| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,995 |
17,102 |
$2.25M |
| 99285 |
|
7,758 |
5,912 |
$1.27M |
| 99283 |
|
19,587 |
15,075 |
$1.26M |
| 74177 |
|
2,333 |
1,777 |
$890K |
| 99213 |
|
19,151 |
16,924 |
$661K |
| 99214 |
|
12,760 |
10,766 |
$531K |
| 87637 |
|
5,730 |
4,372 |
$483K |
| 97110 |
|
19,803 |
4,912 |
$397K |
| 70450 |
|
2,332 |
1,712 |
$310K |
| 99282 |
|
8,033 |
6,565 |
$310K |
| 96361 |
|
5,792 |
3,397 |
$308K |
| G0463 |
Hospital outpt clinic visit |
22,032 |
13,159 |
$201K |
| 71046 |
|
5,683 |
4,257 |
$186K |
| 43239 |
|
357 |
263 |
$185K |
| 96375 |
|
4,604 |
2,946 |
$175K |
| 97140 |
|
10,863 |
3,096 |
$174K |
| 93005 |
|
8,799 |
6,106 |
$162K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,048 |
1,788 |
$156K |
| 96374 |
|
6,955 |
4,679 |
$155K |
| 80307 |
|
4,981 |
3,310 |
$139K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,782 |
2,825 |
$126K |
| 74176 |
|
332 |
269 |
$122K |
| 80053 |
|
22,546 |
16,185 |
$120K |
| 96365 |
|
3,019 |
1,419 |
$108K |
| G0378 |
Hospital observation per hr |
1,946 |
983 |
$103K |
| 85025 |
|
23,188 |
15,831 |
$86K |
| 97112 |
|
3,792 |
1,124 |
$78K |
| 88305 |
|
2,087 |
1,530 |
$74K |
| 87631 |
|
721 |
671 |
$71K |
| 96372 |
|
4,168 |
2,415 |
$64K |
| 99393 |
|
954 |
920 |
$59K |
| 73630 |
|
963 |
753 |
$54K |
| 99281 |
|
1,504 |
1,160 |
$54K |
| 77067 |
|
683 |
572 |
$47K |
| 96360 |
|
1,566 |
1,051 |
$45K |
| 93306 |
|
168 |
123 |
$43K |
| 80061 |
|
4,808 |
4,022 |
$42K |
| 73610 |
|
814 |
613 |
$42K |
| 99392 |
|
694 |
645 |
$41K |
| 93010 |
|
10,674 |
7,737 |
$41K |
| 73030 |
|
783 |
576 |
$41K |
| 72125 |
|
256 |
179 |
$39K |
| 97162 |
|
1,467 |
1,038 |
$39K |
| 71045 |
|
1,674 |
1,187 |
$38K |
| 87635 |
|
898 |
728 |
$37K |
| 84443 |
|
3,844 |
2,984 |
$36K |
| 45385 |
|
138 |
92 |
$36K |
| 96376 |
|
823 |
382 |
$34K |
| 87491 |
|
1,771 |
1,471 |
$33K |
| 87591 |
|
1,770 |
1,471 |
$33K |
| 76705 |
|
507 |
396 |
$32K |
| 97161 |
|
1,213 |
997 |
$31K |
| J7030 |
Normal saline solution infus |
6,975 |
4,209 |
$30K |
| 72100 |
|
508 |
389 |
$27K |
| 73560 |
|
537 |
381 |
$27K |
| 84484 |
|
6,418 |
3,658 |
$26K |
| 90471 |
|
5,682 |
5,185 |
$26K |
| 94640 |
|
1,781 |
790 |
$24K |
| 45380 |
|
56 |
39 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
561 |
480 |
$21K |
| 80050 |
|
2,333 |
1,902 |
$20K |
| 99391 |
|
322 |
293 |
$19K |
| 82306 |
|
983 |
815 |
$19K |
| J2704 |
Inj, propofol, 10 mg |
3,181 |
2,169 |
$19K |
| 88175 |
|
970 |
817 |
$18K |
| 73130 |
|
314 |
236 |
$17K |
| 83036 |
|
3,080 |
2,521 |
$17K |
| U0005 |
Infec agen detec ampli probe |
794 |
690 |
$17K |
| 87086 |
|
4,722 |
3,547 |
$16K |
| 73110 |
|
253 |
187 |
$16K |
| 99309 |
|
3,033 |
1,654 |
$16K |
| 99394 |
|
248 |
239 |
$16K |
| 80048 |
|
3,815 |
2,404 |
$16K |
| 87880 |
|
1,900 |
1,566 |
$16K |
| 87428 |
|
269 |
259 |
$16K |
| 74018 |
|
370 |
280 |
$15K |
| 76830 |
|
148 |
112 |
$15K |
| 83690 |
|
4,292 |
3,172 |
$15K |
| 87081 |
|
3,316 |
2,794 |
$15K |
| 88342 |
|
916 |
691 |
$14K |
| 87804 |
|
2,005 |
890 |
$14K |
| A9585 |
Gadobutrol injection |
365 |
293 |
$13K |
| 96366 |
|
164 |
88 |
$13K |
| 85027 |
|
3,304 |
2,431 |
$13K |
| 87624 |
|
683 |
587 |
$12K |
| 71275 |
|
57 |
37 |
$12K |
| 99212 |
|
524 |
438 |
$11K |
| 83880 |
|
850 |
591 |
$11K |
| 86803 |
|
1,049 |
907 |
$10K |
| 81001 |
|
5,789 |
4,194 |
$9K |
| J7040 |
Normal saline solution infus |
2,597 |
1,640 |
$9K |
| 93971 |
|
70 |
55 |
$9K |
| 84439 |
|
1,476 |
1,185 |
$9K |
| 81025 |
|
2,115 |
1,596 |
$8K |
| 82077 |
|
947 |
619 |
$8K |
| 82728 |
|
856 |
715 |
$8K |
| 87186 |
|
1,498 |
1,134 |
$7K |
| 83605 |
|
1,582 |
994 |
$7K |
| 99203 |
|
198 |
180 |
$7K |
| 87040 |
|
1,519 |
633 |
$7K |
| 83735 |
|
2,091 |
1,276 |
$6K |
| 90472 |
|
1,315 |
1,207 |
$6K |
| J2405 |
Ondansetron hcl injection |
4,654 |
2,746 |
$6K |
| 85610 |
|
3,225 |
1,726 |
$6K |
| J7120 |
Ringers lactate infusion |
1,360 |
791 |
$6K |
| J1170 |
Hydromorphone injection |
1,338 |
728 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,319 |
2,879 |
$5K |
| 36415 |
|
19,354 |
13,806 |
$5K |
| 84703 |
|
1,059 |
849 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
1,248 |
1,048 |
$5K |
| 87077 |
|
769 |
572 |
$5K |
| 73564 |
|
41 |
31 |
$5K |
| J3490 |
Drugs unclassified injection |
1,345 |
900 |
$5K |
| 97530 |
|
305 |
136 |
$5K |
| 77063 |
|
628 |
534 |
$4K |
| 97035 |
|
406 |
120 |
$4K |
| 84702 |
|
435 |
314 |
$4K |
| 82962 |
|
3,403 |
1,069 |
$4K |
| J7050 |
Normal saline solution infus |
1,523 |
532 |
$4K |
| 81003 |
|
4,291 |
3,367 |
$4K |
| 73502 |
|
126 |
89 |
$4K |
| 83550 |
|
637 |
538 |
$4K |
| 83540 |
|
823 |
678 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,842 |
1,070 |
$3K |
| 99204 |
|
90 |
73 |
$3K |
| 92558 |
|
234 |
225 |
$3K |
| 87088 |
|
1,407 |
1,090 |
$3K |
| 85652 |
|
1,869 |
1,375 |
$3K |
| 86141 |
|
357 |
268 |
$3K |
| 86850 |
|
520 |
364 |
$3K |
| 85379 |
|
564 |
411 |
$3K |
| 83655 |
|
321 |
241 |
$3K |
| 86710 |
|
292 |
253 |
$3K |
| 97116 |
|
331 |
99 |
$3K |
| 82607 |
|
380 |
303 |
$3K |
| 80143 |
|
340 |
186 |
$3K |
| 87389 |
|
123 |
97 |
$3K |
| 99177 |
|
281 |
265 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,057 |
1,340 |
$3K |
| J0690 |
Cefazolin sodium injection |
561 |
303 |
$3K |
| 94760 |
|
1,630 |
1,115 |
$3K |
| 80179 |
|
300 |
164 |
$2K |
| 87070 |
|
394 |
287 |
$2K |
| 80076 |
|
498 |
361 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
136 |
96 |
$2K |
| 86140 |
|
632 |
462 |
$2K |
| 82043 |
|
508 |
448 |
$2K |
| 84145 |
|
247 |
172 |
$2K |
| 76817 |
|
17 |
12 |
$2K |
| 93017 |
|
20 |
12 |
$2K |
| 99308 |
|
472 |
279 |
$2K |
| 90686 |
|
1,526 |
1,399 |
$2K |
| 59025 |
|
42 |
25 |
$2K |
| 86618 |
|
142 |
127 |
$1K |
| 87340 |
|
203 |
164 |
$1K |
| 86900 |
|
668 |
472 |
$1K |
| 11721 |
|
222 |
149 |
$1K |
| J2270 |
Morphine sulfate injection |
430 |
282 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
868 |
464 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,085 |
746 |
$1K |
| 82784 |
|
119 |
81 |
$1K |
| 81002 |
|
973 |
755 |
$1K |
| 87798 |
|
55 |
47 |
$1K |
| 99211 |
|
94 |
73 |
$1K |
| 83516 |
|
99 |
81 |
$1K |
| 86901 |
|
668 |
472 |
$1K |
| 97535 |
|
39 |
31 |
$1K |
| 36000 |
|
291 |
149 |
$974.31 |
| A9270 |
Non-covered item or service |
4,599 |
560 |
$941.40 |
| 73562 |
|
14 |
12 |
$859.17 |
| 86039 |
|
105 |
87 |
$836.98 |
| 87660 |
|
57 |
43 |
$773.27 |
| 90715 |
|
54 |
39 |
$760.55 |
| 87510 |
|
57 |
43 |
$736.62 |
| 87480 |
|
57 |
43 |
$736.60 |
| 80081 |
|
23 |
13 |
$657.55 |
| 84153 |
|
59 |
51 |
$617.69 |
| 76536 |
|
17 |
14 |
$610.22 |
| M0243 |
Casirivi and imdevi inj |
18 |
12 |
$590.41 |
| J2060 |
Lorazepam injection |
729 |
430 |
$585.32 |
| J2001 |
Lidocaine injection |
765 |
531 |
$565.00 |
| 11056 |
|
47 |
39 |
$504.37 |
| J1200 |
Diphenhydramine hcl injectio |
390 |
191 |
$462.57 |
| 94761 |
|
350 |
91 |
$443.99 |
| 87205 |
|
110 |
82 |
$337.48 |
| G0008 |
Admin influenza virus vac |
483 |
336 |
$320.10 |
| 88312 |
|
20 |
12 |
$295.01 |
| 20610 |
|
32 |
24 |
$283.39 |
| J3475 |
Inj magnesium sulfate |
47 |
27 |
$282.80 |
| J2765 |
Metoclopramide hcl injection |
275 |
208 |
$268.46 |
| 86364 |
|
38 |
25 |
$239.35 |
| 81015 |
|
112 |
83 |
$225.49 |
| 97010 |
|
31 |
13 |
$215.13 |
| 86706 |
|
26 |
24 |
$208.32 |
| 87147 |
|
40 |
39 |
$199.19 |
| 82550 |
|
41 |
25 |
$177.31 |
| 84550 |
|
53 |
38 |
$174.79 |
| 84481 |
|
14 |
12 |
$174.45 |
| 90656 |
|
246 |
243 |
$145.98 |
| 86431 |
|
39 |
37 |
$145.34 |
| 82140 |
|
19 |
13 |
$128.96 |
| 82950 |
|
40 |
29 |
$118.24 |
| 90662 |
|
111 |
74 |
$92.38 |
| 86592 |
|
30 |
26 |
$83.27 |
| J1642 |
Inj heparin sodium per 10 u |
148 |
37 |
$79.82 |
| 92551 |
|
18 |
16 |
$76.83 |
| 82565 |
|
23 |
14 |
$75.16 |
| 99306 |
Prolong nursin fac eval 15m |
22 |
13 |
$73.46 |
| A4216 |
Sterile water/saline, 10 ml |
28 |
12 |
$48.95 |
| 82570 |
|
12 |
12 |
$42.86 |
| 87420 |
|
33 |
33 |
$42.50 |
| 85018 |
|
36 |
26 |
$39.62 |
| 87210 |
|
19 |
14 |
$34.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
94 |
40 |
$24.69 |
| G8427 |
Docrev cur meds by elig clin |
134 |
88 |
$0.04 |
| 90677 |
|
28 |
24 |
$0.01 |
| 1123F |
|
662 |
353 |
$0.00 |
| 3074F |
|
77 |
58 |
$0.00 |
| 3078F |
|
86 |
59 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
215 |
106 |
$0.00 |
| G8484 |
Flu immunize no admin |
203 |
114 |
$0.00 |
| G8978 |
Mobility current status |
138 |
72 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
19 |
12 |
$0.00 |