| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,449 |
17,195 |
$718K |
| 99284 |
|
7,157 |
6,134 |
$404K |
| 87637 |
|
1,804 |
1,664 |
$191K |
| 99282 |
|
4,065 |
3,326 |
$147K |
| 99285 |
|
576 |
471 |
$119K |
| 85025 |
|
11,450 |
9,795 |
$89K |
| U0002 |
Covid-19 lab test non-cdc |
2,729 |
2,434 |
$83K |
| 11042 |
|
724 |
236 |
$77K |
| 80053 |
|
7,388 |
6,319 |
$70K |
| 93005 |
|
3,193 |
2,620 |
$28K |
| 74177 |
|
203 |
167 |
$28K |
| 80048 |
|
2,548 |
2,199 |
$22K |
| 83735 |
|
3,461 |
2,874 |
$19K |
| 81001 |
|
4,937 |
4,246 |
$14K |
| 71045 |
|
3,166 |
2,676 |
$13K |
| 70450 |
|
174 |
144 |
$13K |
| 87430 |
|
818 |
754 |
$11K |
| 81025 |
|
3,151 |
2,798 |
$10K |
| 80061 |
|
591 |
574 |
$10K |
| 87400 |
|
2,088 |
1,812 |
$10K |
| 84484 |
|
1,809 |
1,274 |
$9K |
| 87801 |
|
404 |
384 |
$9K |
| 87086 |
|
751 |
634 |
$7K |
| 87070 |
|
635 |
580 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
118 |
115 |
$6K |
| 80307 |
|
88 |
82 |
$5K |
| 80306 |
|
428 |
375 |
$4K |
| G0463 |
Hospital outpt clinic visit |
138 |
84 |
$4K |
| 69436 |
|
36 |
12 |
$4K |
| 83036 |
|
186 |
180 |
$3K |
| 84443 |
|
128 |
123 |
$3K |
| 82306 |
|
298 |
292 |
$2K |
| 83690 |
|
382 |
330 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
493 |
415 |
$2K |
| 99281 |
|
46 |
44 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,745 |
1,497 |
$2K |
| 71046 |
|
173 |
158 |
$2K |
| 76856 |
|
38 |
38 |
$2K |
| 87210 |
|
349 |
334 |
$2K |
| 74176 |
|
32 |
25 |
$2K |
| 86803 |
|
43 |
42 |
$969.93 |
| 83880 |
|
54 |
37 |
$778.47 |
| 81003 |
|
449 |
391 |
$669.90 |
| 84439 |
|
54 |
52 |
$666.00 |
| 87651 |
|
13 |
13 |
$570.44 |
| 87661 |
|
85 |
82 |
$448.69 |
| 85610 |
|
152 |
124 |
$363.51 |
| 86141 |
|
30 |
28 |
$321.20 |
| J0696 |
Ceftriaxone sodium injection |
225 |
187 |
$296.31 |
| 86318 |
|
30 |
27 |
$234.74 |
| J0780 |
Prochlorperazine injection |
34 |
29 |
$205.43 |
| 87420 |
|
13 |
12 |
$176.44 |
| 85730 |
|
136 |
112 |
$169.36 |
| 74018 |
|
16 |
15 |
$158.76 |
| J2405 |
Ondansetron hcl injection |
554 |
485 |
$144.72 |
| 80076 |
|
14 |
13 |
$99.36 |
| 85027 |
|
28 |
24 |
$91.29 |
| 85007 |
|
28 |
24 |
$86.19 |
| 82043 |
|
14 |
14 |
$80.04 |
| 96361 |
|
31 |
12 |
$78.00 |
| J1100 |
Dexamethasone sodium phos |
28 |
27 |
$16.32 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$10.30 |
| 36415 |
|
14,414 |
10,651 |
$8.97 |
| 87591 |
|
117 |
111 |
$0.00 |