| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,646 |
1,550 |
$253K |
| 99284 |
|
574 |
534 |
$157K |
| U0002 |
Covid-19 lab test non-cdc |
138 |
112 |
$6K |
| 99285 |
|
14 |
12 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
120 |
89 |
$4K |
| 96374 |
|
24 |
24 |
$4K |
| 43239 |
|
14 |
13 |
$3K |
| 96361 |
|
27 |
26 |
$2K |
| 87635 |
|
28 |
28 |
$1K |
| A0425 |
Ground mileage |
1,098 |
809 |
$1K |
| A0429 |
Bls-emergency |
345 |
274 |
$1K |
| 96375 |
|
13 |
13 |
$772.18 |
| G2023 |
Specimen collect covid-19 |
32 |
27 |
$493.60 |
| 36415 |
|
292 |
255 |
$366.09 |
| C9803 |
Hopd covid-19 spec collect |
90 |
69 |
$269.37 |
| U0005 |
Infec agen detec ampli probe |
35 |
29 |
$200.00 |
| 80053 |
|
519 |
474 |
$10.56 |
| J7030 |
Normal saline solution infus |
93 |
78 |
$8.62 |
| 85025 |
|
891 |
814 |
$7.77 |
| J2250 |
Inj midazolam hydrochloride |
61 |
52 |
$0.00 |
| 94761 |
|
266 |
235 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
286 |
249 |
$0.00 |
| 88305 |
|
159 |
122 |
$0.00 |
| 86140 |
|
76 |
69 |
$0.00 |
| 96372 |
|
32 |
29 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
45 |
38 |
$0.00 |
| 83690 |
|
16 |
15 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
29 |
25 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
28 |
25 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
46 |
39 |
$0.00 |
| 83605 |
|
15 |
13 |
$0.00 |
| 82550 |
|
15 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
31 |
29 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 80048 |
|
13 |
12 |
$0.00 |
| 84484 |
|
14 |
12 |
$0.00 |
| 85610 |
|
42 |
37 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
67 |
53 |
$0.00 |
| 87804 |
|
24 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
14 |
12 |
$0.00 |
| 93005 |
|
14 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
92 |
76 |
$0.00 |
| 99152 |
|
14 |
12 |
$0.00 |