| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
11,205 |
10,305 |
$4.12M |
| 99282 |
|
4,808 |
4,513 |
$1.42M |
| 96372 |
|
2,538 |
2,081 |
$144K |
| 99284 |
|
127 |
105 |
$59K |
| 87804 |
|
4,450 |
2,021 |
$57K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
473 |
433 |
$30K |
| 93005 |
|
376 |
309 |
$25K |
| 71045 |
|
438 |
380 |
$24K |
| 87426 |
|
877 |
809 |
$22K |
| 80053 |
|
2,626 |
2,318 |
$19K |
| 87880 |
|
1,343 |
1,182 |
$17K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
60 |
29 |
$16K |
| 96374 |
|
51 |
40 |
$12K |
| 80307 |
|
245 |
210 |
$10K |
| 99285 |
|
18 |
14 |
$10K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
508 |
445 |
$10K |
| 85025 |
|
1,614 |
1,426 |
$8K |
| 87070 |
|
937 |
850 |
$7K |
| 36415 |
|
2,825 |
2,474 |
$5K |
| 71046 |
|
48 |
42 |
$3K |
| 84484 |
|
465 |
363 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
329 |
283 |
$3K |
| 81025 |
|
190 |
172 |
$1K |
| 81001 |
|
760 |
651 |
$1K |
| 82553 |
|
192 |
165 |
$1K |
| 83880 |
|
44 |
38 |
$983.25 |
| 82550 |
|
237 |
205 |
$904.70 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,634 |
1,224 |
$866.89 |
| 83690 |
|
153 |
134 |
$705.91 |
| 80061 |
|
25 |
24 |
$361.70 |
| 82077 |
|
37 |
26 |
$310.86 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
48 |
41 |
$282.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
24 |
$255.41 |
| 85027 |
|
46 |
40 |
$181.16 |
| 85379 |
|
16 |
15 |
$132.34 |
| 87086 |
|
14 |
12 |
$72.63 |
| 83605 |
|
12 |
12 |
$57.85 |
| 81003 |
|
29 |
27 |
$23.05 |