| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,062 |
2,725 |
$384K |
| 99284 |
|
2,193 |
1,404 |
$307K |
| 99282 |
|
2,920 |
2,021 |
$174K |
| 97110 |
|
1,674 |
545 |
$126K |
| 99285 |
|
145 |
123 |
$50K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,097 |
982 |
$35K |
| 99281 |
|
803 |
577 |
$35K |
| 80053 |
|
4,960 |
4,005 |
$29K |
| 96374 |
|
363 |
304 |
$29K |
| 99213 |
|
636 |
524 |
$28K |
| 85025 |
|
4,593 |
3,638 |
$19K |
| 36415 |
|
6,803 |
5,410 |
$12K |
| 93005 |
|
166 |
123 |
$10K |
| 97140 |
|
151 |
52 |
$9K |
| 87502 |
|
90 |
83 |
$5K |
| 71046 |
|
47 |
40 |
$5K |
| 87637 |
|
45 |
44 |
$4K |
| 99203 |
|
49 |
44 |
$4K |
| 96375 |
|
38 |
28 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
129 |
93 |
$2K |
| 99212 |
|
51 |
41 |
$2K |
| 84443 |
|
205 |
181 |
$2K |
| 81002 |
|
668 |
543 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
271 |
218 |
$1K |
| 87801 |
|
14 |
14 |
$930.12 |
| 20610 |
|
34 |
14 |
$910.04 |
| 83036 |
|
220 |
184 |
$866.12 |
| 80061 |
|
149 |
128 |
$843.12 |
| 93010 |
|
143 |
116 |
$829.61 |
| 97161 |
|
18 |
15 |
$723.60 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
35 |
34 |
$639.05 |
| 81001 |
|
213 |
177 |
$586.41 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
31 |
26 |
$542.17 |
| 99211 |
|
20 |
13 |
$537.20 |
| 71045 |
|
33 |
25 |
$480.84 |
| 80048 |
|
64 |
50 |
$392.34 |
| 84484 |
|
77 |
49 |
$269.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$145.10 |
| 85027 |
|
29 |
26 |
$133.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20 |
13 |
$101.69 |
| J2704 |
Injection, propofol, 10 mg |
13 |
12 |
$101.04 |
| A0425 |
Ground mileage, per statute mile |
155 |
92 |
$98.18 |
| 90833 |
|
26 |
24 |
$79.57 |
| 87086 |
|
17 |
15 |
$74.73 |
| 86140 |
|
13 |
12 |
$37.39 |
| 85610 |
|
21 |
12 |
$24.00 |