| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
13,026 |
11,909 |
$324K |
| 99283 |
|
3,855 |
3,419 |
$121K |
| 99281 |
|
4,222 |
3,894 |
$21K |
| 97110 |
|
4,390 |
1,257 |
$13K |
| 99284 |
|
953 |
762 |
$8K |
| 70450 |
|
171 |
153 |
$6K |
| 80053 |
|
6,658 |
5,924 |
$6K |
| 99285 |
|
138 |
108 |
$5K |
| 87804 |
|
964 |
491 |
$3K |
| 85025 |
|
4,017 |
3,643 |
$3K |
| 74177 |
|
61 |
42 |
$3K |
| 85027 |
|
3,601 |
3,184 |
$3K |
| 36415 |
|
6,971 |
5,957 |
$2K |
| 96374 |
|
1,798 |
1,512 |
$2K |
| 71046 |
|
595 |
533 |
$2K |
| 87086 |
|
1,067 |
988 |
$2K |
| 87880 |
|
609 |
590 |
$2K |
| 82306 |
|
831 |
806 |
$2K |
| 96375 |
|
983 |
807 |
$2K |
| 81001 |
|
2,974 |
2,634 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
263 |
243 |
$1K |
| 96372 |
|
2,129 |
1,754 |
$1K |
| J7030 |
Normal saline solution infus |
1,424 |
1,179 |
$875.04 |
| G0480 |
Drug test def 1-7 classes |
801 |
644 |
$711.51 |
| 84443 |
|
2,539 |
2,446 |
$607.40 |
| 80048 |
|
471 |
409 |
$557.49 |
| C9803 |
Hopd covid-19 spec collect |
564 |
500 |
$541.24 |
| 83036 |
|
1,059 |
1,020 |
$504.85 |
| 85651 |
|
262 |
250 |
$493.61 |
| 87081 |
|
159 |
149 |
$485.46 |
| 84439 |
|
575 |
550 |
$397.13 |
| 73610 |
|
14 |
12 |
$250.16 |
| 93005 |
|
1,495 |
1,159 |
$247.36 |
| 71045 |
|
225 |
191 |
$235.80 |
| 73030 |
|
13 |
12 |
$234.32 |
| 97161 |
|
100 |
87 |
$209.40 |
| 87420 |
|
88 |
86 |
$180.90 |
| J1885 |
Ketorolac tromethamine inj |
1,036 |
910 |
$170.95 |
| 81025 |
|
462 |
431 |
$106.64 |
| 84484 |
|
409 |
296 |
$105.30 |
| 86140 |
|
158 |
137 |
$101.84 |
| 82607 |
|
56 |
54 |
$100.18 |
| 80061 |
|
1,822 |
1,769 |
$98.10 |
| 83690 |
|
492 |
426 |
$77.40 |
| 97140 |
|
403 |
158 |
$73.80 |
| J2405 |
Ondansetron hcl injection |
280 |
251 |
$68.39 |
| 83655 |
|
35 |
35 |
$46.80 |
| 87186 |
|
12 |
12 |
$41.88 |
| 85018 |
|
35 |
34 |
$40.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
286 |
188 |
$35.10 |
| J0696 |
Ceftriaxone sodium injection |
271 |
207 |
$0.00 |
| 77063 |
|
32 |
32 |
$0.00 |
| 83735 |
|
14 |
12 |
$0.00 |
| 83605 |
|
38 |
26 |
$0.00 |
| J7050 |
Normal saline solution infus |
188 |
148 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
35 |
12 |
$0.00 |
| 94640 |
|
42 |
26 |
$0.00 |
| 82150 |
|
98 |
90 |
$0.00 |
| 97112 |
|
25 |
12 |
$0.00 |
| 97535 |
|
39 |
24 |
$0.00 |
| 90471 |
|
13 |
12 |
$0.00 |
| 96365 |
|
32 |
19 |
$0.00 |
| 87491 |
|
24 |
24 |
$0.00 |
| 85610 |
|
201 |
166 |
$0.00 |
| 86431 |
|
43 |
43 |
$0.00 |
| J7120 |
Ringers lactate infusion |
13 |
12 |
$0.00 |
| 73630 |
|
13 |
12 |
$0.00 |
| 97530 |
|
49 |
25 |
$0.00 |
| 82652 |
|
23 |
21 |
$0.00 |
| 77067 |
|
32 |
32 |
$0.00 |
| 86038 |
|
15 |
15 |
$0.00 |