| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
|
1,532 |
1,524 |
$2.06M |
| 99284 |
|
9,242 |
8,457 |
$1.65M |
| 99283 |
|
8,450 |
8,119 |
$1.03M |
| 99285 |
|
2,965 |
2,799 |
$917K |
| 96374 |
|
5,137 |
4,690 |
$490K |
| 99282 |
|
4,879 |
4,708 |
$338K |
| 74177 |
|
1,494 |
1,451 |
$245K |
| 99214 |
|
4,431 |
3,950 |
$225K |
| 97110 |
|
8,203 |
2,642 |
$165K |
| 99213 |
|
4,096 |
3,785 |
$159K |
| 71046 |
|
3,665 |
3,517 |
$135K |
| 96375 |
|
4,122 |
3,602 |
$131K |
| 99204 |
|
1,457 |
1,444 |
$123K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,572 |
2,491 |
$114K |
| 99203 |
|
1,822 |
1,808 |
$103K |
| 96361 |
|
2,569 |
2,350 |
$76K |
| 87637 |
|
840 |
828 |
$68K |
| 77067 |
|
1,442 |
1,441 |
$67K |
| 96365 |
|
857 |
668 |
$66K |
| 71045 |
|
1,477 |
1,399 |
$60K |
| 80061 |
|
6,017 |
5,990 |
$57K |
| 84443 |
|
8,156 |
7,931 |
$57K |
| 80053 |
|
19,559 |
17,685 |
$54K |
| 82306 |
|
2,984 |
2,973 |
$44K |
| 97112 |
|
2,108 |
954 |
$41K |
| 85025 |
|
20,686 |
18,051 |
$39K |
| 70450 |
|
1,214 |
1,176 |
$36K |
| 99281 |
|
875 |
851 |
$34K |
| 76705 |
|
560 |
554 |
$32K |
| 87636 |
|
411 |
398 |
$31K |
| 74176 |
|
285 |
280 |
$30K |
| 59025 |
|
607 |
146 |
$30K |
| 82947 |
|
2,799 |
2,012 |
$29K |
| 99215 |
Prolong outpt/office vis |
423 |
405 |
$28K |
| 87591 |
|
1,622 |
1,571 |
$28K |
| 87491 |
|
1,611 |
1,561 |
$28K |
| G0463 |
Hospital outpt clinic visit |
789 |
668 |
$26K |
| G0378 |
Hospital observation per hr |
84 |
84 |
$26K |
| 76830 |
|
370 |
364 |
$22K |
| A0425 |
Ground mileage |
256 |
234 |
$22K |
| 97530 |
|
1,006 |
473 |
$20K |
| 83036 |
|
4,370 |
4,339 |
$19K |
| 36415 |
|
17,680 |
13,649 |
$18K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,127 |
1,124 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
743 |
717 |
$17K |
| 93005 |
|
4,676 |
4,249 |
$16K |
| 73030 |
|
927 |
842 |
$16K |
| 20610 |
|
480 |
418 |
$15K |
| A0427 |
Als1-emergency |
76 |
72 |
$15K |
| G0476 |
Hpv combo assay ca screen |
765 |
764 |
$15K |
| 82607 |
|
2,140 |
2,125 |
$15K |
| 73130 |
|
999 |
831 |
$15K |
| 97162 |
|
297 |
284 |
$15K |
| 95810 |
|
62 |
38 |
$14K |
| 84439 |
|
3,222 |
3,159 |
$14K |
| 93306 |
|
61 |
61 |
$13K |
| 73630 |
|
979 |
896 |
$12K |
| 86900 |
|
481 |
453 |
$12K |
| 83970 |
|
625 |
613 |
$12K |
| 73610 |
|
767 |
680 |
$11K |
| 73110 |
|
597 |
483 |
$11K |
| 17110 |
|
179 |
174 |
$11K |
| 82728 |
|
1,635 |
1,588 |
$10K |
| U0005 |
Infec agen detec ampli probe |
749 |
737 |
$10K |
| 88305 |
|
965 |
952 |
$9K |
| 97140 |
|
697 |
299 |
$8K |
| 97161 |
|
200 |
198 |
$8K |
| 96372 |
|
2,976 |
2,568 |
$8K |
| 72100 |
|
307 |
304 |
$7K |
| 84481 |
|
853 |
848 |
$7K |
| 78452 |
|
12 |
12 |
$6K |
| 85027 |
|
2,414 |
2,357 |
$6K |
| 87086 |
|
2,207 |
2,108 |
$6K |
| 86376 |
|
821 |
816 |
$6K |
| T1015 |
Clinic service |
399 |
372 |
$6K |
| 72125 |
|
54 |
54 |
$6K |
| 87635 |
|
214 |
212 |
$6K |
| 83550 |
|
1,380 |
1,346 |
$6K |
| 87480 |
|
336 |
335 |
$6K |
| 87510 |
|
336 |
335 |
$6K |
| 87660 |
|
336 |
335 |
$6K |
| 73562 |
|
371 |
324 |
$5K |
| 83540 |
|
1,722 |
1,682 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
1,100 |
1,070 |
$5K |
| 99212 |
|
218 |
211 |
$5K |
| 87186 |
|
1,656 |
1,613 |
$5K |
| 74018 |
|
244 |
220 |
$5K |
| 80048 |
|
2,460 |
2,197 |
$5K |
| 87389 |
|
493 |
492 |
$5K |
| 82570 |
|
1,796 |
1,749 |
$5K |
| 77063 |
|
392 |
392 |
$4K |
| 84403 |
|
322 |
318 |
$4K |
| 82043 |
|
1,353 |
1,340 |
$4K |
| 81001 |
|
9,834 |
8,972 |
$4K |
| 11100 |
|
64 |
62 |
$3K |
| 83880 |
|
910 |
841 |
$3K |
| 80305 |
|
2,440 |
2,251 |
$3K |
| 86038 |
|
595 |
586 |
$3K |
| 11042 |
|
55 |
28 |
$3K |
| 85610 |
|
2,232 |
1,646 |
$3K |
| 83735 |
|
4,319 |
3,793 |
$3K |
| 93010 |
|
611 |
594 |
$3K |
| 87077 |
|
830 |
807 |
$3K |
| 86140 |
|
1,442 |
1,367 |
$2K |
| 73564 |
|
57 |
54 |
$2K |
| 80307 |
|
589 |
533 |
$2K |
| 81002 |
|
1,080 |
1,021 |
$2K |
| 87088 |
|
1,137 |
1,069 |
$2K |
| 99460 |
|
39 |
39 |
$2K |
| G0499 |
Hepb screen high risk indiv |
125 |
121 |
$2K |
| 87651 |
|
823 |
809 |
$2K |
| 72148 |
|
24 |
24 |
$2K |
| 71260 |
|
65 |
65 |
$2K |
| 87070 |
|
706 |
688 |
$2K |
| 94060 |
|
28 |
15 |
$2K |
| 87624 |
|
82 |
82 |
$2K |
| 85652 |
|
1,527 |
1,445 |
$2K |
| 90471 |
|
162 |
152 |
$1K |
| 83690 |
|
3,726 |
3,396 |
$1K |
| 71275 |
|
13 |
13 |
$1K |
| 94726 |
|
26 |
26 |
$1K |
| 73502 |
|
88 |
78 |
$1K |
| 81025 |
|
4,400 |
4,095 |
$1K |
| 84402 |
|
97 |
96 |
$1K |
| 11102 |
|
24 |
24 |
$1K |
| 84702 |
|
257 |
190 |
$1K |
| 86780 |
|
159 |
159 |
$1K |
| 87502 |
|
344 |
342 |
$1K |
| 87631 |
|
126 |
125 |
$1K |
| 84100 |
|
2,625 |
2,339 |
$937.61 |
| 99391 |
|
15 |
13 |
$851.19 |
| 72072 |
|
24 |
24 |
$838.61 |
| 74019 |
|
135 |
131 |
$818.34 |
| G0103 |
Psa screening |
73 |
73 |
$769.84 |
| 96366 |
|
18 |
12 |
$697.12 |
| 87075 |
|
366 |
336 |
$647.18 |
| 84153 |
|
63 |
63 |
$597.52 |
| 83655 |
|
69 |
69 |
$596.48 |
| J1040 |
Methylprednisolone 80 mg inj |
65 |
61 |
$576.71 |
| 90460 |
|
44 |
44 |
$574.66 |
| 87040 |
|
237 |
228 |
$568.03 |
| 87205 |
|
435 |
422 |
$498.16 |
| 86803 |
|
66 |
65 |
$479.44 |
| 83001 |
|
40 |
40 |
$381.03 |
| 84146 |
|
33 |
33 |
$303.81 |
| 85730 |
|
455 |
414 |
$298.53 |
| 82670 |
|
20 |
20 |
$263.40 |
| 86812 |
|
19 |
19 |
$239.88 |
| 73140 |
|
25 |
24 |
$237.26 |
| 90686 |
|
42 |
42 |
$234.96 |
| 99392 |
|
13 |
13 |
$227.12 |
| 86200 |
|
34 |
34 |
$213.09 |
| 84484 |
|
2,703 |
2,024 |
$204.86 |
| 90715 |
|
30 |
30 |
$194.04 |
| 73560 |
|
14 |
12 |
$192.56 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$190.03 |
| 85379 |
|
468 |
455 |
$189.12 |
| 83002 |
|
18 |
18 |
$186.24 |
| 86431 |
|
69 |
68 |
$184.36 |
| 87340 |
|
71 |
70 |
$176.74 |
| 94640 |
|
1,035 |
738 |
$164.53 |
| J3301 |
Triamcinolone acet inj nos |
30 |
29 |
$160.43 |
| 86618 |
|
18 |
18 |
$131.15 |
| 86850 |
|
225 |
217 |
$111.69 |
| 83605 |
|
1,734 |
1,547 |
$111.07 |
| 82805 |
|
187 |
173 |
$89.17 |
| 86706 |
|
26 |
26 |
$87.75 |
| 86901 |
|
485 |
454 |
$84.48 |
| 83525 |
|
16 |
16 |
$83.97 |
| 72040 |
|
13 |
13 |
$83.58 |
| 94729 |
|
40 |
27 |
$72.92 |
| 82565 |
|
79 |
79 |
$72.76 |
| 82150 |
|
13 |
12 |
$46.88 |
| 86060 |
|
13 |
12 |
$39.14 |
| 82248 |
|
13 |
13 |
$37.20 |
| 80076 |
|
12 |
12 |
$21.93 |
| 82077 |
|
995 |
892 |
$21.43 |
| 84480 |
|
12 |
12 |
$16.60 |
| 94664 |
|
87 |
86 |
$15.32 |
| 87210 |
|
12 |
12 |
$14.80 |
| 82375 |
|
189 |
175 |
$13.95 |
| J1885 |
Ketorolac tromethamine inj |
5,787 |
5,369 |
$12.63 |
| 83050 |
|
188 |
174 |
$9.29 |
| 84436 |
|
12 |
12 |
$8.04 |
| J7030 |
Normal saline solution infus |
5,704 |
4,372 |
$7.46 |
| J1100 |
Dexamethasone sodium phos |
3,685 |
3,487 |
$5.33 |
| 84520 |
|
14 |
14 |
$4.96 |
| 84703 |
|
15 |
15 |
$4.11 |
| J3010 |
Fentanyl citrate injection |
3,991 |
3,091 |
$3.71 |
| J2405 |
Ondansetron hcl injection |
6,448 |
5,677 |
$2.76 |
| 3074F |
|
65 |
62 |
$0.16 |
| 3078F |
|
33 |
31 |
$0.08 |
| 36416 |
|
1,916 |
1,563 |
$0.01 |
| J0690 |
Cefazolin sodium injection |
649 |
559 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,218 |
2,912 |
$0.00 |
| J1170 |
Hydromorphone injection |
500 |
323 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
14 |
14 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,290 |
1,181 |
$0.00 |
| J2060 |
Lorazepam injection |
170 |
134 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
65 |
63 |
$0.00 |
| 96376 |
|
508 |
378 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
41 |
36 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
76 |
76 |
$0.00 |
| 1101F |
|
82 |
81 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
14 |
13 |
$0.00 |
| A9585 |
Gadobutrol injection |
43 |
42 |
$0.00 |
| A9270 |
Non-covered item or service |
60 |
28 |
$0.00 |
| J1630 |
Haloperidol injection |
12 |
12 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$0.00 |
| 80050 |
|
32 |
31 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
974 |
871 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,097 |
1,060 |
$0.00 |
| J2270 |
Morphine sulfate injection |
328 |
235 |
$0.00 |
| 80179 |
|
316 |
286 |
$0.00 |
| 3288F |
|
82 |
81 |
$0.00 |
| 80143 |
|
355 |
318 |
$0.00 |
| 73590 |
|
12 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
12 |
12 |
$0.00 |
| 93017 |
|
12 |
12 |
$0.00 |
| 87634 |
|
26 |
26 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
46 |
45 |
$0.00 |
| 99051 |
|
14 |
13 |
$0.00 |