| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,068 |
13,662 |
$865K |
| 99214 |
|
6,260 |
5,694 |
$853K |
| 99211 |
|
4,818 |
4,429 |
$640K |
| 90792 |
|
1,656 |
1,579 |
$584K |
| 99284 |
|
5,616 |
5,470 |
$504K |
| 99285 |
|
2,819 |
2,739 |
$352K |
| H0013 |
Alcohol and/or drug services |
309 |
281 |
$283K |
| 90837 |
|
1,243 |
1,208 |
$192K |
| G0378 |
Hospital observation per hr |
651 |
301 |
$188K |
| 99213 |
|
1,959 |
1,836 |
$185K |
| 87502 |
|
1,470 |
1,449 |
$129K |
| 87635 |
|
2,647 |
2,545 |
$89K |
| 87634 |
|
1,437 |
1,420 |
$83K |
| 99215 |
Prolong outpt/office vis |
419 |
395 |
$73K |
| 80053 |
|
6,911 |
6,410 |
$61K |
| 74177 |
|
392 |
380 |
$57K |
| 43239 |
|
307 |
305 |
$49K |
| T1015 |
Clinic service |
3,108 |
2,443 |
$48K |
| 87426 |
|
1,489 |
1,382 |
$45K |
| 74176 |
|
498 |
484 |
$41K |
| 85025 |
|
8,014 |
7,101 |
$35K |
| 80307 |
|
685 |
670 |
$35K |
| 70450 |
|
431 |
420 |
$24K |
| 96374 |
|
949 |
913 |
$21K |
| C9803 |
Hopd covid-19 spec collect |
2,638 |
2,605 |
$19K |
| 96372 |
|
1,556 |
1,303 |
$16K |
| 87811 |
|
1,217 |
1,194 |
$14K |
| 11042 |
|
694 |
342 |
$13K |
| 83735 |
|
1,972 |
1,890 |
$12K |
| 71046 |
|
890 |
861 |
$10K |
| 83690 |
|
2,082 |
2,001 |
$9K |
| 82150 |
|
1,966 |
1,890 |
$8K |
| 99282 |
|
250 |
246 |
$8K |
| 93005 |
|
1,133 |
1,072 |
$8K |
| 11721 |
|
550 |
545 |
$7K |
| 99212 |
|
81 |
80 |
$7K |
| 45380 |
|
34 |
34 |
$7K |
| 97597 |
|
479 |
258 |
$7K |
| 88305 |
|
971 |
905 |
$7K |
| 99281 |
|
325 |
320 |
$6K |
| 51798 |
|
458 |
448 |
$6K |
| 73630 |
|
526 |
463 |
$5K |
| 77067 |
|
67 |
66 |
$5K |
| G0463 |
Hospital outpt clinic visit |
2,252 |
2,010 |
$5K |
| 90834 |
|
348 |
329 |
$5K |
| 85610 |
|
1,444 |
1,370 |
$4K |
| 81025 |
|
1,273 |
1,224 |
$4K |
| 73610 |
|
227 |
205 |
$4K |
| 96375 |
|
346 |
316 |
$4K |
| 96361 |
|
463 |
321 |
$4K |
| 72110 |
|
188 |
186 |
$4K |
| 96127 |
|
1,055 |
1,030 |
$4K |
| 73564 |
|
177 |
159 |
$4K |
| 73130 |
|
276 |
248 |
$3K |
| 92551 |
|
359 |
356 |
$3K |
| 84484 |
|
450 |
416 |
$3K |
| 81001 |
|
1,110 |
1,070 |
$3K |
| 76705 |
|
103 |
103 |
$3K |
| 87086 |
|
399 |
385 |
$2K |
| 99173 |
|
371 |
369 |
$2K |
| 73030 |
|
182 |
171 |
$2K |
| H0034 |
Med trng & support per 15min |
30 |
24 |
$2K |
| 80048 |
|
399 |
323 |
$2K |
| 85730 |
|
366 |
355 |
$2K |
| 81002 |
|
514 |
500 |
$1K |
| 81003 |
|
601 |
575 |
$1K |
| 73110 |
|
130 |
118 |
$1K |
| 36415 |
|
4,923 |
4,099 |
$1K |
| 73502 |
|
56 |
54 |
$915.36 |
| 83036 |
|
188 |
185 |
$906.45 |
| 87186 |
|
115 |
114 |
$720.27 |
| 73560 |
|
41 |
38 |
$654.05 |
| 71045 |
|
112 |
106 |
$544.29 |
| 87150 |
|
29 |
29 |
$514.80 |
| G0008 |
Admin influenza virus vac |
78 |
77 |
$497.10 |
| 82140 |
|
80 |
80 |
$387.00 |
| J7050 |
Normal saline solution infus |
1,949 |
1,546 |
$332.65 |
| 80061 |
|
29 |
29 |
$245.00 |
| J2704 |
Inj, propofol, 10 mg |
967 |
782 |
$240.69 |
| 87430 |
|
34 |
33 |
$212.95 |
| 96360 |
|
15 |
15 |
$208.74 |
| 83605 |
|
46 |
40 |
$185.90 |
| J1885 |
Ketorolac tromethamine inj |
938 |
842 |
$180.65 |
| 87081 |
|
31 |
30 |
$158.60 |
| J7120 |
Ringers lactate infusion |
403 |
280 |
$128.57 |
| J2930 |
Methylprednisolone injection |
51 |
50 |
$92.90 |
| 90460 |
|
43 |
43 |
$88.45 |
| 87075 |
|
14 |
12 |
$86.00 |
| 84443 |
|
13 |
13 |
$76.59 |
| J0690 |
Cefazolin sodium injection |
96 |
84 |
$68.56 |
| J1100 |
Dexamethasone sodium phos |
272 |
237 |
$65.01 |
| J3010 |
Fentanyl citrate injection |
693 |
546 |
$61.07 |
| 87070 |
|
14 |
12 |
$59.34 |
| 96365 |
|
14 |
12 |
$57.66 |
| J2405 |
Ondansetron hcl injection |
700 |
587 |
$42.43 |
| J2250 |
Inj midazolam hydrochloride |
959 |
751 |
$28.27 |
| J1170 |
Hydromorphone injection |
51 |
38 |
$21.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
241 |
233 |
$20.50 |
| J1644 |
Inj heparin sodium per 1000u |
23 |
12 |
$8.55 |
| 96160 |
|
14 |
14 |
$7.66 |
| J1200 |
Diphenhydramine hcl injectio |
18 |
15 |
$2.85 |
| G0444 |
Depression screen annual |
323 |
321 |
$0.23 |
| 90715 |
|
27 |
27 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
48 |
48 |
$0.00 |
| 90471 |
|
12 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
24 |
24 |
$0.00 |
| 96376 |
|
20 |
13 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
40 |
40 |
$0.00 |
| 90686 |
|
110 |
107 |
$0.00 |