| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,257 |
15,409 |
$2.11M |
| 99284 |
|
12,665 |
10,587 |
$1.61M |
| 99285 |
|
11,054 |
8,099 |
$1.25M |
| G0463 |
Hospital outpt clinic visit |
10,266 |
7,709 |
$1.02M |
| 96361 |
|
3,373 |
2,266 |
$657K |
| 97110 |
|
8,072 |
2,269 |
$623K |
| 99213 |
|
7,577 |
6,249 |
$565K |
| 92507 |
|
5,879 |
1,874 |
$549K |
| 99282 |
|
3,841 |
3,356 |
$539K |
| 0241U |
|
4,946 |
3,976 |
$516K |
| 70450 |
|
1,780 |
1,289 |
$392K |
| 74177 |
|
1,294 |
949 |
$390K |
| 99212 |
|
5,459 |
4,130 |
$371K |
| 74176 |
|
1,208 |
846 |
$328K |
| 96365 |
|
2,214 |
1,468 |
$272K |
| 99281 |
|
1,838 |
1,626 |
$264K |
| 97530 |
|
2,763 |
991 |
$240K |
| 80053 |
|
25,664 |
19,771 |
$231K |
| 99214 |
|
2,578 |
2,128 |
$205K |
| 96366 |
|
866 |
408 |
$204K |
| 71275 |
|
595 |
409 |
$180K |
| 87635 |
|
2,573 |
2,419 |
$126K |
| G0378 |
Hospital observation per hr |
3,975 |
1,690 |
$120K |
| 94640 |
|
1,204 |
840 |
$107K |
| 84443 |
|
4,570 |
3,891 |
$85K |
| 85025 |
|
34,890 |
24,972 |
$81K |
| 97140 |
|
1,898 |
681 |
$67K |
| 99211 |
|
766 |
643 |
$59K |
| 80048 |
|
8,490 |
5,331 |
$59K |
| 36415 |
|
38,984 |
25,236 |
$58K |
| 80061 |
|
3,260 |
2,858 |
$44K |
| 97162 |
|
878 |
737 |
$44K |
| 82306 |
|
2,016 |
1,689 |
$43K |
| 80307 |
|
2,317 |
1,812 |
$42K |
| 83036 |
|
3,442 |
2,937 |
$41K |
| 71046 |
|
912 |
779 |
$38K |
| 87081 |
|
1,387 |
1,260 |
$31K |
| 82607 |
|
1,529 |
1,271 |
$30K |
| 20611 |
|
169 |
136 |
$30K |
| 84484 |
|
11,125 |
6,574 |
$29K |
| 87088 |
|
3,123 |
2,304 |
$29K |
| 20610 |
|
224 |
166 |
$29K |
| C9803 |
Hopd covid-19 spec collect |
507 |
493 |
$21K |
| 76705 |
|
138 |
105 |
$18K |
| 95886 |
|
64 |
54 |
$17K |
| 87502 |
|
919 |
795 |
$16K |
| 71250 |
|
173 |
142 |
$15K |
| 99203 |
|
138 |
117 |
$15K |
| 83605 |
|
4,389 |
2,784 |
$15K |
| 83655 |
|
395 |
392 |
$13K |
| 96367 |
|
213 |
130 |
$13K |
| 77063 |
|
203 |
188 |
$13K |
| 96413 |
|
81 |
51 |
$12K |
| 73630 |
|
806 |
645 |
$12K |
| 83735 |
|
4,715 |
3,119 |
$12K |
| 72148 |
|
47 |
40 |
$12K |
| 71045 |
|
10,479 |
7,867 |
$12K |
| 82728 |
|
749 |
647 |
$12K |
| 85027 |
|
2,190 |
1,548 |
$12K |
| 93306 |
|
53 |
37 |
$11K |
| 73562 |
|
599 |
481 |
$11K |
| 72100 |
|
238 |
193 |
$11K |
| 82570 |
|
898 |
727 |
$11K |
| 97112 |
|
128 |
54 |
$10K |
| 85610 |
|
4,568 |
2,513 |
$10K |
| 84439 |
|
611 |
504 |
$10K |
| 73610 |
|
574 |
482 |
$10K |
| 70496 |
|
36 |
27 |
$10K |
| 87801 |
|
465 |
383 |
$10K |
| 99204 |
|
104 |
84 |
$9K |
| 87389 |
|
411 |
358 |
$9K |
| 93005 |
|
13,033 |
9,787 |
$9K |
| 84466 |
|
956 |
752 |
$9K |
| 73130 |
|
462 |
356 |
$8K |
| 81001 |
|
11,021 |
8,672 |
$8K |
| 96372 |
|
4,791 |
2,914 |
$8K |
| J3490 |
Drugs unclassified injection |
2,586 |
1,515 |
$8K |
| 73030 |
|
429 |
331 |
$7K |
| 72125 |
|
514 |
372 |
$7K |
| 83540 |
|
993 |
778 |
$7K |
| 87086 |
|
3,235 |
2,709 |
$7K |
| 73721 |
|
14 |
14 |
$7K |
| 64493 |
|
17 |
15 |
$7K |
| 96374 |
|
6,633 |
4,933 |
$6K |
| 86803 |
|
293 |
267 |
$6K |
| 87186 |
|
1,309 |
872 |
$6K |
| 97032 |
|
110 |
42 |
$6K |
| 82248 |
|
2,906 |
2,003 |
$6K |
| 82043 |
|
661 |
619 |
$6K |
| 86780 |
|
260 |
224 |
$6K |
| 73110 |
|
377 |
294 |
$5K |
| 86140 |
|
1,914 |
1,394 |
$5K |
| G2023 |
Specimen collect covid-19 |
2,703 |
2,608 |
$5K |
| 97535 |
|
109 |
73 |
$5K |
| 84702 |
|
390 |
290 |
$5K |
| 96360 |
|
17 |
15 |
$5K |
| 80361 |
|
518 |
514 |
$5K |
| 77067 |
|
203 |
188 |
$5K |
| 82140 |
|
473 |
291 |
$5K |
| 83970 |
|
153 |
134 |
$4K |
| 80069 |
|
223 |
188 |
$4K |
| 87147 |
|
347 |
194 |
$4K |
| 84153 |
|
185 |
173 |
$4K |
| 84703 |
|
2,099 |
1,497 |
$4K |
| 83880 |
|
1,520 |
1,039 |
$4K |
| 87880 |
|
1,413 |
1,217 |
$4K |
| 85018 |
|
421 |
412 |
$4K |
| 85014 |
|
405 |
400 |
$3K |
| 99215 |
Prolong outpt/office vis |
22 |
17 |
$3K |
| J7030 |
Normal saline solution infus |
2,370 |
1,608 |
$3K |
| 94060 |
|
15 |
12 |
$3K |
| 97035 |
|
50 |
14 |
$3K |
| 74018 |
|
61 |
53 |
$3K |
| 86850 |
|
146 |
112 |
$3K |
| 99291 |
|
52 |
38 |
$2K |
| 88305 |
|
526 |
310 |
$2K |
| 80346 |
|
520 |
516 |
$2K |
| 80324 |
|
520 |
516 |
$2K |
| 80353 |
|
520 |
516 |
$2K |
| 80358 |
|
518 |
514 |
$2K |
| 80373 |
|
520 |
516 |
$2K |
| 80372 |
|
518 |
514 |
$2K |
| 80355 |
|
522 |
518 |
$2K |
| 80349 |
|
521 |
517 |
$2K |
| 0352U |
|
138 |
111 |
$2K |
| 80356 |
|
518 |
514 |
$2K |
| 80365 |
|
518 |
514 |
$2K |
| 80362 |
|
519 |
515 |
$2K |
| 87661 |
|
93 |
81 |
$2K |
| 80354 |
|
516 |
512 |
$2K |
| 17000 |
|
18 |
13 |
$2K |
| 80164 |
|
233 |
163 |
$2K |
| 93971 |
|
62 |
54 |
$2K |
| 86900 |
|
209 |
168 |
$2K |
| 96375 |
|
5,082 |
3,439 |
$2K |
| 85652 |
|
680 |
467 |
$2K |
| 83690 |
|
5,034 |
3,757 |
$2K |
| 72131 |
|
13 |
12 |
$2K |
| 81003 |
|
1,676 |
1,289 |
$2K |
| 82565 |
|
203 |
139 |
$2K |
| 84100 |
|
548 |
333 |
$2K |
| 86592 |
|
56 |
55 |
$2K |
| 82746 |
|
304 |
252 |
$2K |
| 82077 |
|
927 |
667 |
$1K |
| 85379 |
|
1,438 |
1,031 |
$1K |
| 72110 |
|
30 |
24 |
$1K |
| 82803 |
|
1,162 |
633 |
$1K |
| G0483 |
Drug test def 22+ classes |
266 |
193 |
$1K |
| J7050 |
Normal saline solution infus |
694 |
352 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,907 |
2,059 |
$1K |
| 82948 |
|
1,433 |
597 |
$1K |
| 85730 |
|
2,264 |
1,567 |
$1K |
| 90715 |
|
76 |
60 |
$1K |
| 82550 |
|
494 |
315 |
$1K |
| 87210 |
|
89 |
85 |
$1K |
| 92523 |
|
12 |
12 |
$1K |
| 73502 |
|
54 |
40 |
$1K |
| 84550 |
|
213 |
184 |
$1K |
| 87804 |
|
36 |
36 |
$1K |
| 82553 |
|
124 |
79 |
$974.20 |
| 96376 |
|
1,248 |
577 |
$849.63 |
| 99202 |
|
12 |
12 |
$833.76 |
| 80076 |
|
63 |
54 |
$815.34 |
| 87077 |
|
183 |
139 |
$807.05 |
| 87591 |
|
29 |
28 |
$743.75 |
| Q0162 |
Ondansetron oral |
587 |
431 |
$721.38 |
| 87040 |
|
1,164 |
507 |
$720.13 |
| 81015 |
|
60 |
47 |
$719.78 |
| U0002 |
Covid-19 lab test non-cdc |
80 |
65 |
$700.84 |
| G0279 |
Tomosynthesis, mammo |
18 |
12 |
$636.28 |
| 80177 |
|
39 |
25 |
$610.19 |
| 84156 |
|
112 |
104 |
$602.09 |
| J2272 |
Inj, morphine (fresenius) |
441 |
270 |
$581.41 |
| 80143 |
|
599 |
452 |
$554.78 |
| 86901 |
|
209 |
168 |
$497.38 |
| 87491 |
|
26 |
25 |
$488.12 |
| P9603 |
One-way allow prorated miles |
254 |
137 |
$472.89 |
| 87503 |
|
60 |
43 |
$432.16 |
| 82150 |
|
294 |
207 |
$402.29 |
| 97116 |
|
32 |
13 |
$398.42 |
| 82947 |
|
147 |
91 |
$392.16 |
| 73140 |
|
19 |
12 |
$380.50 |
| 80074 |
|
13 |
13 |
$359.58 |
| J1030 |
Methylprednisolone 40 mg inj |
782 |
629 |
$335.30 |
| 87426 |
|
233 |
191 |
$331.98 |
| 87205 |
|
30 |
27 |
$313.61 |
| J1650 |
Inj enoxaparin sodium |
559 |
149 |
$304.85 |
| 80179 |
|
567 |
433 |
$299.22 |
| 81025 |
|
668 |
570 |
$295.44 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,713 |
1,184 |
$291.27 |
| 90471 |
|
182 |
145 |
$267.50 |
| 87070 |
|
30 |
24 |
$255.99 |
| 97161 |
|
30 |
30 |
$222.31 |
| 94761 |
|
6,231 |
4,967 |
$218.64 |
| J1170 |
Hydromorphone injection |
467 |
264 |
$181.25 |
| J2001 |
Lidocaine injection |
1,858 |
1,439 |
$171.99 |
| J0702 |
Betamethasone acet&sod phosp |
44 |
38 |
$142.08 |
| 36416 |
|
259 |
127 |
$141.04 |
| J1644 |
Inj heparin sodium per 1000u |
423 |
164 |
$121.33 |
| 84145 |
|
88 |
72 |
$109.01 |
| 82962 |
|
469 |
204 |
$101.91 |
| 84460 |
|
16 |
13 |
$92.75 |
| J7120 |
Ringers lactate infusion |
978 |
664 |
$85.44 |
| 11721 |
|
13 |
12 |
$85.33 |
| J2543 |
Piperacillin/tazobactam |
75 |
25 |
$73.48 |
| 88175 |
|
13 |
12 |
$73.26 |
| 36600 |
|
19 |
14 |
$72.50 |
| 93010 |
|
21 |
15 |
$71.79 |
| J7040 |
Normal saline solution infus |
473 |
315 |
$59.34 |
| J0696 |
Ceftriaxone sodium injection |
1,195 |
671 |
$56.19 |
| J1200 |
Diphenhydramine hcl injectio |
447 |
269 |
$55.60 |
| J2405 |
Ondansetron hcl injection |
3,076 |
1,992 |
$51.76 |
| J2765 |
Metoclopramide hcl injection |
326 |
220 |
$41.59 |
| J2919 |
Inj, methylpred sod succ 5mg |
175 |
127 |
$32.19 |
| J2930 |
Methylprednisolone injection |
342 |
203 |
$30.19 |
| J1100 |
Dexamethasone sodium phos |
730 |
502 |
$22.19 |
| C9113 |
Inj pantoprazole sodium, via |
18 |
13 |
$20.55 |
| J1040 |
Methylprednisolone 80 mg inj |
202 |
154 |
$17.28 |
| J2270 |
Morphine sulfate injection |
88 |
50 |
$15.47 |
| J2704 |
Inj, propofol, 10 mg |
1,033 |
725 |
$15.31 |
| J3301 |
Triamcinolone acet inj nos |
249 |
195 |
$14.32 |
| J2060 |
Lorazepam injection |
246 |
139 |
$11.70 |
| J3475 |
Inj magnesium sulfate |
178 |
120 |
$11.25 |
| J7512 |
Prednisone ir or dr oral 1mg |
278 |
122 |
$8.64 |
| J2795 |
Ropivacaine hcl injection |
163 |
154 |
$5.07 |
| J3010 |
Fentanyl citrate injection |
354 |
231 |
$4.58 |
| P9612 |
Catheterize for urine spec |
98 |
77 |
$4.50 |
| 94760 |
|
1,049 |
197 |
$4.31 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
52 |
49 |
$3.21 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
131 |
99 |
$1.44 |
| J7620 |
Albuterol ipratrop non-comp |
83 |
52 |
$1.40 |
| J2250 |
Inj midazolam hydrochloride |
192 |
139 |
$0.36 |
| 36000 |
|
246 |
226 |
$0.00 |
| A9270 |
Non-covered item or service |
1,455 |
417 |
$0.00 |
| 70498 |
|
15 |
14 |
$0.00 |
| A9585 |
Gadobutrol injection |
30 |
24 |
$0.00 |
| 64494 |
|
16 |
14 |
$0.00 |
| G2024 |
Spec coll snf/lab covid-19 |
20 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
382 |
208 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
40 |
15 |
$0.00 |
| 93041 |
|
78 |
77 |
$0.00 |
| 73590 |
|
29 |
24 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
17 |
14 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
12 |
$0.00 |