| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,541 |
3,258 |
$808K |
| 99283 |
|
7,291 |
6,995 |
$480K |
| 87804 |
|
3,038 |
2,736 |
$76K |
| 99282 |
|
1,265 |
1,248 |
$69K |
| 71046 |
|
863 |
789 |
$57K |
| 87426 |
|
2,896 |
2,788 |
$45K |
| 87430 |
|
3,186 |
3,083 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
3,551 |
3,410 |
$32K |
| 87070 |
|
2,574 |
2,477 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
264 |
260 |
$25K |
| 87502 |
|
263 |
247 |
$21K |
| 80053 |
|
2,412 |
1,981 |
$15K |
| 71045 |
|
705 |
636 |
$14K |
| 87651 |
|
405 |
384 |
$13K |
| 87636 |
|
143 |
135 |
$12K |
| 85025 |
|
2,639 |
2,248 |
$12K |
| 99285 |
|
106 |
83 |
$8K |
| U0004 |
Cov-19 test non-cdc hgh thru |
48 |
47 |
$8K |
| 87635 |
|
264 |
241 |
$7K |
| 93005 |
|
370 |
308 |
$6K |
| U0005 |
Infec agen detec ampli probe |
240 |
239 |
$6K |
| J7030 |
Normal saline solution infus |
639 |
522 |
$4K |
| 81001 |
|
1,232 |
1,100 |
$3K |
| 87807 |
|
242 |
233 |
$3K |
| 81003 |
|
917 |
852 |
$3K |
| 99281 |
|
47 |
45 |
$2K |
| 70450 |
|
32 |
26 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
229 |
213 |
$1K |
| 83880 |
|
144 |
124 |
$1K |
| 84484 |
|
376 |
260 |
$1K |
| 81025 |
|
143 |
128 |
$807.20 |
| 96361 |
|
147 |
105 |
$557.46 |
| 86140 |
|
173 |
154 |
$446.58 |
| 87086 |
|
139 |
113 |
$292.20 |
| 96375 |
|
339 |
260 |
$191.58 |
| Q0162 |
Ondansetron oral |
28 |
27 |
$156.51 |
| 96374 |
|
339 |
293 |
$152.54 |
| 96372 |
|
286 |
249 |
$141.24 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$124.07 |
| J2405 |
Ondansetron hcl injection |
165 |
143 |
$116.30 |
| 83735 |
|
76 |
60 |
$108.12 |
| 84443 |
|
13 |
13 |
$82.53 |
| 83690 |
|
28 |
27 |
$68.03 |
| 0031A |
|
29 |
29 |
$59.98 |
| 82150 |
|
13 |
13 |
$48.15 |
| 36415 |
|
46 |
44 |
$39.18 |
| J8540 |
Oral dexamethasone |
40 |
39 |
$34.00 |
| 87077 |
|
14 |
13 |
$26.14 |
| 80061 |
|
44 |
39 |
$21.38 |
| 0012A |
|
18 |
17 |
$5.94 |
| A9270 |
Non-covered item or service |
98 |
77 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13 |
13 |
$0.00 |