| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,885 |
7,602 |
$1.37M |
| 99284 |
|
3,538 |
3,395 |
$970K |
| 87502 |
|
2,586 |
2,527 |
$242K |
| 80053 |
|
4,246 |
3,857 |
$207K |
| 71045 |
|
1,713 |
1,589 |
$124K |
| 85025 |
|
5,883 |
5,304 |
$119K |
| 87651 |
|
2,463 |
2,400 |
$103K |
| 99282 |
|
892 |
861 |
$101K |
| 99285 |
|
661 |
591 |
$98K |
| 87635 |
|
2,427 |
2,374 |
$90K |
| 81001 |
|
3,939 |
3,708 |
$59K |
| C9803 |
Hopd covid-19 spec collect |
3,440 |
3,327 |
$40K |
| 87634 |
|
310 |
300 |
$37K |
| 93005 |
|
1,134 |
969 |
$35K |
| 71046 |
|
158 |
152 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
517 |
499 |
$16K |
| 99281 |
|
138 |
135 |
$13K |
| 96374 |
|
604 |
526 |
$6K |
| 96375 |
|
328 |
261 |
$5K |
| 84703 |
|
287 |
270 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
118 |
109 |
$5K |
| 83690 |
|
319 |
292 |
$4K |
| 99211 |
|
29 |
26 |
$4K |
| 84484 |
|
460 |
305 |
$2K |
| J7030 |
Normal saline solution infus |
269 |
238 |
$2K |
| 87086 |
|
179 |
165 |
$1K |
| U0005 |
Infec agen detec ampli probe |
84 |
83 |
$917.10 |
| CP007 |
|
14 |
13 |
$654.24 |
| 85018 |
|
13 |
13 |
$328.50 |
| 88720 |
|
25 |
25 |
$273.34 |
| J2405 |
Ondansetron hcl injection |
279 |
256 |
$252.70 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12 |
12 |
$201.25 |
| 96372 |
|
27 |
24 |
$195.54 |
| 80048 |
|
61 |
53 |
$193.73 |
| 83655 |
|
13 |
13 |
$189.16 |
| 96361 |
|
28 |
26 |
$150.12 |
| 80307 |
|
12 |
12 |
$146.30 |
| 82306 |
|
37 |
37 |
$121.68 |
| 70450 |
|
13 |
12 |
$73.48 |
| 83880 |
|
26 |
24 |
$53.79 |
| 84443 |
|
13 |
13 |
$46.04 |
| J1885 |
Ketorolac tromethamine inj |
43 |
38 |
$37.56 |
| J1100 |
Dexamethasone sodium phos |
16 |
16 |
$33.75 |
| 87040 |
|
73 |
36 |
$28.28 |
| 36415 |
|
1,071 |
931 |
$10.89 |
| Q0162 |
Ondansetron oral |
127 |
96 |
$9.30 |
| A9270 |
Non-covered item or service |
1,476 |
1,417 |
$2.41 |
| 83605 |
|
48 |
25 |
$0.00 |
| J7120 |
Ringers lactate infusion |
58 |
39 |
$0.00 |
| 80164 |
|
12 |
12 |
$0.00 |