| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
2,591 |
2,205 |
$170K |
| 99214 |
|
34,163 |
15,870 |
$154K |
| 74177 |
|
611 |
564 |
$80K |
| 99284 |
|
3,125 |
2,713 |
$77K |
| 99213 |
|
30,070 |
12,780 |
$73K |
| 99283 |
|
5,221 |
4,516 |
$64K |
| 99215 |
Prolong outpt/office vis |
7,306 |
3,695 |
$49K |
| 93005 |
|
3,945 |
3,381 |
$49K |
| 96365 |
|
1,756 |
1,189 |
$43K |
| 70450 |
|
460 |
415 |
$36K |
| 97110 |
|
6,418 |
2,420 |
$34K |
| 80053 |
|
10,839 |
9,295 |
$28K |
| 96375 |
|
1,724 |
1,364 |
$16K |
| 97140 |
|
3,299 |
1,196 |
$16K |
| 71046 |
|
1,028 |
949 |
$16K |
| 90837 |
|
4,847 |
2,243 |
$16K |
| 71045 |
|
936 |
825 |
$14K |
| 96372 |
|
2,419 |
1,896 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,278 |
1,163 |
$14K |
| 96374 |
|
1,875 |
1,617 |
$12K |
| 85025 |
|
10,348 |
8,354 |
$8K |
| 84443 |
|
4,575 |
4,408 |
$7K |
| 83036 |
|
3,761 |
3,625 |
$7K |
| 80048 |
|
2,784 |
2,276 |
$6K |
| Q3014 |
Telehealth facility fee |
5,338 |
3,731 |
$6K |
| 99204 |
|
928 |
458 |
$5K |
| 99203 |
|
1,223 |
596 |
$4K |
| 97162 |
|
421 |
392 |
$4K |
| 96361 |
|
496 |
365 |
$4K |
| 74176 |
|
31 |
29 |
$4K |
| 36415 |
|
13,147 |
11,235 |
$4K |
| 99282 |
|
708 |
607 |
$3K |
| 98929 |
|
597 |
250 |
$3K |
| 82607 |
|
1,010 |
979 |
$3K |
| 84484 |
|
1,709 |
1,380 |
$3K |
| 99281 |
|
290 |
276 |
$3K |
| 83735 |
|
3,541 |
2,558 |
$3K |
| G0378 |
Hospital observation per hr |
17 |
15 |
$3K |
| 99212 |
|
1,427 |
738 |
$3K |
| 90832 |
|
1,522 |
1,022 |
$2K |
| 80061 |
|
3,084 |
2,993 |
$2K |
| 97161 |
|
291 |
278 |
$2K |
| 82306 |
|
909 |
879 |
$2K |
| 81001 |
|
2,193 |
1,830 |
$2K |
| 93306 |
|
22 |
12 |
$2K |
| G0108 |
Diab manage trn per indiv |
433 |
402 |
$2K |
| 93010 |
|
3,645 |
3,191 |
$1K |
| 85027 |
|
2,266 |
2,117 |
$1K |
| 82728 |
|
829 |
774 |
$1K |
| 80306 |
|
1,852 |
1,645 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
1,284 |
1,163 |
$1K |
| 87086 |
|
1,661 |
1,500 |
$1K |
| 86140 |
|
1,059 |
933 |
$1K |
| 85610 |
|
2,234 |
1,408 |
$1K |
| 85652 |
|
1,022 |
919 |
$1K |
| G0439 |
Ppps, subseq visit |
347 |
341 |
$1K |
| 99350 |
Prolong home eval add 15m |
52 |
51 |
$989.83 |
| 83540 |
|
808 |
755 |
$876.80 |
| 90834 |
|
962 |
608 |
$868.37 |
| 83880 |
|
181 |
157 |
$864.68 |
| 97035 |
|
261 |
124 |
$846.27 |
| 82043 |
|
369 |
355 |
$819.51 |
| 87636 |
|
1,457 |
1,334 |
$805.91 |
| 83690 |
|
1,414 |
1,255 |
$780.63 |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,241 |
3,656 |
$754.63 |
| 90471 |
|
3,937 |
3,794 |
$727.24 |
| J7030 |
Normal saline solution infus |
620 |
393 |
$702.76 |
| 90715 |
|
444 |
428 |
$700.65 |
| 83550 |
|
637 |
602 |
$682.13 |
| 99443 |
|
44 |
40 |
$548.13 |
| 87631 |
|
628 |
590 |
$544.96 |
| J2405 |
Ondansetron hcl injection |
763 |
597 |
$537.02 |
| G0008 |
Admin influenza virus vac |
1,244 |
1,216 |
$521.89 |
| 84439 |
|
343 |
323 |
$520.34 |
| 86618 |
|
528 |
509 |
$515.03 |
| J1885 |
Ketorolac tromethamine inj |
918 |
796 |
$498.25 |
| 73610 |
|
27 |
26 |
$493.47 |
| 80307 |
|
294 |
251 |
$483.05 |
| 94760 |
|
427 |
348 |
$431.23 |
| 82570 |
|
241 |
228 |
$421.63 |
| 81003 |
|
1,280 |
1,195 |
$419.15 |
| 87077 |
|
604 |
560 |
$412.43 |
| 92507 |
|
3,092 |
737 |
$362.80 |
| 90662 |
|
417 |
407 |
$342.94 |
| 96127 |
|
291 |
250 |
$329.50 |
| 99442 |
|
36 |
34 |
$313.06 |
| 87798 |
|
123 |
121 |
$226.71 |
| 91320 |
|
173 |
170 |
$225.74 |
| 98927 |
|
26 |
12 |
$214.52 |
| 96366 |
|
22 |
16 |
$203.20 |
| U0005 |
Infec agen detec ampli probe |
3,842 |
3,271 |
$188.03 |
| 81002 |
|
387 |
364 |
$182.21 |
| 97530 |
|
186 |
113 |
$162.45 |
| G2211 |
Complex e/m visit add on |
32 |
30 |
$147.17 |
| 99396 |
|
1,497 |
732 |
$131.01 |
| 77067 |
|
741 |
731 |
$128.45 |
| G0480 |
Drug test def 1-7 classes |
69 |
63 |
$109.59 |
| 87468 |
|
109 |
106 |
$109.45 |
| 0011A |
|
779 |
768 |
$106.00 |
| 0124A |
|
277 |
270 |
$100.75 |
| 87186 |
|
69 |
66 |
$98.93 |
| 0012A |
|
883 |
847 |
$96.79 |
| J3010 |
Fentanyl citrate injection |
228 |
199 |
$92.60 |
| 87469 |
|
109 |
106 |
$90.12 |
| 87484 |
|
109 |
106 |
$90.12 |
| 90686 |
|
1,366 |
1,336 |
$87.06 |
| 87880 |
|
795 |
763 |
$74.83 |
| 98928 |
|
30 |
12 |
$72.25 |
| 0064A |
|
463 |
446 |
$66.56 |
| 90480 |
|
222 |
219 |
$58.99 |
| G0279 |
Tomosynthesis, mammo |
14 |
13 |
$56.91 |
| 87478 |
|
67 |
65 |
$53.91 |
| G2012 |
Brief check in by md/qhp |
24 |
21 |
$52.18 |
| 81025 |
|
792 |
738 |
$49.71 |
| 87591 |
|
708 |
688 |
$48.08 |
| 77063 |
|
625 |
616 |
$47.84 |
| 87491 |
|
708 |
689 |
$46.68 |
| 82948 |
|
46 |
12 |
$38.18 |
| 99406 |
|
73 |
69 |
$34.74 |
| U0002 |
Covid-19 lab test non-cdc |
280 |
265 |
$34.05 |
| A9270 |
Non-covered item or service |
33 |
30 |
$33.26 |
| J7120 |
Ringers lactate infusion |
53 |
43 |
$32.73 |
| 90472 |
|
1,308 |
1,286 |
$30.11 |
| 90670 |
|
40 |
40 |
$18.71 |
| 86038 |
|
12 |
12 |
$18.26 |
| J1100 |
Dexamethasone sodium phos |
33 |
28 |
$16.99 |
| 83605 |
|
103 |
77 |
$16.51 |
| J2704 |
Inj, propofol, 10 mg |
15 |
13 |
$16.04 |
| 0054A |
|
26 |
26 |
$13.62 |
| 87389 |
|
19 |
15 |
$13.61 |
| 85379 |
|
15 |
13 |
$13.54 |
| 0003A |
|
54 |
54 |
$10.53 |
| 82565 |
|
14 |
13 |
$8.46 |
| 90658 |
|
15 |
15 |
$7.61 |
| 85014 |
|
34 |
26 |
$7.48 |
| 81015 |
|
17 |
15 |
$7.14 |
| J2250 |
Inj midazolam hydrochloride |
12 |
12 |
$3.94 |
| 87040 |
|
13 |
12 |
$2.44 |
| 87205 |
|
13 |
12 |
$0.22 |
| 82947 |
|
14 |
13 |
$0.14 |
| 99395 |
|
985 |
493 |
$0.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| 99393 |
|
777 |
395 |
$0.00 |
| 0002A |
|
116 |
114 |
$0.00 |
| 90685 |
|
331 |
328 |
$0.00 |
| 99392 |
|
648 |
321 |
$0.00 |
| 91312 |
|
209 |
204 |
$0.00 |
| 90713 |
|
42 |
42 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 99394 |
|
524 |
262 |
$0.00 |
| 91300 |
|
744 |
447 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
124 |
123 |
$0.00 |
| 99391 |
|
222 |
109 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 91322 |
|
44 |
44 |
$0.00 |
| 80076 |
|
13 |
12 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
13 |
13 |
$0.00 |
| 0004A |
|
175 |
172 |
$0.00 |
| 0071A |
|
82 |
82 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
72 |
67 |
$0.00 |
| 0013A |
|
12 |
12 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
27 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
13 |
13 |
$0.00 |
| 0001A |
|
153 |
148 |
$0.00 |
| 87081 |
|
273 |
267 |
$0.00 |
| 91307 |
|
68 |
68 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
15 |
15 |
$0.00 |
| 85651 |
|
14 |
12 |
$0.00 |
| 91305 |
|
103 |
99 |
$0.00 |
| 87661 |
|
27 |
27 |
$0.00 |
| 91301 |
|
1,015 |
929 |
$0.00 |
| 91306 |
|
63 |
63 |
$0.00 |
| 0072A |
|
93 |
93 |
$0.00 |
| 0154A |
|
12 |
12 |
$0.00 |
| 0031A |
|
32 |
30 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90619 |
|
19 |
19 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |