| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
11,162 |
7,761 |
$244K |
| 99284 |
|
8,140 |
6,102 |
$233K |
| 99285 |
|
2,854 |
2,497 |
$187K |
| 99283 |
|
17,442 |
10,545 |
$137K |
| 74177 |
|
1,069 |
1,008 |
$134K |
| 70450 |
|
1,177 |
1,093 |
$71K |
| 96365 |
|
2,990 |
2,355 |
$42K |
| 71046 |
|
2,777 |
2,593 |
$34K |
| 93005 |
|
3,905 |
3,379 |
$32K |
| 97110 |
|
3,785 |
1,424 |
$31K |
| 99214 |
|
1,020 |
641 |
$22K |
| 87811 |
|
2,031 |
1,894 |
$20K |
| 80053 |
|
12,346 |
10,405 |
$19K |
| 96374 |
|
2,410 |
2,200 |
$17K |
| 99282 |
|
2,334 |
1,980 |
$17K |
| 96375 |
|
2,529 |
2,251 |
$15K |
| 71045 |
|
810 |
752 |
$9K |
| 93306 |
|
100 |
99 |
$9K |
| 96372 |
|
1,900 |
1,607 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,657 |
1,551 |
$9K |
| 96361 |
|
1,810 |
1,572 |
$9K |
| 74176 |
|
76 |
72 |
$8K |
| 85025 |
|
14,932 |
11,710 |
$8K |
| 71275 |
|
69 |
67 |
$6K |
| 88305 |
|
376 |
360 |
$6K |
| 94640 |
|
469 |
427 |
$5K |
| 71250 |
|
83 |
80 |
$5K |
| 80048 |
|
3,011 |
2,250 |
$5K |
| 83036 |
|
2,418 |
2,358 |
$4K |
| 71260 |
|
27 |
26 |
$3K |
| 36415 |
|
17,407 |
13,306 |
$3K |
| 84443 |
|
3,265 |
3,131 |
$3K |
| 99203 |
|
201 |
109 |
$2K |
| 84484 |
|
3,586 |
2,460 |
$2K |
| G0378 |
Hospital observation per hr |
21 |
12 |
$2K |
| 87880 |
|
403 |
384 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
442 |
399 |
$2K |
| 96376 |
|
330 |
310 |
$2K |
| 73564 |
|
100 |
92 |
$2K |
| 76705 |
|
83 |
80 |
$2K |
| 83735 |
|
3,836 |
2,868 |
$2K |
| 45380 |
|
46 |
25 |
$2K |
| 96366 |
|
196 |
174 |
$2K |
| 96360 |
|
154 |
118 |
$1K |
| 94761 |
|
410 |
383 |
$1K |
| 87086 |
|
1,621 |
1,448 |
$1K |
| 85610 |
|
1,920 |
1,375 |
$1K |
| 93041 |
|
1,304 |
1,209 |
$1K |
| 92014 |
|
14 |
14 |
$981.62 |
| 97035 |
|
175 |
52 |
$976.48 |
| 93010 |
|
2,999 |
2,655 |
$949.58 |
| 81001 |
|
2,476 |
2,205 |
$884.71 |
| 99204 |
|
88 |
43 |
$866.38 |
| 82306 |
|
349 |
338 |
$842.78 |
| 82728 |
|
581 |
552 |
$836.92 |
| 99281 |
|
440 |
388 |
$823.94 |
| 73030 |
|
38 |
36 |
$795.86 |
| 87636 |
|
1,680 |
1,581 |
$716.82 |
| 83690 |
|
1,848 |
1,626 |
$685.13 |
| 80306 |
|
998 |
894 |
$678.76 |
| 87804 |
|
71 |
63 |
$652.03 |
| 80061 |
|
2,648 |
2,603 |
$634.53 |
| 20610 |
|
43 |
14 |
$611.40 |
| A9270 |
Non-covered item or service |
1,557 |
1,368 |
$591.59 |
| 99070 |
|
29 |
25 |
$581.46 |
| J3010 |
Fentanyl citrate injection |
660 |
546 |
$572.94 |
| J1885 |
Ketorolac tromethamine inj |
1,073 |
885 |
$562.61 |
| 87186 |
|
694 |
642 |
$548.51 |
| 83540 |
|
728 |
698 |
$548.02 |
| J2001 |
Lidocaine injection |
328 |
276 |
$539.38 |
| 83550 |
|
345 |
332 |
$482.89 |
| 96367 |
|
58 |
49 |
$421.66 |
| 87077 |
|
879 |
816 |
$401.50 |
| 71271 |
|
40 |
38 |
$393.44 |
| 83605 |
|
1,029 |
879 |
$385.60 |
| 97161 |
|
45 |
44 |
$372.37 |
| 72100 |
|
13 |
13 |
$354.96 |
| 84466 |
|
378 |
359 |
$330.11 |
| 83880 |
|
200 |
181 |
$324.48 |
| 99212 |
|
145 |
67 |
$324.39 |
| 85380 |
|
362 |
345 |
$305.58 |
| 81003 |
|
1,978 |
1,839 |
$305.35 |
| 85652 |
|
1,037 |
961 |
$305.21 |
| 74019 |
|
40 |
38 |
$303.62 |
| 87040 |
|
458 |
420 |
$294.98 |
| J2405 |
Ondansetron hcl injection |
1,353 |
1,141 |
$282.87 |
| 73502 |
|
14 |
14 |
$277.64 |
| J0131 |
Inj, acetaminophen (nos) |
59 |
51 |
$269.14 |
| 94760 |
|
150 |
137 |
$244.14 |
| 87502 |
|
265 |
252 |
$232.64 |
| 86140 |
|
706 |
634 |
$220.88 |
| J7050 |
Normal saline solution infus |
99 |
82 |
$193.49 |
| J0696 |
Ceftriaxone sodium injection |
110 |
94 |
$186.01 |
| J3490 |
Drugs unclassified injection |
28 |
27 |
$151.08 |
| 86141 |
|
322 |
295 |
$145.12 |
| 87631 |
|
157 |
153 |
$139.14 |
| 93226 |
|
12 |
12 |
$114.15 |
| 93225 |
|
12 |
12 |
$113.15 |
| 99211 |
|
31 |
12 |
$103.71 |
| U0002 |
Covid-19 lab test non-cdc |
1,160 |
1,106 |
$101.81 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$93.65 |
| 87070 |
|
386 |
373 |
$93.09 |
| 77067 |
|
843 |
834 |
$85.04 |
| J1010 |
Inj, methylpred acetate 1 mg |
18 |
12 |
$81.95 |
| 73630 |
|
14 |
14 |
$81.09 |
| J3475 |
Inj magnesium sulfate |
46 |
41 |
$78.70 |
| 73610 |
|
16 |
14 |
$58.54 |
| 87427 |
|
121 |
112 |
$54.21 |
| 85730 |
|
159 |
148 |
$42.08 |
| 99222 |
|
17 |
14 |
$41.93 |
| 82607 |
|
112 |
106 |
$40.62 |
| 85379 |
|
241 |
224 |
$25.18 |
| J2250 |
Inj midazolam hydrochloride |
77 |
71 |
$23.09 |
| G0103 |
Psa screening |
29 |
29 |
$18.95 |
| 82043 |
|
24 |
24 |
$18.09 |
| J1100 |
Dexamethasone sodium phos |
29 |
28 |
$17.38 |
| 84439 |
|
45 |
44 |
$17.23 |
| 84703 |
|
613 |
564 |
$13.73 |
| 84100 |
|
13 |
12 |
$12.22 |
| 92015 |
|
44 |
41 |
$11.06 |
| 77063 |
|
98 |
96 |
$9.21 |
| 81015 |
|
27 |
23 |
$5.84 |
| 82565 |
|
12 |
12 |
$5.78 |
| 82150 |
|
148 |
137 |
$3.93 |
| 87205 |
|
28 |
26 |
$3.07 |
| J7030 |
Normal saline solution infus |
13 |
12 |
$2.03 |
| 96368 |
|
12 |
12 |
$2.01 |
| Q3014 |
Telehealth facility fee |
14 |
13 |
$1.91 |
| 87081 |
|
15 |
14 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
14 |
13 |
$0.00 |
| 80307 |
|
73 |
70 |
$0.00 |
| 87420 |
|
14 |
14 |
$0.00 |
| 87400 |
|
83 |
81 |
$0.00 |