| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
21,925 |
19,472 |
$1.67M |
| 96361 |
|
7,568 |
4,984 |
$815K |
| 99284 |
|
12,037 |
10,372 |
$647K |
| 99285 |
|
8,127 |
6,763 |
$499K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,484 |
2,888 |
$345K |
| 36415 |
|
38,590 |
22,161 |
$341K |
| 74177 |
|
1,832 |
1,567 |
$300K |
| 74176 |
|
1,903 |
1,687 |
$258K |
| 97110 |
|
3,728 |
870 |
$243K |
| 96360 |
|
1,821 |
1,545 |
$238K |
| 80053 |
|
28,510 |
21,081 |
$232K |
| 70450 |
|
3,477 |
2,812 |
$214K |
| 99282 |
|
3,173 |
2,854 |
$191K |
| 96365 |
|
2,384 |
1,634 |
$183K |
| 96374 |
|
8,314 |
6,617 |
$164K |
| 96372 |
|
5,555 |
3,836 |
$159K |
| 80307 |
|
3,959 |
3,059 |
$133K |
| 93306 |
|
903 |
757 |
$89K |
| 59025 |
|
907 |
332 |
$85K |
| 71046 |
|
7,728 |
6,837 |
$82K |
| 87086 |
|
11,841 |
9,851 |
$81K |
| J3490 |
Drugs unclassified injection |
8,056 |
3,847 |
$73K |
| 76805 |
|
1,180 |
1,119 |
$68K |
| 71260 |
|
610 |
523 |
$66K |
| 99281 |
|
755 |
673 |
$60K |
| 87804 |
|
4,404 |
4,065 |
$56K |
| 80048 |
|
7,970 |
4,717 |
$52K |
| C9803 |
Hopd covid-19 spec collect |
2,892 |
2,449 |
$46K |
| H1000 |
Prenatal care atrisk assessm |
717 |
471 |
$44K |
| 87070 |
|
832 |
718 |
$41K |
| G0378 |
Hospital observation per hr |
2,906 |
1,853 |
$39K |
| 94640 |
|
2,220 |
1,084 |
$34K |
| 76856 |
|
515 |
487 |
$33K |
| 87880 |
|
2,508 |
2,355 |
$30K |
| 73610 |
|
704 |
644 |
$30K |
| 93005 |
|
10,290 |
8,100 |
$28K |
| 81003 |
|
17,314 |
14,309 |
$28K |
| 82962 |
|
4,502 |
2,036 |
$25K |
| 85025 |
|
25,947 |
19,494 |
$23K |
| 72125 |
|
324 |
245 |
$23K |
| 87420 |
|
890 |
823 |
$23K |
| 76801 |
|
864 |
749 |
$22K |
| 71045 |
|
6,300 |
5,129 |
$22K |
| 73630 |
|
932 |
844 |
$20K |
| J7030 |
Normal saline solution infus |
5,540 |
4,418 |
$20K |
| A9270 |
Non-covered item or service |
14,372 |
9,511 |
$20K |
| 85027 |
|
10,691 |
6,432 |
$20K |
| 96366 |
|
1,291 |
628 |
$19K |
| J3010 |
Fentanyl citrate injection |
1,480 |
965 |
$19K |
| 76700 |
|
242 |
222 |
$19K |
| G0463 |
Hospital outpt clinic visit |
1,375 |
980 |
$19K |
| 96375 |
|
6,115 |
4,193 |
$19K |
| 73130 |
|
523 |
467 |
$18K |
| 85610 |
|
7,601 |
5,292 |
$17K |
| 85730 |
|
6,019 |
4,854 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
1,610 |
1,226 |
$16K |
| 81025 |
|
3,894 |
3,469 |
$13K |
| 97140 |
|
499 |
162 |
$13K |
| 84484 |
|
6,738 |
4,474 |
$12K |
| 73110 |
|
376 |
335 |
$12K |
| 73030 |
|
401 |
347 |
$10K |
| J1644 |
Inj heparin sodium per 1000u |
200 |
78 |
$9K |
| 83735 |
|
4,694 |
3,308 |
$8K |
| 73560 |
|
385 |
330 |
$8K |
| J2270 |
Morphine sulfate injection |
3,261 |
1,967 |
$8K |
| 96376 |
|
2,659 |
1,318 |
$8K |
| U0004 |
Cov-19 test non-cdc hgh thru |
262 |
213 |
$7K |
| J2405 |
Ondansetron hcl injection |
5,252 |
3,745 |
$7K |
| J7120 |
Ringers lactate infusion |
1,337 |
1,093 |
$7K |
| 77067 |
|
394 |
348 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
1,328 |
1,128 |
$7K |
| 99213 |
|
270 |
212 |
$7K |
| 82306 |
|
2,062 |
1,772 |
$6K |
| 84443 |
|
6,129 |
5,119 |
$6K |
| 76642 |
|
125 |
115 |
$6K |
| 43239 |
|
48 |
42 |
$6K |
| 11042 |
|
74 |
36 |
$6K |
| 45385 |
|
15 |
15 |
$6K |
| 84702 |
|
1,507 |
1,207 |
$6K |
| 83690 |
|
4,851 |
4,095 |
$5K |
| 99214 |
|
134 |
127 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
3,639 |
3,004 |
$5K |
| 80061 |
|
5,008 |
4,146 |
$5K |
| 74018 |
|
211 |
182 |
$4K |
| 76830 |
|
124 |
118 |
$4K |
| 94760 |
|
1,095 |
693 |
$4K |
| 97163 |
|
154 |
121 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,323 |
932 |
$4K |
| 83036 |
|
3,629 |
2,938 |
$3K |
| 84703 |
|
2,701 |
2,430 |
$3K |
| 82607 |
|
2,057 |
1,744 |
$3K |
| 87426 |
|
484 |
442 |
$3K |
| 86850 |
|
901 |
740 |
$3K |
| 72100 |
|
195 |
152 |
$3K |
| 86900 |
|
1,413 |
1,137 |
$3K |
| 82043 |
|
1,407 |
1,160 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,157 |
1,957 |
$3K |
| 83880 |
|
1,452 |
1,118 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,420 |
558 |
$3K |
| 87186 |
|
2,699 |
2,183 |
$3K |
| 97161 |
|
65 |
55 |
$3K |
| 87591 |
|
1,052 |
963 |
$3K |
| 87491 |
|
1,043 |
954 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,545 |
1,028 |
$2K |
| G8978 |
Mobility current status |
30 |
28 |
$2K |
| G8979 |
Mobility goal status |
32 |
30 |
$2K |
| 99212 |
|
101 |
84 |
$2K |
| 97535 |
|
18 |
14 |
$2K |
| 97597 |
|
20 |
12 |
$2K |
| 86901 |
|
1,403 |
1,128 |
$2K |
| 12001 |
|
43 |
40 |
$2K |
| 78452 |
|
12 |
12 |
$2K |
| 97162 |
|
47 |
42 |
$2K |
| 87088 |
|
2,395 |
1,940 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,951 |
1,247 |
$2K |
| 82550 |
|
73 |
53 |
$2K |
| J1170 |
Hydromorphone injection |
1,348 |
724 |
$2K |
| 88305 |
|
531 |
457 |
$2K |
| 84439 |
|
1,281 |
1,064 |
$2K |
| 10060 |
|
14 |
14 |
$1K |
| 87040 |
|
990 |
812 |
$1K |
| 85379 |
|
1,226 |
1,062 |
$1K |
| J0690 |
Cefazolin sodium injection |
389 |
272 |
$1K |
| J7040 |
Normal saline solution infus |
320 |
278 |
$1K |
| 45380 |
|
20 |
17 |
$896.72 |
| J2930 |
Methylprednisolone injection |
295 |
194 |
$888.04 |
| J1100 |
Dexamethasone sodium phos |
947 |
742 |
$812.59 |
| A4340 |
Indwelling catheter special |
82 |
64 |
$796.96 |
| J2550 |
Promethazine hcl injection |
627 |
515 |
$784.60 |
| 29125 |
|
68 |
62 |
$761.41 |
| 87210 |
|
446 |
414 |
$738.39 |
| 99204 |
|
21 |
15 |
$734.32 |
| 72110 |
|
30 |
27 |
$684.72 |
| 87635 |
|
1,157 |
1,055 |
$663.81 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$662.89 |
| 83605 |
|
172 |
125 |
$644.79 |
| G1004 |
Cdsm ndsc |
622 |
389 |
$623.27 |
| 90471 |
|
211 |
171 |
$622.02 |
| 73564 |
|
12 |
12 |
$539.34 |
| 76775 |
|
13 |
12 |
$497.35 |
| 90715 |
|
225 |
176 |
$493.36 |
| 73502 |
|
50 |
39 |
$463.30 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$454.25 |
| 93017 |
|
31 |
27 |
$453.01 |
| 12011 |
|
24 |
24 |
$451.81 |
| 87075 |
|
348 |
290 |
$414.30 |
| 77080 |
|
29 |
28 |
$397.39 |
| 83550 |
|
649 |
475 |
$307.59 |
| 84550 |
|
192 |
164 |
$261.78 |
| 73090 |
|
13 |
12 |
$246.88 |
| 80164 |
|
106 |
97 |
$226.16 |
| 82140 |
|
127 |
100 |
$212.47 |
| 83540 |
|
717 |
525 |
$191.85 |
| 85652 |
|
516 |
423 |
$191.72 |
| 99291 |
|
16 |
16 |
$187.91 |
| 87081 |
|
90 |
72 |
$177.13 |
| U0005 |
Infec agen detec ampli probe |
2,055 |
1,862 |
$164.94 |
| 82746 |
|
424 |
334 |
$155.95 |
| J1200 |
Diphenhydramine hcl injectio |
365 |
277 |
$148.17 |
| 86735 |
|
48 |
47 |
$139.23 |
| 77063 |
|
165 |
141 |
$128.74 |
| 80055 |
|
28 |
27 |
$125.60 |
| 80076 |
|
287 |
233 |
$123.61 |
| 3008F |
|
1,011 |
722 |
$104.00 |
| 1159F |
|
247 |
189 |
$104.00 |
| J2765 |
Metoclopramide hcl injection |
108 |
93 |
$74.21 |
| 82728 |
|
210 |
156 |
$64.55 |
| 86762 |
|
47 |
46 |
$53.72 |
| 86765 |
|
48 |
47 |
$53.72 |
| 86787 |
|
48 |
47 |
$53.72 |
| 86140 |
|
277 |
214 |
$52.87 |
| 87389 |
|
114 |
104 |
$43.78 |
| 86970 |
|
16 |
12 |
$42.50 |
| 82274 |
|
22 |
21 |
$40.08 |
| 94644 |
|
16 |
13 |
$35.11 |
| 82150 |
|
43 |
38 |
$28.96 |
| 86803 |
|
42 |
37 |
$27.84 |
| G0279 |
Tomosynthesis, mammo |
87 |
78 |
$23.53 |
| 83970 |
|
81 |
71 |
$22.61 |
| 84145 |
|
53 |
36 |
$21.62 |
| J7060 |
5% dextrose/water |
78 |
51 |
$18.34 |
| 80177 |
|
28 |
24 |
$17.10 |
| 84100 |
|
106 |
55 |
$16.62 |
| 84436 |
|
20 |
17 |
$10.05 |
| J7512 |
Prednisone ir or dr oral 1mg |
320 |
239 |
$7.38 |
| 86038 |
|
17 |
14 |
$6.55 |
| 87651 |
|
28 |
25 |
$0.00 |
| J2060 |
Lorazepam injection |
753 |
471 |
$0.00 |
| 3074F |
|
554 |
477 |
$0.00 |
| 3079F |
|
203 |
143 |
$0.00 |
| 86592 |
|
14 |
12 |
$0.00 |
| 1036F |
|
634 |
479 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
55 |
25 |
$0.00 |
| 76817 |
|
18 |
12 |
$0.00 |
| J7050 |
Normal saline solution infus |
37 |
28 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 99292 |
|
12 |
12 |
$0.00 |
| 36600 |
|
18 |
12 |
$0.00 |
| 3078F |
|
451 |
345 |
$0.00 |
| 3725F |
|
519 |
324 |
$0.00 |
| 1160F |
|
246 |
188 |
$0.00 |
| 29515 |
|
14 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
168 |
99 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
12 |
$0.00 |