| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
13,815 |
13,089 |
$2.08M |
| 99284 |
|
6,570 |
6,123 |
$1.54M |
| 99282 |
|
10,166 |
9,724 |
$925K |
| 96374 |
|
5,871 |
5,222 |
$730K |
| 99285 |
|
1,726 |
1,651 |
$560K |
| G0463 |
Hospital outpt clinic visit |
7,775 |
7,357 |
$489K |
| 74177 |
|
1,928 |
1,889 |
$395K |
| A0425 |
Ground mileage |
3,562 |
2,832 |
$392K |
| 97110 |
|
11,543 |
4,011 |
$323K |
| A0427 |
Als1-emergency |
1,149 |
965 |
$255K |
| 96365 |
|
2,269 |
1,642 |
$237K |
| 71046 |
|
4,313 |
4,199 |
$205K |
| 96360 |
|
1,595 |
1,495 |
$201K |
| 96361 |
|
5,483 |
4,805 |
$196K |
| 96375 |
|
4,193 |
3,731 |
$165K |
| 87636 |
|
1,518 |
1,499 |
$153K |
| A0426 |
Als 1 |
718 |
652 |
$151K |
| 71045 |
|
2,986 |
2,843 |
$149K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,320 |
2,266 |
$143K |
| 70450 |
|
1,460 |
1,420 |
$138K |
| 97112 |
|
4,716 |
2,233 |
$134K |
| 80307 |
|
3,683 |
3,428 |
$109K |
| 97162 |
|
1,453 |
1,446 |
$85K |
| 80053 |
|
20,625 |
18,815 |
$77K |
| 84443 |
|
9,080 |
8,770 |
$76K |
| U0002 |
Covid-19 lab test non-cdc |
2,028 |
1,963 |
$68K |
| 80061 |
|
6,943 |
6,791 |
$66K |
| 36415 |
|
28,874 |
25,073 |
$66K |
| 77067 |
|
1,048 |
1,040 |
$60K |
| 87637 |
|
562 |
550 |
$59K |
| 74176 |
|
382 |
375 |
$59K |
| 85025 |
|
24,737 |
21,637 |
$57K |
| 99281 |
|
916 |
907 |
$51K |
| 73564 |
|
1,236 |
1,228 |
$40K |
| 87491 |
|
2,069 |
2,020 |
$38K |
| 87591 |
|
2,068 |
2,019 |
$38K |
| 82306 |
|
2,202 |
2,133 |
$38K |
| 83036 |
|
6,208 |
6,063 |
$37K |
| 73630 |
|
1,682 |
1,637 |
$35K |
| 76705 |
|
485 |
477 |
$35K |
| 93005 |
|
5,583 |
5,246 |
$34K |
| 72110 |
|
783 |
775 |
$29K |
| 92507 |
|
557 |
166 |
$29K |
| G0482 |
Drug test def 15-21 classes |
1,126 |
1,110 |
$29K |
| U0005 |
Infec agen detec ampli probe |
1,343 |
1,320 |
$25K |
| G0480 |
Drug test def 1-7 classes |
1,272 |
1,104 |
$24K |
| 76830 |
|
311 |
309 |
$23K |
| 87651 |
|
2,721 |
2,658 |
$21K |
| 97140 |
|
1,477 |
617 |
$19K |
| 71260 |
|
115 |
113 |
$18K |
| G0472 |
Hep c screen high risk/other |
540 |
528 |
$18K |
| 87389 |
|
1,217 |
1,186 |
$15K |
| 73130 |
|
1,102 |
1,078 |
$15K |
| 73030 |
|
702 |
687 |
$14K |
| 84439 |
|
2,611 |
2,488 |
$14K |
| 73610 |
|
886 |
871 |
$13K |
| 80048 |
|
6,278 |
5,785 |
$13K |
| 82728 |
|
1,387 |
1,328 |
$11K |
| 87086 |
|
3,704 |
3,513 |
$11K |
| C9803 |
Hopd covid-19 spec collect |
607 |
589 |
$10K |
| 87502 |
|
272 |
270 |
$9K |
| 87635 |
|
238 |
238 |
$8K |
| 96372 |
|
3,334 |
2,989 |
$8K |
| 87880 |
|
2,388 |
2,335 |
$8K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
436 |
427 |
$8K |
| 97161 |
|
190 |
188 |
$8K |
| 82607 |
|
939 |
912 |
$8K |
| 96413 |
|
34 |
24 |
$7K |
| 88305 |
|
965 |
946 |
$7K |
| 71275 |
|
57 |
54 |
$7K |
| 73110 |
|
373 |
360 |
$6K |
| 72148 |
|
55 |
55 |
$6K |
| 83735 |
|
6,469 |
5,546 |
$6K |
| 82570 |
|
1,915 |
1,805 |
$6K |
| 82043 |
|
1,491 |
1,455 |
$5K |
| 83880 |
|
1,438 |
1,351 |
$5K |
| 77063 |
|
350 |
350 |
$5K |
| 87186 |
|
1,871 |
1,819 |
$5K |
| 85027 |
|
1,463 |
1,400 |
$5K |
| 70553 |
|
13 |
13 |
$5K |
| A0428 |
Bls |
42 |
38 |
$5K |
| 96366 |
|
132 |
91 |
$5K |
| 86140 |
|
5,788 |
5,347 |
$5K |
| 86900 |
|
79 |
77 |
$4K |
| 87077 |
|
1,976 |
1,736 |
$4K |
| G0103 |
Psa screening |
342 |
331 |
$4K |
| 85610 |
|
2,627 |
2,133 |
$4K |
| 87804 |
|
1,772 |
868 |
$4K |
| 81025 |
|
3,622 |
3,474 |
$4K |
| 93306 |
|
13 |
13 |
$4K |
| A0429 |
Bls-emergency |
32 |
26 |
$3K |
| 81001 |
|
9,541 |
8,906 |
$3K |
| 85652 |
|
2,259 |
2,125 |
$3K |
| 74022 |
|
478 |
469 |
$3K |
| 84702 |
|
383 |
281 |
$3K |
| 83540 |
|
669 |
638 |
$3K |
| 87634 |
|
161 |
161 |
$2K |
| 86780 |
|
263 |
214 |
$2K |
| 97163 |
|
39 |
39 |
$2K |
| 90471 |
|
218 |
193 |
$2K |
| 83550 |
|
412 |
395 |
$2K |
| 83690 |
|
4,037 |
3,736 |
$2K |
| 97530 |
|
28 |
13 |
$2K |
| 87624 |
|
63 |
63 |
$2K |
| 82746 |
|
182 |
177 |
$2K |
| 72050 |
|
26 |
26 |
$2K |
| G0108 |
Diab manage trn per indiv |
26 |
26 |
$1K |
| 81003 |
|
1,029 |
994 |
$1K |
| 87798 |
|
140 |
70 |
$1K |
| 72070 |
|
18 |
18 |
$1K |
| 87081 |
|
1,506 |
1,470 |
$1K |
| 87340 |
|
231 |
226 |
$1K |
| 82248 |
|
532 |
459 |
$964.79 |
| 87088 |
|
350 |
343 |
$946.17 |
| 76642 |
|
25 |
25 |
$935.55 |
| 94640 |
|
1,462 |
1,141 |
$926.12 |
| 82150 |
|
2,389 |
2,272 |
$921.64 |
| 71271 |
|
12 |
12 |
$850.41 |
| 80076 |
|
449 |
417 |
$828.40 |
| 84703 |
|
1,149 |
1,115 |
$709.89 |
| 87070 |
|
304 |
295 |
$639.17 |
| 86850 |
|
65 |
65 |
$625.67 |
| 93225 |
|
12 |
12 |
$612.85 |
| 73502 |
|
41 |
40 |
$579.35 |
| 85730 |
|
841 |
808 |
$513.59 |
| 85379 |
|
1,320 |
1,284 |
$469.25 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$438.50 |
| 86038 |
|
69 |
67 |
$411.01 |
| 74018 |
|
27 |
25 |
$376.64 |
| 80305 |
|
691 |
668 |
$341.15 |
| 86803 |
|
41 |
41 |
$337.81 |
| 87807 |
|
326 |
317 |
$308.08 |
| 87205 |
|
290 |
283 |
$303.91 |
| 97802 |
|
13 |
13 |
$260.00 |
| 84484 |
|
4,077 |
3,238 |
$235.40 |
| 87040 |
|
1,994 |
1,159 |
$229.32 |
| 83605 |
|
5,942 |
5,353 |
$214.35 |
| 87210 |
|
62 |
62 |
$159.09 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$153.24 |
| 86039 |
|
27 |
26 |
$152.63 |
| 84481 |
|
13 |
12 |
$140.47 |
| 82077 |
|
998 |
915 |
$135.74 |
| 82962 |
|
1,343 |
1,100 |
$113.53 |
| 80306 |
|
696 |
658 |
$102.11 |
| 82565 |
|
36 |
26 |
$97.16 |
| 83655 |
|
14 |
13 |
$89.35 |
| 84100 |
|
41 |
37 |
$73.04 |
| 85018 |
|
57 |
55 |
$55.33 |
| 85014 |
|
54 |
52 |
$50.86 |
| J7030 |
Normal saline solution infus |
1,135 |
940 |
$47.75 |
| 86431 |
|
14 |
14 |
$38.52 |
| 84550 |
|
13 |
12 |
$33.90 |
| J1170 |
Hydromorphone injection |
431 |
393 |
$28.70 |
| 84156 |
|
14 |
12 |
$27.77 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
150 |
149 |
$18.00 |
| 83874 |
|
360 |
318 |
$16.24 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,277 |
2,229 |
$12.00 |
| J2405 |
Ondansetron hcl injection |
3,713 |
3,337 |
$3.15 |
| J2704 |
Inj, propofol, 10 mg |
1,734 |
1,679 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
625 |
543 |
$0.00 |
| J7050 |
Normal saline solution infus |
739 |
498 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,092 |
1,019 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
949 |
889 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
4,253 |
3,995 |
$0.00 |
| J2060 |
Lorazepam injection |
118 |
108 |
$0.00 |
| 86901 |
|
79 |
77 |
$0.00 |
| 96376 |
|
175 |
142 |
$0.00 |
| 36000 |
|
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
26 |
25 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
40 |
37 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
20 |
$0.00 |
| 72040 |
|
12 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
60 |
52 |
$0.00 |
| 12001 |
|
13 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,625 |
1,571 |
$0.00 |
| J2930 |
Methylprednisolone injection |
649 |
602 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
207 |
188 |
$0.00 |
| 90715 |
|
137 |
135 |
$0.00 |
| 80143 |
|
145 |
141 |
$0.00 |
| J7040 |
Normal saline solution infus |
130 |
95 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
37 |
32 |
$0.00 |
| J0780 |
Prochlorperazine injection |
102 |
97 |
$0.00 |
| J2270 |
Morphine sulfate injection |
88 |
78 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
53 |
38 |
$0.00 |
| J7120 |
Ringers lactate infusion |
48 |
46 |
$0.00 |
| 80179 |
|
155 |
151 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
12 |
$0.00 |
| 93226 |
|
12 |
12 |
$0.00 |