| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,318 |
31,028 |
$8.28M |
| 99283 |
|
44,807 |
43,318 |
$6.09M |
| 99285 |
|
4,555 |
4,356 |
$1.77M |
| 99212 |
|
50,882 |
41,519 |
$766K |
| 93303 |
|
1,202 |
1,178 |
$351K |
| 99214 |
|
15,328 |
14,628 |
$348K |
| 99213 |
|
17,916 |
16,026 |
$335K |
| 41899 |
|
535 |
529 |
$315K |
| 93306 |
|
728 |
711 |
$296K |
| G0378 |
Hospital observation per hr |
5,357 |
4,468 |
$288K |
| 59025 |
|
3,387 |
3,060 |
$280K |
| 93005 |
|
8,416 |
7,980 |
$238K |
| 85025 |
|
32,691 |
29,439 |
$217K |
| 99282 |
|
3,101 |
3,041 |
$214K |
| G0379 |
Direct refer hospital observ |
4,293 |
4,062 |
$209K |
| 80048 |
|
24,488 |
23,413 |
$165K |
| 96374 |
|
6,486 |
6,193 |
$155K |
| 93325 |
|
1,302 |
1,271 |
$148K |
| 87502 |
|
2,349 |
2,287 |
$129K |
| 71046 |
|
1,956 |
1,906 |
$126K |
| 87591 |
|
5,447 |
4,948 |
$120K |
| 87491 |
|
5,446 |
4,947 |
$120K |
| 93320 |
|
1,191 |
1,167 |
$114K |
| 84443 |
|
6,955 |
6,535 |
$114K |
| 71045 |
|
3,728 |
3,597 |
$112K |
| 82306 |
|
3,388 |
3,264 |
$104K |
| J3490 |
Drugs unclassified injection |
87,845 |
46,814 |
$102K |
| 81220 |
|
409 |
278 |
$93K |
| 87389 |
|
3,839 |
3,615 |
$90K |
| 80053 |
|
11,158 |
9,384 |
$76K |
| 43239 |
|
360 |
354 |
$68K |
| 83036 |
|
7,291 |
6,865 |
$65K |
| J7030 |
Normal saline solution infus |
6,120 |
5,388 |
$63K |
| 36415 |
|
31,379 |
27,507 |
$60K |
| 90471 |
|
7,372 |
7,075 |
$57K |
| 88305 |
|
609 |
548 |
$57K |
| 70553 |
|
67 |
64 |
$50K |
| 96375 |
|
1,265 |
1,199 |
$50K |
| 96361 |
|
2,124 |
2,020 |
$49K |
| 81025 |
|
6,891 |
6,502 |
$47K |
| 88184 |
|
1,737 |
1,472 |
$44K |
| 96413 |
|
823 |
520 |
$43K |
| 81001 |
|
12,404 |
11,850 |
$43K |
| 95819 |
|
234 |
232 |
$40K |
| 85027 |
|
6,686 |
6,137 |
$39K |
| 95810 |
|
86 |
82 |
$37K |
| 84439 |
|
3,832 |
3,678 |
$37K |
| 76801 |
|
791 |
746 |
$36K |
| 94060 |
|
269 |
261 |
$34K |
| 87631 |
|
526 |
513 |
$33K |
| 94760 |
|
2,854 |
2,795 |
$33K |
| 86850 |
|
2,738 |
2,495 |
$31K |
| 88175 |
|
1,293 |
1,184 |
$31K |
| 80061 |
|
2,706 |
2,493 |
$30K |
| 87635 |
|
610 |
593 |
$29K |
| 87086 |
|
3,595 |
3,296 |
$28K |
| 76770 |
|
195 |
193 |
$27K |
| 88185 |
|
1,737 |
1,472 |
$26K |
| 97802 |
|
447 |
437 |
$25K |
| 99215 |
Prolong outpt/office vis |
798 |
774 |
$23K |
| 70450 |
|
162 |
153 |
$23K |
| 86762 |
|
1,525 |
1,427 |
$22K |
| 86592 |
|
5,557 |
5,166 |
$22K |
| 86787 |
|
1,698 |
1,589 |
$22K |
| 80076 |
|
2,810 |
2,687 |
$22K |
| 97803 |
|
437 |
427 |
$21K |
| 99204 |
|
810 |
778 |
$21K |
| 86800 |
|
1,141 |
1,106 |
$20K |
| 94010 |
|
560 |
550 |
$19K |
| 87536 |
|
1,771 |
1,497 |
$19K |
| 86376 |
|
1,141 |
1,106 |
$17K |
| 83001 |
|
843 |
806 |
$17K |
| 83021 |
|
861 |
808 |
$16K |
| 83002 |
|
839 |
803 |
$16K |
| 84403 |
|
588 |
569 |
$16K |
| 96372 |
|
1,380 |
1,263 |
$16K |
| 86255 |
|
1,176 |
1,134 |
$15K |
| 83516 |
|
1,201 |
1,159 |
$15K |
| 93225 |
|
90 |
86 |
$14K |
| 87340 |
|
1,537 |
1,430 |
$14K |
| 82670 |
|
539 |
501 |
$14K |
| 80306 |
|
911 |
783 |
$14K |
| 87081 |
|
2,209 |
2,103 |
$13K |
| 83655 |
|
1,074 |
997 |
$13K |
| 83690 |
|
2,063 |
1,972 |
$12K |
| 82784 |
|
1,177 |
1,135 |
$12K |
| 81243 |
|
406 |
276 |
$10K |
| 87798 |
|
331 |
328 |
$9K |
| 90472 |
|
924 |
896 |
$9K |
| 82533 |
|
435 |
416 |
$8K |
| 87651 |
|
300 |
298 |
$8K |
| 11042 |
|
264 |
135 |
$7K |
| 86703 |
|
551 |
521 |
$7K |
| 82950 |
|
1,554 |
1,468 |
$7K |
| 99211 |
|
450 |
423 |
$7K |
| 87503 |
|
703 |
683 |
$7K |
| 81003 |
|
2,753 |
2,616 |
$7K |
| 87880 |
|
509 |
496 |
$7K |
| 90715 |
|
1,406 |
1,345 |
$6K |
| 69436 |
|
26 |
26 |
$5K |
| 86803 |
|
366 |
331 |
$5K |
| J1439 |
Inj ferric carboxymaltos 1mg |
42 |
38 |
$5K |
| 99281 |
|
118 |
115 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,244 |
1,218 |
$5K |
| 85660 |
|
861 |
808 |
$5K |
| 99203 |
|
201 |
198 |
$5K |
| 83520 |
|
349 |
341 |
$5K |
| 84305 |
|
328 |
321 |
$5K |
| 82657 |
|
231 |
226 |
$5K |
| 90686 |
|
3,813 |
3,587 |
$4K |
| J1756 |
Iron sucrose injection |
24 |
13 |
$4K |
| J7120 |
Ringers lactate infusion |
296 |
268 |
$4K |
| 83525 |
|
275 |
264 |
$3K |
| 87633 |
|
12 |
12 |
$3K |
| 71260 |
|
12 |
12 |
$3K |
| 83540 |
|
478 |
451 |
$3K |
| 94761 |
|
132 |
97 |
$3K |
| 84484 |
|
433 |
394 |
$3K |
| 94640 |
|
73 |
66 |
$3K |
| 82728 |
|
178 |
173 |
$3K |
| G0108 |
Diab manage trn per indiv |
58 |
51 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
141 |
135 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,560 |
1,508 |
$2K |
| 76856 |
|
17 |
17 |
$2K |
| 84445 |
|
36 |
36 |
$2K |
| 86900 |
|
775 |
668 |
$2K |
| 86901 |
|
775 |
668 |
$2K |
| 87624 |
|
90 |
83 |
$2K |
| 88342 |
|
42 |
41 |
$2K |
| 96365 |
|
40 |
27 |
$2K |
| 77336 |
|
29 |
12 |
$2K |
| 76830 |
|
16 |
16 |
$2K |
| 86003 |
|
13 |
12 |
$2K |
| 85652 |
|
572 |
534 |
$2K |
| G0480 |
Drug test def 1-7 classes |
29 |
25 |
$2K |
| 86140 |
|
286 |
266 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
74 |
71 |
$1K |
| 96366 |
|
25 |
14 |
$1K |
| 83735 |
|
206 |
199 |
$1K |
| 99205 |
Prolong outpt/office vis |
32 |
31 |
$1K |
| J2405 |
Ondansetron hcl injection |
922 |
886 |
$1K |
| 85049 |
|
209 |
186 |
$946.98 |
| 95012 |
|
54 |
49 |
$705.44 |
| 85045 |
|
176 |
164 |
$702.85 |
| 85018 |
|
298 |
268 |
$689.15 |
| J1100 |
Dexamethasone sodium phos |
454 |
449 |
$684.10 |
| A9585 |
Gadobutrol injection |
66 |
65 |
$682.35 |
| 85014 |
|
275 |
248 |
$636.05 |
| 84156 |
|
162 |
152 |
$617.90 |
| 82570 |
|
141 |
133 |
$613.34 |
| J2270 |
Morphine sulfate injection |
215 |
212 |
$569.72 |
| 83550 |
|
57 |
54 |
$504.18 |
| 84702 |
|
51 |
43 |
$468.70 |
| J1170 |
Hydromorphone injection |
103 |
91 |
$464.88 |
| 82565 |
|
58 |
52 |
$418.26 |
| 82043 |
|
87 |
82 |
$415.29 |
| 76817 |
|
26 |
24 |
$409.41 |
| 87486 |
|
12 |
12 |
$385.08 |
| 87581 |
|
12 |
12 |
$385.08 |
| J3010 |
Fentanyl citrate injection |
243 |
232 |
$304.43 |
| 83615 |
|
177 |
158 |
$270.46 |
| 90670 |
|
148 |
144 |
$215.71 |
| 84480 |
|
12 |
12 |
$212.04 |
| J2001 |
Lidocaine injection |
183 |
177 |
$170.11 |
| 82248 |
|
45 |
42 |
$166.00 |
| 81050 |
|
25 |
25 |
$95.72 |
| 83880 |
|
12 |
12 |
$88.84 |
| 90474 |
|
15 |
15 |
$83.58 |
| 82962 |
|
12 |
12 |
$17.52 |
| J1642 |
Inj heparin sodium per 10 u |
340 |
175 |
$17.40 |
| 84550 |
|
181 |
159 |
$13.16 |
| G0008 |
Admin influenza virus vac |
152 |
128 |
$6.50 |
| 84450 |
|
59 |
53 |
$0.00 |
| 81401 |
|
60 |
58 |
$0.00 |
| 90681 |
|
27 |
27 |
$0.00 |
| 82642 |
|
315 |
199 |
$0.00 |
| Q0111 |
Wet mounts/ w preparations |
182 |
171 |
$0.00 |
| 90647 |
|
63 |
62 |
$0.00 |
| 90723 |
|
41 |
41 |
$0.00 |
| J7050 |
Normal saline solution infus |
22 |
13 |
$0.00 |