| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,367 |
1,160 |
$110K |
| 99285 |
|
333 |
300 |
$41K |
| 99283 |
|
788 |
692 |
$17K |
| 93005 |
|
719 |
656 |
$13K |
| 80053 |
|
2,286 |
1,839 |
$11K |
| 0002A |
|
1,303 |
1,257 |
$10K |
| 0001A |
|
1,166 |
1,140 |
$10K |
| 99282 |
|
288 |
260 |
$8K |
| 71045 |
|
768 |
672 |
$8K |
| 85025 |
|
2,468 |
1,874 |
$7K |
| 70450 |
|
142 |
124 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
272 |
244 |
$3K |
| 74177 |
|
25 |
24 |
$2K |
| 81025 |
|
391 |
341 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
45 |
42 |
$2K |
| 96361 |
|
17 |
13 |
$2K |
| 81001 |
|
722 |
625 |
$967.41 |
| 74176 |
|
14 |
12 |
$943.82 |
| 83690 |
|
495 |
433 |
$808.66 |
| 87636 |
|
15 |
12 |
$712.30 |
| G0463 |
Hospital outpt clinic visit |
106 |
102 |
$709.77 |
| U0002 |
Covid-19 lab test non-cdc |
35 |
27 |
$700.61 |
| U0005 |
Infec agen detec ampli probe |
45 |
42 |
$565.00 |
| 84484 |
|
158 |
140 |
$539.95 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
105 |
95 |
$496.08 |
| 96374 |
|
84 |
73 |
$494.30 |
| 96375 |
|
54 |
48 |
$225.90 |
| J2405 |
Ondansetron hcl injection |
697 |
566 |
$215.41 |
| 85610 |
|
191 |
164 |
$172.52 |
| 36415 |
|
2,482 |
2,062 |
$115.59 |
| J2270 |
Morphine sulfate injection |
49 |
40 |
$109.91 |
| 81003 |
|
42 |
41 |
$44.55 |
| 85730 |
|
33 |
27 |
$29.55 |
| 80048 |
|
18 |
12 |
$22.08 |
| J3010 |
Fentanyl citrate injection |
45 |
43 |
$19.28 |
| 83735 |
|
14 |
12 |
$16.61 |
| J1885 |
Ketorolac tromethamine inj |
71 |
40 |
$7.58 |
| G1004 |
Cdsm ndsc |
728 |
527 |
$1.00 |
| 82962 |
|
37 |
24 |
$0.00 |
| 0241U |
|
50 |
42 |
$0.00 |