| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,979 |
7,943 |
$698K |
| 99283 |
|
14,795 |
10,762 |
$458K |
| 99282 |
|
4,747 |
3,557 |
$92K |
| 99285 |
|
747 |
545 |
$48K |
| 87637 |
|
1,703 |
1,632 |
$15K |
| 85025 |
|
11,431 |
10,312 |
$9K |
| 80053 |
|
11,187 |
10,237 |
$8K |
| 87635 |
|
1,825 |
1,680 |
$7K |
| 96374 |
|
1,089 |
972 |
$6K |
| J7030 |
Normal saline solution infus |
1,183 |
953 |
$4K |
| 93005 |
|
688 |
619 |
$4K |
| 93010 |
|
549 |
496 |
$3K |
| 36415 |
|
14,909 |
13,355 |
$2K |
| 71046 |
|
573 |
533 |
$2K |
| 96375 |
|
409 |
367 |
$2K |
| J7120 |
Ringers lactate infusion |
397 |
335 |
$2K |
| 74177 |
|
28 |
27 |
$2K |
| 99281 |
|
460 |
415 |
$2K |
| 96361 |
|
437 |
398 |
$1K |
| 81001 |
|
1,494 |
1,347 |
$884.33 |
| J2704 |
Inj, propofol, 10 mg |
823 |
342 |
$759.41 |
| 80061 |
|
2,102 |
2,013 |
$753.40 |
| 83690 |
|
478 |
428 |
$625.60 |
| 84443 |
|
1,794 |
1,717 |
$541.33 |
| 83605 |
|
283 |
260 |
$383.15 |
| C9803 |
Hopd covid-19 spec collect |
323 |
295 |
$368.08 |
| 87804 |
|
245 |
106 |
$350.17 |
| 76705 |
|
93 |
82 |
$333.15 |
| 80307 |
|
260 |
228 |
$282.85 |
| 83036 |
|
893 |
861 |
$246.50 |
| 87086 |
|
520 |
467 |
$192.23 |
| 96365 |
|
149 |
84 |
$158.78 |
| 84703 |
|
154 |
138 |
$139.27 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
163 |
157 |
$126.11 |
| 87070 |
|
379 |
363 |
$106.37 |
| 80048 |
|
591 |
542 |
$89.35 |
| 96376 |
|
78 |
74 |
$84.87 |
| 87276 |
|
171 |
169 |
$83.43 |
| 87275 |
|
171 |
169 |
$83.37 |
| J1170 |
Hydromorphone injection |
59 |
53 |
$76.06 |
| J2405 |
Ondansetron hcl injection |
259 |
233 |
$69.03 |
| 87502 |
|
14 |
12 |
$67.06 |
| 87088 |
|
218 |
202 |
$59.20 |
| 84484 |
|
312 |
282 |
$50.17 |
| 96372 |
|
101 |
90 |
$49.95 |
| 87077 |
|
227 |
209 |
$46.03 |
| J1885 |
Ketorolac tromethamine inj |
246 |
218 |
$41.95 |
| 85610 |
|
188 |
133 |
$40.27 |
| 87389 |
|
114 |
103 |
$33.72 |
| 87186 |
|
179 |
161 |
$32.30 |
| 82306 |
|
190 |
184 |
$25.78 |
| 87591 |
|
130 |
117 |
$20.28 |
| U0003 |
Cov-19 amp prb hgh thruput |
111 |
99 |
$16.82 |
| 81025 |
|
105 |
98 |
$15.33 |
| U0005 |
Infec agen detec ampli probe |
110 |
98 |
$13.24 |
| 85027 |
|
170 |
160 |
$9.47 |
| 87491 |
|
129 |
117 |
$8.37 |
| 87205 |
|
45 |
42 |
$4.99 |
| 87147 |
|
48 |
45 |
$3.91 |
| J2270 |
Morphine sulfate injection |
39 |
32 |
$2.70 |
| 82962 |
|
74 |
68 |
$2.00 |
| 85652 |
|
176 |
167 |
$1.89 |
| 97530 |
|
329 |
132 |
$0.00 |
| 96360 |
|
46 |
44 |
$0.00 |
| 86038 |
|
15 |
12 |
$0.00 |
| 97110 |
|
142 |
63 |
$0.00 |
| 84439 |
|
143 |
133 |
$0.00 |
| 76856 |
|
64 |
62 |
$0.00 |
| 73630 |
|
15 |
12 |
$0.00 |
| 82565 |
|
54 |
51 |
$0.00 |
| 84466 |
|
29 |
29 |
$0.00 |
| 83540 |
|
30 |
30 |
$0.00 |
| 71045 |
|
26 |
25 |
$0.00 |
| 82728 |
|
46 |
46 |
$0.00 |
| 92507 |
|
113 |
43 |
$0.00 |
| 87430 |
|
62 |
55 |
$0.00 |
| 86140 |
|
132 |
122 |
$0.00 |
| 85379 |
|
50 |
49 |
$0.00 |
| 87081 |
|
101 |
96 |
$0.00 |
| 76830 |
|
45 |
43 |
$0.00 |
| 82043 |
|
63 |
63 |
$0.00 |
| 86803 |
|
46 |
41 |
$0.00 |
| 87807 |
|
29 |
29 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
35 |
30 |
$0.00 |
| G0475 |
Hiv combination assay |
34 |
34 |
$0.00 |
| 94640 |
|
66 |
44 |
$0.00 |
| 82607 |
|
17 |
17 |
$0.00 |
| 82746 |
|
15 |
15 |
$0.00 |
| 83735 |
|
14 |
13 |
$0.00 |