| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
16,953 |
8,963 |
$1.58M |
| 99282 |
|
13,049 |
7,930 |
$1.42M |
| 74177 |
|
563 |
389 |
$713K |
| 99284 |
|
7,436 |
4,038 |
$649K |
| 97110 |
|
5,359 |
1,369 |
$423K |
| G0378 |
Hospital observation per hr |
414 |
226 |
$308K |
| 70450 |
|
1,035 |
570 |
$282K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,426 |
1,728 |
$210K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,582 |
2,180 |
$202K |
| G0481 |
Drug test def 8-14 classes |
2,492 |
1,497 |
$178K |
| 99281 |
|
2,069 |
1,429 |
$173K |
| 71046 |
|
2,537 |
1,432 |
$155K |
| 96365 |
|
1,406 |
784 |
$143K |
| 97140 |
|
2,069 |
587 |
$134K |
| 96375 |
|
1,959 |
1,212 |
$103K |
| G0480 |
Drug test def 1-7 classes |
2,400 |
1,060 |
$95K |
| 96374 |
|
2,302 |
1,539 |
$86K |
| 93005 |
|
2,262 |
1,570 |
$84K |
| 80307 |
|
2,738 |
1,726 |
$82K |
| 99285 |
|
740 |
364 |
$79K |
| 96361 |
|
420 |
236 |
$70K |
| 73562 |
|
660 |
394 |
$67K |
| 71045 |
|
1,438 |
869 |
$62K |
| 80053 |
|
10,781 |
7,330 |
$50K |
| G2023 |
Specimen collect covid-19 |
2,249 |
1,840 |
$50K |
| G0483 |
Drug test def 22+ classes |
988 |
740 |
$48K |
| 96372 |
|
1,636 |
923 |
$44K |
| 73610 |
|
309 |
216 |
$40K |
| 77067 |
|
83 |
79 |
$40K |
| 73030 |
|
455 |
269 |
$39K |
| 85025 |
|
11,393 |
7,544 |
$37K |
| 84443 |
|
3,901 |
3,067 |
$36K |
| 73630 |
|
361 |
234 |
$33K |
| 64635 |
|
67 |
27 |
$30K |
| 80061 |
|
2,384 |
2,125 |
$25K |
| 82306 |
|
1,069 |
957 |
$24K |
| 87491 |
|
1,037 |
915 |
$22K |
| 87591 |
|
1,035 |
913 |
$21K |
| 88305 |
|
583 |
427 |
$21K |
| 87631 |
|
293 |
248 |
$20K |
| 87637 |
|
164 |
120 |
$20K |
| 93306 |
|
27 |
24 |
$19K |
| 97161 |
|
195 |
149 |
$17K |
| 99214 |
|
1,797 |
1,268 |
$17K |
| 20553 |
|
495 |
203 |
$16K |
| 72100 |
|
106 |
85 |
$16K |
| G0482 |
Drug test def 15-21 classes |
310 |
222 |
$14K |
| U0004 |
Cov-19 test non-cdc hgh thru |
165 |
151 |
$13K |
| 83735 |
|
5,017 |
3,260 |
$13K |
| G0463 |
Hospital outpt clinic visit |
4,128 |
2,866 |
$12K |
| J3490 |
Drugs unclassified injection |
2,625 |
817 |
$12K |
| 85027 |
|
2,166 |
1,852 |
$11K |
| 64636 |
|
62 |
24 |
$10K |
| 36415 |
|
18,015 |
12,797 |
$10K |
| 64640 |
|
76 |
12 |
$9K |
| 87086 |
|
2,182 |
1,697 |
$8K |
| J1030 |
Methylprednisolone 40 mg inj |
1,781 |
961 |
$7K |
| 87081 |
|
1,517 |
1,322 |
$7K |
| G0260 |
Inj for sacroiliac jt anesth |
14 |
12 |
$7K |
| 83036 |
|
1,027 |
870 |
$7K |
| 73130 |
|
50 |
29 |
$7K |
| 84484 |
|
2,302 |
1,187 |
$6K |
| 80048 |
|
1,180 |
914 |
$6K |
| 83655 |
|
548 |
508 |
$6K |
| 77063 |
|
83 |
79 |
$6K |
| 80306 |
|
971 |
634 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
217 |
147 |
$5K |
| 81001 |
|
3,398 |
2,363 |
$5K |
| 94640 |
|
113 |
67 |
$4K |
| 88175 |
|
222 |
200 |
$4K |
| 71250 |
|
22 |
12 |
$4K |
| 97112 |
|
77 |
24 |
$4K |
| 82607 |
|
532 |
441 |
$4K |
| 74018 |
|
30 |
25 |
$4K |
| 87389 |
|
199 |
181 |
$4K |
| 83690 |
|
1,175 |
807 |
$4K |
| 20611 |
|
43 |
14 |
$4K |
| 73110 |
|
23 |
18 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,712 |
1,146 |
$3K |
| 85610 |
|
2,224 |
1,322 |
$3K |
| 87804 |
|
380 |
193 |
$3K |
| J1100 |
Dexamethasone sodium phos |
805 |
570 |
$3K |
| 99213 |
|
487 |
346 |
$3K |
| 96366 |
|
53 |
26 |
$3K |
| 86140 |
|
1,000 |
704 |
$3K |
| 74019 |
|
31 |
24 |
$3K |
| 87077 |
|
509 |
388 |
$3K |
| 81003 |
|
2,095 |
1,683 |
$2K |
| 82570 |
|
587 |
515 |
$2K |
| 96376 |
|
47 |
26 |
$2K |
| 97162 |
|
28 |
24 |
$2K |
| A9576 |
Inj prohance multipack |
15 |
12 |
$2K |
| 87186 |
|
406 |
301 |
$2K |
| 82043 |
|
425 |
380 |
$2K |
| 81025 |
|
406 |
317 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,691 |
1,048 |
$2K |
| 83880 |
|
176 |
106 |
$2K |
| 87430 |
|
193 |
131 |
$2K |
| 86738 |
|
165 |
140 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
20 |
13 |
$1K |
| 87040 |
|
380 |
181 |
$1K |
| 87624 |
|
64 |
61 |
$1K |
| 82728 |
|
148 |
102 |
$1K |
| 83605 |
|
342 |
203 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
127 |
84 |
$1K |
| 76942 |
|
18 |
12 |
$1K |
| 84702 |
|
76 |
63 |
$934.46 |
| 84439 |
|
121 |
94 |
$904.11 |
| 85652 |
|
519 |
397 |
$886.51 |
| J2001 |
Lidocaine injection |
248 |
141 |
$781.51 |
| 86850 |
|
119 |
91 |
$662.74 |
| 85651 |
|
348 |
266 |
$625.36 |
| 82746 |
|
68 |
53 |
$604.46 |
| 36416 |
|
160 |
150 |
$573.18 |
| 83540 |
|
119 |
91 |
$563.60 |
| 80050 |
|
66 |
65 |
$547.96 |
| 83550 |
|
80 |
66 |
$513.99 |
| 93010 |
|
796 |
580 |
$418.64 |
| 87070 |
|
69 |
55 |
$384.90 |
| 82248 |
|
141 |
94 |
$333.48 |
| 0296T |
|
15 |
12 |
$263.50 |
| 82565 |
|
113 |
75 |
$246.64 |
| 82150 |
|
73 |
54 |
$237.13 |
| 84703 |
|
62 |
50 |
$235.83 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$203.58 |
| 82947 |
|
63 |
61 |
$200.42 |
| 86592 |
|
80 |
75 |
$198.31 |
| J3010 |
Fentanyl citrate injection |
270 |
136 |
$194.67 |
| 99442 |
|
33 |
27 |
$168.00 |
| 86803 |
|
13 |
13 |
$164.18 |
| 82465 |
|
40 |
26 |
$160.20 |
| 85379 |
|
25 |
17 |
$145.79 |
| G0472 |
Hep c screen high risk/other |
35 |
30 |
$132.11 |
| 86901 |
|
102 |
75 |
$126.83 |
| 86900 |
|
102 |
75 |
$126.83 |
| 84145 |
|
16 |
13 |
$118.69 |
| 86038 |
|
18 |
12 |
$113.30 |
| J2250 |
Inj midazolam hydrochloride |
143 |
94 |
$105.68 |
| 87340 |
|
14 |
12 |
$100.21 |
| 87205 |
|
60 |
39 |
$98.65 |
| 85730 |
|
41 |
25 |
$98.29 |
| 82044 |
|
14 |
14 |
$52.80 |
| 85007 |
|
15 |
15 |
$24.48 |
| J2270 |
Morphine sulfate injection |
22 |
12 |
$20.42 |
| 85018 |
|
15 |
13 |
$15.35 |
| S9982 |
Med record copy per page |
24 |
24 |
$12.00 |
| 83721 |
|
16 |
14 |
$8.79 |
| G8978 |
Mobility current status |
19 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
21 |
13 |
$0.00 |