0.00 |
| J1790 |
Droperidol injection |
62 |
51 |
$0.00 |
| J2930 |
Methylprednisolone injection |
16 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
137 |
119 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
14 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
15 |
$0.00 |