| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,850 |
10,612 |
$1.41M |
| 99284 |
|
4,598 |
4,371 |
$1.25M |
| 99285 |
|
1,052 |
969 |
$120K |
| U0002 |
Covid-19 lab test non-cdc |
3,322 |
3,243 |
$54K |
| 87804 |
|
4,819 |
2,336 |
$53K |
| 80053 |
|
3,599 |
3,197 |
$22K |
| 99281 |
|
140 |
138 |
$21K |
| 85025 |
|
5,038 |
4,254 |
$16K |
| 99282 |
|
94 |
92 |
$13K |
| 87880 |
|
866 |
843 |
$7K |
| 81001 |
|
2,686 |
2,497 |
$5K |
| 71045 |
|
986 |
915 |
$5K |
| 93005 |
|
1,114 |
1,005 |
$5K |
| 74177 |
|
58 |
53 |
$3K |
| 96374 |
|
661 |
606 |
$3K |
| 87807 |
|
258 |
254 |
$2K |
| 70450 |
|
108 |
103 |
$2K |
| 87070 |
|
463 |
452 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
60 |
60 |
$2K |
| 84484 |
|
808 |
658 |
$1K |
| 80048 |
|
582 |
449 |
$746.64 |
| 96361 |
|
76 |
52 |
$652.53 |
| U0005 |
Infec agen detec ampli probe |
60 |
60 |
$435.07 |
| 81025 |
|
64 |
58 |
$381.40 |
| 83690 |
|
199 |
174 |
$363.11 |
| 96375 |
|
193 |
167 |
$341.36 |
| 80307 |
|
14 |
12 |
$310.59 |
| 82803 |
|
94 |
90 |
$174.11 |
| 85610 |
|
306 |
239 |
$136.44 |
| 86901 |
|
77 |
69 |
$97.63 |
| 83605 |
|
110 |
97 |
$96.71 |
| 86900 |
|
77 |
69 |
$95.12 |
| 86850 |
|
12 |
12 |
$85.66 |
| J2405 |
Ondansetron hcl injection |
151 |
134 |
$83.97 |
| 83735 |
|
80 |
66 |
$78.26 |
| J7030 |
Normal saline solution infus |
313 |
278 |
$37.29 |
| 83880 |
|
14 |
12 |
$32.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
98 |
94 |
$21.56 |
| G0480 |
Drug test def 1-7 classes |
13 |
13 |
$11.73 |
| 85730 |
|
20 |
14 |
$5.05 |
| 82330 |
|
17 |
17 |
$1.53 |
| J1644 |
Inj heparin sodium per 1000u |
18 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
32 |
26 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
16 |
15 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$0.00 |