| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
23,157 |
20,887 |
$3.63M |
| 99284 |
|
8,689 |
7,799 |
$1.96M |
| 99282 |
|
19,152 |
17,158 |
$1.92M |
| 99213 |
|
55,857 |
49,317 |
$1.52M |
| 99212 |
|
25,092 |
22,230 |
$582K |
| 93005 |
|
8,094 |
6,808 |
$460K |
| 99285 |
|
1,355 |
1,201 |
$388K |
| 80053 |
|
38,345 |
33,750 |
$305K |
| 80061 |
|
19,201 |
17,627 |
$200K |
| 85025 |
|
27,541 |
23,867 |
$155K |
| 0241U |
|
1,418 |
1,217 |
$153K |
| 87536 |
|
2,071 |
1,875 |
$132K |
| 76856 |
|
813 |
751 |
$128K |
| 96375 |
|
1,816 |
1,399 |
$128K |
| 36415 |
|
56,831 |
49,437 |
$122K |
| 77067 |
|
1,569 |
1,417 |
$117K |
| 96374 |
|
2,989 |
2,353 |
$115K |
| 80050 |
|
3,186 |
2,953 |
$111K |
| 71046 |
|
2,773 |
2,484 |
$107K |
| 83036 |
|
12,885 |
11,764 |
$96K |
| 87428 |
|
3,528 |
3,032 |
$92K |
| 76830 |
|
771 |
710 |
$85K |
| 96361 |
|
2,048 |
1,435 |
$72K |
| 86360 |
|
1,960 |
1,789 |
$70K |
| 82306 |
|
3,405 |
2,974 |
$69K |
| 84443 |
|
4,389 |
3,994 |
$57K |
| 86359 |
|
1,967 |
1,788 |
$56K |
| 74177 |
|
73 |
65 |
$54K |
| 71045 |
|
1,366 |
1,192 |
$50K |
| 81025 |
|
7,791 |
6,879 |
$50K |
| U0003 |
Cov-19 amp prb hgh thruput |
857 |
724 |
$50K |
| 87651 |
|
1,827 |
1,552 |
$49K |
| 87426 |
|
1,365 |
1,266 |
$43K |
| 80048 |
|
5,988 |
5,512 |
$42K |
| 83880 |
|
1,861 |
1,651 |
$40K |
| 81001 |
|
16,918 |
14,816 |
$39K |
| 96413 |
|
254 |
150 |
$37K |
| 87804 |
|
1,164 |
1,071 |
$29K |
| Q3014 |
Telehealth facility fee |
1,560 |
1,523 |
$27K |
| 87591 |
|
996 |
846 |
$27K |
| 87491 |
|
992 |
846 |
$27K |
| 84484 |
|
3,571 |
2,990 |
$26K |
| 80307 |
|
528 |
439 |
$24K |
| 88175 |
|
1,062 |
993 |
$24K |
| 85027 |
|
4,236 |
3,728 |
$21K |
| 87635 |
|
432 |
369 |
$20K |
| 90686 |
|
1,654 |
1,600 |
$20K |
| 74176 |
|
28 |
28 |
$20K |
| 80074 |
|
444 |
417 |
$19K |
| 87389 |
|
747 |
705 |
$16K |
| 86357 |
|
587 |
527 |
$16K |
| 86355 |
|
587 |
528 |
$16K |
| 84153 |
|
1,133 |
1,054 |
$16K |
| 96372 |
|
692 |
634 |
$16K |
| 70450 |
|
47 |
38 |
$14K |
| 82043 |
|
3,078 |
2,820 |
$14K |
| 87880 |
|
981 |
957 |
$14K |
| 96365 |
|
289 |
216 |
$14K |
| 82570 |
|
3,217 |
2,941 |
$13K |
| 90674 |
|
865 |
784 |
$12K |
| 99214 |
|
263 |
222 |
$12K |
| 84466 |
|
1,196 |
1,073 |
$11K |
| 90715 |
|
232 |
226 |
$11K |
| 90732 |
|
90 |
86 |
$10K |
| 82150 |
|
1,956 |
1,711 |
$9K |
| U0005 |
Infec agen detec ampli probe |
472 |
397 |
$8K |
| 84403 |
|
463 |
426 |
$8K |
| 87086 |
|
1,424 |
1,268 |
$8K |
| G0480 |
Drug test def 1-7 classes |
140 |
112 |
$8K |
| 0002A |
|
237 |
211 |
$8K |
| 0001A |
|
245 |
197 |
$7K |
| 80069 |
|
1,253 |
1,093 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
424 |
362 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
167 |
164 |
$6K |
| J7030 |
Normal saline solution infus |
165 |
155 |
$6K |
| 86803 |
|
547 |
482 |
$6K |
| 83540 |
|
1,286 |
1,154 |
$6K |
| 87210 |
|
1,317 |
1,148 |
$5K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
346 |
312 |
$5K |
| 71260 |
|
15 |
13 |
$5K |
| 83605 |
|
581 |
489 |
$4K |
| 87081 |
|
602 |
582 |
$4K |
| 83970 |
|
174 |
151 |
$4K |
| 99211 |
|
204 |
102 |
$4K |
| 86480 |
|
56 |
55 |
$3K |
| 45378 |
|
12 |
12 |
$3K |
| 84100 |
|
1,324 |
1,123 |
$3K |
| 82728 |
|
348 |
280 |
$3K |
| 86592 |
|
814 |
722 |
$3K |
| 82947 |
|
1,040 |
776 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
87 |
79 |
$2K |
| 96360 |
|
46 |
26 |
$2K |
| 99202 |
|
74 |
69 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
343 |
215 |
$2K |
| 90656 |
|
158 |
119 |
$2K |
| J2405 |
Ondansetron hcl injection |
431 |
335 |
$2K |
| 90670 |
|
13 |
13 |
$2K |
| 85610 |
|
647 |
555 |
$1K |
| 82962 |
|
693 |
544 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
302 |
207 |
$1K |
| 82607 |
|
76 |
64 |
$873.99 |
| 92228 |
|
36 |
27 |
$801.36 |
| J1380 |
Estradiol valerate 10 mg inj |
95 |
64 |
$773.06 |
| J0780 |
Prochlorperazine injection |
31 |
28 |
$538.63 |
| 82550 |
|
117 |
99 |
$500.90 |
| 83001 |
|
27 |
24 |
$427.34 |
| 86705 |
|
40 |
38 |
$424.72 |
| 87340 |
|
41 |
38 |
$372.76 |
| 83735 |
|
89 |
71 |
$355.10 |
| 85730 |
|
95 |
80 |
$286.79 |
| 85379 |
|
37 |
35 |
$285.04 |
| 86756 |
|
14 |
14 |
$222.46 |
| 84439 |
|
39 |
32 |
$219.00 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$212.47 |
| 81003 |
|
156 |
126 |
$197.48 |
| 91300 |
|
733 |
549 |
$185.40 |
| Q0162 |
Ondansetron oral |
143 |
136 |
$170.89 |
| J1100 |
Dexamethasone sodium phos |
26 |
25 |
$146.05 |
| 86706 |
|
15 |
14 |
$128.88 |
| J7120 |
Ringers lactate infusion |
18 |
14 |
$119.84 |
| J1170 |
Hydromorphone injection |
37 |
24 |
$114.74 |
| 87040 |
|
12 |
12 |
$113.52 |
| J2250 |
Inj midazolam hydrochloride |
239 |
183 |
$89.03 |
| J2704 |
Inj, propofol, 10 mg |
604 |
516 |
$88.59 |
| J3010 |
Fentanyl citrate injection |
251 |
194 |
$87.93 |
| A4216 |
Sterile water/saline, 10 ml |
21 |
17 |
$76.23 |
| 84156 |
|
40 |
25 |
$62.39 |
| 90662 |
|
131 |
124 |
$0.00 |
| 84681 |
|
14 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
35 |
25 |
$0.00 |
| 00000 |
|
653 |
516 |
$0.00 |
| 90471 |
|
38 |
28 |
$0.00 |
| G0008 |
Admin influenza virus vac |
276 |
269 |
$0.00 |
| J2001 |
Lidocaine injection |
83 |
77 |
$0.00 |
| 90480 |
|
15 |
14 |
$0.00 |
| 88305 |
|
34 |
26 |
$0.00 |
| 90694 |
|
16 |
16 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
21 |
13 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
37 |
37 |
$0.00 |