| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
3,919 |
3,281 |
$1.49M |
| 99285 |
|
10,939 |
7,238 |
$1.37M |
| 99283 |
|
6,960 |
5,475 |
$1.14M |
| 99284 |
|
8,339 |
5,925 |
$985K |
| G0463 |
Hospital outpt clinic visit |
21,581 |
16,502 |
$505K |
| 70450 |
|
2,092 |
1,795 |
$438K |
| 74177 |
|
2,110 |
1,850 |
$430K |
| 99282 |
|
1,795 |
1,615 |
$314K |
| 97110 |
|
12,783 |
5,481 |
$283K |
| 96365 |
|
1,668 |
1,209 |
$269K |
| 96360 |
|
1,046 |
951 |
$225K |
| 99214 |
|
14,332 |
10,126 |
$159K |
| 87651 |
|
4,101 |
3,736 |
$118K |
| 0241U |
|
3,807 |
3,396 |
$105K |
| 85025 |
|
20,931 |
16,836 |
$90K |
| 99213 |
|
9,807 |
6,849 |
$81K |
| 80053 |
|
11,220 |
9,378 |
$80K |
| 94640 |
|
1,284 |
920 |
$79K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,697 |
1,569 |
$78K |
| 87631 |
|
812 |
712 |
$69K |
| 97140 |
|
4,623 |
2,291 |
$68K |
| 80048 |
|
11,865 |
10,077 |
$65K |
| 84443 |
|
6,313 |
5,755 |
$64K |
| 90834 |
|
901 |
707 |
$58K |
| 97112 |
|
3,473 |
1,837 |
$56K |
| 99215 |
Prolong outpt/office vis |
4,600 |
3,398 |
$54K |
| 71275 |
|
234 |
221 |
$51K |
| 97162 |
|
1,717 |
1,635 |
$51K |
| 87635 |
|
1,524 |
1,362 |
$48K |
| 80061 |
|
5,202 |
4,744 |
$47K |
| 99211 |
|
630 |
381 |
$41K |
| C9803 |
Hopd covid-19 spec collect |
5,682 |
5,101 |
$39K |
| 96366 |
|
130 |
104 |
$39K |
| 87480 |
|
2,597 |
2,209 |
$39K |
| 87660 |
|
2,597 |
2,209 |
$38K |
| 87510 |
|
2,597 |
2,209 |
$38K |
| 74176 |
|
161 |
146 |
$37K |
| 99212 |
|
1,326 |
1,026 |
$36K |
| 83036 |
|
6,169 |
5,651 |
$34K |
| 71046 |
|
3,141 |
2,750 |
$33K |
| 76856 |
|
174 |
153 |
$33K |
| 73630 |
|
1,068 |
881 |
$29K |
| 87636 |
|
439 |
382 |
$28K |
| 97161 |
|
753 |
707 |
$28K |
| 72125 |
|
446 |
390 |
$26K |
| 66984 |
|
51 |
25 |
$26K |
| 81025 |
|
4,119 |
3,596 |
$26K |
| 71260 |
|
124 |
108 |
$23K |
| 96374 |
|
4,791 |
3,724 |
$22K |
| 84484 |
|
2,855 |
2,365 |
$22K |
| 80307 |
|
653 |
493 |
$21K |
| 83605 |
|
3,481 |
2,914 |
$20K |
| U0005 |
Infec agen detec ampli probe |
1,245 |
1,152 |
$18K |
| 96372 |
|
3,799 |
2,857 |
$18K |
| 80306 |
|
1,283 |
1,100 |
$17K |
| 87880 |
|
1,262 |
1,178 |
$15K |
| 81001 |
|
6,976 |
6,116 |
$14K |
| 83690 |
|
3,405 |
2,854 |
$14K |
| 85610 |
|
6,115 |
3,596 |
$12K |
| 80050 |
|
444 |
390 |
$12K |
| 83880 |
|
929 |
834 |
$11K |
| 83735 |
|
3,005 |
2,358 |
$11K |
| 90837 |
|
153 |
101 |
$10K |
| 82077 |
|
1,127 |
892 |
$9K |
| 76830 |
|
113 |
97 |
$9K |
| 82728 |
|
883 |
809 |
$9K |
| 85027 |
|
2,238 |
1,921 |
$9K |
| 86140 |
|
2,757 |
2,343 |
$9K |
| 76705 |
|
133 |
112 |
$9K |
| 87103 |
|
1,117 |
966 |
$8K |
| 93005 |
|
6,524 |
5,370 |
$8K |
| 87040 |
|
2,111 |
967 |
$7K |
| 87086 |
|
2,479 |
2,229 |
$7K |
| 81003 |
|
4,464 |
3,987 |
$7K |
| 82947 |
|
2,469 |
2,084 |
$7K |
| 85379 |
|
1,087 |
964 |
$6K |
| 77063 |
|
114 |
109 |
$6K |
| 82570 |
|
1,929 |
1,605 |
$6K |
| 77067 |
|
180 |
168 |
$5K |
| 84702 |
|
467 |
365 |
$5K |
| 82043 |
|
1,573 |
1,410 |
$5K |
| 82565 |
|
1,589 |
1,292 |
$5K |
| 73610 |
|
273 |
226 |
$5K |
| 73030 |
|
209 |
184 |
$5K |
| 82803 |
|
416 |
356 |
$5K |
| 86850 |
|
1,436 |
1,231 |
$5K |
| 80143 |
|
424 |
349 |
$4K |
| 82948 |
|
1,630 |
886 |
$4K |
| 80179 |
|
373 |
306 |
$4K |
| 82248 |
|
1,421 |
1,200 |
$4K |
| 99203 |
|
250 |
169 |
$3K |
| 71045 |
|
2,515 |
2,165 |
$3K |
| 73564 |
|
184 |
153 |
$3K |
| 92507 |
|
119 |
40 |
$3K |
| 97535 |
|
417 |
274 |
$3K |
| 87077 |
|
1,041 |
956 |
$3K |
| 85018 |
|
1,590 |
1,427 |
$3K |
| 36415 |
|
14,565 |
11,951 |
$2K |
| 90471 |
|
761 |
696 |
$2K |
| 97597 |
|
154 |
38 |
$2K |
| 87591 |
|
102 |
95 |
$2K |
| 87491 |
|
102 |
95 |
$2K |
| 90715 |
|
149 |
139 |
$2K |
| 84460 |
|
572 |
430 |
$2K |
| 99291 |
|
24 |
17 |
$2K |
| 87186 |
|
826 |
752 |
$2K |
| 93976 |
|
22 |
13 |
$2K |
| G2211 |
Complex e/m visit add on |
644 |
568 |
$2K |
| 96375 |
|
3,336 |
2,729 |
$2K |
| 84450 |
|
437 |
328 |
$1K |
| Q3014 |
Telehealth facility fee |
345 |
291 |
$1K |
| 86901 |
|
772 |
659 |
$1K |
| 86900 |
|
772 |
659 |
$1K |
| 99442 |
|
98 |
94 |
$1K |
| 76816 |
|
18 |
13 |
$1K |
| 88142 |
|
39 |
39 |
$970.47 |
| J1885 |
Ketorolac tromethamine inj |
3,231 |
2,646 |
$943.46 |
| 91322 |
|
169 |
163 |
$911.32 |
| 83550 |
|
158 |
142 |
$821.42 |
| 83540 |
|
182 |
166 |
$699.19 |
| 72100 |
|
19 |
14 |
$689.57 |
| 36416 |
|
2,722 |
1,515 |
$686.25 |
| 90686 |
|
602 |
583 |
$608.14 |
| 99443 |
|
34 |
34 |
$592.27 |
| 73110 |
|
16 |
15 |
$586.15 |
| 73502 |
|
30 |
28 |
$484.38 |
| 87624 |
|
12 |
12 |
$459.60 |
| 90662 |
|
445 |
434 |
$428.48 |
| 88305 |
|
62 |
52 |
$428.13 |
| 83655 |
|
27 |
25 |
$391.99 |
| J7030 |
Normal saline solution infus |
1,046 |
865 |
$384.54 |
| 84550 |
|
160 |
147 |
$365.11 |
| 73562 |
|
16 |
12 |
$340.63 |
| 73080 |
|
13 |
12 |
$326.41 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,423 |
1,326 |
$288.60 |
| 90480 |
|
165 |
160 |
$264.10 |
| 93971 |
|
17 |
15 |
$192.99 |
| 85652 |
|
99 |
94 |
$180.42 |
| 82950 |
|
39 |
38 |
$173.90 |
| J2250 |
Inj midazolam hydrochloride |
988 |
822 |
$92.19 |
| 0764T |
|
186 |
134 |
$76.08 |
| J2405 |
Ondansetron hcl injection |
2,007 |
1,594 |
$74.08 |
| 93010 |
|
173 |
155 |
$73.13 |
| 84439 |
|
12 |
12 |
$70.14 |
| 84132 |
|
30 |
25 |
$69.57 |
| 86308 |
|
15 |
12 |
$54.06 |
| 99202 |
|
18 |
12 |
$51.58 |
| 0004A |
|
33 |
28 |
$50.31 |
| 84156 |
|
15 |
12 |
$45.89 |
| 90656 |
|
36 |
36 |
$41.55 |
| J0696 |
Ceftriaxone sodium injection |
233 |
169 |
$34.74 |
| J3010 |
Fentanyl citrate injection |
421 |
313 |
$33.66 |
| J1100 |
Dexamethasone sodium phos |
785 |
523 |
$13.30 |
| 90677 |
|
59 |
55 |
$13.23 |
| J7120 |
Ringers lactate infusion |
32 |
27 |
$11.64 |
| J3490 |
Drugs unclassified injection |
292 |
211 |
$10.47 |
| 90472 |
|
14 |
12 |
$10.08 |
| J2795 |
Ropivacaine hcl injection |
292 |
122 |
$9.33 |
| 0064A |
|
31 |
31 |
$4.05 |
| J2704 |
Inj, propofol, 10 mg |
29 |
14 |
$3.81 |
| 0124A |
|
58 |
56 |
$3.69 |
| 0054A |
|
60 |
58 |
$1.95 |
| A9270 |
Non-covered item or service |
1,792 |
1,612 |
$0.00 |
| G0008 |
Admin influenza virus vac |
880 |
861 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
32 |
29 |
$0.00 |
| 92136 |
|
13 |
13 |
$0.00 |
| 96376 |
|
60 |
53 |
$0.00 |
| 93000 |
|
16 |
15 |
$0.00 |
| J1170 |
Hydromorphone injection |
38 |
26 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
15 |
15 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
39 |
39 |
$0.00 |
| 87070 |
|
27 |
26 |
$0.00 |
| 0134A |
|
19 |
19 |
$0.00 |
| 00142 |
|
27 |
26 |
$0.00 |
| J2060 |
Lorazepam injection |
21 |
13 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
12 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
69 |
55 |
$0.00 |
| G8979 |
Mobility goal status |
110 |
105 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
49 |
38 |
$0.00 |
| G8978 |
Mobility current status |
93 |
89 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
14 |
13 |
$0.00 |