| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
22,431 |
21,616 |
$3.43M |
| 99283 |
|
16,946 |
16,463 |
$1.99M |
| T1015 |
Clinic service |
31,529 |
8,450 |
$1.30M |
| 99285 |
|
3,357 |
3,250 |
$496K |
| 99213 |
|
4,977 |
3,487 |
$346K |
| G0378 |
Hospital observation per hr |
433 |
336 |
$345K |
| X0621 |
|
1,277 |
760 |
$292K |
| 87637 |
|
2,354 |
2,251 |
$229K |
| 80053 |
|
19,591 |
18,400 |
$198K |
| 99395 |
|
465 |
463 |
$178K |
| T1001 |
Nursing assessment/evaluatn |
1,017 |
1,005 |
$167K |
| 74177 |
|
1,103 |
1,081 |
$152K |
| 99282 |
|
2,728 |
2,661 |
$137K |
| H0004 |
Alcohol and/or drug services |
3,412 |
3,157 |
$125K |
| 85025 |
|
21,076 |
19,696 |
$106K |
| 80307 |
|
1,933 |
1,863 |
$103K |
| 77067 |
|
827 |
825 |
$70K |
| 96374 |
|
3,426 |
3,272 |
$68K |
| 76816 |
|
1,314 |
1,277 |
$61K |
| U0003 |
Cov-19 amp prb hgh thruput |
807 |
800 |
$59K |
| 99212 |
|
1,149 |
1,083 |
$59K |
| 99429 |
|
252 |
252 |
$57K |
| G0480 |
Drug test def 1-7 classes |
969 |
891 |
$51K |
| 80061 |
|
3,611 |
3,581 |
$51K |
| 84443 |
|
2,087 |
2,067 |
$50K |
| 93005 |
|
6,215 |
5,988 |
$50K |
| 93306 |
|
626 |
622 |
$50K |
| 99211 |
|
796 |
697 |
$48K |
| 70450 |
|
942 |
913 |
$47K |
| S9470 |
Nutritional counseling, diet |
2,667 |
2,270 |
$47K |
| 82306 |
|
1,030 |
1,023 |
$42K |
| 87389 |
|
1,640 |
1,624 |
$41K |
| 76805 |
|
719 |
714 |
$39K |
| 76830 |
|
763 |
759 |
$37K |
| 86780 |
|
2,364 |
2,331 |
$37K |
| 80050 |
|
951 |
946 |
$37K |
| 87491 |
|
1,364 |
1,321 |
$32K |
| 86803 |
|
1,555 |
1,535 |
$32K |
| 87653 |
|
693 |
690 |
$31K |
| 84703 |
|
3,263 |
3,163 |
$30K |
| 71260 |
|
450 |
437 |
$30K |
| 93975 |
|
273 |
263 |
$29K |
| 71045 |
|
4,505 |
4,359 |
$29K |
| 74176 |
|
396 |
390 |
$27K |
| 76801 |
|
590 |
576 |
$25K |
| 97162 |
|
426 |
418 |
$25K |
| 96365 |
|
820 |
697 |
$24K |
| 72148 |
|
143 |
143 |
$24K |
| 87631 |
|
169 |
166 |
$23K |
| 97164 |
|
610 |
600 |
$23K |
| 76700 |
|
410 |
409 |
$22K |
| 84484 |
|
2,336 |
2,155 |
$20K |
| 96375 |
|
1,705 |
1,514 |
$20K |
| 96413 |
|
238 |
144 |
$19K |
| 96372 |
|
1,632 |
1,386 |
$19K |
| 77063 |
|
813 |
811 |
$18K |
| 87591 |
|
941 |
920 |
$18K |
| 87661 |
|
564 |
552 |
$17K |
| 71046 |
|
1,219 |
1,201 |
$16K |
| 90715 |
|
1,311 |
1,270 |
$15K |
| 86762 |
|
977 |
968 |
$15K |
| 84702 |
|
855 |
768 |
$14K |
| 87086 |
|
2,160 |
2,067 |
$14K |
| 72125 |
|
252 |
250 |
$14K |
| 87635 |
|
468 |
450 |
$14K |
| 76536 |
|
262 |
260 |
$13K |
| 83021 |
|
812 |
805 |
$12K |
| 86787 |
|
873 |
867 |
$12K |
| 85027 |
|
1,499 |
1,481 |
$12K |
| 76705 |
|
327 |
320 |
$11K |
| 87340 |
|
902 |
895 |
$10K |
| 81001 |
|
4,170 |
4,001 |
$10K |
| 76642 |
|
248 |
232 |
$10K |
| 96361 |
|
1,371 |
1,263 |
$10K |
| 76856 |
|
236 |
231 |
$10K |
| 86850 |
|
1,475 |
1,442 |
$10K |
| 83036 |
|
1,415 |
1,409 |
$10K |
| 81003 |
|
3,529 |
3,401 |
$9K |
| 59426 |
|
12 |
12 |
$9K |
| 84466 |
|
525 |
520 |
$9K |
| 82728 |
|
722 |
712 |
$9K |
| 76817 |
|
163 |
151 |
$8K |
| 97168 |
|
225 |
220 |
$8K |
| 76815 |
|
217 |
201 |
$8K |
| 83690 |
|
2,033 |
1,950 |
$8K |
| 93017 |
|
195 |
195 |
$7K |
| 72110 |
|
384 |
381 |
$7K |
| 73564 |
|
340 |
320 |
$7K |
| 97161 |
|
121 |
118 |
$7K |
| 82950 |
|
925 |
915 |
$7K |
| 80048 |
|
725 |
699 |
$6K |
| 71250 |
|
135 |
134 |
$6K |
| 86706 |
|
505 |
499 |
$6K |
| 76819 |
|
116 |
72 |
$6K |
| 96360 |
|
245 |
235 |
$6K |
| 83880 |
|
259 |
247 |
$6K |
| 82607 |
|
399 |
398 |
$5K |
| 84439 |
|
643 |
638 |
$5K |
| 83540 |
|
611 |
604 |
$5K |
| 86901 |
|
1,512 |
1,473 |
$5K |
| 86900 |
|
1,512 |
1,473 |
$5K |
| 87880 |
|
521 |
516 |
$5K |
| 97165 |
|
78 |
78 |
$4K |
| 84153 |
|
183 |
183 |
$4K |
| 85379 |
|
474 |
461 |
$4K |
| 73030 |
|
277 |
265 |
$4K |
| 86696 |
|
200 |
199 |
$4K |
| 90471 |
|
385 |
371 |
$4K |
| 83735 |
|
651 |
627 |
$4K |
| 36415 |
|
2,542 |
2,264 |
$4K |
| 94729 |
|
131 |
131 |
$4K |
| 72141 |
|
14 |
14 |
$3K |
| 83605 |
|
529 |
496 |
$3K |
| 86038 |
|
211 |
209 |
$3K |
| 84146 |
|
124 |
123 |
$3K |
| 82043 |
|
416 |
413 |
$3K |
| 93970 |
|
42 |
41 |
$3K |
| 95810 |
|
12 |
12 |
$3K |
| 82947 |
|
1,186 |
1,091 |
$3K |
| 82570 |
|
436 |
429 |
$3K |
| 73610 |
|
199 |
192 |
$3K |
| 86618 |
|
130 |
130 |
$3K |
| 73630 |
|
293 |
277 |
$3K |
| 76770 |
|
72 |
70 |
$3K |
| 93971 |
|
44 |
44 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
67 |
67 |
$3K |
| 85610 |
|
844 |
780 |
$3K |
| 81025 |
|
636 |
628 |
$3K |
| 93976 |
|
28 |
28 |
$2K |
| 97110 |
|
53 |
13 |
$2K |
| 84403 |
|
74 |
74 |
$2K |
| 73130 |
|
182 |
165 |
$2K |
| 74018 |
|
156 |
152 |
$2K |
| 87040 |
|
140 |
135 |
$2K |
| 87077 |
|
310 |
298 |
$2K |
| 83525 |
|
166 |
164 |
$2K |
| 87186 |
|
283 |
272 |
$2K |
| 94726 |
|
76 |
76 |
$2K |
| 93296 |
|
195 |
192 |
$2K |
| 83721 |
|
144 |
144 |
$2K |
| 86695 |
|
126 |
125 |
$2K |
| 83655 |
|
148 |
145 |
$2K |
| 83001 |
|
87 |
86 |
$2K |
| J7030 |
Normal saline solution infus |
4,231 |
3,878 |
$2K |
| 85652 |
|
476 |
473 |
$1K |
| 82805 |
|
71 |
67 |
$1K |
| 93226 |
|
36 |
36 |
$1K |
| 80074 |
|
25 |
25 |
$1K |
| 76870 |
|
28 |
28 |
$1K |
| 82784 |
|
61 |
59 |
$1K |
| 70486 |
|
16 |
16 |
$1K |
| 73110 |
|
93 |
88 |
$935.20 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$921.46 |
| 86431 |
|
112 |
112 |
$909.06 |
| 86140 |
|
300 |
298 |
$890.75 |
| 82248 |
|
110 |
95 |
$838.61 |
| J7120 |
Ringers lactate infusion |
3,740 |
3,185 |
$835.94 |
| 94010 |
|
116 |
116 |
$806.25 |
| 83002 |
|
44 |
43 |
$775.54 |
| 82746 |
|
64 |
63 |
$744.05 |
| 82247 |
|
96 |
75 |
$743.12 |
| 72050 |
|
27 |
27 |
$716.78 |
| 85730 |
|
122 |
118 |
$706.32 |
| 82550 |
|
107 |
101 |
$697.80 |
| 80076 |
|
78 |
76 |
$666.53 |
| 93225 |
|
37 |
37 |
$647.64 |
| 84436 |
|
64 |
64 |
$618.41 |
| 82962 |
|
472 |
447 |
$618.19 |
| 73502 |
|
41 |
40 |
$609.99 |
| J1885 |
Ketorolac tromethamine inj |
5,869 |
5,555 |
$578.17 |
| 87804 |
|
26 |
15 |
$578.05 |
| 84480 |
|
72 |
72 |
$573.25 |
| 76775 |
|
12 |
12 |
$513.95 |
| G0008 |
Admin influenza virus vac |
43 |
43 |
$466.48 |
| 86225 |
|
27 |
27 |
$401.07 |
| 85007 |
|
81 |
81 |
$398.91 |
| 74022 |
|
16 |
16 |
$344.03 |
| 82670 |
|
15 |
15 |
$342.74 |
| 82951 |
|
24 |
24 |
$330.88 |
| 86617 |
|
15 |
15 |
$323.29 |
| 84550 |
|
53 |
53 |
$312.51 |
| J1100 |
Dexamethasone sodium phos |
2,519 |
2,265 |
$292.03 |
| 86235 |
|
15 |
15 |
$290.08 |
| 84481 |
|
14 |
13 |
$243.81 |
| 72170 |
|
29 |
29 |
$228.90 |
| 86704 |
|
13 |
13 |
$227.70 |
| C9803 |
Hopd covid-19 spec collect |
28 |
26 |
$219.13 |
| J2704 |
Inj, propofol, 10 mg |
1,827 |
1,666 |
$211.48 |
| G2066 |
Inter devc remote 30d |
14 |
13 |
$211.22 |
| J3010 |
Fentanyl citrate injection |
2,313 |
2,170 |
$206.59 |
| J2405 |
Ondansetron hcl injection |
4,075 |
3,710 |
$202.29 |
| 86039 |
|
12 |
12 |
$194.94 |
| 82150 |
|
40 |
39 |
$181.29 |
| 86769 |
|
12 |
12 |
$179.88 |
| 86708 |
|
12 |
12 |
$171.69 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,191 |
2,085 |
$166.92 |
| 84100 |
|
28 |
27 |
$153.04 |
| J2060 |
Lorazepam injection |
268 |
215 |
$145.49 |
| J1170 |
Hydromorphone injection |
442 |
368 |
$105.05 |
| J2765 |
Metoclopramide hcl injection |
798 |
770 |
$100.78 |
| 84425 |
|
13 |
13 |
$90.43 |
| J0696 |
Ceftriaxone sodium injection |
179 |
175 |
$87.06 |
| J7050 |
Normal saline solution infus |
985 |
655 |
$86.30 |
| J2250 |
Inj midazolam hydrochloride |
1,617 |
1,519 |
$84.19 |
| J2270 |
Morphine sulfate injection |
222 |
199 |
$76.27 |
| J1200 |
Diphenhydramine hcl injectio |
905 |
814 |
$70.42 |
| 85045 |
|
14 |
13 |
$58.96 |
| 88142 |
|
13 |
13 |
$54.24 |
| 94760 |
|
26 |
24 |
$53.97 |
| 88305 |
|
27 |
27 |
$51.93 |
| A9270 |
Non-covered item or service |
3,193 |
1,500 |
$31.49 |
| J7510 |
Prednisolone oral per 5 mg |
60 |
60 |
$13.11 |
| J7620 |
Albuterol ipratrop non-comp |
100 |
86 |
$7.76 |
| J1750 |
Inj iron dextran |
238 |
214 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
169 |
142 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
160 |
150 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
16 |
12 |
$0.00 |
| J1756 |
Iron sucrose injection |
237 |
126 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
84 |
78 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
38 |
$0.00 |
| J7040 |
Normal saline solution infus |
178 |
143 |
$0.00 |
| J2930 |
Methylprednisolone injection |
79 |
71 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
212 |
198 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
192 |
163 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
85 |
78 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |