| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
30,799 |
27,243 |
$1.22M |
| 96361 |
|
9,000 |
6,772 |
$1000K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,295 |
9,768 |
$861K |
| 99213 |
|
25,491 |
22,762 |
$846K |
| 99284 |
|
19,263 |
16,825 |
$780K |
| 99285 |
|
16,469 |
13,746 |
$590K |
| 80053 |
|
32,670 |
25,102 |
$568K |
| 99283 |
|
11,441 |
10,277 |
$497K |
| 99211 |
|
6,569 |
5,777 |
$392K |
| 96365 |
|
6,129 |
3,924 |
$356K |
| 87637 |
|
2,869 |
2,614 |
$323K |
| 99212 |
|
5,171 |
4,653 |
$293K |
| 87502 |
|
2,969 |
2,664 |
$281K |
| 74177 |
|
3,948 |
3,379 |
$238K |
| 87491 |
|
6,976 |
6,159 |
$230K |
| 99282 |
|
3,833 |
3,410 |
$228K |
| 87591 |
|
6,929 |
6,124 |
$220K |
| 88305 |
|
7,494 |
5,677 |
$210K |
| 96360 |
|
2,814 |
2,246 |
$206K |
| 85025 |
|
32,430 |
24,623 |
$192K |
| 84443 |
|
12,886 |
11,204 |
$182K |
| G0463 |
Hospital outpt clinic visit |
33,289 |
19,366 |
$181K |
| 80048 |
|
11,815 |
9,216 |
$163K |
| 70450 |
|
3,241 |
2,771 |
$152K |
| G0480 |
Drug test def 1-7 classes |
3,601 |
2,789 |
$147K |
| 88175 |
|
6,174 |
5,592 |
$146K |
| 87624 |
|
4,570 |
4,164 |
$140K |
| 99215 |
Prolong outpt/office vis |
2,638 |
2,313 |
$136K |
| 82306 |
|
5,207 |
4,680 |
$129K |
| 80061 |
|
10,002 |
8,778 |
$125K |
| 87880 |
|
4,991 |
4,530 |
$120K |
| 99391 |
|
2,121 |
1,862 |
$117K |
| 80306 |
|
7,718 |
6,665 |
$116K |
| 87635 |
|
2,610 |
2,296 |
$115K |
| 94640 |
|
3,849 |
2,630 |
$106K |
| 92014 |
|
5,142 |
4,164 |
$104K |
| 87632 |
|
566 |
504 |
$100K |
| 87636 |
|
1,018 |
913 |
$97K |
| 83036 |
|
8,575 |
7,516 |
$93K |
| 87086 |
|
10,127 |
8,825 |
$92K |
| 96366 |
|
1,240 |
815 |
$87K |
| 81001 |
|
14,046 |
11,974 |
$86K |
| 99392 |
|
1,474 |
1,441 |
$85K |
| 85610 |
|
6,819 |
4,329 |
$84K |
| 43239 |
|
401 |
366 |
$71K |
| 87798 |
|
1,876 |
1,589 |
$70K |
| 96413 |
|
1,290 |
655 |
$69K |
| 80307 |
|
1,825 |
1,007 |
$68K |
| U0005 |
Infec agen detec ampli probe |
8,038 |
7,009 |
$65K |
| 11042 |
|
5,497 |
2,049 |
$64K |
| C9803 |
Hopd covid-19 spec collect |
3,191 |
2,779 |
$64K |
| 87070 |
|
3,728 |
3,345 |
$61K |
| 74176 |
|
1,022 |
906 |
$56K |
| 97110 |
|
7,551 |
2,495 |
$55K |
| 85027 |
|
9,571 |
7,388 |
$54K |
| 45380 |
|
285 |
262 |
$51K |
| 76817 |
|
718 |
541 |
$49K |
| 82728 |
|
3,861 |
3,373 |
$47K |
| 71275 |
|
764 |
657 |
$46K |
| 84484 |
|
6,655 |
4,711 |
$45K |
| 83880 |
|
2,252 |
1,887 |
$44K |
| 84703 |
|
5,183 |
4,417 |
$44K |
| 76816 |
|
735 |
656 |
$43K |
| 97112 |
|
4,224 |
1,309 |
$42K |
| 97530 |
|
2,361 |
949 |
$42K |
| 87077 |
|
5,383 |
4,761 |
$42K |
| 82607 |
|
2,996 |
2,685 |
$41K |
| 81025 |
|
2,710 |
2,396 |
$40K |
| 90792 |
|
540 |
416 |
$39K |
| 83690 |
|
7,157 |
5,752 |
$38K |
| 11721 |
|
3,434 |
3,022 |
$37K |
| 84702 |
|
1,499 |
1,040 |
$37K |
| 71046 |
|
6,866 |
5,948 |
$36K |
| 87088 |
|
4,714 |
4,166 |
$35K |
| 93010 |
|
6,479 |
5,104 |
$34K |
| 86803 |
|
2,480 |
2,218 |
$33K |
| 87186 |
|
4,370 |
3,885 |
$33K |
| 76705 |
|
1,022 |
915 |
$32K |
| 87210 |
|
3,033 |
2,535 |
$32K |
| 83655 |
|
1,370 |
1,299 |
$31K |
| 29581 |
|
2,464 |
719 |
$31K |
| 81003 |
|
4,359 |
3,660 |
$31K |
| 87800 |
|
1,074 |
926 |
$31K |
| 88141 |
|
1,768 |
1,552 |
$30K |
| 84439 |
|
3,151 |
2,757 |
$30K |
| 84145 |
|
2,256 |
1,810 |
$29K |
| 11043 |
|
597 |
192 |
$29K |
| 83605 |
|
4,256 |
3,296 |
$28K |
| 86618 |
|
1,603 |
1,467 |
$28K |
| 76830 |
|
645 |
563 |
$28K |
| 84153 |
|
1,426 |
1,315 |
$27K |
| 87389 |
|
1,422 |
1,249 |
$27K |
| 83735 |
|
6,491 |
4,782 |
$26K |
| 86850 |
|
2,062 |
1,719 |
$26K |
| 99203 |
|
633 |
569 |
$25K |
| 86140 |
|
4,996 |
4,133 |
$25K |
| 83540 |
|
3,707 |
3,241 |
$24K |
| 41899 |
|
74 |
53 |
$23K |
| 90834 |
|
2,157 |
1,201 |
$23K |
| 99393 |
|
412 |
393 |
$23K |
| 87506 |
|
143 |
114 |
$23K |
| 93306 |
|
537 |
493 |
$22K |
| 87340 |
|
2,448 |
2,139 |
$22K |
| 99239 |
|
378 |
344 |
$21K |
| 3008F |
|
2,275 |
2,183 |
$21K |
| 82947 |
|
2,352 |
1,580 |
$21K |
| 99281 |
|
335 |
297 |
$21K |
| 83550 |
|
2,598 |
2,256 |
$19K |
| 86703 |
|
1,206 |
1,043 |
$18K |
| 92015 |
|
2,898 |
2,232 |
$17K |
| 82043 |
|
2,103 |
1,877 |
$17K |
| 97140 |
|
3,460 |
1,225 |
$17K |
| 80050 |
|
1,408 |
628 |
$17K |
| 87631 |
|
176 |
146 |
$17K |
| 71260 |
|
278 |
237 |
$16K |
| 88342 |
|
1,170 |
939 |
$16K |
| G0378 |
Hospital observation per hr |
1,454 |
1,043 |
$16K |
| 15002 |
|
310 |
94 |
$15K |
| 85379 |
|
2,242 |
1,927 |
$15K |
| 86780 |
|
1,769 |
1,515 |
$15K |
| 86762 |
|
1,176 |
1,015 |
$15K |
| 87081 |
|
1,697 |
1,504 |
$15K |
| 87427 |
|
1,300 |
557 |
$14K |
| 96374 |
|
11,628 |
9,078 |
$13K |
| 72125 |
|
596 |
509 |
$13K |
| V5266 |
Battery for hearing device |
1,208 |
1,158 |
$12K |
| 99291 |
|
307 |
257 |
$12K |
| 99336 |
|
619 |
577 |
$12K |
| 80076 |
|
1,206 |
1,055 |
$12K |
| 82746 |
|
1,031 |
926 |
$12K |
| 76805 |
|
145 |
138 |
$11K |
| 88307 |
|
239 |
171 |
$10K |
| 87328 |
|
852 |
725 |
$10K |
| 82150 |
|
1,625 |
1,352 |
$10K |
| 82950 |
|
838 |
753 |
$10K |
| 84481 |
|
754 |
685 |
$10K |
| 96372 |
|
6,737 |
4,777 |
$10K |
| 87040 |
|
1,134 |
815 |
$10K |
| 82948 |
|
2,324 |
1,166 |
$10K |
| 87899 |
|
694 |
588 |
$9K |
| 84466 |
|
1,020 |
897 |
$8K |
| 70553 |
|
97 |
80 |
$8K |
| 86706 |
|
662 |
571 |
$8K |
| 86038 |
|
748 |
673 |
$8K |
| 85018 |
|
2,609 |
2,369 |
$8K |
| 99394 |
|
139 |
135 |
$8K |
| 0012A |
|
215 |
208 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
132 |
115 |
$7K |
| 86900 |
|
1,328 |
1,080 |
$7K |
| 93005 |
|
11,222 |
8,825 |
$7K |
| 82247 |
|
356 |
208 |
$6K |
| 87045 |
|
685 |
582 |
$6K |
| 0011A |
|
215 |
208 |
$6K |
| 87015 |
|
651 |
556 |
$6K |
| 87634 |
|
124 |
117 |
$6K |
| 85652 |
|
2,472 |
2,147 |
$6K |
| 90686 |
|
2,355 |
2,064 |
$6K |
| 86704 |
|
424 |
372 |
$6K |
| 85730 |
|
1,684 |
1,405 |
$6K |
| 82550 |
|
1,347 |
1,077 |
$6K |
| 74018 |
|
322 |
286 |
$5K |
| 87205 |
|
1,042 |
871 |
$5K |
| 93971 |
|
207 |
187 |
$5K |
| 99232 |
|
365 |
167 |
$5K |
| 85007 |
|
1,889 |
1,484 |
$5K |
| 87625 |
|
165 |
133 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
52 |
50 |
$4K |
| 99204 |
|
71 |
70 |
$4K |
| 77067 |
|
224 |
175 |
$4K |
| 87400 |
|
253 |
231 |
$4K |
| 99309 |
|
219 |
197 |
$4K |
| 36415 |
|
28,799 |
22,168 |
$4K |
| 82784 |
|
247 |
201 |
$4K |
| 72100 |
|
311 |
284 |
$4K |
| 92012 |
|
183 |
161 |
$4K |
| 86592 |
|
542 |
496 |
$3K |
| 92004 |
|
101 |
87 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
53 |
47 |
$3K |
| 95251 |
|
408 |
355 |
$3K |
| 73630 |
|
883 |
783 |
$3K |
| 73030 |
|
330 |
283 |
$3K |
| 94664 |
|
217 |
159 |
$3K |
| 90670 |
|
823 |
805 |
$3K |
| 95810 |
|
13 |
12 |
$3K |
| 86901 |
|
1,312 |
1,069 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
138 |
101 |
$3K |
| 97162 |
|
248 |
229 |
$3K |
| 93017 |
|
53 |
49 |
$3K |
| 84460 |
|
401 |
345 |
$2K |
| 73610 |
|
722 |
633 |
$2K |
| 87075 |
|
292 |
255 |
$2K |
| 86430 |
|
383 |
358 |
$2K |
| 71045 |
|
5,038 |
4,129 |
$2K |
| 82248 |
|
483 |
293 |
$2K |
| 99202 |
|
66 |
63 |
$2K |
| 82805 |
|
68 |
58 |
$2K |
| 72148 |
|
44 |
38 |
$2K |
| 86709 |
|
215 |
188 |
$2K |
| 84146 |
|
105 |
103 |
$2K |
| 96367 |
|
44 |
30 |
$2K |
| 99335 |
|
241 |
211 |
$2K |
| 00170 |
|
32 |
27 |
$2K |
| 87469 |
|
92 |
84 |
$2K |
| 87484 |
|
92 |
84 |
$2K |
| 87468 |
|
92 |
84 |
$2K |
| 12001 |
|
31 |
27 |
$2K |
| 85014 |
|
835 |
711 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
106 |
42 |
$2K |
| 99222 |
|
53 |
51 |
$2K |
| 96375 |
|
10,449 |
7,558 |
$2K |
| 88304 |
|
179 |
132 |
$2K |
| A0425 |
Ground mileage |
778 |
703 |
$2K |
| 15275 |
|
59 |
24 |
$2K |
| 82803 |
|
120 |
95 |
$2K |
| 96368 |
|
23 |
14 |
$2K |
| 82565 |
|
189 |
170 |
$1K |
| 73110 |
|
167 |
154 |
$1K |
| G0103 |
Psa screening |
44 |
37 |
$1K |
| 20610 |
|
65 |
45 |
$1K |
| 90723 |
|
376 |
365 |
$1K |
| 86769 |
|
36 |
33 |
$1K |
| 73502 |
|
100 |
86 |
$1K |
| 87420 |
|
79 |
69 |
$1K |
| G0399 |
Home sleep test/type 3 porta |
24 |
24 |
$1K |
| 83615 |
|
258 |
216 |
$1K |
| Q3014 |
Telehealth facility fee |
639 |
458 |
$1K |
| A0426 |
Als 1 |
484 |
456 |
$1K |
| 90837 |
|
298 |
187 |
$989.96 |
| 70551 |
|
15 |
13 |
$988.18 |
| 90647 |
|
279 |
275 |
$907.68 |
| 73562 |
|
70 |
59 |
$843.49 |
| 99243 |
|
13 |
13 |
$842.23 |
| 86480 |
|
15 |
15 |
$841.10 |
| 94060 |
|
29 |
26 |
$825.67 |
| 86787 |
|
122 |
95 |
$811.93 |
| 83001 |
|
46 |
45 |
$805.20 |
| 90680 |
|
231 |
225 |
$749.04 |
| 84100 |
|
309 |
192 |
$748.11 |
| 96376 |
|
2,526 |
1,582 |
$706.76 |
| 87338 |
|
29 |
24 |
$684.99 |
| 92567 |
|
39 |
39 |
$672.95 |
| 73130 |
|
201 |
184 |
$629.08 |
| 84550 |
|
213 |
181 |
$627.54 |
| 85060 |
|
40 |
36 |
$614.35 |
| 99334 |
|
64 |
59 |
$588.79 |
| 90471 |
|
271 |
206 |
$561.95 |
| 94726 |
|
43 |
38 |
$561.42 |
| 82105 |
|
40 |
37 |
$523.52 |
| U0001 |
2019-ncov diagnostic p |
15 |
15 |
$447.89 |
| 36591 |
|
141 |
85 |
$432.12 |
| 87661 |
|
13 |
12 |
$431.59 |
| 64615 |
|
14 |
13 |
$430.29 |
| 76536 |
|
15 |
12 |
$418.39 |
| 92507 |
|
31 |
12 |
$414.12 |
| Q4133 |
Grafix stravix prime pl sqcm |
342 |
65 |
$366.39 |
| 82570 |
|
85 |
82 |
$360.58 |
| 95004 |
|
13 |
12 |
$351.90 |
| 76700 |
|
14 |
14 |
$323.86 |
| 90715 |
|
82 |
65 |
$320.42 |
| 70486 |
|
18 |
13 |
$313.23 |
| 94729 |
|
29 |
26 |
$310.83 |
| 97161 |
|
44 |
38 |
$308.63 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,900 |
5,071 |
$305.13 |
| 90633 |
|
90 |
89 |
$296.09 |
| 99443 |
|
26 |
14 |
$282.24 |
| 94760 |
|
73 |
62 |
$269.16 |
| 88112 |
|
15 |
12 |
$224.41 |
| 97163 |
|
27 |
27 |
$223.28 |
| 17110 |
|
14 |
12 |
$221.09 |
| 85384 |
|
33 |
31 |
$203.98 |
| 82553 |
|
37 |
31 |
$158.46 |
| J0134 |
Inj acetaminophen -fresenius |
76 |
67 |
$158.07 |
| 90700 |
|
45 |
45 |
$147.89 |
| 90685 |
|
46 |
44 |
$145.83 |
| Q9957 |
Inj perflutren lip micros,ml |
124 |
116 |
$136.34 |
| 90630 |
|
128 |
109 |
$121.60 |
| 84450 |
|
27 |
24 |
$117.42 |
| J1170 |
Hydromorphone injection |
2,857 |
1,990 |
$101.81 |
| 73564 |
|
283 |
241 |
$99.21 |
| A9577 |
Inj multihance |
499 |
351 |
$93.86 |
| 82977 |
|
18 |
13 |
$92.24 |
| 90651 |
|
34 |
25 |
$91.33 |
| G0008 |
Admin influenza virus vac |
1,085 |
801 |
$80.57 |
| 36592 |
|
55 |
28 |
$68.38 |
| 86308 |
|
14 |
13 |
$67.93 |
| G2211 |
Complex e/m visit add on |
62 |
61 |
$55.29 |
| J1100 |
Dexamethasone sodium phos |
8,554 |
6,793 |
$50.82 |
| 90734 |
|
18 |
14 |
$50.48 |
| 90832 |
|
25 |
15 |
$46.76 |
| J7050 |
Normal saline solution infus |
1,433 |
796 |
$43.00 |
| J1885 |
Ketorolac tromethamine inj |
8,929 |
6,949 |
$42.83 |
| J3010 |
Fentanyl citrate injection |
5,795 |
4,624 |
$41.30 |
| P9604 |
One-way allow prorated trip |
557 |
301 |
$40.75 |
| 84156 |
|
16 |
13 |
$38.05 |
| 77063 |
|
29 |
26 |
$36.80 |
| 96127 |
|
48 |
35 |
$36.55 |
| 74019 |
|
51 |
36 |
$32.88 |
| 36000 |
|
1,105 |
976 |
$32.43 |
| 81015 |
|
14 |
12 |
$31.42 |
| J2270 |
Morphine sulfate injection |
1,758 |
1,379 |
$25.51 |
| A9270 |
Non-covered item or service |
6,306 |
3,501 |
$19.79 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
153 |
147 |
$18.92 |
| J2704 |
Inj, propofol, 10 mg |
2,401 |
1,908 |
$15.37 |
| 90656 |
|
40 |
26 |
$15.25 |
| 36416 |
|
792 |
627 |
$9.18 |
| J2405 |
Ondansetron hcl injection |
9,147 |
6,844 |
$8.31 |
| 69209 |
|
16 |
13 |
$7.66 |
| J0690 |
Cefazolin sodium injection |
1,544 |
1,127 |
$4.42 |
| J2250 |
Inj midazolam hydrochloride |
3,181 |
2,554 |
$3.93 |
| J1030 |
Methylprednisolone 40 mg inj |
29 |
25 |
$2.48 |
| J1200 |
Diphenhydramine hcl injectio |
2,861 |
2,125 |
$1.90 |
| J2060 |
Lorazepam injection |
358 |
249 |
$1.42 |
| J0780 |
Prochlorperazine injection |
869 |
674 |
$1.37 |
| J7030 |
Normal saline solution infus |
3,007 |
2,364 |
$1.11 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
300 |
264 |
$0.78 |
| J0696 |
Ceftriaxone sodium injection |
956 |
647 |
$0.43 |
| A9585 |
Gadobutrol injection |
216 |
125 |
$0.18 |
| J7120 |
Ringers lactate infusion |
1,263 |
944 |
$0.04 |
| C9113 |
Inj pantoprazole sodium, via |
53 |
38 |
$0.00 |
| D1110 |
|
168 |
156 |
$0.00 |
| J7040 |
Normal saline solution infus |
629 |
443 |
$0.00 |
| D0220 |
|
84 |
77 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
29 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
32 |
27 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
169 |
129 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
124 |
92 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
409 |
283 |
$0.00 |
| 90662 |
|
114 |
104 |
$0.00 |
| J2930 |
Methylprednisolone injection |
192 |
153 |
$0.00 |
| G8990 |
Other pt/ot current status |
57 |
53 |
$0.00 |
| D0274 |
|
68 |
62 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
50 |
37 |
$0.00 |
| D2150 |
|
87 |
55 |
$0.00 |
| D1120 |
|
91 |
87 |
$0.00 |
| D9110 |
|
22 |
20 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
31 |
12 |
$0.00 |
| D2140 |
|
84 |
48 |
$0.00 |
| G9226 |
3 comp foot exam completed |
876 |
803 |
$0.00 |
| D4355 |
|
16 |
15 |
$0.00 |
| D0210 |
|
71 |
67 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
796 |
668 |
$0.00 |
| D0140 |
|
99 |
91 |
$0.00 |
| J3490 |
Drugs unclassified injection |
335 |
275 |
$0.00 |
| 90674 |
|
236 |
192 |
$0.00 |
| J7060 |
5% dextrose/water |
117 |
78 |
$0.00 |
| A0434 |
Specialty care transport |
76 |
66 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
284 |
221 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
76 |
58 |
$0.00 |
| J1790 |
Droperidol injection |
30 |
24 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
398 |
171 |
$0.00 |
| G8991 |
Other pt/ot goal status |
61 |
57 |
$0.00 |
| D2160 |
|
21 |
16 |
$0.00 |
| 91301 |
|
423 |
402 |
$0.00 |
| D0150 |
|
71 |
68 |
$0.00 |
| J3420 |
Vitamin b12 injection |
21 |
12 |
$0.00 |
| D2161 |
|
13 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
158 |
129 |
$0.00 |
| D2330 |
|
36 |
16 |
$0.00 |
| D0120 |
|
125 |
117 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
36 |
26 |
$0.00 |
| A0428 |
Bls |
13 |
13 |
$0.00 |
| D2331 |
|
33 |
22 |
$0.00 |
| D1206 |
|
250 |
235 |
$0.00 |
| P9612 |
Catheterize for urine spec |
13 |
12 |
$0.00 |
| D0272 |
|
30 |
30 |
$0.00 |
| D7140 |
|
60 |
40 |
$0.00 |
| D2335 |
|
17 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
16 |
15 |
$0.00 |
| D1351 |
|
169 |
32 |
$0.00 |