| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
32,679 |
31,071 |
$2.97M |
| 99284 |
|
16,153 |
15,627 |
$1.75M |
| 74177 |
|
4,555 |
4,437 |
$1.34M |
| 96361 |
|
5,555 |
4,975 |
$1.21M |
| 99282 |
|
10,690 |
10,353 |
$1.06M |
| 99285 |
|
6,415 |
6,119 |
$1.05M |
| 96365 |
|
4,109 |
3,120 |
$592K |
| 80053 |
|
28,004 |
23,706 |
$557K |
| 43239 |
|
885 |
884 |
$476K |
| 76856 |
|
1,618 |
1,597 |
$460K |
| 70450 |
|
2,015 |
1,971 |
$443K |
| 36415 |
|
58,052 |
30,556 |
$361K |
| 97110 |
|
7,503 |
2,761 |
$298K |
| 96360 |
|
1,661 |
1,487 |
$295K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,014 |
5,626 |
$259K |
| 74176 |
|
965 |
946 |
$253K |
| 59025 |
|
1,146 |
736 |
$236K |
| 45380 |
|
340 |
339 |
$236K |
| 93975 |
|
639 |
633 |
$214K |
| 71275 |
|
758 |
750 |
$198K |
| 77067 |
|
2,515 |
2,515 |
$194K |
| 45385 |
|
330 |
330 |
$194K |
| 99281 |
|
1,512 |
1,498 |
$193K |
| 96366 |
|
1,043 |
904 |
$159K |
| 97530 |
|
2,393 |
712 |
$135K |
| G0463 |
Hospital outpt clinic visit |
1,035 |
852 |
$126K |
| 80307 |
|
2,661 |
2,523 |
$97K |
| 96413 |
|
695 |
428 |
$81K |
| 97161 |
|
929 |
923 |
$80K |
| 76705 |
|
1,531 |
1,503 |
$80K |
| U0005 |
Infec agen detec ampli probe |
3,748 |
3,604 |
$76K |
| 86900 |
|
2,262 |
2,138 |
$75K |
| 83880 |
|
2,449 |
2,290 |
$72K |
| 80048 |
|
3,553 |
2,965 |
$70K |
| 88305 |
|
2,571 |
2,441 |
$70K |
| 86850 |
|
2,234 |
2,099 |
$67K |
| 76830 |
|
1,164 |
1,154 |
$66K |
| 76642 |
|
1,033 |
1,023 |
$66K |
| 96372 |
|
5,171 |
4,085 |
$65K |
| 97140 |
|
2,660 |
1,111 |
$63K |
| 85025 |
|
27,170 |
22,765 |
$61K |
| 97162 |
|
685 |
680 |
$58K |
| 97597 |
|
128 |
61 |
$53K |
| 77063 |
|
2,451 |
2,451 |
$49K |
| 76816 |
|
546 |
527 |
$48K |
| 87635 |
|
2,030 |
1,913 |
$47K |
| 76801 |
|
473 |
434 |
$45K |
| 84443 |
|
6,532 |
6,261 |
$43K |
| 82306 |
|
1,657 |
1,651 |
$41K |
| 71260 |
|
828 |
821 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
4,398 |
4,198 |
$38K |
| 71046 |
|
3,615 |
3,524 |
$36K |
| 70553 |
|
103 |
100 |
$36K |
| 76700 |
|
164 |
164 |
$34K |
| 80061 |
|
2,822 |
2,813 |
$33K |
| 69436 |
|
24 |
24 |
$32K |
| G0108 |
Diab manage trn per indiv |
295 |
284 |
$31K |
| 0202U |
|
3,797 |
3,737 |
$30K |
| 45378 |
|
43 |
43 |
$28K |
| 93971 |
|
484 |
481 |
$26K |
| 87491 |
|
712 |
705 |
$25K |
| 77065 |
Tomosynthesis, mammo |
310 |
292 |
$24K |
| 83036 |
|
3,020 |
3,009 |
$23K |
| 71271 |
|
246 |
246 |
$21K |
| 76536 |
|
250 |
250 |
$20K |
| 12001 |
|
50 |
50 |
$20K |
| G0480 |
Drug test def 1-7 classes |
2,259 |
2,083 |
$20K |
| 96367 |
|
287 |
235 |
$19K |
| 66984 |
|
17 |
12 |
$19K |
| 71250 |
|
178 |
178 |
$17K |
| 82607 |
|
1,544 |
1,533 |
$17K |
| 76817 |
|
383 |
346 |
$16K |
| 82728 |
|
1,773 |
1,673 |
$15K |
| 73721 |
|
65 |
65 |
$14K |
| 87591 |
|
710 |
703 |
$14K |
| 93005 |
|
9,954 |
8,781 |
$14K |
| 90715 |
|
482 |
482 |
$13K |
| 76805 |
|
131 |
131 |
$13K |
| 85027 |
|
4,134 |
3,787 |
$13K |
| 82746 |
|
1,234 |
1,224 |
$12K |
| 86901 |
|
689 |
646 |
$11K |
| 81025 |
|
3,542 |
3,470 |
$11K |
| 87389 |
|
981 |
978 |
$11K |
| 84439 |
|
1,698 |
1,672 |
$11K |
| 94640 |
|
1,647 |
1,254 |
$11K |
| G0378 |
Hospital observation per hr |
965 |
821 |
$10K |
| 96374 |
|
7,134 |
6,619 |
$10K |
| 95810 |
|
12 |
12 |
$10K |
| 77066 |
Tomosynthesis, mammo |
106 |
106 |
$10K |
| 43235 |
|
16 |
16 |
$9K |
| 87651 |
|
246 |
243 |
$9K |
| J1756 |
Iron sucrose injection |
146 |
92 |
$9K |
| 72148 |
|
50 |
50 |
$8K |
| 70551 |
|
36 |
36 |
$8K |
| 82805 |
|
820 |
740 |
$7K |
| 83550 |
|
1,128 |
1,106 |
$6K |
| 95816 |
|
24 |
24 |
$6K |
| 62323 |
|
12 |
12 |
$6K |
| 70486 |
|
65 |
65 |
$6K |
| 72125 |
|
226 |
223 |
$6K |
| 84702 |
|
1,175 |
916 |
$6K |
| 83540 |
|
1,220 |
1,202 |
$5K |
| 83735 |
|
5,918 |
5,129 |
$5K |
| 74183 |
|
13 |
12 |
$5K |
| 73630 |
|
692 |
689 |
$5K |
| 96375 |
|
6,463 |
5,492 |
$4K |
| 88304 |
|
244 |
243 |
$4K |
| 85610 |
|
3,790 |
3,276 |
$4K |
| 82962 |
|
4,013 |
2,329 |
$4K |
| 71045 |
|
3,146 |
3,038 |
$4K |
| 86140 |
|
2,772 |
2,566 |
$4K |
| 87086 |
|
2,419 |
2,327 |
$3K |
| 87804 |
|
1,732 |
943 |
$3K |
| 85651 |
|
1,905 |
1,774 |
$3K |
| 70496 |
|
12 |
12 |
$3K |
| 83970 |
|
75 |
74 |
$2K |
| 81003 |
|
7,388 |
7,064 |
$2K |
| 83615 |
|
748 |
643 |
$2K |
| 82570 |
|
568 |
521 |
$2K |
| 83690 |
|
7,164 |
6,648 |
$2K |
| 74018 |
|
82 |
72 |
$2K |
| G2023 |
Specimen collect covid-19 |
84 |
81 |
$2K |
| 73610 |
|
689 |
679 |
$2K |
| 87468 |
|
43 |
43 |
$2K |
| 81001 |
|
4,181 |
3,983 |
$1K |
| 76819 |
|
18 |
15 |
$1K |
| 85730 |
|
2,265 |
2,149 |
$1K |
| 86803 |
|
238 |
236 |
$1K |
| 73130 |
|
452 |
450 |
$1K |
| 82043 |
|
241 |
240 |
$1K |
| 0352U |
|
29 |
28 |
$1K |
| 84484 |
|
6,015 |
4,611 |
$1K |
| 87637 |
|
1,144 |
1,115 |
$984.18 |
| 84703 |
|
4,469 |
4,268 |
$854.99 |
| 87484 |
|
43 |
43 |
$793.91 |
| P9604 |
One-way allow prorated trip |
109 |
69 |
$791.06 |
| 82784 |
|
84 |
78 |
$779.56 |
| 90686 |
|
29 |
29 |
$774.63 |
| 87469 |
|
43 |
43 |
$774.57 |
| 87478 |
|
43 |
43 |
$774.57 |
| 87186 |
|
792 |
760 |
$768.24 |
| 73110 |
|
257 |
253 |
$764.14 |
| 87040 |
|
2,543 |
1,573 |
$753.77 |
| 85378 |
|
1,217 |
1,192 |
$705.34 |
| A9585 |
Gadobutrol injection |
1,237 |
1,206 |
$615.76 |
| 73030 |
|
84 |
77 |
$584.85 |
| 72110 |
|
28 |
27 |
$574.08 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,046 |
6,741 |
$510.09 |
| 83525 |
|
51 |
51 |
$493.92 |
| 86592 |
|
124 |
124 |
$443.81 |
| 86703 |
|
46 |
46 |
$429.38 |
| 87807 |
|
135 |
135 |
$429.29 |
| 83605 |
|
3,704 |
3,197 |
$411.26 |
| 85007 |
|
190 |
141 |
$406.57 |
| 82550 |
|
456 |
407 |
$382.54 |
| 84100 |
|
448 |
416 |
$364.71 |
| G0008 |
Admin influenza virus vac |
26 |
25 |
$317.52 |
| 82950 |
|
68 |
68 |
$292.50 |
| J7030 |
Normal saline solution infus |
1,859 |
1,328 |
$291.31 |
| 87641 |
|
12 |
12 |
$263.60 |
| 85652 |
|
212 |
191 |
$242.17 |
| 87340 |
|
182 |
182 |
$218.17 |
| J7040 |
Normal saline solution infus |
879 |
576 |
$212.86 |
| 87077 |
|
204 |
191 |
$183.64 |
| 82378 |
|
26 |
24 |
$161.48 |
| 87081 |
|
683 |
679 |
$148.73 |
| J1170 |
Hydromorphone injection |
1,746 |
1,502 |
$138.47 |
| 86762 |
|
138 |
138 |
$119.27 |
| G1004 |
Cdsm ndsc |
474 |
341 |
$117.55 |
| J7050 |
Normal saline solution infus |
862 |
482 |
$100.82 |
| J2704 |
Inj, propofol, 10 mg |
4,994 |
3,259 |
$95.75 |
| 83721 |
|
12 |
12 |
$94.50 |
| 73564 |
|
24 |
24 |
$91.62 |
| 73560 |
|
13 |
13 |
$88.12 |
| 87449 |
|
14 |
14 |
$80.34 |
| 87205 |
|
289 |
266 |
$77.52 |
| 87324 |
|
12 |
12 |
$75.46 |
| J0330 |
Succinycholine chloride inj |
346 |
345 |
$73.75 |
| 73090 |
|
26 |
26 |
$68.08 |
| 85045 |
|
29 |
29 |
$67.82 |
| 73562 |
|
25 |
25 |
$67.25 |
| J1100 |
Dexamethasone sodium phos |
4,261 |
3,564 |
$60.56 |
| J7060 |
5% dextrose/water |
455 |
323 |
$60.37 |
| 86431 |
|
13 |
13 |
$43.36 |
| J2930 |
Methylprednisolone injection |
108 |
82 |
$43.09 |
| J3010 |
Fentanyl citrate injection |
3,794 |
3,673 |
$42.02 |
| J8540 |
Oral dexamethasone |
337 |
216 |
$40.10 |
| J1642 |
Inj heparin sodium per 10 u |
1,677 |
634 |
$39.84 |
| J2270 |
Morphine sulfate injection |
2,291 |
1,911 |
$38.56 |
| 80143 |
|
1,307 |
1,216 |
$34.26 |
| J2175 |
Meperidine hydrochl /100 mg |
1,571 |
1,561 |
$32.32 |
| 87880 |
|
603 |
599 |
$29.88 |
| J1885 |
Ketorolac tromethamine inj |
7,547 |
6,708 |
$28.22 |
| 84145 |
|
26 |
25 |
$25.48 |
| J2250 |
Inj midazolam hydrochloride |
6,176 |
5,220 |
$23.03 |
| 86618 |
|
49 |
48 |
$20.61 |
| 87660 |
|
71 |
70 |
$18.05 |
| 87480 |
|
71 |
70 |
$18.05 |
| 87510 |
|
71 |
70 |
$18.05 |
| J1200 |
Diphenhydramine hcl injectio |
1,643 |
1,528 |
$17.42 |
| 80179 |
|
1,272 |
1,190 |
$17.12 |
| J0690 |
Cefazolin sodium injection |
1,562 |
1,429 |
$16.94 |
| J2405 |
Ondansetron hcl injection |
7,192 |
6,249 |
$16.70 |
| 86308 |
|
12 |
12 |
$14.60 |
| 90471 |
|
438 |
432 |
$13.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
331 |
277 |
$7.22 |
| J0696 |
Ceftriaxone sodium injection |
1,049 |
747 |
$6.96 |
| J3490 |
Drugs unclassified injection |
295 |
270 |
$4.50 |
| J2272 |
Inj, morphine (fresenius) |
159 |
137 |
$3.66 |
| J3475 |
Inj magnesium sulfate |
260 |
230 |
$2.28 |
| J2765 |
Metoclopramide hcl injection |
1,315 |
1,245 |
$1.25 |
| Q0162 |
Ondansetron oral |
1,516 |
1,423 |
$0.18 |
| J0171 |
Adrenalin epinephrine inject |
100 |
57 |
$0.00 |
| J0780 |
Prochlorperazine injection |
422 |
384 |
$0.00 |
| 82010 |
|
30 |
28 |
$0.00 |
| J3372 |
Inj, vancomycin hcl (xellia) |
21 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
90 |
90 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
101 |
101 |
$0.00 |
| 73080 |
|
12 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
87 |
67 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
39 |
39 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
518 |
357 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
122 |
51 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
44 |
$0.00 |
| 96376 |
|
1,726 |
1,216 |
$0.00 |
| 82150 |
|
15 |
15 |
$0.00 |
| J2060 |
Lorazepam injection |
272 |
221 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
78 |
77 |
$0.00 |
| J1790 |
Droperidol injection |
172 |
149 |
$0.00 |
| J1815 |
Insulin injection |
42 |
26 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
49 |
26 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
14 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
13 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
24 |
24 |
$0.00 |