| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
11,327 |
10,977 |
$1.46M |
| 99284 |
|
10,953 |
10,365 |
$1.34M |
| 41899 |
|
1,050 |
1,046 |
$1.15M |
| 99282 |
|
7,350 |
7,114 |
$914K |
| 74177 |
|
3,336 |
3,268 |
$897K |
| 99285 |
|
5,899 |
5,667 |
$725K |
| 70450 |
|
2,340 |
2,284 |
$612K |
| 80053 |
|
31,995 |
29,152 |
$526K |
| 87636 |
|
4,856 |
4,675 |
$369K |
| 45380 |
|
618 |
617 |
$338K |
| 43239 |
|
972 |
969 |
$336K |
| 96365 |
|
1,953 |
1,408 |
$282K |
| 97530 |
|
4,658 |
1,612 |
$276K |
| 74176 |
|
931 |
919 |
$247K |
| 99281 |
|
1,615 |
1,590 |
$209K |
| 87635 |
|
5,161 |
4,731 |
$204K |
| 71275 |
|
709 |
696 |
$198K |
| 77067 |
|
2,023 |
2,023 |
$186K |
| 87591 |
|
7,396 |
7,250 |
$166K |
| 82306 |
|
5,426 |
5,397 |
$161K |
| 87491 |
|
7,399 |
7,252 |
$157K |
| 87637 |
|
2,344 |
2,289 |
$117K |
| 36415 |
|
26,258 |
22,481 |
$104K |
| 84443 |
|
11,535 |
11,361 |
$95K |
| 93306 |
|
487 |
477 |
$94K |
| 88142 |
|
3,600 |
3,599 |
$77K |
| 96366 |
|
594 |
379 |
$76K |
| 80061 |
|
12,082 |
11,988 |
$76K |
| 12001 |
|
186 |
185 |
$74K |
| 76830 |
|
1,745 |
1,726 |
$69K |
| 85025 |
|
35,708 |
32,247 |
$69K |
| 83036 |
|
7,408 |
7,341 |
$68K |
| 88305 |
|
2,331 |
2,293 |
$66K |
| G0463 |
Hospital outpt clinic visit |
2,560 |
2,230 |
$64K |
| 73721 |
|
179 |
179 |
$59K |
| 80048 |
|
4,909 |
4,695 |
$56K |
| 87661 |
|
2,578 |
2,523 |
$54K |
| 96361 |
|
308 |
254 |
$53K |
| 76700 |
|
677 |
674 |
$51K |
| 83880 |
|
1,593 |
1,510 |
$49K |
| 76705 |
|
1,687 |
1,652 |
$48K |
| 87624 |
|
1,693 |
1,688 |
$46K |
| 87088 |
|
7,955 |
7,480 |
$45K |
| 83655 |
|
3,549 |
3,538 |
$45K |
| 87389 |
|
2,381 |
2,377 |
$43K |
| 82607 |
|
3,472 |
3,440 |
$42K |
| 86850 |
|
2,071 |
2,019 |
$39K |
| 87070 |
|
7,643 |
7,440 |
$38K |
| 96372 |
|
3,065 |
2,609 |
$38K |
| 72148 |
|
123 |
123 |
$37K |
| 84439 |
|
4,413 |
4,333 |
$37K |
| 82728 |
|
2,821 |
2,772 |
$35K |
| G0378 |
Hospital observation per hr |
660 |
605 |
$34K |
| 45385 |
|
44 |
44 |
$34K |
| 99214 |
|
487 |
442 |
$33K |
| 71046 |
|
4,745 |
4,657 |
$29K |
| 93971 |
|
531 |
516 |
$28K |
| 80307 |
|
923 |
764 |
$28K |
| 84153 |
|
1,397 |
1,389 |
$26K |
| S5161 |
Emer rspns sys serv permonth |
769 |
766 |
$26K |
| 76856 |
|
290 |
286 |
$26K |
| 76801 |
|
534 |
513 |
$25K |
| 82746 |
|
2,046 |
2,031 |
$24K |
| 86901 |
|
1,309 |
1,255 |
$24K |
| 86803 |
|
2,413 |
2,405 |
$23K |
| 88342 |
|
351 |
351 |
$23K |
| 76805 |
|
614 |
609 |
$22K |
| 77063 |
|
2,006 |
2,006 |
$20K |
| 59025 |
|
132 |
79 |
$19K |
| 87086 |
|
3,705 |
3,535 |
$19K |
| 0241U |
|
1,360 |
1,314 |
$18K |
| 76815 |
|
558 |
539 |
$18K |
| 86900 |
|
1,317 |
1,263 |
$18K |
| 76816 |
|
614 |
587 |
$18K |
| 99213 |
|
166 |
154 |
$18K |
| 76817 |
|
246 |
210 |
$17K |
| 70486 |
|
246 |
245 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
5,250 |
4,697 |
$16K |
| 97162 |
|
182 |
182 |
$16K |
| 84702 |
|
2,597 |
2,174 |
$16K |
| 86762 |
|
1,110 |
1,102 |
$16K |
| 29125 |
|
78 |
78 |
$15K |
| 83540 |
|
3,171 |
3,104 |
$15K |
| 90715 |
|
523 |
523 |
$15K |
| 93005 |
|
9,882 |
8,777 |
$14K |
| 82784 |
|
1,013 |
1,004 |
$14K |
| 87077 |
|
2,467 |
2,394 |
$14K |
| G2023 |
Specimen collect covid-19 |
500 |
490 |
$12K |
| 97161 |
|
154 |
154 |
$12K |
| A9579 |
Gad-base mr contrast nos,1ml |
319 |
310 |
$12K |
| 29515 |
|
60 |
60 |
$12K |
| 11721 |
|
636 |
634 |
$11K |
| 85027 |
|
3,777 |
3,689 |
$11K |
| 81001 |
|
13,112 |
12,329 |
$11K |
| 81025 |
|
3,360 |
3,239 |
$11K |
| 87081 |
|
2,306 |
2,256 |
$10K |
| 71250 |
|
91 |
91 |
$10K |
| 72110 |
|
714 |
710 |
$10K |
| 83550 |
|
1,994 |
1,952 |
$10K |
| 87481 |
|
452 |
442 |
$9K |
| 86787 |
|
1,171 |
1,148 |
$9K |
| 80076 |
|
1,036 |
1,019 |
$9K |
| 86003 |
|
131 |
131 |
$9K |
| 94060 |
|
51 |
51 |
$9K |
| 97110 |
|
150 |
46 |
$9K |
| 83735 |
|
6,081 |
5,171 |
$9K |
| V2632 |
Post chmbr intraocular lens |
107 |
15 |
$9K |
| 71271 |
|
223 |
223 |
$9K |
| 86592 |
|
2,598 |
2,574 |
$8K |
| 86140 |
|
3,021 |
2,902 |
$8K |
| 87341 |
|
843 |
840 |
$8K |
| 86618 |
|
632 |
612 |
$8K |
| 70551 |
|
26 |
26 |
$8K |
| 72125 |
|
244 |
241 |
$8K |
| 64483 |
|
12 |
12 |
$8K |
| 76536 |
|
361 |
361 |
$8K |
| 76770 |
|
100 |
99 |
$7K |
| 85610 |
|
3,747 |
3,124 |
$7K |
| 82043 |
|
1,367 |
1,358 |
$6K |
| 12002 |
|
15 |
15 |
$6K |
| 86038 |
|
1,274 |
1,204 |
$6K |
| 76642 |
|
216 |
214 |
$6K |
| 87428 |
|
516 |
504 |
$5K |
| 86777 |
|
371 |
367 |
$5K |
| 70553 |
|
15 |
15 |
$5K |
| 83970 |
|
139 |
137 |
$5K |
| 86617 |
|
294 |
171 |
$5K |
| 86778 |
|
372 |
370 |
$5K |
| 73630 |
|
1,443 |
1,424 |
$5K |
| 73221 |
|
13 |
13 |
$4K |
| 73562 |
|
994 |
983 |
$4K |
| 12011 |
|
13 |
13 |
$4K |
| 83690 |
|
5,863 |
5,520 |
$4K |
| 82570 |
|
900 |
864 |
$4K |
| 85652 |
|
2,816 |
2,731 |
$4K |
| 84703 |
|
3,663 |
3,528 |
$4K |
| 88304 |
|
107 |
107 |
$4K |
| 94640 |
|
2,211 |
1,511 |
$4K |
| 87807 |
|
646 |
641 |
$4K |
| 84402 |
|
142 |
141 |
$4K |
| 99291 |
|
26 |
26 |
$4K |
| 87340 |
|
310 |
308 |
$3K |
| 82950 |
|
658 |
657 |
$3K |
| 96374 |
|
7,686 |
7,101 |
$3K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,206 |
4,971 |
$3K |
| 95806 |
|
68 |
68 |
$3K |
| 87426 |
|
97 |
51 |
$3K |
| 85007 |
|
2,573 |
2,474 |
$3K |
| 86376 |
|
189 |
186 |
$3K |
| 80069 |
|
301 |
264 |
$3K |
| 85730 |
|
1,820 |
1,753 |
$3K |
| 80306 |
|
1,228 |
1,198 |
$3K |
| 73610 |
|
1,151 |
1,137 |
$2K |
| 84450 |
|
460 |
447 |
$2K |
| 73030 |
|
617 |
609 |
$2K |
| 84460 |
|
459 |
446 |
$2K |
| 73130 |
|
925 |
918 |
$2K |
| 86665 |
|
98 |
59 |
$2K |
| 84484 |
|
6,811 |
5,695 |
$2K |
| 82550 |
|
2,825 |
2,709 |
$2K |
| 84436 |
|
365 |
360 |
$2K |
| 87205 |
|
951 |
898 |
$2K |
| 93242 |
|
12 |
12 |
$2K |
| 84403 |
|
66 |
65 |
$2K |
| 74019 |
|
260 |
255 |
$2K |
| 93880 |
|
14 |
12 |
$2K |
| 86431 |
|
351 |
319 |
$2K |
| 81003 |
|
1,379 |
1,359 |
$2K |
| 86235 |
|
86 |
80 |
$2K |
| 71045 |
|
5,497 |
5,265 |
$2K |
| 96367 |
|
41 |
38 |
$2K |
| 83002 |
|
87 |
87 |
$2K |
| 84560 |
|
363 |
358 |
$2K |
| 85379 |
|
2,003 |
1,967 |
$1K |
| 84481 |
|
170 |
168 |
$1K |
| 86255 |
|
106 |
103 |
$1K |
| 86480 |
|
25 |
25 |
$1K |
| 84146 |
|
56 |
56 |
$1K |
| 85014 |
|
595 |
582 |
$1K |
| 85018 |
|
583 |
571 |
$1K |
| 83001 |
|
56 |
56 |
$1K |
| 73110 |
|
429 |
424 |
$1K |
| 90471 |
|
783 |
706 |
$1K |
| 87046 |
|
258 |
253 |
$1K |
| 87040 |
|
2,475 |
1,632 |
$1K |
| 87177 |
|
204 |
198 |
$959.91 |
| 87045 |
|
258 |
253 |
$953.55 |
| 86403 |
|
2,108 |
2,073 |
$908.55 |
| 84156 |
|
276 |
258 |
$859.02 |
| 86666 |
|
51 |
38 |
$835.39 |
| 96375 |
|
4,238 |
3,817 |
$820.27 |
| 86141 |
|
78 |
78 |
$802.12 |
| 86430 |
|
164 |
164 |
$780.80 |
| 86696 |
|
52 |
39 |
$757.30 |
| 81511 |
|
12 |
12 |
$750.80 |
| 82150 |
|
255 |
252 |
$738.92 |
| 76775 |
|
25 |
25 |
$714.48 |
| 0012A |
|
44 |
43 |
$697.36 |
| 0064A |
|
16 |
16 |
$686.80 |
| 86704 |
|
75 |
74 |
$678.39 |
| 87880 |
|
1,048 |
1,035 |
$646.38 |
| 0011A |
|
46 |
45 |
$628.44 |
| 82553 |
|
1,424 |
1,377 |
$573.69 |
| 86706 |
|
52 |
52 |
$530.71 |
| 74018 |
|
222 |
219 |
$485.75 |
| 83605 |
|
1,967 |
1,743 |
$482.21 |
| 85651 |
|
360 |
353 |
$476.05 |
| 86160 |
|
28 |
28 |
$445.62 |
| J0171 |
Adrenalin epinephrine inject |
681 |
654 |
$430.90 |
| 86701 |
|
44 |
44 |
$424.71 |
| 86308 |
|
160 |
158 |
$377.55 |
| 88300 |
|
603 |
598 |
$344.79 |
| 90686 |
|
14 |
14 |
$315.97 |
| 83525 |
|
26 |
26 |
$311.09 |
| 90688 |
|
16 |
15 |
$286.79 |
| J2704 |
Inj, propofol, 10 mg |
4,137 |
4,052 |
$276.58 |
| J2405 |
Ondansetron hcl injection |
6,458 |
5,822 |
$241.91 |
| J3490 |
Drugs unclassified injection |
15 |
14 |
$228.47 |
| 82248 |
|
56 |
55 |
$227.85 |
| 82270 |
|
102 |
100 |
$218.81 |
| 94761 |
|
851 |
419 |
$210.00 |
| 87400 |
|
1,013 |
992 |
$199.32 |
| J0690 |
Cefazolin sodium injection |
734 |
676 |
$194.37 |
| 82465 |
|
39 |
39 |
$178.16 |
| A9585 |
Gadobutrol injection |
140 |
128 |
$176.17 |
| G0103 |
Psa screening |
18 |
18 |
$160.48 |
| J1885 |
Ketorolac tromethamine inj |
7,000 |
5,568 |
$156.80 |
| 87209 |
|
58 |
55 |
$152.10 |
| 82565 |
|
36 |
36 |
$144.18 |
| 80050 |
|
935 |
925 |
$141.51 |
| J2270 |
Morphine sulfate injection |
1,390 |
1,258 |
$127.86 |
| 86708 |
|
12 |
12 |
$121.50 |
| 72050 |
|
12 |
12 |
$121.20 |
| 73502 |
|
24 |
24 |
$109.21 |
| 87324 |
|
59 |
59 |
$103.40 |
| 73080 |
|
43 |
43 |
$95.40 |
| J0696 |
Ceftriaxone sodium injection |
936 |
715 |
$83.85 |
| 84479 |
|
26 |
26 |
$83.25 |
| C9399 |
Unclassified drugs or biolog |
387 |
386 |
$68.72 |
| 70360 |
|
12 |
12 |
$68.08 |
| 96376 |
|
1,266 |
912 |
$67.38 |
| 86694 |
|
12 |
12 |
$62.40 |
| J2930 |
Methylprednisolone injection |
164 |
140 |
$61.73 |
| 83718 |
|
12 |
12 |
$60.36 |
| J3010 |
Fentanyl citrate injection |
2,082 |
1,940 |
$59.77 |
| J0131 |
Inj, acetaminophen (nos) |
684 |
626 |
$52.18 |
| J1100 |
Dexamethasone sodium phos |
3,348 |
3,085 |
$51.99 |
| 83615 |
|
54 |
53 |
$50.30 |
| 89055 |
|
31 |
30 |
$44.20 |
| 84520 |
|
12 |
12 |
$43.45 |
| J1170 |
Hydromorphone injection |
318 |
277 |
$41.22 |
| 73590 |
|
12 |
12 |
$36.00 |
| 94726 |
|
14 |
14 |
$33.98 |
| J7620 |
Albuterol ipratrop non-comp |
561 |
481 |
$23.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
822 |
796 |
$22.69 |
| 73140 |
|
28 |
28 |
$18.20 |
| 82077 |
|
47 |
47 |
$17.27 |
| J2765 |
Metoclopramide hcl injection |
1,067 |
962 |
$15.37 |
| J0744 |
Ciprofloxacin iv |
33 |
25 |
$14.40 |
| J2250 |
Inj midazolam hydrochloride |
1,500 |
1,455 |
$14.39 |
| J1200 |
Diphenhydramine hcl injectio |
1,027 |
951 |
$14.14 |
| 85384 |
|
43 |
43 |
$6.90 |
| J2060 |
Lorazepam injection |
140 |
119 |
$5.80 |
| J7510 |
Prednisolone oral per 5 mg |
179 |
119 |
$1.11 |
| C9113 |
Inj pantoprazole sodium, via |
87 |
62 |
$1.00 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
52 |
51 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
23 |
13 |
$0.00 |
| 88312 |
|
61 |
61 |
$0.00 |
| A4649 |
Surgical supplies |
36 |
36 |
$0.00 |
| 80179 |
|
12 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
20 |
12 |
$0.00 |