| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
24,972 |
22,075 |
$3.90M |
| 96361 |
|
8,945 |
7,832 |
$3.19M |
| 99283 |
|
16,424 |
15,100 |
$2.53M |
| 99284 |
|
15,132 |
13,691 |
$2.28M |
| 97110 |
|
19,005 |
5,938 |
$1.31M |
| 96365 |
|
7,734 |
6,573 |
$787K |
| U0003 |
Cov-19 amp prb hgh thruput |
13,372 |
11,630 |
$685K |
| 70450 |
|
5,676 |
5,226 |
$669K |
| 74177 |
|
4,312 |
4,046 |
$652K |
| 11042 |
|
2,787 |
1,249 |
$516K |
| 77067 |
|
4,692 |
4,595 |
$348K |
| 71046 |
|
10,120 |
9,548 |
$344K |
| 99282 |
|
2,293 |
2,136 |
$338K |
| 97140 |
|
7,093 |
2,726 |
$305K |
| 99213 |
|
1,663 |
1,485 |
$275K |
| 96360 |
|
2,195 |
2,082 |
$273K |
| 76856 |
|
2,260 |
2,206 |
$268K |
| 96366 |
|
1,178 |
795 |
$244K |
| G0480 |
Drug test def 1-7 classes |
8,691 |
7,453 |
$240K |
| 73721 |
|
881 |
817 |
$226K |
| 93306 |
|
1,646 |
1,607 |
$222K |
| 72148 |
|
1,177 |
1,122 |
$207K |
| 80307 |
|
6,502 |
5,747 |
$206K |
| 74176 |
|
1,509 |
1,423 |
$199K |
| 76830 |
|
2,110 |
2,039 |
$196K |
| 76700 |
|
1,230 |
1,181 |
$187K |
| 45385 |
|
214 |
210 |
$185K |
| 93971 |
|
1,058 |
974 |
$176K |
| 0241U |
|
4,398 |
4,134 |
$160K |
| 85025 |
|
33,070 |
27,335 |
$152K |
| 76705 |
|
1,604 |
1,516 |
$141K |
| J0131 |
Inj, acetaminophen (nos) |
3,743 |
3,345 |
$139K |
| 76642 |
|
1,575 |
1,350 |
$137K |
| J3490 |
Drugs unclassified injection |
3,884 |
2,621 |
$127K |
| G2023 |
Specimen collect covid-19 |
6,701 |
5,764 |
$120K |
| 71275 |
|
834 |
768 |
$113K |
| 87635 |
|
3,335 |
3,022 |
$110K |
| S9485 |
Crisis intervention mental h |
221 |
192 |
$109K |
| 99214 |
|
670 |
590 |
$87K |
| 73630 |
|
2,705 |
2,498 |
$80K |
| G0378 |
Hospital observation per hr |
4,514 |
1,978 |
$77K |
| 97162 |
|
1,286 |
1,220 |
$74K |
| 72100 |
|
2,422 |
2,275 |
$73K |
| 77063 |
|
4,662 |
4,566 |
$73K |
| 76801 |
|
497 |
417 |
$69K |
| 73610 |
|
1,908 |
1,792 |
$65K |
| 73030 |
|
2,093 |
1,937 |
$65K |
| 76536 |
|
610 |
600 |
$63K |
| 45380 |
|
78 |
78 |
$62K |
| ATP15 |
|
7,003 |
5,420 |
$62K |
| 77065 |
Tomosynthesis, mammo |
877 |
777 |
$61K |
| 73564 |
|
1,734 |
1,591 |
$57K |
| 84484 |
|
10,130 |
7,285 |
$56K |
| 70553 |
|
161 |
159 |
$54K |
| 83735 |
|
13,164 |
10,734 |
$52K |
| 76816 |
|
835 |
759 |
$52K |
| 95810 |
|
64 |
64 |
$49K |
| 73130 |
|
1,576 |
1,393 |
$48K |
| 97161 |
|
806 |
766 |
$48K |
| ATP08 |
|
6,920 |
5,458 |
$48K |
| 87086 |
|
9,613 |
8,809 |
$47K |
| 62323 |
|
77 |
76 |
$47K |
| 71250 |
|
692 |
666 |
$46K |
| 93017 |
|
677 |
631 |
$46K |
| 43239 |
|
63 |
63 |
$46K |
| 83690 |
|
10,366 |
9,024 |
$45K |
| ATP14 |
|
5,160 |
3,963 |
$45K |
| 93975 |
|
412 |
376 |
$41K |
| 83880 |
|
2,355 |
2,154 |
$41K |
| G0463 |
Hospital outpt clinic visit |
1,901 |
1,608 |
$36K |
| 78452 |
|
121 |
117 |
$36K |
| 70551 |
|
124 |
122 |
$35K |
| 59025 |
|
150 |
92 |
$35K |
| 83605 |
|
5,556 |
4,280 |
$35K |
| 73110 |
|
1,088 |
986 |
$34K |
| 93005 |
|
17,322 |
14,652 |
$34K |
| 84703 |
|
5,829 |
5,334 |
$33K |
| 80053 |
|
17,359 |
14,059 |
$32K |
| 96374 |
|
12,190 |
10,834 |
$32K |
| 77080 |
|
617 |
609 |
$31K |
| 73502 |
|
1,107 |
1,038 |
$31K |
| 73221 |
|
95 |
89 |
$29K |
| 87430 |
|
2,291 |
2,204 |
$27K |
| G0279 |
Tomosynthesis, mammo |
844 |
823 |
$27K |
| 80048 |
|
20,092 |
17,044 |
$27K |
| 77066 |
Tomosynthesis, mammo |
380 |
367 |
$26K |
| 87040 |
|
4,094 |
2,263 |
$26K |
| 94060 |
|
223 |
217 |
$25K |
| 87798 |
|
1,747 |
655 |
$23K |
| 74018 |
|
509 |
484 |
$21K |
| 76770 |
|
142 |
140 |
$20K |
| 93970 |
|
58 |
55 |
$20K |
| 71045 |
|
10,795 |
9,629 |
$20K |
| 71271 |
|
446 |
424 |
$19K |
| 85027 |
|
5,167 |
4,119 |
$18K |
| 87070 |
|
3,132 |
2,943 |
$18K |
| 96375 |
|
11,835 |
9,760 |
$18K |
| 84443 |
|
1,947 |
1,759 |
$18K |
| 87801 |
|
379 |
372 |
$17K |
| 87491 |
|
683 |
606 |
$16K |
| 85610 |
|
7,502 |
6,621 |
$16K |
| 87591 |
|
673 |
596 |
$16K |
| 87077 |
|
3,122 |
2,897 |
$15K |
| 87804 |
|
1,366 |
754 |
$14K |
| 81003 |
|
10,081 |
9,312 |
$14K |
| 72141 |
|
97 |
94 |
$13K |
| 86317 |
|
755 |
365 |
$13K |
| 73560 |
|
233 |
194 |
$13K |
| 86850 |
|
2,218 |
1,934 |
$13K |
| 72125 |
|
1,721 |
1,584 |
$12K |
| 81025 |
|
2,205 |
2,043 |
$12K |
| 88305 |
|
2,606 |
2,458 |
$12K |
| 85730 |
|
3,316 |
2,972 |
$12K |
| 87186 |
|
2,347 |
2,209 |
$12K |
| 71260 |
|
237 |
224 |
$12K |
| 43235 |
|
12 |
12 |
$11K |
| 96372 |
|
4,332 |
3,475 |
$11K |
| 76819 |
|
152 |
125 |
$11K |
| 85379 |
|
1,754 |
1,609 |
$10K |
| 95811 |
|
12 |
12 |
$10K |
| J7999 |
Compounded drug, noc |
278 |
239 |
$10K |
| 97530 |
|
147 |
110 |
$10K |
| 94726 |
|
245 |
241 |
$10K |
| 72050 |
|
176 |
172 |
$10K |
| 73140 |
|
239 |
221 |
$10K |
| 99203 |
|
55 |
54 |
$9K |
| 73080 |
|
203 |
189 |
$9K |
| 86618 |
|
774 |
667 |
$9K |
| 76811 |
|
57 |
53 |
$9K |
| 86140 |
|
2,929 |
2,383 |
$9K |
| 96367 |
|
529 |
440 |
$8K |
| 82948 |
|
2,847 |
1,406 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
2,585 |
2,357 |
$8K |
| 81001 |
|
4,254 |
3,930 |
$8K |
| 94729 |
|
173 |
169 |
$8K |
| 97112 |
|
129 |
53 |
$8K |
| 80076 |
|
6,897 |
6,233 |
$7K |
| 74019 |
|
1,007 |
926 |
$7K |
| 82803 |
|
582 |
484 |
$7K |
| 87081 |
|
1,197 |
1,182 |
$7K |
| 87476 |
|
314 |
283 |
$7K |
| 87088 |
|
1,368 |
1,247 |
$6K |
| 97035 |
|
126 |
51 |
$6K |
| 99212 |
|
28 |
27 |
$5K |
| 76817 |
|
100 |
85 |
$5K |
| 82248 |
|
5,000 |
4,389 |
$5K |
| J2405 |
Ondansetron hcl injection |
6,308 |
5,576 |
$4K |
| 86900 |
|
2,272 |
1,986 |
$4K |
| 12001 |
|
13 |
13 |
$4K |
| 86901 |
|
2,268 |
1,983 |
$4K |
| 77002 |
|
55 |
54 |
$4K |
| 99211 |
|
26 |
26 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,453 |
2,209 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,519 |
1,391 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
4,082 |
3,820 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
60 |
58 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,730 |
3,941 |
$3K |
| 90715 |
|
112 |
109 |
$3K |
| 85652 |
|
1,697 |
1,536 |
$3K |
| 87632 |
|
17 |
17 |
$2K |
| J7120 |
Ringers lactate infusion |
997 |
879 |
$2K |
| 84702 |
|
175 |
143 |
$2K |
| 87205 |
|
933 |
787 |
$2K |
| 73562 |
|
53 |
51 |
$2K |
| 84439 |
|
294 |
287 |
$2K |
| 85007 |
|
829 |
716 |
$2K |
| 97597 |
|
135 |
94 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,234 |
2,110 |
$2K |
| 71101 |
|
106 |
77 |
$2K |
| 76813 |
|
14 |
14 |
$1K |
| 70496 |
|
12 |
12 |
$1K |
| 93880 |
|
26 |
26 |
$1K |
| 99291 |
|
17 |
13 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
19 |
19 |
$1K |
| 81015 |
|
651 |
616 |
$1K |
| J1170 |
Hydromorphone injection |
2,289 |
1,627 |
$1K |
| 94664 |
|
22 |
18 |
$926.94 |
| 86880 |
|
321 |
282 |
$888.32 |
| J2060 |
Lorazepam injection |
1,827 |
1,478 |
$809.23 |
| 82550 |
|
1,206 |
1,074 |
$751.90 |
| 82306 |
|
54 |
52 |
$732.96 |
| J2270 |
Morphine sulfate injection |
1,217 |
988 |
$628.11 |
| 72040 |
|
12 |
12 |
$605.76 |
| ATP17 |
|
77 |
72 |
$548.50 |
| J7030 |
Normal saline solution infus |
4,610 |
3,951 |
$535.45 |
| J0696 |
Ceftriaxone sodium injection |
987 |
703 |
$534.78 |
| 0011A |
|
74 |
42 |
$508.20 |
| 88342 |
|
54 |
54 |
$507.17 |
| 73700 |
|
32 |
12 |
$486.73 |
| J0137 |
Inj, acetaminophen (hikma) |
182 |
158 |
$480.72 |
| 70486 |
|
13 |
13 |
$476.54 |
| 87210 |
|
113 |
110 |
$428.16 |
| 0012A |
|
22 |
16 |
$397.46 |
| 97116 |
|
18 |
12 |
$395.02 |
| 73590 |
|
15 |
12 |
$323.33 |
| 72070 |
|
12 |
12 |
$319.79 |
| ATP16 |
|
43 |
31 |
$315.81 |
| 87469 |
|
17 |
16 |
$313.04 |
| 87484 |
|
17 |
16 |
$313.04 |
| J7050 |
Normal saline solution infus |
1,291 |
848 |
$311.74 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,050 |
5,670 |
$305.77 |
| 80061 |
|
236 |
232 |
$282.63 |
| 82150 |
|
71 |
60 |
$280.56 |
| 82140 |
|
46 |
37 |
$274.25 |
| 36415 |
|
11,591 |
9,058 |
$269.37 |
| 90471 |
|
369 |
338 |
$264.18 |
| J0690 |
Cefazolin sodium injection |
798 |
722 |
$258.74 |
| J1200 |
Diphenhydramine hcl injectio |
521 |
470 |
$228.17 |
| 96376 |
|
3,968 |
2,572 |
$216.95 |
| 87420 |
|
17 |
16 |
$208.59 |
| 90656 |
|
20 |
20 |
$203.70 |
| 83036 |
|
40 |
40 |
$200.20 |
| J0136 |
Inj, acetaminophen (b braun) |
260 |
225 |
$166.85 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
194 |
159 |
$156.66 |
| J2930 |
Methylprednisolone injection |
84 |
62 |
$149.16 |
| 73090 |
|
13 |
12 |
$107.78 |
| J3475 |
Inj magnesium sulfate |
841 |
720 |
$103.76 |
| Q3014 |
Telehealth facility fee |
420 |
366 |
$74.39 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$74.08 |
| 80178 |
|
13 |
13 |
$47.74 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,460 |
1,388 |
$23.94 |
| 82962 |
|
1,767 |
843 |
$8.35 |
| J2765 |
Metoclopramide hcl injection |
693 |
621 |
$2.72 |
| J0134 |
Inj acetaminophen -fresenius |
161 |
142 |
$1.94 |
| G8979 |
Mobility goal status |
306 |
292 |
$0.00 |
| 84100 |
|
365 |
314 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
390 |
295 |
$0.00 |
| G8978 |
Mobility current status |
274 |
262 |
$0.00 |
| A4649 |
Surgical supplies |
13 |
13 |
$0.00 |
| 93356 |
|
47 |
46 |
$0.00 |
| 80179 |
|
54 |
51 |
$0.00 |
| J7040 |
Normal saline solution infus |
71 |
65 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
21 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
1,285 |
1,162 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
73 |
72 |
$0.00 |
| A9500 |
Tc99m sestamibi |
124 |
120 |
$0.00 |
| 94760 |
|
935 |
668 |
$0.00 |
| G0008 |
Admin influenza virus vac |
42 |
42 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
45 |
40 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
179 |
171 |
$0.00 |
| J1630 |
Haloperidol injection |
80 |
63 |
$0.00 |
| 80320 |
|
52 |
51 |
$0.00 |
| 94640 |
|
15 |
12 |
$0.00 |
| 91301 |
|
90 |
40 |
$0.00 |