| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,513 |
1,513 |
$5.95M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,250 |
3,248 |
$2.52M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,554 |
1,534 |
$227K |
| 42830 |
|
131 |
131 |
$116K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,023 |
2,010 |
$103K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
64 |
63 |
$14K |
| 54360 |
|
12 |
12 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
355 |
345 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
138 |
136 |
$2K |
| 86328 |
|
30 |
30 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$667.03 |
| 73562 |
|
12 |
12 |
$289.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,063 |
3,060 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
33 |
$0.00 |
| 31231 |
|
12 |
12 |
$0.00 |