| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
27,023 |
25,754 |
$6.14M |
| 99285 |
|
12,230 |
11,509 |
$3.67M |
| 99283 |
|
23,224 |
22,231 |
$3.51M |
| G0463 |
Hospital outpt clinic visit |
19,246 |
17,227 |
$1.30M |
| 96374 |
|
8,382 |
7,781 |
$1.02M |
| 0202U |
|
2,509 |
2,426 |
$811K |
| 99211 |
|
64,462 |
61,423 |
$737K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,888 |
8,640 |
$685K |
| 87651 |
|
17,601 |
17,017 |
$576K |
| 0240U |
|
3,293 |
3,198 |
$408K |
| 93306 |
|
1,003 |
953 |
$259K |
| 96361 |
|
4,049 |
3,761 |
$215K |
| 87491 |
|
6,689 |
6,385 |
$202K |
| 11042 |
|
1,335 |
637 |
$197K |
| 87591 |
|
6,689 |
6,384 |
$191K |
| G0330 |
Facility svs dental rehab |
72 |
71 |
$179K |
| 0241U |
|
1,313 |
1,197 |
$153K |
| 71045 |
|
2,936 |
2,800 |
$142K |
| 96375 |
|
3,752 |
3,492 |
$142K |
| U0005 |
Infec agen detec ampli probe |
5,548 |
5,429 |
$114K |
| 96413 |
|
554 |
304 |
$106K |
| 71046 |
|
1,908 |
1,788 |
$100K |
| 59025 |
|
704 |
594 |
$90K |
| 87798 |
|
2,129 |
2,030 |
$77K |
| 36415 |
|
44,299 |
38,551 |
$68K |
| D2930 |
|
123 |
121 |
$61K |
| 86900 |
|
645 |
575 |
$55K |
| 78452 |
|
87 |
82 |
$49K |
| 99281 |
|
6,796 |
6,596 |
$44K |
| 80053 |
|
26,081 |
24,383 |
$36K |
| 87631 |
|
630 |
616 |
$34K |
| 87636 |
|
222 |
220 |
$30K |
| 99282 |
|
313 |
299 |
$27K |
| 97597 |
|
392 |
224 |
$27K |
| 84443 |
|
2,016 |
1,950 |
$25K |
| 45380 |
|
41 |
40 |
$23K |
| 80061 |
|
2,151 |
2,085 |
$23K |
| 85027 |
|
11,064 |
10,154 |
$21K |
| 94060 |
|
123 |
118 |
$20K |
| 87480 |
|
1,068 |
1,009 |
$19K |
| 69436 |
|
17 |
16 |
$19K |
| 87510 |
|
1,068 |
1,009 |
$19K |
| 87660 |
|
1,067 |
1,009 |
$18K |
| 70450 |
|
144 |
136 |
$18K |
| 85025 |
|
26,546 |
24,670 |
$17K |
| 43239 |
|
54 |
53 |
$15K |
| 87086 |
|
2,793 |
2,573 |
$15K |
| 87635 |
|
318 |
311 |
$14K |
| 88175 |
|
527 |
495 |
$10K |
| 93017 |
|
359 |
335 |
$9K |
| 96372 |
|
7,245 |
6,880 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
5,073 |
4,794 |
$8K |
| D3220 |
|
14 |
13 |
$8K |
| 74177 |
|
38 |
38 |
$8K |
| 11043 |
|
52 |
26 |
$8K |
| 87389 |
|
373 |
330 |
$6K |
| D1120 |
|
12 |
12 |
$6K |
| 93296 |
|
457 |
439 |
$5K |
| 76705 |
|
57 |
54 |
$5K |
| 83036 |
|
676 |
653 |
$5K |
| 96365 |
|
41 |
37 |
$4K |
| 87653 |
|
169 |
159 |
$4K |
| 80048 |
|
4,904 |
4,569 |
$4K |
| 84702 |
|
361 |
305 |
$4K |
| 86592 |
|
909 |
841 |
$4K |
| 95813 |
|
24 |
24 |
$4K |
| 82306 |
|
199 |
194 |
$4K |
| 77067 |
|
40 |
40 |
$3K |
| 80307 |
|
281 |
270 |
$3K |
| 76815 |
|
40 |
37 |
$3K |
| 86762 |
|
300 |
266 |
$3K |
| 83655 |
|
256 |
252 |
$3K |
| 81001 |
|
17,124 |
16,221 |
$3K |
| 76816 |
|
25 |
25 |
$3K |
| 91200 |
|
40 |
39 |
$3K |
| 71250 |
|
42 |
40 |
$3K |
| 80076 |
|
589 |
545 |
$2K |
| 93880 |
|
26 |
25 |
$2K |
| 93225 |
|
47 |
44 |
$2K |
| 87340 |
|
306 |
272 |
$2K |
| 93005 |
|
7,660 |
6,967 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,631 |
1,485 |
$2K |
| 86850 |
|
768 |
692 |
$2K |
| 80069 |
|
455 |
340 |
$2K |
| 82805 |
|
98 |
80 |
$2K |
| 88142 |
|
92 |
89 |
$2K |
| 74176 |
|
13 |
12 |
$2K |
| 77063 |
|
40 |
40 |
$2K |
| 76805 |
|
16 |
13 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
32 |
32 |
$2K |
| 82950 |
|
310 |
297 |
$1K |
| 88305 |
|
1,212 |
730 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| J7120 |
Ringers lactate infusion |
1,764 |
1,488 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
613 |
573 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
347 |
181 |
$1K |
| 86780 |
|
131 |
123 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
64 |
62 |
$1K |
| 94726 |
|
128 |
123 |
$1K |
| 86140 |
|
485 |
446 |
$1K |
| G0481 |
Drug test def 8-14 classes |
379 |
357 |
$1K |
| J2175 |
Meperidine hydrochl /100 mg |
806 |
752 |
$1K |
| 84439 |
|
132 |
131 |
$1K |
| G2066 |
Inter devc remote 30d |
48 |
48 |
$994.14 |
| G0279 |
Tomosynthesis, mammo |
26 |
26 |
$931.40 |
| J2250 |
Inj midazolam hydrochloride |
1,108 |
1,001 |
$905.62 |
| 84480 |
|
70 |
69 |
$839.40 |
| 82105 |
|
75 |
63 |
$797.93 |
| 82677 |
|
45 |
37 |
$706.16 |
| 87070 |
|
108 |
100 |
$700.76 |
| 82785 |
|
194 |
161 |
$633.49 |
| G0480 |
Drug test def 1-7 classes |
252 |
238 |
$620.25 |
| J1100 |
Dexamethasone sodium phos |
336 |
319 |
$571.24 |
| 86003 |
|
61 |
25 |
$555.52 |
| J1040 |
Methylprednisolone 80 mg inj |
213 |
203 |
$498.40 |
| 82728 |
|
44 |
42 |
$482.93 |
| 83970 |
|
13 |
13 |
$475.88 |
| 85651 |
|
317 |
281 |
$471.15 |
| 86336 |
|
46 |
38 |
$464.67 |
| J1790 |
Droperidol injection |
366 |
354 |
$426.11 |
| J3010 |
Fentanyl citrate injection |
636 |
502 |
$422.18 |
| 82565 |
|
147 |
143 |
$419.15 |
| 87150 |
|
15 |
14 |
$366.74 |
| 87624 |
|
17 |
14 |
$366.74 |
| 82570 |
|
64 |
57 |
$362.51 |
| 84460 |
|
94 |
92 |
$355.40 |
| 84450 |
|
92 |
90 |
$341.08 |
| J2704 |
Inj, propofol, 10 mg |
98 |
91 |
$321.75 |
| 86803 |
|
29 |
29 |
$300.14 |
| 82375 |
|
98 |
80 |
$283.82 |
| 84520 |
|
79 |
78 |
$223.25 |
| 87077 |
|
61 |
47 |
$199.68 |
| 83880 |
|
69 |
63 |
$196.46 |
| J2785 |
Regadenoson injection |
60 |
56 |
$189.40 |
| 87186 |
|
31 |
28 |
$164.40 |
| G0500 |
Mod sedat endo service >5yrs |
822 |
769 |
$145.50 |
| 86200 |
|
12 |
12 |
$135.30 |
| 85018 |
|
63 |
61 |
$123.75 |
| 86706 |
|
16 |
14 |
$122.40 |
| 84156 |
|
43 |
42 |
$117.33 |
| 85610 |
|
296 |
277 |
$112.37 |
| 93226 |
|
62 |
56 |
$102.66 |
| 87081 |
|
17 |
17 |
$100.71 |
| J1170 |
Hydromorphone injection |
44 |
38 |
$96.27 |
| J1200 |
Diphenhydramine hcl injectio |
161 |
149 |
$93.76 |
| 81025 |
|
3,534 |
3,387 |
$85.63 |
| J2270 |
Morphine sulfate injection |
55 |
50 |
$79.93 |
| 83690 |
|
2,319 |
2,204 |
$65.20 |
| J0780 |
Prochlorperazine injection |
17 |
16 |
$64.30 |
| 83735 |
|
3,538 |
3,368 |
$63.70 |
| P9604 |
One-way allow prorated trip |
3,478 |
2,108 |
$56.11 |
| 99153 |
Mod sedat endo service >5yrs |
477 |
441 |
$40.52 |
| 83605 |
|
646 |
599 |
$26.31 |
| 84484 |
|
2,892 |
2,135 |
$16.57 |
| 85730 |
|
97 |
91 |
$7.05 |
| J2765 |
Metoclopramide hcl injection |
16 |
13 |
$4.15 |
| 87804 |
|
592 |
277 |
$3.12 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$1.73 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
515 |
474 |
$0.00 |
| 94729 |
|
128 |
123 |
$0.00 |
| 80143 |
|
59 |
52 |
$0.00 |
| 87880 |
|
14 |
14 |
$0.00 |
| 80179 |
|
45 |
40 |
$0.00 |
| 0064U |
|
483 |
442 |
$0.00 |
| 82077 |
|
355 |
331 |
$0.00 |
| 86901 |
|
643 |
574 |
$0.00 |
| 0352U |
|
495 |
478 |
$0.00 |
| 85379 |
|
39 |
38 |
$0.00 |
| A9500 |
Tc99m sestamibi |
89 |
84 |
$0.00 |
| 82962 |
|
159 |
137 |
$0.00 |
| 87205 |
|
27 |
27 |
$0.00 |
| 99406 |
|
38 |
32 |
$0.00 |
| 94640 |
|
112 |
102 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
59 |
50 |
$0.00 |
| 87040 |
|
21 |
12 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
15 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
12 |
12 |
$0.00 |