| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,767 |
16,015 |
$3.77M |
| 99283 |
|
20,805 |
17,028 |
$3.20M |
| 99282 |
|
12,704 |
10,712 |
$1.45M |
| G0463 |
Hospital outpt clinic visit |
44,218 |
34,123 |
$1.10M |
| 43239 |
|
1,711 |
1,412 |
$451K |
| 76376 |
|
14,055 |
12,152 |
$298K |
| 96372 |
|
26,875 |
21,089 |
$233K |
| 85025 |
|
54,531 |
43,343 |
$212K |
| 99281 |
|
2,812 |
2,589 |
$186K |
| 99285 |
|
1,106 |
885 |
$176K |
| 70450 |
|
4,318 |
3,796 |
$111K |
| 84484 |
|
12,745 |
8,957 |
$100K |
| 80053 |
|
48,736 |
38,695 |
$96K |
| C9803 |
Hopd covid-19 spec collect |
8,413 |
7,676 |
$93K |
| 36415 |
|
72,226 |
55,932 |
$87K |
| 87804 |
|
17,528 |
8,258 |
$78K |
| 96374 |
|
6,929 |
6,214 |
$73K |
| 94760 |
|
32,167 |
29,265 |
$65K |
| 80307 |
|
3,369 |
2,535 |
$61K |
| 80306 |
|
10,256 |
9,193 |
$51K |
| 84443 |
|
11,562 |
10,339 |
$47K |
| 96375 |
|
5,982 |
5,242 |
$46K |
| 87880 |
|
4,928 |
4,596 |
$40K |
| 80061 |
|
11,550 |
10,410 |
$39K |
| 99213 |
|
1,097 |
866 |
$38K |
| 93005 |
|
13,312 |
11,071 |
$37K |
| 71046 |
|
4,274 |
3,843 |
$36K |
| 87635 |
|
1,083 |
854 |
$35K |
| 74177 |
|
587 |
532 |
$34K |
| 96361 |
|
3,264 |
2,456 |
$32K |
| 81002 |
|
9,923 |
6,729 |
$30K |
| 97110 |
|
1,905 |
343 |
$27K |
| 87086 |
|
5,317 |
4,741 |
$23K |
| 74176 |
|
887 |
801 |
$22K |
| 45380 |
|
68 |
60 |
$22K |
| 96365 |
|
1,842 |
1,612 |
$22K |
| 84703 |
|
4,644 |
4,280 |
$22K |
| J1650 |
Inj enoxaparin sodium |
692 |
252 |
$20K |
| 85730 |
|
8,198 |
7,046 |
$19K |
| J2405 |
Ondansetron hcl injection |
6,319 |
5,337 |
$18K |
| 87081 |
|
4,499 |
4,220 |
$17K |
| 83036 |
|
9,645 |
8,515 |
$17K |
| 87428 |
|
596 |
547 |
$17K |
| 81001 |
|
26,598 |
23,512 |
$16K |
| 83874 |
|
3,420 |
3,027 |
$15K |
| 72110 |
|
655 |
617 |
$14K |
| 84702 |
|
936 |
780 |
$14K |
| 93041 |
|
16,354 |
13,702 |
$14K |
| 76700 |
|
405 |
390 |
$13K |
| 85610 |
|
8,403 |
7,124 |
$13K |
| 83690 |
|
3,566 |
3,214 |
$13K |
| 59025 |
|
441 |
283 |
$13K |
| 71045 |
|
8,479 |
7,304 |
$13K |
| 82150 |
|
3,476 |
3,131 |
$12K |
| 45378 |
|
74 |
62 |
$12K |
| 87070 |
|
2,123 |
1,948 |
$11K |
| 43235 |
|
42 |
39 |
$11K |
| 76805 |
|
193 |
182 |
$11K |
| 86900 |
|
767 |
647 |
$11K |
| 72125 |
|
266 |
242 |
$10K |
| 85379 |
|
1,981 |
1,727 |
$10K |
| 99214 |
|
442 |
358 |
$10K |
| 69436 |
|
14 |
12 |
$10K |
| 82306 |
|
1,257 |
1,073 |
$9K |
| 83735 |
|
3,418 |
2,982 |
$8K |
| 90471 |
|
699 |
649 |
$7K |
| 99442 |
|
212 |
175 |
$7K |
| 87389 |
|
710 |
593 |
$7K |
| 86850 |
|
705 |
592 |
$6K |
| 84439 |
|
2,880 |
2,504 |
$5K |
| 87430 |
|
561 |
526 |
$5K |
| 87591 |
|
256 |
208 |
$4K |
| 90686 |
|
545 |
504 |
$4K |
| 87491 |
|
243 |
195 |
$4K |
| J1100 |
Dexamethasone sodium phos |
6,689 |
5,614 |
$4K |
| 85018 |
|
1,697 |
1,643 |
$4K |
| 87040 |
|
1,020 |
560 |
$4K |
| J1030 |
Methylprednisolone 40 mg inj |
6,403 |
5,623 |
$4K |
| 87811 |
|
7,954 |
7,323 |
$4K |
| 82607 |
|
779 |
654 |
$3K |
| 73562 |
|
249 |
196 |
$3K |
| 83655 |
|
209 |
198 |
$3K |
| 86592 |
|
816 |
704 |
$2K |
| 73110 |
|
142 |
113 |
$2K |
| 86171 |
|
248 |
234 |
$2K |
| 94640 |
|
555 |
447 |
$2K |
| J2930 |
Methylprednisolone injection |
734 |
655 |
$2K |
| 93306 |
|
29 |
26 |
$2K |
| 82951 |
|
199 |
149 |
$2K |
| 0031A |
|
66 |
58 |
$2K |
| 86803 |
|
266 |
221 |
$2K |
| 96376 |
|
347 |
118 |
$1K |
| 85027 |
|
463 |
389 |
$1K |
| 85652 |
|
765 |
677 |
$1K |
| 81220 |
|
21 |
14 |
$1K |
| 99203 |
|
28 |
22 |
$1K |
| 73564 |
|
64 |
53 |
$1K |
| 73610 |
|
91 |
65 |
$1K |
| 83970 |
|
127 |
103 |
$1K |
| 73030 |
|
93 |
80 |
$1K |
| 86762 |
|
288 |
250 |
$985.65 |
| J1380 |
Estradiol valerate 10 mg inj |
451 |
384 |
$888.27 |
| J2360 |
Orphenadrine injection |
1,024 |
801 |
$882.08 |
| 83540 |
|
1,023 |
929 |
$870.24 |
| 87340 |
|
259 |
221 |
$812.44 |
| 86706 |
|
137 |
107 |
$737.59 |
| 0011A |
|
40 |
34 |
$689.38 |
| 0012A |
|
22 |
20 |
$680.00 |
| 73130 |
|
35 |
26 |
$627.98 |
| 83605 |
|
171 |
141 |
$581.56 |
| 90670 |
|
60 |
59 |
$573.80 |
| 82947 |
|
138 |
120 |
$551.00 |
| 76815 |
|
16 |
14 |
$527.66 |
| 73630 |
|
66 |
52 |
$514.31 |
| 76856 |
|
13 |
13 |
$486.88 |
| 82948 |
|
288 |
256 |
$470.44 |
| 86140 |
|
505 |
433 |
$468.21 |
| 76830 |
|
13 |
13 |
$439.90 |
| 87184 |
|
136 |
114 |
$410.91 |
| 84550 |
|
405 |
337 |
$381.81 |
| 84681 |
|
21 |
12 |
$371.59 |
| 81025 |
|
101 |
80 |
$342.38 |
| 90715 |
|
27 |
24 |
$333.60 |
| J3420 |
Vitamin b12 injection |
4,364 |
3,703 |
$326.52 |
| 83525 |
|
53 |
39 |
$317.90 |
| 77067 |
|
17 |
12 |
$305.87 |
| 83880 |
|
41 |
39 |
$294.80 |
| 86038 |
|
227 |
205 |
$287.02 |
| 80069 |
|
211 |
179 |
$260.69 |
| 90472 |
|
51 |
45 |
$241.62 |
| 96110 |
|
18 |
13 |
$237.80 |
| 82803 |
|
43 |
26 |
$189.90 |
| 96366 |
|
103 |
38 |
$173.10 |
| 82728 |
|
55 |
53 |
$169.85 |
| J1010 |
Inj, methylpred acetate 1 mg |
358 |
278 |
$157.03 |
| 87510 |
|
22 |
15 |
$138.66 |
| 81003 |
|
332 |
321 |
$138.65 |
| 82677 |
|
12 |
12 |
$135.93 |
| 82105 |
|
26 |
24 |
$116.46 |
| 87480 |
|
17 |
15 |
$111.18 |
| 87660 |
|
17 |
15 |
$98.99 |
| 86336 |
|
12 |
12 |
$87.59 |
| 93010 |
|
13 |
12 |
$85.93 |
| 88305 |
|
2,052 |
1,633 |
$84.93 |
| 85732 |
|
14 |
14 |
$84.82 |
| G0378 |
Hospital observation per hr |
292 |
239 |
$81.29 |
| 77063 |
|
17 |
12 |
$77.64 |
| 82652 |
|
13 |
13 |
$76.29 |
| J2270 |
Morphine sulfate injection |
134 |
125 |
$71.04 |
| J2920 |
Methylprednisolone injection |
97 |
62 |
$69.87 |
| 82570 |
|
184 |
167 |
$67.90 |
| 82043 |
|
244 |
222 |
$67.24 |
| J2550 |
Promethazine hcl injection |
193 |
136 |
$59.28 |
| 87522 |
Neg quan hep c or qual rna |
30 |
28 |
$56.58 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
14 |
$44.82 |
| 96523 |
|
28 |
25 |
$43.12 |
| U0004 |
Cov-19 test non-cdc hgh thru |
76 |
42 |
$42.80 |
| S9088 |
Services provided in urgent |
41 |
35 |
$39.38 |
| 84436 |
|
41 |
37 |
$38.78 |
| G0008 |
Admin influenza virus vac |
587 |
490 |
$28.92 |
| 84480 |
|
13 |
13 |
$28.08 |
| J0696 |
Ceftriaxone sodium injection |
4,412 |
3,791 |
$24.30 |
| 86255 |
|
21 |
12 |
$23.88 |
| 85597 |
|
14 |
14 |
$23.74 |
| 90662 |
|
57 |
52 |
$15.46 |
| J1642 |
Inj heparin sodium per 10 u |
45 |
39 |
$13.60 |
| 85613 |
|
14 |
14 |
$12.64 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,900 |
1,688 |
$10.61 |
| J1885 |
Ketorolac tromethamine inj |
6,931 |
5,998 |
$7.56 |
| J7120 |
Ringers lactate infusion |
3,128 |
2,642 |
$7.09 |
| J2001 |
Lidocaine injection |
1,123 |
909 |
$6.30 |
| 83550 |
|
15 |
15 |
$5.77 |
| J2250 |
Inj midazolam hydrochloride |
230 |
202 |
$5.74 |
| J7030 |
Normal saline solution infus |
5,643 |
4,831 |
$4.18 |
| J3010 |
Fentanyl citrate injection |
305 |
255 |
$3.77 |
| G8427 |
Docrev cur meds by elig clin |
578 |
486 |
$0.01 |
| G8783 |
Bp scrn perf rec interval |
389 |
267 |
$0.00 |
| 99211 |
|
1,454 |
1,335 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
201 |
170 |
$0.00 |
| J2950 |
Promazine hcl injection |
2,207 |
1,122 |
$0.00 |
| 86709 |
|
12 |
12 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
740 |
363 |
$0.00 |
| 88313 |
|
47 |
42 |
$0.00 |
| J7040 |
Normal saline solution infus |
16 |
14 |
$0.00 |
| 84460 |
|
12 |
12 |
$0.00 |
| 96367 |
|
19 |
12 |
$0.00 |
| G8752 |
Sys bp less 140 |
70 |
66 |
$0.00 |
| 0502F |
|
73 |
56 |
$0.00 |
| 86705 |
|
12 |
12 |
$0.00 |
| G8754 |
Dias bp less 90 |
127 |
116 |
$0.00 |
| 1126F |
|
272 |
220 |
$0.00 |
| 1125F |
|
76 |
70 |
$0.00 |
| A9270 |
Non-covered item or service |
16 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
15 |
14 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
29 |
24 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
34 |
32 |
$0.00 |