| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
47,672 |
37,695 |
$7.24M |
| 99283 |
|
53,421 |
41,794 |
$6.05M |
| G0463 |
Hospital outpt clinic visit |
89,552 |
78,402 |
$5.71M |
| 99285 |
|
14,835 |
12,107 |
$2.83M |
| U0003 |
Cov-19 amp prb hgh thruput |
12,367 |
9,887 |
$941K |
| 99282 |
|
5,798 |
5,191 |
$329K |
| 96374 |
|
5,638 |
5,105 |
$273K |
| 96361 |
|
1,159 |
1,058 |
$203K |
| 43239 |
|
387 |
363 |
$198K |
| U0005 |
Infec agen detec ampli probe |
8,395 |
6,692 |
$138K |
| G0483 |
Drug test def 22+ classes |
846 |
667 |
$121K |
| 36591 |
|
18,845 |
17,385 |
$94K |
| 92014 |
|
1,250 |
1,217 |
$89K |
| J0585 |
Injection,onabotulinumtoxina |
188 |
90 |
$88K |
| 0241U |
|
527 |
501 |
$67K |
| 76816 |
|
1,085 |
886 |
$66K |
| 67028 |
|
348 |
301 |
$62K |
| 80307 |
|
2,392 |
1,911 |
$60K |
| 80053 |
|
10,967 |
10,029 |
$51K |
| 96375 |
|
1,976 |
1,761 |
$49K |
| 36415 |
|
14,426 |
12,753 |
$45K |
| C9803 |
Hopd covid-19 spec collect |
1,622 |
1,384 |
$45K |
| 69436 |
|
56 |
38 |
$41K |
| 76811 |
|
323 |
310 |
$34K |
| 85025 |
|
18,181 |
16,619 |
$29K |
| 96365 |
|
459 |
278 |
$29K |
| 93296 |
|
1,163 |
1,125 |
$26K |
| 88305 |
|
2,194 |
1,318 |
$26K |
| 0202U |
|
92 |
82 |
$25K |
| 98941 |
|
1,388 |
797 |
$25K |
| 64615 |
|
92 |
90 |
$21K |
| 87631 |
|
228 |
216 |
$20K |
| 95810 |
|
26 |
25 |
$20K |
| 82306 |
|
855 |
807 |
$18K |
| 71046 |
|
747 |
662 |
$17K |
| 74177 |
|
81 |
72 |
$17K |
| 0002A |
|
631 |
623 |
$17K |
| 93303 |
|
39 |
38 |
$16K |
| 0001A |
|
669 |
655 |
$15K |
| 76819 |
|
201 |
106 |
$15K |
| 93306 |
|
75 |
71 |
$15K |
| 96372 |
|
739 |
615 |
$14K |
| G0481 |
Drug test def 8-14 classes |
163 |
142 |
$12K |
| 71045 |
|
708 |
602 |
$12K |
| 97110 |
|
579 |
191 |
$10K |
| 45380 |
|
15 |
12 |
$10K |
| 82728 |
|
848 |
805 |
$9K |
| 84425 |
|
577 |
561 |
$8K |
| 82607 |
|
844 |
791 |
$8K |
| 87591 |
|
215 |
188 |
$8K |
| 84443 |
|
1,036 |
934 |
$7K |
| 93299 |
|
236 |
206 |
$7K |
| 80061 |
|
859 |
839 |
$7K |
| 87491 |
|
215 |
188 |
$7K |
| 96413 |
|
93 |
66 |
$7K |
| 83036 |
|
1,287 |
1,263 |
$7K |
| 82746 |
|
709 |
674 |
$7K |
| J7030 |
Normal saline solution infus |
4,810 |
4,437 |
$6K |
| 80048 |
|
2,582 |
2,335 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
123 |
26 |
$5K |
| 82525 |
|
560 |
542 |
$5K |
| J3490 |
Drugs unclassified injection |
3,672 |
2,388 |
$5K |
| 84590 |
|
566 |
550 |
$4K |
| 73630 |
|
187 |
170 |
$4K |
| 84630 |
|
580 |
562 |
$4K |
| G0108 |
Diab manage trn per indiv |
113 |
111 |
$4K |
| 92004 |
|
49 |
49 |
$4K |
| 70450 |
|
119 |
101 |
$4K |
| 90471 |
|
282 |
267 |
$4K |
| 95886 |
|
27 |
26 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
2,602 |
2,352 |
$3K |
| 93325 |
|
52 |
51 |
$3K |
| T1016 |
Case management |
67 |
38 |
$3K |
| 93298 |
|
111 |
105 |
$3K |
| 76805 |
|
35 |
35 |
$3K |
| 81513 |
|
51 |
49 |
$3K |
| 90686 |
|
310 |
296 |
$3K |
| J7040 |
Normal saline solution infus |
5,380 |
3,881 |
$3K |
| 92134 |
|
605 |
537 |
$3K |
| 93320 |
|
39 |
38 |
$3K |
| 93005 |
|
1,274 |
1,142 |
$3K |
| 0031A |
|
95 |
91 |
$2K |
| 94010 |
|
95 |
89 |
$2K |
| 0240U |
|
12 |
12 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,120 |
2,877 |
$2K |
| 0072A |
|
85 |
71 |
$2K |
| 98940 |
|
125 |
76 |
$2K |
| 87502 |
|
110 |
99 |
$2K |
| 0124A |
|
59 |
53 |
$2K |
| 20610 |
|
30 |
26 |
$2K |
| 86140 |
|
549 |
492 |
$1K |
| G0480 |
Drug test def 1-7 classes |
88 |
82 |
$1K |
| 0004A |
|
73 |
58 |
$1K |
| 76705 |
|
17 |
14 |
$1K |
| 76830 |
|
16 |
14 |
$1K |
| 86780 |
|
88 |
80 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,818 |
1,401 |
$1K |
| 85027 |
|
1,137 |
1,033 |
$1K |
| 83735 |
|
1,253 |
1,147 |
$1K |
| 94729 |
|
170 |
162 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,811 |
1,658 |
$1K |
| 0071A |
|
33 |
33 |
$987.40 |
| 84484 |
|
509 |
399 |
$968.88 |
| 96367 |
|
16 |
12 |
$952.90 |
| 87661 |
|
51 |
49 |
$880.10 |
| 87086 |
|
511 |
441 |
$778.65 |
| 81001 |
|
1,845 |
1,685 |
$730.65 |
| C9257 |
Bevacizumab injection |
87 |
83 |
$717.19 |
| J0131 |
Inj, acetaminophen (nos) |
115 |
103 |
$664.72 |
| 73610 |
|
50 |
40 |
$664.24 |
| 87481 |
|
51 |
49 |
$658.61 |
| 99232 |
|
43 |
12 |
$648.16 |
| J1756 |
Iron sucrose injection |
32 |
12 |
$630.00 |
| 0012A |
|
23 |
21 |
$599.17 |
| 0011A |
|
22 |
21 |
$530.08 |
| 84703 |
|
861 |
791 |
$479.47 |
| 73120 |
|
15 |
12 |
$475.35 |
| J7120 |
Ringers lactate infusion |
656 |
490 |
$474.90 |
| 11721 |
|
56 |
54 |
$466.62 |
| 83690 |
|
577 |
516 |
$466.55 |
| 90480 |
|
26 |
26 |
$451.00 |
| 86803 |
|
105 |
97 |
$446.51 |
| 92567 |
|
26 |
26 |
$443.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
389 |
335 |
$438.65 |
| 87651 |
|
58 |
58 |
$426.55 |
| J2405 |
Ondansetron hcl injection |
1,420 |
1,205 |
$426.18 |
| Q3014 |
Telehealth facility fee |
53 |
47 |
$425.14 |
| 84466 |
|
104 |
90 |
$380.85 |
| 87389 |
|
141 |
125 |
$355.69 |
| 84439 |
|
136 |
117 |
$316.73 |
| 84481 |
|
25 |
25 |
$309.51 |
| J0690 |
Cefazolin sodium injection |
315 |
234 |
$300.13 |
| 73030 |
|
33 |
24 |
$296.10 |
| 87070 |
|
46 |
41 |
$291.48 |
| G2023 |
Specimen collect covid-19 |
21 |
19 |
$285.80 |
| 73562 |
|
15 |
13 |
$265.60 |
| J1040 |
Methylprednisolone 80 mg inj |
26 |
24 |
$264.88 |
| 0064A |
|
19 |
13 |
$251.88 |
| 87340 |
|
100 |
89 |
$248.57 |
| 83540 |
|
135 |
116 |
$220.48 |
| 90834 |
|
15 |
13 |
$214.49 |
| 84255 |
|
15 |
14 |
$205.19 |
| 90656 |
|
13 |
12 |
$188.43 |
| S0119 |
Ondansetron 4 mg |
31 |
30 |
$149.77 |
| 87205 |
|
45 |
40 |
$145.40 |
| 85652 |
|
84 |
82 |
$142.64 |
| 91320 |
|
14 |
14 |
$124.87 |
| 87480 |
|
222 |
195 |
$123.16 |
| 89190 |
|
12 |
12 |
$120.81 |
| 86705 |
|
15 |
15 |
$117.38 |
| 90691 |
|
12 |
12 |
$109.37 |
| 73100 |
|
15 |
12 |
$103.25 |
| 81003 |
|
674 |
607 |
$89.69 |
| 86431 |
|
28 |
25 |
$81.35 |
| G0008 |
Admin influenza virus vac |
27 |
27 |
$80.00 |
| J3301 |
Triamcinolone acet inj nos |
32 |
27 |
$77.60 |
| J1100 |
Dexamethasone sodium phos |
456 |
367 |
$69.75 |
| 86704 |
|
14 |
14 |
$54.79 |
| 87081 |
|
520 |
400 |
$47.70 |
| 86706 |
|
14 |
14 |
$46.75 |
| 83605 |
|
51 |
41 |
$34.71 |
| 82248 |
|
55 |
49 |
$16.72 |
| 87660 |
|
222 |
195 |
$6.10 |
| 87510 |
|
222 |
195 |
$6.10 |
| J2765 |
Metoclopramide hcl injection |
27 |
24 |
$4.32 |
| G8978 |
Mobility current status |
15 |
12 |
$0.00 |
| 91300 |
|
246 |
204 |
$0.00 |
| 87186 |
|
165 |
137 |
$0.00 |
| 87653 |
|
44 |
42 |
$0.00 |
| 87880 |
|
188 |
185 |
$0.00 |
| 99211 |
|
174 |
127 |
$0.00 |
| 87804 |
|
454 |
220 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
207 |
156 |
$0.00 |
| 85610 |
|
314 |
215 |
$0.00 |
| 84702 |
|
149 |
98 |
$0.00 |
| 74018 |
|
14 |
13 |
$0.00 |
| 87420 |
|
51 |
50 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
18 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
42 |
32 |
$0.00 |
| 80347 |
|
30 |
24 |
$0.00 |
| 86900 |
|
14 |
13 |
$0.00 |
| 84156 |
|
12 |
12 |
$0.00 |
| 82570 |
|
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
15 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
17 |
13 |
$0.00 |
| 82962 |
|
307 |
146 |
$0.00 |
| 94640 |
|
201 |
168 |
$0.00 |
| 82550 |
|
69 |
59 |
$0.00 |
| 87077 |
|
184 |
151 |
$0.00 |
| 88142 |
|
144 |
125 |
$0.00 |
| A9270 |
Non-covered item or service |
1,235 |
408 |
$0.00 |
| J2001 |
Lidocaine injection |
97 |
75 |
$0.00 |
| 99213 |
|
124 |
96 |
$0.00 |
| 99214 |
|
165 |
135 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
16 |
$0.00 |
| 96376 |
|
74 |
56 |
$0.00 |
| 86762 |
|
29 |
28 |
$0.00 |
| 86901 |
|
14 |
13 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| 82043 |
|
49 |
49 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
63 |
31 |
$0.00 |
| J1170 |
Hydromorphone injection |
21 |
13 |
$0.00 |
| 85379 |
|
32 |
29 |
$0.00 |
| 82950 |
|
32 |
31 |
$0.00 |
| 83880 |
|
25 |
24 |
$0.00 |
| 82553 |
|
14 |
12 |
$0.00 |
| 73502 |
|
15 |
12 |
$0.00 |
| 85730 |
|
14 |
14 |
$0.00 |