| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,162 |
6,216 |
$1.31M |
| 99283 |
|
11,907 |
7,825 |
$1.30M |
| 99285 |
|
2,876 |
2,181 |
$912K |
| 99213 |
|
10,150 |
9,256 |
$504K |
| 99214 |
|
4,579 |
4,195 |
$282K |
| 99282 |
|
3,967 |
3,092 |
$272K |
| 97110 |
|
7,385 |
2,381 |
$267K |
| 96374 |
|
1,885 |
1,737 |
$222K |
| 97140 |
|
6,641 |
2,184 |
$142K |
| 87636 |
|
1,367 |
1,341 |
$131K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,507 |
2,399 |
$130K |
| 99203 |
|
2,203 |
2,092 |
$125K |
| 97112 |
|
2,731 |
982 |
$116K |
| 99281 |
|
1,939 |
1,471 |
$105K |
| 99204 |
|
918 |
846 |
$76K |
| 96361 |
|
1,805 |
1,563 |
$75K |
| 96365 |
|
600 |
394 |
$74K |
| 71046 |
|
1,738 |
1,636 |
$74K |
| 87428 |
|
2,583 |
2,489 |
$68K |
| 96375 |
|
1,616 |
1,413 |
$61K |
| 71045 |
|
1,209 |
1,121 |
$59K |
| 87651 |
|
2,855 |
2,788 |
$54K |
| 80061 |
|
5,393 |
5,363 |
$47K |
| 84443 |
|
5,645 |
5,570 |
$45K |
| T1015 |
Clinic service |
1,277 |
1,155 |
$42K |
| 80053 |
|
10,970 |
10,029 |
$39K |
| 77067 |
|
682 |
681 |
$39K |
| 74177 |
|
177 |
167 |
$35K |
| 85025 |
|
12,398 |
10,952 |
$30K |
| 82306 |
|
1,803 |
1,791 |
$25K |
| 36415 |
|
12,534 |
11,161 |
$19K |
| 87880 |
|
2,384 |
2,326 |
$18K |
| 62323 |
|
65 |
36 |
$17K |
| 97161 |
|
260 |
256 |
$17K |
| 97162 |
|
287 |
283 |
$17K |
| 72148 |
|
128 |
128 |
$16K |
| 83036 |
|
3,023 |
2,989 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
1,829 |
1,775 |
$14K |
| 73630 |
|
432 |
405 |
$12K |
| 87491 |
|
527 |
521 |
$10K |
| 87591 |
|
522 |
516 |
$10K |
| 93005 |
|
2,505 |
2,260 |
$10K |
| 84439 |
|
2,313 |
2,268 |
$9K |
| 96372 |
|
3,052 |
2,717 |
$9K |
| 20611 |
|
155 |
130 |
$8K |
| 74176 |
|
65 |
62 |
$8K |
| 99212 |
|
219 |
214 |
$8K |
| 77063 |
|
464 |
461 |
$7K |
| 96360 |
|
54 |
51 |
$7K |
| 73610 |
|
218 |
203 |
$7K |
| 80048 |
|
2,744 |
2,474 |
$7K |
| 93010 |
|
1,490 |
1,378 |
$6K |
| 87086 |
|
2,310 |
2,193 |
$6K |
| 87502 |
|
368 |
351 |
$6K |
| M0245 |
Bamlan and etesev infusion |
16 |
16 |
$6K |
| 87804 |
|
737 |
402 |
$6K |
| 73130 |
|
154 |
145 |
$5K |
| 73721 |
|
31 |
29 |
$5K |
| 70553 |
|
15 |
14 |
$5K |
| 94726 |
|
29 |
28 |
$5K |
| 73221 |
|
32 |
29 |
$5K |
| 87081 |
|
1,513 |
1,493 |
$4K |
| 00170 |
|
49 |
49 |
$4K |
| 99396 |
|
53 |
53 |
$4K |
| 84481 |
|
423 |
416 |
$4K |
| 82728 |
|
448 |
441 |
$3K |
| 83735 |
|
2,362 |
2,112 |
$3K |
| 73030 |
|
84 |
81 |
$3K |
| 99395 |
|
48 |
48 |
$3K |
| 87801 |
|
74 |
74 |
$3K |
| 73562 |
|
96 |
94 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$3K |
| 83550 |
|
539 |
531 |
$3K |
| 76856 |
|
40 |
39 |
$2K |
| 82607 |
|
376 |
370 |
$2K |
| 20553 |
|
58 |
51 |
$2K |
| 76705 |
|
38 |
38 |
$2K |
| 83540 |
|
599 |
589 |
$2K |
| 0012A |
|
61 |
61 |
$2K |
| 97530 |
|
68 |
54 |
$2K |
| 73110 |
|
54 |
47 |
$2K |
| 73560 |
|
49 |
41 |
$2K |
| 94640 |
|
831 |
722 |
$2K |
| 87661 |
|
93 |
91 |
$2K |
| 99406 |
|
255 |
242 |
$2K |
| 74018 |
|
46 |
44 |
$2K |
| 87186 |
|
455 |
423 |
$2K |
| 72141 |
|
13 |
12 |
$2K |
| 88305 |
|
109 |
58 |
$2K |
| 87481 |
|
74 |
73 |
$1K |
| 87807 |
|
193 |
188 |
$1K |
| 86140 |
|
961 |
898 |
$1K |
| 80074 |
|
68 |
68 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
317 |
271 |
$1K |
| 0011A |
|
67 |
67 |
$1K |
| 85610 |
|
818 |
608 |
$1K |
| 81025 |
|
1,750 |
1,682 |
$1K |
| 87631 |
|
227 |
224 |
$1K |
| 82043 |
|
379 |
378 |
$1K |
| 85027 |
|
429 |
411 |
$1K |
| 81002 |
|
820 |
793 |
$1K |
| 99392 |
|
58 |
58 |
$1K |
| 81001 |
|
2,535 |
2,396 |
$1K |
| 99393 |
|
27 |
27 |
$1K |
| 0031A |
|
36 |
36 |
$1K |
| 01992 |
|
69 |
68 |
$1K |
| 99391 |
|
66 |
61 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
3,073 |
2,807 |
$1K |
| 72100 |
|
18 |
18 |
$941.81 |
| 70450 |
|
12 |
12 |
$907.45 |
| 88175 |
|
56 |
56 |
$828.36 |
| 87624 |
|
44 |
44 |
$813.76 |
| 76830 |
|
13 |
13 |
$785.03 |
| 99202 |
|
15 |
14 |
$764.91 |
| 20610 |
|
15 |
12 |
$722.10 |
| J1010 |
Inj, methylpred acetate 1 mg |
210 |
199 |
$716.13 |
| 87070 |
|
189 |
181 |
$673.35 |
| 83690 |
|
1,313 |
1,182 |
$661.31 |
| 87635 |
|
27 |
26 |
$650.66 |
| U0005 |
Infec agen detec ampli probe |
37 |
37 |
$605.13 |
| 92567 |
|
67 |
64 |
$592.57 |
| 90686 |
|
36 |
36 |
$534.74 |
| 51798 |
|
89 |
81 |
$516.22 |
| 87077 |
|
149 |
122 |
$473.61 |
| 99000 |
|
188 |
184 |
$439.06 |
| 87806 |
|
32 |
32 |
$429.74 |
| 90471 |
|
66 |
63 |
$407.05 |
| G0480 |
Drug test def 1-7 classes |
28 |
27 |
$406.14 |
| 96127 |
|
140 |
140 |
$385.53 |
| 73564 |
|
14 |
13 |
$349.56 |
| 81003 |
|
744 |
728 |
$281.89 |
| 84484 |
|
1,051 |
866 |
$270.40 |
| 82746 |
|
39 |
39 |
$269.76 |
| 85652 |
|
227 |
223 |
$262.84 |
| 83655 |
|
38 |
38 |
$237.39 |
| 83880 |
|
16 |
15 |
$236.27 |
| 80076 |
|
80 |
77 |
$234.67 |
| 87480 |
|
16 |
16 |
$205.00 |
| J1100 |
Dexamethasone sodium phos |
1,581 |
1,528 |
$196.20 |
| 87660 |
|
15 |
15 |
$188.39 |
| 85651 |
|
91 |
85 |
$167.13 |
| 87088 |
|
39 |
37 |
$122.90 |
| J2360 |
Orphenadrine injection |
20 |
19 |
$114.54 |
| 93000 |
|
12 |
12 |
$109.92 |
| 84550 |
|
52 |
52 |
$102.48 |
| 86038 |
|
14 |
14 |
$84.15 |
| 86430 |
|
26 |
26 |
$75.60 |
| G2023 |
Specimen collect covid-19 |
13 |
13 |
$75.36 |
| J2930 |
Methylprednisolone injection |
25 |
24 |
$66.22 |
| 94010 |
|
41 |
40 |
$47.02 |
| 82570 |
|
12 |
12 |
$23.05 |
| J2405 |
Ondansetron hcl injection |
1,744 |
1,617 |
$6.75 |
| J1200 |
Diphenhydramine hcl injectio |
90 |
80 |
$1.81 |
| J7030 |
Normal saline solution infus |
998 |
928 |
$0.00 |
| 1159F |
|
12,295 |
11,079 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
628 |
593 |
$0.00 |
| 3077F |
|
1,589 |
1,493 |
$0.00 |
| 3078F |
|
9,132 |
8,391 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
66 |
64 |
$0.00 |
| J2270 |
Morphine sulfate injection |
124 |
105 |
$0.00 |
| 1033F |
|
538 |
490 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
129 |
127 |
$0.00 |
| 94729 |
|
28 |
27 |
$0.00 |
| 1032F |
|
33 |
31 |
$0.00 |
| 3050F |
|
80 |
74 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |
| 3074F |
|
10,660 |
9,703 |
$0.00 |
| 3079F |
|
3,995 |
3,787 |
$0.00 |
| 1036F |
|
3,923 |
3,636 |
$0.00 |
| 3049F |
|
259 |
214 |
$0.00 |
| 2000F |
|
10,559 |
9,567 |
$0.00 |
| 2010F |
|
12,257 |
11,001 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,022 |
988 |
$0.00 |
| 1220F |
|
672 |
643 |
$0.00 |
| 3080F |
|
1,125 |
1,080 |
$0.00 |
| J7050 |
Normal saline solution infus |
663 |
547 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
79 |
76 |
$0.00 |
| 3008F |
|
222 |
199 |
$0.00 |
| A9585 |
Gadobutrol injection |
111 |
109 |
$0.00 |
| 1034F |
|
2,132 |
1,870 |
$0.00 |
| 1125F |
|
2,434 |
2,279 |
$0.00 |
| 3017F |
|
214 |
187 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,267 |
1,241 |
$0.00 |
| 2001F |
|
155 |
136 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
85 |
80 |
$0.00 |
| J3490 |
Drugs unclassified injection |
124 |
73 |
$0.00 |
| 3048F |
|
235 |
208 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
724 |
697 |
$0.00 |
| 3075F |
|
2,065 |
1,977 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 84703 |
|
12 |
12 |
$0.00 |
| 83605 |
|
115 |
109 |
$0.00 |
| 94760 |
|
71 |
65 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
42 |
42 |
$0.00 |
| 3014F |
|
14 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
15 |
14 |
$0.00 |