| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,019 |
1,939 |
$611K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,680 |
3,009 |
$166K |
| G0463 |
Hospital outpt clinic visit |
4,217 |
3,053 |
$65K |
| 99283 |
|
548 |
520 |
$48K |
| C9803 |
Hopd covid-19 spec collect |
3,460 |
2,854 |
$28K |
| 87798 |
|
125 |
108 |
$25K |
| 99215 |
Prolong outpt/office vis |
122 |
119 |
$23K |
| 93306 |
|
28 |
26 |
$12K |
| 87804 |
|
532 |
256 |
$11K |
| 85025 |
|
1,259 |
1,219 |
$7K |
| 80053 |
|
1,052 |
1,025 |
$7K |
| 0012A |
|
305 |
305 |
$6K |
| 0002A |
|
250 |
250 |
$6K |
| 87880 |
|
258 |
248 |
$5K |
| 87651 |
|
125 |
108 |
$5K |
| 87541 |
|
123 |
107 |
$5K |
| 87640 |
|
125 |
108 |
$5K |
| 87581 |
|
127 |
108 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
84 |
68 |
$5K |
| G2023 |
Specimen collect covid-19 |
253 |
222 |
$5K |
| 87486 |
|
118 |
101 |
$5K |
| 93005 |
|
157 |
150 |
$5K |
| 69210 |
|
15 |
12 |
$5K |
| 87633 |
|
125 |
108 |
$5K |
| 0001A |
|
316 |
315 |
$4K |
| 99213 |
|
51 |
46 |
$4K |
| 96372 |
|
315 |
251 |
$4K |
| 80061 |
|
346 |
339 |
$3K |
| 84443 |
|
234 |
229 |
$3K |
| 82306 |
|
150 |
146 |
$3K |
| 92567 |
|
17 |
17 |
$3K |
| 88304 |
|
14 |
13 |
$2K |
| 83036 |
|
285 |
278 |
$2K |
| 96361 |
|
13 |
13 |
$2K |
| 80074 |
|
97 |
94 |
$1K |
| Q3014 |
Telehealth facility fee |
534 |
392 |
$1K |
| 87426 |
|
42 |
42 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
356 |
348 |
$896.09 |
| 81003 |
|
376 |
364 |
$598.93 |
| 84550 |
|
206 |
201 |
$509.15 |
| 80048 |
|
46 |
45 |
$466.05 |
| A4663 |
Dialysis blood pressure cuff |
16 |
13 |
$359.46 |
| 82043 |
|
38 |
38 |
$336.00 |
| 82570 |
|
38 |
38 |
$300.95 |
| 0011A |
|
88 |
87 |
$282.10 |
| J1885 |
Ketorolac tromethamine inj |
101 |
97 |
$174.45 |
| 84436 |
|
25 |
25 |
$172.59 |
| 84439 |
|
15 |
15 |
$160.30 |
| 81025 |
|
13 |
12 |
$160.15 |
| 80306 |
|
14 |
13 |
$85.02 |
| 84479 |
|
45 |
45 |
$82.00 |
| 92504 |
|
16 |
12 |
$23.30 |
| A4216 |
Sterile water/saline, 10 ml |
16 |
13 |
$19.79 |
| J7120 |
Ringers lactate infusion |
26 |
25 |
$6.50 |
| 0003A |
|
15 |
15 |
$0.00 |
| 84156 |
|
14 |
14 |
$0.00 |
| J7699 |
Inhalation solution for dme |
31 |
30 |
$0.00 |
| J7030 |
Normal saline solution infus |
13 |
12 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
279 |
251 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
31 |
29 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
12 |
$0.00 |
| 84480 |
|
13 |
13 |
$0.00 |