| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,316 |
9,459 |
$2.73M |
| 99284 |
|
6,766 |
5,138 |
$1.33M |
| 99285 |
|
5,648 |
4,210 |
$1.17M |
| 96361 |
|
1,902 |
1,601 |
$1.08M |
| 99282 |
|
3,508 |
3,134 |
$645K |
| 74177 |
|
870 |
770 |
$312K |
| 70450 |
|
765 |
685 |
$242K |
| 97110 |
|
3,466 |
1,489 |
$109K |
| 96360 |
|
192 |
150 |
$60K |
| 80053 |
|
5,890 |
5,097 |
$55K |
| 0241U |
|
1,790 |
1,631 |
$52K |
| 87635 |
|
1,113 |
1,025 |
$50K |
| 87651 |
|
1,448 |
1,356 |
$47K |
| 87631 |
|
436 |
400 |
$45K |
| 85025 |
|
8,380 |
7,049 |
$45K |
| 71046 |
|
2,223 |
1,985 |
$42K |
| C9803 |
Hopd covid-19 spec collect |
2,236 |
2,016 |
$41K |
| 84443 |
|
2,857 |
2,676 |
$40K |
| 94640 |
|
280 |
239 |
$36K |
| 87636 |
|
436 |
395 |
$26K |
| 80048 |
|
3,187 |
2,839 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
398 |
363 |
$23K |
| 74176 |
|
57 |
51 |
$20K |
| 84484 |
|
1,804 |
1,568 |
$17K |
| 80061 |
|
1,073 |
1,020 |
$13K |
| 97140 |
|
510 |
229 |
$12K |
| 81025 |
|
1,452 |
1,293 |
$11K |
| 96374 |
|
2,758 |
2,278 |
$10K |
| 83036 |
|
1,151 |
1,096 |
$8K |
| 81001 |
|
3,057 |
2,725 |
$8K |
| 93005 |
|
3,496 |
2,945 |
$7K |
| 83690 |
|
1,409 |
1,237 |
$7K |
| 80307 |
|
138 |
110 |
$6K |
| 87880 |
|
372 |
341 |
$6K |
| 80306 |
|
451 |
398 |
$6K |
| 97112 |
|
219 |
94 |
$6K |
| 97162 |
|
159 |
146 |
$6K |
| 71275 |
|
12 |
12 |
$6K |
| 83880 |
|
290 |
261 |
$5K |
| 96365 |
|
16 |
13 |
$5K |
| 85610 |
|
1,536 |
1,079 |
$5K |
| 83605 |
|
676 |
601 |
$5K |
| 82077 |
|
258 |
225 |
$5K |
| U0005 |
Infec agen detec ampli probe |
299 |
270 |
$5K |
| 85379 |
|
621 |
560 |
$4K |
| 87086 |
|
698 |
636 |
$4K |
| 81003 |
|
1,522 |
1,358 |
$3K |
| 77067 |
|
37 |
37 |
$3K |
| 96372 |
|
1,889 |
1,568 |
$3K |
| 83735 |
|
621 |
540 |
$3K |
| 73630 |
|
115 |
92 |
$2K |
| 97530 |
|
78 |
49 |
$2K |
| 86140 |
|
416 |
378 |
$2K |
| 77063 |
|
12 |
12 |
$1K |
| 71045 |
|
1,062 |
959 |
$1K |
| 82947 |
|
393 |
308 |
$1K |
| 73610 |
|
68 |
60 |
$1K |
| 85027 |
|
223 |
203 |
$952.02 |
| 82570 |
|
162 |
158 |
$744.18 |
| 36415 |
|
3,085 |
2,523 |
$690.96 |
| 84702 |
|
48 |
41 |
$668.04 |
| 96375 |
|
1,572 |
1,336 |
$647.76 |
| 82043 |
|
111 |
108 |
$598.28 |
| 82248 |
|
203 |
180 |
$587.50 |
| 80050 |
|
20 |
18 |
$402.75 |
| 87103 |
|
25 |
25 |
$364.13 |
| 97161 |
|
14 |
12 |
$354.83 |
| 87040 |
|
49 |
26 |
$284.34 |
| 80143 |
|
26 |
24 |
$258.27 |
| 82948 |
|
62 |
37 |
$228.70 |
| J1885 |
Ketorolac tromethamine inj |
1,799 |
1,532 |
$166.49 |
| 80179 |
|
14 |
12 |
$135.99 |
| 87077 |
|
13 |
13 |
$78.66 |
| 87186 |
|
13 |
13 |
$74.76 |
| 86850 |
|
14 |
14 |
$62.86 |
| 73110 |
|
12 |
12 |
$53.47 |
| 86900 |
|
12 |
12 |
$37.42 |
| 86901 |
|
12 |
12 |
$37.42 |
| J7030 |
Normal saline solution infus |
638 |
546 |
$27.79 |
| J2405 |
Ondansetron hcl injection |
551 |
447 |
$26.86 |
| 0764T |
|
28 |
28 |
$17.62 |
| 93010 |
|
19 |
16 |
$10.93 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
248 |
136 |
$6.86 |
| J7050 |
Normal saline solution infus |
111 |
78 |
$6.33 |
| J1200 |
Diphenhydramine hcl injectio |
34 |
33 |
$4.42 |
| J8499 |
Oral prescrip drug non chemo |
41 |
29 |
$0.00 |
| A9270 |
Non-covered item or service |
507 |
437 |
$0.00 |
| Q0162 |
Ondansetron oral |
14 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
91 |
64 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
14 |
13 |
$0.00 |