| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,172 |
13,218 |
$2.23M |
| 99213 |
|
23,918 |
21,150 |
$1.24M |
| 99284 |
|
7,347 |
6,862 |
$1.13M |
| U0003 |
Cov-19 amp prb hgh thruput |
13,214 |
11,761 |
$1.06M |
| D0999 |
|
4,656 |
4,481 |
$744K |
| 99214 |
|
6,852 |
6,330 |
$678K |
| 99282 |
|
3,753 |
3,572 |
$652K |
| 90834 |
|
3,070 |
1,560 |
$435K |
| 87635 |
|
8,012 |
7,302 |
$348K |
| 99211 |
|
16,957 |
14,924 |
$293K |
| 99212 |
|
6,399 |
5,929 |
$265K |
| 99391 |
|
6,408 |
6,185 |
$244K |
| 99392 |
|
6,160 |
6,015 |
$224K |
| 99201 |
|
3,387 |
3,191 |
$221K |
| 99202 |
|
2,281 |
2,194 |
$210K |
| 87491 |
|
6,881 |
6,523 |
$188K |
| 99442 |
|
5,062 |
4,799 |
$184K |
| 99204 |
|
1,053 |
1,023 |
$171K |
| 87591 |
|
6,886 |
6,529 |
$166K |
| 96361 |
|
2,259 |
2,148 |
$163K |
| 90832 |
|
1,632 |
1,027 |
$157K |
| 99203 |
|
1,666 |
1,629 |
$156K |
| 76856 |
|
928 |
893 |
$144K |
| 99285 |
|
887 |
859 |
$141K |
| 99215 |
Prolong outpt/office vis |
1,055 |
770 |
$135K |
| 99393 |
|
4,634 |
4,571 |
$125K |
| 80053 |
|
13,622 |
12,692 |
$120K |
| 81220 |
|
289 |
283 |
$118K |
| 77067 |
|
1,127 |
1,117 |
$114K |
| 92014 |
|
885 |
854 |
$114K |
| 99443 |
|
1,857 |
1,722 |
$114K |
| 99404 |
|
64 |
60 |
$113K |
| H0035 |
Mh partial hosp tx under 24h |
755 |
113 |
$106K |
| 90460 |
|
13,660 |
13,552 |
$106K |
| 90471 |
|
12,243 |
11,983 |
$94K |
| 70450 |
|
453 |
436 |
$91K |
| 86480 |
|
1,495 |
1,422 |
$85K |
| 99395 |
|
1,045 |
1,009 |
$85K |
| 96360 |
|
1,077 |
1,053 |
$84K |
| 99394 |
|
2,823 |
2,678 |
$82K |
| 92004 |
|
528 |
510 |
$81K |
| 90461 |
|
8,007 |
7,982 |
$80K |
| U0001 |
2019-ncov diagnostic p |
2,194 |
2,130 |
$78K |
| 76819 |
|
1,059 |
827 |
$77K |
| 86769 |
|
2,750 |
2,677 |
$76K |
| 76816 |
|
767 |
701 |
$72K |
| 99441 |
|
3,656 |
3,521 |
$72K |
| 85027 |
|
18,199 |
16,933 |
$65K |
| 86703 |
|
4,360 |
4,192 |
$64K |
| 97110 |
|
1,702 |
723 |
$64K |
| 90791 |
|
344 |
334 |
$63K |
| J1050 |
Medroxyprogesterone acetate |
693 |
685 |
$60K |
| 76830 |
|
764 |
731 |
$58K |
| 36415 |
|
20,569 |
17,872 |
$56K |
| 76815 |
|
696 |
659 |
$56K |
| 87502 |
|
1,855 |
1,824 |
$55K |
| 96374 |
|
2,520 |
2,379 |
$53K |
| 74177 |
|
455 |
448 |
$53K |
| 80061 |
|
7,362 |
7,224 |
$52K |
| 88305 |
|
552 |
526 |
$51K |
| 76811 |
|
369 |
367 |
$51K |
| 90853 |
|
1,027 |
449 |
$51K |
| 71046 |
|
3,325 |
3,183 |
$49K |
| 90651 |
|
1,563 |
1,553 |
$49K |
| 84443 |
|
5,862 |
5,665 |
$49K |
| 80307 |
|
1,701 |
1,463 |
$48K |
| 83655 |
|
5,422 |
5,347 |
$48K |
| H0040 |
Assert comm tx pgm per diem |
143 |
115 |
$47K |
| 86850 |
|
3,130 |
2,844 |
$47K |
| 83036 |
|
8,510 |
8,221 |
$46K |
| 92012 |
|
529 |
503 |
$46K |
| 90715 |
|
1,852 |
1,834 |
$45K |
| 99396 |
|
317 |
286 |
$43K |
| 86901 |
|
3,150 |
2,851 |
$43K |
| D1120 |
|
2,804 |
2,804 |
$42K |
| 76805 |
|
304 |
300 |
$41K |
| 88142 |
|
1,719 |
1,569 |
$41K |
| 90472 |
|
4,066 |
4,017 |
$40K |
| 82306 |
|
1,857 |
1,815 |
$40K |
| 97802 |
|
2,060 |
2,048 |
$40K |
| 96372 |
|
2,477 |
2,246 |
$39K |
| 96110 |
|
2,129 |
2,097 |
$37K |
| 90686 |
|
4,726 |
4,653 |
$37K |
| 86360 |
|
646 |
619 |
$36K |
| 87624 |
|
986 |
973 |
$35K |
| G2023 |
Specimen collect covid-19 |
2,187 |
2,065 |
$35K |
| 94640 |
|
958 |
868 |
$33K |
| 86780 |
|
3,127 |
2,999 |
$32K |
| 76801 |
|
278 |
267 |
$32K |
| 87535 |
|
803 |
779 |
$32K |
| 96365 |
|
512 |
498 |
$29K |
| D1206 |
|
3,918 |
3,900 |
$28K |
| 86359 |
|
646 |
619 |
$28K |
| 93005 |
|
3,106 |
2,871 |
$26K |
| 97530 |
|
612 |
316 |
$26K |
| D0120 |
|
2,227 |
2,197 |
$25K |
| 86900 |
|
3,143 |
2,844 |
$22K |
| 76813 |
|
202 |
193 |
$22K |
| 84703 |
|
7,362 |
6,779 |
$22K |
| 86803 |
|
2,383 |
2,293 |
$22K |
| 99381 |
|
2,811 |
2,678 |
$21K |
| 87086 |
|
6,161 |
5,689 |
$20K |
| 93306 |
|
139 |
139 |
$19K |
| 80048 |
|
2,321 |
2,273 |
$17K |
| 87340 |
|
2,147 |
2,068 |
$16K |
| 92015 |
|
629 |
625 |
$16K |
| 97140 |
|
502 |
256 |
$15K |
| 86880 |
|
2,014 |
1,864 |
$15K |
| 99205 |
Prolong outpt/office vis |
73 |
73 |
$14K |
| 90670 |
|
1,555 |
1,551 |
$14K |
| 76641 |
|
127 |
119 |
$14K |
| D0140 |
|
1,859 |
1,803 |
$14K |
| 86762 |
|
1,192 |
1,132 |
$14K |
| G0463 |
Hospital outpt clinic visit |
789 |
623 |
$14K |
| 84702 |
|
2,292 |
1,890 |
$13K |
| 97803 |
|
523 |
497 |
$13K |
| J0561 |
Penicillin g benzathine inj |
168 |
155 |
$13K |
| 83020 |
|
869 |
826 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
572 |
514 |
$12K |
| 58300 |
|
102 |
93 |
$12K |
| 86765 |
|
1,174 |
1,114 |
$12K |
| D0330 |
|
891 |
870 |
$11K |
| 84439 |
|
2,090 |
2,030 |
$11K |
| 81003 |
|
6,084 |
4,876 |
$11K |
| D7140 |
|
594 |
442 |
$11K |
| 59841 |
|
17 |
17 |
$11K |
| 0001A |
|
540 |
538 |
$11K |
| 59025 |
|
143 |
138 |
$10K |
| 86735 |
|
1,172 |
1,113 |
$10K |
| 99412 |
|
869 |
460 |
$10K |
| 0011A |
|
690 |
689 |
$10K |
| 86787 |
|
1,171 |
1,112 |
$10K |
| 90674 |
|
525 |
508 |
$10K |
| D7210 |
|
166 |
150 |
$10K |
| D1351 |
|
1,045 |
366 |
$10K |
| 0002A |
|
314 |
312 |
$9K |
| D0272 |
|
1,747 |
1,747 |
$9K |
| 97010 |
|
1,436 |
635 |
$9K |
| 58301 |
|
61 |
49 |
$9K |
| 76700 |
|
66 |
64 |
$9K |
| 83001 |
|
440 |
401 |
$9K |
| 96375 |
|
1,284 |
1,227 |
$9K |
| 81025 |
|
1,122 |
1,095 |
$8K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$8K |
| 87081 |
|
2,379 |
2,329 |
$8K |
| 82728 |
|
933 |
899 |
$8K |
| 76705 |
|
142 |
140 |
$8K |
| 76818 |
|
68 |
45 |
$8K |
| 99384 |
|
67 |
66 |
$7K |
| 90648 |
|
1,586 |
1,584 |
$7K |
| D9990 |
|
1,113 |
1,065 |
$7K |
| 84146 |
|
359 |
333 |
$7K |
| D0220 |
|
1,484 |
1,463 |
$7K |
| 81001 |
|
6,417 |
5,988 |
$7K |
| 83880 |
|
408 |
394 |
$7K |
| 80076 |
|
1,147 |
1,125 |
$7K |
| 72100 |
|
275 |
268 |
$7K |
| 87880 |
|
2,008 |
1,825 |
$7K |
| 90723 |
|
1,314 |
1,312 |
$7K |
| 84403 |
|
226 |
214 |
$6K |
| D0150 |
|
726 |
704 |
$6K |
| D2392 |
|
403 |
332 |
$6K |
| 82951 |
|
562 |
556 |
$6K |
| 73630 |
|
255 |
248 |
$6K |
| 85060 |
|
412 |
397 |
$6K |
| 82105 |
|
452 |
438 |
$6K |
| 73564 |
|
187 |
172 |
$6K |
| 86706 |
|
1,155 |
1,132 |
$6K |
| 11720 |
|
63 |
62 |
$6K |
| 73030 |
|
282 |
258 |
$5K |
| 73130 |
|
224 |
184 |
$5K |
| D1208 |
|
930 |
930 |
$5K |
| 97165 |
|
55 |
55 |
$5K |
| 82948 |
|
3,083 |
2,443 |
$5K |
| 96127 |
|
1,289 |
1,177 |
$5K |
| 11721 |
|
26 |
26 |
$5K |
| 94664 |
|
531 |
518 |
$5K |
| 82607 |
|
388 |
367 |
$5K |
| 86235 |
|
65 |
60 |
$5K |
| 90734 |
|
244 |
244 |
$5K |
| 99383 |
|
58 |
57 |
$4K |
| 76820 |
|
82 |
46 |
$4K |
| 74176 |
|
40 |
39 |
$4K |
| D1110 |
|
387 |
387 |
$4K |
| 90681 |
|
842 |
841 |
$4K |
| U0005 |
Infec agen detec ampli probe |
416 |
386 |
$4K |
| 73610 |
|
202 |
184 |
$4K |
| 85610 |
|
2,736 |
2,598 |
$4K |
| 90707 |
|
290 |
289 |
$4K |
| 92558 |
|
131 |
131 |
$4K |
| 90732 |
|
44 |
44 |
$4K |
| 83002 |
|
183 |
165 |
$4K |
| 97161 |
|
41 |
41 |
$4K |
| 83516 |
|
202 |
164 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,909 |
1,820 |
$3K |
| 83550 |
|
703 |
686 |
$3K |
| D2391 |
|
313 |
239 |
$3K |
| 80320 |
|
1,155 |
1,076 |
$3K |
| 71045 |
|
308 |
285 |
$3K |
| 83525 |
|
333 |
308 |
$3K |
| 90633 |
|
704 |
704 |
$3K |
| 90474 |
|
601 |
597 |
$3K |
| 90716 |
|
259 |
258 |
$3K |
| 82677 |
|
156 |
153 |
$3K |
| 83540 |
|
849 |
821 |
$3K |
| 85007 |
|
1,305 |
1,272 |
$3K |
| 87186 |
|
866 |
833 |
$3K |
| 85730 |
|
2,564 |
2,469 |
$3K |
| D1354 |
|
799 |
245 |
$3K |
| 87536 |
|
26 |
26 |
$3K |
| 77080 |
|
60 |
60 |
$3K |
| 0012A |
|
130 |
130 |
$3K |
| 72125 |
|
24 |
24 |
$3K |
| 84480 |
|
266 |
259 |
$3K |
| 97804 |
|
379 |
214 |
$3K |
| 92250 |
|
77 |
75 |
$3K |
| 71275 |
|
15 |
13 |
$2K |
| 85025 |
|
4,935 |
4,897 |
$2K |
| 73560 |
|
79 |
71 |
$2K |
| 90746 |
|
40 |
40 |
$2K |
| 73140 |
|
111 |
94 |
$2K |
| 82947 |
|
527 |
482 |
$2K |
| 83883 |
|
111 |
95 |
$2K |
| 86140 |
|
616 |
580 |
$2K |
| 87389 |
|
252 |
252 |
$2K |
| 93010 |
|
346 |
306 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
430 |
419 |
$2K |
| 84402 |
|
82 |
78 |
$2K |
| 90620 |
|
120 |
119 |
$2K |
| 76376 |
|
38 |
38 |
$2K |
| D9230 |
|
341 |
325 |
$2K |
| 82784 |
|
107 |
88 |
$2K |
| J7030 |
Normal saline solution infus |
2,672 |
2,496 |
$2K |
| D2930 |
|
88 |
70 |
$2K |
| 84704 |
|
154 |
151 |
$2K |
| 84484 |
|
1,666 |
1,494 |
$2K |
| 82043 |
|
565 |
554 |
$2K |
| 74019 |
|
60 |
59 |
$2K |
| 83970 |
|
43 |
43 |
$2K |
| 88304 |
|
57 |
55 |
$2K |
| 86336 |
|
154 |
151 |
$2K |
| 86704 |
|
203 |
202 |
$2K |
| 85651 |
|
672 |
635 |
$2K |
| 92586 |
|
15 |
15 |
$2K |
| 92083 |
|
25 |
21 |
$2K |
| 82785 |
|
84 |
78 |
$2K |
| 83690 |
|
1,669 |
1,591 |
$2K |
| 73110 |
|
63 |
59 |
$1K |
| D0274 |
|
258 |
258 |
$1K |
| 76998 |
|
13 |
13 |
$1K |
| 99385 |
|
15 |
14 |
$1K |
| 82670 |
|
50 |
47 |
$1K |
| 82570 |
|
524 |
478 |
$1K |
| Q3014 |
Telehealth facility fee |
266 |
236 |
$1K |
| 90700 |
|
195 |
195 |
$1K |
| 82550 |
|
799 |
750 |
$1K |
| 86592 |
|
442 |
421 |
$1K |
| J7510 |
Prednisolone oral per 5 mg |
176 |
174 |
$1K |
| 83735 |
|
734 |
715 |
$1K |
| 90710 |
|
271 |
271 |
$1K |
| 92579 |
|
12 |
12 |
$964.23 |
| 85045 |
|
335 |
303 |
$955.27 |
| J2704 |
Inj, propofol, 10 mg |
550 |
526 |
$948.27 |
| 86141 |
|
289 |
277 |
$885.85 |
| T2022 |
Case management, per month |
22 |
12 |
$843.15 |
| 59425 |
|
13 |
12 |
$817.00 |
| 82627 |
|
33 |
31 |
$815.35 |
| 87077 |
|
527 |
507 |
$779.94 |
| J7120 |
Ringers lactate infusion |
838 |
793 |
$766.77 |
| 84156 |
|
330 |
302 |
$732.80 |
| 92567 |
|
27 |
27 |
$727.59 |
| 94760 |
|
613 |
593 |
$720.92 |
| 73120 |
|
27 |
24 |
$701.67 |
| J3010 |
Fentanyl citrate injection |
817 |
749 |
$686.70 |
| 84100 |
|
571 |
560 |
$674.54 |
| 0241U |
|
52 |
49 |
$625.91 |
| 86255 |
|
27 |
24 |
$590.15 |
| 85379 |
|
304 |
292 |
$559.88 |
| 96161 |
|
400 |
399 |
$538.18 |
| 97124 |
|
19 |
13 |
$528.91 |
| 86580 |
|
87 |
85 |
$507.82 |
| 82805 |
|
37 |
37 |
$502.17 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
111 |
111 |
$501.34 |
| 83498 |
|
15 |
15 |
$456.40 |
| 88141 |
|
33 |
32 |
$455.56 |
| 86593 |
|
106 |
104 |
$450.12 |
| 84153 |
|
25 |
25 |
$434.58 |
| 73562 |
|
14 |
14 |
$412.14 |
| 87070 |
|
550 |
543 |
$411.91 |
| 82248 |
|
106 |
103 |
$404.43 |
| 80165 |
|
75 |
69 |
$402.85 |
| 87800 |
|
13 |
13 |
$399.37 |
| J7040 |
Normal saline solution infus |
675 |
615 |
$375.48 |
| 81002 |
|
84 |
78 |
$350.60 |
| 83605 |
|
271 |
251 |
$350.45 |
| 86376 |
|
25 |
25 |
$347.64 |
| J2405 |
Ondansetron hcl injection |
1,489 |
1,365 |
$340.85 |
| 73600 |
|
29 |
26 |
$335.29 |
| 86038 |
|
43 |
39 |
$332.98 |
| Q0162 |
Ondansetron oral |
232 |
222 |
$327.86 |
| 83615 |
|
137 |
124 |
$326.80 |
| J2250 |
Inj midazolam hydrochloride |
901 |
820 |
$303.27 |
| D0230 |
|
205 |
205 |
$301.95 |
| 73502 |
|
14 |
14 |
$299.06 |
| J2270 |
Morphine sulfate injection |
334 |
295 |
$296.48 |
| J1100 |
Dexamethasone sodium phos |
588 |
570 |
$290.35 |
| 90696 |
|
108 |
108 |
$286.33 |
| 99411 |
|
140 |
72 |
$277.92 |
| J7613 |
Albuterol non-comp unit |
1,162 |
1,057 |
$262.38 |
| 82397 |
|
46 |
41 |
$260.11 |
| 82952 |
|
84 |
84 |
$252.32 |
| Q0163 |
Diphenhydramine hcl 50mg |
366 |
348 |
$241.45 |
| J0696 |
Ceftriaxone sodium injection |
518 |
484 |
$235.18 |
| 90749 |
|
240 |
240 |
$232.54 |
| D0210 |
|
36 |
36 |
$210.19 |
| D0191 |
|
212 |
210 |
$199.94 |
| J8540 |
Oral dexamethasone |
295 |
212 |
$198.66 |
| 82465 |
|
53 |
50 |
$193.06 |
| D0240 |
|
79 |
79 |
$191.82 |
| 80178 |
|
60 |
56 |
$177.92 |
| 87420 |
|
72 |
71 |
$167.16 |
| 87045 |
|
36 |
36 |
$149.69 |
| 84550 |
|
53 |
50 |
$147.66 |
| J2710 |
Neostigmine methylslfte inj |
56 |
54 |
$140.89 |
| J2765 |
Metoclopramide hcl injection |
503 |
483 |
$131.92 |
| 82977 |
|
17 |
14 |
$123.08 |
| J7512 |
Prednisone ir or dr oral 1mg |
306 |
292 |
$120.86 |
| J0690 |
Cefazolin sodium injection |
207 |
204 |
$110.68 |
| J7042 |
5% dextrose/normal saline |
222 |
196 |
$109.57 |
| 86705 |
|
12 |
12 |
$105.73 |
| J1630 |
Haloperidol injection |
251 |
219 |
$100.92 |
| 87040 |
|
75 |
64 |
$99.38 |
| J7644 |
Ipratropium bromide non-comp |
776 |
711 |
$95.05 |
| 96376 |
|
51 |
49 |
$85.52 |
| J7050 |
Normal saline solution infus |
155 |
150 |
$78.94 |
| 84155 |
|
24 |
24 |
$77.34 |
| J1200 |
Diphenhydramine hcl injectio |
223 |
205 |
$74.45 |
| 82272 |
|
14 |
13 |
$59.20 |
| D0270 |
|
12 |
12 |
$45.50 |
| 84436 |
|
68 |
68 |
$44.63 |
| J2001 |
Lidocaine injection |
28 |
28 |
$44.40 |
| 94761 |
|
12 |
12 |
$43.23 |
| J2060 |
Lorazepam injection |
286 |
256 |
$39.78 |
| G0447 |
Behavior counsel obesity 15m |
1,524 |
1,424 |
$38.23 |
| 82803 |
|
27 |
27 |
$30.59 |
| 82150 |
|
13 |
13 |
$25.76 |
| 82010 |
|
16 |
12 |
$21.73 |
| J7060 |
5% dextrose/water |
69 |
65 |
$19.67 |
| 99173 |
|
76 |
75 |
$12.20 |
| 84512 |
|
29 |
28 |
$5.28 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$4.72 |
| J1815 |
Insulin injection |
14 |
12 |
$2.86 |
| 3078F |
|
211 |
205 |
$1.80 |
| 99080 |
|
2,742 |
582 |
$0.00 |
| 99499 |
|
464 |
367 |
$0.00 |
| 99408 |
|
379 |
359 |
$0.00 |
| 90685 |
|
142 |
142 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 2022F |
|
15 |
15 |
$0.00 |
| 87400 |
|
16 |
16 |
$0.00 |
| 95004 |
|
14 |
14 |
$0.00 |
| 92002 |
|
12 |
12 |
$0.00 |
| 3044F |
|
220 |
220 |
$0.00 |
| 4293F |
|
416 |
416 |
$0.00 |
| 92551 |
|
63 |
62 |
$0.00 |
| D0603 |
|
663 |
658 |
$0.00 |
| 1125F |
|
42 |
42 |
$0.00 |
| 80050 |
|
461 |
461 |
$0.00 |
| 1220F |
|
1,595 |
1,574 |
$0.00 |
| 3074F |
|
221 |
216 |
$0.00 |
| D0602 |
|
25 |
25 |
$0.00 |
| 99406 |
|
367 |
365 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
66 |
66 |
$0.00 |
| 1170F |
|
42 |
42 |
$0.00 |
| 3079F |
|
26 |
26 |
$0.00 |
| 90647 |
|
19 |
19 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |