| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
86,686 |
81,748 |
$23.10M |
| 99284 |
|
69,195 |
64,735 |
$17.35M |
| 99285 |
|
25,004 |
23,490 |
$5.67M |
| 99282 |
|
19,311 |
18,388 |
$1.21M |
| 93005 |
|
25,586 |
23,737 |
$1.03M |
| 87636 |
|
6,744 |
6,365 |
$952K |
| T1016 |
Case management |
10,561 |
3,304 |
$736K |
| 96374 |
|
36,195 |
33,998 |
$714K |
| G0463 |
Hospital outpt clinic visit |
27,136 |
22,674 |
$689K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,073 |
6,503 |
$609K |
| 71045 |
|
18,092 |
16,996 |
$516K |
| J3490 |
Drugs unclassified injection |
77,299 |
45,150 |
$444K |
| 41899 |
|
431 |
427 |
$420K |
| 80053 |
|
31,057 |
27,776 |
$334K |
| 85025 |
|
45,783 |
40,683 |
$334K |
| 74177 |
|
455 |
425 |
$262K |
| T2041 |
Support broker waiver/15 min |
7,498 |
1,626 |
$260K |
| G0378 |
Hospital observation per hr |
1,765 |
1,645 |
$222K |
| 80048 |
|
20,875 |
19,382 |
$222K |
| 71046 |
|
4,583 |
4,380 |
$192K |
| 11042 |
|
3,857 |
2,210 |
$166K |
| 70450 |
|
842 |
791 |
$156K |
| J8499 |
Oral prescrip drug non chemo |
28,372 |
18,511 |
$152K |
| 96375 |
|
23,731 |
21,333 |
$149K |
| U0005 |
Infec agen detec ampli probe |
4,772 |
4,304 |
$130K |
| 81001 |
|
37,074 |
34,966 |
$128K |
| 81025 |
|
15,077 |
14,127 |
$119K |
| C9803 |
Hopd covid-19 spec collect |
7,316 |
6,735 |
$117K |
| 96413 |
|
1,789 |
974 |
$115K |
| 85027 |
|
17,273 |
16,084 |
$99K |
| 80047 |
|
11,202 |
10,622 |
$83K |
| J2405 |
Ondansetron hcl injection |
16,945 |
15,638 |
$73K |
| 97597 |
|
1,918 |
1,031 |
$66K |
| 84484 |
|
8,133 |
7,312 |
$63K |
| G0330 |
Facility svs dental rehab |
27 |
26 |
$60K |
| 62323 |
|
266 |
252 |
$57K |
| 87086 |
|
6,965 |
6,612 |
$56K |
| 88305 |
|
720 |
665 |
$51K |
| 96372 |
|
8,253 |
6,780 |
$51K |
| 83690 |
|
7,196 |
6,737 |
$50K |
| 80307 |
|
1,847 |
1,687 |
$45K |
| B4150 |
Ef complet w/intact nutrient |
657 |
583 |
$40K |
| A4554 |
Disposable underpads |
1,232 |
1,149 |
$39K |
| G0480 |
Drug test def 1-7 classes |
1,370 |
1,243 |
$34K |
| T4527 |
Adult size pull-on lg |
457 |
431 |
$30K |
| 94640 |
|
1,579 |
1,392 |
$29K |
| 96361 |
|
2,731 |
2,227 |
$26K |
| 20610 |
|
281 |
247 |
$24K |
| 59025 |
|
199 |
180 |
$23K |
| B4154 |
Ef spec metabolic noninherit |
362 |
340 |
$23K |
| 97530 |
|
354 |
123 |
$23K |
| Q5108 |
Injection, fulphila |
16 |
13 |
$20K |
| 11045 |
|
228 |
141 |
$20K |
| 78452 |
|
69 |
66 |
$19K |
| T4526 |
Adult size pull-on med |
294 |
277 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
8,586 |
7,932 |
$16K |
| J1453 |
Fosaprepitant injection |
158 |
104 |
$15K |
| 81003 |
|
4,846 |
4,491 |
$15K |
| J2270 |
Morphine sulfate injection |
3,331 |
2,986 |
$15K |
| 27096 |
|
110 |
109 |
$14K |
| T4535 |
Disposable liner/shield/pad |
612 |
538 |
$14K |
| 94761 |
|
878 |
758 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,436 |
2,251 |
$14K |
| T4528 |
Adult size pull-on xl |
236 |
224 |
$14K |
| 43248 |
|
47 |
43 |
$12K |
| A4927 |
Non-sterile gloves |
675 |
624 |
$11K |
| 80076 |
|
1,553 |
1,479 |
$11K |
| 83735 |
|
1,542 |
1,440 |
$10K |
| 92507 |
|
245 |
72 |
$9K |
| 93017 |
|
59 |
55 |
$9K |
| T4524 |
Adult size brief/diaper xl |
93 |
86 |
$8K |
| J8597 |
Antiemetic drug oral nos |
2,318 |
2,146 |
$8K |
| 43239 |
|
38 |
36 |
$7K |
| 77336 |
|
143 |
60 |
$7K |
| T4523 |
Adult size brief/diaper lg |
84 |
82 |
$7K |
| 74176 |
|
13 |
12 |
$7K |
| 83605 |
|
834 |
748 |
$7K |
| 87491 |
|
225 |
216 |
$7K |
| 87591 |
|
225 |
216 |
$7K |
| 87635 |
|
161 |
147 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
2,529 |
2,382 |
$6K |
| 82803 |
|
373 |
357 |
$5K |
| 87430 |
|
356 |
343 |
$5K |
| 82248 |
|
985 |
931 |
$5K |
| 80061 |
|
443 |
429 |
$5K |
| 87070 |
|
346 |
334 |
$4K |
| 96376 |
|
746 |
551 |
$4K |
| 20553 |
|
42 |
40 |
$4K |
| 36415 |
|
1,700 |
1,369 |
$4K |
| J2272 |
Inj, morphine (fresenius) |
1,318 |
1,210 |
$4K |
| T4522 |
Adult size brief/diaper med |
58 |
48 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,378 |
976 |
$4K |
| 80320 |
|
114 |
109 |
$4K |
| G0483 |
Drug test def 22+ classes |
60 |
59 |
$3K |
| 82728 |
|
294 |
276 |
$3K |
| 0002A |
|
102 |
98 |
$3K |
| Q3014 |
Telehealth facility fee |
202 |
172 |
$3K |
| 29581 |
|
38 |
12 |
$3K |
| 88342 |
|
71 |
65 |
$3K |
| 94760 |
|
593 |
532 |
$3K |
| 82962 |
|
725 |
492 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,281 |
1,201 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| Q0162 |
Ondansetron oral |
1,044 |
1,008 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
770 |
509 |
$2K |
| 0001A |
|
118 |
116 |
$2K |
| C1769 |
Guide wire |
48 |
44 |
$2K |
| J0185 |
Inj., aprepitant, 1 mg |
17 |
13 |
$2K |
| 93798 |
|
59 |
12 |
$2K |
| J2785 |
Regadenoson injection |
40 |
37 |
$2K |
| 85014 |
|
615 |
575 |
$2K |
| 83880 |
|
67 |
62 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
991 |
966 |
$2K |
| J3010 |
Fentanyl citrate injection |
837 |
780 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
395 |
378 |
$1K |
| A4335 |
Incontinence supply |
222 |
200 |
$1K |
| 96365 |
|
74 |
60 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
826 |
801 |
$1K |
| 96367 |
|
174 |
117 |
$933.94 |
| 84466 |
|
104 |
103 |
$880.74 |
| 99199 |
|
151 |
151 |
$855.63 |
| A9500 |
Tc99m sestamibi |
69 |
66 |
$816.98 |
| J3420 |
Vitamin b12 injection |
728 |
556 |
$580.72 |
| 87210 |
|
124 |
120 |
$566.92 |
| 99281 |
|
13 |
13 |
$502.06 |
| 83540 |
|
105 |
104 |
$455.60 |
| J8540 |
Oral dexamethasone |
462 |
429 |
$435.42 |
| J2469 |
Palonosetron hcl |
75 |
41 |
$409.14 |
| J2765 |
Metoclopramide hcl injection |
225 |
212 |
$387.52 |
| 82607 |
|
27 |
27 |
$384.72 |
| J0780 |
Prochlorperazine injection |
83 |
83 |
$351.56 |
| T2025 |
Waiver service, nos |
18 |
12 |
$314.65 |
| 84443 |
|
28 |
25 |
$284.34 |
| 85610 |
|
73 |
67 |
$257.91 |
| J2250 |
Inj midazolam hydrochloride |
121 |
96 |
$231.16 |
| J1790 |
Droperidol injection |
50 |
50 |
$204.40 |
| J1010 |
Inj, methylpred acetate 1 mg |
65 |
59 |
$192.28 |
| J0696 |
Ceftriaxone sodium injection |
54 |
48 |
$188.57 |
| 82746 |
|
15 |
15 |
$182.18 |
| S0028 |
Injection, famotidine, 20 mg |
50 |
45 |
$181.17 |
| J0690 |
Cefazolin sodium injection |
46 |
36 |
$155.43 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
101 |
90 |
$123.18 |
| 90471 |
|
15 |
12 |
$110.51 |
| J1644 |
Inj heparin sodium per 1000u |
182 |
99 |
$108.35 |
| J1040 |
Methylprednisolone 80 mg inj |
50 |
49 |
$99.99 |
| 87081 |
|
15 |
12 |
$83.22 |
| 81002 |
|
17 |
15 |
$33.50 |
| J1030 |
Methylprednisolone 40 mg inj |
28 |
28 |
$33.20 |
| J1170 |
Hydromorphone injection |
18 |
13 |
$22.59 |
| J1642 |
Inj heparin sodium per 10 u |
21 |
12 |
$16.98 |
| A9270 |
Non-covered item or service |
8,940 |
4,186 |
$6.06 |
| 91300 |
|
221 |
148 |
$0.00 |
| 36591 |
|
822 |
502 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |