| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
137,471 |
113,521 |
$23.61M |
| 00003 |
|
45,306 |
27,557 |
$17.65M |
| 99283 |
|
55,682 |
39,263 |
$5.67M |
| 0121 |
|
509 |
493 |
$2.64M |
| 99281 |
|
18,123 |
15,317 |
$2.41M |
| 0111 |
|
133 |
124 |
$1.60M |
| 97110 |
|
25,379 |
3,951 |
$1.42M |
| 99284 |
|
6,238 |
5,801 |
$1.38M |
| 0122 |
|
149 |
149 |
$1.37M |
| 92507 |
|
9,939 |
2,958 |
$1.15M |
| 96374 |
|
6,799 |
6,170 |
$680K |
| 97139 |
|
16,686 |
2,548 |
$605K |
| 99282 |
|
7,952 |
7,548 |
$603K |
| 74177 |
|
1,047 |
1,031 |
$549K |
| 93306 |
|
1,543 |
1,539 |
$542K |
| 99070 |
|
32,215 |
25,389 |
$518K |
| 70450 |
|
2,030 |
1,976 |
$506K |
| 97750 |
|
5,468 |
2,894 |
$506K |
| 99214 |
|
70,672 |
55,231 |
$484K |
| 99213 |
|
88,176 |
65,682 |
$473K |
| 77067 |
|
2,017 |
2,017 |
$444K |
| 0241U |
|
3,181 |
3,029 |
$396K |
| 96375 |
|
4,732 |
4,317 |
$391K |
| 99201 |
|
1,996 |
1,307 |
$369K |
| 93005 |
|
7,341 |
6,697 |
$364K |
| H1001 |
Antepartum management |
3,267 |
2,176 |
$281K |
| 80053 |
|
26,835 |
24,255 |
$267K |
| J3490 |
Drugs unclassified injection |
9,280 |
7,802 |
$232K |
| 85025 |
|
31,574 |
27,909 |
$213K |
| 87637 |
|
1,748 |
1,677 |
$208K |
| 82306 |
|
7,407 |
7,339 |
$201K |
| 99202 |
|
1,177 |
814 |
$197K |
| 96372 |
|
3,825 |
3,460 |
$185K |
| G0480 |
Drug test def 1-7 classes |
2,938 |
2,756 |
$182K |
| 84443 |
|
11,541 |
11,284 |
$181K |
| 70553 |
|
157 |
157 |
$165K |
| 0201 |
|
17 |
14 |
$163K |
| 72125 |
|
435 |
428 |
$162K |
| 71046 |
|
4,197 |
4,062 |
$156K |
| 96361 |
|
1,373 |
1,285 |
$143K |
| 59425 |
|
1,601 |
1,145 |
$140K |
| 76700 |
|
1,187 |
1,185 |
$140K |
| 72148 |
|
290 |
290 |
$125K |
| 97010 |
|
2,642 |
526 |
$122K |
| 99203 |
|
3,555 |
2,869 |
$119K |
| 76856 |
|
751 |
743 |
$119K |
| 80307 |
|
2,346 |
2,173 |
$116K |
| 73130 |
|
2,087 |
1,843 |
$115K |
| 73630 |
|
2,292 |
2,173 |
$114K |
| 84145 |
|
4,894 |
4,582 |
$112K |
| 80061 |
|
8,455 |
8,413 |
$108K |
| U0002 |
Covid-19 lab test non-cdc |
2,106 |
2,041 |
$107K |
| 87631 |
|
1,437 |
1,402 |
$105K |
| 73721 |
|
237 |
235 |
$102K |
| 99000 |
|
17,543 |
15,776 |
$102K |
| 74022 |
|
1,573 |
1,494 |
$99K |
| 77063 |
|
1,973 |
1,973 |
$99K |
| 76705 |
|
832 |
817 |
$96K |
| 87491 |
|
2,810 |
2,751 |
$94K |
| 87591 |
|
2,781 |
2,723 |
$92K |
| 73610 |
|
1,789 |
1,614 |
$86K |
| 73562 |
|
1,934 |
1,900 |
$86K |
| 87426 |
|
2,242 |
2,163 |
$86K |
| 71045 |
|
4,049 |
3,826 |
$85K |
| 83036 |
|
9,234 |
9,134 |
$84K |
| 99285 |
|
216 |
204 |
$83K |
| 73030 |
|
1,620 |
1,567 |
$83K |
| 73110 |
|
1,622 |
1,371 |
$80K |
| 80306 |
|
4,938 |
4,540 |
$79K |
| 0171 |
Inj, epinephrine (belcher) |
157 |
150 |
$78K |
| 96365 |
|
1,242 |
1,105 |
$77K |
| 83880 |
|
2,237 |
2,065 |
$69K |
| 96360 |
|
355 |
339 |
$63K |
| 82746 |
|
4,028 |
4,004 |
$59K |
| 83605 |
|
5,407 |
4,902 |
$58K |
| 76830 |
|
314 |
311 |
$57K |
| J7120 |
Ringers lactate infusion |
5,686 |
5,135 |
$55K |
| 74178 |
|
151 |
151 |
$54K |
| 87086 |
|
6,476 |
5,994 |
$50K |
| 72100 |
|
658 |
657 |
$50K |
| 84484 |
|
5,016 |
3,790 |
$47K |
| 99212 |
|
9,006 |
6,687 |
$43K |
| 81003 |
|
16,387 |
14,738 |
$41K |
| 88305 |
|
4,768 |
2,178 |
$41K |
| 80074 |
|
1,013 |
1,005 |
$40K |
| 87389 |
|
2,058 |
2,047 |
$40K |
| 96366 |
|
318 |
292 |
$38K |
| J1885 |
Ketorolac tromethamine inj |
4,340 |
3,998 |
$36K |
| 87040 |
|
2,215 |
1,979 |
$35K |
| 83690 |
|
5,529 |
5,090 |
$34K |
| C9803 |
Hopd covid-19 spec collect |
1,624 |
1,575 |
$33K |
| 90686 |
|
2,972 |
2,937 |
$32K |
| 99391 |
|
3,225 |
2,451 |
$32K |
| 80048 |
|
3,960 |
3,656 |
$32K |
| 59025 |
|
754 |
482 |
$31K |
| 74176 |
|
148 |
142 |
$30K |
| 87077 |
|
3,376 |
3,190 |
$29K |
| 93010 |
|
1,799 |
1,667 |
$28K |
| 72110 |
|
416 |
413 |
$26K |
| 71250 |
|
110 |
110 |
$25K |
| 76770 |
|
193 |
192 |
$25K |
| 84439 |
|
2,874 |
2,824 |
$24K |
| 85730 |
|
4,250 |
3,987 |
$24K |
| 73502 |
|
415 |
408 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
2,396 |
2,295 |
$23K |
| 87186 |
|
2,504 |
2,377 |
$23K |
| 84466 |
|
1,873 |
1,839 |
$23K |
| J0131 |
Inj, acetaminophen (nos) |
1,389 |
1,305 |
$23K |
| 85610 |
|
5,918 |
5,300 |
$23K |
| 94640 |
|
516 |
481 |
$22K |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
1,308 |
1,226 |
$22K |
| 80305 |
|
2,106 |
1,895 |
$22K |
| 95806 |
|
51 |
51 |
$22K |
| 90834 |
|
1,607 |
1,045 |
$22K |
| 90837 |
|
2,382 |
753 |
$21K |
| 71260 |
|
55 |
55 |
$19K |
| 97799 |
|
573 |
75 |
$19K |
| 99215 |
Prolong outpt/office vis |
3,526 |
2,850 |
$19K |
| 82607 |
|
1,414 |
1,407 |
$18K |
| Q3014 |
Telehealth facility fee |
806 |
777 |
$18K |
| 81025 |
|
5,477 |
5,127 |
$17K |
| 87651 |
|
562 |
557 |
$17K |
| 99392 |
|
4,618 |
3,840 |
$16K |
| 76536 |
|
110 |
109 |
$16K |
| 76942 |
|
589 |
446 |
$16K |
| J2405 |
Ondansetron hcl injection |
3,201 |
2,839 |
$15K |
| 76642 |
|
94 |
94 |
$15K |
| 76641 |
|
109 |
93 |
$15K |
| 96110 |
|
470 |
466 |
$14K |
| 81002 |
|
6,085 |
4,639 |
$14K |
| 87070 |
|
1,582 |
1,529 |
$14K |
| 87081 |
|
2,142 |
2,096 |
$14K |
| 87880 |
|
1,987 |
1,924 |
$13K |
| 76805 |
|
107 |
106 |
$13K |
| 76801 |
|
144 |
135 |
$13K |
| 82728 |
|
1,047 |
1,022 |
$13K |
| 81001 |
|
2,163 |
2,049 |
$12K |
| 83540 |
|
1,956 |
1,919 |
$12K |
| 99291 |
|
41 |
36 |
$12K |
| U0001 |
2019-ncov diagnostic p |
352 |
347 |
$12K |
| J3010 |
Fentanyl citrate injection |
1,461 |
1,359 |
$12K |
| 0001A |
|
498 |
452 |
$11K |
| 99393 |
|
2,636 |
1,920 |
$11K |
| 82570 |
|
2,038 |
1,974 |
$11K |
| 45380 |
|
87 |
78 |
$10K |
| 0002A |
|
457 |
457 |
$10K |
| 84152 |
|
454 |
454 |
$10K |
| 82043 |
|
1,643 |
1,628 |
$9K |
| 73560 |
|
232 |
218 |
$9K |
| 76816 |
|
55 |
55 |
$9K |
| 83655 |
|
874 |
835 |
$9K |
| J7030 |
Normal saline solution infus |
1,282 |
1,123 |
$9K |
| 0450 |
|
945 |
625 |
$9K |
| 90670 |
|
1,034 |
1,012 |
$9K |
| 72040 |
|
155 |
154 |
$9K |
| 83735 |
|
1,433 |
1,234 |
$9K |
| G9012 |
Other specified case mgmt |
48 |
24 |
$8K |
| G0202 |
Scr mammo bi incl cad |
45 |
23 |
$8K |
| 71275 |
|
25 |
25 |
$8K |
| 90715 |
|
407 |
406 |
$8K |
| 87653 |
|
235 |
235 |
$7K |
| 71271 |
|
50 |
50 |
$7K |
| G0481 |
Drug test def 8-14 classes |
81 |
78 |
$7K |
| 86592 |
|
1,881 |
1,860 |
$7K |
| 85379 |
|
813 |
785 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
973 |
895 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,219 |
1,168 |
$7K |
| 86762 |
|
479 |
476 |
$7K |
| 73080 |
|
151 |
127 |
$7K |
| 86803 |
|
545 |
542 |
$7K |
| J1170 |
Hydromorphone injection |
568 |
466 |
$7K |
| 85018 |
|
6,807 |
6,297 |
$7K |
| J0780 |
Prochlorperazine injection |
436 |
399 |
$6K |
| 74018 |
|
182 |
177 |
$6K |
| 90648 |
|
679 |
672 |
$6K |
| 85652 |
|
2,180 |
2,115 |
$6K |
| S9083 |
Urgent care center global |
118 |
106 |
$6K |
| 92522 |
|
25 |
24 |
$6K |
| 76775 |
|
95 |
95 |
$6K |
| G0204 |
Dx mammo incl cad bi |
28 |
14 |
$5K |
| J0690 |
Cefazolin sodium injection |
611 |
572 |
$5K |
| 99204 |
|
267 |
193 |
$5K |
| 92551 |
|
4,506 |
3,647 |
$5K |
| 86850 |
|
1,706 |
1,654 |
$5K |
| 99394 |
|
729 |
565 |
$5K |
| 90633 |
|
858 |
849 |
$4K |
| 84153 |
|
268 |
264 |
$4K |
| 0410 |
|
510 |
496 |
$4K |
| 86901 |
|
1,556 |
1,504 |
$4K |
| J2765 |
Metoclopramide hcl injection |
452 |
426 |
$4K |
| 88142 |
|
160 |
159 |
$4K |
| 86900 |
|
1,513 |
1,464 |
$4K |
| J2930 |
Methylprednisolone injection |
230 |
205 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
456 |
443 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
110 |
106 |
$4K |
| 93971 |
|
25 |
25 |
$4K |
| 85027 |
|
683 |
627 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
606 |
546 |
$4K |
| J2060 |
Lorazepam injection |
720 |
627 |
$4K |
| J2270 |
Morphine sulfate injection |
389 |
340 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
202 |
193 |
$3K |
| 87340 |
|
409 |
408 |
$3K |
| 84134 |
|
195 |
192 |
$3K |
| 76811 |
|
12 |
12 |
$3K |
| 86140 |
|
729 |
707 |
$3K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$3K |
| 87811 |
|
78 |
78 |
$3K |
| 43239 |
|
39 |
38 |
$3K |
| 86769 |
|
76 |
76 |
$3K |
| 90671 |
|
403 |
388 |
$3K |
| 76817 |
|
16 |
15 |
$3K |
| 77080 |
|
50 |
50 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
285 |
244 |
$3K |
| T1014 |
Telehealth transmit, per min |
479 |
449 |
$3K |
| 90723 |
|
299 |
295 |
$3K |
| 87804 |
|
155 |
150 |
$3K |
| 73140 |
|
69 |
63 |
$2K |
| J7050 |
Normal saline solution infus |
601 |
403 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
353 |
308 |
$2K |
| 82550 |
|
382 |
364 |
$2K |
| 82962 |
|
913 |
724 |
$2K |
| 20552 |
|
50 |
32 |
$2K |
| 88342 |
|
41 |
41 |
$2K |
| 90697 |
|
232 |
221 |
$2K |
| 80076 |
|
223 |
217 |
$2K |
| J0330 |
Succinycholine chloride inj |
26 |
26 |
$2K |
| J1790 |
Droperidol injection |
125 |
106 |
$2K |
| 97165 |
|
22 |
22 |
$2K |
| 86039 |
|
148 |
147 |
$2K |
| 90651 |
|
143 |
143 |
$1K |
| 83516 |
|
147 |
147 |
$1K |
| 99243 |
|
30 |
15 |
$1K |
| 90832 |
|
42 |
42 |
$1K |
| 90656 |
|
150 |
150 |
$1K |
| 0270 |
|
872 |
826 |
$1K |
| 87205 |
|
317 |
302 |
$1K |
| 73040 |
|
12 |
12 |
$1K |
| 99242 |
|
29 |
15 |
$1K |
| 64450 |
|
31 |
29 |
$1K |
| 92552 |
|
489 |
278 |
$865.90 |
| 20611 |
|
14 |
12 |
$849.83 |
| 84402 |
|
55 |
55 |
$822.86 |
| 90680 |
|
82 |
78 |
$738.00 |
| 87210 |
|
185 |
182 |
$709.03 |
| 96127 |
|
269 |
155 |
$707.07 |
| 73090 |
|
26 |
24 |
$700.56 |
| 84100 |
|
149 |
133 |
$673.26 |
| 84550 |
|
122 |
110 |
$671.83 |
| 84156 |
|
202 |
193 |
$626.57 |
| 87150 |
|
29 |
29 |
$599.30 |
| 90696 |
|
66 |
66 |
$594.00 |
| 90710 |
|
63 |
62 |
$567.00 |
| 82150 |
|
86 |
84 |
$564.98 |
| Z9725 |
|
12 |
12 |
$516.36 |
| 84403 |
|
39 |
38 |
$511.39 |
| 90672 |
|
99 |
98 |
$508.34 |
| 99188 |
|
35 |
30 |
$490.43 |
| 94010 |
|
16 |
16 |
$489.02 |
| 99406 |
|
118 |
82 |
$478.86 |
| 99381 |
|
25 |
13 |
$453.30 |
| J3475 |
Inj magnesium sulfate |
52 |
51 |
$432.48 |
| J0171 |
Adrenalin epinephrine inject |
27 |
27 |
$416.46 |
| 82553 |
|
46 |
46 |
$409.41 |
| 72170 |
|
12 |
12 |
$399.00 |
| J7040 |
Normal saline solution infus |
36 |
29 |
$396.77 |
| 90716 |
|
53 |
51 |
$369.00 |
| 90700 |
|
39 |
39 |
$351.00 |
| 23350 |
|
12 |
12 |
$304.04 |
| 86003 |
|
31 |
27 |
$288.57 |
| J0136 |
Inj, acetaminophen (b braun) |
14 |
14 |
$286.44 |
| S0164 |
Injection pantroprazole |
19 |
16 |
$283.15 |
| 82805 |
|
12 |
12 |
$243.00 |
| 90707 |
|
51 |
49 |
$234.00 |
| 84154 |
|
14 |
14 |
$228.90 |
| 90677 |
|
25 |
24 |
$225.00 |
| 90734 |
|
25 |
25 |
$216.00 |
| 96160 |
|
128 |
93 |
$205.92 |
| 86200 |
|
28 |
28 |
$198.80 |
| 83001 |
|
12 |
12 |
$196.92 |
| 86431 |
|
38 |
38 |
$185.17 |
| J2710 |
Neostigmine methylslfte inj |
15 |
15 |
$181.64 |
| 84481 |
|
12 |
12 |
$179.64 |
| 0250 |
|
766 |
734 |
$166.82 |
| 86141 |
|
13 |
12 |
$145.47 |
| 90660 |
|
14 |
14 |
$134.88 |
| 99384 |
|
24 |
12 |
$131.56 |
| 99396 |
|
107 |
103 |
$125.44 |
| 90619 |
|
12 |
12 |
$108.00 |
| 99395 |
|
49 |
48 |
$102.90 |
| 0124A |
|
24 |
24 |
$88.00 |
| 86430 |
|
12 |
12 |
$60.96 |
| 81015 |
|
12 |
12 |
$30.00 |
| 99211 |
|
12 |
12 |
$13.20 |
| Z1034 |
|
2,506 |
1,740 |
$0.00 |
| 90471 |
|
675 |
670 |
$0.00 |
| 0636 |
|
371 |
363 |
$0.00 |
| 90480 |
|
20 |
20 |
$0.00 |
| 0370 |
|
88 |
87 |
$0.00 |
| 0720 |
|
66 |
66 |
$0.00 |
| 0740 |
|
92 |
90 |
$0.00 |
| 9214 |
|
13 |
13 |
$0.00 |
| 0350 |
|
73 |
73 |
$0.00 |
| 0420 |
|
29 |
28 |
$0.00 |
| 99441 |
|
20 |
20 |
$0.00 |
| 0310 |
|
14 |
14 |
$0.00 |
| 0460 |
|
191 |
187 |
$0.00 |
| 0730 |
|
171 |
167 |
$0.00 |
| 0300 |
|
758 |
723 |
$0.00 |
| G0490 |
Home visit rn, lpn by rhc/fq |
1,110 |
272 |
$0.00 |
| 90472 |
|
49 |
49 |
$0.00 |
| 0320 |
|
415 |
403 |
$0.00 |
| 90460 |
|
60 |
60 |
$0.00 |
| 90461 |
|
18 |
18 |
$0.00 |
| 0360 |
|
101 |
100 |
$0.00 |
| 91320 |
|
20 |
20 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90791 |
|
14 |
14 |
$0.00 |
| 99382 |
|
31 |
16 |
$0.00 |