| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
11,466 |
10,937 |
$3.01M |
| 99284 |
|
12,035 |
11,362 |
$1.90M |
| 99283 |
|
6,942 |
6,638 |
$1.20M |
| G0378 |
Hospital observation per hr |
696 |
673 |
$711K |
| 36415 |
|
19,522 |
16,887 |
$209K |
| T1015 |
Clinic service |
3,102 |
2,287 |
$136K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,930 |
1,782 |
$127K |
| 74177 |
|
606 |
589 |
$124K |
| 83735 |
|
15,089 |
13,879 |
$118K |
| 76811 |
|
1,072 |
1,055 |
$116K |
| 85025 |
|
19,917 |
17,267 |
$111K |
| 83615 |
|
14,821 |
13,792 |
$106K |
| 84460 |
|
14,634 |
13,651 |
$105K |
| 87633 |
|
297 |
284 |
$101K |
| 76815 |
|
1,599 |
586 |
$86K |
| 84550 |
|
14,673 |
13,680 |
$85K |
| 43239 |
|
86 |
81 |
$78K |
| 84450 |
|
14,238 |
13,270 |
$75K |
| 82247 |
|
14,282 |
13,299 |
$74K |
| 70450 |
|
720 |
677 |
$74K |
| 76816 |
|
1,365 |
1,264 |
$72K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,568 |
3,988 |
$69K |
| 84075 |
|
14,224 |
13,256 |
$66K |
| 80048 |
|
9,960 |
8,881 |
$65K |
| 93005 |
|
5,197 |
4,799 |
$64K |
| 59025 |
|
2,115 |
827 |
$56K |
| 80307 |
|
1,270 |
1,067 |
$54K |
| 84155 |
|
14,225 |
13,256 |
$54K |
| 84100 |
|
9,387 |
8,513 |
$52K |
| 97110 |
|
2,100 |
490 |
$50K |
| 96413 |
|
410 |
241 |
$48K |
| 87581 |
|
296 |
283 |
$48K |
| 77067 |
|
501 |
498 |
$46K |
| 87637 |
|
170 |
160 |
$44K |
| 71260 |
|
341 |
333 |
$43K |
| 70553 |
|
114 |
113 |
$33K |
| 80053 |
|
2,540 |
1,944 |
$31K |
| X0621 |
|
150 |
49 |
$30K |
| 97140 |
|
880 |
290 |
$27K |
| 73721 |
|
86 |
86 |
$26K |
| 76830 |
|
419 |
409 |
$26K |
| 96374 |
|
970 |
834 |
$25K |
| 76700 |
|
371 |
362 |
$25K |
| 76817 |
|
300 |
262 |
$23K |
| 76805 |
|
361 |
350 |
$23K |
| 97530 |
|
504 |
265 |
$22K |
| 84484 |
|
1,768 |
1,565 |
$22K |
| 76818 |
|
236 |
137 |
$21K |
| 76801 |
|
378 |
347 |
$21K |
| 76856 |
|
458 |
446 |
$20K |
| 99281 |
|
233 |
229 |
$20K |
| 84703 |
|
1,875 |
1,754 |
$19K |
| 84443 |
|
538 |
502 |
$16K |
| 96375 |
|
662 |
520 |
$15K |
| 77063 |
|
497 |
494 |
$15K |
| 74176 |
|
115 |
110 |
$14K |
| 87798 |
|
304 |
290 |
$14K |
| 71045 |
|
1,060 |
982 |
$14K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
964 |
934 |
$14K |
| G0463 |
Hospital outpt clinic visit |
365 |
267 |
$13K |
| 71046 |
|
722 |
680 |
$13K |
| 76642 |
|
301 |
247 |
$12K |
| 96361 |
|
584 |
481 |
$12K |
| 96365 |
|
368 |
232 |
$12K |
| 87486 |
|
299 |
286 |
$12K |
| 83880 |
|
305 |
287 |
$12K |
| 72125 |
|
98 |
93 |
$11K |
| 80320 |
|
652 |
582 |
$10K |
| 77066 |
Tomosynthesis, mammo |
110 |
108 |
$10K |
| G0108 |
Diab manage trn per indiv |
195 |
180 |
$9K |
| 87491 |
|
278 |
264 |
$8K |
| 93971 |
|
103 |
99 |
$8K |
| 96372 |
|
689 |
552 |
$8K |
| 87591 |
|
278 |
264 |
$8K |
| 96360 |
|
292 |
222 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
460 |
438 |
$7K |
| 97162 |
|
80 |
72 |
$7K |
| 86900 |
|
591 |
527 |
$6K |
| 72148 |
|
43 |
41 |
$6K |
| 83690 |
|
1,046 |
969 |
$6K |
| 80061 |
|
367 |
360 |
$6K |
| 97010 |
|
395 |
150 |
$6K |
| 93306 |
|
42 |
40 |
$6K |
| 87040 |
|
136 |
125 |
$6K |
| 36591 |
|
106 |
65 |
$5K |
| 85027 |
|
547 |
489 |
$5K |
| 87086 |
|
532 |
502 |
$5K |
| 81001 |
|
1,373 |
1,279 |
$5K |
| 86850 |
|
433 |
388 |
$4K |
| 88305 |
|
241 |
214 |
$4K |
| 84702 |
|
271 |
216 |
$4K |
| 76536 |
|
73 |
69 |
$4K |
| 83036 |
|
387 |
378 |
$4K |
| 82962 |
|
440 |
323 |
$4K |
| 96367 |
|
164 |
90 |
$3K |
| 73630 |
|
206 |
181 |
$3K |
| 85610 |
|
640 |
524 |
$3K |
| 82728 |
|
257 |
243 |
$3K |
| 72110 |
|
114 |
111 |
$3K |
| 76770 |
|
71 |
69 |
$3K |
| 71250 |
|
54 |
53 |
$3K |
| 76813 |
|
52 |
52 |
$3K |
| G0480 |
Drug test def 1-7 classes |
57 |
54 |
$3K |
| 85730 |
|
404 |
367 |
$3K |
| 87631 |
|
18 |
17 |
$2K |
| 82607 |
|
177 |
171 |
$2K |
| 87653 |
|
52 |
52 |
$2K |
| 74018 |
|
94 |
90 |
$2K |
| 77062 |
|
91 |
90 |
$2K |
| 90471 |
|
45 |
36 |
$2K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
151 |
150 |
$2K |
| 86901 |
|
452 |
406 |
$2K |
| 72100 |
|
112 |
99 |
$2K |
| 83540 |
|
212 |
201 |
$2K |
| J2469 |
Palonosetron hcl |
70 |
42 |
$2K |
| 94664 |
|
77 |
68 |
$2K |
| 81003 |
|
470 |
449 |
$2K |
| 73030 |
|
80 |
69 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,096 |
524 |
$2K |
| 84439 |
|
120 |
114 |
$2K |
| 96417 |
|
19 |
13 |
$2K |
| 73610 |
|
74 |
73 |
$2K |
| 86140 |
|
180 |
173 |
$1K |
| 87070 |
|
122 |
118 |
$1K |
| 77080 |
|
27 |
27 |
$1K |
| 81025 |
|
172 |
166 |
$1K |
| 93970 |
|
13 |
13 |
$1K |
| 73564 |
|
59 |
49 |
$1K |
| 85379 |
|
69 |
68 |
$1K |
| 76820 |
|
15 |
12 |
$1K |
| 87077 |
|
81 |
78 |
$896.11 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$868.83 |
| 73562 |
|
51 |
39 |
$830.95 |
| 83550 |
|
163 |
158 |
$829.52 |
| 87480 |
|
39 |
39 |
$824.45 |
| 87660 |
|
39 |
39 |
$816.24 |
| 73130 |
|
48 |
41 |
$719.82 |
| 82550 |
|
45 |
39 |
$690.86 |
| 85652 |
|
125 |
122 |
$683.16 |
| J1885 |
Ketorolac tromethamine inj |
2,449 |
2,148 |
$611.52 |
| J2270 |
Morphine sulfate injection |
1,329 |
1,081 |
$587.18 |
| Q0162 |
Ondansetron oral |
875 |
591 |
$500.64 |
| J1100 |
Dexamethasone sodium phos |
469 |
384 |
$465.66 |
| 72050 |
|
13 |
12 |
$440.31 |
| J2405 |
Ondansetron hcl injection |
3,188 |
2,709 |
$388.46 |
| 72070 |
|
14 |
14 |
$372.45 |
| J3490 |
Drugs unclassified injection |
583 |
512 |
$371.80 |
| 87186 |
|
42 |
40 |
$360.48 |
| 87880 |
|
41 |
39 |
$359.76 |
| 82950 |
|
41 |
41 |
$358.03 |
| 82570 |
|
29 |
26 |
$313.36 |
| J2704 |
Inj, propofol, 10 mg |
1,285 |
1,102 |
$294.96 |
| 96376 |
|
14 |
13 |
$277.76 |
| G0123 |
Screen cerv/vag thin layer |
27 |
27 |
$268.24 |
| 83605 |
|
27 |
25 |
$265.60 |
| 77061 |
|
12 |
12 |
$260.15 |
| 73110 |
|
17 |
13 |
$246.29 |
| 84156 |
|
29 |
26 |
$239.97 |
| 83020 |
|
12 |
12 |
$214.54 |
| 87510 |
|
12 |
12 |
$205.58 |
| 97161 |
|
14 |
13 |
$170.48 |
| 82746 |
|
16 |
15 |
$141.12 |
| 80055 |
|
13 |
13 |
$140.16 |
| J1200 |
Diphenhydramine hcl injectio |
1,111 |
894 |
$131.78 |
| J1170 |
Hydromorphone injection |
698 |
439 |
$123.48 |
| J3010 |
Fentanyl citrate injection |
1,397 |
1,057 |
$100.70 |
| J2250 |
Inj midazolam hydrochloride |
632 |
584 |
$90.68 |
| J2060 |
Lorazepam injection |
355 |
276 |
$52.05 |
| J2765 |
Metoclopramide hcl injection |
376 |
299 |
$51.56 |
| J2001 |
Lidocaine injection |
725 |
696 |
$15.96 |
| J0690 |
Cefazolin sodium injection |
151 |
112 |
$14.72 |
| J7512 |
Prednisone ir or dr oral 1mg |
235 |
158 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
56 |
53 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
50 |
46 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
103 |
92 |
$0.00 |
| J8540 |
Oral dexamethasone |
20 |
12 |
$0.00 |
| J1756 |
Iron sucrose injection |
426 |
217 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
247 |
182 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
147 |
116 |
$0.00 |
| J7120 |
Ringers lactate infusion |
393 |
368 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
78 |
57 |
$0.00 |
| 99211 |
|
15 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
46 |
24 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
28 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
28 |
$0.00 |
| S5000 |
Prescription drug, generic |
16 |
13 |
$0.00 |