| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
24,403 |
22,246 |
$19.60M |
| 99283 |
|
66,247 |
63,927 |
$6.75M |
| 99285 |
|
2,692 |
2,481 |
$4.65M |
| 87428 |
|
22,824 |
22,260 |
$1.49M |
| 41899 |
|
706 |
679 |
$1.31M |
| 99282 |
|
17,273 |
16,905 |
$1.27M |
| 99214 |
|
7,186 |
6,649 |
$812K |
| 87426 |
|
14,801 |
13,941 |
$687K |
| 71045 |
|
13,756 |
12,910 |
$677K |
| 87880 |
|
15,804 |
15,452 |
$665K |
| 93005 |
|
3,902 |
3,480 |
$494K |
| 87804 |
|
11,086 |
5,445 |
$465K |
| 92507 |
|
3,280 |
716 |
$445K |
| 99213 |
|
6,443 |
5,849 |
$437K |
| 80053 |
|
23,379 |
21,247 |
$358K |
| 74177 |
|
1,168 |
1,117 |
$351K |
| 42820 |
|
79 |
78 |
$338K |
| 85025 |
|
28,828 |
25,079 |
$312K |
| 97110 |
|
1,539 |
378 |
$272K |
| 99291 |
|
181 |
174 |
$253K |
| 87081 |
|
12,777 |
12,526 |
$202K |
| G0378 |
Hospital observation per hr |
377 |
338 |
$148K |
| 70450 |
|
1,639 |
1,540 |
$133K |
| U0003 |
Cov-19 amp prb hgh thruput |
907 |
894 |
$124K |
| 11042 |
|
1,102 |
492 |
$119K |
| 81025 |
|
7,553 |
7,085 |
$119K |
| 69436 |
|
96 |
88 |
$110K |
| 81001 |
|
20,993 |
19,733 |
$107K |
| 93306 |
|
125 |
121 |
$105K |
| 80307 |
|
1,362 |
1,251 |
$86K |
| 77067 |
|
665 |
659 |
$67K |
| 87807 |
|
1,629 |
1,612 |
$67K |
| 87591 |
|
1,061 |
1,013 |
$64K |
| 87491 |
|
1,061 |
1,013 |
$64K |
| 97530 |
|
690 |
131 |
$58K |
| 83880 |
|
2,079 |
1,877 |
$58K |
| 84484 |
|
4,840 |
3,224 |
$51K |
| 96361 |
|
1,027 |
908 |
$47K |
| 87430 |
|
2,369 |
2,278 |
$47K |
| G0463 |
Hospital outpt clinic visit |
10,413 |
8,706 |
$46K |
| 74176 |
|
258 |
243 |
$44K |
| 86850 |
|
657 |
626 |
$43K |
| 71046 |
|
789 |
763 |
$38K |
| 99211 |
|
798 |
687 |
$32K |
| 87420 |
|
993 |
975 |
$27K |
| 87800 |
|
337 |
318 |
$26K |
| 96365 |
|
348 |
280 |
$24K |
| J2270 |
Morphine sulfate injection |
798 |
578 |
$23K |
| 83690 |
|
2,793 |
2,578 |
$23K |
| 87389 |
|
662 |
634 |
$23K |
| 73610 |
|
228 |
201 |
$22K |
| 77063 |
|
646 |
640 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
899 |
822 |
$18K |
| 94640 |
|
70 |
64 |
$18K |
| 84443 |
|
1,651 |
1,617 |
$16K |
| 87086 |
|
2,205 |
2,071 |
$16K |
| 73630 |
|
237 |
201 |
$15K |
| 96360 |
|
139 |
132 |
$14K |
| 72125 |
|
228 |
219 |
$14K |
| 80048 |
|
2,617 |
2,176 |
$14K |
| 96374 |
|
2,569 |
2,359 |
$13K |
| 86780 |
|
585 |
553 |
$12K |
| 82805 |
|
216 |
184 |
$11K |
| 80061 |
|
1,761 |
1,722 |
$11K |
| 83605 |
|
1,161 |
943 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
428 |
399 |
$9K |
| 83036 |
|
1,774 |
1,750 |
$8K |
| 88305 |
|
468 |
430 |
$8K |
| J2405 |
Ondansetron hcl injection |
2,379 |
2,086 |
$8K |
| 96366 |
|
91 |
52 |
$8K |
| 73030 |
|
174 |
153 |
$8K |
| 99212 |
|
294 |
284 |
$6K |
| 84702 |
|
544 |
441 |
$6K |
| 73562 |
|
110 |
99 |
$6K |
| 81003 |
|
1,703 |
1,562 |
$6K |
| 71275 |
|
30 |
27 |
$6K |
| 73502 |
|
148 |
136 |
$5K |
| 87040 |
|
718 |
421 |
$5K |
| 87186 |
|
1,061 |
971 |
$5K |
| 72100 |
|
99 |
98 |
$5K |
| 90471 |
|
119 |
116 |
$5K |
| 80320 |
|
211 |
175 |
$5K |
| 82077 |
|
279 |
248 |
$4K |
| 74018 |
|
144 |
139 |
$4K |
| 83735 |
|
1,141 |
959 |
$4K |
| 97112 |
|
117 |
26 |
$4K |
| 85610 |
|
1,337 |
1,206 |
$4K |
| 80329 |
|
76 |
63 |
$4K |
| 73721 |
|
12 |
12 |
$4K |
| 11721 |
|
249 |
248 |
$3K |
| 96372 |
|
1,509 |
1,037 |
$3K |
| J0360 |
Hydralazine hcl injection |
36 |
25 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
532 |
196 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,644 |
1,543 |
$3K |
| J1100 |
Dexamethasone sodium phos |
788 |
768 |
$3K |
| 87077 |
|
750 |
709 |
$3K |
| U0005 |
Infec agen detec ampli probe |
76 |
76 |
$3K |
| 80055 |
|
33 |
28 |
$3K |
| 80143 |
|
156 |
138 |
$3K |
| 74022 |
|
12 |
12 |
$3K |
| 85730 |
|
643 |
589 |
$3K |
| 80179 |
|
143 |
126 |
$2K |
| 85379 |
|
192 |
177 |
$2K |
| 90715 |
|
15 |
15 |
$2K |
| 96375 |
|
1,321 |
1,144 |
$2K |
| 86900 |
|
894 |
847 |
$2K |
| 86803 |
|
215 |
211 |
$2K |
| 86901 |
|
877 |
833 |
$2K |
| 87635 |
|
31 |
31 |
$2K |
| 84439 |
|
417 |
411 |
$2K |
| J3010 |
Fentanyl citrate injection |
319 |
269 |
$1K |
| 86738 |
|
124 |
117 |
$1K |
| 88142 |
|
25 |
25 |
$1K |
| 82550 |
|
266 |
218 |
$1K |
| 76801 |
|
18 |
18 |
$1K |
| 73130 |
|
19 |
17 |
$1K |
| 76642 |
|
13 |
13 |
$978.99 |
| 20610 |
|
16 |
13 |
$901.01 |
| 82043 |
|
353 |
351 |
$800.07 |
| J2930 |
Methylprednisolone injection |
40 |
36 |
$730.18 |
| 87070 |
|
27 |
26 |
$727.45 |
| 80047 |
|
56 |
51 |
$503.97 |
| 99152 |
|
15 |
13 |
$475.67 |
| 86762 |
|
70 |
64 |
$457.12 |
| J1170 |
Hydromorphone injection |
17 |
12 |
$428.71 |
| 86328 |
|
27 |
26 |
$426.61 |
| 94761 |
|
16 |
12 |
$392.32 |
| 82565 |
|
122 |
114 |
$369.97 |
| G0480 |
Drug test def 1-7 classes |
109 |
97 |
$328.06 |
| 76700 |
|
12 |
12 |
$326.82 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$322.21 |
| 36415 |
|
9,917 |
8,850 |
$320.14 |
| 90686 |
|
122 |
119 |
$296.48 |
| 87340 |
|
49 |
48 |
$287.91 |
| 82570 |
|
123 |
122 |
$279.82 |
| J2250 |
Inj midazolam hydrochloride |
271 |
221 |
$227.22 |
| 82950 |
|
43 |
38 |
$181.36 |
| C1769 |
Guide wire |
158 |
142 |
$176.97 |
| 93971 |
|
12 |
12 |
$151.67 |
| 81002 |
|
47 |
44 |
$144.99 |
| 84703 |
|
15 |
13 |
$123.47 |
| 96376 |
|
547 |
360 |
$121.78 |
| 82962 |
|
4,978 |
1,955 |
$119.08 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
15 |
14 |
$105.77 |
| 86703 |
|
13 |
12 |
$94.12 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$85.97 |
| 85014 |
|
58 |
39 |
$68.39 |
| 92567 |
|
12 |
12 |
$64.06 |
| S0020 |
Injection, bupivicaine hydro |
29 |
26 |
$61.31 |
| 84132 |
|
13 |
13 |
$52.53 |
| 87147 |
|
27 |
24 |
$49.39 |
| 85652 |
|
28 |
26 |
$45.71 |
| 86140 |
|
16 |
13 |
$38.57 |
| 84100 |
|
13 |
13 |
$31.02 |
| 80069 |
|
36 |
12 |
$30.00 |
| A9270 |
Non-covered item or service |
294 |
156 |
$23.13 |
| C1894 |
Intro/sheath, non-laser |
18 |
15 |
$17.18 |
| 88720 |
|
14 |
12 |
$16.88 |
| 85018 |
|
42 |
24 |
$9.31 |
| G1010 |
Cdsm stanson |
1,492 |
1,388 |
$0.00 |
| 90662 |
|
87 |
87 |
$0.00 |
| 97803 |
|
30 |
26 |
$0.00 |
| 80164 |
|
14 |
13 |
$0.00 |
| 36592 |
|
31 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
181 |
181 |
$0.00 |
| 0001A |
|
62 |
61 |
$0.00 |
| J2001 |
Lidocaine injection |
15 |
14 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$0.00 |
| C1755 |
Catheter, intraspinal |
16 |
12 |
$0.00 |