| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
18,823 |
17,907 |
$1.85M |
| 99283 |
|
14,867 |
14,353 |
$1.14M |
| 80307 |
|
10,022 |
9,476 |
$588K |
| 99285 |
|
4,885 |
4,686 |
$540K |
| G0378 |
Hospital observation per hr |
458 |
424 |
$312K |
| 80053 |
|
30,957 |
28,892 |
$292K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,068 |
3,781 |
$291K |
| 85025 |
|
31,925 |
29,515 |
$152K |
| 84443 |
|
6,289 |
6,125 |
$121K |
| 99282 |
|
2,184 |
2,109 |
$104K |
| 70450 |
|
1,792 |
1,739 |
$96K |
| 74176 |
|
1,054 |
1,034 |
$79K |
| C9803 |
Hopd covid-19 spec collect |
6,853 |
6,409 |
$68K |
| 96374 |
|
2,869 |
2,717 |
$68K |
| 80061 |
|
5,488 |
5,394 |
$62K |
| 74177 |
|
429 |
419 |
$60K |
| 87426 |
|
1,840 |
1,654 |
$57K |
| 87635 |
|
1,648 |
1,533 |
$50K |
| 93005 |
|
5,529 |
5,213 |
$42K |
| 77067 |
|
534 |
534 |
$39K |
| 93306 |
|
772 |
762 |
$39K |
| 71045 |
|
5,556 |
5,345 |
$37K |
| 96361 |
|
2,467 |
2,226 |
$36K |
| 97110 |
|
2,225 |
552 |
$36K |
| 88175 |
|
1,055 |
1,051 |
$32K |
| 0012A |
|
731 |
729 |
$30K |
| 82306 |
|
839 |
821 |
$29K |
| 84702 |
|
1,847 |
1,619 |
$28K |
| 80048 |
|
4,045 |
3,636 |
$28K |
| 87086 |
|
4,447 |
4,256 |
$28K |
| G0379 |
Direct refer hospital observ |
26 |
24 |
$27K |
| 96372 |
|
2,185 |
1,984 |
$27K |
| 81001 |
|
11,431 |
10,940 |
$27K |
| 84703 |
|
2,713 |
2,640 |
$26K |
| 43239 |
|
206 |
203 |
$24K |
| 84484 |
|
3,270 |
2,666 |
$24K |
| 83735 |
|
4,117 |
3,914 |
$23K |
| 80050 |
|
572 |
567 |
$22K |
| 87491 |
|
896 |
882 |
$20K |
| 76817 |
|
387 |
354 |
$20K |
| 87624 |
|
507 |
503 |
$19K |
| 83036 |
|
3,393 |
3,327 |
$19K |
| 36415 |
|
14,130 |
11,227 |
$18K |
| 85027 |
|
3,070 |
2,797 |
$18K |
| 80074 |
|
357 |
355 |
$17K |
| 0240U |
|
603 |
546 |
$17K |
| 71046 |
|
1,523 |
1,492 |
$17K |
| 78452 |
|
107 |
107 |
$17K |
| 87591 |
|
758 |
745 |
$16K |
| 72125 |
|
303 |
292 |
$16K |
| 76700 |
|
329 |
322 |
$15K |
| 85610 |
|
5,507 |
5,072 |
$15K |
| 76641 |
|
268 |
265 |
$15K |
| 96375 |
|
1,169 |
1,092 |
$15K |
| 76830 |
|
313 |
307 |
$13K |
| 86780 |
|
885 |
877 |
$13K |
| 96365 |
|
487 |
445 |
$13K |
| 88342 |
|
498 |
476 |
$12K |
| 84439 |
|
1,846 |
1,808 |
$12K |
| 87389 |
|
439 |
436 |
$12K |
| 83690 |
|
2,833 |
2,714 |
$11K |
| 76705 |
|
361 |
357 |
$11K |
| 96360 |
|
469 |
452 |
$11K |
| 93975 |
|
99 |
98 |
$11K |
| 76536 |
|
281 |
277 |
$11K |
| 76805 |
|
239 |
228 |
$10K |
| 99281 |
|
310 |
304 |
$10K |
| 88305 |
|
1,272 |
1,160 |
$10K |
| 77063 |
|
513 |
513 |
$10K |
| 83880 |
|
435 |
404 |
$10K |
| 93971 |
|
167 |
165 |
$10K |
| 71250 |
|
190 |
187 |
$10K |
| 87040 |
|
847 |
521 |
$9K |
| 82607 |
|
837 |
825 |
$9K |
| 87070 |
|
1,295 |
1,250 |
$8K |
| 82728 |
|
817 |
805 |
$8K |
| 0202U |
|
172 |
168 |
$8K |
| 85730 |
|
1,418 |
1,374 |
$8K |
| 72148 |
|
51 |
51 |
$8K |
| 84153 |
|
350 |
345 |
$8K |
| 84481 |
|
344 |
335 |
$7K |
| 74018 |
|
563 |
552 |
$7K |
| 71275 |
|
40 |
38 |
$7K |
| 84403 |
|
252 |
248 |
$7K |
| 70486 |
|
122 |
121 |
$6K |
| 93970 |
|
97 |
93 |
$6K |
| T1015 |
Clinic service |
219 |
120 |
$6K |
| 86850 |
|
860 |
810 |
$6K |
| 97161 |
|
167 |
162 |
$6K |
| 83540 |
|
899 |
881 |
$6K |
| 81025 |
|
1,659 |
1,627 |
$6K |
| 83605 |
|
1,030 |
918 |
$6K |
| 93880 |
|
101 |
101 |
$6K |
| 87186 |
|
792 |
759 |
$5K |
| 86803 |
|
306 |
304 |
$5K |
| 76775 |
|
175 |
174 |
$5K |
| 73564 |
|
297 |
286 |
$5K |
| 84146 |
|
224 |
222 |
$5K |
| 82043 |
|
817 |
808 |
$5K |
| 97035 |
|
627 |
171 |
$5K |
| 82077 |
|
1,184 |
1,045 |
$5K |
| 82570 |
|
838 |
817 |
$5K |
| 93017 |
|
172 |
170 |
$4K |
| 72100 |
|
250 |
246 |
$4K |
| 77065 |
Tomosynthesis, mammo |
88 |
86 |
$4K |
| 87077 |
|
682 |
656 |
$4K |
| 80164 |
|
264 |
253 |
$4K |
| 86618 |
|
197 |
190 |
$4K |
| U0005 |
Infec agen detec ampli probe |
490 |
447 |
$4K |
| 86762 |
|
227 |
217 |
$4K |
| 73610 |
|
249 |
243 |
$4K |
| 82248 |
|
683 |
652 |
$4K |
| 86038 |
|
299 |
298 |
$4K |
| A9502 |
Tc99m tetrofosmin |
26 |
26 |
$4K |
| 88313 |
|
212 |
199 |
$4K |
| 87633 |
|
12 |
12 |
$4K |
| 0002A |
|
91 |
91 |
$4K |
| G0480 |
Drug test def 1-7 classes |
59 |
56 |
$4K |
| 82550 |
|
649 |
606 |
$4K |
| 73030 |
|
320 |
304 |
$4K |
| 86140 |
|
1,343 |
1,264 |
$3K |
| 86900 |
|
1,059 |
983 |
$3K |
| 86901 |
|
1,059 |
983 |
$3K |
| 77066 |
Tomosynthesis, mammo |
42 |
42 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
87 |
86 |
$3K |
| 87340 |
|
255 |
254 |
$3K |
| 96366 |
|
169 |
140 |
$3K |
| 82746 |
|
315 |
306 |
$3K |
| 0011A |
|
70 |
70 |
$3K |
| 70551 |
|
15 |
15 |
$3K |
| 76642 |
|
82 |
79 |
$3K |
| 85379 |
|
331 |
314 |
$3K |
| 73630 |
|
293 |
287 |
$3K |
| 72110 |
|
146 |
145 |
$3K |
| 73130 |
|
263 |
255 |
$3K |
| 84144 |
|
159 |
143 |
$3K |
| 72131 |
|
45 |
45 |
$3K |
| 71260 |
|
45 |
45 |
$3K |
| 83001 |
|
145 |
145 |
$2K |
| 70553 |
|
14 |
14 |
$2K |
| 90715 |
|
180 |
176 |
$2K |
| 76856 |
|
58 |
57 |
$2K |
| 83550 |
|
574 |
561 |
$2K |
| 83525 |
|
203 |
200 |
$2K |
| 85652 |
|
848 |
802 |
$2K |
| 84436 |
|
260 |
258 |
$2K |
| 94640 |
|
47 |
28 |
$2K |
| 97150 |
|
346 |
153 |
$2K |
| G0279 |
Tomosynthesis, mammo |
141 |
137 |
$2K |
| 80076 |
|
252 |
249 |
$2K |
| 82105 |
|
103 |
98 |
$2K |
| 82784 |
|
101 |
99 |
$2K |
| 82150 |
|
478 |
456 |
$2K |
| 88360 |
|
63 |
61 |
$2K |
| 87088 |
|
258 |
253 |
$2K |
| 86317 |
|
69 |
68 |
$2K |
| 83970 |
|
57 |
56 |
$2K |
| 45380 |
|
12 |
12 |
$1K |
| 80178 |
|
221 |
196 |
$1K |
| 84402 |
|
57 |
57 |
$1K |
| 82950 |
|
232 |
228 |
$1K |
| 84550 |
|
313 |
307 |
$1K |
| 86431 |
|
212 |
209 |
$1K |
| 97140 |
|
82 |
25 |
$1K |
| 73502 |
|
101 |
97 |
$1K |
| 87661 |
|
34 |
34 |
$1K |
| 87880 |
|
226 |
224 |
$1K |
| 73110 |
|
126 |
124 |
$1K |
| 90471 |
|
147 |
133 |
$1K |
| 82962 |
|
975 |
542 |
$1K |
| 80069 |
|
158 |
147 |
$1K |
| 72040 |
|
81 |
81 |
$1K |
| 83002 |
|
62 |
62 |
$1K |
| 80143 |
|
223 |
211 |
$883.00 |
| 84425 |
|
142 |
140 |
$878.72 |
| 84100 |
|
207 |
166 |
$855.45 |
| 82330 |
|
98 |
98 |
$828.08 |
| J1885 |
Ketorolac tromethamine inj |
2,682 |
2,395 |
$825.58 |
| 96376 |
|
17 |
13 |
$821.52 |
| 86696 |
|
32 |
26 |
$805.71 |
| 80179 |
|
196 |
190 |
$772.12 |
| 82140 |
|
206 |
177 |
$771.33 |
| 93226 |
|
25 |
24 |
$719.44 |
| 84590 |
|
63 |
63 |
$715.35 |
| 86695 |
|
33 |
27 |
$704.17 |
| 82977 |
|
90 |
81 |
$694.93 |
| J1170 |
Hydromorphone injection |
372 |
301 |
$671.98 |
| 82565 |
|
114 |
100 |
$650.86 |
| J2704 |
Inj, propofol, 10 mg |
3,375 |
3,158 |
$649.66 |
| 87804 |
|
47 |
42 |
$639.34 |
| 83655 |
|
62 |
61 |
$633.50 |
| 88341 |
|
15 |
14 |
$612.54 |
| 84156 |
|
214 |
209 |
$601.97 |
| 77061 |
|
12 |
12 |
$553.52 |
| 86787 |
|
28 |
27 |
$511.66 |
| 82670 |
|
25 |
25 |
$502.12 |
| 0001A |
|
12 |
12 |
$500.00 |
| 86255 |
|
30 |
29 |
$481.66 |
| 12001 |
|
24 |
24 |
$469.24 |
| 12011 |
|
13 |
13 |
$444.19 |
| 73140 |
|
47 |
47 |
$413.80 |
| 85018 |
|
175 |
162 |
$412.66 |
| 83721 |
|
42 |
42 |
$390.91 |
| 71100 |
|
26 |
25 |
$374.57 |
| J2405 |
Ondansetron hcl injection |
2,665 |
2,439 |
$339.78 |
| 94726 |
|
12 |
12 |
$329.76 |
| 88304 |
|
136 |
135 |
$305.45 |
| 97165 |
|
13 |
12 |
$274.70 |
| 85014 |
|
102 |
94 |
$267.19 |
| J2270 |
Morphine sulfate injection |
295 |
231 |
$257.84 |
| 72050 |
|
12 |
12 |
$242.41 |
| J3010 |
Fentanyl citrate injection |
2,690 |
2,451 |
$240.40 |
| J2060 |
Lorazepam injection |
580 |
448 |
$235.31 |
| 73080 |
|
18 |
18 |
$214.36 |
| 72072 |
|
12 |
12 |
$213.23 |
| 93225 |
|
13 |
13 |
$212.20 |
| 84479 |
|
30 |
30 |
$190.21 |
| 82785 |
|
12 |
12 |
$186.66 |
| J1100 |
Dexamethasone sodium phos |
1,127 |
1,001 |
$176.90 |
| 84466 |
|
14 |
13 |
$162.83 |
| 87798 |
|
12 |
12 |
$162.33 |
| 82378 |
|
12 |
12 |
$159.15 |
| 84520 |
|
32 |
31 |
$152.25 |
| 82951 |
|
12 |
12 |
$145.67 |
| J2795 |
Ropivacaine hcl injection |
32 |
24 |
$145.19 |
| 82947 |
|
42 |
39 |
$143.53 |
| 80177 |
|
14 |
12 |
$141.71 |
| J0696 |
Ceftriaxone sodium injection |
192 |
164 |
$138.83 |
| 87147 |
|
41 |
41 |
$135.45 |
| J0690 |
Cefazolin sodium injection |
770 |
659 |
$129.02 |
| 87081 |
|
25 |
25 |
$126.36 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$123.12 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,679 |
1,614 |
$118.96 |
| J1630 |
Haloperidol injection |
100 |
84 |
$114.96 |
| 73090 |
|
12 |
12 |
$111.15 |
| J1200 |
Diphenhydramine hcl injectio |
308 |
271 |
$109.47 |
| 73590 |
|
13 |
12 |
$105.14 |
| J2250 |
Inj midazolam hydrochloride |
3,642 |
3,401 |
$103.07 |
| 87486 |
|
12 |
12 |
$98.64 |
| 86376 |
|
13 |
12 |
$98.52 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
73 |
73 |
$67.63 |
| J1650 |
Inj enoxaparin sodium |
148 |
63 |
$53.83 |
| 85045 |
|
14 |
12 |
$51.55 |
| J2765 |
Metoclopramide hcl injection |
131 |
118 |
$48.87 |
| J0780 |
Prochlorperazine injection |
16 |
13 |
$47.14 |
| 97116 |
|
15 |
12 |
$46.52 |
| 82040 |
|
12 |
12 |
$41.60 |
| J2930 |
Methylprednisolone injection |
26 |
26 |
$36.48 |
| J0330 |
Succinycholine chloride inj |
37 |
36 |
$33.66 |
| J7512 |
Prednisone ir or dr oral 1mg |
125 |
117 |
$26.09 |
| J2710 |
Neostigmine methylslfte inj |
40 |
37 |
$10.49 |
| J2001 |
Lidocaine injection |
171 |
160 |
$1.15 |
| 91301 |
|
358 |
355 |
$0.03 |
| J0131 |
Inj, acetaminophen (nos) |
69 |
60 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
26 |
25 |
$0.00 |
| 36430 |
|
18 |
15 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
122 |
118 |
$0.00 |
| 91300 |
|
38 |
38 |
$0.00 |