| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,157 |
2,650 |
$237K |
| 99283 |
|
4,178 |
3,613 |
$209K |
| 99285 |
|
1,860 |
1,545 |
$168K |
| 99282 |
|
1,350 |
1,137 |
$39K |
| 96374 |
|
1,558 |
1,243 |
$37K |
| 74177 |
|
173 |
155 |
$36K |
| 96375 |
|
949 |
759 |
$17K |
| 87635 |
|
577 |
534 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
382 |
316 |
$15K |
| 96372 |
|
1,042 |
880 |
$13K |
| 80053 |
|
2,420 |
1,946 |
$10K |
| 85025 |
|
2,749 |
2,231 |
$8K |
| 96361 |
|
1,028 |
822 |
$8K |
| 0241U |
|
320 |
300 |
$7K |
| 71045 |
|
1,116 |
945 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
592 |
495 |
$5K |
| 36415 |
|
3,191 |
2,549 |
$4K |
| 87804 |
|
910 |
416 |
$4K |
| 93005 |
|
913 |
743 |
$3K |
| 83690 |
|
1,147 |
938 |
$3K |
| 84484 |
|
603 |
398 |
$2K |
| 81001 |
|
1,334 |
1,113 |
$2K |
| 84703 |
|
473 |
402 |
$2K |
| 80048 |
|
334 |
290 |
$2K |
| 87430 |
|
254 |
236 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
1,136 |
1,017 |
$1K |
| 99281 |
|
87 |
72 |
$1K |
| 87651 |
|
73 |
68 |
$1K |
| 87086 |
|
396 |
339 |
$1K |
| 81025 |
|
448 |
398 |
$1K |
| 71046 |
|
109 |
97 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,394 |
1,192 |
$1K |
| 87070 |
|
255 |
235 |
$1K |
| 80307 |
|
36 |
29 |
$929.84 |
| U0005 |
Infec agen detec ampli probe |
189 |
163 |
$669.90 |
| 81003 |
|
491 |
394 |
$421.52 |
| J1100 |
Dexamethasone sodium phos |
459 |
414 |
$400.59 |
| 96360 |
|
19 |
16 |
$355.95 |
| 83605 |
|
55 |
38 |
$225.17 |
| 87420 |
|
34 |
28 |
$214.18 |
| J2405 |
Ondansetron hcl injection |
717 |
568 |
$186.52 |
| 96365 |
|
19 |
12 |
$180.46 |
| 90471 |
|
20 |
12 |
$173.10 |
| 87077 |
|
14 |
12 |
$139.63 |
| 87186 |
|
27 |
24 |
$98.81 |
| 84443 |
|
16 |
12 |
$76.87 |
| J2270 |
Morphine sulfate injection |
34 |
13 |
$48.63 |
| 85027 |
|
20 |
13 |
$26.52 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
14 |
$10.10 |
| J2060 |
Lorazepam injection |
14 |
13 |
$6.19 |
| J3010 |
Fentanyl citrate injection |
24 |
17 |
$3.14 |