| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,108 |
14,251 |
$4.51M |
| 99284 |
|
10,118 |
7,274 |
$2.90M |
| 11042 |
|
1,359 |
542 |
$405K |
| 99282 |
|
1,571 |
1,158 |
$236K |
| 80053 |
|
4,542 |
4,201 |
$225K |
| 85025 |
|
4,902 |
4,523 |
$200K |
| G0463 |
Hospital outpt clinic visit |
1,789 |
810 |
$131K |
| 99285 |
|
205 |
181 |
$100K |
| 96374 |
|
368 |
338 |
$98K |
| 96375 |
|
150 |
137 |
$21K |
| 99281 |
|
157 |
149 |
$21K |
| 93005 |
|
198 |
175 |
$19K |
| U0003 |
Cov-19 amp prb hgh thruput |
184 |
174 |
$19K |
| 71045 |
|
103 |
92 |
$13K |
| 81003 |
|
374 |
347 |
$13K |
| 36415 |
|
2,836 |
2,552 |
$11K |
| 87502 |
|
68 |
68 |
$11K |
| 84443 |
|
246 |
235 |
$8K |
| 93010 |
|
1,597 |
1,347 |
$7K |
| M0245 |
Bamlan and etesev infusion |
20 |
16 |
$6K |
| 0241U |
|
15 |
15 |
$4K |
| 97597 |
|
35 |
13 |
$4K |
| 96361 |
|
43 |
39 |
$4K |
| 80061 |
|
237 |
220 |
$3K |
| 82306 |
|
74 |
73 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
159 |
122 |
$3K |
| A6212 |
Foam drg <=16 sq in w/border |
561 |
255 |
$2K |
| 84484 |
|
35 |
28 |
$2K |
| J2405 |
Ondansetron hcl injection |
87 |
77 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$1K |
| 99212 |
|
67 |
38 |
$1K |
| 99213 |
|
42 |
26 |
$1K |
| 83690 |
|
14 |
12 |
$1K |
| 83735 |
|
13 |
12 |
$969.12 |
| 83036 |
|
63 |
58 |
$801.08 |
| 81001 |
|
15 |
13 |
$595.33 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
57 |
25 |
$422.74 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$361.88 |
| 84439 |
|
26 |
26 |
$339.77 |
| A6207 |
Contact layer >16<= 48 sq in |
23 |
12 |
$215.23 |
| J8540 |
Oral dexamethasone |
14 |
12 |
$55.67 |
| Q0245 |
Bamlanivimab and etesevima |
40 |
16 |
$0.00 |