| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,386 |
13,553 |
$4.06M |
| G0378 |
Hospital observation per hr |
1,952 |
1,755 |
$3.62M |
| 99284 |
|
13,168 |
12,257 |
$3.50M |
| 99285 |
|
2,013 |
1,859 |
$291K |
| 99214 |
|
3,361 |
3,290 |
$243K |
| 62323 |
|
425 |
404 |
$243K |
| 77067 |
|
2,115 |
2,093 |
$223K |
| 93306 |
|
1,077 |
1,056 |
$166K |
| 99281 |
|
580 |
558 |
$111K |
| 99282 |
|
413 |
399 |
$75K |
| 99204 |
|
632 |
623 |
$57K |
| G0399 |
Home sleep test/type 3 porta |
368 |
357 |
$52K |
| 76700 |
|
732 |
724 |
$50K |
| 76830 |
|
827 |
818 |
$48K |
| 73721 |
|
197 |
190 |
$48K |
| 99215 |
Prolong outpt/office vis |
452 |
445 |
$46K |
| 76856 |
|
954 |
942 |
$42K |
| 70553 |
|
136 |
132 |
$40K |
| 71046 |
|
2,416 |
2,352 |
$36K |
| 93005 |
|
6,713 |
6,099 |
$36K |
| 72148 |
|
183 |
181 |
$36K |
| 76536 |
|
525 |
518 |
$35K |
| 74177 |
|
593 |
566 |
$33K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,386 |
2,221 |
$33K |
| 71250 |
|
374 |
366 |
$26K |
| 78452 |
|
106 |
103 |
$25K |
| 93975 |
|
251 |
247 |
$24K |
| 99213 |
|
423 |
416 |
$22K |
| 93017 |
|
321 |
316 |
$21K |
| 43239 |
|
25 |
25 |
$18K |
| 74176 |
|
280 |
272 |
$18K |
| 93970 |
|
186 |
183 |
$16K |
| 93000 |
|
789 |
763 |
$14K |
| 81025 |
|
512 |
488 |
$13K |
| 95810 |
|
27 |
25 |
$11K |
| 76770 |
|
213 |
208 |
$11K |
| 72141 |
|
40 |
40 |
$11K |
| 76642 |
|
178 |
146 |
$9K |
| 70450 |
|
465 |
443 |
$8K |
| 99205 |
Prolong outpt/office vis |
76 |
76 |
$8K |
| 93976 |
|
87 |
79 |
$8K |
| 80053 |
|
3,314 |
2,869 |
$7K |
| 20610 |
|
12 |
12 |
$7K |
| 70551 |
|
31 |
31 |
$7K |
| 0241U |
|
205 |
160 |
$7K |
| 93296 |
|
361 |
343 |
$7K |
| 77080 |
|
142 |
141 |
$7K |
| 80048 |
|
3,009 |
2,414 |
$6K |
| 73564 |
|
361 |
264 |
$6K |
| 71275 |
|
169 |
163 |
$6K |
| 93971 |
|
99 |
92 |
$6K |
| 76705 |
|
134 |
128 |
$6K |
| 99203 |
|
107 |
107 |
$6K |
| 71045 |
|
1,630 |
1,521 |
$5K |
| 94729 |
|
140 |
133 |
$5K |
| 76775 |
|
92 |
91 |
$5K |
| 72100 |
|
179 |
172 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,909 |
3,731 |
$5K |
| 94726 |
|
130 |
125 |
$4K |
| 0002A |
|
75 |
51 |
$4K |
| A9579 |
Gad-base mr contrast nos,1ml |
579 |
342 |
$4K |
| 74178 |
|
14 |
13 |
$4K |
| 73221 |
|
14 |
14 |
$4K |
| 73030 |
|
237 |
204 |
$3K |
| 0003A |
|
171 |
149 |
$3K |
| 74246 |
|
66 |
66 |
$3K |
| 84703 |
|
3,417 |
3,223 |
$3K |
| A9502 |
Tc99m tetrofosmin |
25 |
25 |
$3K |
| 0001A |
|
68 |
52 |
$3K |
| A9270 |
Non-covered item or service |
5,787 |
2,474 |
$3K |
| 72110 |
|
110 |
103 |
$3K |
| 85025 |
|
5,601 |
4,822 |
$3K |
| 94618 |
|
103 |
100 |
$3K |
| 94060 |
|
128 |
121 |
$3K |
| 77065 |
Tomosynthesis, mammo |
29 |
27 |
$2K |
| 73630 |
|
262 |
217 |
$2K |
| G0463 |
Hospital outpt clinic visit |
602 |
594 |
$2K |
| U0001 |
2019-ncov diagnostic p |
304 |
254 |
$2K |
| 85027 |
|
1,781 |
1,495 |
$2K |
| 84484 |
|
2,539 |
2,100 |
$2K |
| 88305 |
|
246 |
229 |
$2K |
| 73610 |
|
147 |
125 |
$2K |
| 73130 |
|
173 |
137 |
$2K |
| G2066 |
Inter devc remote 30d |
41 |
40 |
$2K |
| 76376 |
|
287 |
281 |
$2K |
| 96372 |
|
693 |
638 |
$2K |
| 84443 |
|
260 |
245 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| 82803 |
|
205 |
193 |
$1K |
| 77002 |
|
90 |
88 |
$1K |
| 82248 |
|
187 |
178 |
$1K |
| 82247 |
|
163 |
155 |
$846.29 |
| 73502 |
|
44 |
43 |
$787.50 |
| 82948 |
|
1,684 |
1,220 |
$724.85 |
| 85730 |
|
588 |
522 |
$661.36 |
| 73523 |
|
17 |
12 |
$579.10 |
| 76817 |
|
29 |
27 |
$572.93 |
| 80061 |
|
210 |
203 |
$572.91 |
| 81001 |
|
890 |
842 |
$568.68 |
| 86850 |
|
350 |
302 |
$553.89 |
| Q0092 |
Set up port xray equipment |
971 |
911 |
$544.29 |
| 93922 |
|
15 |
14 |
$539.45 |
| 73560 |
|
31 |
26 |
$537.41 |
| 85610 |
|
698 |
596 |
$522.08 |
| 83690 |
|
873 |
818 |
$500.94 |
| 83880 |
|
202 |
184 |
$463.65 |
| 83735 |
|
967 |
734 |
$443.86 |
| 81003 |
|
1,687 |
1,594 |
$443.27 |
| 80323 |
|
24 |
12 |
$409.63 |
| 90471 |
|
64 |
64 |
$403.60 |
| 76815 |
|
17 |
15 |
$400.10 |
| 95819 |
|
14 |
13 |
$360.54 |
| 97162 |
|
18 |
14 |
$296.56 |
| 86901 |
|
412 |
317 |
$286.66 |
| 86900 |
|
414 |
319 |
$283.21 |
| 85007 |
|
460 |
423 |
$274.06 |
| 83036 |
|
212 |
202 |
$270.44 |
| 87070 |
|
249 |
230 |
$265.01 |
| 87040 |
|
163 |
148 |
$261.38 |
| 84702 |
|
116 |
106 |
$259.69 |
| 87086 |
|
379 |
360 |
$237.95 |
| J7030 |
Normal saline solution infus |
2,151 |
1,745 |
$233.00 |
| 93041 |
|
45 |
43 |
$224.63 |
| 85379 |
|
357 |
320 |
$219.36 |
| 82962 |
|
118 |
116 |
$214.18 |
| J3490 |
Drugs unclassified injection |
2,364 |
1,328 |
$204.82 |
| J1100 |
Dexamethasone sodium phos |
1,849 |
1,769 |
$203.38 |
| 94640 |
|
89 |
61 |
$200.39 |
| 83605 |
|
289 |
258 |
$195.25 |
| 88342 |
|
27 |
26 |
$181.81 |
| J0690 |
Cefazolin sodium injection |
869 |
739 |
$177.40 |
| 87491 |
|
189 |
176 |
$173.46 |
| 87591 |
|
189 |
176 |
$173.46 |
| J2704 |
Inj, propofol, 10 mg |
2,250 |
2,155 |
$149.96 |
| 80367 |
|
14 |
13 |
$136.60 |
| J1644 |
Inj heparin sodium per 1000u |
1,931 |
955 |
$121.68 |
| J3301 |
Triamcinolone acet inj nos |
433 |
419 |
$113.42 |
| Q3014 |
Telehealth facility fee |
12 |
12 |
$111.72 |
| 87186 |
|
142 |
134 |
$109.35 |
| 93294 |
|
15 |
15 |
$87.30 |
| 93295 |
|
29 |
27 |
$85.59 |
| 84100 |
|
336 |
264 |
$82.82 |
| 86803 |
|
94 |
92 |
$80.88 |
| J3010 |
Fentanyl citrate injection |
2,216 |
2,077 |
$72.67 |
| J1170 |
Hydromorphone injection |
1,483 |
898 |
$67.37 |
| 82550 |
|
102 |
84 |
$67.07 |
| 80076 |
|
252 |
213 |
$66.40 |
| J2270 |
Morphine sulfate injection |
960 |
677 |
$59.31 |
| 90714 |
|
12 |
12 |
$50.20 |
| 87077 |
|
131 |
125 |
$38.12 |
| 90472 |
|
13 |
13 |
$27.30 |
| J2405 |
Ondansetron hcl injection |
3,121 |
2,674 |
$24.06 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
73 |
73 |
$18.37 |
| 87400 |
|
44 |
43 |
$18.27 |
| 97116 |
|
27 |
19 |
$16.36 |
| J2250 |
Inj midazolam hydrochloride |
2,068 |
1,984 |
$15.60 |
| J2370 |
Phenylephrine hcl injection |
99 |
95 |
$13.61 |
| 88304 |
|
30 |
26 |
$12.42 |
| J1885 |
Ketorolac tromethamine inj |
2,951 |
2,633 |
$11.88 |
| J0696 |
Ceftriaxone sodium injection |
802 |
554 |
$5.82 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$5.79 |
| 94760 |
|
34 |
30 |
$4.04 |
| J1200 |
Diphenhydramine hcl injectio |
427 |
354 |
$3.46 |
| J2765 |
Metoclopramide hcl injection |
444 |
387 |
$2.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
632 |
392 |
$1.20 |
| J7613 |
Albuterol non-comp unit |
50 |
40 |
$0.56 |
| G9920 |
Scrning perf and negative |
17 |
17 |
$0.01 |
| J3370 |
Vancomycin hcl injection |
84 |
58 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
652 |
638 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
61 |
60 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
305 |
180 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
266 |
222 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
33 |
32 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
835 |
470 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
31 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
46 |
42 |
$0.00 |
| 0004A |
|
83 |
83 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
524 |
249 |
$0.00 |
| J8540 |
Oral dexamethasone |
464 |
202 |
$0.00 |
| J1815 |
Insulin injection |
506 |
213 |
$0.00 |
| Q0162 |
Ondansetron oral |
245 |
187 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
285 |
269 |
$0.00 |
| 36415 |
|
53 |
51 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
199 |
193 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
173 |
108 |
$0.00 |
| J2001 |
Lidocaine injection |
274 |
259 |
$0.00 |
| 82306 |
|
12 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
50 |
50 |
$0.00 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
17 |
13 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
83 |
74 |
$0.00 |
| J2785 |
Regadenoson injection |
102 |
102 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
31 |
13 |
$0.00 |
| 94761 |
|
25 |
25 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
13 |
13 |
$0.00 |
| 87205 |
|
13 |
13 |
$0.00 |