| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,338 |
5,691 |
$1.43M |
| 99283 |
|
7,013 |
6,173 |
$242K |
| 93005 |
|
4,734 |
3,857 |
$177K |
| 80053 |
|
15,671 |
12,897 |
$139K |
| 99285 |
|
1,105 |
975 |
$111K |
| 85025 |
|
16,951 |
13,199 |
$104K |
| 99282 |
|
2,205 |
1,961 |
$71K |
| 71045 |
|
3,096 |
2,611 |
$52K |
| 76801 |
|
680 |
566 |
$51K |
| 87636 |
|
772 |
731 |
$49K |
| 81001 |
|
8,138 |
7,048 |
$22K |
| 96361 |
|
116 |
86 |
$21K |
| 81025 |
|
2,440 |
2,247 |
$17K |
| 84702 |
|
1,721 |
1,407 |
$16K |
| 84484 |
|
2,653 |
2,028 |
$13K |
| 74177 |
|
137 |
126 |
$13K |
| 70450 |
|
343 |
325 |
$11K |
| 76817 |
|
146 |
122 |
$9K |
| 74176 |
|
143 |
124 |
$9K |
| 96375 |
|
375 |
282 |
$8K |
| 84030 |
|
1,019 |
970 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
551 |
513 |
$6K |
| 96374 |
|
526 |
438 |
$5K |
| 96365 |
|
76 |
66 |
$4K |
| 83690 |
|
1,629 |
1,433 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
134 |
127 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
162 |
153 |
$4K |
| 80048 |
|
1,047 |
728 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
517 |
475 |
$4K |
| 83880 |
|
296 |
260 |
$3K |
| 96376 |
|
62 |
36 |
$2K |
| 87591 |
|
80 |
72 |
$2K |
| 86900 |
|
885 |
740 |
$1K |
| 86901 |
|
828 |
737 |
$1K |
| 83735 |
|
1,488 |
1,002 |
$1K |
| 87491 |
|
65 |
60 |
$1K |
| U0005 |
Infec agen detec ampli probe |
162 |
153 |
$1K |
| 81003 |
|
1,127 |
961 |
$1K |
| 84703 |
|
239 |
215 |
$1K |
| 85610 |
|
820 |
704 |
$946.74 |
| 76705 |
|
15 |
13 |
$878.72 |
| 87086 |
|
191 |
169 |
$865.96 |
| 85730 |
|
420 |
380 |
$806.66 |
| 94760 |
|
48 |
37 |
$802.87 |
| 0011A |
|
77 |
74 |
$777.67 |
| J0696 |
Ceftriaxone sodium injection |
479 |
405 |
$764.85 |
| J1885 |
Ketorolac tromethamine inj |
1,323 |
945 |
$756.45 |
| J2405 |
Ondansetron hcl injection |
1,787 |
1,415 |
$583.27 |
| 86850 |
|
60 |
50 |
$519.03 |
| 36415 |
|
19,406 |
16,277 |
$499.80 |
| M0243 |
Casirivi and imdevi inj |
34 |
31 |
$450.00 |
| G0463 |
Hospital outpt clinic visit |
760 |
490 |
$420.39 |
| 0012A |
|
46 |
46 |
$418.42 |
| 87430 |
|
49 |
44 |
$417.50 |
| 85027 |
|
209 |
168 |
$381.48 |
| 87210 |
|
98 |
91 |
$379.98 |
| J2270 |
Morphine sulfate injection |
148 |
84 |
$373.71 |
| T2101 |
Breast milk proc/store/dist |
27 |
15 |
$321.00 |
| J3010 |
Fentanyl citrate injection |
522 |
422 |
$296.28 |
| 99281 |
|
12 |
12 |
$256.80 |
| 80307 |
|
14 |
12 |
$198.36 |
| 88305 |
|
15 |
12 |
$188.52 |
| 84100 |
|
626 |
364 |
$159.02 |
| J0360 |
Hydralazine hcl injection |
22 |
12 |
$73.43 |
| J1100 |
Dexamethasone sodium phos |
135 |
100 |
$45.76 |
| 0002A |
|
15 |
15 |
$28.39 |
| 85007 |
|
19 |
16 |
$28.23 |
| J1200 |
Diphenhydramine hcl injectio |
34 |
28 |
$27.37 |
| 80197 |
|
255 |
124 |
$21.90 |
| 84132 |
|
12 |
12 |
$14.52 |
| 82962 |
|
1,384 |
675 |
$2.46 |
| G1004 |
Cdsm ndsc |
1,204 |
883 |
$0.00 |
| 96372 |
|
72 |
51 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
27 |
26 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
79 |
41 |
$0.00 |
| 36416 |
|
23 |
15 |
$0.00 |