| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,182 |
13,956 |
$725K |
| 96361 |
|
5,750 |
4,545 |
$657K |
| 99283 |
|
14,166 |
12,311 |
$651K |
| 99213 |
|
18,541 |
15,953 |
$587K |
| 87637 |
|
3,650 |
3,269 |
$435K |
| 99282 |
|
5,688 |
5,009 |
$305K |
| 80053 |
|
16,106 |
13,149 |
$275K |
| 99285 |
|
6,268 |
5,253 |
$260K |
| 87635 |
|
4,420 |
3,839 |
$234K |
| 97530 |
|
11,609 |
4,091 |
$220K |
| 99211 |
|
4,031 |
3,388 |
$204K |
| G0381 |
Lev 2 hosp type b ed visit |
3,438 |
3,121 |
$196K |
| 87651 |
|
4,190 |
3,739 |
$195K |
| 96365 |
|
4,078 |
2,181 |
$188K |
| G0380 |
Lev 1 hosp type b ed visit |
3,169 |
2,830 |
$188K |
| 96360 |
|
2,292 |
1,806 |
$177K |
| 99214 |
|
3,867 |
3,375 |
$176K |
| G0382 |
Lev 3 hosp type b ed visit |
2,975 |
2,666 |
$166K |
| 99212 |
|
2,646 |
2,336 |
$153K |
| 87636 |
|
1,385 |
1,250 |
$144K |
| 85025 |
|
18,490 |
14,508 |
$126K |
| 97110 |
|
10,455 |
3,458 |
$124K |
| 80306 |
|
5,193 |
3,720 |
$120K |
| 74177 |
|
1,936 |
1,662 |
$119K |
| 70450 |
|
2,341 |
2,013 |
$116K |
| 99281 |
|
1,683 |
1,469 |
$104K |
| 80048 |
|
5,169 |
4,195 |
$96K |
| C9803 |
Hopd covid-19 spec collect |
3,164 |
2,755 |
$87K |
| 84443 |
|
4,747 |
4,123 |
$83K |
| A0427 |
Als1-emergency |
1,251 |
842 |
$74K |
| 92507 |
|
2,819 |
845 |
$73K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,201 |
916 |
$68K |
| 87591 |
|
1,466 |
1,215 |
$66K |
| 94640 |
|
1,691 |
1,311 |
$66K |
| G0480 |
Drug test def 1-7 classes |
1,553 |
1,225 |
$65K |
| 87086 |
|
4,067 |
3,403 |
$61K |
| 87491 |
|
1,736 |
1,423 |
$59K |
| 81025 |
|
3,377 |
2,826 |
$59K |
| 87502 |
|
616 |
517 |
$58K |
| 97140 |
|
5,382 |
1,953 |
$56K |
| 80061 |
|
3,431 |
3,024 |
$54K |
| 80307 |
|
1,160 |
905 |
$54K |
| 84484 |
|
5,379 |
3,466 |
$47K |
| 83036 |
|
3,238 |
2,871 |
$46K |
| A0390 |
Advanced life support mileag |
1,061 |
563 |
$45K |
| 81001 |
|
10,305 |
8,485 |
$44K |
| 84702 |
|
1,130 |
751 |
$41K |
| 99391 |
|
576 |
537 |
$32K |
| G0378 |
Hospital observation per hr |
1,152 |
764 |
$32K |
| 93306 |
|
435 |
393 |
$30K |
| 73630 |
|
2,055 |
1,672 |
$28K |
| 87480 |
|
1,127 |
910 |
$26K |
| 82306 |
|
808 |
731 |
$25K |
| 83690 |
|
4,124 |
3,459 |
$25K |
| 82948 |
|
2,529 |
1,546 |
$23K |
| 59025 |
|
367 |
193 |
$22K |
| 71046 |
|
5,208 |
4,498 |
$21K |
| 73110 |
|
1,095 |
843 |
$21K |
| 76856 |
|
441 |
393 |
$19K |
| 85610 |
|
2,510 |
1,951 |
$19K |
| 87660 |
|
1,124 |
906 |
$18K |
| 73030 |
|
1,334 |
1,131 |
$18K |
| 87510 |
|
1,143 |
921 |
$18K |
| 74176 |
|
331 |
297 |
$18K |
| 99203 |
|
405 |
373 |
$18K |
| 87624 |
|
427 |
334 |
$18K |
| 84439 |
|
1,187 |
1,024 |
$15K |
| 83880 |
|
771 |
639 |
$15K |
| 97112 |
|
1,112 |
461 |
$15K |
| 83735 |
|
2,949 |
2,346 |
$15K |
| 87077 |
|
1,791 |
1,424 |
$15K |
| 96366 |
|
190 |
145 |
$14K |
| 83605 |
|
1,884 |
1,388 |
$14K |
| 73564 |
|
781 |
679 |
$14K |
| 73610 |
|
1,416 |
1,184 |
$13K |
| 88175 |
|
513 |
402 |
$13K |
| 87186 |
|
1,853 |
1,535 |
$13K |
| 87634 |
|
283 |
238 |
$13K |
| 87426 |
|
721 |
608 |
$12K |
| U0005 |
Infec agen detec ampli probe |
1,172 |
900 |
$12K |
| 77067 |
|
497 |
464 |
$12K |
| 73130 |
|
884 |
711 |
$12K |
| A0429 |
Bls-emergency |
279 |
186 |
$12K |
| 99291 |
|
267 |
217 |
$11K |
| 76830 |
|
327 |
289 |
$11K |
| 76705 |
|
264 |
236 |
$10K |
| 93005 |
|
8,213 |
6,584 |
$10K |
| 76801 |
|
191 |
136 |
$9K |
| 87389 |
|
484 |
383 |
$9K |
| 85027 |
|
1,879 |
1,632 |
$9K |
| 87507 |
|
27 |
24 |
$9K |
| 99392 |
|
155 |
147 |
$9K |
| 80055 |
|
99 |
78 |
$8K |
| 93010 |
|
1,399 |
1,219 |
$8K |
| 76805 |
|
110 |
81 |
$8K |
| 87070 |
|
402 |
333 |
$7K |
| 97162 |
|
659 |
580 |
$7K |
| 86803 |
|
548 |
477 |
$6K |
| 96374 |
|
7,047 |
5,577 |
$6K |
| 87088 |
|
1,023 |
912 |
$5K |
| 84703 |
|
779 |
676 |
$5K |
| 90686 |
|
563 |
547 |
$5K |
| 86618 |
|
216 |
151 |
$5K |
| 87798 |
|
75 |
72 |
$4K |
| 86140 |
|
744 |
576 |
$4K |
| 87880 |
|
259 |
234 |
$4K |
| 99393 |
|
77 |
76 |
$4K |
| 71275 |
|
66 |
62 |
$4K |
| 85379 |
|
598 |
534 |
$4K |
| 86850 |
|
485 |
400 |
$4K |
| G0483 |
Drug test def 22+ classes |
30 |
27 |
$4K |
| 11721 |
|
479 |
451 |
$4K |
| 96372 |
|
4,039 |
3,161 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
273 |
93 |
$4K |
| 91322 |
|
27 |
27 |
$4K |
| 99239 |
|
168 |
134 |
$3K |
| 81003 |
|
267 |
246 |
$3K |
| 98926 |
|
198 |
145 |
$3K |
| 82570 |
|
183 |
140 |
$3K |
| 72125 |
|
178 |
145 |
$3K |
| 86900 |
|
681 |
537 |
$3K |
| 85007 |
|
861 |
736 |
$3K |
| 36415 |
|
17,151 |
12,995 |
$3K |
| 71260 |
|
45 |
36 |
$2K |
| 73502 |
|
190 |
164 |
$2K |
| 87040 |
|
303 |
166 |
$2K |
| 99232 |
|
199 |
82 |
$2K |
| 92567 |
|
72 |
64 |
$2K |
| G0379 |
Direct refer hospital observ |
209 |
134 |
$2K |
| 77063 |
|
143 |
133 |
$2K |
| 96375 |
|
4,496 |
3,615 |
$2K |
| 99308 |
|
319 |
198 |
$2K |
| 87150 |
|
30 |
26 |
$2K |
| 82805 |
|
90 |
78 |
$2K |
| 87081 |
|
87 |
80 |
$2K |
| 97113 |
|
137 |
41 |
$2K |
| Q3014 |
Telehealth facility fee |
110 |
86 |
$1K |
| 97035 |
|
258 |
111 |
$1K |
| 76817 |
|
126 |
92 |
$1K |
| 87641 |
|
31 |
26 |
$1K |
| 82607 |
|
111 |
99 |
$1K |
| 20610 |
|
48 |
36 |
$1K |
| 84145 |
|
46 |
37 |
$1K |
| 86901 |
|
681 |
537 |
$1K |
| 85652 |
|
549 |
433 |
$1K |
| A0426 |
Als 1 |
97 |
71 |
$1K |
| 90715 |
|
134 |
108 |
$1K |
| 73562 |
|
115 |
89 |
$1K |
| 90670 |
|
329 |
317 |
$1K |
| G0383 |
Lev 4 hosp type b ed visit |
32 |
29 |
$1K |
| 0011A |
|
40 |
39 |
$1K |
| 72100 |
|
58 |
52 |
$995.18 |
| 88720 |
|
48 |
40 |
$993.34 |
| G0463 |
Hospital outpt clinic visit |
91 |
79 |
$912.35 |
| 99394 |
|
14 |
14 |
$853.72 |
| 93976 |
|
26 |
24 |
$817.63 |
| 90698 |
|
258 |
241 |
$804.33 |
| 71045 |
|
1,640 |
1,392 |
$741.04 |
| 92557 |
|
16 |
12 |
$733.88 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,792 |
2,926 |
$713.26 |
| 85018 |
|
184 |
150 |
$701.32 |
| A0425 |
Ground mileage |
1,352 |
956 |
$668.38 |
| 12001 |
|
12 |
12 |
$631.08 |
| 72148 |
|
14 |
14 |
$614.48 |
| A0380 |
Basic life support mileage |
46 |
24 |
$572.70 |
| 87210 |
|
122 |
101 |
$558.41 |
| 88305 |
|
288 |
225 |
$513.86 |
| 82043 |
|
58 |
48 |
$510.45 |
| 93971 |
|
30 |
25 |
$508.21 |
| 85014 |
|
79 |
69 |
$495.34 |
| 82550 |
|
107 |
94 |
$446.85 |
| 99307 |
|
26 |
16 |
$436.64 |
| 82950 |
|
14 |
12 |
$396.04 |
| 80050 |
|
42 |
37 |
$388.44 |
| 73080 |
|
79 |
62 |
$373.72 |
| 85730 |
|
114 |
97 |
$354.86 |
| 73140 |
|
65 |
61 |
$353.80 |
| 82728 |
|
26 |
24 |
$325.84 |
| 97166 |
|
17 |
14 |
$316.43 |
| 99443 |
|
22 |
15 |
$310.30 |
| 11056 |
|
14 |
14 |
$291.48 |
| 74019 |
|
118 |
107 |
$288.04 |
| 86787 |
|
39 |
28 |
$245.92 |
| 74018 |
|
60 |
49 |
$242.55 |
| 83520 |
|
16 |
12 |
$198.87 |
| 90744 |
|
66 |
56 |
$191.98 |
| A0428 |
Bls |
17 |
13 |
$189.80 |
| 97163 |
|
43 |
37 |
$186.98 |
| 84100 |
|
52 |
44 |
$171.30 |
| 90681 |
|
55 |
53 |
$168.81 |
| 90658 |
|
13 |
12 |
$145.48 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
15 |
$140.46 |
| 83540 |
|
30 |
25 |
$134.90 |
| J3301 |
Triamcinolone acet inj nos |
37 |
28 |
$103.91 |
| J2795 |
Ropivacaine hcl injection |
18 |
14 |
$73.50 |
| 82565 |
|
35 |
25 |
$70.82 |
| 90471 |
|
139 |
115 |
$57.66 |
| 90710 |
|
17 |
17 |
$56.27 |
| 90723 |
|
15 |
14 |
$49.65 |
| 90648 |
|
14 |
13 |
$46.34 |
| 36000 |
|
802 |
705 |
$44.34 |
| 90633 |
|
13 |
13 |
$43.03 |
| 96376 |
|
468 |
370 |
$37.18 |
| 86592 |
|
15 |
13 |
$35.90 |
| J1885 |
Ketorolac tromethamine inj |
3,377 |
2,547 |
$20.87 |
| J2704 |
Inj, propofol, 10 mg |
1,790 |
982 |
$19.74 |
| J1100 |
Dexamethasone sodium phos |
1,534 |
974 |
$10.93 |
| J1200 |
Diphenhydramine hcl injectio |
455 |
377 |
$6.77 |
| J1170 |
Hydromorphone injection |
217 |
142 |
$5.36 |
| J2405 |
Ondansetron hcl injection |
2,389 |
1,859 |
$5.32 |
| J2001 |
Lidocaine injection |
115 |
91 |
$5.20 |
| J3010 |
Fentanyl citrate injection |
1,338 |
971 |
$5.15 |
| J0690 |
Cefazolin sodium injection |
331 |
233 |
$4.67 |
| J2765 |
Metoclopramide hcl injection |
46 |
38 |
$3.00 |
| J2060 |
Lorazepam injection |
53 |
39 |
$1.42 |
| J2250 |
Inj midazolam hydrochloride |
893 |
650 |
$1.04 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
92 |
77 |
$0.18 |
| 91301 |
|
40 |
39 |
$0.07 |
| G8978 |
Mobility current status |
331 |
276 |
$0.00 |
| G8979 |
Mobility goal status |
337 |
280 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
31 |
24 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
26 |
12 |
$0.00 |
| 94664 |
|
17 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
17 |
15 |
$0.00 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,445 |
522 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
58 |
39 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
140 |
89 |
$0.00 |
| G8988 |
Self care goal status |
14 |
12 |
$0.00 |
| G8987 |
Self care current status |
14 |
12 |
$0.00 |