| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
23,596 |
20,924 |
$1.72M |
| 99204 |
|
6,732 |
6,510 |
$589K |
| 99203 |
|
5,770 |
5,582 |
$416K |
| 87426 |
|
11,720 |
10,629 |
$331K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,244 |
2,877 |
$145K |
| 99213 |
|
936 |
853 |
$58K |
| 87804 |
|
4,766 |
3,923 |
$56K |
| 87428 |
|
1,136 |
1,068 |
$31K |
| 87880 |
|
3,379 |
3,207 |
$22K |
| 87400 |
|
2,881 |
1,365 |
$16K |
| 96372 |
|
1,779 |
1,673 |
$9K |
| 99000 |
|
1,493 |
1,406 |
$8K |
| 81003 |
|
1,229 |
1,165 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,172 |
1,092 |
$804.48 |
| 87420 |
|
119 |
113 |
$708.86 |
| 87807 |
|
104 |
98 |
$627.00 |
| 73630 |
|
13 |
13 |
$220.54 |
| 73610 |
|
12 |
12 |
$179.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
46 |
40 |
$37.30 |
| 97760 |
|
27 |
26 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
15 |
15 |
$0.00 |
| 99070 |
|
150 |
64 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$0.00 |