| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
47,603 |
44,023 |
$1.69M |
| 99214 |
|
20,835 |
19,288 |
$859K |
| G0463 |
Hospital outpt clinic visit |
77,544 |
59,524 |
$711K |
| 93306 |
|
4,529 |
3,968 |
$238K |
| 99285 |
|
4,731 |
4,235 |
$235K |
| 99284 |
|
5,127 |
4,466 |
$192K |
| 99283 |
|
5,682 |
5,208 |
$153K |
| Q3014 |
Telehealth facility fee |
16,101 |
9,519 |
$136K |
| J0585 |
Injection,onabotulinumtoxina |
1,732 |
1,005 |
$119K |
| 96413 |
|
1,563 |
974 |
$85K |
| 71046 |
|
7,044 |
6,521 |
$77K |
| 74177 |
|
1,757 |
1,629 |
$74K |
| 97140 |
|
18,818 |
6,461 |
$69K |
| 97110 |
|
19,818 |
7,314 |
$64K |
| 96365 |
|
2,337 |
1,559 |
$62K |
| 99215 |
Prolong outpt/office vis |
1,176 |
1,108 |
$58K |
| 97530 |
|
13,167 |
5,058 |
$57K |
| 96374 |
|
3,069 |
2,618 |
$48K |
| 96372 |
|
5,971 |
4,587 |
$41K |
| 77067 |
|
3,743 |
3,652 |
$36K |
| 64615 |
|
1,001 |
938 |
$35K |
| 99212 |
|
1,672 |
901 |
$34K |
| 99391 |
|
527 |
520 |
$28K |
| 96361 |
|
2,688 |
2,145 |
$28K |
| 92507 |
|
8,016 |
2,807 |
$26K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,422 |
5,956 |
$24K |
| 96375 |
|
2,938 |
2,126 |
$24K |
| 90853 |
|
2,271 |
692 |
$23K |
| 90471 |
|
12,918 |
12,481 |
$23K |
| 80053 |
|
25,208 |
21,603 |
$23K |
| 77063 |
|
3,520 |
3,438 |
$20K |
| 85025 |
|
30,464 |
25,362 |
$20K |
| 70450 |
|
896 |
825 |
$20K |
| 99392 |
|
373 |
372 |
$19K |
| 96360 |
|
1,350 |
1,018 |
$19K |
| 99282 |
|
1,229 |
1,157 |
$18K |
| 97161 |
|
2,445 |
2,277 |
$17K |
| 97112 |
|
5,843 |
2,566 |
$17K |
| 93017 |
|
355 |
310 |
$16K |
| 97597 |
|
871 |
436 |
$15K |
| 84443 |
|
11,593 |
11,005 |
$14K |
| G0008 |
Admin influenza virus vac |
1,706 |
1,677 |
$11K |
| 73630 |
|
1,593 |
1,455 |
$11K |
| 82306 |
|
3,105 |
2,977 |
$10K |
| 87635 |
|
464 |
420 |
$10K |
| 87428 |
|
966 |
935 |
$9K |
| 99443 |
|
325 |
292 |
$9K |
| 93005 |
|
4,885 |
4,357 |
$9K |
| 93010 |
|
1,520 |
1,333 |
$9K |
| 87426 |
|
2,475 |
2,407 |
$8K |
| 73562 |
|
685 |
636 |
$8K |
| 80061 |
|
9,308 |
8,965 |
$8K |
| J7050 |
Normal saline solution infus |
2,650 |
1,695 |
$7K |
| U0005 |
Infec agen detec ampli probe |
6,499 |
6,026 |
$7K |
| 87880 |
|
7,648 |
6,944 |
$7K |
| 78452 |
|
38 |
37 |
$6K |
| 76830 |
|
576 |
537 |
$6K |
| 76856 |
|
654 |
618 |
$6K |
| 71250 |
|
213 |
202 |
$6K |
| 90834 |
|
862 |
456 |
$6K |
| 97162 |
|
908 |
889 |
$6K |
| 88305 |
|
2,059 |
1,912 |
$6K |
| 93296 |
|
626 |
579 |
$6K |
| 36415 |
|
34,204 |
29,465 |
$6K |
| J7030 |
Normal saline solution infus |
3,418 |
2,734 |
$5K |
| 73610 |
|
924 |
864 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,363 |
2,159 |
$5K |
| 87491 |
|
3,211 |
2,958 |
$5K |
| 83036 |
|
8,721 |
8,320 |
$5K |
| 87591 |
|
3,204 |
2,953 |
$5K |
| 73110 |
|
343 |
320 |
$5K |
| 94640 |
|
875 |
696 |
$5K |
| 99211 |
|
610 |
524 |
$5K |
| 97035 |
|
4,847 |
1,806 |
$5K |
| 72100 |
|
416 |
390 |
$5K |
| 73030 |
|
622 |
581 |
$5K |
| 99442 |
|
376 |
273 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,847 |
3,209 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,229 |
1,078 |
$4K |
| 71260 |
|
102 |
91 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
48 |
40 |
$4K |
| 82607 |
|
3,176 |
3,036 |
$4K |
| C9290 |
Inj, bupivacaine liposome |
74 |
66 |
$4K |
| 82728 |
|
2,879 |
2,719 |
$3K |
| 96160 |
|
543 |
535 |
$3K |
| 87086 |
|
6,135 |
5,506 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
824 |
751 |
$3K |
| 99001 |
|
10,693 |
9,838 |
$3K |
| 90677 |
|
318 |
310 |
$3K |
| 80048 |
|
4,367 |
3,766 |
$3K |
| 84439 |
|
3,136 |
2,981 |
$3K |
| 99281 |
|
146 |
141 |
$3K |
| 87081 |
|
6,208 |
5,761 |
$3K |
| 84484 |
|
2,377 |
2,047 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,902 |
2,585 |
$3K |
| 93975 |
|
13 |
12 |
$3K |
| J7120 |
Ringers lactate infusion |
1,978 |
1,740 |
$3K |
| 88175 |
|
2,038 |
1,922 |
$2K |
| 73130 |
|
264 |
252 |
$2K |
| 11042 |
|
39 |
24 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
1,453 |
1,293 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,028 |
770 |
$2K |
| 76705 |
|
132 |
128 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,695 |
2,401 |
$2K |
| 99393 |
|
38 |
38 |
$2K |
| 90480 |
|
147 |
141 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,489 |
1,979 |
$2K |
| 81025 |
|
4,522 |
4,069 |
$2K |
| 83550 |
|
2,860 |
2,690 |
$2K |
| 83540 |
|
2,981 |
2,805 |
$2K |
| 83880 |
|
403 |
360 |
$2K |
| 87660 |
|
1,080 |
1,038 |
$2K |
| 87077 |
|
2,247 |
2,073 |
$2K |
| 87480 |
|
1,081 |
1,039 |
$2K |
| 87510 |
|
1,081 |
1,039 |
$2K |
| 87804 |
|
2,833 |
2,616 |
$1K |
| 71045 |
|
205 |
179 |
$1K |
| 87186 |
|
2,122 |
1,928 |
$1K |
| 59025 |
|
187 |
98 |
$1K |
| G0378 |
Hospital observation per hr |
100 |
69 |
$1K |
| J7040 |
Normal saline solution infus |
1,250 |
1,053 |
$1K |
| 87624 |
|
1,431 |
1,386 |
$1K |
| 76770 |
|
46 |
43 |
$1K |
| 97116 |
|
1,015 |
501 |
$1K |
| 82746 |
|
1,039 |
996 |
$1K |
| 73502 |
|
155 |
138 |
$1K |
| 81003 |
|
6,776 |
6,000 |
$1K |
| 74018 |
|
44 |
40 |
$1K |
| 83735 |
|
2,624 |
2,185 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
2,167 |
1,023 |
$1K |
| 83690 |
|
2,622 |
2,289 |
$1K |
| 96161 |
|
1,662 |
1,624 |
$1K |
| 36591 |
|
177 |
137 |
$1K |
| 96367 |
|
121 |
56 |
$1K |
| 94060 |
|
50 |
48 |
$1K |
| 94726 |
|
93 |
90 |
$1K |
| 86618 |
|
804 |
738 |
$1K |
| 96415 |
|
80 |
53 |
$1K |
| 86703 |
|
1,001 |
952 |
$1K |
| 76801 |
|
134 |
117 |
$1K |
| 85610 |
|
4,023 |
2,893 |
$1K |
| 76642 |
|
149 |
128 |
$1K |
| J2001 |
Lidocaine injection |
2,037 |
1,818 |
$1K |
| 90715 |
|
2,271 |
2,169 |
$1K |
| Q0091 |
Obtaining screen pap smear |
689 |
636 |
$1K |
| J2785 |
Regadenoson injection |
12 |
12 |
$993.28 |
| 80306 |
|
977 |
897 |
$992.20 |
| 97165 |
|
249 |
223 |
$964.35 |
| 87798 |
|
368 |
286 |
$919.17 |
| 86803 |
|
1,358 |
1,308 |
$916.72 |
| 71271 |
|
66 |
66 |
$915.44 |
| 90832 |
|
44 |
27 |
$882.57 |
| 90662 |
|
657 |
644 |
$873.22 |
| 82784 |
|
556 |
514 |
$846.99 |
| 86140 |
|
2,236 |
1,967 |
$820.03 |
| 85651 |
|
2,512 |
2,233 |
$796.03 |
| A9270 |
Non-covered item or service |
1,263 |
904 |
$784.47 |
| 97535 |
|
382 |
257 |
$768.49 |
| 96127 |
|
1,460 |
1,420 |
$730.57 |
| 81002 |
|
3,177 |
2,935 |
$723.10 |
| 80307 |
|
295 |
236 |
$712.92 |
| 87502 |
|
226 |
211 |
$677.64 |
| 88342 |
|
206 |
191 |
$616.48 |
| G0103 |
Psa screening |
702 |
671 |
$611.69 |
| 76816 |
|
172 |
149 |
$606.89 |
| 86900 |
|
1,137 |
951 |
$602.62 |
| 84481 |
|
270 |
252 |
$590.75 |
| 86850 |
|
1,012 |
915 |
$569.16 |
| 45385 |
|
12 |
12 |
$534.17 |
| 96110 |
|
53 |
53 |
$531.10 |
| 90651 |
|
677 |
664 |
$516.12 |
| 90670 |
|
1,916 |
1,893 |
$512.78 |
| 87070 |
|
1,029 |
932 |
$485.96 |
| 87340 |
|
1,240 |
1,191 |
$474.26 |
| 90472 |
|
4,681 |
4,616 |
$441.44 |
| 95251 |
|
42 |
42 |
$434.14 |
| 43239 |
|
14 |
14 |
$418.13 |
| 90686 |
|
5,488 |
5,375 |
$410.94 |
| 82043 |
|
614 |
587 |
$400.64 |
| 0072A |
|
86 |
75 |
$400.00 |
| 0071A |
|
90 |
80 |
$400.00 |
| 80305 |
|
1,340 |
1,088 |
$386.79 |
| 93018 |
|
62 |
56 |
$382.73 |
| J0171 |
Adrenalin epinephrine inject |
88 |
80 |
$373.21 |
| J1885 |
Ketorolac tromethamine inj |
1,120 |
945 |
$358.02 |
| 87430 |
|
982 |
943 |
$356.28 |
| 87420 |
|
429 |
402 |
$353.46 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
427 |
400 |
$326.97 |
| J3420 |
Vitamin b12 injection |
1,677 |
1,381 |
$313.53 |
| 86901 |
|
1,139 |
951 |
$290.17 |
| 93016 |
|
28 |
25 |
$279.41 |
| 90656 |
|
181 |
180 |
$276.86 |
| 90734 |
|
485 |
470 |
$275.02 |
| 94729 |
|
92 |
89 |
$274.85 |
| 96366 |
|
67 |
39 |
$267.85 |
| 82947 |
|
1,209 |
846 |
$253.57 |
| 86038 |
|
297 |
279 |
$237.57 |
| 80076 |
|
513 |
474 |
$237.28 |
| 73140 |
|
96 |
91 |
$228.13 |
| J2795 |
Ropivacaine hcl injection |
58 |
50 |
$201.84 |
| 93971 |
|
14 |
14 |
$201.42 |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$195.39 |
| 84460 |
|
521 |
499 |
$190.97 |
| 86592 |
|
813 |
775 |
$189.11 |
| 85730 |
|
417 |
379 |
$182.29 |
| 0011A |
|
886 |
857 |
$181.08 |
| 87147 |
|
687 |
597 |
$176.77 |
| 76700 |
|
14 |
14 |
$168.16 |
| 81001 |
|
911 |
857 |
$156.52 |
| G2211 |
Complex e/m visit add on |
401 |
388 |
$138.65 |
| 90474 |
|
1,015 |
1,003 |
$138.41 |
| 87653 |
|
85 |
82 |
$137.16 |
| 90710 |
|
86 |
84 |
$131.56 |
| 84403 |
|
137 |
130 |
$127.63 |
| 90694 |
|
74 |
68 |
$126.15 |
| 87469 |
|
12 |
12 |
$122.80 |
| G2012 |
Brief check in by md/qhp |
27 |
12 |
$118.80 |
| J2270 |
Morphine sulfate injection |
147 |
110 |
$116.07 |
| 83516 |
|
128 |
124 |
$111.89 |
| 0012A |
|
866 |
834 |
$107.60 |
| 84702 |
|
169 |
116 |
$104.72 |
| 84450 |
|
337 |
324 |
$103.53 |
| 86762 |
|
120 |
118 |
$95.15 |
| 51798 |
|
13 |
13 |
$75.35 |
| 87205 |
|
392 |
338 |
$73.31 |
| 86706 |
|
122 |
116 |
$71.57 |
| 91322 |
|
57 |
55 |
$61.53 |
| 99406 |
|
14 |
14 |
$59.52 |
| 90698 |
|
1,599 |
1,578 |
$55.20 |
| 90680 |
|
1,082 |
1,067 |
$51.06 |
| 87088 |
|
227 |
205 |
$48.45 |
| J1200 |
Diphenhydramine hcl injectio |
68 |
50 |
$48.30 |
| 83615 |
|
62 |
54 |
$47.49 |
| 99173 |
|
12 |
12 |
$42.30 |
| 0001A |
|
33 |
33 |
$40.00 |
| 0002A |
|
64 |
64 |
$40.00 |
| 84153 |
|
27 |
27 |
$38.27 |
| 86431 |
|
56 |
49 |
$32.46 |
| 98929 |
|
156 |
114 |
$30.84 |
| 82565 |
|
80 |
75 |
$27.34 |
| 82570 |
|
44 |
38 |
$26.80 |
| 90633 |
|
1,023 |
1,014 |
$24.84 |
| U0002 |
Covid-19 lab test non-cdc |
2,607 |
2,428 |
$22.72 |
| J0696 |
Ceftriaxone sodium injection |
40 |
38 |
$21.29 |
| 73070 |
|
14 |
12 |
$17.67 |
| 84550 |
|
15 |
13 |
$16.42 |
| 99000 |
|
104 |
103 |
$15.95 |
| J1170 |
Hydromorphone injection |
31 |
25 |
$15.64 |
| 87040 |
|
25 |
24 |
$14.59 |
| 86376 |
|
29 |
27 |
$13.29 |
| 84165 |
|
12 |
12 |
$13.18 |
| 82950 |
|
64 |
63 |
$8.68 |
| 82948 |
|
40 |
38 |
$7.61 |
| 84402 |
|
15 |
12 |
$5.09 |
| A9578 |
Inj multihance multipack |
14 |
14 |
$2.21 |
| 82550 |
|
106 |
92 |
$1.47 |
| J1644 |
Inj heparin sodium per 1000u |
51 |
40 |
$1.21 |
| G0009 |
Admin pneumococcal vaccine |
33 |
32 |
$0.68 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
24 |
24 |
$0.19 |
| J1050 |
Medroxyprogesterone acetate |
99 |
96 |
$0.11 |
| G8979 |
Mobility goal status |
253 |
225 |
$0.02 |
| G8978 |
Mobility current status |
202 |
183 |
$0.02 |
| 91301 |
|
1,816 |
1,698 |
$0.01 |
| 90744 |
|
947 |
934 |
$0.00 |
| 96376 |
|
39 |
25 |
$0.00 |
| J8540 |
Oral dexamethasone |
38 |
37 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
46 |
45 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
12 |
$0.00 |
| 90716 |
|
79 |
79 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 90732 |
|
13 |
12 |
$0.00 |
| 0134A |
|
44 |
42 |
$0.00 |
| J2060 |
Lorazepam injection |
33 |
30 |
$0.00 |
| 91307 |
|
186 |
158 |
$0.00 |
| 90696 |
|
16 |
15 |
$0.00 |
| 91306 |
|
131 |
130 |
$0.00 |
| 0064A |
|
131 |
130 |
$0.00 |
| 0124A |
|
86 |
84 |
$0.00 |
| 91300 |
|
115 |
114 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 76805 |
|
44 |
41 |
$0.00 |
| 91312 |
|
86 |
84 |
$0.00 |
| 90707 |
|
165 |
163 |
$0.00 |
| 91313 |
|
43 |
41 |
$0.00 |
| 83655 |
|
49 |
47 |
$0.00 |
| 77080 |
|
14 |
14 |
$0.00 |
| 90671 |
|
31 |
30 |
$0.00 |