| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
1,006 |
956 |
$376K |
| 99199 |
|
7,017 |
6,399 |
$283K |
| 99214 |
|
7,031 |
6,506 |
$194K |
| 87591 |
|
7,740 |
7,604 |
$147K |
| 97110 |
|
4,063 |
1,265 |
$133K |
| 99393 |
|
3,025 |
3,016 |
$129K |
| 99213 |
|
32,298 |
29,003 |
$121K |
| 80307 |
|
1,197 |
1,077 |
$98K |
| 59425 |
|
1,689 |
1,059 |
$85K |
| 99394 |
|
1,683 |
1,677 |
$85K |
| A0428 |
Bls |
668 |
423 |
$82K |
| 99392 |
|
1,774 |
1,760 |
$80K |
| 99204 |
|
1,346 |
1,293 |
$80K |
| 87491 |
|
2,031 |
2,011 |
$79K |
| 82785 |
|
419 |
419 |
$64K |
| H1001 |
Antepartum management |
1,038 |
632 |
$62K |
| A0429 |
Bls-emergency |
533 |
475 |
$60K |
| 86003 |
|
635 |
632 |
$56K |
| 88175 |
|
1,516 |
1,514 |
$56K |
| 99215 |
Prolong outpt/office vis |
341 |
323 |
$52K |
| 99244 |
|
706 |
675 |
$52K |
| A0427 |
Als1-emergency |
447 |
388 |
$48K |
| E1390 |
Oxygen concentrator |
408 |
396 |
$48K |
| 88305 |
|
418 |
405 |
$44K |
| 87624 |
|
1,541 |
1,535 |
$43K |
| 99203 |
|
928 |
898 |
$43K |
| 88142 |
|
888 |
888 |
$43K |
| 81420 |
|
72 |
72 |
$38K |
| 99243 |
|
663 |
613 |
$35K |
| 87798 |
|
709 |
374 |
$30K |
| 97010 |
|
799 |
234 |
$30K |
| 0450 |
|
619 |
587 |
$30K |
| J3490 |
Drugs unclassified injection |
234 |
188 |
$29K |
| 64493 |
|
141 |
70 |
$23K |
| E0601 |
Cont airway pressure device |
412 |
395 |
$20K |
| 92134 |
|
109 |
94 |
$20K |
| 64483 |
|
56 |
56 |
$18K |
| 92552 |
|
6,616 |
6,572 |
$16K |
| 99285 |
|
166 |
146 |
$15K |
| T4541 |
Large disposable underpad |
492 |
488 |
$15K |
| A0426 |
Als 1 |
108 |
100 |
$15K |
| 80053 |
|
10,804 |
9,504 |
$14K |
| E0443 |
Portable 02 contents, gas |
124 |
123 |
$14K |
| 99232 |
|
787 |
243 |
$14K |
| 99391 |
|
290 |
288 |
$14K |
| 83036 |
|
4,972 |
4,944 |
$13K |
| 85025 |
|
14,498 |
12,247 |
$13K |
| 97803 |
|
1,080 |
978 |
$12K |
| 95117 |
|
1,708 |
522 |
$12K |
| 93306 |
|
105 |
105 |
$12K |
| 59409 |
|
25 |
24 |
$12K |
| 71045 |
|
712 |
649 |
$11K |
| 99284 |
|
153 |
148 |
$11K |
| 81220 |
|
110 |
109 |
$11K |
| 93005 |
|
572 |
552 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,077 |
871 |
$10K |
| 99283 |
|
213 |
208 |
$9K |
| 95811 |
|
25 |
25 |
$9K |
| 71046 |
|
538 |
534 |
$9K |
| G0483 |
Drug test def 22+ classes |
126 |
82 |
$8K |
| 97802 |
|
2,095 |
1,985 |
$7K |
| 76881 |
|
64 |
61 |
$7K |
| 97140 |
|
1,294 |
386 |
$7K |
| 99211 |
|
408 |
350 |
$7K |
| 92060 |
|
4,993 |
4,960 |
$6K |
| 70450 |
|
48 |
45 |
$6K |
| E0431 |
Portable gaseous 02 |
316 |
310 |
$6K |
| K0001 |
Standard wheelchair |
193 |
191 |
$5K |
| 99212 |
|
9,612 |
8,277 |
$5K |
| 99383 |
|
81 |
81 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
270 |
114 |
$5K |
| 36415 |
|
5,707 |
5,490 |
$5K |
| 90686 |
|
680 |
675 |
$5K |
| 85018 |
|
4,338 |
4,299 |
$5K |
| 80061 |
|
6,120 |
6,088 |
$4K |
| 80048 |
|
3,183 |
2,382 |
$4K |
| 59514 |
|
13 |
12 |
$4K |
| 99384 |
|
61 |
61 |
$4K |
| 87086 |
|
2,248 |
2,166 |
$4K |
| 86580 |
|
1,693 |
1,688 |
$4K |
| T4535 |
Disposable liner/shield/pad |
178 |
178 |
$4K |
| 59025 |
|
65 |
42 |
$4K |
| 97112 |
|
184 |
46 |
$4K |
| 90715 |
|
342 |
340 |
$4K |
| 92250 |
|
40 |
40 |
$4K |
| 95144 |
|
40 |
40 |
$4K |
| 99460 |
|
46 |
46 |
$4K |
| 81025 |
|
1,299 |
1,241 |
$3K |
| 93010 |
|
398 |
359 |
$3K |
| 84702 |
|
750 |
681 |
$3K |
| T4527 |
Adult size pull-on lg |
57 |
57 |
$3K |
| 84443 |
|
5,373 |
5,324 |
$3K |
| 82306 |
|
2,490 |
2,481 |
$3K |
| 81001 |
|
2,955 |
2,859 |
$3K |
| 92557 |
|
26 |
26 |
$3K |
| G0270 |
Mnt subs tx for change dx |
985 |
979 |
$3K |
| 97162 |
|
37 |
36 |
$3K |
| 76811 |
|
15 |
15 |
$3K |
| 76856 |
|
100 |
97 |
$3K |
| 86592 |
|
2,415 |
2,397 |
$3K |
| 99382 |
|
42 |
42 |
$2K |
| E0570 |
Nebulizer with compression |
34 |
34 |
$2K |
| 76801 |
|
24 |
24 |
$2K |
| G0480 |
Drug test def 1-7 classes |
84 |
82 |
$2K |
| 99222 |
|
14 |
14 |
$2K |
| 87088 |
|
622 |
613 |
$2K |
| 99291 |
|
17 |
13 |
$2K |
| 81003 |
|
4,330 |
4,218 |
$2K |
| E0562 |
Humidifier heated used w pap |
346 |
344 |
$2K |
| H1003 |
Prenatal at risk education |
414 |
217 |
$2K |
| 74176 |
|
24 |
21 |
$2K |
| 92012 |
|
56 |
51 |
$2K |
| T4526 |
Adult size pull-on med |
48 |
48 |
$2K |
| 81000 |
|
3,048 |
2,910 |
$2K |
| 83690 |
|
1,138 |
1,047 |
$2K |
| 76805 |
|
53 |
52 |
$2K |
| 84484 |
|
752 |
639 |
$2K |
| 96374 |
|
39 |
36 |
$2K |
| 90651 |
|
459 |
454 |
$2K |
| A6250 |
Skin seal protect moisturizr |
105 |
105 |
$2K |
| 87389 |
|
1,774 |
1,768 |
$1K |
| 97001 |
|
26 |
13 |
$1K |
| 3008F |
|
5,568 |
5,260 |
$1K |
| U0005 |
Infec agen detec ampli probe |
606 |
487 |
$1K |
| 99395 |
|
154 |
150 |
$1K |
| 88112 |
|
15 |
14 |
$1K |
| 97161 |
|
24 |
24 |
$1K |
| 67028 |
|
15 |
12 |
$1K |
| T4523 |
Adult size brief/diaper lg |
27 |
27 |
$1K |
| 90648 |
|
293 |
293 |
$1K |
| 86038 |
|
312 |
310 |
$1K |
| A4927 |
Non-sterile gloves |
113 |
113 |
$1K |
| 82728 |
|
398 |
390 |
$1K |
| 82746 |
|
294 |
293 |
$1K |
| 99205 |
Prolong outpt/office vis |
39 |
39 |
$1K |
| 85610 |
|
1,699 |
1,481 |
$1K |
| 82947 |
|
676 |
662 |
$1K |
| 84439 |
|
1,516 |
1,508 |
$997.27 |
| 88141 |
|
202 |
202 |
$983.42 |
| 85027 |
|
1,319 |
1,107 |
$978.39 |
| 85730 |
|
1,132 |
1,010 |
$894.95 |
| 90670 |
|
581 |
571 |
$884.16 |
| 94760 |
|
587 |
527 |
$850.00 |
| 99381 |
|
13 |
13 |
$833.15 |
| 90700 |
|
534 |
533 |
$828.00 |
| 92235 |
|
28 |
28 |
$801.74 |
| 82784 |
|
25 |
25 |
$741.94 |
| 90471 |
|
817 |
802 |
$732.17 |
| 96375 |
|
29 |
25 |
$689.54 |
| 90707 |
|
280 |
280 |
$679.76 |
| A4335 |
Incontinence supply |
64 |
56 |
$677.19 |
| 86900 |
|
868 |
771 |
$619.63 |
| 90658 |
|
365 |
365 |
$615.48 |
| 84703 |
|
435 |
417 |
$605.70 |
| 86005 |
|
28 |
28 |
$587.55 |
| 83540 |
|
523 |
517 |
$577.95 |
| 90649 |
|
205 |
205 |
$558.65 |
| 80076 |
|
1,098 |
1,007 |
$558.43 |
| 83880 |
|
61 |
57 |
$557.86 |
| 90713 |
|
326 |
325 |
$557.33 |
| 87804 |
|
189 |
177 |
$540.42 |
| 83735 |
|
371 |
299 |
$531.50 |
| 86901 |
|
826 |
733 |
$527.79 |
| 96372 |
|
159 |
146 |
$525.79 |
| 87186 |
|
523 |
516 |
$520.05 |
| 97530 |
|
36 |
12 |
$512.44 |
| 90633 |
|
328 |
323 |
$503.22 |
| 92014 |
|
26 |
26 |
$494.76 |
| 0250 |
|
62 |
59 |
$481.05 |
| 97014 |
|
1,026 |
309 |
$470.00 |
| 93000 |
|
297 |
294 |
$455.12 |
| U0004 |
Cov-19 test non-cdc hgh thru |
144 |
97 |
$447.50 |
| 92083 |
|
14 |
14 |
$414.15 |
| A0425 |
Ground mileage |
1,913 |
1,312 |
$404.39 |
| 85652 |
|
698 |
693 |
$379.30 |
| 92133 |
|
14 |
14 |
$376.56 |
| 87070 |
|
162 |
160 |
$375.95 |
| 90716 |
|
308 |
308 |
$371.95 |
| 90696 |
|
86 |
84 |
$360.00 |
| 90620 |
|
63 |
63 |
$352.82 |
| 99000 |
|
485 |
466 |
$352.59 |
| J1885 |
Ketorolac tromethamine inj |
185 |
173 |
$337.58 |
| A7035 |
Pos airway press headgear |
15 |
15 |
$318.73 |
| 82570 |
|
771 |
765 |
$308.48 |
| 86803 |
|
142 |
141 |
$293.41 |
| 84153 |
|
619 |
610 |
$289.68 |
| 0270 |
|
348 |
316 |
$285.56 |
| 73610 |
|
14 |
13 |
$273.55 |
| 90734 |
|
336 |
332 |
$270.00 |
| 96361 |
|
15 |
14 |
$262.55 |
| 88150 |
|
134 |
123 |
$250.00 |
| 87340 |
|
369 |
368 |
$239.25 |
| 0637 |
|
47 |
47 |
$238.96 |
| 81002 |
|
967 |
883 |
$234.64 |
| A7038 |
Pos airway pressure filter |
27 |
27 |
$227.53 |
| 81329 |
|
28 |
27 |
$217.00 |
| 82607 |
|
460 |
459 |
$216.97 |
| 84550 |
|
938 |
932 |
$214.73 |
| G2023 |
Specimen collect covid-19 |
209 |
151 |
$204.36 |
| 82274 |
|
381 |
335 |
$199.68 |
| 86140 |
|
572 |
546 |
$196.50 |
| E0114 |
Crutch underarm pair no wood |
13 |
13 |
$188.37 |
| 82043 |
|
1,050 |
1,046 |
$187.39 |
| J2405 |
Ondansetron hcl injection |
27 |
25 |
$183.80 |
| 76700 |
|
71 |
71 |
$180.60 |
| 87077 |
|
224 |
221 |
$177.05 |
| A4253 |
Blood glucose/reagent strips |
66 |
62 |
$175.63 |
| 83970 |
|
39 |
38 |
$168.85 |
| 84436 |
|
788 |
787 |
$157.99 |
| 82565 |
|
216 |
215 |
$153.91 |
| 87081 |
|
323 |
321 |
$151.29 |
| 83550 |
|
446 |
440 |
$145.56 |
| 76830 |
|
13 |
13 |
$140.73 |
| J7030 |
Normal saline solution infus |
19 |
18 |
$135.42 |
| 99401 |
|
283 |
253 |
$131.17 |
| 86769 |
|
13 |
12 |
$125.55 |
| A4267 |
Male condom |
42 |
40 |
$122.91 |
| G0444 |
Depression screen annual |
76 |
66 |
$119.48 |
| 90672 |
|
139 |
139 |
$117.00 |
| 80074 |
|
294 |
288 |
$116.81 |
| 83655 |
|
377 |
377 |
$109.54 |
| G0447 |
Behavior counsel obesity 15m |
1,598 |
1,563 |
$108.78 |
| 84460 |
|
149 |
148 |
$105.56 |
| 86480 |
|
229 |
228 |
$104.12 |
| 99396 |
|
44 |
43 |
$100.00 |
| 84481 |
|
107 |
106 |
$96.83 |
| A4590 |
Special casting material |
76 |
71 |
$90.00 |
| 3078F |
|
3,061 |
2,920 |
$87.98 |
| 94640 |
|
51 |
44 |
$81.90 |
| 84100 |
|
162 |
148 |
$81.45 |
| 84479 |
|
656 |
655 |
$70.43 |
| 97035 |
|
506 |
153 |
$68.70 |
| 82550 |
|
77 |
73 |
$67.72 |
| 92551 |
|
1,102 |
1,101 |
$63.98 |
| 80051 |
|
16 |
16 |
$60.54 |
| 83013 |
|
12 |
12 |
$59.28 |
| G9920 |
Scrning perf and negative |
1,232 |
1,231 |
$58.00 |
| 87210 |
|
30 |
28 |
$52.44 |
| 96110 |
|
48 |
48 |
$50.00 |
| G2012 |
Brief check in by md/qhp |
373 |
308 |
$49.92 |
| 84480 |
|
401 |
400 |
$48.61 |
| 86431 |
|
318 |
316 |
$46.53 |
| 90460 |
|
311 |
310 |
$45.00 |
| 86762 |
|
288 |
287 |
$43.44 |
| 86850 |
|
532 |
494 |
$41.94 |
| 82040 |
|
82 |
82 |
$39.56 |
| 3074F |
|
3,128 |
2,981 |
$37.50 |
| 84520 |
|
41 |
41 |
$36.87 |
| 82950 |
|
239 |
237 |
$36.30 |
| 84146 |
|
18 |
18 |
$34.05 |
| 83001 |
|
13 |
13 |
$31.12 |
| 83002 |
|
12 |
12 |
$31.04 |
| 90744 |
|
42 |
42 |
$27.00 |
| 90680 |
|
104 |
104 |
$27.00 |
| 87806 |
|
13 |
12 |
$26.22 |
| 92015 |
|
630 |
629 |
$25.00 |
| 84450 |
|
157 |
157 |
$23.88 |
| V2020 |
Vision svcs frames purchases |
13 |
13 |
$21.31 |
| 90710 |
|
14 |
13 |
$18.00 |
| 90723 |
|
48 |
48 |
$18.00 |
| 99442 |
|
419 |
374 |
$16.75 |
| 82310 |
|
15 |
14 |
$16.32 |
| 82150 |
|
27 |
26 |
$14.40 |
| 99173 |
|
1,734 |
1,726 |
$13.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12 |
12 |
$12.00 |
| 82248 |
|
25 |
25 |
$11.35 |
| 82962 |
|
800 |
256 |
$9.90 |
| 96156 |
|
61 |
59 |
$8.41 |
| 83050 |
|
597 |
596 |
$8.08 |
| 80069 |
|
54 |
53 |
$7.52 |
| 84075 |
|
28 |
28 |
$7.36 |
| 82247 |
|
27 |
27 |
$7.16 |
| 20553 |
|
41 |
40 |
$7.03 |
| 84155 |
|
15 |
15 |
$2.90 |
| 85651 |
|
13 |
13 |
$1.88 |
| 1160F |
|
683 |
662 |
$0.00 |
| 1159F |
|
877 |
834 |
$0.00 |
| 84295 |
|
62 |
49 |
$0.00 |
| 77067 |
|
545 |
545 |
$0.00 |
| 99051 |
|
258 |
245 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 86677 |
|
15 |
14 |
$0.00 |
| 86318 |
|
51 |
51 |
$0.00 |
| A0424 |
Extra ambulance attendant |
316 |
282 |
$0.00 |
| 83026 |
|
56 |
56 |
$0.00 |
| 92081 |
|
670 |
670 |
$0.00 |
| 90472 |
|
230 |
227 |
$0.00 |
| 64495 |
|
138 |
67 |
$0.00 |
| G8752 |
Sys bp less 140 |
65 |
59 |
$0.00 |
| 96160 |
|
279 |
278 |
$0.00 |
| 81401 |
|
25 |
25 |
$0.00 |
| 85014 |
|
101 |
96 |
$0.00 |
| 85007 |
|
256 |
117 |
$0.00 |
| 87150 |
|
118 |
118 |
$0.00 |
| A0382 |
Basic support routine suppls |
63 |
54 |
$0.00 |
| 3077F |
|
46 |
44 |
$0.00 |
| 81479 |
|
26 |
26 |
$0.00 |
| A0422 |
Ambulance 02 life sustaining |
113 |
81 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
18 |
18 |
$0.00 |
| 3725F |
|
45 |
45 |
$0.00 |
| 0521F |
|
28 |
27 |
$0.00 |
| J9035 |
Bevacizumab injection |
12 |
12 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
47 |
43 |
$0.00 |
| 86696 |
|
15 |
15 |
$0.00 |
| 2022F |
|
84 |
82 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
18 |
18 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
12 |
12 |
$0.00 |
| 0002A |
|
14 |
14 |
$0.00 |
| 87880 |
|
15 |
14 |
$0.00 |
| 82465 |
|
16 |
16 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| G0446 |
Intens behave ther cardio dx |
18 |
15 |
$0.00 |
| 84403 |
|
12 |
12 |
$0.00 |
| 90647 |
|
53 |
53 |
$0.00 |
| 92004 |
|
395 |
395 |
$0.00 |
| A0420 |
Ambulance waiting 1/2 hr |
98 |
76 |
$0.00 |
| A0999 |
Unlisted ambulance service |
119 |
95 |
$0.00 |
| 92499 |
|
265 |
262 |
$0.00 |
| G8754 |
Dias bp less 90 |
98 |
90 |
$0.00 |
| 0001A |
|
33 |
33 |
$0.00 |
| 99406 |
|
380 |
355 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 90698 |
|
87 |
83 |
$0.00 |
| 4000F |
|
385 |
384 |
$0.00 |
| S9451 |
Exercise class |
170 |
170 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
311 |
310 |
$0.00 |
| 1036F |
|
180 |
179 |
$0.00 |
| 64494 |
|
141 |
70 |
$0.00 |
| 94761 |
|
110 |
99 |
$0.00 |
| 99050 |
|
272 |
259 |
$0.00 |
| 3079F |
|
225 |
219 |
$0.00 |
| 87040 |
|
154 |
137 |
$0.00 |
| 76641 |
|
171 |
101 |
$0.00 |
| A0398 |
Als routine disposble suppls |
71 |
63 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 64484 |
|
112 |
56 |
$0.00 |
| 86780 |
|
31 |
26 |
$0.00 |
| 99447 |
|
121 |
95 |
$0.00 |
| 3044F |
|
33 |
28 |
$0.00 |
| S9542 |
Ht inj noc per diem |
21 |
17 |
$0.00 |
| 1126F |
|
45 |
40 |
$0.00 |
| 1170F |
|
33 |
31 |
$0.00 |
| H0049 |
Alcohol/drug screening |
15 |
15 |
$0.00 |
| 80050 |
|
45 |
45 |
$0.00 |
| 87636 |
|
19 |
17 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
161 |
161 |
$0.00 |
| 81015 |
|
12 |
12 |
$0.00 |
| 0012A |
|
58 |
58 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
13 |
13 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 96127 |
|
73 |
73 |
$0.00 |
| 4050F |
|
14 |
13 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
40 |
38 |
$0.00 |
| 87635 |
|
32 |
30 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1101F |
|
21 |
21 |
$0.00 |
| 0011A |
|
28 |
28 |
$0.00 |
| 87205 |
|
16 |
12 |
$0.00 |
| 99462 |
|
43 |
32 |
$0.00 |
| 83520 |
|
17 |
12 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 80047 |
|
12 |
12 |
$0.00 |
| 2000F |
|
17 |
17 |
$0.00 |
| 86695 |
|
14 |
14 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 92002 |
|
29 |
29 |
$0.00 |
| 36410 |
|
13 |
12 |
$0.00 |