| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
20,433 |
19,330 |
$2.53M |
| 99284 |
|
11,359 |
10,687 |
$2.25M |
| 99285 |
|
4,006 |
3,765 |
$1.23M |
| 96374 |
|
7,622 |
7,046 |
$682K |
| 99282 |
|
9,636 |
9,194 |
$681K |
| G0378 |
Hospital observation per hr |
1,110 |
1,025 |
$457K |
| 74177 |
|
2,732 |
2,662 |
$407K |
| 96365 |
|
3,880 |
2,788 |
$348K |
| 97110 |
|
13,281 |
3,938 |
$325K |
| G0463 |
Hospital outpt clinic visit |
4,451 |
3,536 |
$262K |
| 96361 |
|
7,981 |
6,588 |
$251K |
| 96360 |
|
2,073 |
1,968 |
$198K |
| 96375 |
|
6,621 |
5,705 |
$182K |
| 70450 |
|
1,928 |
1,892 |
$171K |
| 74176 |
|
1,553 |
1,518 |
$165K |
| 71046 |
|
4,127 |
4,015 |
$148K |
| 71045 |
|
4,104 |
3,948 |
$146K |
| 41899 |
|
81 |
81 |
$117K |
| 97140 |
|
7,206 |
2,498 |
$102K |
| 80061 |
|
4,373 |
4,334 |
$74K |
| 77067 |
|
1,374 |
1,371 |
$67K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,053 |
1,021 |
$66K |
| 76705 |
|
903 |
892 |
$51K |
| U0002 |
Covid-19 lab test non-cdc |
1,984 |
1,927 |
$49K |
| 96366 |
|
1,478 |
855 |
$45K |
| 93306 |
|
201 |
200 |
$42K |
| 80053 |
|
22,504 |
19,135 |
$38K |
| 76856 |
|
772 |
753 |
$38K |
| 97162 |
|
656 |
655 |
$35K |
| 86900 |
|
1,244 |
1,161 |
$30K |
| 84443 |
|
5,635 |
5,482 |
$29K |
| 85025 |
|
24,677 |
20,889 |
$26K |
| 82306 |
|
2,039 |
2,016 |
$25K |
| 97161 |
|
489 |
487 |
$25K |
| 87651 |
|
1,452 |
1,409 |
$24K |
| 87491 |
|
1,686 |
1,666 |
$23K |
| 87591 |
|
1,686 |
1,666 |
$23K |
| 73721 |
|
160 |
156 |
$19K |
| 76801 |
|
302 |
278 |
$17K |
| 78452 |
|
38 |
38 |
$17K |
| 72100 |
|
493 |
492 |
$17K |
| 36415 |
|
15,262 |
13,221 |
$16K |
| 81514 |
|
150 |
149 |
$15K |
| 92507 |
|
366 |
89 |
$15K |
| 83036 |
|
3,247 |
3,214 |
$14K |
| U0005 |
Infec agen detec ampli probe |
684 |
663 |
$12K |
| 96413 |
|
96 |
62 |
$12K |
| 73562 |
|
956 |
880 |
$12K |
| 73630 |
|
1,562 |
1,483 |
$12K |
| 97597 |
|
170 |
82 |
$12K |
| 71275 |
|
120 |
115 |
$11K |
| 73610 |
|
1,271 |
1,205 |
$10K |
| 74018 |
|
515 |
497 |
$9K |
| 96372 |
|
5,285 |
4,555 |
$9K |
| 93005 |
|
7,364 |
6,455 |
$9K |
| 80307 |
|
2,175 |
2,087 |
$9K |
| 73030 |
|
668 |
631 |
$9K |
| 73130 |
|
1,021 |
958 |
$9K |
| 96367 |
|
263 |
186 |
$8K |
| 76830 |
|
128 |
126 |
$7K |
| 76700 |
|
104 |
104 |
$7K |
| 99291 |
|
18 |
17 |
$7K |
| 84439 |
|
1,864 |
1,784 |
$6K |
| 95810 |
|
13 |
13 |
$6K |
| 72148 |
|
55 |
55 |
$6K |
| 77063 |
|
455 |
455 |
$6K |
| M0243 |
Casirivi and imdevi inj |
20 |
20 |
$5K |
| 43239 |
|
12 |
12 |
$5K |
| 73110 |
|
529 |
505 |
$5K |
| 87086 |
|
2,295 |
2,214 |
$5K |
| 88175 |
|
317 |
317 |
$5K |
| 59025 |
|
58 |
40 |
$5K |
| 85027 |
|
2,633 |
2,327 |
$4K |
| 87426 |
|
187 |
185 |
$4K |
| 80048 |
|
3,660 |
3,397 |
$4K |
| 87389 |
|
365 |
365 |
$4K |
| 76805 |
|
63 |
62 |
$4K |
| 84702 |
|
1,958 |
1,623 |
$4K |
| U0004 |
Cov-19 test non-cdc hgh thru |
62 |
61 |
$3K |
| 82607 |
|
479 |
474 |
$3K |
| 86780 |
|
395 |
393 |
$3K |
| 72125 |
|
202 |
199 |
$2K |
| 90471 |
|
254 |
240 |
$2K |
| 71260 |
|
27 |
27 |
$2K |
| 82043 |
|
828 |
822 |
$2K |
| 80055 |
|
108 |
106 |
$2K |
| 76815 |
|
70 |
67 |
$2K |
| 82570 |
|
825 |
809 |
$2K |
| 83735 |
|
4,772 |
4,339 |
$2K |
| 76811 |
|
13 |
13 |
$2K |
| 83880 |
|
959 |
908 |
$2K |
| 88305 |
|
743 |
733 |
$2K |
| 85610 |
|
2,851 |
2,375 |
$2K |
| 71250 |
|
26 |
26 |
$2K |
| 93017 |
|
67 |
67 |
$1K |
| 82728 |
|
217 |
216 |
$1K |
| 0241U |
|
568 |
559 |
$1K |
| 86140 |
|
2,161 |
2,024 |
$1K |
| 87077 |
|
692 |
653 |
$1K |
| 72110 |
|
60 |
58 |
$1K |
| 87150 |
|
73 |
72 |
$1K |
| 86803 |
|
147 |
147 |
$931.68 |
| 87340 |
|
255 |
250 |
$891.88 |
| 80076 |
|
730 |
687 |
$859.24 |
| 87186 |
|
601 |
576 |
$804.48 |
| 93971 |
|
14 |
13 |
$757.40 |
| 83540 |
|
265 |
255 |
$732.75 |
| 86703 |
|
115 |
114 |
$728.96 |
| 97112 |
|
39 |
14 |
$726.21 |
| 81001 |
|
7,476 |
7,027 |
$716.41 |
| 87081 |
|
578 |
565 |
$675.28 |
| 87510 |
|
138 |
135 |
$590.98 |
| 87480 |
|
138 |
135 |
$590.98 |
| 76642 |
|
12 |
12 |
$583.83 |
| 73560 |
|
65 |
64 |
$569.10 |
| 73502 |
|
43 |
38 |
$566.65 |
| C9803 |
Hopd covid-19 spec collect |
399 |
391 |
$564.19 |
| 83550 |
|
135 |
131 |
$559.65 |
| 94640 |
|
2,257 |
1,882 |
$558.66 |
| 83690 |
|
5,863 |
5,417 |
$535.46 |
| 82950 |
|
213 |
210 |
$471.82 |
| 87660 |
|
138 |
135 |
$440.10 |
| 73080 |
|
53 |
51 |
$435.68 |
| 87070 |
|
414 |
394 |
$423.74 |
| 87798 |
|
12 |
12 |
$420.55 |
| 87624 |
|
18 |
18 |
$337.42 |
| 85730 |
|
1,689 |
1,623 |
$328.63 |
| 87502 |
|
865 |
853 |
$324.68 |
| 86762 |
|
83 |
83 |
$308.85 |
| G0103 |
Psa screening |
37 |
37 |
$307.09 |
| 81003 |
|
4,263 |
4,112 |
$282.21 |
| 85007 |
|
444 |
404 |
$262.46 |
| 73590 |
|
25 |
25 |
$254.61 |
| 81025 |
|
6,417 |
6,099 |
$248.23 |
| 83655 |
|
31 |
31 |
$248.06 |
| 87804 |
|
304 |
300 |
$246.39 |
| 73140 |
|
19 |
19 |
$245.52 |
| 85652 |
|
470 |
446 |
$240.03 |
| 80306 |
|
511 |
480 |
$194.89 |
| G0480 |
Drug test def 1-7 classes |
789 |
727 |
$192.37 |
| 87880 |
|
1,638 |
1,627 |
$173.64 |
| 76817 |
|
43 |
40 |
$171.12 |
| 86308 |
|
190 |
186 |
$168.76 |
| 87807 |
|
405 |
397 |
$168.46 |
| 85379 |
|
1,084 |
1,067 |
$158.81 |
| 97116 |
|
21 |
13 |
$147.96 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$142.01 |
| 84484 |
|
4,945 |
4,089 |
$129.40 |
| 82150 |
|
1,038 |
957 |
$120.82 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
426 |
306 |
$113.33 |
| 73090 |
|
31 |
27 |
$96.28 |
| 87040 |
|
677 |
581 |
$92.30 |
| 87503 |
|
864 |
852 |
$91.83 |
| 86850 |
|
1,024 |
955 |
$89.71 |
| J2272 |
Inj, morphine (fresenius) |
230 |
197 |
$86.11 |
| P9612 |
Catheterize for urine spec |
47 |
46 |
$71.85 |
| 86901 |
|
1,299 |
1,213 |
$38.36 |
| 82550 |
|
426 |
387 |
$37.50 |
| 84146 |
|
14 |
14 |
$36.54 |
| 87400 |
|
483 |
473 |
$30.12 |
| 82077 |
|
1,052 |
994 |
$24.58 |
| 83605 |
|
1,945 |
1,809 |
$24.22 |
| 88304 |
|
36 |
36 |
$22.75 |
| 87205 |
|
45 |
43 |
$19.43 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,817 |
2,719 |
$12.00 |
| 82962 |
|
71 |
28 |
$1.67 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
20 |
$0.72 |
| J3010 |
Fentanyl citrate injection |
545 |
475 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
160 |
144 |
$0.00 |
| 96376 |
|
2,037 |
1,284 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
177 |
146 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,124 |
1,034 |
$0.00 |
| J2060 |
Lorazepam injection |
46 |
29 |
$0.00 |
| J3490 |
Drugs unclassified injection |
97 |
97 |
$0.00 |
| J7050 |
Normal saline solution infus |
401 |
202 |
$0.00 |
| J2001 |
Lidocaine injection |
534 |
523 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,260 |
2,045 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
90 |
90 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
304 |
295 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
468 |
322 |
$0.00 |
| 12001 |
|
76 |
76 |
$0.00 |
| 87430 |
|
425 |
418 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
544 |
533 |
$0.00 |
| J1170 |
Hydromorphone injection |
152 |
123 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
147 |
147 |
$0.00 |
| A9500 |
Tc99m sestamibi |
24 |
24 |
$0.00 |
| A9270 |
Non-covered item or service |
17 |
17 |
$0.00 |
| 80143 |
|
227 |
218 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
84 |
65 |
$0.00 |
| J2930 |
Methylprednisolone injection |
447 |
298 |
$0.00 |
| 80179 |
|
222 |
218 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,487 |
2,072 |
$0.00 |
| 94664 |
|
262 |
246 |
$0.00 |
| 82010 |
|
36 |
25 |
$0.00 |
| 90715 |
|
209 |
208 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
27 |
26 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
555 |
492 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
171 |
166 |
$0.00 |
| 87210 |
|
40 |
37 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
97 |
92 |
$0.00 |
| 82800 |
|
15 |
14 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.00 |
| 82140 |
|
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$0.00 |