| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
12,859 |
9,732 |
$1.47M |
| 99284 |
|
35,772 |
30,410 |
$1.29M |
| 99283 |
|
29,934 |
25,850 |
$1.19M |
| 80053 |
|
32,407 |
25,013 |
$536K |
| 99282 |
|
9,990 |
8,623 |
$508K |
| 87637 |
|
4,969 |
4,325 |
$449K |
| 96365 |
|
7,914 |
5,395 |
$425K |
| 99285 |
|
9,224 |
7,765 |
$382K |
| 74177 |
|
4,343 |
3,745 |
$256K |
| 96360 |
|
3,102 |
2,511 |
$253K |
| 99211 |
|
3,677 |
2,423 |
$240K |
| 70450 |
|
4,309 |
3,754 |
$213K |
| 85025 |
|
36,555 |
26,625 |
$208K |
| 99212 |
|
2,963 |
2,271 |
$190K |
| 96366 |
|
2,615 |
1,765 |
$186K |
| C9803 |
Hopd covid-19 spec collect |
5,671 |
4,807 |
$149K |
| G0480 |
Drug test def 1-7 classes |
3,025 |
2,346 |
$128K |
| 43239 |
|
779 |
702 |
$123K |
| 87636 |
|
1,325 |
1,146 |
$104K |
| 93306 |
|
1,079 |
976 |
$98K |
| 11042 |
|
1,980 |
885 |
$98K |
| 83880 |
|
5,149 |
4,320 |
$94K |
| 80048 |
|
5,732 |
4,260 |
$94K |
| 84484 |
|
14,357 |
7,408 |
$86K |
| 94640 |
|
3,012 |
2,134 |
$83K |
| 87070 |
|
3,578 |
3,150 |
$79K |
| 84443 |
|
6,215 |
5,311 |
$74K |
| 93010 |
|
13,115 |
10,921 |
$73K |
| 81025 |
|
4,505 |
3,818 |
$72K |
| 81001 |
|
16,332 |
13,436 |
$67K |
| 83605 |
|
9,600 |
7,155 |
$65K |
| 80306 |
|
4,483 |
3,758 |
$64K |
| 74176 |
|
1,075 |
954 |
$60K |
| 71275 |
|
1,046 |
931 |
$59K |
| 85610 |
|
9,640 |
7,642 |
$56K |
| 87880 |
|
3,169 |
2,850 |
$49K |
| 87400 |
|
3,856 |
1,722 |
$49K |
| 83735 |
|
12,247 |
9,163 |
$46K |
| 83690 |
|
8,936 |
7,348 |
$42K |
| 87635 |
|
1,159 |
1,009 |
$41K |
| 97110 |
|
4,079 |
1,215 |
$40K |
| 99281 |
|
583 |
519 |
$36K |
| 96367 |
|
806 |
611 |
$34K |
| 80061 |
|
2,493 |
2,291 |
$33K |
| 76705 |
|
885 |
795 |
$32K |
| 87088 |
|
2,008 |
1,757 |
$28K |
| 86140 |
|
7,228 |
6,044 |
$28K |
| 87040 |
|
4,756 |
2,322 |
$27K |
| 82948 |
|
4,735 |
2,127 |
$24K |
| 87077 |
|
2,395 |
1,850 |
$24K |
| 71046 |
|
4,791 |
4,122 |
$24K |
| 45384 |
|
125 |
109 |
$23K |
| 87086 |
|
3,755 |
3,227 |
$23K |
| 84145 |
|
1,903 |
1,578 |
$23K |
| 99291 |
|
661 |
564 |
$22K |
| 85730 |
|
6,134 |
5,161 |
$21K |
| 72125 |
|
1,044 |
923 |
$21K |
| 59025 |
|
301 |
211 |
$21K |
| 86850 |
|
1,649 |
1,368 |
$20K |
| 85379 |
|
3,185 |
2,783 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
430 |
354 |
$19K |
| 84703 |
|
2,401 |
2,062 |
$17K |
| 76856 |
|
393 |
348 |
$17K |
| 87491 |
|
426 |
386 |
$16K |
| 82550 |
|
4,366 |
3,663 |
$16K |
| 83036 |
|
2,341 |
2,115 |
$16K |
| 36415 |
|
21,788 |
15,181 |
$16K |
| 71260 |
|
321 |
286 |
$16K |
| 87591 |
|
428 |
388 |
$15K |
| 96413 |
|
333 |
192 |
$15K |
| 81003 |
|
2,469 |
2,164 |
$14K |
| 84702 |
|
650 |
470 |
$14K |
| 76801 |
|
352 |
312 |
$14K |
| 82553 |
|
3,521 |
2,982 |
$13K |
| 93005 |
|
15,510 |
12,208 |
$13K |
| 96368 |
|
285 |
213 |
$12K |
| 99232 |
|
1,089 |
411 |
$12K |
| 87210 |
|
839 |
772 |
$12K |
| 84439 |
|
1,285 |
1,110 |
$12K |
| 76816 |
|
316 |
277 |
$11K |
| 97140 |
|
959 |
302 |
$10K |
| 77067 |
|
394 |
368 |
$10K |
| 82728 |
|
760 |
678 |
$9K |
| 80307 |
|
223 |
195 |
$9K |
| 82977 |
|
1,480 |
1,228 |
$9K |
| 87807 |
|
589 |
520 |
$9K |
| 87186 |
|
2,063 |
1,664 |
$9K |
| G0463 |
Hospital outpt clinic visit |
2,462 |
1,704 |
$9K |
| 85027 |
|
2,114 |
1,708 |
$9K |
| 87426 |
|
542 |
456 |
$8K |
| 99214 |
|
176 |
135 |
$8K |
| 70553 |
|
101 |
90 |
$8K |
| 86900 |
|
1,892 |
1,521 |
$7K |
| 76830 |
|
216 |
193 |
$7K |
| 78452 |
|
52 |
49 |
$6K |
| 93976 |
|
173 |
148 |
$6K |
| 82805 |
|
334 |
275 |
$6K |
| 99215 |
Prolong outpt/office vis |
201 |
103 |
$6K |
| 96374 |
|
12,349 |
9,875 |
$5K |
| 74018 |
|
663 |
586 |
$5K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$5K |
| 83874 |
|
709 |
616 |
$5K |
| 12001 |
|
76 |
71 |
$5K |
| 73630 |
|
913 |
773 |
$5K |
| 71045 |
|
8,528 |
7,118 |
$4K |
| 76805 |
|
86 |
78 |
$4K |
| 97597 |
|
156 |
82 |
$4K |
| G0378 |
Hospital observation per hr |
564 |
385 |
$4K |
| 73564 |
|
744 |
641 |
$4K |
| 86901 |
|
1,897 |
1,525 |
$4K |
| 72148 |
|
71 |
62 |
$4K |
| 93017 |
|
122 |
114 |
$4K |
| 99213 |
|
218 |
176 |
$4K |
| 88305 |
|
3,002 |
2,243 |
$4K |
| 96372 |
|
5,793 |
4,560 |
$4K |
| 85652 |
|
1,852 |
1,578 |
$3K |
| 80329 |
|
645 |
523 |
$3K |
| 96375 |
|
12,255 |
9,114 |
$3K |
| 85007 |
|
1,089 |
860 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
165 |
81 |
$3K |
| 36591 |
|
535 |
244 |
$3K |
| 97530 |
|
70 |
36 |
$2K |
| 73030 |
|
408 |
363 |
$2K |
| 87804 |
|
197 |
81 |
$2K |
| 99239 |
|
73 |
64 |
$2K |
| 72110 |
|
462 |
426 |
$2K |
| 73610 |
|
557 |
474 |
$2K |
| 73130 |
|
444 |
385 |
$2K |
| 87634 |
|
40 |
36 |
$2K |
| 82274 |
|
70 |
65 |
$2K |
| 93971 |
|
58 |
53 |
$2K |
| 73110 |
|
124 |
110 |
$2K |
| 82950 |
|
76 |
68 |
$2K |
| 83550 |
|
314 |
276 |
$2K |
| 83540 |
|
322 |
282 |
$1K |
| 97112 |
|
60 |
24 |
$1K |
| 90471 |
|
825 |
688 |
$1K |
| 82803 |
|
81 |
63 |
$1K |
| 86803 |
|
57 |
54 |
$1K |
| 43248 |
|
13 |
12 |
$1K |
| 82306 |
|
55 |
55 |
$906.80 |
| 87340 |
|
87 |
82 |
$896.65 |
| 82565 |
|
89 |
79 |
$869.93 |
| 87389 |
|
43 |
39 |
$771.24 |
| 87205 |
|
270 |
218 |
$762.97 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,121 |
5,677 |
$695.87 |
| 80320 |
|
1,252 |
1,007 |
$682.21 |
| 84153 |
|
68 |
62 |
$674.13 |
| 90715 |
|
128 |
99 |
$618.37 |
| 80076 |
|
77 |
63 |
$596.11 |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$568.88 |
| 74019 |
|
187 |
173 |
$568.12 |
| 83615 |
|
143 |
112 |
$559.84 |
| 82105 |
|
13 |
12 |
$531.66 |
| 99152 |
|
779 |
662 |
$404.92 |
| U0005 |
Infec agen detec ampli probe |
58 |
49 |
$312.33 |
| 99204 |
|
12 |
12 |
$277.65 |
| 84550 |
|
86 |
72 |
$239.62 |
| 0202U |
|
131 |
128 |
$220.07 |
| 94060 |
|
13 |
12 |
$171.52 |
| J0134 |
Inj acetaminophen -fresenius |
516 |
425 |
$171.09 |
| 80050 |
|
64 |
52 |
$141.40 |
| 84481 |
|
13 |
12 |
$137.95 |
| 97162 |
|
41 |
38 |
$135.52 |
| 87075 |
|
18 |
17 |
$108.38 |
| 86308 |
|
28 |
24 |
$101.92 |
| 96376 |
|
2,183 |
1,632 |
$100.10 |
| 99157 |
|
161 |
145 |
$98.27 |
| 76817 |
|
13 |
12 |
$97.53 |
| 94729 |
|
13 |
12 |
$95.80 |
| 85018 |
|
57 |
42 |
$93.76 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,747 |
1,433 |
$92.44 |
| 73502 |
|
44 |
38 |
$91.26 |
| 82607 |
|
16 |
12 |
$84.57 |
| 99156 |
|
165 |
148 |
$71.81 |
| A9577 |
Inj multihance |
1,005 |
682 |
$59.56 |
| J1885 |
Ketorolac tromethamine inj |
7,924 |
5,819 |
$54.91 |
| G2211 |
Complex e/m visit add on |
90 |
57 |
$54.68 |
| 99153 |
Mod sedat endo service >5yrs |
1,380 |
1,210 |
$51.43 |
| G1004 |
Cdsm ndsc |
1,652 |
824 |
$51.19 |
| J0696 |
Ceftriaxone sodium injection |
2,983 |
1,991 |
$49.05 |
| J2704 |
Inj, propofol, 10 mg |
3,520 |
2,475 |
$47.98 |
| Q3014 |
Telehealth facility fee |
14 |
13 |
$47.60 |
| J2250 |
Inj midazolam hydrochloride |
5,782 |
3,688 |
$45.67 |
| 84100 |
|
18 |
13 |
$44.10 |
| 36000 |
|
467 |
412 |
$32.72 |
| 82570 |
|
18 |
18 |
$32.69 |
| J7060 |
5% dextrose/water |
1,572 |
1,151 |
$24.41 |
| J2060 |
Lorazepam injection |
1,778 |
1,377 |
$21.87 |
| J3475 |
Inj magnesium sulfate |
1,778 |
1,086 |
$21.51 |
| 88342 |
|
118 |
107 |
$17.57 |
| J1100 |
Dexamethasone sodium phos |
4,494 |
3,286 |
$14.88 |
| J3010 |
Fentanyl citrate injection |
3,773 |
3,072 |
$11.65 |
| G0500 |
Mod sedat endo service >5yrs |
765 |
683 |
$9.80 |
| J2175 |
Meperidine hydrochl /100 mg |
874 |
760 |
$8.68 |
| J0780 |
Prochlorperazine injection |
121 |
111 |
$8.65 |
| Q0162 |
Ondansetron oral |
518 |
450 |
$8.54 |
| J1170 |
Hydromorphone injection |
2,866 |
2,076 |
$8.06 |
| J2405 |
Ondansetron hcl injection |
10,568 |
7,597 |
$7.33 |
| J2270 |
Morphine sulfate injection |
3,166 |
2,395 |
$5.58 |
| G0008 |
Admin influenza virus vac |
15 |
13 |
$5.04 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
473 |
422 |
$3.15 |
| J1642 |
Inj heparin sodium per 10 u |
298 |
135 |
$2.84 |
| J2930 |
Methylprednisolone injection |
919 |
765 |
$2.71 |
| J2710 |
Neostigmine methylslfte inj |
517 |
390 |
$2.60 |
| J0131 |
Inj, acetaminophen (nos) |
899 |
770 |
$2.26 |
| J0171 |
Adrenalin epinephrine inject |
44 |
39 |
$1.05 |
| J2001 |
Lidocaine injection |
1,425 |
1,080 |
$0.67 |
| J0690 |
Cefazolin sodium injection |
1,176 |
856 |
$0.44 |
| J1940 |
Furosemide injection |
20 |
14 |
$0.29 |
| A9270 |
Non-covered item or service |
20,576 |
8,900 |
$0.23 |
| 82043 |
|
13 |
13 |
$0.14 |
| J1200 |
Diphenhydramine hcl injectio |
3,122 |
2,453 |
$0.04 |
| J3490 |
Drugs unclassified injection |
207 |
158 |
$0.00 |
| A9500 |
Tc99m sestamibi |
51 |
49 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
337 |
287 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
607 |
511 |
$0.00 |
| J1815 |
Insulin injection |
96 |
63 |
$0.00 |
| J3480 |
Inj potassium chloride |
40 |
27 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
103 |
79 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
675 |
545 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
285 |
241 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
14 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
657 |
490 |
$0.00 |
| 88312 |
|
87 |
79 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
173 |
141 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
24 |
12 |
$0.00 |
| A4565 |
Slings |
57 |
54 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
58 |
46 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
97 |
86 |
$0.00 |
| 51702 |
|
15 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
29 |
26 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
32 |
24 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
12 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
27 |
25 |
$0.00 |