| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
198,739 |
166,800 |
$29.53M |
| 99283 |
|
120,049 |
105,972 |
$18.09M |
| 90834 |
|
122,567 |
75,964 |
$14.03M |
| G0463 |
Hospital outpt clinic visit |
171,678 |
99,978 |
$11.70M |
| 11042 |
|
12,159 |
4,258 |
$7.53M |
| 71045 |
|
49,995 |
41,586 |
$7.17M |
| 93005 |
|
107,253 |
82,882 |
$6.76M |
| 99285 |
|
43,924 |
35,757 |
$5.96M |
| 96413 |
|
33,828 |
14,179 |
$4.92M |
| 74177 |
|
12,763 |
10,289 |
$4.85M |
| 96374 |
|
91,779 |
74,487 |
$3.97M |
| 99213 |
|
35,865 |
32,662 |
$3.88M |
| J9271 |
Inj pembrolizumab |
664 |
373 |
$3.77M |
| 90853 |
|
70,656 |
17,588 |
$3.53M |
| 99214 |
|
24,610 |
22,609 |
$3.16M |
| 96361 |
|
54,725 |
42,139 |
$2.18M |
| 90832 |
|
15,922 |
12,571 |
$1.99M |
| 99211 |
|
26,019 |
23,170 |
$1.97M |
| Q3014 |
Telehealth facility fee |
34,092 |
20,207 |
$1.76M |
| 97110 |
|
20,045 |
7,404 |
$1.73M |
| 70450 |
|
14,101 |
11,486 |
$1.62M |
| 90791 |
|
13,524 |
12,041 |
$1.48M |
| 71046 |
|
15,300 |
12,981 |
$1.29M |
| 96372 |
|
33,001 |
23,277 |
$1.15M |
| 36591 |
|
21,034 |
9,157 |
$1.07M |
| 85025 |
|
231,379 |
167,921 |
$958K |
| 90837 |
|
7,403 |
3,636 |
$916K |
| 96375 |
|
58,897 |
38,204 |
$884K |
| 90839 |
|
7,260 |
6,237 |
$826K |
| C9803 |
Hopd covid-19 spec collect |
11,365 |
9,593 |
$804K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,166 |
10,339 |
$783K |
| 87502 |
|
9,242 |
8,095 |
$687K |
| 77067 |
|
3,534 |
3,305 |
$645K |
| J0897 |
Denosumab injection |
546 |
396 |
$638K |
| 93306 |
|
1,565 |
1,295 |
$589K |
| J1439 |
Inj ferric carboxymaltos 1mg |
771 |
394 |
$577K |
| 80048 |
|
107,491 |
85,220 |
$516K |
| 71275 |
|
1,073 |
882 |
$479K |
| 84484 |
|
68,339 |
48,107 |
$472K |
| 90847 |
|
8,048 |
6,183 |
$467K |
| 80053 |
|
77,459 |
47,433 |
$387K |
| 36415 |
|
156,233 |
120,886 |
$372K |
| 92507 |
|
2,187 |
725 |
$335K |
| 90792 |
|
3,099 |
2,724 |
$316K |
| 96417 |
|
3,023 |
1,498 |
$304K |
| 81025 |
|
53,194 |
45,322 |
$293K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,039 |
2,992 |
$271K |
| U0005 |
Infec agen detec ampli probe |
11,837 |
10,042 |
$255K |
| 77336 |
|
1,539 |
514 |
$206K |
| 99282 |
|
1,218 |
1,120 |
$175K |
| 77063 |
|
3,199 |
2,983 |
$164K |
| 96365 |
|
2,478 |
1,581 |
$160K |
| 87086 |
|
32,398 |
26,470 |
$151K |
| 83690 |
|
37,799 |
30,706 |
$130K |
| 87635 |
|
3,231 |
2,968 |
$128K |
| 99217 |
|
363 |
246 |
$119K |
| 77386 |
|
134 |
13 |
$118K |
| 99218 |
|
334 |
228 |
$108K |
| 81001 |
|
54,514 |
44,685 |
$106K |
| 99221 |
|
273 |
199 |
$103K |
| J2469 |
Palonosetron hcl |
3,591 |
1,552 |
$101K |
| 80076 |
|
19,823 |
15,994 |
$100K |
| 99215 |
Prolong outpt/office vis |
773 |
707 |
$99K |
| G2023 |
Specimen collect covid-19 |
2,600 |
2,391 |
$95K |
| 99239 |
|
319 |
231 |
$95K |
| 87088 |
|
19,291 |
15,842 |
$90K |
| 99212 |
|
767 |
682 |
$85K |
| 97161 |
|
793 |
681 |
$80K |
| 80047 |
|
17,108 |
13,651 |
$72K |
| 82728 |
|
9,691 |
7,717 |
$72K |
| 78815 |
|
47 |
37 |
$68K |
| J0185 |
Inj., aprepitant, 1 mg |
325 |
159 |
$67K |
| 80050 |
|
368 |
286 |
$63K |
| 96360 |
|
1,666 |
1,436 |
$59K |
| 72148 |
|
247 |
215 |
$55K |
| J0881 |
Darbepoetin alfa, non-esrd |
91 |
61 |
$53K |
| 77412 |
|
172 |
12 |
$50K |
| 77334 |
|
221 |
119 |
$44K |
| 83550 |
|
8,901 |
7,131 |
$43K |
| G0378 |
Hospital observation per hr |
730 |
265 |
$39K |
| J1642 |
Inj heparin sodium per 10 u |
31,850 |
12,475 |
$38K |
| 74176 |
|
206 |
134 |
$36K |
| 94640 |
|
2,994 |
2,242 |
$35K |
| 83540 |
|
8,926 |
7,150 |
$32K |
| 83880 |
|
1,624 |
1,253 |
$32K |
| G0480 |
Drug test def 1-7 classes |
604 |
505 |
$32K |
| 90846 |
|
499 |
330 |
$31K |
| 93017 |
|
208 |
168 |
$30K |
| J1950 |
Leuprolide acetate /3.75 mg |
28 |
25 |
$28K |
| 76642 |
|
212 |
185 |
$25K |
| 96415 |
|
368 |
164 |
$24K |
| 95811 |
|
14 |
14 |
$23K |
| 99231 |
|
96 |
40 |
$22K |
| 87591 |
|
1,037 |
865 |
$22K |
| 87491 |
|
988 |
825 |
$21K |
| 87634 |
|
308 |
283 |
$18K |
| 78452 |
|
43 |
40 |
$17K |
| 84443 |
|
2,718 |
1,436 |
$14K |
| 77300 |
|
77 |
62 |
$13K |
| 84439 |
|
3,385 |
1,868 |
$13K |
| 36592 |
|
615 |
343 |
$12K |
| 72170 |
|
447 |
360 |
$12K |
| 82607 |
|
1,382 |
1,050 |
$11K |
| 83520 |
|
780 |
591 |
$11K |
| 82746 |
|
1,253 |
945 |
$10K |
| 86334 |
|
1,156 |
798 |
$9K |
| 82784 |
|
856 |
632 |
$9K |
| 96416 |
|
48 |
25 |
$9K |
| 85014 |
|
6,930 |
5,509 |
$9K |
| 73564 |
|
241 |
107 |
$9K |
| 87880 |
|
709 |
623 |
$7K |
| 99234 |
|
16 |
13 |
$7K |
| 97597 |
|
93 |
52 |
$7K |
| 20610 |
|
73 |
42 |
$7K |
| 82553 |
|
4,405 |
2,478 |
$7K |
| 72100 |
|
163 |
141 |
$7K |
| 96402 |
|
795 |
587 |
$6K |
| 80307 |
|
151 |
126 |
$6K |
| 77065 |
Tomosynthesis, mammo |
45 |
38 |
$6K |
| 83735 |
|
1,737 |
725 |
$5K |
| 80305 |
|
467 |
362 |
$5K |
| 11045 |
|
29 |
12 |
$5K |
| 87804 |
|
567 |
261 |
$5K |
| 85379 |
|
648 |
535 |
$4K |
| 96367 |
|
251 |
101 |
$4K |
| 84165 |
|
1,806 |
1,290 |
$4K |
| 74018 |
|
36 |
28 |
$4K |
| 71260 |
|
23 |
13 |
$4K |
| 97140 |
|
765 |
208 |
$3K |
| 81003 |
|
2,519 |
2,146 |
$3K |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$3K |
| 71250 |
|
14 |
14 |
$3K |
| 76830 |
|
15 |
13 |
$3K |
| 76805 |
|
15 |
15 |
$3K |
| 94799 |
|
185 |
79 |
$3K |
| 85027 |
|
809 |
593 |
$2K |
| 76856 |
|
15 |
13 |
$2K |
| 84100 |
|
1,402 |
882 |
$2K |
| 83883 |
|
246 |
173 |
$2K |
| 87081 |
|
453 |
401 |
$2K |
| 87808 |
|
197 |
168 |
$2K |
| 82565 |
|
567 |
393 |
$2K |
| T1015 |
Clinic service |
78 |
76 |
$2K |
| 96376 |
|
697 |
416 |
$2K |
| 29581 |
|
21 |
12 |
$2K |
| J1756 |
Iron sucrose injection |
30 |
12 |
$1K |
| 94760 |
|
44 |
12 |
$1K |
| J1631 |
Haloperidol decanoate inj |
281 |
194 |
$1K |
| 83521 |
|
108 |
57 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| J9190 |
Fluorouracil injection |
157 |
37 |
$1K |
| J2785 |
Regadenoson injection |
29 |
27 |
$891.40 |
| 82947 |
|
161 |
72 |
$776.60 |
| 94060 |
|
13 |
12 |
$765.32 |
| 73562 |
|
20 |
16 |
$747.58 |
| 87905 |
|
80 |
66 |
$745.43 |
| 72125 |
|
15 |
12 |
$594.00 |
| 82657 |
|
62 |
54 |
$560.08 |
| 83921 |
|
78 |
56 |
$555.16 |
| 82077 |
|
45 |
42 |
$536.00 |
| 87077 |
|
110 |
88 |
$531.52 |
| 82962 |
|
241 |
107 |
$497.83 |
| 73610 |
|
19 |
13 |
$478.03 |
| 96366 |
|
232 |
162 |
$476.28 |
| 82378 |
|
52 |
39 |
$448.41 |
| 94761 |
|
37 |
13 |
$392.80 |
| 87641 |
|
12 |
12 |
$315.81 |
| 94726 |
|
13 |
12 |
$283.68 |
| 83605 |
|
36 |
27 |
$254.28 |
| 87426 |
|
15 |
14 |
$244.89 |
| 83090 |
|
23 |
15 |
$207.88 |
| 84132 |
|
65 |
59 |
$190.96 |
| 80306 |
|
29 |
26 |
$185.30 |
| 81002 |
|
148 |
105 |
$176.26 |
| J1885 |
Ketorolac tromethamine inj |
9,586 |
7,444 |
$174.20 |
| 85610 |
|
49 |
38 |
$154.39 |
| 84295 |
|
51 |
47 |
$141.08 |
| 85018 |
|
158 |
87 |
$127.61 |
| J2272 |
Inj, morphine (fresenius) |
1,732 |
1,406 |
$123.86 |
| 84155 |
|
101 |
64 |
$113.10 |
| 82948 |
|
46 |
12 |
$84.98 |
| 84702 |
|
12 |
12 |
$83.56 |
| J1100 |
Dexamethasone sodium phos |
1,727 |
632 |
$83.17 |
| 82435 |
|
30 |
27 |
$81.12 |
| 87186 |
|
16 |
13 |
$75.59 |
| 84520 |
|
30 |
27 |
$69.66 |
| 73130 |
|
46 |
39 |
$45.93 |
| J2930 |
Methylprednisolone injection |
75 |
55 |
$37.28 |
| 83615 |
|
12 |
12 |
$26.04 |
| J3420 |
Vitamin b12 injection |
14 |
12 |
$25.81 |
| 85378 |
|
15 |
12 |
$18.84 |
| J0401 |
Inj, abilify maintena, 1 mg |
74 |
25 |
$4.97 |
| J2405 |
Ondansetron hcl injection |
5,139 |
3,894 |
$2.40 |
| G0279 |
Tomosynthesis, mammo |
292 |
238 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
102 |
37 |
$0.00 |
| J2426 |
Inj, invega sustenna, 1 mg |
132 |
44 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
30 |
26 |
$0.00 |
| J2270 |
Morphine sulfate injection |
302 |
203 |
$0.00 |
| J1750 |
Inj iron dextran |
50 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
120 |
37 |
$0.00 |
| 72110 |
|
17 |
12 |
$0.00 |
| 77387 |
|
164 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
36 |
25 |
$0.00 |
| 94729 |
|
13 |
12 |
$0.00 |
| 88305 |
|
13 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
274 |
219 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
43 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
44 |
26 |
$0.00 |
| A9500 |
Tc99m sestamibi |
14 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
13 |
$0.00 |