| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
29,375 |
27,848 |
$8.82M |
| 99283 |
|
23,205 |
22,491 |
$6.44M |
| 99285 |
|
18,212 |
17,131 |
$5.79M |
| G0378 |
Hospital observation per hr |
2,241 |
1,830 |
$3.52M |
| 99282 |
|
6,789 |
6,620 |
$1.83M |
| 43239 |
|
166 |
163 |
$274K |
| T1015 |
Clinic service |
3,481 |
907 |
$264K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,948 |
3,781 |
$121K |
| 97110 |
|
2,098 |
533 |
$117K |
| 11042 |
|
270 |
156 |
$92K |
| 99281 |
|
317 |
308 |
$80K |
| 93306 |
|
318 |
307 |
$54K |
| 74177 |
|
1,436 |
1,370 |
$53K |
| 78452 |
|
116 |
110 |
$43K |
| 77067 |
|
342 |
334 |
$38K |
| 96374 |
|
11,379 |
10,646 |
$38K |
| 93975 |
|
733 |
696 |
$34K |
| 93005 |
|
12,217 |
11,244 |
$33K |
| 80053 |
|
18,361 |
16,956 |
$30K |
| 73630 |
|
1,198 |
1,057 |
$24K |
| 96365 |
|
222 |
123 |
$22K |
| 85025 |
|
22,522 |
20,189 |
$21K |
| 71045 |
|
5,709 |
5,390 |
$20K |
| 97161 |
|
362 |
353 |
$20K |
| 71046 |
|
1,779 |
1,697 |
$17K |
| 70450 |
|
1,505 |
1,444 |
$16K |
| 93970 |
|
166 |
161 |
$15K |
| 87635 |
|
544 |
502 |
$15K |
| A9502 |
Tc99m tetrofosmin |
102 |
96 |
$15K |
| 76641 |
|
178 |
141 |
$14K |
| 76830 |
|
436 |
431 |
$13K |
| G0463 |
Hospital outpt clinic visit |
323 |
224 |
$12K |
| 76700 |
|
156 |
152 |
$12K |
| 84484 |
|
7,049 |
6,386 |
$11K |
| 96375 |
|
4,166 |
3,802 |
$11K |
| 74176 |
|
396 |
387 |
$10K |
| 77063 |
|
327 |
322 |
$10K |
| 72100 |
|
296 |
293 |
$9K |
| 0012A |
|
131 |
131 |
$9K |
| 71275 |
|
386 |
379 |
$9K |
| 0241U |
|
1,189 |
1,143 |
$9K |
| 93971 |
|
238 |
227 |
$9K |
| 0011A |
|
170 |
170 |
$8K |
| 76856 |
|
311 |
308 |
$8K |
| 87637 |
|
362 |
345 |
$8K |
| 93017 |
|
104 |
100 |
$7K |
| 73610 |
|
482 |
443 |
$7K |
| 36415 |
|
14,504 |
12,398 |
$6K |
| 77066 |
Tomosynthesis, mammo |
42 |
40 |
$6K |
| U0005 |
Infec agen detec ampli probe |
2,531 |
2,450 |
$6K |
| 80307 |
|
744 |
701 |
$6K |
| 80048 |
|
3,403 |
2,955 |
$6K |
| 76801 |
|
404 |
370 |
$5K |
| 93041 |
|
7,614 |
7,037 |
$5K |
| 76705 |
|
189 |
186 |
$5K |
| 76817 |
|
312 |
283 |
$5K |
| 73564 |
|
402 |
364 |
$4K |
| 83690 |
|
6,072 |
5,722 |
$4K |
| 73030 |
|
305 |
279 |
$3K |
| 72125 |
|
279 |
273 |
$3K |
| 83880 |
|
999 |
941 |
$3K |
| 73130 |
|
468 |
443 |
$3K |
| 83735 |
|
3,956 |
3,272 |
$3K |
| 85730 |
|
2,938 |
2,746 |
$3K |
| 73502 |
|
99 |
86 |
$3K |
| 0202U |
|
12 |
12 |
$3K |
| 85610 |
|
3,239 |
2,953 |
$2K |
| 88305 |
|
324 |
306 |
$2K |
| 84443 |
|
689 |
659 |
$2K |
| 76770 |
|
37 |
37 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| 81001 |
|
7,023 |
6,670 |
$2K |
| 84703 |
|
1,994 |
1,902 |
$2K |
| 72070 |
|
43 |
43 |
$2K |
| 96366 |
|
66 |
43 |
$2K |
| 96372 |
|
1,287 |
1,222 |
$2K |
| 87086 |
|
1,868 |
1,787 |
$2K |
| 96361 |
|
146 |
141 |
$2K |
| 90715 |
|
407 |
400 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
1,381 |
1,271 |
$2K |
| 74018 |
|
40 |
39 |
$1K |
| 72040 |
|
28 |
28 |
$1K |
| 70486 |
|
72 |
72 |
$1K |
| 73110 |
|
154 |
143 |
$1K |
| 84702 |
|
656 |
582 |
$1K |
| 85027 |
|
1,009 |
876 |
$1K |
| 71250 |
|
42 |
41 |
$1K |
| 93350 |
|
12 |
12 |
$1K |
| 80061 |
|
192 |
180 |
$1K |
| 80177 |
|
78 |
74 |
$954.50 |
| 84100 |
|
1,757 |
1,314 |
$899.54 |
| C1769 |
Guide wire |
28 |
25 |
$873.61 |
| 86900 |
|
632 |
611 |
$836.25 |
| 81003 |
|
2,740 |
2,630 |
$808.66 |
| 71260 |
|
13 |
13 |
$749.08 |
| 81025 |
|
5,385 |
5,129 |
$722.81 |
| 86850 |
|
418 |
408 |
$674.83 |
| 87186 |
|
430 |
410 |
$602.70 |
| 80076 |
|
358 |
340 |
$574.19 |
| 88342 |
|
65 |
64 |
$554.76 |
| 85007 |
|
852 |
759 |
$543.19 |
| 87077 |
|
480 |
442 |
$512.50 |
| 97140 |
|
29 |
12 |
$495.31 |
| 87081 |
|
778 |
751 |
$493.14 |
| 86901 |
|
626 |
605 |
$485.46 |
| J7030 |
Normal saline solution infus |
6,514 |
5,761 |
$481.45 |
| 87491 |
|
835 |
818 |
$478.77 |
| 87591 |
|
835 |
818 |
$478.23 |
| 85379 |
|
714 |
696 |
$471.17 |
| 83605 |
|
619 |
571 |
$464.79 |
| 83036 |
|
222 |
204 |
$462.59 |
| 97165 |
|
24 |
24 |
$445.30 |
| 87040 |
|
319 |
295 |
$444.48 |
| 82803 |
|
153 |
149 |
$393.88 |
| 0352U |
|
91 |
88 |
$387.90 |
| 82550 |
|
405 |
380 |
$384.01 |
| 87804 |
|
198 |
195 |
$351.86 |
| 87641 |
|
13 |
12 |
$341.55 |
| 94640 |
|
366 |
267 |
$314.16 |
| J1245 |
Dipyridamole injection |
32 |
27 |
$264.81 |
| 76870 |
|
13 |
12 |
$227.43 |
| J1644 |
Inj heparin sodium per 1000u |
500 |
222 |
$207.39 |
| G0480 |
Drug test def 1-7 classes |
343 |
320 |
$202.47 |
| J2704 |
Inj, propofol, 10 mg |
1,222 |
1,082 |
$198.94 |
| 93976 |
|
48 |
47 |
$174.00 |
| 90471 |
|
431 |
398 |
$173.65 |
| J0690 |
Cefazolin sodium injection |
153 |
130 |
$166.41 |
| J1170 |
Hydromorphone injection |
442 |
269 |
$158.64 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$154.72 |
| J2270 |
Morphine sulfate injection |
1,804 |
1,335 |
$144.37 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
12 |
12 |
$142.18 |
| J0696 |
Ceftriaxone sodium injection |
742 |
667 |
$141.17 |
| 73590 |
|
18 |
18 |
$131.06 |
| J1100 |
Dexamethasone sodium phos |
984 |
837 |
$123.12 |
| J2405 |
Ondansetron hcl injection |
4,033 |
3,522 |
$122.73 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,004 |
1,920 |
$121.49 |
| 87210 |
|
308 |
299 |
$113.49 |
| 80320 |
|
17 |
16 |
$111.13 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$97.34 |
| J3010 |
Fentanyl citrate injection |
1,298 |
972 |
$91.29 |
| J1885 |
Ketorolac tromethamine inj |
5,250 |
4,815 |
$89.21 |
| 82607 |
|
12 |
12 |
$89.18 |
| J1200 |
Diphenhydramine hcl injectio |
1,118 |
976 |
$84.06 |
| 82746 |
|
12 |
12 |
$82.32 |
| 12001 |
|
25 |
25 |
$71.06 |
| 87430 |
|
219 |
211 |
$69.30 |
| J2765 |
Metoclopramide hcl injection |
972 |
914 |
$59.18 |
| 73080 |
|
30 |
27 |
$57.04 |
| 97116 |
|
71 |
41 |
$51.77 |
| J2930 |
Methylprednisolone injection |
53 |
43 |
$28.34 |
| J2250 |
Inj midazolam hydrochloride |
1,009 |
929 |
$26.47 |
| J1650 |
Inj enoxaparin sodium |
750 |
368 |
$24.70 |
| 88304 |
|
14 |
12 |
$18.86 |
| J3370 |
Vancomycin hcl injection |
27 |
17 |
$16.62 |
| J7120 |
Ringers lactate infusion |
468 |
395 |
$16.22 |
| 82150 |
|
57 |
54 |
$15.00 |
| J2001 |
Lidocaine injection |
143 |
139 |
$10.37 |
| J2060 |
Lorazepam injection |
519 |
436 |
$9.17 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,002 |
676 |
$9.08 |
| A9270 |
Non-covered item or service |
12,420 |
6,543 |
$7.74 |
| J0780 |
Prochlorperazine injection |
62 |
58 |
$7.65 |
| J7050 |
Normal saline solution infus |
679 |
395 |
$5.88 |
| 87147 |
|
12 |
12 |
$5.26 |
| 82010 |
|
14 |
14 |
$5.00 |
| J0330 |
Succinycholine chloride inj |
14 |
13 |
$3.67 |
| 86140 |
|
15 |
14 |
$3.55 |
| J1815 |
Insulin injection |
485 |
155 |
$0.00 |
| 96376 |
|
97 |
78 |
$0.00 |
| J8540 |
Oral dexamethasone |
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
294 |
245 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
44 |
37 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
15 |
13 |
$0.00 |
| J1756 |
Iron sucrose injection |
129 |
79 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
36 |
31 |
$0.00 |
| 97530 |
|
33 |
12 |
$0.00 |
| 84439 |
|
14 |
12 |
$0.00 |
| 87420 |
|
13 |
13 |
$0.00 |