| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,525 |
3,698 |
$1.01M |
| 99284 |
|
2,670 |
2,173 |
$669K |
| 99282 |
|
2,016 |
1,625 |
$494K |
| 96361 |
|
893 |
632 |
$479K |
| 99285 |
|
1,680 |
1,324 |
$354K |
| 99214 |
|
3,189 |
2,682 |
$102K |
| 70450 |
|
165 |
142 |
$56K |
| 99212 |
|
183 |
175 |
$39K |
| 99213 |
|
1,596 |
1,428 |
$37K |
| 80053 |
|
4,656 |
3,695 |
$34K |
| G0463 |
Hospital outpt clinic visit |
1,870 |
1,259 |
$32K |
| 99211 |
|
279 |
255 |
$32K |
| 87637 |
|
344 |
299 |
$31K |
| 85025 |
|
5,742 |
4,391 |
$27K |
| 71046 |
|
958 |
785 |
$23K |
| 74177 |
|
61 |
53 |
$20K |
| 84443 |
|
1,468 |
1,297 |
$19K |
| 80061 |
|
1,618 |
1,464 |
$17K |
| 96365 |
|
72 |
52 |
$17K |
| 80048 |
|
2,613 |
2,166 |
$17K |
| 99001 |
|
1,855 |
1,538 |
$11K |
| 97110 |
|
830 |
312 |
$10K |
| 87635 |
|
288 |
255 |
$10K |
| 83036 |
|
1,168 |
1,033 |
$8K |
| 87502 |
|
91 |
81 |
$7K |
| 99281 |
|
47 |
37 |
$7K |
| 96360 |
|
14 |
13 |
$5K |
| 87880 |
|
339 |
306 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
407 |
340 |
$5K |
| 81001 |
|
1,952 |
1,595 |
$4K |
| 84484 |
|
758 |
560 |
$4K |
| 83735 |
|
669 |
549 |
$2K |
| 85610 |
|
692 |
471 |
$2K |
| 36415 |
|
6,281 |
4,820 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
30 |
27 |
$2K |
| 93005 |
|
1,666 |
1,331 |
$1K |
| 97140 |
|
159 |
69 |
$759.89 |
| 87086 |
|
141 |
125 |
$668.92 |
| G0480 |
Drug test def 1-7 classes |
17 |
14 |
$575.55 |
| 90686 |
|
57 |
54 |
$463.74 |
| 96374 |
|
987 |
783 |
$410.59 |
| 82306 |
|
14 |
14 |
$402.77 |
| 81003 |
|
251 |
212 |
$396.28 |
| 96372 |
|
303 |
213 |
$350.20 |
| 85027 |
|
70 |
55 |
$277.56 |
| 83690 |
|
67 |
54 |
$267.94 |
| 83605 |
|
54 |
42 |
$203.10 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
14 |
$164.24 |
| 71045 |
|
130 |
111 |
$163.85 |
| 84439 |
|
16 |
13 |
$133.86 |
| 81025 |
|
21 |
13 |
$85.70 |
| 96375 |
|
718 |
540 |
$50.92 |
| 85730 |
|
12 |
12 |
$37.75 |
| 87088 |
|
12 |
12 |
$33.44 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
676 |
498 |
$26.49 |
| J1885 |
Ketorolac tromethamine inj |
195 |
153 |
$5.00 |
| 90674 |
|
34 |
29 |
$0.49 |
| J7030 |
Normal saline solution infus |
341 |
271 |
$0.11 |
| A9270 |
Non-covered item or service |
202 |
130 |
$0.00 |
| G0008 |
Admin influenza virus vac |
55 |
46 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
142 |
116 |
$0.00 |