| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,289 |
15,380 |
$2.97M |
| 99282 |
|
13,549 |
13,011 |
$1.99M |
| G0463 |
Hospital outpt clinic visit |
8,915 |
7,101 |
$683K |
| 90834 |
|
4,182 |
2,907 |
$371K |
| 96374 |
|
3,302 |
3,045 |
$326K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,152 |
2,085 |
$271K |
| 96361 |
|
1,633 |
1,485 |
$261K |
| 97597 |
|
1,548 |
741 |
$211K |
| 99284 |
|
726 |
635 |
$145K |
| 0241U |
|
1,256 |
1,222 |
$145K |
| 0202U |
|
455 |
448 |
$112K |
| 92507 |
|
1,034 |
261 |
$80K |
| 11042 |
|
232 |
129 |
$68K |
| A0425 |
Ground mileage |
827 |
691 |
$67K |
| 97530 |
|
1,037 |
352 |
$60K |
| 71045 |
|
1,457 |
1,375 |
$54K |
| 87491 |
|
1,546 |
1,519 |
$46K |
| 87591 |
|
1,547 |
1,519 |
$40K |
| 80053 |
|
9,891 |
8,815 |
$36K |
| 96375 |
|
709 |
640 |
$29K |
| 90837 |
|
161 |
107 |
$28K |
| U0005 |
Infec agen detec ampli probe |
1,827 |
1,279 |
$27K |
| 90792 |
|
179 |
176 |
$20K |
| 74177 |
|
53 |
49 |
$17K |
| 86900 |
|
530 |
519 |
$17K |
| 88305 |
|
346 |
336 |
$15K |
| 85025 |
|
18,250 |
16,326 |
$15K |
| 87086 |
|
1,352 |
1,320 |
$14K |
| 80048 |
|
3,493 |
3,237 |
$13K |
| 95811 |
|
13 |
12 |
$12K |
| 93005 |
|
1,929 |
1,785 |
$11K |
| 36592 |
|
2,630 |
2,366 |
$11K |
| 96372 |
|
597 |
546 |
$9K |
| 86850 |
|
511 |
503 |
$8K |
| 86901 |
|
530 |
519 |
$7K |
| 71046 |
|
247 |
233 |
$6K |
| 36415 |
|
12,129 |
11,023 |
$6K |
| 88175 |
|
238 |
235 |
$6K |
| G0475 |
Hiv combination assay |
274 |
267 |
$5K |
| 70450 |
|
42 |
41 |
$5K |
| 99285 |
|
13 |
12 |
$4K |
| J7030 |
Normal saline solution infus |
2,828 |
2,475 |
$4K |
| A0427 |
Als1-emergency |
16 |
16 |
$4K |
| 80307 |
|
110 |
99 |
$3K |
| 84145 |
|
686 |
644 |
$3K |
| 86803 |
|
263 |
253 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
422 |
401 |
$3K |
| 85379 |
|
360 |
340 |
$3K |
| 99281 |
|
15 |
13 |
$2K |
| 86480 |
|
37 |
36 |
$2K |
| 96360 |
|
12 |
12 |
$2K |
| 96413 |
|
12 |
12 |
$2K |
| 87502 |
|
152 |
146 |
$2K |
| 81001 |
|
6,356 |
5,967 |
$2K |
| 87430 |
|
757 |
743 |
$1K |
| 83880 |
|
103 |
91 |
$1K |
| 86780 |
|
140 |
133 |
$1K |
| 87635 |
|
13 |
13 |
$1K |
| 83690 |
|
1,655 |
1,544 |
$884.90 |
| 83605 |
|
681 |
614 |
$878.02 |
| 87070 |
|
56 |
56 |
$843.39 |
| 84484 |
|
1,249 |
1,039 |
$833.41 |
| 87633 |
|
51 |
50 |
$743.11 |
| 87631 |
|
41 |
41 |
$636.00 |
| 80076 |
|
117 |
104 |
$570.58 |
| J1885 |
Ketorolac tromethamine inj |
878 |
815 |
$550.80 |
| 82607 |
|
37 |
37 |
$541.55 |
| 86704 |
|
36 |
35 |
$433.30 |
| 87651 |
|
36 |
35 |
$397.28 |
| 87624 |
|
15 |
15 |
$387.83 |
| 86140 |
|
1,299 |
1,208 |
$348.20 |
| 36591 |
|
47 |
27 |
$316.08 |
| 82248 |
|
1,060 |
993 |
$304.17 |
| 87340 |
|
49 |
47 |
$282.08 |
| 87081 |
|
65 |
63 |
$207.95 |
| 87389 |
|
29 |
27 |
$178.20 |
| 86706 |
|
16 |
16 |
$171.68 |
| 87040 |
|
20 |
14 |
$157.75 |
| 87077 |
|
14 |
13 |
$152.61 |
| J1170 |
Hydromorphone injection |
93 |
78 |
$138.64 |
| Q3014 |
Telehealth facility fee |
14 |
13 |
$122.38 |
| 83735 |
|
490 |
459 |
$111.01 |
| 86762 |
|
29 |
27 |
$106.50 |
| J1642 |
Inj heparin sodium per 10 u |
74 |
37 |
$96.22 |
| 82077 |
|
140 |
121 |
$95.59 |
| 82570 |
|
21 |
13 |
$57.94 |
| J2405 |
Ondansetron hcl injection |
148 |
138 |
$52.43 |
| 84450 |
|
37 |
34 |
$41.44 |
| 84460 |
|
37 |
34 |
$37.11 |
| 85730 |
|
52 |
49 |
$30.60 |
| 80143 |
|
15 |
14 |
$26.97 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$25.65 |
| 85610 |
|
101 |
93 |
$21.85 |
| 85049 |
|
15 |
14 |
$17.92 |
| 80306 |
|
79 |
73 |
$16.93 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$15.29 |
| 80179 |
|
15 |
14 |
$13.49 |
| J1100 |
Dexamethasone sodium phos |
14 |
14 |
$12.83 |
| 82550 |
|
40 |
35 |
$6.83 |
| 82962 |
|
45 |
40 |
$3.24 |
| 82140 |
|
14 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
73 |
62 |
$0.00 |
| 74019 |
|
16 |
14 |
$0.00 |
| 85652 |
|
15 |
12 |
$0.00 |
| 85027 |
|
26 |
26 |
$0.00 |
| 83615 |
|
20 |
18 |
$0.00 |