| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,085 |
8,152 |
$1.73M |
| 96361 |
|
3,197 |
2,083 |
$1.34M |
| 99282 |
|
5,203 |
4,479 |
$905K |
| 99281 |
|
2,945 |
2,653 |
$538K |
| 96365 |
|
1,418 |
865 |
$344K |
| 74177 |
|
1,332 |
1,185 |
$336K |
| 70450 |
|
1,261 |
1,123 |
$310K |
| 87635 |
|
5,183 |
4,550 |
$244K |
| C9803 |
Hopd covid-19 spec collect |
9,108 |
7,962 |
$195K |
| 99284 |
|
2,200 |
1,914 |
$180K |
| 0241U |
|
3,083 |
2,782 |
$107K |
| 80053 |
|
12,866 |
10,688 |
$100K |
| 96360 |
|
324 |
266 |
$84K |
| 87651 |
|
2,422 |
2,226 |
$81K |
| 94640 |
|
512 |
348 |
$76K |
| 71046 |
|
2,214 |
2,011 |
$66K |
| 85025 |
|
11,472 |
8,993 |
$59K |
| 84443 |
|
4,656 |
4,330 |
$45K |
| 80061 |
|
4,065 |
3,852 |
$34K |
| 73630 |
|
748 |
617 |
$31K |
| 99214 |
|
461 |
324 |
$31K |
| 80306 |
|
1,775 |
1,459 |
$28K |
| 73564 |
|
652 |
530 |
$28K |
| 87502 |
|
284 |
264 |
$24K |
| 83036 |
|
4,429 |
4,174 |
$24K |
| G0123 |
Screen cerv/vag thin layer |
1,197 |
1,117 |
$24K |
| 87086 |
|
3,147 |
2,764 |
$23K |
| 96372 |
|
3,057 |
2,084 |
$23K |
| 80048 |
|
4,502 |
3,673 |
$22K |
| 82306 |
|
1,279 |
1,208 |
$22K |
| 81001 |
|
7,272 |
6,260 |
$21K |
| 85027 |
|
5,276 |
4,667 |
$20K |
| 99213 |
|
701 |
640 |
$17K |
| 76856 |
|
79 |
76 |
$16K |
| 73610 |
|
360 |
318 |
$16K |
| 73030 |
|
348 |
303 |
$13K |
| 87491 |
|
403 |
366 |
$13K |
| 87624 |
|
417 |
388 |
$13K |
| 84484 |
|
1,566 |
1,139 |
$13K |
| 85610 |
|
3,315 |
1,759 |
$12K |
| 87591 |
|
403 |
366 |
$12K |
| 0011A |
|
441 |
264 |
$12K |
| 83690 |
|
1,972 |
1,705 |
$11K |
| 81025 |
|
1,359 |
1,220 |
$11K |
| 77067 |
|
322 |
302 |
$11K |
| 73110 |
|
225 |
192 |
$10K |
| 77063 |
|
295 |
275 |
$9K |
| 74176 |
|
32 |
30 |
$9K |
| 93010 |
|
1,820 |
1,578 |
$8K |
| 76830 |
|
54 |
51 |
$8K |
| 93005 |
|
3,395 |
2,759 |
$8K |
| 87186 |
|
1,259 |
1,146 |
$8K |
| 59025 |
|
22 |
12 |
$7K |
| 80320 |
|
373 |
298 |
$7K |
| 83880 |
|
474 |
399 |
$7K |
| 76805 |
|
71 |
57 |
$7K |
| 84439 |
|
878 |
800 |
$6K |
| 72125 |
|
69 |
66 |
$6K |
| 0012A |
|
181 |
154 |
$6K |
| 82728 |
|
692 |
641 |
$6K |
| 90471 |
|
170 |
156 |
$6K |
| 73130 |
|
120 |
101 |
$5K |
| 96374 |
|
3,625 |
3,002 |
$5K |
| 87880 |
|
239 |
223 |
$4K |
| 76705 |
|
38 |
34 |
$4K |
| 87088 |
|
739 |
677 |
$4K |
| 99212 |
|
59 |
37 |
$4K |
| 81003 |
|
257 |
200 |
$4K |
| 36415 |
|
21,284 |
16,302 |
$4K |
| 86140 |
|
969 |
798 |
$4K |
| 90686 |
|
111 |
111 |
$4K |
| 0064A |
|
221 |
162 |
$3K |
| 71260 |
|
14 |
12 |
$3K |
| 88305 |
|
355 |
314 |
$3K |
| 0202U |
|
147 |
136 |
$3K |
| G0108 |
Diab manage trn per indiv |
68 |
61 |
$3K |
| 83655 |
|
217 |
202 |
$3K |
| 80050 |
|
242 |
211 |
$3K |
| 71045 |
|
1,413 |
1,249 |
$3K |
| 84702 |
|
155 |
104 |
$2K |
| 84703 |
|
291 |
264 |
$2K |
| 97530 |
|
90 |
41 |
$2K |
| 73502 |
|
61 |
53 |
$2K |
| 85651 |
|
747 |
629 |
$2K |
| 83735 |
|
452 |
347 |
$2K |
| 72100 |
|
42 |
41 |
$2K |
| 90834 |
|
36 |
27 |
$2K |
| 87070 |
|
187 |
172 |
$2K |
| 96375 |
|
2,504 |
1,982 |
$1K |
| 91301 |
|
584 |
398 |
$985.61 |
| 83540 |
|
247 |
230 |
$927.56 |
| G0103 |
Psa screening |
92 |
88 |
$913.50 |
| 86803 |
|
76 |
65 |
$853.90 |
| 87210 |
|
144 |
125 |
$843.77 |
| 85007 |
|
241 |
186 |
$822.93 |
| 83605 |
|
102 |
80 |
$744.03 |
| 82962 |
|
287 |
147 |
$698.78 |
| 87389 |
|
27 |
27 |
$646.75 |
| 83550 |
|
125 |
118 |
$628.65 |
| 85018 |
|
287 |
265 |
$623.36 |
| Q3014 |
Telehealth facility fee |
30 |
27 |
$471.59 |
| 85379 |
|
59 |
51 |
$455.20 |
| 82607 |
|
54 |
49 |
$386.10 |
| 80329 |
|
65 |
41 |
$269.41 |
| J1885 |
Ketorolac tromethamine inj |
2,900 |
2,228 |
$225.95 |
| U0002 |
Covid-19 lab test non-cdc |
564 |
510 |
$221.88 |
| 87077 |
|
29 |
27 |
$218.31 |
| 0352U |
|
195 |
167 |
$194.48 |
| 82950 |
|
25 |
25 |
$193.88 |
| J0696 |
Ceftriaxone sodium injection |
22 |
12 |
$186.20 |
| 94761 |
|
2,546 |
2,092 |
$172.94 |
| J2704 |
Inj, propofol, 10 mg |
1,337 |
990 |
$146.25 |
| 87040 |
|
34 |
12 |
$141.98 |
| 86780 |
|
12 |
12 |
$134.45 |
| 82570 |
|
45 |
42 |
$125.34 |
| 82043 |
|
56 |
53 |
$125.32 |
| J1100 |
Dexamethasone sodium phos |
515 |
422 |
$106.66 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,298 |
2,024 |
$102.85 |
| J7030 |
Normal saline solution infus |
3,452 |
2,392 |
$98.39 |
| 86850 |
|
18 |
12 |
$93.99 |
| 84550 |
|
18 |
12 |
$69.24 |
| 82550 |
|
19 |
15 |
$67.77 |
| J7120 |
Ringers lactate infusion |
377 |
310 |
$65.15 |
| 82565 |
|
53 |
36 |
$64.68 |
| 86900 |
|
44 |
38 |
$62.89 |
| 86901 |
|
44 |
38 |
$62.89 |
| J7050 |
Normal saline solution infus |
180 |
95 |
$58.77 |
| 87220 |
|
14 |
14 |
$52.92 |
| 82947 |
|
24 |
24 |
$49.64 |
| 0353U |
|
38 |
36 |
$45.54 |
| 84460 |
|
16 |
13 |
$44.96 |
| J2405 |
Ondansetron hcl injection |
2,259 |
1,685 |
$20.22 |
| 96376 |
|
225 |
146 |
$5.92 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
50 |
38 |
$2.99 |
| J3010 |
Fentanyl citrate injection |
831 |
569 |
$0.70 |
| J2250 |
Inj midazolam hydrochloride |
511 |
388 |
$0.27 |
| J2270 |
Morphine sulfate injection |
260 |
172 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
43 |
38 |
$0.00 |
| 97803 |
|
16 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
61 |
38 |
$0.00 |
| G0378 |
Hospital observation per hr |
49 |
27 |
$0.00 |
| J1170 |
Hydromorphone injection |
67 |
53 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
37 |
27 |
$0.00 |
| 91306 |
|
45 |
32 |
$0.00 |
| J3490 |
Drugs unclassified injection |
15 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |