| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
5,839 |
5,597 |
$352K |
| 87637 |
|
1,833 |
1,793 |
$188K |
| 99282 |
|
4,593 |
4,459 |
$144K |
| 87635 |
|
2,787 |
2,625 |
$96K |
| 99284 |
|
1,168 |
1,066 |
$89K |
| T1015 |
Clinic service |
3,191 |
593 |
$86K |
| 80053 |
|
8,166 |
7,485 |
$64K |
| 80050 |
|
1,064 |
1,049 |
$49K |
| 74177 |
|
313 |
298 |
$42K |
| 85025 |
|
9,190 |
8,230 |
$36K |
| U0003 |
Cov-19 amp prb hgh thruput |
356 |
333 |
$30K |
| 99285 |
|
371 |
323 |
$27K |
| 80061 |
|
2,142 |
2,108 |
$27K |
| G0378 |
Hospital observation per hr |
68 |
63 |
$27K |
| 82306 |
|
674 |
663 |
$22K |
| 96374 |
|
984 |
890 |
$20K |
| 87086 |
|
2,943 |
2,747 |
$18K |
| 84443 |
|
1,612 |
1,546 |
$16K |
| 87070 |
|
2,370 |
2,326 |
$16K |
| 70450 |
|
280 |
260 |
$14K |
| 80307 |
|
295 |
262 |
$13K |
| 87636 |
|
127 |
123 |
$12K |
| 74176 |
|
193 |
168 |
$12K |
| 93005 |
|
1,894 |
1,689 |
$12K |
| 71275 |
|
98 |
87 |
$12K |
| 81001 |
|
4,598 |
4,278 |
$10K |
| 84484 |
|
1,530 |
1,326 |
$10K |
| 77067 |
|
125 |
122 |
$9K |
| 80048 |
|
1,228 |
1,120 |
$9K |
| 87880 |
|
1,148 |
1,139 |
$9K |
| 87426 |
|
258 |
250 |
$8K |
| 84703 |
|
902 |
857 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
622 |
597 |
$8K |
| 71045 |
|
1,409 |
1,272 |
$7K |
| 71046 |
|
622 |
578 |
$7K |
| U0005 |
Infec agen detec ampli probe |
347 |
328 |
$7K |
| 87804 |
|
318 |
293 |
$7K |
| 83880 |
|
327 |
277 |
$6K |
| 83036 |
|
1,002 |
979 |
$6K |
| 96375 |
|
430 |
387 |
$6K |
| 83690 |
|
1,584 |
1,465 |
$6K |
| 96372 |
|
493 |
459 |
$5K |
| 87186 |
|
623 |
580 |
$5K |
| 87040 |
|
361 |
312 |
$5K |
| 87077 |
|
601 |
563 |
$4K |
| 86618 |
|
181 |
171 |
$4K |
| X0592 |
|
113 |
111 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
274 |
210 |
$3K |
| 96365 |
|
158 |
141 |
$3K |
| 84439 |
|
436 |
418 |
$3K |
| 83605 |
|
559 |
479 |
$3K |
| 87491 |
|
125 |
124 |
$3K |
| 82728 |
|
245 |
220 |
$3K |
| 87591 |
|
123 |
122 |
$2K |
| 77063 |
|
125 |
122 |
$2K |
| 85379 |
|
290 |
260 |
$2K |
| 87430 |
|
306 |
299 |
$2K |
| 83540 |
|
269 |
256 |
$2K |
| 82607 |
|
175 |
171 |
$2K |
| 85610 |
|
866 |
711 |
$2K |
| 0002A |
|
46 |
46 |
$2K |
| 82150 |
|
445 |
411 |
$2K |
| 85730 |
|
413 |
355 |
$2K |
| 83735 |
|
322 |
271 |
$1K |
| 73630 |
|
129 |
124 |
$1K |
| 82553 |
|
259 |
224 |
$1K |
| 83550 |
|
268 |
255 |
$1K |
| 84145 |
|
115 |
92 |
$1K |
| 82550 |
|
291 |
246 |
$1K |
| 73610 |
|
73 |
68 |
$1K |
| 0001A |
|
42 |
40 |
$1K |
| 76856 |
|
28 |
27 |
$1K |
| 81003 |
|
341 |
328 |
$1K |
| 36415 |
|
5,498 |
4,746 |
$1K |
| 85652 |
|
391 |
357 |
$954.02 |
| 76705 |
|
30 |
28 |
$935.74 |
| 87661 |
|
25 |
25 |
$907.71 |
| 86140 |
|
363 |
329 |
$840.48 |
| 73030 |
|
81 |
69 |
$830.62 |
| 73110 |
|
74 |
70 |
$780.00 |
| 93971 |
|
17 |
12 |
$675.45 |
| 0071A |
|
13 |
13 |
$572.00 |
| G2023 |
Specimen collect covid-19 |
36 |
35 |
$548.18 |
| 82043 |
|
84 |
80 |
$537.11 |
| 93306 |
|
14 |
12 |
$528.94 |
| 84153 |
|
25 |
24 |
$492.37 |
| 76830 |
|
13 |
13 |
$487.25 |
| 86038 |
|
30 |
30 |
$456.00 |
| 83655 |
|
41 |
40 |
$409.00 |
| 87389 |
|
14 |
14 |
$376.74 |
| U0002 |
Covid-19 lab test non-cdc |
53 |
50 |
$362.13 |
| 97162 |
|
13 |
12 |
$340.35 |
| 73130 |
|
32 |
27 |
$332.62 |
| 87081 |
|
18 |
15 |
$273.82 |
| 73564 |
|
13 |
12 |
$253.80 |
| 86803 |
|
12 |
12 |
$201.40 |
| 88142 |
|
12 |
12 |
$174.40 |
| J1885 |
Ketorolac tromethamine inj |
501 |
473 |
$140.32 |
| J7030 |
Normal saline solution infus |
449 |
391 |
$132.62 |
| 80320 |
|
13 |
12 |
$114.10 |
| 86430 |
|
13 |
13 |
$97.30 |
| 94664 |
|
13 |
12 |
$88.56 |
| 82077 |
|
106 |
97 |
$73.50 |
| J2704 |
Inj, propofol, 10 mg |
124 |
114 |
$56.81 |
| 81002 |
|
13 |
13 |
$51.13 |
| J7050 |
Normal saline solution infus |
266 |
191 |
$31.37 |
| 3051F |
|
35 |
35 |
$30.00 |
| J2405 |
Ondansetron hcl injection |
414 |
349 |
$28.06 |
| J2270 |
Morphine sulfate injection |
76 |
64 |
$20.79 |
| 3044F |
|
151 |
150 |
$20.00 |
| J7120 |
Ringers lactate infusion |
105 |
97 |
$14.83 |
| J1100 |
Dexamethasone sodium phos |
83 |
72 |
$9.80 |
| 96376 |
|
16 |
13 |
$8.28 |
| J7040 |
Normal saline solution infus |
15 |
12 |
$6.85 |
| J3010 |
Fentanyl citrate injection |
48 |
45 |
$1.91 |
| 93010 |
|
29 |
24 |
$0.00 |
| 3046F |
|
14 |
14 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |