| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
15,630 |
4,774 |
$499K |
| 99214 |
|
20,325 |
18,881 |
$451K |
| 99213 |
|
35,281 |
33,090 |
$432K |
| 99223 |
Prolong inpt eval add15 m |
4,269 |
4,029 |
$242K |
| 99239 |
|
3,691 |
3,511 |
$131K |
| 99391 |
|
1,431 |
1,350 |
$73K |
| 99232 |
|
1,938 |
743 |
$51K |
| 99392 |
|
3,156 |
3,150 |
$37K |
| 90686 |
|
4,680 |
4,675 |
$27K |
| 90670 |
|
1,010 |
1,010 |
$22K |
| 99335 |
|
1,083 |
1,046 |
$21K |
| G9920 |
Scrning perf and negative |
5,128 |
5,107 |
$18K |
| 99212 |
|
1,986 |
1,913 |
$16K |
| 99291 |
|
314 |
115 |
$15K |
| 99203 |
|
423 |
421 |
$15K |
| 99393 |
|
954 |
952 |
$14K |
| 99336 |
|
395 |
344 |
$13K |
| 99309 |
|
473 |
234 |
$13K |
| 99215 |
Prolong outpt/office vis |
333 |
310 |
$10K |
| 99222 |
|
179 |
173 |
$8K |
| 99220 |
|
84 |
83 |
$7K |
| 99204 |
|
213 |
210 |
$7K |
| 87426 |
|
2,430 |
2,406 |
$7K |
| 99394 |
|
351 |
345 |
$6K |
| 99306 |
Prolong nursin fac eval 15m |
104 |
96 |
$6K |
| 96372 |
|
952 |
786 |
$6K |
| 71046 |
|
657 |
640 |
$5K |
| Z1034 |
|
87 |
64 |
$5K |
| 99285 |
|
14 |
12 |
$5K |
| 92551 |
|
3,481 |
3,475 |
$4K |
| 90656 |
|
374 |
374 |
$3K |
| 87635 |
|
117 |
116 |
$2K |
| 99348 |
|
63 |
63 |
$2K |
| 90471 |
|
463 |
460 |
$2K |
| 90480 |
|
40 |
40 |
$2K |
| 99217 |
|
49 |
49 |
$2K |
| 93000 |
|
247 |
246 |
$1K |
| 87804 |
|
2,486 |
1,301 |
$1K |
| 92014 |
|
104 |
102 |
$1K |
| 90697 |
|
36 |
36 |
$1K |
| 59025 |
|
115 |
77 |
$919.56 |
| U0003 |
Cov-19 amp prb hgh thruput |
625 |
569 |
$900.00 |
| 90698 |
|
231 |
231 |
$869.40 |
| 99442 |
|
14 |
12 |
$810.97 |
| 90633 |
|
119 |
119 |
$716.66 |
| 90677 |
|
100 |
99 |
$675.00 |
| 90680 |
|
160 |
160 |
$598.99 |
| 20610 |
|
152 |
118 |
$594.49 |
| 92012 |
|
55 |
53 |
$591.39 |
| 90651 |
|
28 |
28 |
$555.64 |
| 92004 |
|
12 |
12 |
$532.90 |
| 87880 |
|
693 |
689 |
$465.72 |
| 99202 |
|
14 |
14 |
$364.56 |
| U0005 |
Infec agen detec ampli probe |
625 |
569 |
$325.00 |
| 99211 |
|
241 |
210 |
$240.39 |
| 90460 |
|
4,508 |
4,475 |
$220.95 |
| 90734 |
|
30 |
30 |
$160.91 |
| 99334 |
|
36 |
36 |
$157.82 |
| G0008 |
Admin influenza virus vac |
170 |
170 |
$151.00 |
| 85018 |
|
884 |
879 |
$150.98 |
| 90744 |
|
39 |
39 |
$123.75 |
| 96127 |
|
241 |
241 |
$115.80 |
| 90682 |
|
69 |
69 |
$89.60 |
| 90688 |
|
38 |
38 |
$89.20 |
| 92015 |
|
15 |
15 |
$87.23 |
| 97110 |
|
23 |
12 |
$76.72 |
| 11721 |
|
564 |
545 |
$59.64 |
| 36415 |
|
3,039 |
2,863 |
$55.17 |
| 90672 |
|
40 |
40 |
$42.75 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$18.65 |
| 81003 |
|
104 |
99 |
$8.95 |
| 99173 |
|
2,508 |
2,506 |
$3.99 |
| 1220F |
|
100 |
99 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
238 |
235 |
$0.00 |
| 1125F |
|
43 |
41 |
$0.00 |
| 1159F |
|
3,566 |
3,223 |
$0.00 |
| 1160F |
|
1,695 |
1,622 |
$0.00 |
| 90461 |
|
1,118 |
1,111 |
$0.00 |
| 90653 |
|
65 |
65 |
$0.00 |
| 92552 |
|
14 |
14 |
$0.00 |
| 77067 |
|
12 |
12 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
13 |
12 |
$0.00 |