| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
38,323 |
36,340 |
$4.40M |
| 99284 |
|
15,689 |
14,781 |
$1.95M |
| 99282 |
|
15,072 |
14,422 |
$1.57M |
| U0003 |
Cov-19 amp prb hgh thruput |
5,037 |
4,636 |
$758K |
| 70450 |
|
1,867 |
1,741 |
$437K |
| 99285 |
|
2,771 |
2,567 |
$377K |
| 80048 |
|
17,879 |
15,847 |
$165K |
| 64483 |
|
342 |
289 |
$146K |
| 74177 |
|
455 |
427 |
$123K |
| U0004 |
Cov-19 test non-cdc hgh thru |
453 |
434 |
$67K |
| 96374 |
|
9,809 |
9,089 |
$56K |
| 94640 |
|
325 |
301 |
$53K |
| 96365 |
|
273 |
258 |
$52K |
| U0005 |
Infec agen detec ampli probe |
2,679 |
2,536 |
$30K |
| 96361 |
|
178 |
153 |
$30K |
| 80053 |
|
3,507 |
3,257 |
$30K |
| 36415 |
|
18,293 |
12,524 |
$27K |
| 11042 |
|
216 |
116 |
$23K |
| 43239 |
|
48 |
48 |
$23K |
| 84484 |
|
4,986 |
3,711 |
$22K |
| 95810 |
|
28 |
27 |
$19K |
| 77063 |
|
567 |
565 |
$18K |
| 71045 |
|
5,125 |
4,755 |
$16K |
| 80076 |
|
2,824 |
2,622 |
$15K |
| 83874 |
|
1,574 |
1,322 |
$14K |
| 96375 |
|
6,943 |
6,309 |
$12K |
| 74176 |
|
43 |
42 |
$12K |
| 87591 |
|
812 |
770 |
$11K |
| 85027 |
|
2,026 |
1,429 |
$10K |
| 64635 |
|
19 |
12 |
$10K |
| 93005 |
|
7,636 |
7,018 |
$10K |
| 64493 |
|
14 |
12 |
$8K |
| 71046 |
|
3,616 |
3,403 |
$7K |
| 87651 |
|
277 |
262 |
$6K |
| 83605 |
|
699 |
561 |
$6K |
| 85025 |
|
21,445 |
19,728 |
$6K |
| 77067 |
|
589 |
587 |
$5K |
| 83036 |
|
263 |
257 |
$5K |
| 82553 |
|
303 |
267 |
$4K |
| 80307 |
|
164 |
146 |
$3K |
| 80061 |
|
219 |
211 |
$3K |
| 71260 |
|
13 |
13 |
$3K |
| 84443 |
|
171 |
165 |
$3K |
| 82306 |
|
165 |
157 |
$3K |
| G0378 |
Hospital observation per hr |
60 |
26 |
$2K |
| 87510 |
|
79 |
77 |
$2K |
| 81001 |
|
6,996 |
6,517 |
$2K |
| 85379 |
|
377 |
355 |
$2K |
| 64636 |
|
19 |
12 |
$1K |
| 84439 |
|
63 |
60 |
$1K |
| 96372 |
|
9,438 |
8,796 |
$1K |
| 83690 |
|
4,417 |
4,105 |
$1K |
| 84703 |
|
4,120 |
3,841 |
$1K |
| 83880 |
|
225 |
209 |
$1K |
| 82607 |
|
36 |
36 |
$1K |
| 87086 |
|
2,366 |
2,195 |
$1K |
| 80320 |
|
51 |
42 |
$1K |
| 87660 |
|
79 |
77 |
$933.76 |
| 87491 |
|
812 |
770 |
$933.01 |
| 87635 |
|
348 |
325 |
$920.55 |
| 83525 |
|
26 |
26 |
$844.77 |
| 81003 |
|
4,546 |
4,295 |
$715.55 |
| 81025 |
|
3,750 |
3,551 |
$622.72 |
| 82746 |
|
24 |
24 |
$507.68 |
| P9603 |
One-way allow prorated miles |
3,436 |
1,818 |
$485.40 |
| 84436 |
|
25 |
23 |
$475.04 |
| 72125 |
|
25 |
24 |
$458.30 |
| 99152 |
|
1,354 |
1,101 |
$447.24 |
| 87804 |
|
4,636 |
2,348 |
$425.97 |
| 83735 |
|
1,294 |
1,182 |
$372.19 |
| J1885 |
Ketorolac tromethamine inj |
6,078 |
5,674 |
$360.81 |
| 84481 |
|
13 |
12 |
$252.28 |
| 82150 |
|
581 |
534 |
$239.53 |
| 84480 |
|
25 |
23 |
$237.55 |
| J2270 |
Morphine sulfate injection |
1,245 |
1,093 |
$237.30 |
| 88305 |
|
538 |
363 |
$223.48 |
| J2405 |
Ondansetron hcl injection |
5,693 |
5,147 |
$220.42 |
| 74022 |
|
102 |
97 |
$188.79 |
| 73610 |
|
26 |
24 |
$110.37 |
| 99153 |
Mod sedat endo service >5yrs |
204 |
160 |
$88.68 |
| U0002 |
Covid-19 lab test non-cdc |
15 |
13 |
$85.72 |
| 82550 |
|
305 |
269 |
$83.17 |
| 84134 |
|
15 |
13 |
$71.03 |
| 85610 |
|
142 |
104 |
$67.86 |
| 73130 |
|
111 |
108 |
$56.58 |
| 73562 |
|
56 |
54 |
$53.94 |
| 73630 |
|
114 |
110 |
$53.94 |
| J1100 |
Dexamethasone sodium phos |
1,742 |
1,569 |
$49.32 |
| J1170 |
Hydromorphone injection |
264 |
215 |
$46.36 |
| J0696 |
Ceftriaxone sodium injection |
317 |
297 |
$29.42 |
| 87880 |
|
368 |
351 |
$26.62 |
| J2704 |
Inj, propofol, 10 mg |
847 |
802 |
$21.20 |
| 82947 |
|
91 |
64 |
$17.89 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
971 |
807 |
$14.00 |
| J3010 |
Fentanyl citrate injection |
1,546 |
1,227 |
$13.84 |
| J2765 |
Metoclopramide hcl injection |
69 |
65 |
$10.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,945 |
1,828 |
$9.00 |
| J2250 |
Inj midazolam hydrochloride |
1,473 |
1,148 |
$8.81 |
| Q0162 |
Ondansetron oral |
243 |
229 |
$7.53 |
| J8540 |
Oral dexamethasone |
24 |
24 |
$6.30 |
| J1200 |
Diphenhydramine hcl injectio |
102 |
97 |
$6.10 |
| J2550 |
Promethazine hcl injection |
143 |
121 |
$1.93 |
| 64484 |
|
12 |
12 |
$0.00 |
| 96376 |
|
90 |
72 |
$0.00 |
| 72040 |
|
27 |
25 |
$0.00 |
| 87480 |
|
79 |
77 |
$0.00 |
| 85730 |
|
27 |
27 |
$0.00 |
| J2360 |
Orphenadrine injection |
28 |
26 |
$0.00 |
| J2930 |
Methylprednisolone injection |
25 |
25 |
$0.00 |
| 72100 |
|
198 |
184 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
78 |
46 |
$0.00 |
| 94664 |
|
58 |
52 |
$0.00 |
| 01999 |
|
12 |
12 |
$0.00 |