| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
21,383 |
18,615 |
$1.64M |
| 99283 |
|
12,343 |
10,365 |
$1.11M |
| U0003 |
Cov-19 amp prb hgh thruput |
7,469 |
6,726 |
$420K |
| 96361 |
|
1,886 |
1,603 |
$398K |
| 99284 |
|
2,979 |
2,663 |
$281K |
| 0002A |
|
2,646 |
2,462 |
$224K |
| 0001A |
|
1,975 |
1,841 |
$169K |
| U0005 |
Infec agen detec ampli probe |
5,554 |
5,049 |
$130K |
| 80053 |
|
4,952 |
4,257 |
$92K |
| 0004A |
|
1,325 |
1,296 |
$87K |
| 80048 |
|
2,260 |
2,031 |
$29K |
| 0241U |
|
364 |
354 |
$29K |
| 86140 |
|
819 |
771 |
$24K |
| 0064A |
|
280 |
277 |
$19K |
| 0003A |
|
184 |
182 |
$16K |
| 85025 |
|
20,945 |
18,622 |
$15K |
| 43239 |
|
31 |
26 |
$10K |
| 0012A |
|
102 |
98 |
$9K |
| 36415 |
|
3,174 |
2,893 |
$9K |
| 86769 |
|
213 |
199 |
$9K |
| 0054A |
|
278 |
272 |
$9K |
| 0071A |
|
75 |
70 |
$7K |
| 0202U |
|
91 |
88 |
$6K |
| 0072A |
|
66 |
60 |
$5K |
| 87635 |
|
66 |
63 |
$5K |
| 85652 |
|
784 |
743 |
$5K |
| 0352U |
|
226 |
215 |
$5K |
| 99282 |
|
53 |
47 |
$4K |
| 80061 |
|
118 |
115 |
$4K |
| 87502 |
|
146 |
81 |
$3K |
| 96374 |
|
6,533 |
5,757 |
$3K |
| 0124A |
|
85 |
85 |
$3K |
| 85027 |
|
542 |
381 |
$3K |
| 82565 |
|
103 |
93 |
$3K |
| 86780 |
|
216 |
207 |
$2K |
| 80076 |
|
114 |
111 |
$2K |
| 87086 |
|
183 |
174 |
$2K |
| 82306 |
|
34 |
31 |
$2K |
| 84484 |
|
124 |
101 |
$2K |
| 87491 |
|
82 |
78 |
$1K |
| 87480 |
|
199 |
190 |
$1K |
| J3490 |
Drugs unclassified injection |
8,012 |
4,436 |
$1K |
| 97140 |
|
95 |
41 |
$1K |
| 99213 |
|
439 |
396 |
$1K |
| 87510 |
|
199 |
190 |
$1K |
| 73630 |
|
26 |
13 |
$803.88 |
| 84443 |
|
122 |
108 |
$742.61 |
| 87591 |
|
82 |
78 |
$728.70 |
| 87660 |
|
199 |
190 |
$633.86 |
| 97535 |
|
24 |
12 |
$588.84 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$546.84 |
| 88305 |
|
182 |
175 |
$410.54 |
| 82040 |
|
76 |
69 |
$277.29 |
| 71045 |
|
546 |
461 |
$258.55 |
| 84075 |
|
74 |
68 |
$144.46 |
| 93005 |
|
923 |
817 |
$140.98 |
| 96375 |
|
1,140 |
955 |
$125.07 |
| 81025 |
|
420 |
355 |
$101.05 |
| 84439 |
|
12 |
12 |
$86.86 |
| 84450 |
|
75 |
69 |
$74.13 |
| 84460 |
|
75 |
69 |
$71.91 |
| 81003 |
|
759 |
669 |
$57.57 |
| 82950 |
|
12 |
12 |
$47.49 |
| J2704 |
Inj, propofol, 10 mg |
2,149 |
1,425 |
$11.65 |
| 84703 |
|
13 |
12 |
$10.26 |
| 83690 |
|
342 |
282 |
$5.00 |
| 87880 |
|
112 |
90 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
448 |
347 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
645 |
584 |
$0.00 |
| 71046 |
|
60 |
49 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
133 |
118 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
101 |
50 |
$0.00 |
| A4649 |
Surgical supplies |
26 |
25 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
135 |
69 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15 |
14 |
$0.00 |
| 99212 |
|
47 |
36 |
$0.00 |
| 80306 |
|
13 |
12 |
$0.00 |
| 87804 |
|
114 |
55 |
$0.00 |
| 81001 |
|
490 |
415 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
647 |
550 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
65 |
39 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
14 |
$0.00 |
| 82077 |
|
12 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
23 |
13 |
$0.00 |