| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,702 |
3,988 |
$1.14M |
| 99283 |
|
4,873 |
4,234 |
$612K |
| 99285 |
|
1,057 |
881 |
$310K |
| 0241U |
|
1,005 |
943 |
$153K |
| 0225U |
|
422 |
350 |
$136K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,364 |
1,054 |
$98K |
| 85025 |
|
10,327 |
8,147 |
$73K |
| 93005 |
|
1,400 |
1,182 |
$67K |
| 80053 |
|
6,612 |
5,182 |
$50K |
| 96374 |
|
978 |
804 |
$44K |
| G0463 |
Hospital outpt clinic visit |
1,606 |
1,337 |
$34K |
| C9803 |
Hopd covid-19 spec collect |
1,362 |
1,206 |
$33K |
| 66984 |
|
138 |
109 |
$31K |
| U0005 |
Infec agen detec ampli probe |
1,264 |
978 |
$30K |
| 74177 |
|
25 |
24 |
$21K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
330 |
212 |
$17K |
| 96413 |
|
132 |
83 |
$17K |
| 97110 |
|
170 |
56 |
$9K |
| 71046 |
|
129 |
118 |
$9K |
| 70450 |
|
45 |
36 |
$9K |
| 82728 |
|
769 |
644 |
$8K |
| 81025 |
|
972 |
812 |
$8K |
| 84466 |
|
773 |
647 |
$8K |
| 84484 |
|
573 |
464 |
$6K |
| 96375 |
|
89 |
77 |
$6K |
| 71045 |
|
95 |
81 |
$5K |
| 80048 |
|
624 |
481 |
$5K |
| 81001 |
|
1,300 |
1,091 |
$4K |
| 99282 |
|
53 |
52 |
$4K |
| 83540 |
|
772 |
647 |
$4K |
| V2632 |
Post chmbr intraocular lens |
137 |
96 |
$3K |
| 88305 |
|
55 |
41 |
$2K |
| 83690 |
|
212 |
184 |
$2K |
| J7030 |
Normal saline solution infus |
316 |
80 |
$1K |
| G0378 |
Hospital observation per hr |
22 |
18 |
$1K |
| 36415 |
|
679 |
482 |
$1K |
| 81003 |
|
419 |
365 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
164 |
128 |
$516.22 |
| J3490 |
Drugs unclassified injection |
59 |
43 |
$459.72 |
| J3010 |
Fentanyl citrate injection |
140 |
107 |
$455.44 |
| 82306 |
|
23 |
12 |
$368.90 |
| 96372 |
|
43 |
26 |
$336.03 |
| 83605 |
|
14 |
12 |
$157.30 |
| 83735 |
|
34 |
25 |
$122.84 |
| 83036 |
|
23 |
12 |
$120.90 |
| 85027 |
|
27 |
12 |
$68.54 |
| J1885 |
Ketorolac tromethamine inj |
14 |
13 |
$58.00 |
| 85007 |
|
27 |
12 |
$36.46 |
| G1010 |
Cdsm stanson |
423 |
270 |
$32.35 |
| 82962 |
|
15 |
12 |
$12.99 |
| V2787 |
Astigmatism-correct function |
21 |
14 |
$0.00 |