| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
34,932 |
30,444 |
$3.14M |
| 96361 |
|
5,663 |
4,270 |
$2.37M |
| 99284 |
|
17,042 |
13,632 |
$2.24M |
| 99283 |
|
12,694 |
10,603 |
$1.77M |
| 99285 |
|
9,241 |
7,152 |
$1.39M |
| 99212 |
|
11,264 |
9,972 |
$1.25M |
| 99214 |
|
15,784 |
12,980 |
$953K |
| 96365 |
|
4,611 |
3,224 |
$933K |
| 90834 |
|
13,234 |
6,218 |
$773K |
| 74177 |
|
2,221 |
2,038 |
$545K |
| 70450 |
|
2,339 |
2,107 |
$484K |
| 99203 |
|
4,844 |
4,285 |
$473K |
| 96366 |
|
1,366 |
765 |
$377K |
| 41899 |
|
220 |
195 |
$362K |
| 90832 |
|
2,321 |
1,420 |
$323K |
| 96360 |
|
1,195 |
1,046 |
$295K |
| 99211 |
|
3,158 |
2,650 |
$287K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,004 |
3,643 |
$284K |
| 99282 |
|
2,633 |
2,275 |
$270K |
| 97110 |
|
9,748 |
3,921 |
$249K |
| 90853 |
|
1,958 |
349 |
$226K |
| 94640 |
|
2,384 |
1,427 |
$224K |
| 96413 |
|
961 |
586 |
$194K |
| 96367 |
|
989 |
641 |
$191K |
| 80053 |
|
14,006 |
11,313 |
$132K |
| G0463 |
Hospital outpt clinic visit |
8,204 |
6,558 |
$122K |
| C9803 |
Hopd covid-19 spec collect |
6,057 |
5,406 |
$118K |
| 87651 |
|
3,425 |
3,175 |
$117K |
| 99202 |
|
1,313 |
1,173 |
$117K |
| 99232 |
|
7,983 |
1,484 |
$108K |
| 99204 |
|
1,422 |
1,259 |
$94K |
| 97530 |
|
1,941 |
879 |
$89K |
| 92507 |
|
2,508 |
775 |
$82K |
| G0378 |
Hospital observation per hr |
638 |
481 |
$81K |
| 85025 |
|
16,718 |
13,170 |
$80K |
| 87635 |
|
2,186 |
1,934 |
$76K |
| 11042 |
|
980 |
285 |
$70K |
| 97140 |
|
3,927 |
1,651 |
$68K |
| H0022 |
Alcohol and/or drug interven |
2,017 |
980 |
$61K |
| 80306 |
|
4,134 |
3,425 |
$60K |
| 97161 |
|
1,562 |
1,402 |
$58K |
| 99215 |
Prolong outpt/office vis |
742 |
614 |
$57K |
| 92014 |
|
1,261 |
944 |
$55K |
| 99239 |
|
1,056 |
790 |
$52K |
| 0240U |
|
1,840 |
1,658 |
$51K |
| 74176 |
|
223 |
205 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
1,134 |
810 |
$48K |
| 71260 |
|
251 |
237 |
$47K |
| 0241U |
|
1,396 |
1,236 |
$46K |
| U0005 |
Infec agen detec ampli probe |
2,875 |
2,619 |
$42K |
| 93010 |
|
8,061 |
6,424 |
$41K |
| 72125 |
|
439 |
401 |
$39K |
| 84443 |
|
3,868 |
3,398 |
$39K |
| 92004 |
|
731 |
592 |
$38K |
| 96372 |
|
5,296 |
4,229 |
$36K |
| 84484 |
|
5,589 |
4,184 |
$31K |
| 71275 |
|
104 |
96 |
$25K |
| 96374 |
|
5,560 |
4,515 |
$24K |
| 83880 |
|
2,142 |
1,876 |
$24K |
| 80048 |
|
3,646 |
2,775 |
$24K |
| 86140 |
|
7,807 |
6,571 |
$23K |
| 84703 |
|
3,142 |
2,756 |
$22K |
| 83605 |
|
4,046 |
3,496 |
$22K |
| 81001 |
|
6,690 |
5,769 |
$21K |
| 70553 |
|
50 |
48 |
$19K |
| 87880 |
|
1,292 |
1,149 |
$19K |
| 83735 |
|
5,384 |
4,476 |
$19K |
| 97597 |
|
1,602 |
585 |
$18K |
| 82077 |
|
2,117 |
1,799 |
$17K |
| 83690 |
|
3,620 |
3,065 |
$17K |
| 80307 |
|
459 |
368 |
$16K |
| 87081 |
|
1,189 |
1,052 |
$16K |
| 87400 |
|
1,863 |
861 |
$16K |
| 71046 |
|
3,164 |
2,858 |
$15K |
| 87502 |
|
208 |
194 |
$15K |
| 87086 |
|
3,442 |
3,038 |
$15K |
| 81003 |
|
4,541 |
4,012 |
$15K |
| 99205 |
Prolong outpt/office vis |
191 |
159 |
$15K |
| 90847 |
|
63 |
51 |
$14K |
| 87426 |
|
497 |
457 |
$13K |
| 80329 |
|
790 |
428 |
$13K |
| 97112 |
|
477 |
201 |
$12K |
| 43235 |
|
19 |
13 |
$11K |
| 73721 |
|
46 |
38 |
$11K |
| 86710 |
|
638 |
288 |
$10K |
| 87077 |
|
2,587 |
1,857 |
$10K |
| 85379 |
|
1,729 |
1,589 |
$10K |
| 92340 |
|
489 |
455 |
$10K |
| 92015 |
|
1,995 |
1,900 |
$9K |
| 99443 |
|
649 |
374 |
$9K |
| 80143 |
|
963 |
826 |
$9K |
| 80179 |
|
943 |
817 |
$9K |
| 87040 |
|
2,040 |
1,063 |
$8K |
| 87186 |
|
2,121 |
1,610 |
$8K |
| 93306 |
|
29 |
27 |
$8K |
| 99222 |
|
169 |
134 |
$8K |
| 82962 |
|
4,572 |
1,683 |
$8K |
| 93005 |
|
7,391 |
6,144 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
346 |
170 |
$7K |
| 76801 |
|
47 |
42 |
$7K |
| G0480 |
Drug test def 1-7 classes |
125 |
89 |
$7K |
| 87631 |
|
56 |
54 |
$7K |
| 72148 |
|
41 |
38 |
$7K |
| 85027 |
|
1,581 |
1,330 |
$7K |
| 71045 |
|
4,298 |
3,812 |
$6K |
| 94664 |
|
19 |
18 |
$6K |
| 87491 |
|
185 |
168 |
$6K |
| 87591 |
|
185 |
168 |
$6K |
| 73030 |
|
651 |
572 |
$5K |
| 96375 |
|
5,143 |
4,051 |
$4K |
| 85610 |
|
2,123 |
1,782 |
$4K |
| 73562 |
|
503 |
438 |
$4K |
| 92012 |
|
145 |
100 |
$4K |
| 92134 |
|
1,277 |
828 |
$4K |
| 81002 |
|
682 |
587 |
$4K |
| 81025 |
|
464 |
398 |
$4K |
| 76705 |
|
37 |
37 |
$4K |
| 73630 |
|
627 |
516 |
$3K |
| 73610 |
|
579 |
506 |
$3K |
| 87070 |
|
375 |
318 |
$3K |
| 99442 |
|
208 |
130 |
$2K |
| 97162 |
|
83 |
70 |
$2K |
| 90792 |
|
16 |
16 |
$2K |
| J7040 |
Normal saline solution infus |
12,934 |
6,538 |
$2K |
| 71271 |
|
12 |
12 |
$2K |
| 93017 |
|
13 |
12 |
$2K |
| 36415 |
|
17,593 |
13,588 |
$2K |
| 85730 |
|
590 |
533 |
$2K |
| 93971 |
|
26 |
24 |
$2K |
| 51798 |
|
201 |
183 |
$2K |
| 97165 |
|
33 |
32 |
$2K |
| 82150 |
|
275 |
240 |
$2K |
| 87420 |
|
104 |
95 |
$1K |
| 97116 |
|
165 |
77 |
$1K |
| 88305 |
|
841 |
424 |
$1K |
| 73110 |
|
198 |
162 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,113 |
3,745 |
$1K |
| 36591 |
|
96 |
50 |
$1K |
| 73502 |
|
69 |
61 |
$1K |
| 73130 |
|
100 |
88 |
$975.32 |
| 98968 |
|
147 |
114 |
$907.59 |
| 67028 |
|
42 |
24 |
$868.43 |
| 99238 |
|
28 |
25 |
$769.81 |
| 84145 |
|
95 |
90 |
$765.69 |
| 74019 |
|
175 |
160 |
$716.03 |
| 11721 |
|
67 |
39 |
$564.27 |
| 92133 |
|
65 |
40 |
$562.08 |
| Q3014 |
Telehealth facility fee |
102 |
77 |
$538.42 |
| 90715 |
|
16 |
15 |
$534.58 |
| 80061 |
|
56 |
52 |
$509.88 |
| 82803 |
|
35 |
28 |
$484.92 |
| 82948 |
|
206 |
161 |
$476.28 |
| 86850 |
|
144 |
126 |
$470.36 |
| 87205 |
|
183 |
150 |
$464.80 |
| 86618 |
|
35 |
27 |
$457.60 |
| J7030 |
Normal saline solution infus |
6,079 |
4,245 |
$454.48 |
| 96523 |
|
32 |
14 |
$400.84 |
| 86900 |
|
211 |
169 |
$353.59 |
| 86901 |
|
211 |
169 |
$350.27 |
| J1885 |
Ketorolac tromethamine inj |
6,284 |
5,224 |
$337.01 |
| 82306 |
|
15 |
14 |
$336.49 |
| 83036 |
|
56 |
52 |
$315.50 |
| 99291 |
|
16 |
12 |
$285.78 |
| 80320 |
|
1,093 |
898 |
$255.51 |
| J0696 |
Ceftriaxone sodium injection |
964 |
729 |
$232.48 |
| 84702 |
|
18 |
14 |
$217.70 |
| 87210 |
|
44 |
38 |
$210.00 |
| 90471 |
|
98 |
85 |
$174.39 |
| 97035 |
|
26 |
12 |
$147.62 |
| 72100 |
|
15 |
13 |
$134.78 |
| 94761 |
|
991 |
839 |
$113.04 |
| 80051 |
|
21 |
14 |
$105.25 |
| J7120 |
Ringers lactate infusion |
2,665 |
2,028 |
$91.16 |
| J2405 |
Ondansetron hcl injection |
5,258 |
4,221 |
$90.09 |
| 82248 |
|
31 |
27 |
$79.90 |
| J2704 |
Inj, propofol, 10 mg |
3,405 |
2,849 |
$74.79 |
| J2930 |
Methylprednisolone injection |
143 |
107 |
$66.21 |
| 82565 |
|
24 |
17 |
$60.78 |
| J1642 |
Inj heparin sodium per 10 u |
1,559 |
743 |
$59.14 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
500 |
348 |
$53.44 |
| 51702 |
|
13 |
12 |
$45.82 |
| 84520 |
|
21 |
14 |
$41.86 |
| 82947 |
|
21 |
14 |
$41.66 |
| J7060 |
5% dextrose/water |
855 |
449 |
$40.50 |
| J3490 |
Drugs unclassified injection |
577 |
483 |
$31.38 |
| A9585 |
Gadobutrol injection |
263 |
234 |
$29.16 |
| J1200 |
Diphenhydramine hcl injectio |
815 |
608 |
$23.88 |
| J1170 |
Hydromorphone injection |
961 |
684 |
$21.63 |
| J1100 |
Dexamethasone sodium phos |
3,283 |
2,537 |
$11.97 |
| J2060 |
Lorazepam injection |
440 |
366 |
$11.07 |
| J2270 |
Morphine sulfate injection |
611 |
506 |
$6.51 |
| J3010 |
Fentanyl citrate injection |
1,580 |
1,285 |
$6.38 |
| 94760 |
|
372 |
279 |
$5.64 |
| J2250 |
Inj midazolam hydrochloride |
844 |
659 |
$4.15 |
| 96376 |
|
1,132 |
720 |
$3.20 |
| J0131 |
Inj, acetaminophen (nos) |
359 |
315 |
$2.03 |
| A9270 |
Non-covered item or service |
11,091 |
3,109 |
$1.66 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
12 |
$1.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
77 |
63 |
$0.04 |
| J3475 |
Inj magnesium sulfate |
484 |
346 |
$0.02 |
| S0119 |
Ondansetron 4 mg |
533 |
466 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
94 |
87 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
12 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
45 |
40 |
$0.00 |
| 74018 |
|
13 |
12 |
$0.00 |
| G8978 |
Mobility current status |
15 |
12 |
$0.00 |
| 76942 |
|
15 |
14 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
407 |
317 |
$0.00 |
| J2249 |
Inj, remimazolam, 1 mg |
21 |
19 |
$0.00 |
| 73564 |
|
32 |
24 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
146 |
134 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
118 |
108 |
$0.00 |
| J2001 |
Lidocaine injection |
24 |
19 |
$0.00 |
| G8991 |
Other pt/ot goal status |
13 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
14 |
$0.00 |