| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
7,660 |
6,314 |
$457K |
| 99283 |
|
11,054 |
9,105 |
$353K |
| 99285 |
|
1,394 |
1,112 |
$328K |
| 80053 |
|
6,218 |
4,907 |
$52K |
| 87502 |
|
875 |
816 |
$51K |
| 85025 |
|
6,613 |
5,114 |
$43K |
| 99213 |
|
957 |
776 |
$27K |
| 87426 |
|
961 |
893 |
$27K |
| 87804 |
|
1,822 |
831 |
$19K |
| 87635 |
|
559 |
498 |
$18K |
| 99214 |
|
472 |
395 |
$13K |
| 81001 |
|
3,620 |
2,825 |
$10K |
| 93005 |
|
1,184 |
891 |
$9K |
| 71045 |
|
1,872 |
1,499 |
$8K |
| 99282 |
|
202 |
178 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
155 |
143 |
$7K |
| 81025 |
|
1,442 |
1,144 |
$4K |
| 87651 |
|
102 |
94 |
$4K |
| 87634 |
|
67 |
60 |
$4K |
| 83735 |
|
724 |
575 |
$4K |
| 99212 |
|
137 |
109 |
$4K |
| 80061 |
|
227 |
205 |
$3K |
| 84443 |
|
188 |
178 |
$3K |
| 87071 |
|
627 |
574 |
$3K |
| 0002A |
|
86 |
85 |
$3K |
| U0005 |
Infec agen detec ampli probe |
134 |
124 |
$2K |
| 0001A |
|
91 |
85 |
$2K |
| 84703 |
|
369 |
297 |
$2K |
| 87086 |
|
238 |
176 |
$2K |
| 99222 |
|
14 |
13 |
$1K |
| 74018 |
|
174 |
132 |
$1K |
| 70450 |
|
14 |
12 |
$1K |
| G0481 |
Drug test def 8-14 classes |
12 |
12 |
$1K |
| 81003 |
|
532 |
444 |
$1K |
| 84484 |
|
183 |
133 |
$1K |
| 86756 |
|
46 |
43 |
$797.58 |
| 82306 |
|
91 |
86 |
$781.54 |
| J2550 |
Promethazine hcl injection |
584 |
351 |
$735.95 |
| 94640 |
|
66 |
59 |
$593.12 |
| 87880 |
|
46 |
43 |
$561.40 |
| 71046 |
|
72 |
68 |
$501.43 |
| 97597 |
|
82 |
25 |
$483.94 |
| J0696 |
Ceftriaxone sodium injection |
261 |
214 |
$314.24 |
| 99281 |
|
13 |
12 |
$301.63 |
| J1100 |
Dexamethasone sodium phos |
551 |
486 |
$300.56 |
| 83880 |
|
12 |
12 |
$293.58 |
| J1885 |
Ketorolac tromethamine inj |
324 |
282 |
$251.20 |
| 83036 |
|
12 |
12 |
$223.92 |
| 83690 |
|
27 |
26 |
$222.10 |
| 83605 |
|
36 |
25 |
$168.15 |
| J2930 |
Methylprednisolone injection |
16 |
13 |
$55.52 |
| J2270 |
Morphine sulfate injection |
19 |
14 |
$20.56 |
| 96372 |
|
84 |
38 |
$8.60 |
| J2765 |
Metoclopramide hcl injection |
27 |
26 |
$3.39 |
| C9803 |
Hopd covid-19 spec collect |
155 |
143 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
101 |
92 |
$0.00 |
| 36415 |
|
448 |
233 |
$0.00 |
| 99441 |
|
75 |
56 |
$0.00 |