| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
20,148 |
17,481 |
$2.95M |
| 99285 |
|
15,884 |
12,893 |
$2.34M |
| 99284 |
|
17,397 |
13,608 |
$2.07M |
| 96361 |
|
7,842 |
6,119 |
$2.00M |
| 74177 |
|
4,360 |
3,838 |
$937K |
| 70450 |
|
5,348 |
4,459 |
$715K |
| 74176 |
|
3,236 |
2,777 |
$675K |
| 97110 |
|
10,381 |
2,671 |
$492K |
| 99282 |
|
2,936 |
2,605 |
$481K |
| G0378 |
Hospital observation per hr |
3,110 |
2,069 |
$470K |
| 43239 |
|
1,231 |
1,054 |
$431K |
| 93306 |
|
1,146 |
1,026 |
$330K |
| 96365 |
|
3,940 |
3,218 |
$273K |
| 80053 |
|
42,463 |
33,133 |
$228K |
| 96366 |
|
985 |
727 |
$222K |
| 71275 |
|
951 |
828 |
$216K |
| 80307 |
|
6,852 |
5,649 |
$207K |
| 0241U |
|
4,482 |
3,990 |
$197K |
| 92507 |
|
4,216 |
1,051 |
$197K |
| 99281 |
|
1,484 |
1,363 |
$183K |
| 59025 |
|
1,045 |
750 |
$169K |
| 94640 |
|
3,703 |
2,338 |
$160K |
| 87633 |
|
1,521 |
1,353 |
$150K |
| 96360 |
|
1,671 |
1,414 |
$146K |
| 71046 |
|
5,460 |
4,868 |
$113K |
| 84443 |
|
12,310 |
11,057 |
$104K |
| 85025 |
|
45,452 |
33,547 |
$97K |
| 87635 |
|
2,813 |
2,424 |
$96K |
| 82306 |
|
3,136 |
2,931 |
$95K |
| C9803 |
Hopd covid-19 spec collect |
4,648 |
4,116 |
$94K |
| 97112 |
|
3,003 |
876 |
$89K |
| 87070 |
|
9,919 |
9,061 |
$85K |
| 97530 |
|
2,294 |
852 |
$81K |
| 77063 |
|
1,924 |
1,856 |
$80K |
| 74018 |
|
2,658 |
2,147 |
$76K |
| 76705 |
|
728 |
659 |
$76K |
| 36415 |
|
39,962 |
28,985 |
$75K |
| 80061 |
|
7,962 |
7,401 |
$73K |
| 77067 |
|
2,848 |
2,721 |
$64K |
| 72148 |
|
392 |
350 |
$63K |
| 83036 |
|
6,249 |
5,764 |
$50K |
| 97161 |
|
465 |
440 |
$47K |
| 87086 |
|
13,419 |
11,132 |
$39K |
| 45380 |
|
102 |
95 |
$38K |
| 71045 |
|
12,097 |
9,273 |
$38K |
| 80050 |
|
117 |
116 |
$35K |
| 72100 |
|
1,603 |
1,435 |
$34K |
| 71260 |
|
222 |
194 |
$33K |
| 93005 |
|
14,456 |
11,037 |
$32K |
| 80048 |
|
7,018 |
5,308 |
$32K |
| 45385 |
|
63 |
56 |
$31K |
| 72125 |
|
1,017 |
871 |
$30K |
| 84439 |
|
3,028 |
2,832 |
$30K |
| 87400 |
|
2,629 |
2,331 |
$29K |
| 93971 |
|
339 |
292 |
$29K |
| 45378 |
|
45 |
42 |
$29K |
| 83880 |
|
3,263 |
2,573 |
$28K |
| G0379 |
Direct refer hospital observ |
275 |
215 |
$27K |
| 73562 |
|
1,810 |
1,525 |
$26K |
| 73630 |
|
1,697 |
1,505 |
$25K |
| 73610 |
|
1,552 |
1,414 |
$24K |
| 62323 |
|
70 |
66 |
$24K |
| G0463 |
Hospital outpt clinic visit |
167 |
150 |
$22K |
| 97162 |
|
263 |
225 |
$21K |
| 82607 |
|
1,802 |
1,657 |
$21K |
| 96372 |
|
7,959 |
5,883 |
$19K |
| 88305 |
|
2,735 |
2,189 |
$18K |
| U0003 |
Cov-19 amp prb hgh thruput |
600 |
575 |
$16K |
| 85027 |
|
3,970 |
3,366 |
$16K |
| 86140 |
|
2,391 |
1,898 |
$14K |
| 73130 |
|
1,083 |
950 |
$14K |
| 87186 |
|
4,493 |
3,798 |
$14K |
| 83735 |
|
8,317 |
5,952 |
$14K |
| 81025 |
|
3,952 |
3,508 |
$13K |
| 73030 |
|
931 |
780 |
$12K |
| 97140 |
|
992 |
432 |
$11K |
| 96375 |
|
9,720 |
7,136 |
$11K |
| 90715 |
|
750 |
692 |
$11K |
| 81001 |
|
15,907 |
12,943 |
$10K |
| 97150 |
|
181 |
100 |
$10K |
| 73110 |
|
723 |
654 |
$10K |
| 96374 |
|
11,127 |
9,067 |
$9K |
| 87040 |
|
2,328 |
1,468 |
$9K |
| 85378 |
|
2,214 |
1,941 |
$8K |
| 84484 |
|
10,860 |
7,432 |
$8K |
| 76805 |
|
94 |
75 |
$8K |
| 78452 |
|
30 |
24 |
$8K |
| 85610 |
|
5,677 |
4,051 |
$8K |
| 87088 |
|
4,008 |
3,374 |
$8K |
| 76770 |
|
71 |
61 |
$7K |
| 76856 |
|
55 |
46 |
$7K |
| 87491 |
|
407 |
369 |
$7K |
| 87591 |
|
410 |
371 |
$7K |
| 99213 |
|
49 |
45 |
$7K |
| 97010 |
|
208 |
68 |
$6K |
| 70496 |
|
25 |
24 |
$6K |
| 0002A |
|
166 |
163 |
$6K |
| 73721 |
|
26 |
25 |
$5K |
| 73502 |
|
393 |
348 |
$5K |
| 12001 |
|
32 |
28 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
337 |
322 |
$5K |
| 97533 |
|
235 |
97 |
$5K |
| 76700 |
|
45 |
41 |
$5K |
| 0001A |
|
164 |
156 |
$5K |
| 83540 |
|
894 |
820 |
$4K |
| 85652 |
|
1,855 |
1,453 |
$4K |
| 82746 |
|
530 |
489 |
$4K |
| 76642 |
|
39 |
38 |
$4K |
| 80165 |
|
763 |
611 |
$4K |
| 83690 |
|
9,181 |
7,490 |
$4K |
| 82728 |
|
249 |
231 |
$4K |
| 82150 |
|
4,803 |
4,022 |
$4K |
| 97535 |
|
75 |
42 |
$3K |
| 81003 |
|
5,136 |
4,402 |
$3K |
| 85007 |
|
1,319 |
1,130 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
3,468 |
2,660 |
$3K |
| 96376 |
|
1,571 |
1,187 |
$3K |
| 99203 |
|
26 |
25 |
$3K |
| 96368 |
|
64 |
57 |
$3K |
| 83605 |
|
4,401 |
3,094 |
$3K |
| 90471 |
|
1,000 |
845 |
$3K |
| 76536 |
|
27 |
26 |
$3K |
| 86850 |
|
752 |
575 |
$3K |
| 71250 |
|
70 |
63 |
$3K |
| 87880 |
|
4,128 |
3,758 |
$3K |
| 74022 |
|
490 |
413 |
$3K |
| 99406 |
|
169 |
140 |
$3K |
| 84145 |
|
423 |
278 |
$2K |
| U0005 |
Infec agen detec ampli probe |
338 |
328 |
$2K |
| 82962 |
|
1,567 |
1,010 |
$2K |
| 10060 |
|
15 |
14 |
$2K |
| 83550 |
|
312 |
295 |
$2K |
| 84702 |
|
535 |
431 |
$2K |
| G0103 |
Psa screening |
104 |
93 |
$2K |
| 76830 |
|
18 |
15 |
$2K |
| 76801 |
|
26 |
14 |
$2K |
| 95806 |
|
15 |
15 |
$2K |
| 84436 |
|
209 |
191 |
$2K |
| 82140 |
|
555 |
392 |
$2K |
| 96367 |
|
39 |
24 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,339 |
6,401 |
$1K |
| 85018 |
|
227 |
211 |
$1K |
| 86900 |
|
1,078 |
909 |
$1K |
| 85730 |
|
3,551 |
2,810 |
$1K |
| 82248 |
|
316 |
208 |
$1K |
| J7120 |
Ringers lactate infusion |
2,286 |
1,829 |
$1K |
| 83655 |
|
86 |
79 |
$1K |
| 80076 |
|
238 |
201 |
$1K |
| 87486 |
|
50 |
42 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
6,211 |
5,227 |
$1K |
| 82550 |
|
791 |
600 |
$1K |
| J2405 |
Ondansetron hcl injection |
7,641 |
6,179 |
$1K |
| 91300 |
|
96 |
81 |
$1K |
| 86901 |
|
1,127 |
946 |
$1K |
| 97014 |
|
40 |
13 |
$1K |
| 73590 |
|
83 |
64 |
$948.29 |
| 73090 |
|
106 |
92 |
$934.83 |
| 92508 |
|
17 |
12 |
$882.64 |
| 73080 |
|
103 |
90 |
$855.98 |
| J3010 |
Fentanyl citrate injection |
1,971 |
1,676 |
$851.52 |
| 87798 |
|
49 |
42 |
$812.06 |
| 87581 |
|
49 |
42 |
$812.06 |
| 84703 |
|
2,198 |
1,975 |
$753.59 |
| 93017 |
|
30 |
24 |
$727.66 |
| 77080 |
|
14 |
14 |
$698.03 |
| 87205 |
|
313 |
279 |
$632.13 |
| J3490 |
Drugs unclassified injection |
525 |
387 |
$629.44 |
| 0004A |
|
20 |
20 |
$623.83 |
| 36600 |
|
610 |
440 |
$596.52 |
| 74220 |
|
14 |
13 |
$596.47 |
| 87807 |
|
328 |
310 |
$556.21 |
| 87077 |
|
239 |
201 |
$555.36 |
| J2800 |
Methocarbamol injection |
364 |
321 |
$533.94 |
| 86803 |
|
41 |
37 |
$476.57 |
| 88312 |
|
1,355 |
1,077 |
$457.80 |
| 81015 |
|
2,762 |
2,458 |
$456.97 |
| 72050 |
|
31 |
26 |
$450.32 |
| J1100 |
Dexamethasone sodium phos |
3,044 |
2,674 |
$418.48 |
| 84479 |
|
79 |
74 |
$411.40 |
| J1650 |
Inj enoxaparin sodium |
141 |
83 |
$379.66 |
| 88304 |
|
108 |
92 |
$320.50 |
| 51701 |
|
212 |
125 |
$309.98 |
| J2270 |
Morphine sulfate injection |
3,564 |
2,743 |
$287.87 |
| 82805 |
|
618 |
441 |
$251.10 |
| 87147 |
|
36 |
36 |
$181.46 |
| 82272 |
|
253 |
215 |
$172.23 |
| 73140 |
|
13 |
12 |
$166.04 |
| 71101 |
|
13 |
13 |
$163.32 |
| 82553 |
|
45 |
28 |
$159.88 |
| 82247 |
|
40 |
12 |
$156.25 |
| 97163 |
|
28 |
27 |
$150.62 |
| 97116 |
|
35 |
14 |
$150.62 |
| J1170 |
Hydromorphone injection |
1,462 |
985 |
$149.44 |
| J2060 |
Lorazepam injection |
1,041 |
805 |
$118.72 |
| 88313 |
|
706 |
598 |
$113.75 |
| 36416 |
|
137 |
61 |
$102.15 |
| 82570 |
|
38 |
27 |
$101.04 |
| J0690 |
Cefazolin sodium injection |
1,074 |
882 |
$96.72 |
| J2920 |
Methylprednisolone injection |
31 |
25 |
$91.12 |
| 84550 |
|
26 |
24 |
$87.03 |
| J1200 |
Diphenhydramine hcl injectio |
665 |
578 |
$78.66 |
| J2930 |
Methylprednisolone injection |
1,219 |
981 |
$78.54 |
| J2250 |
Inj midazolam hydrochloride |
1,237 |
1,088 |
$75.49 |
| 84153 |
|
14 |
13 |
$68.44 |
| J2550 |
Promethazine hcl injection |
504 |
346 |
$37.85 |
| J3475 |
Inj magnesium sulfate |
825 |
654 |
$30.09 |
| J2704 |
Inj, propofol, 10 mg |
3,770 |
3,253 |
$29.52 |
| 82565 |
|
20 |
14 |
$11.03 |
| J1644 |
Inj heparin sodium per 1000u |
158 |
88 |
$10.56 |
| J1040 |
Methylprednisolone 80 mg inj |
262 |
219 |
$10.28 |
| 51702 |
|
83 |
53 |
$8.34 |
| J2765 |
Metoclopramide hcl injection |
212 |
180 |
$7.03 |
| 82009 |
|
33 |
27 |
$6.77 |
| 84156 |
|
19 |
13 |
$5.53 |
| J2919 |
Inj, methylpred sod succ 5mg |
105 |
81 |
$0.00 |
| 77003 |
|
37 |
36 |
$0.00 |
| 00731 |
|
14 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
33 |
25 |
$0.00 |
| A9577 |
Inj multihance |
14 |
14 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
3,964 |
2,511 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
130 |
76 |
$0.00 |
| J3480 |
Inj potassium chloride |
34 |
26 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
33 |
31 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
32 |
26 |
$0.00 |
| J2360 |
Orphenadrine injection |
13 |
12 |
$0.00 |
| 70498 |
|
13 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
30 |
24 |
$0.00 |
| 00813 |
|
14 |
13 |
$0.00 |