| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
22,699 |
20,528 |
$2.99M |
| 99284 |
|
14,417 |
13,066 |
$2.57M |
| 99285 |
|
3,974 |
3,766 |
$1.01M |
| 99282 |
|
11,535 |
10,460 |
$873K |
| 96374 |
|
4,863 |
4,793 |
$582K |
| 11042 |
|
1,539 |
550 |
$197K |
| 96375 |
|
3,031 |
2,943 |
$132K |
| D9999 |
|
127 |
127 |
$125K |
| 71045 |
|
8,033 |
7,932 |
$95K |
| 85025 |
|
13,620 |
13,077 |
$91K |
| 36415 |
|
15,867 |
15,099 |
$83K |
| 99214 |
|
1,648 |
1,150 |
$78K |
| 80053 |
|
8,561 |
8,231 |
$77K |
| 96365 |
|
680 |
672 |
$74K |
| 97530 |
|
989 |
296 |
$71K |
| 88305 |
|
559 |
559 |
$56K |
| 59400 |
|
26 |
26 |
$46K |
| 92507 |
|
778 |
273 |
$42K |
| 43239 |
|
207 |
149 |
$39K |
| 93306 |
|
697 |
655 |
$38K |
| 74177 |
|
201 |
200 |
$33K |
| 80307 |
|
593 |
589 |
$31K |
| 99204 |
|
276 |
276 |
$29K |
| 87426 |
|
631 |
626 |
$28K |
| 70450 |
|
632 |
627 |
$27K |
| 96361 |
|
754 |
741 |
$25K |
| 59426 |
|
28 |
28 |
$25K |
| 87631 |
|
194 |
193 |
$25K |
| 81001 |
|
8,318 |
7,968 |
$24K |
| G0481 |
Drug test def 8-14 classes |
174 |
174 |
$23K |
| 99211 |
|
632 |
545 |
$23K |
| 93005 |
|
4,014 |
3,883 |
$22K |
| 87635 |
|
449 |
449 |
$21K |
| 87400 |
|
1,421 |
1,404 |
$19K |
| 96372 |
|
334 |
334 |
$19K |
| 76805 |
|
226 |
226 |
$19K |
| 73560 |
|
966 |
945 |
$18K |
| 78452 |
|
66 |
66 |
$17K |
| 84484 |
|
1,522 |
1,455 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
488 |
301 |
$16K |
| 80048 |
|
2,092 |
2,067 |
$16K |
| 99281 |
|
450 |
327 |
$15K |
| 87491 |
|
429 |
428 |
$13K |
| 99239 |
|
281 |
276 |
$13K |
| 45380 |
|
34 |
18 |
$13K |
| 73565 |
|
517 |
507 |
$13K |
| 84703 |
|
1,816 |
1,781 |
$12K |
| 99232 |
|
384 |
212 |
$12K |
| 88312 |
|
99 |
99 |
$12K |
| 87591 |
|
379 |
378 |
$12K |
| 83880 |
|
359 |
353 |
$12K |
| G0463 |
Hospital outpt clinic visit |
786 |
506 |
$11K |
| 99291 |
|
47 |
40 |
$11K |
| 96360 |
|
75 |
74 |
$10K |
| 99203 |
|
128 |
128 |
$10K |
| 76801 |
|
161 |
161 |
$9K |
| 83735 |
|
1,341 |
1,168 |
$8K |
| 71046 |
|
505 |
499 |
$7K |
| 59425 |
|
15 |
15 |
$7K |
| 84443 |
|
495 |
492 |
$6K |
| 73110 |
|
268 |
259 |
$6K |
| 83690 |
|
1,021 |
1,002 |
$6K |
| 87807 |
|
413 |
413 |
$5K |
| 80061 |
|
420 |
420 |
$5K |
| 83605 |
|
441 |
418 |
$4K |
| 94640 |
|
300 |
277 |
$4K |
| 82677 |
|
193 |
192 |
$4K |
| 81015 |
|
1,511 |
1,397 |
$4K |
| 83615 |
|
747 |
577 |
$4K |
| 73562 |
|
213 |
209 |
$4K |
| 87389 |
|
197 |
197 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
43 |
43 |
$4K |
| 87581 |
|
125 |
124 |
$4K |
| 86850 |
|
459 |
458 |
$4K |
| J7120 |
Ringers lactate infusion |
742 |
658 |
$4K |
| 84702 |
|
269 |
259 |
$4K |
| 86787 |
|
315 |
315 |
$4K |
| 83036 |
|
504 |
504 |
$4K |
| 86762 |
|
272 |
272 |
$3K |
| 87653 |
|
112 |
112 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
44 |
44 |
$3K |
| 87086 |
|
417 |
413 |
$3K |
| 82105 |
|
194 |
192 |
$3K |
| 87340 |
|
321 |
321 |
$3K |
| 74176 |
|
41 |
41 |
$3K |
| 81003 |
|
1,221 |
1,124 |
$3K |
| 84100 |
|
676 |
516 |
$3K |
| 87070 |
|
343 |
343 |
$3K |
| J7030 |
Normal saline solution infus |
2,079 |
2,029 |
$3K |
| 86336 |
|
193 |
192 |
$3K |
| 84550 |
|
676 |
516 |
$3K |
| 81000 |
|
825 |
791 |
$3K |
| 73630 |
|
124 |
117 |
$3K |
| 99213 |
|
56 |
54 |
$2K |
| 87797 |
|
101 |
101 |
$2K |
| 87486 |
|
75 |
74 |
$2K |
| 86735 |
|
181 |
181 |
$2K |
| 93016 |
|
145 |
145 |
$2K |
| 86780 |
|
153 |
153 |
$2K |
| 93018 |
|
186 |
186 |
$2K |
| 86803 |
|
139 |
139 |
$2K |
| 86765 |
|
142 |
142 |
$2K |
| 31575 |
|
18 |
18 |
$1K |
| G0480 |
Drug test def 1-7 classes |
14 |
14 |
$1K |
| 73030 |
|
90 |
90 |
$1K |
| 73721 |
|
12 |
12 |
$1K |
| 86901 |
|
490 |
487 |
$1K |
| 86900 |
|
490 |
487 |
$1K |
| 93000 |
|
134 |
134 |
$1K |
| 87430 |
|
88 |
88 |
$1K |
| 99238 |
|
37 |
37 |
$1K |
| 88342 |
|
14 |
14 |
$1K |
| 86703 |
|
124 |
124 |
$1K |
| 93017 |
|
36 |
36 |
$1K |
| G2023 |
Specimen collect covid-19 |
47 |
47 |
$941.71 |
| 87081 |
|
148 |
148 |
$931.16 |
| 85027 |
|
162 |
155 |
$871.81 |
| 86592 |
|
185 |
184 |
$642.20 |
| 72040 |
|
37 |
37 |
$640.66 |
| 99202 |
|
12 |
12 |
$618.78 |
| 99221 |
|
12 |
12 |
$615.28 |
| 82950 |
|
133 |
132 |
$584.48 |
| 76705 |
|
13 |
13 |
$580.62 |
| 84145 |
|
16 |
15 |
$363.15 |
| J3010 |
Fentanyl citrate injection |
231 |
231 |
$221.34 |
| 82150 |
|
28 |
28 |
$177.04 |
| 82550 |
|
28 |
26 |
$170.61 |
| 94060 |
|
18 |
13 |
$157.77 |
| 83655 |
|
13 |
13 |
$140.01 |
| 73610 |
|
13 |
12 |
$139.77 |
| J2405 |
Ondansetron hcl injection |
1,335 |
1,310 |
$127.49 |
| 85730 |
|
16 |
16 |
$74.90 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
289 |
287 |
$66.20 |
| 93010 |
|
20 |
19 |
$65.57 |
| 85610 |
|
19 |
19 |
$61.12 |
| J7512 |
Prednisone ir or dr oral 1mg |
39 |
39 |
$30.20 |
| Q0162 |
Ondansetron oral |
203 |
203 |
$1.12 |
| J0696 |
Ceftriaxone sodium injection |
504 |
501 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,384 |
1,359 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
241 |
240 |
$0.00 |
| J3490 |
Drugs unclassified injection |
103 |
102 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
153 |
153 |
$0.00 |
| J7050 |
Normal saline solution infus |
71 |
71 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
77 |
77 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
63 |
59 |
$0.00 |
| J1790 |
Droperidol injection |
12 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
36 |
36 |
$0.00 |
| J2930 |
Methylprednisolone injection |
24 |
24 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
14 |
$0.00 |
| C1758 |
Catheter, ureteral |
12 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
12 |
12 |
$0.00 |