| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
17,430 |
15,861 |
$6.61M |
| 99283 |
|
34,585 |
32,062 |
$6.20M |
| G0463 |
Hospital outpt clinic visit |
72,428 |
62,025 |
$5.42M |
| 99284 |
|
21,097 |
18,873 |
$5.27M |
| 96374 |
|
11,920 |
10,652 |
$1.34M |
| 99282 |
|
7,108 |
6,583 |
$717K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,344 |
6,928 |
$376K |
| 97110 |
|
7,968 |
2,793 |
$287K |
| 96375 |
|
3,298 |
2,959 |
$126K |
| 45380 |
|
203 |
190 |
$124K |
| 93005 |
|
14,806 |
13,112 |
$108K |
| 71046 |
|
1,860 |
1,622 |
$89K |
| 80053 |
|
36,660 |
32,921 |
$73K |
| 96361 |
|
730 |
555 |
$65K |
| 80307 |
|
822 |
477 |
$63K |
| 85025 |
|
47,292 |
41,815 |
$61K |
| 45385 |
|
69 |
66 |
$53K |
| 45378 |
|
67 |
67 |
$53K |
| 87491 |
|
2,073 |
1,928 |
$51K |
| 87635 |
|
1,457 |
1,399 |
$50K |
| 87591 |
|
2,045 |
1,902 |
$50K |
| 84443 |
|
4,342 |
4,059 |
$44K |
| 43239 |
|
105 |
97 |
$40K |
| 71045 |
|
844 |
761 |
$38K |
| 88305 |
|
1,891 |
1,742 |
$36K |
| 87502 |
|
2,193 |
2,065 |
$34K |
| 36415 |
|
52,878 |
46,320 |
$33K |
| 74177 |
|
130 |
119 |
$33K |
| G0396 |
Alcohol/subs interv 15-30mn |
906 |
733 |
$33K |
| 82306 |
|
1,388 |
1,316 |
$29K |
| 99281 |
|
503 |
471 |
$28K |
| 83036 |
|
5,934 |
5,412 |
$26K |
| G0480 |
Drug test def 1-7 classes |
411 |
249 |
$21K |
| 87634 |
|
1,591 |
1,521 |
$18K |
| 80061 |
|
1,803 |
1,674 |
$16K |
| 97140 |
|
943 |
413 |
$14K |
| 70450 |
|
130 |
119 |
$14K |
| 82728 |
|
1,302 |
1,237 |
$13K |
| G0008 |
Admin influenza virus vac |
566 |
489 |
$12K |
| 87389 |
|
678 |
632 |
$11K |
| 93306 |
|
29 |
28 |
$9K |
| 80055 |
|
96 |
93 |
$8K |
| 87086 |
|
1,487 |
1,424 |
$7K |
| 86803 |
|
675 |
626 |
$7K |
| 81513 |
|
121 |
116 |
$6K |
| 90686 |
|
316 |
282 |
$5K |
| 90674 |
|
197 |
186 |
$5K |
| 87081 |
|
1,097 |
1,067 |
$5K |
| 80048 |
|
3,562 |
3,098 |
$5K |
| 97803 |
|
117 |
114 |
$4K |
| 82607 |
|
407 |
386 |
$4K |
| 51798 |
|
122 |
107 |
$4K |
| 96413 |
|
33 |
24 |
$3K |
| 84484 |
|
4,739 |
4,009 |
$3K |
| 86900 |
|
278 |
267 |
$3K |
| 85027 |
|
923 |
856 |
$3K |
| 76816 |
|
32 |
32 |
$3K |
| 81003 |
|
11,848 |
10,717 |
$3K |
| 83690 |
|
7,921 |
7,276 |
$3K |
| 90656 |
|
108 |
106 |
$3K |
| 73140 |
|
44 |
29 |
$3K |
| 94060 |
|
17 |
13 |
$2K |
| 73562 |
|
90 |
75 |
$2K |
| 20610 |
|
14 |
13 |
$2K |
| 87481 |
|
121 |
116 |
$2K |
| 96372 |
|
412 |
388 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,301 |
3,414 |
$2K |
| 81025 |
|
873 |
785 |
$2K |
| 87624 |
|
53 |
51 |
$2K |
| 94761 |
|
34,522 |
32,108 |
$2K |
| 86403 |
|
347 |
339 |
$1K |
| 90471 |
|
65 |
59 |
$1K |
| 0001A |
|
38 |
37 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,141 |
999 |
$1K |
| 87661 |
|
121 |
116 |
$1K |
| 76815 |
|
23 |
15 |
$1K |
| G0500 |
Mod sedat endo service >5yrs |
20 |
18 |
$1K |
| 91322 |
|
14 |
12 |
$1K |
| 82746 |
|
106 |
98 |
$1K |
| 87880 |
|
248 |
233 |
$1K |
| 36416 |
|
896 |
804 |
$921.50 |
| J2250 |
Inj midazolam hydrochloride |
690 |
635 |
$902.26 |
| 88142 |
|
44 |
42 |
$891.36 |
| 86592 |
|
269 |
248 |
$880.96 |
| 73100 |
|
39 |
26 |
$875.54 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,400 |
865 |
$845.36 |
| 94640 |
|
132 |
120 |
$741.84 |
| J3010 |
Fentanyl citrate injection |
654 |
583 |
$691.12 |
| G0123 |
Screen cerv/vag thin layer |
39 |
38 |
$669.16 |
| 90480 |
|
27 |
24 |
$647.10 |
| 86480 |
|
16 |
16 |
$626.03 |
| 97165 |
|
14 |
12 |
$601.27 |
| 86787 |
|
65 |
63 |
$577.36 |
| 84703 |
|
1,526 |
1,466 |
$547.28 |
| 73030 |
|
14 |
12 |
$525.61 |
| 0004A |
|
14 |
14 |
$517.54 |
| 88312 |
|
105 |
97 |
$478.90 |
| 87653 |
|
21 |
21 |
$475.80 |
| 81000 |
|
1,236 |
1,068 |
$448.56 |
| 84439 |
|
78 |
76 |
$397.36 |
| 86141 |
|
28 |
28 |
$360.48 |
| 76817 |
|
48 |
43 |
$345.78 |
| J2001 |
Lidocaine injection |
52 |
37 |
$336.26 |
| 87186 |
|
62 |
61 |
$275.49 |
| J2704 |
Inj, propofol, 10 mg |
1,838 |
1,217 |
$267.40 |
| 87070 |
|
78 |
74 |
$266.00 |
| 88313 |
|
105 |
97 |
$239.45 |
| 87210 |
|
99 |
90 |
$214.26 |
| 87804 |
|
91 |
43 |
$208.46 |
| 85018 |
|
108 |
105 |
$206.50 |
| 94760 |
|
20,439 |
19,148 |
$199.42 |
| 85652 |
|
107 |
98 |
$198.27 |
| J7030 |
Normal saline solution infus |
19 |
17 |
$195.86 |
| 84481 |
|
12 |
12 |
$173.16 |
| 87660 |
|
13 |
12 |
$172.44 |
| 87480 |
|
13 |
12 |
$172.44 |
| 87510 |
|
13 |
12 |
$172.44 |
| 87147 |
|
69 |
67 |
$165.69 |
| Q0162 |
Ondansetron oral |
578 |
543 |
$159.79 |
| C9803 |
Hopd covid-19 spec collect |
278 |
208 |
$159.20 |
| U0005 |
Infec agen detec ampli probe |
172 |
136 |
$142.20 |
| Q3014 |
Telehealth facility fee |
103 |
74 |
$120.80 |
| 82950 |
|
28 |
26 |
$112.05 |
| 86140 |
|
39 |
37 |
$103.30 |
| 72170 |
|
14 |
12 |
$101.67 |
| 87340 |
|
12 |
12 |
$94.79 |
| 80047 |
|
25 |
25 |
$86.52 |
| J1100 |
Dexamethasone sodium phos |
164 |
149 |
$84.61 |
| 87205 |
|
43 |
42 |
$79.48 |
| 82043 |
|
15 |
15 |
$66.66 |
| 82570 |
|
16 |
16 |
$65.84 |
| J7120 |
Ringers lactate infusion |
234 |
216 |
$60.20 |
| J0690 |
Cefazolin sodium injection |
15 |
13 |
$59.33 |
| J2270 |
Morphine sulfate injection |
49 |
38 |
$50.99 |
| 80069 |
|
13 |
12 |
$38.00 |
| 84156 |
|
14 |
12 |
$37.82 |
| 81001 |
|
1,060 |
986 |
$36.99 |
| 82947 |
|
15 |
14 |
$25.62 |
| 86308 |
|
13 |
13 |
$23.00 |
| J8540 |
Oral dexamethasone |
15 |
13 |
$19.44 |
| 85610 |
|
18 |
14 |
$11.72 |
| G1004 |
Cdsm ndsc |
3,778 |
2,932 |
$2.86 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
21 |
14 |
$1.87 |
| 87641 |
|
41 |
37 |
$0.00 |
| 84702 |
|
25 |
24 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
13 |
12 |
$0.00 |
| 86850 |
|
276 |
265 |
$0.00 |
| 83605 |
|
120 |
107 |
$0.00 |
| 82077 |
|
16 |
14 |
$0.00 |
| 86901 |
|
278 |
267 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
36 |
34 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
25 |
24 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
113 |
57 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
30 |
25 |
$0.00 |
| 87640 |
|
41 |
37 |
$0.00 |
| 72020 |
|
13 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
13 |
$0.00 |
| 83880 |
|
20 |
12 |
$0.00 |
| 95886 |
|
15 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
21 |
13 |
$0.00 |