| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,835 |
20,114 |
$5.66M |
| 99284 |
|
16,688 |
14,514 |
$4.78M |
| H0035 |
Mh partial hosp tx under 24h |
16,222 |
1,678 |
$4.72M |
| G0378 |
Hospital observation per hr |
4,933 |
3,572 |
$3.92M |
| 99285 |
|
9,949 |
8,905 |
$3.25M |
| 99282 |
|
4,637 |
4,411 |
$596K |
| 70450 |
|
4,181 |
3,946 |
$517K |
| 74177 |
|
2,007 |
1,934 |
$334K |
| 97110 |
|
12,718 |
3,046 |
$316K |
| 90832 |
|
3,294 |
1,765 |
$313K |
| 43239 |
|
443 |
423 |
$306K |
| 96365 |
|
7,045 |
6,310 |
$299K |
| 97530 |
|
8,191 |
2,352 |
$297K |
| 71046 |
|
11,673 |
10,855 |
$252K |
| 93005 |
|
16,065 |
13,536 |
$252K |
| 93306 |
|
875 |
841 |
$234K |
| 96375 |
|
8,180 |
7,466 |
$220K |
| 74176 |
|
1,529 |
1,474 |
$202K |
| 90863 |
|
2,979 |
2,363 |
$191K |
| 77067 |
|
1,303 |
1,285 |
$174K |
| 85025 |
|
29,316 |
20,674 |
$164K |
| OP272 |
|
1,938 |
1,631 |
$154K |
| 72125 |
|
1,187 |
1,121 |
$144K |
| OP710 |
|
2,119 |
2,046 |
$132K |
| 80053 |
|
23,132 |
19,170 |
$115K |
| 96374 |
|
7,584 |
7,102 |
$114K |
| 80307 |
|
5,512 |
5,002 |
$109K |
| OP370 |
|
1,877 |
1,812 |
$101K |
| 93458 |
|
91 |
88 |
$93K |
| 96361 |
|
9,745 |
9,005 |
$93K |
| 76705 |
|
704 |
685 |
$84K |
| 87635 |
|
4,193 |
3,728 |
$81K |
| 71275 |
|
382 |
366 |
$74K |
| 87636 |
|
1,811 |
1,710 |
$64K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,201 |
3,008 |
$64K |
| 99213 |
|
2,556 |
2,331 |
$62K |
| 84484 |
|
10,972 |
8,764 |
$60K |
| 73130 |
|
1,322 |
1,280 |
$59K |
| 73030 |
|
1,106 |
1,070 |
$57K |
| 96366 |
|
1,893 |
1,724 |
$56K |
| 97140 |
|
1,420 |
416 |
$54K |
| 73630 |
|
1,234 |
1,209 |
$54K |
| OP250 |
|
13,280 |
6,418 |
$50K |
| 97112 |
|
1,851 |
514 |
$49K |
| 80048 |
|
7,492 |
4,649 |
$47K |
| 97161 |
|
1,027 |
964 |
$47K |
| C9803 |
Hopd covid-19 spec collect |
6,013 |
5,524 |
$46K |
| 97162 |
|
868 |
833 |
$45K |
| 70486 |
|
301 |
292 |
$45K |
| 45378 |
|
50 |
50 |
$43K |
| 73564 |
|
1,380 |
1,338 |
$42K |
| 83735 |
|
11,033 |
6,355 |
$42K |
| A9270 |
Non-covered item or service |
3,525 |
2,040 |
$40K |
| 72110 |
|
414 |
412 |
$40K |
| 73610 |
|
900 |
886 |
$38K |
| 96360 |
|
2,650 |
2,527 |
$38K |
| 80320 |
|
3,955 |
3,458 |
$38K |
| 85610 |
|
13,257 |
11,477 |
$37K |
| 85730 |
|
12,984 |
11,357 |
$37K |
| 83880 |
|
2,607 |
2,424 |
$35K |
| J1644 |
Inj heparin sodium per 1000u |
6,332 |
2,792 |
$33K |
| C1769 |
Guide wire |
737 |
682 |
$33K |
| 93970 |
|
239 |
231 |
$32K |
| C1894 |
Intro/sheath, non-laser |
769 |
712 |
$30K |
| 80061 |
|
2,859 |
2,671 |
$27K |
| 87491 |
|
2,188 |
2,129 |
$26K |
| 87591 |
|
2,187 |
2,128 |
$25K |
| 84443 |
|
2,673 |
2,488 |
$24K |
| 71045 |
|
3,054 |
2,779 |
$23K |
| 93017 |
|
97 |
96 |
$23K |
| 97164 |
|
393 |
383 |
$22K |
| 96367 |
|
1,085 |
1,023 |
$21K |
| 77063 |
|
419 |
404 |
$21K |
| 84100 |
|
5,944 |
2,779 |
$20K |
| 96372 |
|
4,663 |
4,307 |
$19K |
| 96376 |
|
1,192 |
1,104 |
$18K |
| 87040 |
|
2,409 |
2,176 |
$18K |
| 83605 |
|
2,714 |
2,449 |
$18K |
| OP637 |
|
19,851 |
6,115 |
$16K |
| 83690 |
|
7,160 |
6,495 |
$16K |
| 76830 |
|
182 |
181 |
$15K |
| 76856 |
|
104 |
104 |
$15K |
| 78452 |
|
55 |
53 |
$15K |
| 83036 |
|
2,856 |
2,699 |
$15K |
| J3010 |
Fentanyl citrate injection |
2,770 |
2,593 |
$14K |
| 88305 |
|
1,129 |
1,083 |
$14K |
| 87275 |
|
3,827 |
3,764 |
$14K |
| 87276 |
|
3,826 |
3,763 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
2,595 |
2,446 |
$14K |
| 0241U |
|
469 |
462 |
$14K |
| G0463 |
Hospital outpt clinic visit |
4,152 |
3,204 |
$13K |
| 73110 |
|
317 |
310 |
$12K |
| 87430 |
|
4,117 |
4,035 |
$12K |
| 90715 |
|
1,314 |
1,282 |
$12K |
| 81001 |
|
10,072 |
9,454 |
$12K |
| 87070 |
|
4,491 |
4,357 |
$11K |
| 73502 |
|
217 |
214 |
$10K |
| J7030 |
Normal saline solution infus |
2,438 |
1,357 |
$10K |
| 99281 |
|
102 |
98 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
494 |
453 |
$10K |
| 45380 |
|
15 |
15 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
8,664 |
7,828 |
$8K |
| 81025 |
|
7,619 |
7,206 |
$8K |
| 90686 |
|
650 |
629 |
$8K |
| J0690 |
Cefazolin sodium injection |
1,479 |
1,262 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
2,655 |
2,462 |
$7K |
| 94640 |
|
776 |
409 |
$7K |
| 97116 |
|
805 |
508 |
$7K |
| 93971 |
|
85 |
81 |
$7K |
| 87086 |
|
1,749 |
1,672 |
$7K |
| OP259 |
|
6,715 |
2,340 |
$7K |
| J3475 |
Inj magnesium sulfate |
2,401 |
1,605 |
$7K |
| J3490 |
Drugs unclassified injection |
47,955 |
21,152 |
$7K |
| 88312 |
|
469 |
452 |
$7K |
| 85027 |
|
1,432 |
855 |
$7K |
| 83520 |
|
351 |
325 |
$7K |
| 81003 |
|
5,442 |
5,145 |
$6K |
| 82803 |
|
607 |
549 |
$6K |
| OP229 |
|
107 |
104 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
12 |
$5K |
| 85379 |
|
2,151 |
2,014 |
$5K |
| 76642 |
|
29 |
26 |
$5K |
| 74022 |
|
149 |
146 |
$5K |
| J2405 |
Ondansetron hcl injection |
6,233 |
5,357 |
$5K |
| 97165 |
|
214 |
194 |
$5K |
| J2270 |
Morphine sulfate injection |
3,157 |
2,352 |
$4K |
| 96368 |
|
349 |
293 |
$4K |
| 99211 |
|
211 |
201 |
$4K |
| 87389 |
|
375 |
352 |
$4K |
| 87186 |
|
676 |
649 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
2,210 |
1,580 |
$3K |
| 86850 |
|
496 |
399 |
$3K |
| G0480 |
Drug test def 1-7 classes |
382 |
302 |
$3K |
| 97535 |
|
228 |
186 |
$3K |
| 36415 |
|
1,006 |
894 |
$3K |
| 90471 |
|
1,595 |
1,479 |
$3K |
| 82728 |
|
362 |
337 |
$3K |
| 76801 |
|
53 |
51 |
$3K |
| 90791 |
|
43 |
43 |
$3K |
| J2060 |
Lorazepam injection |
1,205 |
848 |
$3K |
| 84466 |
|
386 |
353 |
$3K |
| 86900 |
|
1,219 |
1,073 |
$3K |
| OP258 |
|
2,757 |
1,488 |
$2K |
| J7120 |
Ringers lactate infusion |
957 |
412 |
$2K |
| Q3014 |
Telehealth facility fee |
1,590 |
1,490 |
$2K |
| 84703 |
|
1,428 |
1,354 |
$2K |
| 73080 |
|
54 |
51 |
$2K |
| 86141 |
|
218 |
160 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,998 |
1,743 |
$2K |
| 90847 |
|
40 |
24 |
$2K |
| 86901 |
|
1,219 |
1,073 |
$2K |
| 99215 |
Prolong outpt/office vis |
70 |
66 |
$2K |
| 90670 |
|
21 |
21 |
$2K |
| 84702 |
|
472 |
453 |
$2K |
| J3411 |
Thiamine hcl 100 mg |
799 |
592 |
$2K |
| 72052 |
|
25 |
25 |
$2K |
| 77080 |
|
24 |
24 |
$2K |
| M0243 |
Casirivi and imdevi inj |
28 |
25 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,056 |
1,658 |
$2K |
| 90750 |
|
16 |
14 |
$2K |
| 73140 |
|
56 |
53 |
$2K |
| 73590 |
|
40 |
38 |
$2K |
| 76817 |
|
28 |
27 |
$2K |
| J2765 |
Metoclopramide hcl injection |
2,142 |
1,995 |
$2K |
| 99214 |
|
117 |
116 |
$2K |
| J1170 |
Hydromorphone injection |
1,500 |
1,001 |
$1K |
| 72100 |
|
29 |
29 |
$1K |
| 82550 |
|
534 |
452 |
$1K |
| 87420 |
|
459 |
452 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,540 |
1,327 |
$1K |
| J7042 |
5% dextrose/normal saline |
489 |
408 |
$1K |
| 90732 |
|
17 |
17 |
$1K |
| 82010 |
|
333 |
291 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
726 |
712 |
$1K |
| 83540 |
|
371 |
339 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,440 |
1,324 |
$1K |
| A9502 |
Tc99m tetrofosmin |
70 |
63 |
$1K |
| 12001 |
|
56 |
56 |
$1K |
| 86803 |
|
104 |
95 |
$954.62 |
| 82607 |
|
160 |
140 |
$883.70 |
| 82009 |
|
263 |
243 |
$795.40 |
| 88313 |
|
80 |
75 |
$786.10 |
| J0360 |
Hydralazine hcl injection |
232 |
159 |
$707.53 |
| 82272 |
|
76 |
74 |
$707.06 |
| 0012A |
|
27 |
27 |
$655.65 |
| 87077 |
|
158 |
147 |
$590.76 |
| 87147 |
|
232 |
225 |
$553.29 |
| 87220 |
|
665 |
655 |
$516.32 |
| 80074 |
|
41 |
37 |
$457.50 |
| J3480 |
Inj potassium chloride |
448 |
345 |
$454.69 |
| 85007 |
|
83 |
78 |
$442.12 |
| 87426 |
|
20 |
20 |
$370.38 |
| 82746 |
|
80 |
75 |
$359.01 |
| 0011A |
|
28 |
28 |
$335.72 |
| J2930 |
Methylprednisolone injection |
402 |
258 |
$326.91 |
| 71101 |
|
12 |
12 |
$290.86 |
| 29125 |
|
40 |
39 |
$270.99 |
| 85651 |
|
517 |
474 |
$266.55 |
| J1815 |
Insulin injection |
250 |
69 |
$229.75 |
| J3370 |
Vancomycin hcl injection |
44 |
26 |
$174.88 |
| 88304 |
|
13 |
12 |
$172.94 |
| 82306 |
|
15 |
13 |
$127.50 |
| J2370 |
Phenylephrine hcl injection |
18 |
12 |
$111.27 |
| G0008 |
Admin influenza virus vac |
87 |
87 |
$92.30 |
| 80050 |
|
21 |
14 |
$90.00 |
| J1956 |
Levofloxacin injection |
54 |
37 |
$60.51 |
| 87340 |
|
12 |
12 |
$43.26 |
| 87205 |
|
31 |
28 |
$40.61 |
| J3301 |
Triamcinolone acet inj nos |
13 |
12 |
$39.77 |
| J1650 |
Inj enoxaparin sodium |
32 |
12 |
$28.23 |
| J3360 |
Diazepam injection |
15 |
13 |
$24.05 |
| J1940 |
Furosemide injection |
56 |
26 |
$23.83 |
| J2795 |
Ropivacaine hcl injection |
25 |
13 |
$18.16 |
| 85045 |
|
12 |
12 |
$17.00 |
| L1830 |
Ko immob canvas long pre ots |
14 |
14 |
$13.21 |
| L4350 |
Ankle control ortho pre ots |
14 |
14 |
$12.01 |
| G0009 |
Admin pneumococcal vaccine |
56 |
55 |
$8.18 |
| J7050 |
Normal saline solution infus |
27 |
12 |
$5.62 |
| J7510 |
Prednisolone oral per 5 mg |
58 |
58 |
$3.00 |
| J8540 |
Oral dexamethasone |
29 |
12 |
$0.00 |