| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,645 |
8,514 |
$843K |
| G0463 |
Hospital outpt clinic visit |
22,828 |
16,726 |
$782K |
| 99284 |
|
6,318 |
5,436 |
$490K |
| 92507 |
|
6,948 |
2,513 |
$337K |
| 99285 |
|
4,066 |
3,466 |
$307K |
| 74177 |
|
1,882 |
1,743 |
$225K |
| 96365 |
|
3,064 |
1,279 |
$207K |
| 97112 |
|
3,500 |
1,266 |
$157K |
| 99281 |
|
1,558 |
1,469 |
$156K |
| 70450 |
|
1,712 |
1,553 |
$122K |
| 96361 |
|
453 |
414 |
$95K |
| 97110 |
|
3,577 |
1,097 |
$86K |
| 96413 |
|
878 |
506 |
$70K |
| 80053 |
|
16,258 |
12,802 |
$70K |
| 97530 |
|
1,420 |
556 |
$63K |
| 99282 |
|
581 |
524 |
$51K |
| 96372 |
|
3,624 |
2,964 |
$48K |
| U0003 |
Cov-19 amp prb hgh thruput |
974 |
814 |
$39K |
| 80307 |
|
1,370 |
1,200 |
$37K |
| 85025 |
|
19,051 |
14,589 |
$37K |
| 74176 |
|
307 |
290 |
$27K |
| 97162 |
|
630 |
580 |
$21K |
| 76705 |
|
431 |
416 |
$21K |
| G0480 |
Drug test def 1-7 classes |
371 |
325 |
$20K |
| 77067 |
|
665 |
643 |
$20K |
| 71275 |
|
176 |
168 |
$20K |
| 71046 |
|
2,793 |
2,583 |
$19K |
| 99212 |
|
257 |
207 |
$18K |
| 70553 |
|
141 |
138 |
$18K |
| 97140 |
|
959 |
353 |
$17K |
| 36415 |
|
15,264 |
12,010 |
$15K |
| 87635 |
|
728 |
655 |
$14K |
| 43239 |
|
61 |
51 |
$14K |
| 93306 |
|
83 |
78 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
1,680 |
1,450 |
$13K |
| 90834 |
|
1,712 |
650 |
$12K |
| 84484 |
|
2,817 |
2,276 |
$11K |
| U0004 |
Cov-19 test non-cdc hgh thru |
113 |
106 |
$9K |
| 84443 |
|
2,225 |
1,959 |
$7K |
| 80048 |
|
1,905 |
1,666 |
$7K |
| 94640 |
|
967 |
628 |
$6K |
| 78452 |
|
38 |
38 |
$6K |
| 87804 |
|
468 |
405 |
$5K |
| 96374 |
|
4,984 |
4,058 |
$5K |
| 82803 |
|
1,089 |
961 |
$5K |
| 71045 |
|
3,009 |
2,629 |
$5K |
| 71260 |
|
93 |
91 |
$4K |
| 96523 |
|
158 |
140 |
$4K |
| 83880 |
|
666 |
568 |
$4K |
| 93005 |
|
5,270 |
4,411 |
$4K |
| 81001 |
|
4,555 |
4,059 |
$4K |
| 83690 |
|
2,307 |
1,992 |
$4K |
| 83735 |
|
2,021 |
1,474 |
$4K |
| G0378 |
Hospital observation per hr |
471 |
297 |
$4K |
| 83605 |
|
754 |
636 |
$4K |
| 96375 |
|
3,298 |
2,690 |
$4K |
| 87086 |
|
1,507 |
1,369 |
$4K |
| 93017 |
|
53 |
53 |
$3K |
| 96415 |
|
18 |
12 |
$3K |
| 96360 |
|
27 |
25 |
$3K |
| 72125 |
|
108 |
103 |
$3K |
| 73562 |
|
192 |
181 |
$2K |
| 76937 |
|
167 |
146 |
$2K |
| 70551 |
|
15 |
15 |
$2K |
| 43248 |
|
13 |
12 |
$2K |
| 92523 |
|
13 |
12 |
$2K |
| 73610 |
|
205 |
199 |
$2K |
| 87077 |
|
527 |
478 |
$2K |
| 80061 |
|
782 |
676 |
$2K |
| 87186 |
|
493 |
445 |
$2K |
| 85610 |
|
2,572 |
1,984 |
$2K |
| 85379 |
|
298 |
283 |
$2K |
| 87430 |
|
206 |
197 |
$2K |
| J1170 |
Hydromorphone injection |
1,579 |
1,199 |
$2K |
| 83036 |
|
1,451 |
1,233 |
$1K |
| 83615 |
|
862 |
677 |
$1K |
| 84703 |
|
396 |
374 |
$1K |
| 73630 |
|
149 |
138 |
$1K |
| 87040 |
|
103 |
97 |
$1K |
| J2405 |
Ondansetron hcl injection |
5,404 |
4,589 |
$1K |
| 81003 |
|
2,061 |
1,908 |
$984.71 |
| 73130 |
|
115 |
110 |
$982.45 |
| 86140 |
|
443 |
334 |
$833.83 |
| 97597 |
|
73 |
37 |
$815.81 |
| 87081 |
|
198 |
184 |
$755.53 |
| 93971 |
|
15 |
14 |
$735.73 |
| 84100 |
|
463 |
331 |
$652.83 |
| 82977 |
|
308 |
227 |
$651.13 |
| J3010 |
Fentanyl citrate injection |
2,766 |
2,505 |
$647.11 |
| 90471 |
|
108 |
92 |
$616.54 |
| 73030 |
|
79 |
77 |
$598.92 |
| 85730 |
|
401 |
360 |
$584.22 |
| 84550 |
|
351 |
268 |
$470.69 |
| Q3014 |
Telehealth facility fee |
124 |
100 |
$468.98 |
| 82728 |
|
194 |
175 |
$417.20 |
| 82248 |
|
217 |
166 |
$397.95 |
| 87070 |
|
123 |
110 |
$392.75 |
| 97166 |
|
15 |
12 |
$375.62 |
| 73110 |
|
39 |
39 |
$360.13 |
| J2930 |
Methylprednisolone injection |
352 |
235 |
$350.73 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,637 |
1,486 |
$332.96 |
| 85027 |
|
132 |
114 |
$329.92 |
| J2250 |
Inj midazolam hydrochloride |
1,961 |
1,777 |
$327.46 |
| 80299 |
|
31 |
26 |
$301.05 |
| 87637 |
|
297 |
262 |
$256.50 |
| 84478 |
|
140 |
114 |
$254.61 |
| 85007 |
|
114 |
98 |
$218.43 |
| 87205 |
|
117 |
107 |
$206.92 |
| 84146 |
|
15 |
12 |
$201.44 |
| 82077 |
|
252 |
213 |
$179.03 |
| J1885 |
Ketorolac tromethamine inj |
1,480 |
1,265 |
$170.50 |
| 83550 |
|
136 |
132 |
$167.85 |
| U0002 |
Covid-19 lab test non-cdc |
117 |
107 |
$157.97 |
| 90791 |
|
18 |
13 |
$148.71 |
| 83540 |
|
138 |
134 |
$148.32 |
| 87641 |
|
14 |
14 |
$148.01 |
| 86900 |
|
38 |
37 |
$142.96 |
| 86901 |
|
38 |
37 |
$138.42 |
| 72040 |
|
12 |
12 |
$138.09 |
| J3490 |
Drugs unclassified injection |
572 |
467 |
$135.76 |
| 94760 |
|
1,565 |
1,010 |
$130.58 |
| 96127 |
|
27 |
27 |
$107.60 |
| 82306 |
|
30 |
27 |
$104.36 |
| 90686 |
|
48 |
33 |
$94.71 |
| 88305 |
|
123 |
102 |
$90.56 |
| J0696 |
Ceftriaxone sodium injection |
487 |
275 |
$82.45 |
| 82962 |
|
107 |
37 |
$79.65 |
| 72100 |
|
16 |
15 |
$77.84 |
| G0008 |
Admin influenza virus vac |
49 |
42 |
$64.43 |
| J0330 |
Succinycholine chloride inj |
181 |
159 |
$54.15 |
| A9577 |
Inj multihance |
56 |
55 |
$44.10 |
| 82607 |
|
17 |
14 |
$32.32 |
| 84439 |
|
14 |
13 |
$21.38 |
| 85652 |
|
16 |
12 |
$18.00 |
| 82565 |
|
14 |
13 |
$13.79 |
| U0005 |
Infec agen detec ampli probe |
928 |
807 |
$11.25 |
| J7512 |
Prednisone ir or dr oral 1mg |
119 |
102 |
$6.74 |
| J1200 |
Diphenhydramine hcl injectio |
44 |
36 |
$5.90 |
| J1630 |
Haloperidol injection |
12 |
12 |
$5.82 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$5.52 |
| J2270 |
Morphine sulfate injection |
125 |
112 |
$5.49 |
| J0690 |
Cefazolin sodium injection |
42 |
39 |
$4.74 |
| 99152 |
|
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
51 |
39 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
64 |
56 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
18 |
12 |
$0.00 |
| 96376 |
|
581 |
457 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
148 |
129 |
$0.00 |
| C1769 |
Guide wire |
382 |
281 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
481 |
425 |
$0.00 |
| J7050 |
Normal saline solution infus |
163 |
91 |
$0.00 |