| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0003 |
Cov-19 amp prb hgh thruput |
3,889 |
3,320 |
$324K |
| 80053 |
|
14,592 |
12,710 |
$228K |
| 97110 |
|
6,521 |
1,690 |
$218K |
| 0241U |
|
1,679 |
1,534 |
$177K |
| 70450 |
|
1,965 |
1,754 |
$153K |
| 87804 |
|
7,894 |
6,897 |
$152K |
| 87426 |
|
4,190 |
3,702 |
$137K |
| 87880 |
|
8,901 |
8,013 |
$102K |
| 80050 |
|
2,307 |
2,149 |
$98K |
| 74177 |
|
808 |
710 |
$93K |
| 85025 |
|
16,813 |
14,522 |
$87K |
| 80048 |
|
5,004 |
4,251 |
$87K |
| 71046 |
|
4,041 |
3,631 |
$64K |
| 80061 |
|
5,805 |
5,390 |
$53K |
| 36415 |
|
9,804 |
8,300 |
$38K |
| 93005 |
|
4,493 |
3,765 |
$36K |
| 83036 |
|
4,808 |
4,516 |
$33K |
| 73560 |
|
1,500 |
1,339 |
$33K |
| 82306 |
|
1,573 |
1,460 |
$31K |
| 87637 |
|
290 |
272 |
$30K |
| 84443 |
|
4,726 |
4,386 |
$29K |
| 74176 |
|
479 |
443 |
$29K |
| 81025 |
|
3,276 |
2,937 |
$27K |
| 71045 |
|
3,789 |
3,285 |
$26K |
| 96365 |
|
712 |
639 |
$25K |
| 83880 |
|
1,902 |
1,662 |
$25K |
| 96372 |
|
3,279 |
2,825 |
$22K |
| 87088 |
|
2,769 |
2,438 |
$22K |
| 87800 |
|
849 |
754 |
$20K |
| 81001 |
|
6,825 |
6,010 |
$20K |
| 96374 |
|
2,062 |
1,827 |
$20K |
| 84484 |
|
3,388 |
2,664 |
$20K |
| 87591 |
|
419 |
382 |
$19K |
| 87491 |
|
419 |
382 |
$19K |
| 74018 |
|
1,085 |
992 |
$19K |
| 77067 |
|
373 |
364 |
$17K |
| 87428 |
|
248 |
235 |
$17K |
| 87502 |
|
178 |
159 |
$15K |
| 80305 |
|
1,255 |
1,124 |
$15K |
| 87420 |
|
1,267 |
1,161 |
$15K |
| 87631 |
|
206 |
187 |
$14K |
| 87389 |
|
719 |
656 |
$14K |
| 72100 |
|
700 |
629 |
$14K |
| 97161 |
|
260 |
228 |
$13K |
| 82550 |
|
3,268 |
2,673 |
$13K |
| 80307 |
|
345 |
299 |
$13K |
| 85027 |
|
2,674 |
2,354 |
$13K |
| 82607 |
|
1,214 |
1,136 |
$12K |
| 81003 |
|
5,141 |
4,621 |
$12K |
| 87077 |
|
1,261 |
1,150 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
5,887 |
5,130 |
$11K |
| 73030 |
|
565 |
484 |
$9K |
| 80081 |
|
95 |
92 |
$9K |
| 83605 |
|
1,135 |
974 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
248 |
175 |
$9K |
| 96361 |
|
713 |
554 |
$8K |
| 83735 |
|
1,953 |
1,485 |
$8K |
| 87086 |
|
1,005 |
875 |
$8K |
| 83690 |
|
1,381 |
1,221 |
$8K |
| 87040 |
|
952 |
593 |
$7K |
| 73630 |
|
310 |
277 |
$7K |
| 80076 |
|
582 |
521 |
$7K |
| 87651 |
|
151 |
135 |
$7K |
| 96375 |
|
1,114 |
984 |
$6K |
| 73610 |
|
348 |
308 |
$6K |
| 82150 |
|
1,023 |
904 |
$5K |
| 84702 |
|
618 |
516 |
$5K |
| 80306 |
|
262 |
226 |
$5K |
| 93306 |
|
28 |
27 |
$5K |
| 99283 |
|
787 |
720 |
$4K |
| 86901 |
|
487 |
438 |
$4K |
| 82962 |
|
868 |
509 |
$4K |
| 87807 |
|
392 |
346 |
$4K |
| 73130 |
|
165 |
151 |
$4K |
| 94640 |
|
871 |
741 |
$4K |
| 85610 |
|
1,654 |
1,360 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,258 |
1,846 |
$3K |
| 71020 |
|
270 |
252 |
$3K |
| 74019 |
|
141 |
134 |
$3K |
| 86900 |
|
487 |
438 |
$3K |
| 87186 |
|
566 |
511 |
$3K |
| 84153 |
|
356 |
331 |
$3K |
| 86803 |
|
195 |
169 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,008 |
847 |
$3K |
| 82728 |
|
199 |
182 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,285 |
1,116 |
$2K |
| 85379 |
|
275 |
260 |
$2K |
| 84439 |
|
311 |
274 |
$2K |
| 73110 |
|
115 |
106 |
$2K |
| 72125 |
|
12 |
12 |
$2K |
| 86592 |
|
798 |
750 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,641 |
2,249 |
$2K |
| 83540 |
|
336 |
308 |
$2K |
| 72148 |
|
15 |
15 |
$2K |
| 93975 |
|
32 |
25 |
$2K |
| 83550 |
|
188 |
175 |
$2K |
| 86780 |
|
96 |
83 |
$2K |
| 82947 |
|
221 |
130 |
$2K |
| 85007 |
|
731 |
650 |
$1K |
| 82077 |
|
86 |
80 |
$1K |
| 87798 |
|
174 |
155 |
$1K |
| 71010 |
|
211 |
181 |
$1K |
| 74022 |
|
53 |
45 |
$1K |
| 99284 |
|
896 |
830 |
$1K |
| 74000 |
|
68 |
57 |
$864.52 |
| 80320 |
|
47 |
37 |
$813.22 |
| 84550 |
|
239 |
223 |
$774.44 |
| 80074 |
|
13 |
12 |
$750.62 |
| 87400 |
|
73 |
64 |
$634.64 |
| 73502 |
|
37 |
25 |
$631.90 |
| 96360 |
|
29 |
26 |
$560.43 |
| 97001 |
|
20 |
15 |
$540.15 |
| 82677 |
|
18 |
16 |
$483.56 |
| 77063 |
|
26 |
26 |
$464.22 |
| 87081 |
|
55 |
50 |
$458.49 |
| 85730 |
|
131 |
106 |
$449.26 |
| 82803 |
|
25 |
24 |
$429.37 |
| 86850 |
|
415 |
377 |
$411.89 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17 |
12 |
$355.48 |
| 82105 |
|
18 |
16 |
$335.30 |
| T1015 |
Clinic service |
33 |
25 |
$324.00 |
| 72040 |
|
20 |
13 |
$308.14 |
| 87340 |
|
183 |
165 |
$306.94 |
| 86336 |
|
18 |
16 |
$304.78 |
| 82570 |
|
47 |
46 |
$301.27 |
| 82565 |
|
33 |
27 |
$290.87 |
| 85018 |
|
118 |
102 |
$289.51 |
| J2001 |
Lidocaine injection |
665 |
563 |
$285.99 |
| 0353U |
|
173 |
158 |
$283.52 |
| 82397 |
|
18 |
16 |
$282.52 |
| 83655 |
|
15 |
15 |
$259.20 |
| 90715 |
|
12 |
12 |
$259.20 |
| 86762 |
|
139 |
127 |
$257.70 |
| 97032 |
|
139 |
38 |
$243.01 |
| 87808 |
|
17 |
17 |
$229.67 |
| 82043 |
|
26 |
26 |
$166.24 |
| 76856 |
|
13 |
12 |
$122.41 |
| J2930 |
Methylprednisolone injection |
57 |
43 |
$104.87 |
| J3010 |
Fentanyl citrate injection |
134 |
104 |
$99.79 |
| 90471 |
|
24 |
24 |
$91.98 |
| 82044 |
|
61 |
58 |
$65.78 |
| 81002 |
|
31 |
28 |
$62.22 |
| 87210 |
|
13 |
12 |
$62.22 |
| 85652 |
|
28 |
24 |
$46.42 |
| 81015 |
|
49 |
44 |
$46.31 |
| 0202U |
|
228 |
221 |
$42.58 |
| J1170 |
Hydromorphone injection |
187 |
159 |
$36.51 |
| J2270 |
Morphine sulfate injection |
198 |
165 |
$30.42 |
| 85014 |
|
14 |
12 |
$20.28 |
| J7120 |
Ringers lactate infusion |
205 |
163 |
$16.10 |
| J2250 |
Inj midazolam hydrochloride |
220 |
175 |
$8.95 |
| U0005 |
Infec agen detec ampli probe |
3,036 |
2,613 |
$7.00 |
| J7030 |
Normal saline solution infus |
1,948 |
1,515 |
$6.83 |
| J7050 |
Normal saline solution infus |
1,843 |
1,117 |
$5.00 |
| G1004 |
Cdsm ndsc |
305 |
253 |
$1.11 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$0.65 |
| 36600 |
|
25 |
24 |
$0.00 |
| J7040 |
Normal saline solution infus |
41 |
41 |
$0.00 |
| A9270 |
Non-covered item or service |
1,175 |
322 |
$0.00 |
| 90686 |
|
16 |
15 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
16 |
14 |
$0.00 |
| G0103 |
Psa screening |
13 |
12 |
$0.00 |