| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
9,283 |
8,672 |
$713K |
| 99283 |
|
1,927 |
1,804 |
$280K |
| 99284 |
|
1,054 |
944 |
$224K |
| 99282 |
|
2,519 |
2,444 |
$214K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,834 |
1,768 |
$116K |
| 96374 |
|
891 |
839 |
$106K |
| C9803 |
Hopd covid-19 spec collect |
2,176 |
2,116 |
$30K |
| 71046 |
|
659 |
631 |
$29K |
| U0005 |
Infec agen detec ampli probe |
1,492 |
1,438 |
$28K |
| 87428 |
|
879 |
866 |
$24K |
| 96361 |
|
806 |
740 |
$22K |
| 97110 |
|
666 |
197 |
$17K |
| 96375 |
|
435 |
401 |
$17K |
| 80053 |
|
4,543 |
4,257 |
$17K |
| 80061 |
|
1,694 |
1,678 |
$15K |
| 99285 |
|
15 |
15 |
$15K |
| 84443 |
|
1,224 |
1,205 |
$11K |
| 36415 |
|
5,736 |
5,115 |
$11K |
| 85025 |
|
2,875 |
2,626 |
$6K |
| 83036 |
|
951 |
938 |
$6K |
| 80305 |
|
584 |
525 |
$5K |
| 93005 |
|
509 |
466 |
$2K |
| 87426 |
|
56 |
54 |
$1K |
| 85027 |
|
656 |
615 |
$1K |
| 80306 |
|
280 |
241 |
$1K |
| J2405 |
Ondansetron hcl injection |
343 |
306 |
$840.79 |
| 87086 |
|
574 |
553 |
$823.34 |
| G0480 |
Drug test def 1-7 classes |
37 |
27 |
$784.99 |
| 87077 |
|
439 |
420 |
$717.42 |
| 87880 |
|
595 |
591 |
$646.37 |
| 96372 |
|
1,672 |
1,555 |
$630.81 |
| 82306 |
|
37 |
37 |
$628.59 |
| 81025 |
|
682 |
663 |
$284.45 |
| 87070 |
|
653 |
642 |
$266.14 |
| 81001 |
|
1,166 |
1,116 |
$261.08 |
| G2023 |
Specimen collect covid-19 |
16 |
16 |
$252.46 |
| 99001 |
|
41 |
32 |
$244.72 |
| 82607 |
|
31 |
30 |
$236.85 |
| 87804 |
|
255 |
131 |
$191.69 |
| 87143 |
|
54 |
50 |
$170.10 |
| 85610 |
|
155 |
139 |
$141.43 |
| 81003 |
|
297 |
285 |
$101.51 |
| 83690 |
|
193 |
177 |
$82.54 |
| 84439 |
|
13 |
13 |
$78.43 |
| 87430 |
|
221 |
217 |
$62.05 |
| 80048 |
|
32 |
27 |
$60.21 |
| 83605 |
|
171 |
161 |
$40.32 |
| 87807 |
|
41 |
40 |
$31.08 |
| 85007 |
|
60 |
57 |
$27.50 |
| 81002 |
|
100 |
92 |
$19.67 |
| 84484 |
|
12 |
12 |
$17.02 |
| 81000 |
|
195 |
188 |
$16.80 |
| 85730 |
|
39 |
37 |
$11.34 |
| J1885 |
Ketorolac tromethamine inj |
1,594 |
1,454 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
44 |
38 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
63 |
57 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
46 |
40 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
607 |
594 |
$0.00 |
| J3490 |
Drugs unclassified injection |
53 |
38 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
38 |
38 |
$0.00 |
| 88305 |
|
32 |
32 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
309 |
296 |
$0.00 |
| J7120 |
Ringers lactate infusion |
100 |
87 |
$0.00 |
| J2270 |
Morphine sulfate injection |
12 |
12 |
$0.00 |