| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,659 |
11,518 |
$1.24M |
| 99283 |
|
7,355 |
6,551 |
$785K |
| 99285 |
|
3,807 |
3,386 |
$578K |
| G0463 |
Hospital outpt clinic visit |
12,338 |
10,039 |
$435K |
| 99232 |
|
8,350 |
2,321 |
$325K |
| 96374 |
|
2,746 |
2,323 |
$214K |
| 74177 |
|
2,378 |
2,119 |
$177K |
| 96365 |
|
2,905 |
1,611 |
$176K |
| 93306 |
|
906 |
849 |
$133K |
| 71046 |
|
6,695 |
5,910 |
$124K |
| 99282 |
|
1,541 |
1,422 |
$103K |
| 90792 |
|
1,481 |
1,356 |
$100K |
| 96361 |
|
2,880 |
2,333 |
$75K |
| 77067 |
|
2,654 |
2,568 |
$75K |
| 96375 |
|
2,266 |
1,641 |
$55K |
| 96360 |
|
750 |
663 |
$53K |
| 99213 |
|
2,412 |
2,182 |
$48K |
| 87635 |
|
1,633 |
1,394 |
$46K |
| 99238 |
|
1,134 |
1,069 |
$44K |
| 84443 |
|
8,104 |
7,358 |
$42K |
| 99214 |
|
1,275 |
1,137 |
$39K |
| 85025 |
|
23,802 |
18,877 |
$38K |
| 20610 |
|
831 |
725 |
$36K |
| 87637 |
|
599 |
536 |
$36K |
| 70450 |
|
2,006 |
1,758 |
$35K |
| 99233 |
Prolong inpt eval add15 m |
601 |
423 |
$33K |
| 43239 |
|
197 |
172 |
$33K |
| 80061 |
|
7,909 |
7,340 |
$33K |
| 93005 |
|
5,084 |
4,345 |
$32K |
| 80048 |
|
19,911 |
16,138 |
$31K |
| 71045 |
|
2,444 |
2,032 |
$30K |
| 77063 |
|
2,140 |
2,061 |
$29K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,161 |
1,077 |
$28K |
| 45380 |
|
136 |
119 |
$28K |
| 87426 |
|
1,363 |
1,179 |
$25K |
| 82306 |
|
2,221 |
2,067 |
$25K |
| 72148 |
|
253 |
221 |
$24K |
| 0241U |
|
349 |
314 |
$24K |
| 97530 |
|
1,131 |
235 |
$24K |
| 36415 |
|
35,017 |
26,484 |
$22K |
| 80053 |
|
7,263 |
6,100 |
$20K |
| 99281 |
|
530 |
489 |
$19K |
| 93010 |
|
5,876 |
4,601 |
$19K |
| 92507 |
|
479 |
116 |
$16K |
| 83036 |
|
6,575 |
6,076 |
$16K |
| 80076 |
|
10,936 |
9,456 |
$16K |
| 99239 |
|
277 |
265 |
$16K |
| 99231 |
|
611 |
209 |
$13K |
| 94060 |
|
238 |
226 |
$13K |
| 99204 |
|
289 |
256 |
$12K |
| 83721 |
|
4,074 |
3,586 |
$12K |
| 96372 |
|
2,120 |
1,681 |
$11K |
| 82607 |
|
2,318 |
2,155 |
$10K |
| 73030 |
|
901 |
761 |
$10K |
| 82728 |
|
2,258 |
2,000 |
$9K |
| 71250 |
|
309 |
281 |
$8K |
| 83550 |
|
2,831 |
2,593 |
$7K |
| 99212 |
|
716 |
626 |
$7K |
| 71260 |
|
114 |
103 |
$7K |
| 84439 |
|
2,110 |
1,910 |
$7K |
| 99203 |
|
171 |
162 |
$6K |
| 74176 |
|
78 |
68 |
$6K |
| 76705 |
|
178 |
155 |
$5K |
| 86140 |
|
5,826 |
4,910 |
$5K |
| 90833 |
|
384 |
148 |
$5K |
| 99000 |
|
1,569 |
1,371 |
$5K |
| 72100 |
|
206 |
185 |
$5K |
| 82746 |
|
981 |
906 |
$5K |
| 87088 |
|
2,840 |
2,488 |
$5K |
| 96366 |
|
96 |
63 |
$4K |
| G0480 |
Drug test def 1-7 classes |
865 |
703 |
$4K |
| 83540 |
|
2,120 |
1,982 |
$4K |
| 80306 |
|
1,703 |
1,489 |
$4K |
| 83735 |
|
4,363 |
3,455 |
$4K |
| 96413 |
|
49 |
30 |
$4K |
| 99202 |
|
179 |
177 |
$3K |
| 84460 |
|
2,238 |
2,023 |
$3K |
| 84450 |
|
2,251 |
2,035 |
$3K |
| 83880 |
|
1,182 |
952 |
$3K |
| 88305 |
|
1,213 |
1,096 |
$3K |
| 87631 |
|
118 |
114 |
$3K |
| 85651 |
|
2,316 |
2,004 |
$3K |
| 85610 |
|
3,414 |
1,872 |
$3K |
| 73562 |
|
258 |
213 |
$3K |
| 87186 |
|
1,431 |
1,267 |
$2K |
| 93017 |
|
53 |
48 |
$2K |
| 81001 |
|
5,619 |
4,869 |
$2K |
| 82043 |
|
2,044 |
1,896 |
$2K |
| 87070 |
|
416 |
381 |
$2K |
| 87077 |
|
1,680 |
1,502 |
$2K |
| 87804 |
|
529 |
493 |
$2K |
| 87880 |
|
495 |
453 |
$2K |
| 73630 |
|
228 |
193 |
$2K |
| 81025 |
|
1,367 |
1,235 |
$2K |
| 93226 |
|
75 |
64 |
$2K |
| 73502 |
|
197 |
175 |
$2K |
| 73610 |
|
174 |
150 |
$2K |
| 87491 |
|
119 |
118 |
$2K |
| 82570 |
|
1,256 |
1,088 |
$2K |
| 83690 |
|
2,778 |
2,377 |
$1K |
| 84153 |
|
261 |
228 |
$1K |
| 85027 |
|
598 |
515 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
493 |
453 |
$1K |
| 86900 |
|
31 |
26 |
$1K |
| 90853 |
|
72 |
31 |
$1K |
| 99024 |
|
96 |
86 |
$1K |
| 87591 |
|
71 |
70 |
$1K |
| 76856 |
|
27 |
24 |
$1K |
| 81002 |
|
815 |
758 |
$908.56 |
| 71275 |
|
16 |
15 |
$698.30 |
| 87205 |
|
354 |
326 |
$690.68 |
| 76642 |
|
29 |
26 |
$592.35 |
| Q3014 |
Telehealth facility fee |
54 |
53 |
$544.79 |
| 93971 |
|
14 |
14 |
$519.82 |
| 81003 |
|
1,464 |
1,351 |
$399.46 |
| G0103 |
Psa screening |
56 |
52 |
$394.97 |
| 99211 |
|
26 |
24 |
$316.08 |
| 83615 |
|
240 |
201 |
$294.89 |
| 73564 |
|
13 |
12 |
$291.69 |
| 85379 |
|
369 |
316 |
$285.73 |
| 94726 |
|
81 |
79 |
$271.16 |
| 83655 |
|
21 |
21 |
$259.77 |
| 87086 |
|
220 |
201 |
$244.81 |
| 94640 |
|
661 |
566 |
$241.34 |
| 72070 |
|
15 |
13 |
$201.78 |
| 94729 |
|
100 |
98 |
$199.48 |
| 84100 |
|
147 |
131 |
$165.18 |
| 72125 |
|
12 |
12 |
$161.16 |
| 82565 |
|
165 |
155 |
$157.61 |
| 82550 |
|
523 |
497 |
$152.73 |
| 86803 |
|
29 |
26 |
$132.35 |
| 99441 |
|
12 |
12 |
$130.79 |
| 87075 |
|
15 |
12 |
$119.71 |
| 82274 |
|
41 |
39 |
$102.25 |
| 87081 |
|
54 |
51 |
$100.81 |
| 93227 |
|
14 |
12 |
$95.30 |
| 93225 |
|
28 |
24 |
$93.48 |
| 84484 |
|
2,339 |
1,891 |
$81.22 |
| T1015 |
Clinic service |
24 |
18 |
$78.65 |
| J2704 |
Inj, propofol, 10 mg |
2,378 |
1,995 |
$69.73 |
| J0690 |
Cefazolin sodium injection |
157 |
119 |
$64.39 |
| 87040 |
|
390 |
263 |
$61.92 |
| A9577 |
Inj multihance |
175 |
164 |
$60.92 |
| 87390 |
|
14 |
14 |
$52.00 |
| 73130 |
|
14 |
12 |
$46.23 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,060 |
1,728 |
$44.76 |
| 86702 |
|
14 |
14 |
$43.16 |
| 86701 |
|
14 |
14 |
$35.92 |
| 83605 |
|
673 |
585 |
$35.26 |
| A4206 |
1 cc sterile syringe&needle |
412 |
381 |
$28.83 |
| 82150 |
|
16 |
13 |
$25.48 |
| J7120 |
Ringers lactate infusion |
1,142 |
886 |
$24.32 |
| J2001 |
Lidocaine injection |
2,327 |
1,934 |
$22.72 |
| 87340 |
|
13 |
13 |
$20.89 |
| J1885 |
Ketorolac tromethamine inj |
1,886 |
1,616 |
$18.60 |
| 82948 |
|
409 |
284 |
$17.68 |
| 85018 |
|
14 |
13 |
$14.52 |
| 84550 |
|
39 |
37 |
$13.33 |
| 90471 |
|
13 |
13 |
$11.89 |
| J7040 |
Normal saline solution infus |
679 |
413 |
$8.93 |
| J7030 |
Normal saline solution infus |
1,739 |
1,351 |
$8.11 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
135 |
126 |
$6.79 |
| Q9969 |
Non-heu tc-99m add-on/dose |
21 |
12 |
$6.00 |
| J0131 |
Inj, acetaminophen (nos) |
504 |
416 |
$4.41 |
| 81015 |
|
17 |
16 |
$3.47 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
14 |
$2.21 |
| J2405 |
Ondansetron hcl injection |
2,203 |
1,780 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
343 |
278 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
16 |
15 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,771 |
1,474 |
$0.00 |
| 88312 |
|
43 |
39 |
$0.00 |
| 94727 |
|
31 |
30 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
32 |
30 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
65 |
54 |
$0.00 |
| 84520 |
|
12 |
12 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 82553 |
|
297 |
283 |
$0.00 |
| J7050 |
Normal saline solution infus |
776 |
369 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,047 |
921 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
671 |
608 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
174 |
121 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
980 |
867 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
99 |
49 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
78 |
74 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
101 |
70 |
$0.00 |
| 80320 |
|
32 |
26 |
$0.00 |
| 86901 |
|
31 |
26 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
34 |
28 |
$0.00 |
| 36416 |
|
21 |
21 |
$0.00 |
| J7060 |
5% dextrose/water |
30 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
18 |
13 |
$0.00 |