| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,391 |
1,323 |
$754K |
| 42820 |
|
71 |
63 |
$341K |
| 69436 |
|
157 |
152 |
$309K |
| 99283 |
|
1,854 |
1,763 |
$243K |
| 97110 |
|
1,536 |
432 |
$184K |
| 99282 |
|
1,112 |
1,072 |
$168K |
| 88304 |
|
547 |
290 |
$60K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
761 |
739 |
$48K |
| 97112 |
|
227 |
72 |
$37K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,707 |
1,661 |
$28K |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
181 |
167 |
$24K |
| 97530 |
|
135 |
55 |
$19K |
| 92507 |
|
234 |
61 |
$19K |
| 93005 |
|
507 |
470 |
$19K |
| 99285 |
|
97 |
93 |
$14K |
| 80053 |
|
1,881 |
1,591 |
$12K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
93 |
93 |
$12K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
643 |
628 |
$11K |
| 99281 |
|
84 |
83 |
$11K |
| 0202U |
|
735 |
715 |
$11K |
| 85025 |
|
2,409 |
2,029 |
$9K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
525 |
480 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
349 |
334 |
$6K |
| 87880 |
|
360 |
351 |
$4K |
| 97140 |
|
48 |
25 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
454 |
404 |
$3K |
| 74177 |
|
13 |
13 |
$3K |
| 71046 |
|
104 |
101 |
$2K |
| 84703 |
|
405 |
381 |
$2K |
| 81001 |
|
615 |
553 |
$984.87 |
| 84484 |
|
199 |
127 |
$781.49 |
| 87400 |
|
73 |
71 |
$734.23 |
| 81003 |
|
169 |
164 |
$467.29 |
| 80048 |
|
109 |
94 |
$464.95 |
| 83880 |
|
51 |
50 |
$397.08 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
59 |
58 |
$374.65 |
| 71045 |
|
13 |
13 |
$198.09 |
| 85610 |
|
137 |
120 |
$157.05 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
72 |
68 |
$152.73 |
| 0241U |
|
177 |
173 |
$142.63 |
| J2704 |
Injection, propofol, 10 mg |
269 |
255 |
$132.98 |
| 83735 |
|
51 |
43 |
$94.60 |
| 87088 |
|
15 |
14 |
$51.42 |
| 85730 |
|
13 |
13 |
$12.72 |
| 36415 |
|
321 |
237 |
$0.00 |
| 96374 |
|
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16 |
13 |
$0.00 |