| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
10,309 |
7,942 |
$1.81M |
| 99284 |
|
9,648 |
6,973 |
$1.71M |
| 99285 |
|
6,410 |
4,184 |
$1.01M |
| G0378 |
Hospital observation per hr |
2,088 |
773 |
$694K |
| 74177 |
|
1,972 |
1,464 |
$298K |
| G0463 |
Hospital outpt clinic visit |
26,786 |
13,176 |
$261K |
| 99282 |
|
3,055 |
2,439 |
$246K |
| 70450 |
|
2,316 |
1,594 |
$227K |
| 97110 |
|
9,986 |
2,605 |
$159K |
| 96361 |
|
4,929 |
3,054 |
$135K |
| 71275 |
|
485 |
370 |
$128K |
| 96365 |
|
3,300 |
1,883 |
$126K |
| 80307 |
|
3,603 |
2,371 |
$109K |
| 72125 |
|
924 |
660 |
$105K |
| 96375 |
|
4,361 |
2,755 |
$97K |
| G0480 |
Drug test def 1-7 classes |
3,086 |
2,051 |
$92K |
| 93306 |
|
407 |
298 |
$84K |
| J3490 |
Drugs unclassified injection |
27,883 |
7,610 |
$83K |
| 96374 |
|
5,692 |
3,867 |
$83K |
| 93005 |
|
6,991 |
4,585 |
$79K |
| 80053 |
|
14,683 |
9,827 |
$70K |
| 85025 |
|
16,576 |
10,637 |
$60K |
| 71045 |
|
4,450 |
3,002 |
$58K |
| 80050 |
|
7,149 |
5,865 |
$55K |
| 87591 |
|
2,514 |
2,121 |
$50K |
| 87491 |
|
2,504 |
2,112 |
$50K |
| 88305 |
|
1,367 |
1,036 |
$45K |
| 96376 |
|
1,849 |
972 |
$44K |
| 96360 |
|
1,535 |
1,051 |
$39K |
| 87635 |
|
958 |
768 |
$39K |
| 77067 |
|
469 |
386 |
$39K |
| 76830 |
|
561 |
460 |
$37K |
| 71046 |
|
2,475 |
1,842 |
$37K |
| 96366 |
|
1,190 |
639 |
$37K |
| 76856 |
|
520 |
424 |
$33K |
| 94640 |
|
1,308 |
612 |
$33K |
| J7030 |
Normal saline solution infus |
4,391 |
3,035 |
$32K |
| 97161 |
|
775 |
631 |
$29K |
| 80061 |
|
2,823 |
2,351 |
$26K |
| 71260 |
|
171 |
130 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,331 |
2,470 |
$23K |
| 84484 |
|
5,530 |
2,918 |
$23K |
| 96372 |
|
2,203 |
1,409 |
$21K |
| 97162 |
|
676 |
479 |
$21K |
| 84443 |
|
2,313 |
1,718 |
$20K |
| J3010 |
Fentanyl citrate injection |
2,722 |
1,666 |
$20K |
| 76705 |
|
314 |
272 |
$19K |
| G2023 |
Specimen collect covid-19 |
1,168 |
948 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
2,605 |
1,755 |
$17K |
| 74176 |
|
154 |
121 |
$17K |
| 82947 |
|
4,180 |
1,448 |
$17K |
| 87086 |
|
4,634 |
3,309 |
$17K |
| 97140 |
|
1,977 |
590 |
$17K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
745 |
665 |
$16K |
| 97035 |
|
2,095 |
658 |
$16K |
| J7120 |
Ringers lactate infusion |
2,397 |
1,432 |
$14K |
| 87804 |
|
1,842 |
795 |
$14K |
| 72100 |
|
774 |
611 |
$14K |
| 82306 |
|
680 |
539 |
$14K |
| J7060 |
5% dextrose/water |
2,013 |
898 |
$14K |
| 80048 |
|
3,052 |
1,978 |
$13K |
| 83690 |
|
3,379 |
2,417 |
$13K |
| 73030 |
|
752 |
562 |
$12K |
| 83036 |
|
2,080 |
1,689 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
182 |
134 |
$12K |
| 93971 |
|
210 |
166 |
$12K |
| 76816 |
|
221 |
192 |
$12K |
| 87624 |
|
603 |
520 |
$12K |
| 87186 |
|
2,367 |
1,496 |
$12K |
| 83880 |
|
739 |
507 |
$11K |
| 84702 |
|
896 |
618 |
$11K |
| 73630 |
|
507 |
393 |
$11K |
| 80305 |
|
2,225 |
1,527 |
$10K |
| 87040 |
|
1,807 |
721 |
$10K |
| 85610 |
|
5,775 |
2,928 |
$10K |
| 73610 |
|
614 |
456 |
$10K |
| 83605 |
|
1,683 |
1,002 |
$9K |
| 73130 |
|
440 |
309 |
$8K |
| 84703 |
|
1,591 |
1,254 |
$8K |
| 83735 |
|
2,111 |
1,468 |
$8K |
| 81001 |
|
4,886 |
3,411 |
$8K |
| 87088 |
|
3,319 |
2,212 |
$8K |
| 82728 |
|
814 |
663 |
$7K |
| 97530 |
|
747 |
169 |
$7K |
| 97803 |
|
499 |
345 |
$7K |
| J2270 |
Morphine sulfate injection |
1,464 |
802 |
$7K |
| 86803 |
|
722 |
597 |
$7K |
| 87806 |
|
424 |
344 |
$7K |
| 97112 |
|
663 |
192 |
$7K |
| J7050 |
Normal saline solution infus |
1,204 |
521 |
$7K |
| J0690 |
Cefazolin sodium injection |
929 |
617 |
$7K |
| 86850 |
|
964 |
754 |
$7K |
| 82805 |
|
485 |
303 |
$6K |
| 74018 |
|
434 |
303 |
$6K |
| 81025 |
|
1,546 |
1,123 |
$6K |
| 11042 |
|
158 |
52 |
$6K |
| 97165 |
|
166 |
126 |
$6K |
| J2405 |
Ondansetron hcl injection |
4,638 |
2,903 |
$6K |
| 87077 |
|
1,077 |
722 |
$6K |
| 87070 |
|
1,120 |
779 |
$6K |
| 73562 |
|
380 |
277 |
$6K |
| 94060 |
|
172 |
125 |
$5K |
| J1170 |
Hydromorphone injection |
856 |
534 |
$5K |
| 36415 |
|
26,853 |
17,678 |
$5K |
| 73560 |
|
330 |
255 |
$5K |
| 85379 |
|
995 |
754 |
$5K |
| 87081 |
|
1,153 |
946 |
$5K |
| 76801 |
|
61 |
56 |
$5K |
| 73110 |
|
232 |
187 |
$5K |
| 85027 |
|
1,108 |
871 |
$5K |
| 84439 |
|
680 |
594 |
$4K |
| 73502 |
|
387 |
271 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
949 |
443 |
$4K |
| 43239 |
|
16 |
13 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
3,902 |
2,783 |
$4K |
| 86140 |
|
1,290 |
994 |
$4K |
| Q3014 |
Telehealth facility fee |
853 |
496 |
$4K |
| 20610 |
|
226 |
139 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
1,808 |
1,226 |
$3K |
| 94726 |
|
126 |
94 |
$3K |
| 81003 |
|
3,663 |
2,602 |
$3K |
| 77063 |
|
422 |
344 |
$3K |
| 82607 |
|
372 |
290 |
$3K |
| 87205 |
|
990 |
747 |
$3K |
| 99001 |
|
512 |
442 |
$3K |
| 85730 |
|
793 |
622 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,829 |
1,227 |
$3K |
| 87880 |
|
315 |
247 |
$2K |
| 90471 |
|
747 |
526 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
147 |
100 |
$2K |
| 85652 |
|
1,347 |
1,010 |
$2K |
| 76805 |
|
27 |
27 |
$2K |
| 82375 |
|
554 |
346 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
61 |
57 |
$2K |
| 94729 |
|
148 |
108 |
$2K |
| 86317 |
|
188 |
112 |
$2K |
| 71250 |
|
13 |
13 |
$2K |
| 87389 |
|
75 |
68 |
$2K |
| 86900 |
|
940 |
711 |
$2K |
| 86901 |
|
926 |
711 |
$2K |
| 93017 |
|
54 |
42 |
$1K |
| 86592 |
|
424 |
352 |
$1K |
| 72040 |
|
75 |
55 |
$1K |
| 96367 |
|
91 |
44 |
$1K |
| 90472 |
|
257 |
166 |
$1K |
| J2060 |
Lorazepam injection |
1,236 |
781 |
$1K |
| 99393 |
|
20 |
20 |
$1K |
| 97802 |
|
38 |
30 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
694 |
480 |
$1K |
| Q0162 |
Ondansetron oral |
715 |
483 |
$1K |
| 90715 |
|
158 |
136 |
$1K |
| 36416 |
|
1,243 |
647 |
$1K |
| 95117 |
|
265 |
142 |
$969.18 |
| J2001 |
Lidocaine injection |
705 |
521 |
$941.65 |
| 88304 |
|
56 |
51 |
$941.58 |
| 99392 |
|
15 |
15 |
$926.22 |
| 86618 |
|
93 |
88 |
$903.46 |
| 73564 |
|
34 |
26 |
$875.20 |
| 87340 |
|
118 |
100 |
$852.23 |
| J1200 |
Diphenhydramine hcl injectio |
774 |
486 |
$753.47 |
| 99281 |
|
13 |
12 |
$724.74 |
| 96413 |
|
33 |
12 |
$698.79 |
| 83550 |
|
120 |
103 |
$695.03 |
| 87449 |
|
106 |
69 |
$676.17 |
| 83540 |
|
149 |
121 |
$632.33 |
| J2710 |
Neostigmine methylslfte inj |
86 |
54 |
$603.37 |
| 97113 |
|
28 |
12 |
$600.78 |
| 76642 |
|
39 |
26 |
$582.33 |
| J7620 |
Albuterol ipratrop non-comp |
356 |
211 |
$485.26 |
| 83010 |
|
59 |
56 |
$444.00 |
| 93010 |
|
58 |
54 |
$406.66 |
| 97166 |
|
16 |
12 |
$399.64 |
| 86762 |
|
37 |
33 |
$387.07 |
| 84403 |
|
14 |
12 |
$332.42 |
| 82950 |
|
81 |
78 |
$330.34 |
| J0131 |
Inj, acetaminophen (nos) |
17 |
16 |
$323.19 |
| 87147 |
|
80 |
36 |
$320.65 |
| G0008 |
Admin influenza virus vac |
288 |
204 |
$319.43 |
| 84153 |
|
32 |
26 |
$304.04 |
| 87807 |
|
35 |
29 |
$288.30 |
| 83516 |
|
22 |
12 |
$287.40 |
| S0028 |
Injection, famotidine, 20 mg |
36 |
30 |
$276.40 |
| J0330 |
Succinycholine chloride inj |
99 |
71 |
$258.72 |
| 82565 |
|
87 |
71 |
$255.08 |
| 72170 |
|
13 |
12 |
$228.28 |
| 82550 |
|
68 |
49 |
$226.41 |
| 84100 |
|
57 |
45 |
$209.45 |
| 36600 |
|
19 |
12 |
$202.14 |
| 86696 |
|
12 |
12 |
$200.75 |
| 90686 |
|
163 |
115 |
$192.89 |
| J3480 |
Inj potassium chloride |
22 |
13 |
$157.63 |
| 80320 |
|
31 |
12 |
$149.00 |
| 86695 |
|
12 |
12 |
$136.73 |
| 80164 |
|
17 |
13 |
$136.51 |
| 86038 |
|
19 |
12 |
$129.94 |
| J1644 |
Inj heparin sodium per 1000u |
89 |
25 |
$129.19 |
| 84520 |
|
64 |
50 |
$123.98 |
| J0780 |
Prochlorperazine injection |
34 |
25 |
$106.65 |
| J2370 |
Phenylephrine hcl injection |
21 |
12 |
$104.96 |
| 83655 |
|
12 |
12 |
$99.78 |
| J1040 |
Methylprednisolone 80 mg inj |
94 |
65 |
$95.92 |
| J2765 |
Metoclopramide hcl injection |
81 |
60 |
$72.54 |
| J1815 |
Insulin injection |
27 |
12 |
$71.20 |
| 82043 |
|
14 |
12 |
$65.18 |
| J2930 |
Methylprednisolone injection |
78 |
39 |
$65.14 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
13 |
$58.34 |
| 90674 |
|
58 |
40 |
$48.67 |
| 90662 |
|
47 |
33 |
$42.70 |
| G0279 |
Tomosynthesis, mammo |
20 |
12 |
$41.25 |
| J2550 |
Promethazine hcl injection |
37 |
26 |
$34.91 |
| A4565 |
Slings |
17 |
13 |
$27.17 |
| 85018 |
|
12 |
12 |
$19.41 |
| J7040 |
Normal saline solution infus |
25 |
12 |
$18.45 |
| G8979 |
Mobility goal status |
348 |
202 |
$0.00 |
| G8978 |
Mobility current status |
321 |
190 |
$0.00 |