| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,640 |
7,897 |
$1.75M |
| 99283 |
|
13,175 |
9,454 |
$1.54M |
| 99285 |
|
3,170 |
2,704 |
$1.03M |
| 99282 |
|
7,355 |
5,457 |
$524K |
| 96374 |
|
3,121 |
2,840 |
$391K |
| 97110 |
|
6,823 |
2,067 |
$279K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,841 |
3,682 |
$227K |
| 71046 |
|
3,063 |
2,940 |
$152K |
| 97530 |
|
2,661 |
1,574 |
$113K |
| 74177 |
|
499 |
484 |
$112K |
| 96375 |
|
2,377 |
2,112 |
$103K |
| 92507 |
|
2,004 |
684 |
$92K |
| 96361 |
|
1,946 |
1,758 |
$87K |
| 86900 |
|
1,727 |
1,686 |
$85K |
| 96365 |
|
549 |
446 |
$71K |
| U0005 |
Infec agen detec ampli probe |
3,665 |
3,509 |
$71K |
| 97140 |
|
2,908 |
1,002 |
$65K |
| 70450 |
|
595 |
584 |
$58K |
| 99281 |
|
1,054 |
900 |
$56K |
| 77067 |
|
680 |
680 |
$41K |
| 84443 |
|
4,659 |
4,574 |
$41K |
| 80061 |
|
3,313 |
3,303 |
$40K |
| 36415 |
|
19,628 |
17,361 |
$40K |
| 80053 |
|
12,591 |
11,569 |
$39K |
| 88305 |
|
1,803 |
936 |
$36K |
| 87491 |
|
1,909 |
1,886 |
$31K |
| 87591 |
|
1,896 |
1,873 |
$31K |
| 85025 |
|
15,242 |
13,720 |
$29K |
| 87428 |
|
938 |
928 |
$27K |
| 76856 |
|
364 |
360 |
$26K |
| 74176 |
|
128 |
125 |
$20K |
| 41899 |
|
12 |
12 |
$19K |
| 76705 |
|
243 |
237 |
$19K |
| 00170 |
|
184 |
179 |
$19K |
| 88142 |
|
1,463 |
1,454 |
$19K |
| 76830 |
|
247 |
243 |
$18K |
| 87624 |
|
789 |
788 |
$18K |
| 73562 |
|
489 |
464 |
$15K |
| 87635 |
|
468 |
454 |
$15K |
| 97161 |
|
212 |
207 |
$14K |
| 76801 |
|
186 |
169 |
$14K |
| 73630 |
|
595 |
564 |
$14K |
| 87636 |
|
489 |
483 |
$14K |
| 87070 |
|
3,067 |
3,014 |
$13K |
| 83036 |
|
2,497 |
2,482 |
$13K |
| 92526 |
|
291 |
123 |
$13K |
| 76805 |
|
152 |
152 |
$12K |
| G0480 |
Drug test def 1-7 classes |
939 |
886 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
1,486 |
1,449 |
$12K |
| 76816 |
|
159 |
155 |
$11K |
| 93005 |
|
2,805 |
2,654 |
$11K |
| 87389 |
|
1,791 |
1,786 |
$11K |
| 82306 |
|
503 |
499 |
$10K |
| 71045 |
|
162 |
161 |
$10K |
| 73030 |
|
269 |
255 |
$8K |
| 73610 |
|
282 |
267 |
$8K |
| 77063 |
|
446 |
446 |
$8K |
| 80048 |
|
2,235 |
2,101 |
$7K |
| 84439 |
|
1,402 |
1,366 |
$7K |
| 87086 |
|
3,026 |
2,839 |
$7K |
| 86803 |
|
1,338 |
1,334 |
$7K |
| 87077 |
|
1,712 |
1,634 |
$6K |
| 59025 |
|
68 |
38 |
$5K |
| 80305 |
|
2,347 |
2,169 |
$5K |
| 87186 |
|
1,446 |
1,386 |
$5K |
| 81001 |
|
7,278 |
6,709 |
$5K |
| 73130 |
|
209 |
190 |
$5K |
| 87426 |
|
170 |
170 |
$5K |
| 82728 |
|
518 |
514 |
$4K |
| 86592 |
|
1,133 |
1,129 |
$3K |
| 87590 |
|
235 |
232 |
$3K |
| 93976 |
|
48 |
48 |
$3K |
| 87490 |
|
237 |
232 |
$3K |
| 87804 |
|
719 |
353 |
$2K |
| 87340 |
|
1,041 |
1,037 |
$2K |
| 82947 |
|
443 |
437 |
$2K |
| 96372 |
|
2,100 |
1,947 |
$2K |
| 87802 |
|
206 |
205 |
$2K |
| 87807 |
|
346 |
346 |
$2K |
| 83735 |
|
1,172 |
1,097 |
$2K |
| 85027 |
|
349 |
346 |
$1K |
| 82607 |
|
147 |
145 |
$1K |
| 74019 |
|
41 |
39 |
$1K |
| 86140 |
|
743 |
722 |
$1K |
| 0012A |
|
48 |
48 |
$1K |
| 74018 |
|
46 |
42 |
$1K |
| 86885 |
|
33 |
33 |
$1K |
| 81513 |
|
14 |
14 |
$1K |
| 73502 |
|
44 |
42 |
$1K |
| 73110 |
|
58 |
55 |
$1K |
| 82570 |
|
271 |
259 |
$902.06 |
| 85651 |
|
539 |
525 |
$846.76 |
| 72100 |
|
32 |
31 |
$841.38 |
| 0011A |
|
53 |
52 |
$813.45 |
| 83690 |
|
2,811 |
2,573 |
$728.33 |
| 85610 |
|
570 |
493 |
$549.23 |
| 82043 |
|
142 |
141 |
$528.50 |
| 87210 |
|
146 |
144 |
$500.50 |
| 84702 |
|
92 |
72 |
$487.79 |
| 82150 |
|
1,847 |
1,729 |
$480.70 |
| 81025 |
|
1,705 |
1,653 |
$387.73 |
| 87088 |
|
162 |
151 |
$372.87 |
| 87661 |
|
15 |
15 |
$310.80 |
| 87481 |
|
14 |
14 |
$284.90 |
| 83540 |
|
70 |
70 |
$274.91 |
| 87400 |
|
209 |
207 |
$273.02 |
| 82746 |
|
29 |
29 |
$260.40 |
| 84703 |
|
445 |
434 |
$258.98 |
| 87880 |
|
402 |
398 |
$256.76 |
| 84484 |
|
1,736 |
1,610 |
$235.75 |
| 86850 |
|
1,590 |
1,560 |
$228.16 |
| 82550 |
|
701 |
666 |
$184.24 |
| 83655 |
|
14 |
14 |
$134.12 |
| 85379 |
|
496 |
479 |
$109.73 |
| 86704 |
|
13 |
13 |
$90.90 |
| 86308 |
|
40 |
39 |
$87.65 |
| 86706 |
|
13 |
13 |
$72.90 |
| 86762 |
|
197 |
196 |
$64.01 |
| 83550 |
|
13 |
13 |
$58.61 |
| 87324 |
|
13 |
13 |
$54.00 |
| 82948 |
|
334 |
281 |
$40.93 |
| 82962 |
|
63 |
62 |
$36.64 |
| 83605 |
|
81 |
73 |
$35.32 |
| 85730 |
|
153 |
149 |
$34.50 |
| 88300 |
|
22 |
12 |
$23.22 |
| 87040 |
|
98 |
84 |
$22.15 |
| 82553 |
|
443 |
425 |
$16.55 |
| 80179 |
|
25 |
25 |
$14.91 |
| 83615 |
|
15 |
15 |
$9.96 |
| J1885 |
Ketorolac tromethamine inj |
1,686 |
1,504 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
707 |
673 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
714 |
648 |
$0.00 |
| 86901 |
|
1,667 |
1,628 |
$0.00 |
| A9270 |
Non-covered item or service |
1,004 |
542 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,210 |
1,169 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
918 |
864 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
60 |
38 |
$0.00 |
| J1170 |
Hydromorphone injection |
930 |
650 |
$0.00 |
| 96376 |
|
177 |
161 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
29 |
26 |
$0.00 |
| J2060 |
Lorazepam injection |
63 |
44 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,971 |
1,639 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,340 |
1,257 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,713 |
1,160 |
$0.00 |
| 94664 |
|
352 |
340 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
31 |
31 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
40 |
38 |
$0.00 |