| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
19,698 |
18,039 |
$2.33M |
| 99284 |
|
13,940 |
11,545 |
$1.74M |
| 92507 |
|
15,291 |
5,082 |
$1.04M |
| 99285 |
|
7,697 |
5,911 |
$1.03M |
| 97110 |
|
7,927 |
2,316 |
$635K |
| 99282 |
|
4,819 |
4,538 |
$524K |
| 96361 |
|
1,540 |
830 |
$520K |
| 74177 |
|
1,781 |
1,186 |
$493K |
| 97530 |
|
6,259 |
2,235 |
$453K |
| 70450 |
|
1,359 |
1,009 |
$345K |
| 96365 |
|
1,752 |
997 |
$271K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,211 |
1,154 |
$209K |
| 80053 |
|
17,315 |
13,754 |
$168K |
| 96366 |
|
546 |
276 |
$167K |
| 87491 |
|
3,593 |
3,160 |
$166K |
| 74176 |
|
619 |
415 |
$158K |
| G0463 |
Hospital outpt clinic visit |
2,831 |
1,939 |
$157K |
| 93306 |
|
819 |
651 |
$150K |
| 41899 |
|
115 |
107 |
$132K |
| 0202U |
|
700 |
597 |
$119K |
| C9803 |
Hopd covid-19 spec collect |
3,129 |
2,720 |
$118K |
| 87591 |
|
3,587 |
3,157 |
$95K |
| 71260 |
|
511 |
344 |
$88K |
| G0378 |
Hospital observation per hr |
1,096 |
359 |
$85K |
| 59025 |
|
515 |
353 |
$82K |
| 87086 |
|
4,880 |
4,021 |
$68K |
| 80048 |
|
8,188 |
6,568 |
$67K |
| 84443 |
|
2,839 |
2,302 |
$64K |
| 80061 |
|
2,538 |
2,233 |
$62K |
| 85025 |
|
23,977 |
18,687 |
$61K |
| 96360 |
|
520 |
320 |
$56K |
| 36415 |
|
32,101 |
24,843 |
$56K |
| 97140 |
|
2,087 |
607 |
$51K |
| 87389 |
|
2,043 |
1,867 |
$50K |
| 78452 |
|
183 |
121 |
$46K |
| 92526 |
|
670 |
249 |
$42K |
| 76705 |
|
390 |
302 |
$38K |
| 85027 |
|
4,556 |
3,735 |
$33K |
| 71046 |
|
2,643 |
2,312 |
$30K |
| 93242 |
|
383 |
300 |
$28K |
| 93005 |
|
9,141 |
7,128 |
$28K |
| 97533 |
|
362 |
149 |
$28K |
| 74018 |
|
573 |
462 |
$28K |
| 88175 |
|
1,204 |
1,094 |
$27K |
| 86900 |
|
1,013 |
797 |
$26K |
| 94640 |
|
178 |
90 |
$26K |
| 83036 |
|
1,701 |
1,458 |
$25K |
| 80074 |
|
1,241 |
1,157 |
$25K |
| 86803 |
|
764 |
668 |
$25K |
| 93017 |
|
341 |
238 |
$24K |
| 97161 |
|
385 |
322 |
$22K |
| 82306 |
|
801 |
683 |
$21K |
| 84703 |
|
2,623 |
2,217 |
$20K |
| 86780 |
|
895 |
784 |
$20K |
| 77067 |
|
370 |
313 |
$19K |
| 97014 |
|
733 |
227 |
$19K |
| 93976 |
|
157 |
115 |
$19K |
| 84702 |
|
984 |
607 |
$18K |
| 80307 |
|
1,009 |
754 |
$17K |
| 87070 |
|
780 |
633 |
$17K |
| 70496 |
|
62 |
38 |
$16K |
| 86850 |
|
1,097 |
894 |
$16K |
| 93243 |
|
369 |
295 |
$16K |
| 81001 |
|
12,449 |
10,154 |
$13K |
| 87635 |
|
4,581 |
3,836 |
$13K |
| 84484 |
|
5,207 |
3,229 |
$13K |
| 84439 |
|
966 |
802 |
$12K |
| 86140 |
|
855 |
644 |
$12K |
| 86762 |
|
549 |
471 |
$11K |
| 82607 |
|
627 |
546 |
$11K |
| U0005 |
Infec agen detec ampli probe |
617 |
592 |
$11K |
| 82728 |
|
607 |
528 |
$11K |
| 87480 |
|
607 |
509 |
$11K |
| 86901 |
|
1,147 |
924 |
$10K |
| 87651 |
|
677 |
592 |
$10K |
| 97166 |
|
122 |
102 |
$10K |
| 73630 |
|
511 |
432 |
$9K |
| 87340 |
|
689 |
594 |
$9K |
| 71045 |
|
4,738 |
3,910 |
$9K |
| 87624 |
|
207 |
185 |
$9K |
| U0004 |
Cov-19 test non-cdc hgh thru |
52 |
51 |
$9K |
| 83550 |
|
677 |
590 |
$8K |
| 87522 |
Neg quan hep c or qual rna |
150 |
138 |
$8K |
| 72125 |
|
330 |
244 |
$8K |
| 87660 |
|
607 |
509 |
$8K |
| 80320 |
|
814 |
575 |
$8K |
| 83540 |
|
745 |
643 |
$8K |
| 88305 |
|
648 |
399 |
$7K |
| 97162 |
|
166 |
137 |
$7K |
| 82746 |
|
542 |
470 |
$7K |
| 73562 |
|
301 |
252 |
$7K |
| 96372 |
|
3,935 |
2,538 |
$7K |
| 87186 |
|
665 |
486 |
$7K |
| 96413 |
|
36 |
13 |
$6K |
| 87510 |
|
607 |
509 |
$6K |
| 94664 |
|
1,044 |
760 |
$6K |
| 86403 |
|
304 |
196 |
$6K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
343 |
317 |
$6K |
| 73610 |
|
359 |
312 |
$6K |
| 97113 |
|
76 |
27 |
$6K |
| 82570 |
|
707 |
566 |
$6K |
| 80306 |
|
301 |
246 |
$6K |
| 84460 |
|
579 |
498 |
$5K |
| 73130 |
|
407 |
338 |
$5K |
| 76642 |
|
53 |
42 |
$5K |
| 83880 |
|
900 |
688 |
$5K |
| 77063 |
|
365 |
308 |
$5K |
| 83735 |
|
2,333 |
1,568 |
$4K |
| 96374 |
|
9,233 |
7,118 |
$4K |
| 85652 |
|
583 |
467 |
$4K |
| 84450 |
|
539 |
465 |
$4K |
| 83970 |
|
109 |
88 |
$4K |
| 80076 |
|
674 |
486 |
$4K |
| 87804 |
|
6,610 |
2,861 |
$4K |
| 93971 |
|
57 |
54 |
$4K |
| 96375 |
|
5,790 |
4,090 |
$3K |
| 83516 |
|
188 |
90 |
$3K |
| 73030 |
|
200 |
149 |
$3K |
| 70553 |
|
13 |
12 |
$3K |
| 85610 |
|
1,783 |
1,194 |
$3K |
| 83690 |
|
4,565 |
3,413 |
$3K |
| 72100 |
|
98 |
75 |
$3K |
| 71250 |
|
33 |
30 |
$3K |
| 87077 |
|
297 |
227 |
$2K |
| 83605 |
|
2,055 |
1,271 |
$2K |
| 73110 |
|
167 |
131 |
$2K |
| 84146 |
|
123 |
90 |
$2K |
| 82043 |
|
295 |
248 |
$2K |
| 82947 |
|
1,254 |
623 |
$2K |
| 96376 |
|
894 |
465 |
$2K |
| 82805 |
|
42 |
27 |
$1K |
| 81003 |
|
514 |
353 |
$1K |
| 87081 |
|
64 |
51 |
$1K |
| 82784 |
|
115 |
91 |
$1K |
| 96367 |
|
65 |
41 |
$1K |
| 84153 |
|
54 |
51 |
$1K |
| 51798 |
|
71 |
53 |
$1K |
| 70498 |
|
67 |
39 |
$978.45 |
| 84156 |
|
258 |
192 |
$954.31 |
| 73502 |
|
48 |
28 |
$934.88 |
| 82248 |
|
56 |
54 |
$932.60 |
| 83001 |
|
51 |
39 |
$904.40 |
| 85730 |
|
339 |
251 |
$871.63 |
| 85379 |
|
773 |
568 |
$860.69 |
| 87088 |
|
99 |
85 |
$754.31 |
| 87205 |
|
180 |
103 |
$720.65 |
| 76830 |
|
31 |
26 |
$681.19 |
| 81025 |
|
1,581 |
1,097 |
$617.27 |
| 84550 |
|
152 |
111 |
$612.37 |
| 87210 |
|
57 |
39 |
$606.06 |
| 73590 |
|
38 |
28 |
$597.83 |
| 87040 |
|
703 |
290 |
$556.87 |
| 83002 |
|
32 |
24 |
$541.35 |
| 82565 |
|
60 |
52 |
$461.92 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$364.94 |
| U0002 |
Covid-19 lab test non-cdc |
87 |
86 |
$355.59 |
| 80143 |
|
533 |
407 |
$308.04 |
| J0500 |
Dicyclomine injection |
32 |
14 |
$305.74 |
| 84100 |
|
55 |
37 |
$270.17 |
| J2270 |
Morphine sulfate injection |
967 |
498 |
$267.23 |
| 87807 |
|
510 |
410 |
$259.74 |
| 82670 |
|
14 |
13 |
$234.52 |
| 90715 |
|
12 |
12 |
$227.22 |
| J1885 |
Ketorolac tromethamine inj |
4,775 |
3,086 |
$212.23 |
| J0696 |
Ceftriaxone sodium injection |
721 |
414 |
$146.25 |
| 84481 |
|
16 |
16 |
$132.06 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,007 |
2,914 |
$127.78 |
| 80179 |
|
505 |
390 |
$95.68 |
| J2543 |
Piperacillin/tazobactam |
48 |
12 |
$91.78 |
| 82533 |
|
14 |
12 |
$79.52 |
| 82150 |
|
61 |
52 |
$78.98 |
| J2405 |
Ondansetron hcl injection |
5,378 |
3,574 |
$76.03 |
| 87880 |
|
160 |
110 |
$74.30 |
| 90471 |
|
13 |
12 |
$59.71 |
| J1650 |
Inj enoxaparin sodium |
111 |
42 |
$57.50 |
| J2060 |
Lorazepam injection |
396 |
208 |
$54.21 |
| J3010 |
Fentanyl citrate injection |
1,695 |
947 |
$45.48 |
| 94761 |
|
756 |
266 |
$37.29 |
| J2919 |
Inj, methylpred sod succ 5mg |
69 |
41 |
$34.86 |
| J1200 |
Diphenhydramine hcl injectio |
686 |
412 |
$32.63 |
| J1100 |
Dexamethasone sodium phos |
1,865 |
1,029 |
$32.19 |
| J2704 |
Inj, propofol, 10 mg |
1,986 |
938 |
$22.98 |
| J0780 |
Prochlorperazine injection |
146 |
84 |
$20.99 |
| J0690 |
Cefazolin sodium injection |
623 |
367 |
$15.86 |
| J2360 |
Orphenadrine injection |
204 |
112 |
$14.62 |
| J3370 |
Vancomycin hcl injection |
44 |
12 |
$5.78 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$4.82 |
| J2250 |
Inj midazolam hydrochloride |
842 |
529 |
$3.96 |
| J1642 |
Inj heparin sodium per 10 u |
16 |
12 |
$3.70 |
| J7050 |
Normal saline solution infus |
44 |
35 |
$1.96 |
| J1030 |
Methylprednisolone 40 mg inj |
243 |
215 |
$0.00 |
| A9500 |
Tc99m sestamibi |
310 |
135 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
123 |
97 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
104 |
72 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
156 |
109 |
$0.00 |
| C1769 |
Guide wire |
46 |
26 |
$0.00 |
| 73560 |
|
14 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
95 |
65 |
$0.00 |
| G0283 |
Elec stim other than wound |
56 |
12 |
$0.00 |
| 00170 |
|
117 |
108 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
15 |
$0.00 |
| 99152 |
|
40 |
37 |
$0.00 |
| J7030 |
Normal saline solution infus |
154 |
128 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
22 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
68 |
40 |
$0.00 |