| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
20,770 |
18,734 |
$728K |
| 99284 |
|
11,558 |
9,795 |
$610K |
| 99285 |
|
1,337 |
1,018 |
$283K |
| 87804 |
|
8,299 |
4,198 |
$105K |
| 99282 |
|
2,323 |
2,214 |
$86K |
| 85025 |
|
12,090 |
9,716 |
$82K |
| 87430 |
|
3,792 |
3,546 |
$59K |
| 87426 |
|
1,668 |
1,516 |
$42K |
| 80053 |
|
5,164 |
4,056 |
$42K |
| 87081 |
|
2,721 |
2,557 |
$27K |
| 97110 |
|
1,538 |
303 |
$21K |
| 81001 |
|
5,326 |
4,381 |
$17K |
| 70551 |
|
134 |
128 |
$15K |
| 80048 |
|
2,111 |
1,698 |
$13K |
| 80307 |
|
331 |
271 |
$12K |
| 87635 |
|
304 |
254 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
195 |
166 |
$10K |
| 71045 |
|
2,238 |
1,869 |
$9K |
| 66984 |
|
72 |
53 |
$9K |
| 87420 |
|
517 |
495 |
$9K |
| 70450 |
|
148 |
116 |
$9K |
| 93005 |
|
1,097 |
864 |
$8K |
| 71046 |
|
827 |
708 |
$7K |
| 83735 |
|
1,200 |
882 |
$6K |
| G2023 |
Specimen collect covid-19 |
298 |
291 |
$5K |
| 87086 |
|
621 |
517 |
$5K |
| 59025 |
|
1,010 |
704 |
$5K |
| 84443 |
|
229 |
215 |
$3K |
| 84484 |
|
662 |
436 |
$3K |
| 81025 |
|
834 |
731 |
$2K |
| 87634 |
|
37 |
37 |
$2K |
| 83690 |
|
453 |
364 |
$2K |
| 83036 |
|
192 |
186 |
$2K |
| 81003 |
|
909 |
768 |
$2K |
| 74177 |
|
17 |
13 |
$2K |
| 80061 |
|
127 |
123 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,520 |
1,255 |
$2K |
| 82607 |
|
110 |
105 |
$2K |
| 97112 |
|
103 |
29 |
$2K |
| 97530 |
|
407 |
86 |
$1K |
| 82306 |
|
181 |
172 |
$1K |
| 86140 |
|
428 |
394 |
$951.06 |
| 82746 |
|
66 |
63 |
$839.96 |
| 86376 |
|
44 |
44 |
$737.88 |
| 99281 |
|
17 |
13 |
$625.68 |
| J1885 |
Ketorolac tromethamine inj |
1,937 |
1,585 |
$596.50 |
| 97140 |
|
98 |
25 |
$576.18 |
| U0005 |
Infec agen detec ampli probe |
62 |
38 |
$542.50 |
| 84403 |
|
13 |
12 |
$498.63 |
| 83655 |
|
29 |
27 |
$452.10 |
| 74176 |
|
27 |
13 |
$384.36 |
| 80076 |
|
87 |
70 |
$376.20 |
| 82553 |
|
95 |
56 |
$340.20 |
| 82248 |
|
115 |
81 |
$329.85 |
| 82728 |
|
28 |
28 |
$266.40 |
| J1100 |
Dexamethasone sodium phos |
383 |
316 |
$251.86 |
| 85027 |
|
134 |
111 |
$251.76 |
| 84479 |
|
43 |
43 |
$233.97 |
| 82550 |
|
96 |
57 |
$201.60 |
| 84436 |
|
43 |
43 |
$175.23 |
| 83605 |
|
15 |
12 |
$148.00 |
| 86038 |
|
15 |
15 |
$134.56 |
| 85651 |
|
39 |
39 |
$104.40 |
| 87077 |
|
19 |
12 |
$98.78 |
| 82247 |
|
30 |
25 |
$87.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
27 |
25 |
$81.60 |
| 84460 |
|
13 |
12 |
$66.51 |
| 85007 |
|
13 |
12 |
$65.91 |
| 84450 |
|
13 |
12 |
$60.48 |
| 93017 |
|
12 |
12 |
$56.12 |
| 85018 |
|
15 |
15 |
$52.05 |
| 85014 |
|
15 |
15 |
$52.05 |
| 85652 |
|
29 |
26 |
$51.61 |
| J2405 |
Ondansetron hcl injection |
634 |
524 |
$51.24 |
| 86850 |
|
31 |
25 |
$34.98 |
| J2550 |
Promethazine hcl injection |
29 |
16 |
$27.90 |
| 36415 |
|
2,833 |
2,321 |
$19.36 |
| 86900 |
|
32 |
26 |
$16.31 |
| 86901 |
|
32 |
26 |
$16.16 |
| J7030 |
Normal saline solution infus |
853 |
648 |
$2.61 |
| J2704 |
Inj, propofol, 10 mg |
176 |
122 |
$0.44 |
| A9270 |
Non-covered item or service |
638 |
420 |
$0.00 |
| 96372 |
|
170 |
109 |
$0.00 |
| G0283 |
Elec stim other than wound |
76 |
24 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
18 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
65 |
56 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
840 |
657 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
72 |
53 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
34 |
25 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
17 |
16 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
34 |
25 |
$0.00 |
| 96360 |
|
12 |
12 |
$0.00 |