| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
13,599 |
10,396 |
$832K |
| 99283 |
|
10,973 |
8,477 |
$638K |
| 99284 |
|
8,332 |
6,383 |
$599K |
| 99285 |
|
5,704 |
4,391 |
$497K |
| 99212 |
|
6,042 |
4,862 |
$471K |
| 97110 |
|
5,445 |
1,309 |
$386K |
| 96361 |
|
1,379 |
878 |
$374K |
| 92507 |
|
3,987 |
1,278 |
$294K |
| 99282 |
|
3,216 |
2,830 |
$268K |
| 99214 |
|
3,848 |
3,372 |
$167K |
| U0003 |
Cov-19 amp prb hgh thruput |
886 |
823 |
$152K |
| 74177 |
|
590 |
442 |
$137K |
| 70450 |
|
563 |
444 |
$111K |
| 97530 |
|
1,481 |
591 |
$98K |
| G0463 |
Hospital outpt clinic visit |
1,369 |
1,234 |
$95K |
| 96365 |
|
1,015 |
638 |
$81K |
| 87502 |
|
3,148 |
2,722 |
$68K |
| 80053 |
|
2,566 |
2,135 |
$62K |
| 97140 |
|
1,859 |
508 |
$60K |
| G0378 |
Hospital observation per hr |
929 |
367 |
$60K |
| 74176 |
|
241 |
191 |
$56K |
| 80048 |
|
9,164 |
6,999 |
$54K |
| 99281 |
|
518 |
461 |
$51K |
| 97803 |
|
593 |
560 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
773 |
729 |
$42K |
| 96366 |
|
292 |
150 |
$42K |
| 71046 |
|
1,451 |
1,213 |
$34K |
| 84443 |
|
2,158 |
1,795 |
$34K |
| 85025 |
|
10,861 |
8,412 |
$31K |
| 99211 |
|
262 |
229 |
$25K |
| 84439 |
|
993 |
850 |
$23K |
| 80307 |
|
1,144 |
903 |
$22K |
| 87491 |
|
565 |
475 |
$21K |
| 87632 |
|
184 |
141 |
$21K |
| 36415 |
|
16,161 |
11,778 |
$21K |
| 97161 |
|
562 |
482 |
$20K |
| 80061 |
|
1,418 |
1,233 |
$20K |
| 94640 |
|
248 |
103 |
$20K |
| 96360 |
|
125 |
89 |
$16K |
| 87070 |
|
939 |
734 |
$12K |
| 83036 |
|
916 |
807 |
$12K |
| 87086 |
|
1,005 |
834 |
$11K |
| J3490 |
Drugs unclassified injection |
1,088 |
398 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
2,515 |
2,134 |
$11K |
| 87591 |
|
561 |
471 |
$10K |
| 87651 |
|
1,955 |
1,627 |
$10K |
| U0005 |
Infec agen detec ampli probe |
712 |
672 |
$10K |
| 82306 |
|
420 |
368 |
$10K |
| 93005 |
|
3,106 |
2,392 |
$10K |
| 87081 |
|
505 |
433 |
$9K |
| 80076 |
|
3,712 |
2,995 |
$9K |
| 76705 |
|
83 |
65 |
$8K |
| 86140 |
|
637 |
491 |
$8K |
| 74018 |
|
150 |
109 |
$7K |
| 87088 |
|
1,108 |
765 |
$7K |
| 82728 |
|
353 |
290 |
$6K |
| 93010 |
|
1,075 |
871 |
$6K |
| 97112 |
|
113 |
40 |
$5K |
| 82607 |
|
237 |
216 |
$5K |
| 87077 |
|
763 |
562 |
$5K |
| 87661 |
|
257 |
215 |
$5K |
| 81001 |
|
3,760 |
3,037 |
$5K |
| 76856 |
|
16 |
13 |
$4K |
| 82570 |
|
362 |
313 |
$3K |
| 87205 |
|
737 |
552 |
$3K |
| 87186 |
|
745 |
556 |
$3K |
| 83735 |
|
1,385 |
933 |
$3K |
| 99215 |
Prolong outpt/office vis |
46 |
38 |
$3K |
| 83540 |
|
299 |
244 |
$3K |
| 87389 |
|
244 |
212 |
$3K |
| A0425 |
Ground mileage |
50 |
36 |
$3K |
| 84484 |
|
2,169 |
1,366 |
$3K |
| 86850 |
|
102 |
77 |
$3K |
| 83550 |
|
282 |
228 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
188 |
100 |
$3K |
| 86592 |
|
130 |
108 |
$2K |
| 88305 |
|
229 |
147 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
106 |
88 |
$2K |
| M0243 |
Casirivi and imdevi inj |
39 |
31 |
$2K |
| 85651 |
|
448 |
385 |
$2K |
| 0012A |
|
67 |
54 |
$2K |
| 82947 |
|
1,143 |
431 |
$2K |
| 71045 |
|
1,032 |
847 |
$2K |
| 83690 |
|
1,263 |
940 |
$2K |
| Q3014 |
Telehealth facility fee |
90 |
85 |
$2K |
| 81003 |
|
450 |
372 |
$2K |
| 83880 |
|
383 |
326 |
$2K |
| 0011A |
|
75 |
54 |
$2K |
| 99309 |
|
348 |
226 |
$2K |
| 85610 |
|
560 |
446 |
$1K |
| 86900 |
|
128 |
103 |
$1K |
| J7120 |
Ringers lactate infusion |
1,225 |
776 |
$1K |
| 87801 |
|
321 |
259 |
$1K |
| 87340 |
|
76 |
59 |
$1K |
| 82043 |
|
174 |
162 |
$1K |
| 96372 |
|
1,143 |
760 |
$1K |
| 73630 |
|
46 |
45 |
$940.29 |
| 85027 |
|
360 |
250 |
$887.20 |
| 99308 |
|
166 |
106 |
$881.98 |
| 87210 |
|
76 |
57 |
$808.24 |
| 86901 |
|
128 |
103 |
$748.58 |
| 86803 |
|
34 |
27 |
$620.23 |
| 81025 |
|
837 |
570 |
$599.50 |
| 99238 |
|
51 |
43 |
$577.18 |
| 82746 |
|
49 |
41 |
$538.43 |
| 85007 |
|
152 |
95 |
$506.77 |
| 96374 |
|
1,296 |
981 |
$479.58 |
| 84403 |
|
17 |
12 |
$476.61 |
| 86038 |
|
18 |
12 |
$430.16 |
| 84702 |
|
19 |
13 |
$415.35 |
| 84145 |
|
43 |
28 |
$408.69 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
945 |
718 |
$387.00 |
| 82077 |
|
512 |
350 |
$384.97 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$346.29 |
| 73130 |
|
22 |
14 |
$334.95 |
| 73610 |
|
21 |
12 |
$333.87 |
| 83605 |
|
299 |
187 |
$284.15 |
| J7030 |
Normal saline solution infus |
779 |
448 |
$248.76 |
| 11721 |
|
13 |
13 |
$247.79 |
| 97116 |
|
27 |
16 |
$244.73 |
| 96375 |
|
1,179 |
804 |
$225.82 |
| 73030 |
|
19 |
12 |
$223.63 |
| 82950 |
|
19 |
14 |
$206.19 |
| 86308 |
|
21 |
13 |
$203.90 |
| 73560 |
|
34 |
25 |
$171.57 |
| 99239 |
|
18 |
15 |
$169.21 |
| 85379 |
|
111 |
81 |
$154.48 |
| 87040 |
|
340 |
160 |
$149.88 |
| J1170 |
Hydromorphone injection |
549 |
263 |
$126.86 |
| 99232 |
|
19 |
13 |
$114.13 |
| 85730 |
|
128 |
106 |
$94.08 |
| J1885 |
Ketorolac tromethamine inj |
1,108 |
714 |
$84.04 |
| 84100 |
|
25 |
12 |
$75.36 |
| 80179 |
|
150 |
108 |
$74.59 |
| J2704 |
Inj, propofol, 10 mg |
951 |
564 |
$53.90 |
| J3010 |
Fentanyl citrate injection |
510 |
337 |
$39.56 |
| J2405 |
Ondansetron hcl injection |
1,378 |
886 |
$30.14 |
| J1100 |
Dexamethasone sodium phos |
785 |
482 |
$30.04 |
| Q0162 |
Ondansetron oral |
419 |
341 |
$29.21 |
| J2250 |
Inj midazolam hydrochloride |
351 |
211 |
$22.17 |
| J0696 |
Ceftriaxone sodium injection |
143 |
94 |
$13.46 |
| 80143 |
|
145 |
107 |
$11.38 |
| J1200 |
Diphenhydramine hcl injectio |
57 |
41 |
$6.09 |
| J7050 |
Normal saline solution infus |
102 |
68 |
$3.93 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
39 |
38 |
$3.89 |
| J7611 |
Albuterol non-comp con |
48 |
30 |
$0.72 |
| 91301 |
|
93 |
88 |
$0.69 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
17 |
$0.10 |
| J2270 |
Morphine sulfate injection |
93 |
52 |
$0.00 |
| G1004 |
Cdsm ndsc |
23 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
26 |
14 |
$0.00 |
| 29515 |
|
12 |
12 |
$0.00 |
| 96376 |
|
122 |
80 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
13 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
19 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$0.00 |
| 76830 |
|
16 |
13 |
$0.00 |