| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,574 |
8,971 |
$3.05M |
| 99283 |
|
12,430 |
10,908 |
$2.16M |
| 99285 |
|
4,282 |
3,079 |
$1.50M |
| 74176 |
|
1,997 |
1,701 |
$808K |
| 74177 |
|
676 |
559 |
$597K |
| 70450 |
|
1,798 |
1,376 |
$491K |
| 97110 |
|
12,708 |
2,422 |
$477K |
| 36415 |
|
59,268 |
21,386 |
$407K |
| 97140 |
|
6,652 |
1,733 |
$348K |
| 87502 |
|
4,918 |
4,249 |
$319K |
| 93005 |
|
3,980 |
3,353 |
$243K |
| 96372 |
|
5,702 |
4,447 |
$239K |
| 71046 |
|
3,476 |
2,906 |
$238K |
| 96374 |
|
5,349 |
2,626 |
$199K |
| 80053 |
|
22,005 |
14,807 |
$198K |
| 71045 |
|
3,857 |
3,169 |
$175K |
| 99282 |
|
1,486 |
1,368 |
$167K |
| 96365 |
|
2,023 |
1,377 |
$161K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,843 |
2,122 |
$145K |
| 85025 |
|
19,952 |
16,759 |
$132K |
| 87635 |
|
3,782 |
3,219 |
$122K |
| 96375 |
|
2,480 |
2,088 |
$117K |
| 87651 |
|
3,865 |
3,490 |
$108K |
| 74018 |
|
1,232 |
1,085 |
$107K |
| 76705 |
|
733 |
664 |
$102K |
| 84443 |
|
7,127 |
6,572 |
$99K |
| 90853 |
|
4,154 |
281 |
$88K |
| 80061 |
|
5,887 |
5,420 |
$80K |
| 72100 |
|
856 |
673 |
$68K |
| 96361 |
|
1,812 |
1,449 |
$64K |
| 82306 |
|
2,587 |
2,362 |
$62K |
| 73630 |
|
740 |
602 |
$59K |
| 97530 |
|
2,094 |
757 |
$55K |
| 77067 |
|
743 |
709 |
$54K |
| 73562 |
|
527 |
397 |
$52K |
| Q3014 |
Telehealth facility fee |
2,403 |
227 |
$51K |
| 82607 |
|
3,987 |
3,684 |
$51K |
| 87801 |
|
1,029 |
945 |
$48K |
| 87631 |
|
446 |
403 |
$47K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,588 |
1,360 |
$44K |
| J7050 |
Normal saline solution infus |
3,470 |
1,991 |
$41K |
| 73610 |
|
459 |
393 |
$39K |
| 99281 |
|
619 |
555 |
$38K |
| C9803 |
Hopd covid-19 spec collect |
2,231 |
1,917 |
$35K |
| 73030 |
|
388 |
304 |
$34K |
| J2405 |
Ondansetron hcl injection |
2,518 |
2,028 |
$32K |
| 80048 |
|
4,503 |
3,514 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
1,432 |
1,118 |
$31K |
| 87086 |
|
3,927 |
2,749 |
$27K |
| 83036 |
|
3,653 |
3,362 |
$26K |
| 80306 |
|
1,987 |
1,726 |
$26K |
| 84484 |
|
2,699 |
2,304 |
$26K |
| J7030 |
Normal saline solution infus |
2,299 |
1,208 |
$26K |
| 96360 |
|
239 |
199 |
$19K |
| 84439 |
|
2,365 |
2,152 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
3,283 |
2,836 |
$19K |
| 83690 |
|
2,917 |
2,530 |
$18K |
| J1100 |
Dexamethasone sodium phos |
1,339 |
1,165 |
$17K |
| 87081 |
|
2,573 |
2,213 |
$16K |
| 83880 |
|
616 |
497 |
$16K |
| 87798 |
|
482 |
194 |
$15K |
| 73130 |
|
158 |
131 |
$14K |
| 94640 |
|
441 |
325 |
$14K |
| 84703 |
|
1,714 |
1,553 |
$13K |
| 76536 |
|
58 |
53 |
$13K |
| 82150 |
|
1,833 |
1,600 |
$11K |
| 97162 |
|
175 |
159 |
$10K |
| 81001 |
|
2,836 |
2,359 |
$10K |
| 85610 |
|
3,266 |
2,201 |
$10K |
| 76770 |
|
84 |
66 |
$10K |
| 83605 |
|
1,095 |
874 |
$10K |
| M0243 |
Casirivi and imdevi inj |
51 |
47 |
$9K |
| 83735 |
|
1,645 |
1,401 |
$9K |
| G0480 |
Drug test def 1-7 classes |
91 |
78 |
$8K |
| 87634 |
|
183 |
178 |
$8K |
| 84481 |
|
563 |
518 |
$8K |
| 81003 |
|
2,468 |
2,171 |
$8K |
| 87040 |
|
686 |
487 |
$8K |
| 87186 |
|
1,015 |
904 |
$7K |
| 97112 |
|
121 |
55 |
$7K |
| 81015 |
|
1,202 |
1,062 |
$7K |
| 85379 |
|
806 |
710 |
$6K |
| J2270 |
Morphine sulfate injection |
512 |
374 |
$6K |
| 82553 |
|
458 |
361 |
$6K |
| 83540 |
|
1,070 |
989 |
$6K |
| 94664 |
|
475 |
348 |
$5K |
| 83550 |
|
779 |
725 |
$5K |
| 73110 |
|
52 |
42 |
$5K |
| 87491 |
|
234 |
206 |
$5K |
| 87070 |
|
735 |
523 |
$5K |
| 87591 |
|
229 |
205 |
$4K |
| 84145 |
|
231 |
204 |
$4K |
| M0245 |
Bamlan and etesev infusion |
17 |
16 |
$4K |
| 82550 |
|
502 |
398 |
$3K |
| 87633 |
|
18 |
17 |
$3K |
| J7040 |
Normal saline solution infus |
307 |
181 |
$3K |
| J7120 |
Ringers lactate infusion |
201 |
120 |
$3K |
| 85730 |
|
795 |
716 |
$3K |
| 87661 |
|
163 |
151 |
$3K |
| 87088 |
|
369 |
323 |
$2K |
| 72040 |
|
14 |
12 |
$2K |
| G8978 |
Mobility current status |
118 |
40 |
$2K |
| J2550 |
Promethazine hcl injection |
128 |
102 |
$2K |
| G0103 |
Psa screening |
218 |
148 |
$2K |
| 74022 |
|
19 |
14 |
$2K |
| G0463 |
Hospital outpt clinic visit |
79 |
37 |
$2K |
| J3490 |
Drugs unclassified injection |
149 |
115 |
$2K |
| 73502 |
|
18 |
15 |
$2K |
| 86140 |
|
383 |
315 |
$2K |
| 97032 |
|
27 |
12 |
$2K |
| 88305 |
|
29 |
25 |
$2K |
| 36600 |
|
45 |
12 |
$2K |
| 87077 |
|
157 |
141 |
$1K |
| 97161 |
|
26 |
24 |
$1K |
| 90715 |
|
45 |
43 |
$1K |
| 74019 |
|
15 |
12 |
$1K |
| 82728 |
|
100 |
79 |
$1K |
| G0283 |
Elec stim other than wound |
33 |
12 |
$1K |
| 85651 |
|
310 |
285 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
16 |
14 |
$928.80 |
| 80074 |
|
12 |
12 |
$839.35 |
| 87486 |
|
42 |
32 |
$833.21 |
| U0002 |
Covid-19 lab test non-cdc |
35 |
22 |
$711.36 |
| J2704 |
Inj, propofol, 10 mg |
46 |
33 |
$583.66 |
| 87581 |
|
35 |
31 |
$582.84 |
| 90471 |
|
26 |
26 |
$564.60 |
| J2930 |
Methylprednisolone injection |
62 |
43 |
$538.65 |
| 84702 |
|
45 |
36 |
$529.49 |
| J8499 |
Oral prescrip drug non chemo |
38 |
29 |
$516.07 |
| 82948 |
|
29 |
25 |
$430.02 |
| 87880 |
|
33 |
32 |
$403.89 |
| 82570 |
|
82 |
81 |
$381.95 |
| 82043 |
|
73 |
65 |
$317.46 |
| 87205 |
|
97 |
88 |
$304.41 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
25 |
$296.41 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$256.58 |
| 87563 |
|
14 |
14 |
$246.60 |
| 82803 |
|
18 |
12 |
$210.93 |
| 97164 |
|
18 |
12 |
$197.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
17 |
17 |
$160.55 |
| 82375 |
|
18 |
12 |
$111.38 |
| 82565 |
|
20 |
16 |
$94.37 |
| 85027 |
|
14 |
12 |
$85.14 |
| 85018 |
|
42 |
28 |
$78.99 |
| 83050 |
|
18 |
12 |
$70.60 |
| 84550 |
|
12 |
12 |
$62.69 |
| U0001 |
2019-ncov diagnostic p |
33 |
15 |
$35.92 |
| 3044F |
|
47 |
31 |
$33.05 |
| G8979 |
Mobility goal status |
16 |
14 |
$0.00 |