| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
11,397 |
10,609 |
$241K |
| 99223 |
Prolong inpt eval add15 m |
991 |
892 |
$175K |
| 99213 |
|
26,821 |
23,883 |
$148K |
| 99204 |
|
1,370 |
1,353 |
$109K |
| 99215 |
Prolong outpt/office vis |
890 |
806 |
$100K |
| 97110 |
|
2,396 |
810 |
$89K |
| 99232 |
|
2,354 |
541 |
$70K |
| E1390 |
Oxygen concentrator |
606 |
545 |
$65K |
| S9083 |
Urgent care center global |
1,310 |
1,216 |
$63K |
| 92507 |
|
795 |
126 |
$57K |
| 20553 |
|
510 |
474 |
$34K |
| 97039 |
|
991 |
374 |
$33K |
| E0601 |
Cont airway pressure device |
354 |
352 |
$29K |
| 97803 |
|
1,274 |
1,127 |
$28K |
| 87591 |
|
6,053 |
5,910 |
$28K |
| 87491 |
|
6,129 |
5,979 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
1,085 |
335 |
$26K |
| 99203 |
|
713 |
710 |
$23K |
| 99205 |
Prolong outpt/office vis |
145 |
145 |
$21K |
| 92004 |
|
524 |
524 |
$21K |
| H1001 |
Antepartum management |
357 |
252 |
$20K |
| 97802 |
|
489 |
457 |
$19K |
| T4541 |
Large disposable underpad |
946 |
945 |
$17K |
| 93306 |
|
142 |
132 |
$16K |
| 99211 |
|
1,895 |
1,033 |
$16K |
| T4535 |
Disposable liner/shield/pad |
574 |
573 |
$15K |
| 92552 |
|
1,067 |
1,030 |
$14K |
| K0001 |
Standard wheelchair |
295 |
292 |
$14K |
| 92551 |
|
2,820 |
2,772 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
508 |
472 |
$11K |
| 99221 |
|
494 |
457 |
$11K |
| 85025 |
|
22,052 |
18,459 |
$11K |
| 95117 |
|
1,115 |
292 |
$10K |
| 81025 |
|
472 |
456 |
$10K |
| E0443 |
Portable 02 contents, gas |
206 |
206 |
$10K |
| 81000 |
|
829 |
730 |
$10K |
| E0562 |
Humidifier heated used w pap |
370 |
369 |
$10K |
| V2020 |
Vision svcs frames purchases |
398 |
398 |
$8K |
| 80053 |
|
19,495 |
17,847 |
$8K |
| 93010 |
|
628 |
559 |
$8K |
| 97140 |
|
463 |
175 |
$7K |
| E0431 |
Portable gaseous 02 |
401 |
398 |
$7K |
| 81002 |
|
1,041 |
755 |
$7K |
| 95144 |
|
45 |
44 |
$7K |
| 99392 |
|
582 |
568 |
$6K |
| 92012 |
|
199 |
184 |
$6K |
| 99393 |
|
593 |
580 |
$6K |
| 92340 |
|
269 |
269 |
$6K |
| 92015 |
|
706 |
705 |
$6K |
| 93000 |
|
397 |
389 |
$5K |
| 80307 |
|
754 |
710 |
$5K |
| 90686 |
|
837 |
837 |
$5K |
| 97162 |
|
103 |
103 |
$5K |
| 11721 |
|
153 |
149 |
$5K |
| A4649 |
Surgical supplies |
228 |
175 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
424 |
307 |
$4K |
| 97014 |
|
260 |
105 |
$4K |
| 99173 |
|
1,764 |
1,753 |
$4K |
| 99000 |
|
4,028 |
3,847 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
55 |
54 |
$4K |
| 59425 |
|
156 |
94 |
$4K |
| A6250 |
Skin seal protect moisturizr |
243 |
243 |
$3K |
| 99285 |
|
43 |
43 |
$3K |
| 76857 |
|
74 |
67 |
$3K |
| 99222 |
|
55 |
53 |
$3K |
| 99238 |
|
47 |
45 |
$3K |
| 85018 |
|
1,958 |
1,933 |
$3K |
| 99283 |
|
66 |
66 |
$3K |
| 80048 |
|
3,119 |
1,998 |
$3K |
| 99152 |
|
13 |
13 |
$3K |
| 20610 |
|
38 |
24 |
$3K |
| 62323 |
|
26 |
25 |
$3K |
| 99202 |
|
44 |
42 |
$3K |
| 99212 |
|
5,685 |
5,124 |
$2K |
| 92133 |
|
108 |
108 |
$2K |
| 88305 |
|
403 |
392 |
$2K |
| 51798 |
|
138 |
131 |
$2K |
| 90471 |
|
1,195 |
1,187 |
$2K |
| T4527 |
Adult size pull-on lg |
26 |
26 |
$2K |
| 92083 |
|
108 |
108 |
$2K |
| 82948 |
|
1,546 |
992 |
$2K |
| A4335 |
Incontinence supply |
216 |
216 |
$2K |
| 84443 |
|
9,859 |
9,720 |
$2K |
| 92250 |
|
40 |
39 |
$2K |
| 80061 |
|
12,727 |
12,641 |
$2K |
| 88150 |
|
63 |
63 |
$2K |
| 71045 |
|
195 |
163 |
$2K |
| 81001 |
|
9,230 |
8,946 |
$2K |
| 84484 |
|
1,368 |
1,122 |
$2K |
| 99391 |
|
134 |
128 |
$1K |
| 36415 |
|
12,204 |
11,551 |
$1K |
| 92014 |
|
55 |
53 |
$1K |
| U0005 |
Infec agen detec ampli probe |
314 |
226 |
$1K |
| 83036 |
|
10,407 |
10,308 |
$1K |
| 85610 |
|
2,311 |
2,013 |
$1K |
| 92081 |
|
1,206 |
1,203 |
$1K |
| 94150 |
|
222 |
92 |
$1K |
| 82306 |
|
3,922 |
3,904 |
$1K |
| 90651 |
|
209 |
209 |
$1K |
| 99394 |
|
367 |
367 |
$1K |
| 72275 |
|
55 |
54 |
$1K |
| 85730 |
|
1,553 |
1,369 |
$1K |
| 90670 |
|
168 |
168 |
$1K |
| 83735 |
|
1,120 |
798 |
$985.53 |
| 83880 |
|
375 |
329 |
$966.49 |
| 90715 |
|
119 |
118 |
$899.90 |
| 83690 |
|
1,096 |
986 |
$896.25 |
| T4528 |
Adult size pull-on xl |
12 |
12 |
$872.45 |
| E0143 |
Walker folding wheeled w/o s |
12 |
12 |
$840.40 |
| 99244 |
|
13 |
13 |
$782.00 |
| 87624 |
|
1,263 |
1,259 |
$778.36 |
| G2023 |
Specimen collect covid-19 |
152 |
120 |
$720.30 |
| 99199 |
|
22 |
21 |
$718.27 |
| 90734 |
|
112 |
112 |
$669.84 |
| 99442 |
|
6,084 |
5,540 |
$636.32 |
| 1036F |
|
3,650 |
3,430 |
$596.62 |
| J1030 |
Methylprednisolone 40 mg inj |
16 |
14 |
$566.64 |
| 87086 |
|
2,572 |
2,470 |
$553.55 |
| J3490 |
Drugs unclassified injection |
37 |
24 |
$551.17 |
| G2010 |
Remot image submit by pt |
52 |
43 |
$547.39 |
| 87389 |
|
4,032 |
4,012 |
$546.16 |
| 90647 |
|
31 |
31 |
$530.76 |
| 90723 |
|
14 |
14 |
$513.98 |
| 85027 |
|
1,689 |
1,552 |
$503.40 |
| 81003 |
|
1,722 |
1,631 |
$492.12 |
| 3008F |
|
6,721 |
6,188 |
$487.69 |
| 86003 |
|
234 |
233 |
$472.27 |
| 92020 |
|
25 |
25 |
$456.76 |
| 82570 |
|
2,964 |
2,928 |
$438.69 |
| 99284 |
|
12 |
12 |
$434.55 |
| 86803 |
|
1,205 |
1,204 |
$430.61 |
| 90658 |
|
174 |
174 |
$385.92 |
| 3079F |
|
580 |
534 |
$368.84 |
| 80076 |
|
589 |
485 |
$352.56 |
| 4004F |
|
149 |
131 |
$338.47 |
| A7038 |
Pos airway pressure filter |
54 |
53 |
$334.68 |
| 1111F |
|
2,400 |
1,955 |
$323.18 |
| 3078F |
|
4,604 |
4,316 |
$323.11 |
| 82550 |
|
567 |
528 |
$319.42 |
| 90633 |
|
77 |
77 |
$312.04 |
| A7035 |
Pos airway press headgear |
12 |
12 |
$296.71 |
| 3077F |
|
564 |
471 |
$272.05 |
| 90621 |
|
31 |
31 |
$272.00 |
| 99396 |
|
330 |
330 |
$269.83 |
| A7037 |
Pos airway pressure tubing |
12 |
12 |
$265.88 |
| 83605 |
|
134 |
92 |
$265.53 |
| 82728 |
|
720 |
712 |
$264.79 |
| 85007 |
|
283 |
195 |
$232.55 |
| U0004 |
Cov-19 test non-cdc hgh thru |
128 |
59 |
$228.93 |
| H1003 |
Prenatal at risk education |
95 |
27 |
$225.27 |
| 87661 |
|
689 |
683 |
$225.04 |
| G8510 |
Scr dep neg, no plan reqd |
1,354 |
1,302 |
$221.51 |
| 80074 |
|
778 |
776 |
$215.72 |
| 90460 |
|
542 |
540 |
$207.00 |
| 90656 |
|
101 |
101 |
$203.30 |
| G8420 |
Calc bmi norm parameters |
62 |
57 |
$197.10 |
| 84550 |
|
1,446 |
1,429 |
$189.62 |
| 1160F |
|
1,158 |
1,047 |
$189.40 |
| 51741 |
|
15 |
14 |
$187.50 |
| 86580 |
|
59 |
58 |
$182.85 |
| 84439 |
|
1,987 |
1,961 |
$161.83 |
| 86900 |
|
291 |
270 |
$155.13 |
| 84100 |
|
638 |
562 |
$154.72 |
| 87081 |
|
324 |
316 |
$141.73 |
| 86431 |
|
768 |
765 |
$140.55 |
| 83540 |
|
974 |
959 |
$137.07 |
| 82607 |
|
1,090 |
1,087 |
$136.88 |
| 82043 |
|
2,906 |
2,890 |
$134.89 |
| G8427 |
Docrev cur meds by elig clin |
133 |
116 |
$134.09 |
| G8417 |
Calc bmi abv up param f/u |
41 |
36 |
$131.95 |
| 99395 |
|
185 |
185 |
$128.18 |
| 86140 |
|
973 |
952 |
$120.98 |
| 83550 |
|
755 |
745 |
$120.17 |
| 84155 |
|
191 |
95 |
$112.50 |
| G0442 |
Annual alcohol screen 15 min |
239 |
235 |
$111.88 |
| 86592 |
|
4,421 |
4,379 |
$111.66 |
| 3080F |
|
359 |
305 |
$109.20 |
| 36410 |
|
76 |
76 |
$108.60 |
| 90700 |
|
12 |
12 |
$108.00 |
| 3074F |
|
4,469 |
4,216 |
$103.74 |
| 82746 |
|
794 |
790 |
$102.01 |
| G0480 |
Drug test def 1-7 classes |
107 |
104 |
$100.75 |
| 84703 |
|
305 |
293 |
$99.00 |
| 84436 |
|
1,566 |
1,559 |
$97.39 |
| 84702 |
|
412 |
363 |
$95.31 |
| 86901 |
|
206 |
186 |
$91.02 |
| 87340 |
|
1,005 |
1,001 |
$90.47 |
| 93005 |
|
15 |
14 |
$83.75 |
| 90472 |
|
201 |
200 |
$81.00 |
| 86038 |
|
1,188 |
1,177 |
$79.88 |
| 88175 |
|
1,421 |
1,415 |
$79.75 |
| 87186 |
|
459 |
452 |
$78.16 |
| 84153 |
|
946 |
931 |
$74.18 |
| 83655 |
|
787 |
786 |
$72.58 |
| G0447 |
Behavior counsel obesity 15m |
319 |
295 |
$70.64 |
| 83721 |
|
379 |
379 |
$68.99 |
| 87040 |
|
65 |
55 |
$66.65 |
| 87077 |
|
442 |
435 |
$65.42 |
| 92134 |
|
25 |
25 |
$64.50 |
| 86850 |
|
46 |
45 |
$60.25 |
| 90461 |
|
199 |
199 |
$54.00 |
| 84479 |
|
910 |
909 |
$49.87 |
| 86706 |
|
747 |
747 |
$49.49 |
| 96127 |
|
399 |
339 |
$40.81 |
| G8783 |
Bp scrn perf rec interval |
127 |
110 |
$38.26 |
| 82378 |
|
93 |
87 |
$37.73 |
| 87088 |
|
1,594 |
1,546 |
$37.25 |
| 86235 |
|
107 |
106 |
$35.50 |
| 99348 |
|
37 |
37 |
$34.30 |
| 83615 |
|
38 |
36 |
$28.37 |
| 84481 |
|
850 |
843 |
$28.23 |
| 83001 |
|
272 |
271 |
$28.00 |
| 82140 |
|
14 |
13 |
$27.72 |
| 86480 |
|
282 |
281 |
$27.52 |
| 87070 |
|
512 |
509 |
$27.47 |
| 82248 |
|
786 |
780 |
$27.05 |
| 83026 |
|
31 |
31 |
$27.00 |
| 85652 |
|
1,384 |
1,359 |
$26.58 |
| 1157F |
|
34 |
31 |
$24.00 |
| 82785 |
|
147 |
146 |
$23.21 |
| 86704 |
|
651 |
651 |
$22.53 |
| 86039 |
|
313 |
308 |
$22.21 |
| Q0111 |
Wet mounts/ w preparations |
50 |
50 |
$22.13 |
| 71046 |
|
86 |
86 |
$18.68 |
| 86200 |
|
233 |
231 |
$18.63 |
| 88142 |
|
231 |
231 |
$18.13 |
| 84403 |
|
162 |
162 |
$18.06 |
| 90688 |
|
59 |
59 |
$18.00 |
| 83002 |
|
226 |
226 |
$17.97 |
| 87804 |
|
62 |
62 |
$17.68 |
| 86225 |
|
171 |
171 |
$14.44 |
| 86376 |
|
339 |
339 |
$12.80 |
| 86708 |
|
702 |
700 |
$10.90 |
| 85379 |
|
12 |
12 |
$10.86 |
| 82565 |
|
110 |
110 |
$10.24 |
| 90649 |
|
13 |
13 |
$9.00 |
| 3075F |
|
190 |
179 |
$8.08 |
| 84480 |
|
741 |
736 |
$7.00 |
| 82947 |
|
236 |
236 |
$6.54 |
| 82670 |
|
93 |
93 |
$5.00 |
| 84460 |
|
44 |
44 |
$4.58 |
| 85014 |
|
147 |
144 |
$3.75 |
| 82950 |
|
316 |
313 |
$3.04 |
| 84146 |
|
201 |
197 |
$3.00 |
| 80051 |
|
41 |
41 |
$1.24 |
| 1000F |
|
3,521 |
3,317 |
$0.00 |
| 96156 |
|
787 |
772 |
$0.00 |
| 87147 |
|
146 |
143 |
$0.00 |
| 86160 |
|
74 |
74 |
$0.00 |
| 86769 |
|
30 |
30 |
$0.00 |
| 1170F |
|
125 |
123 |
$0.00 |
| 82952 |
|
12 |
12 |
$0.00 |
| 1126F |
|
225 |
202 |
$0.00 |
| 94760 |
|
851 |
804 |
$0.00 |
| S9452 |
Nutrition class |
184 |
176 |
$0.00 |
| 80081 |
|
201 |
200 |
$0.00 |
| 86593 |
|
43 |
41 |
$0.00 |
| 99058 |
|
65 |
54 |
$0.00 |
| 99443 |
|
374 |
351 |
$0.00 |
| 86695 |
|
253 |
252 |
$0.00 |
| 99441 |
|
321 |
310 |
$0.00 |
| 1125F |
|
78 |
73 |
$0.00 |
| 76700 |
|
96 |
96 |
$0.00 |
| 87801 |
|
255 |
255 |
$0.00 |
| 77063 |
|
160 |
160 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
12 |
12 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
60 |
58 |
$0.00 |
| 87635 |
|
119 |
112 |
$0.00 |
| 0012A |
|
137 |
137 |
$0.00 |
| 94200 |
|
96 |
91 |
$0.00 |
| 96110 |
|
26 |
26 |
$0.00 |
| 88141 |
|
104 |
104 |
$0.00 |
| 0011A |
|
97 |
97 |
$0.00 |
| 83014 |
|
27 |
27 |
$0.00 |
| 2000F |
|
12 |
12 |
$0.00 |
| 86800 |
|
123 |
123 |
$0.00 |
| 97113 |
|
39 |
14 |
$0.00 |
| 96372 |
|
13 |
12 |
$0.00 |
| 1034F |
|
29 |
25 |
$0.00 |
| 82962 |
|
15 |
12 |
$0.00 |
| 86780 |
|
29 |
29 |
$0.00 |
| S9451 |
Exercise class |
59 |
56 |
$0.00 |
| Q3014 |
Telehealth facility fee |
69 |
66 |
$0.00 |
| 0001A |
|
42 |
42 |
$0.00 |
| 99406 |
|
30 |
26 |
$0.00 |
| 76830 |
|
26 |
26 |
$0.00 |
| 95115 |
|
19 |
18 |
$0.00 |
| 3044F |
|
15 |
13 |
$0.00 |
| 86762 |
|
15 |
15 |
$0.00 |
| 82951 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
13 |
12 |
$0.00 |
| 91301 |
|
34 |
31 |
$0.00 |
| 84520 |
|
74 |
69 |
$0.00 |
| 76642 |
|
130 |
129 |
$0.00 |
| 1090F |
|
148 |
145 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
135 |
128 |
$0.00 |
| 99001 |
|
130 |
117 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
165 |
160 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
360 |
298 |
$0.00 |
| A4550 |
Surgical trays |
43 |
43 |
$0.00 |
| 77067 |
|
1,015 |
1,015 |
$0.00 |
| 82274 |
|
592 |
569 |
$0.00 |
| 83013 |
|
277 |
276 |
$0.00 |
| 99281 |
|
523 |
493 |
$0.00 |
| 1159F |
|
1,296 |
1,173 |
$0.00 |
| 98960 |
|
214 |
205 |
$0.00 |
| 96160 |
|
25 |
25 |
$0.00 |
| 99072 |
|
103 |
87 |
$0.00 |
| 82085 |
|
29 |
29 |
$0.00 |
| 87799 |
|
268 |
263 |
$0.00 |
| 82652 |
|
672 |
670 |
$0.00 |
| 84450 |
|
14 |
14 |
$0.00 |
| 99201 |
|
72 |
37 |
$0.00 |
| 87512 |
|
255 |
255 |
$0.00 |
| G8482 |
Flu immunize order/admin |
323 |
320 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
121 |
113 |
$0.00 |
| 2014F |
|
40 |
40 |
$0.00 |
| 86318 |
|
55 |
54 |
$0.00 |
| 83970 |
|
85 |
84 |
$0.00 |
| G9920 |
Scrning perf and negative |
151 |
151 |
$0.00 |
| 3046F |
|
79 |
55 |
$0.00 |
| 86696 |
|
251 |
250 |
$0.00 |
| 36425 |
|
69 |
67 |
$0.00 |
| 83516 |
|
29 |
29 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |
| 82465 |
|
12 |
12 |
$0.00 |
| 83525 |
|
17 |
17 |
$0.00 |
| 0002A |
|
41 |
41 |
$0.00 |
| 3725F |
|
59 |
59 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
43 |
40 |
$0.00 |
| 86790 |
|
16 |
16 |
$0.00 |
| 87880 |
|
12 |
12 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
17 |
17 |
$0.00 |