| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
947 |
886 |
$306K |
| G0463 |
Hospital outpt clinic visit |
12,689 |
11,223 |
$236K |
| 99285 |
|
419 |
376 |
$205K |
| 94010 |
|
1,325 |
1,273 |
$200K |
| 99283 |
|
2,468 |
2,386 |
$175K |
| 87637 |
|
703 |
677 |
$87K |
| 99213 |
|
1,101 |
1,065 |
$81K |
| 71046 |
|
1,002 |
963 |
$77K |
| 80053 |
|
8,522 |
7,469 |
$64K |
| 93005 |
|
740 |
645 |
$60K |
| 85025 |
|
9,888 |
8,107 |
$51K |
| 99282 |
|
849 |
821 |
$48K |
| 96413 |
|
206 |
119 |
$48K |
| 99214 |
|
642 |
620 |
$38K |
| 90791 |
|
250 |
240 |
$35K |
| 80307 |
|
619 |
560 |
$28K |
| 96361 |
|
184 |
118 |
$24K |
| 96365 |
|
207 |
147 |
$21K |
| 97110 |
|
77 |
30 |
$20K |
| 94664 |
|
290 |
283 |
$20K |
| 84443 |
|
1,910 |
1,820 |
$18K |
| 90471 |
|
166 |
154 |
$15K |
| 83036 |
|
1,934 |
1,856 |
$12K |
| 80061 |
|
1,311 |
1,271 |
$10K |
| 90853 |
|
78 |
13 |
$9K |
| 82728 |
|
1,387 |
1,297 |
$8K |
| 80050 |
|
37 |
36 |
$6K |
| 70360 |
|
91 |
85 |
$6K |
| Q5106 |
Inj retacrit non-esrd use |
19 |
13 |
$6K |
| 87428 |
|
136 |
134 |
$6K |
| 83540 |
|
1,199 |
1,131 |
$6K |
| 94060 |
|
19 |
19 |
$5K |
| 95012 |
|
225 |
204 |
$5K |
| 84466 |
|
912 |
855 |
$5K |
| 99215 |
Prolong outpt/office vis |
135 |
121 |
$5K |
| 83615 |
|
1,208 |
1,102 |
$3K |
| 97162 |
|
14 |
14 |
$3K |
| 87651 |
|
56 |
54 |
$3K |
| 84439 |
|
442 |
415 |
$3K |
| 90686 |
|
131 |
122 |
$3K |
| 82306 |
|
110 |
106 |
$2K |
| 81001 |
|
973 |
901 |
$2K |
| 82948 |
|
473 |
402 |
$2K |
| 96374 |
|
206 |
154 |
$2K |
| 87491 |
|
73 |
73 |
$2K |
| 87591 |
|
73 |
73 |
$2K |
| 71045 |
|
64 |
56 |
$2K |
| 96372 |
|
1,197 |
948 |
$2K |
| 85610 |
|
378 |
273 |
$1K |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$1K |
| 77067 |
|
12 |
12 |
$1K |
| J7050 |
Normal saline solution infus |
1,259 |
394 |
$1K |
| 82607 |
|
144 |
137 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
38 |
36 |
$900.00 |
| 87086 |
|
139 |
123 |
$824.55 |
| U0002 |
Covid-19 lab test non-cdc |
18 |
18 |
$821.28 |
| 87389 |
|
44 |
44 |
$768.74 |
| 87430 |
|
27 |
26 |
$701.44 |
| 99490 |
Ccm add 20min |
314 |
295 |
$611.07 |
| 84703 |
|
70 |
65 |
$587.92 |
| 80076 |
|
44 |
44 |
$573.42 |
| 80048 |
|
97 |
87 |
$547.81 |
| 81003 |
|
376 |
348 |
$526.50 |
| J7030 |
Normal saline solution infus |
359 |
296 |
$516.58 |
| 77063 |
|
12 |
12 |
$500.30 |
| 0071A |
|
13 |
13 |
$487.80 |
| 82043 |
|
113 |
108 |
$448.09 |
| 85027 |
|
41 |
41 |
$432.12 |
| 86780 |
|
37 |
37 |
$366.96 |
| 82565 |
|
43 |
43 |
$351.99 |
| 82570 |
|
80 |
75 |
$327.87 |
| 90661 |
|
17 |
17 |
$322.80 |
| 87070 |
|
26 |
25 |
$258.90 |
| 80143 |
|
12 |
12 |
$241.42 |
| 82378 |
|
31 |
24 |
$240.88 |
| 86803 |
|
71 |
71 |
$237.16 |
| 80179 |
|
12 |
12 |
$225.76 |
| 84484 |
|
26 |
12 |
$212.42 |
| 88142 |
|
12 |
12 |
$204.24 |
| J2704 |
Inj, propofol, 10 mg |
205 |
172 |
$156.51 |
| J1642 |
Inj heparin sodium per 10 u |
231 |
144 |
$128.35 |
| 0002A |
|
12 |
12 |
$120.00 |
| 0003A |
|
81 |
81 |
$120.00 |
| 83550 |
|
26 |
24 |
$105.48 |
| 85652 |
|
25 |
24 |
$83.43 |
| 83735 |
|
26 |
24 |
$70.44 |
| J1200 |
Diphenhydramine hcl injectio |
90 |
49 |
$67.43 |
| 36415 |
|
11,478 |
9,191 |
$57.25 |
| 87210 |
|
12 |
12 |
$53.79 |
| J1885 |
Ketorolac tromethamine inj |
16 |
13 |
$22.34 |
| 96375 |
|
517 |
307 |
$21.29 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
39 |
36 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
15 |
13 |
$0.00 |
| 36416 |
|
117 |
115 |
$0.00 |
| 91307 |
|
47 |
43 |
$0.00 |
| G0008 |
Admin influenza virus vac |
96 |
92 |
$0.00 |
| G0439 |
Ppps, subseq visit |
14 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
23 |
16 |
$0.00 |
| 83880 |
|
12 |
12 |
$0.00 |