| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,615 |
14,731 |
$3.19M |
| 99283 |
|
16,757 |
14,059 |
$2.19M |
| 99285 |
|
7,129 |
6,045 |
$1.54M |
| 99213 |
|
17,814 |
14,425 |
$705K |
| 96374 |
|
6,130 |
5,053 |
$560K |
| 87502 |
|
6,396 |
5,661 |
$424K |
| 99214 |
|
6,850 |
5,819 |
$411K |
| G0378 |
Hospital observation per hr |
1,113 |
765 |
$393K |
| 96372 |
|
9,815 |
7,529 |
$387K |
| 99282 |
|
4,207 |
3,639 |
$341K |
| 30140 |
|
251 |
194 |
$326K |
| 94640 |
|
3,231 |
1,941 |
$306K |
| 96365 |
|
3,870 |
2,483 |
$304K |
| 97110 |
|
9,032 |
2,203 |
$284K |
| 87635 |
|
7,709 |
6,802 |
$271K |
| 74177 |
|
1,677 |
1,471 |
$250K |
| 99215 |
Prolong outpt/office vis |
2,852 |
2,374 |
$244K |
| 80307 |
|
6,222 |
5,354 |
$242K |
| 96361 |
|
5,076 |
3,747 |
$224K |
| 71046 |
|
5,185 |
4,486 |
$199K |
| 93005 |
|
7,906 |
6,650 |
$183K |
| 74176 |
|
1,764 |
1,534 |
$171K |
| 80053 |
|
26,590 |
20,845 |
$171K |
| 71045 |
|
5,194 |
4,348 |
$158K |
| 30130 |
|
68 |
67 |
$151K |
| 96360 |
|
1,521 |
1,320 |
$144K |
| 85025 |
|
30,152 |
23,451 |
$137K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,134 |
1,928 |
$129K |
| 96375 |
|
5,069 |
3,879 |
$127K |
| 86900 |
|
2,162 |
1,751 |
$127K |
| 43239 |
|
400 |
370 |
$124K |
| 70450 |
|
2,600 |
2,209 |
$108K |
| 73630 |
|
2,687 |
2,194 |
$103K |
| 87651 |
|
3,821 |
3,453 |
$101K |
| 77067 |
|
1,222 |
1,131 |
$95K |
| 88305 |
|
2,027 |
1,336 |
$92K |
| 84443 |
|
8,236 |
7,239 |
$82K |
| G0463 |
Hospital outpt clinic visit |
6,546 |
5,321 |
$81K |
| 36415 |
|
26,347 |
20,031 |
$65K |
| 73562 |
|
1,645 |
1,400 |
$62K |
| G0480 |
Drug test def 1-7 classes |
1,116 |
859 |
$62K |
| 99281 |
|
1,264 |
1,134 |
$56K |
| 87634 |
|
1,025 |
911 |
$55K |
| 74018 |
|
1,242 |
1,034 |
$55K |
| 59025 |
|
533 |
309 |
$52K |
| 83880 |
|
3,014 |
2,517 |
$51K |
| 86850 |
|
1,876 |
1,540 |
$50K |
| 80061 |
|
6,483 |
5,776 |
$50K |
| J3490 |
Drugs unclassified injection |
8,301 |
4,722 |
$46K |
| 73030 |
|
1,142 |
1,017 |
$40K |
| 90471 |
|
1,117 |
1,022 |
$39K |
| 86901 |
|
2,152 |
1,754 |
$39K |
| 73610 |
|
927 |
814 |
$38K |
| 99212 |
|
1,618 |
1,348 |
$36K |
| 90460 |
|
1,855 |
1,189 |
$36K |
| 76700 |
|
585 |
523 |
$34K |
| 83036 |
|
6,200 |
5,582 |
$34K |
| 95810 |
|
55 |
52 |
$33K |
| 81025 |
|
5,267 |
4,541 |
$30K |
| 73130 |
|
684 |
595 |
$28K |
| 69436 |
|
53 |
37 |
$28K |
| U0005 |
Infec agen detec ampli probe |
1,446 |
1,300 |
$27K |
| 84439 |
|
4,458 |
3,949 |
$25K |
| 84484 |
|
4,373 |
3,108 |
$25K |
| 87389 |
|
1,752 |
1,628 |
$22K |
| 73110 |
|
494 |
419 |
$21K |
| 87491 |
|
799 |
663 |
$20K |
| 87591 |
|
797 |
662 |
$20K |
| 20610 |
|
161 |
139 |
$20K |
| J8499 |
Oral prescrip drug non chemo |
13,898 |
7,556 |
$19K |
| 87880 |
|
1,894 |
1,547 |
$19K |
| 76642 |
|
429 |
395 |
$19K |
| 80048 |
|
3,405 |
2,743 |
$19K |
| 81000 |
|
7,876 |
6,587 |
$18K |
| 87086 |
|
3,550 |
3,013 |
$18K |
| 82306 |
|
1,068 |
957 |
$18K |
| 90670 |
|
166 |
142 |
$18K |
| 76705 |
|
301 |
277 |
$17K |
| 88175 |
|
875 |
825 |
$17K |
| 88342 |
|
189 |
144 |
$16K |
| 85027 |
|
3,618 |
2,966 |
$16K |
| 86803 |
|
2,042 |
1,905 |
$16K |
| 99203 |
|
322 |
270 |
$15K |
| 72100 |
|
312 |
270 |
$14K |
| 83690 |
|
3,471 |
2,931 |
$14K |
| 88304 |
|
283 |
201 |
$12K |
| 97530 |
|
433 |
150 |
$11K |
| 84702 |
|
1,180 |
831 |
$11K |
| 83735 |
|
3,628 |
2,652 |
$11K |
| 87186 |
|
2,080 |
1,594 |
$11K |
| 96366 |
|
328 |
208 |
$11K |
| 87081 |
|
1,600 |
1,304 |
$10K |
| 90686 |
|
648 |
610 |
$10K |
| 87077 |
|
2,060 |
1,558 |
$10K |
| 74019 |
|
171 |
152 |
$10K |
| 97161 |
|
237 |
227 |
$9K |
| 87040 |
|
1,871 |
962 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
432 |
389 |
$9K |
| 84466 |
|
1,262 |
1,156 |
$9K |
| 81003 |
|
5,529 |
4,787 |
$8K |
| 82728 |
|
1,008 |
915 |
$7K |
| M0243 |
Casirivi and imdevi inj |
39 |
35 |
$7K |
| 85610 |
|
3,192 |
2,546 |
$7K |
| 83605 |
|
1,338 |
1,024 |
$6K |
| 87804 |
|
636 |
235 |
$6K |
| 82607 |
|
772 |
714 |
$6K |
| 87807 |
|
551 |
491 |
$6K |
| 95811 |
|
14 |
12 |
$6K |
| 83540 |
|
1,672 |
1,513 |
$6K |
| 87088 |
|
1,314 |
1,119 |
$6K |
| 82962 |
|
2,453 |
1,881 |
$6K |
| 87070 |
|
1,017 |
827 |
$6K |
| 99291 |
|
13 |
12 |
$5K |
| 82570 |
|
1,775 |
1,498 |
$5K |
| 87400 |
|
453 |
196 |
$4K |
| 86140 |
|
1,356 |
1,183 |
$4K |
| 99211 |
|
900 |
480 |
$4K |
| 86703 |
|
392 |
361 |
$4K |
| 71250 |
|
134 |
123 |
$4K |
| J0561 |
Penicillin g benzathine inj |
54 |
40 |
$4K |
| 82950 |
|
1,126 |
1,005 |
$3K |
| 73502 |
|
115 |
102 |
$3K |
| 85730 |
|
1,004 |
836 |
$3K |
| 85651 |
|
1,176 |
1,024 |
$3K |
| 90651 |
|
18 |
15 |
$3K |
| 82043 |
|
1,071 |
966 |
$3K |
| 97162 |
|
100 |
92 |
$2K |
| 72148 |
|
26 |
25 |
$2K |
| 76536 |
|
38 |
36 |
$2K |
| J8597 |
Antiemetic drug oral nos |
1,034 |
921 |
$2K |
| 76770 |
|
43 |
38 |
$2K |
| 85379 |
|
421 |
345 |
$2K |
| 77065 |
Tomosynthesis, mammo |
36 |
26 |
$2K |
| 90734 |
|
35 |
28 |
$2K |
| 82550 |
|
447 |
357 |
$2K |
| 72040 |
|
40 |
38 |
$2K |
| 73080 |
|
26 |
25 |
$1K |
| 96367 |
|
51 |
37 |
$1K |
| 86738 |
|
99 |
87 |
$1K |
| 84550 |
|
364 |
285 |
$1K |
| 76801 |
|
16 |
12 |
$893.73 |
| 90732 |
|
13 |
13 |
$868.48 |
| 94760 |
|
800 |
571 |
$845.29 |
| 84156 |
|
346 |
229 |
$798.37 |
| 85007 |
|
368 |
278 |
$798.00 |
| 90656 |
|
58 |
56 |
$710.10 |
| 83615 |
|
189 |
145 |
$684.97 |
| 77080 |
|
12 |
12 |
$682.28 |
| 72110 |
|
13 |
12 |
$681.20 |
| J7030 |
Normal saline solution infus |
3,670 |
2,958 |
$677.84 |
| 82553 |
|
62 |
51 |
$670.24 |
| 80179 |
|
58 |
51 |
$640.02 |
| 84153 |
|
86 |
81 |
$634.38 |
| 93971 |
|
17 |
16 |
$614.89 |
| 81001 |
|
278 |
215 |
$609.48 |
| 80076 |
|
79 |
59 |
$562.55 |
| 72125 |
|
25 |
25 |
$525.47 |
| 90661 |
|
16 |
16 |
$326.48 |
| 81002 |
|
136 |
123 |
$322.54 |
| J1100 |
Dexamethasone sodium phos |
4,457 |
3,755 |
$307.92 |
| 87147 |
|
67 |
45 |
$307.55 |
| 84100 |
|
226 |
145 |
$300.27 |
| 86141 |
|
20 |
17 |
$286.90 |
| 82803 |
|
18 |
12 |
$281.99 |
| 80305 |
|
27 |
27 |
$272.16 |
| 96376 |
|
1,816 |
991 |
$268.02 |
| 0071A |
|
14 |
12 |
$258.82 |
| J0330 |
Succinycholine chloride inj |
1,217 |
948 |
$257.18 |
| J2270 |
Morphine sulfate injection |
2,603 |
1,748 |
$251.57 |
| 82565 |
|
58 |
52 |
$246.82 |
| 93010 |
|
57 |
49 |
$227.32 |
| 82150 |
|
46 |
36 |
$206.60 |
| 96127 |
|
16 |
16 |
$200.00 |
| J2405 |
Ondansetron hcl injection |
6,567 |
4,950 |
$190.08 |
| 00170 |
|
150 |
125 |
$177.51 |
| J2704 |
Inj, propofol, 10 mg |
3,721 |
3,048 |
$176.40 |
| J2175 |
Meperidine hydrochl /100 mg |
2,234 |
1,676 |
$147.00 |
| J2250 |
Inj midazolam hydrochloride |
3,054 |
2,443 |
$140.48 |
| J7120 |
Ringers lactate infusion |
4,233 |
3,066 |
$139.84 |
| J0690 |
Cefazolin sodium injection |
1,898 |
1,349 |
$128.28 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,409 |
2,853 |
$110.10 |
| 82746 |
|
16 |
12 |
$109.17 |
| 84520 |
|
31 |
26 |
$92.19 |
| 82248 |
|
18 |
12 |
$75.94 |
| J1885 |
Ketorolac tromethamine inj |
4,930 |
3,924 |
$72.85 |
| 82272 |
|
26 |
25 |
$71.33 |
| Q3014 |
Telehealth facility fee |
13 |
12 |
$58.63 |
| 80069 |
|
15 |
13 |
$58.55 |
| J1170 |
Hydromorphone injection |
842 |
612 |
$42.11 |
| J0696 |
Ceftriaxone sodium injection |
2,532 |
1,986 |
$35.89 |
| 85018 |
|
17 |
14 |
$23.59 |
| G0008 |
Admin influenza virus vac |
54 |
54 |
$21.49 |
| A4216 |
Sterile water/saline, 10 ml |
382 |
216 |
$13.60 |
| J2550 |
Promethazine hcl injection |
942 |
599 |
$10.50 |
| J7620 |
Albuterol ipratrop non-comp |
364 |
254 |
$10.05 |
| J2272 |
Inj, morphine (fresenius) |
603 |
503 |
$7.88 |
| J1200 |
Diphenhydramine hcl injectio |
320 |
256 |
$7.64 |
| J2919 |
Inj, methylpred sod succ 5mg |
29 |
24 |
$6.75 |
| S0028 |
Injection, famotidine, 20 mg |
21 |
13 |
$4.62 |
| J3010 |
Fentanyl citrate injection |
387 |
327 |
$2.76 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
204 |
165 |
$2.50 |
| 80347 |
|
214 |
190 |
$0.00 |
| 90472 |
|
57 |
53 |
$0.00 |
| 90461 |
|
670 |
604 |
$0.00 |
| J2930 |
Methylprednisolone injection |
431 |
356 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
42 |
36 |
$0.00 |
| 80364 |
|
214 |
190 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
35 |
$0.00 |
| 80355 |
|
214 |
190 |
$0.00 |
| 00731 |
|
40 |
37 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
20 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
234 |
208 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
84 |
63 |
$0.00 |
| 90715 |
|
93 |
84 |
$0.00 |
| 90648 |
|
56 |
48 |
$0.00 |
| 90714 |
|
52 |
49 |
$0.00 |
| 80326 |
|
214 |
190 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
25 |
24 |
$0.00 |
| 90633 |
|
16 |
13 |
$0.00 |
| J7070 |
D5w infusion |
60 |
29 |
$0.00 |
| J7040 |
Normal saline solution infus |
16 |
12 |
$0.00 |
| 77061 |
|
33 |
25 |
$0.00 |
| J2360 |
Orphenadrine injection |
103 |
81 |
$0.00 |
| 77063 |
|
1,094 |
1,016 |
$0.00 |
| 94761 |
|
1,518 |
974 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
193 |
177 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
765 |
546 |
$0.00 |
| J1940 |
Furosemide injection |
60 |
41 |
$0.00 |
| J1815 |
Insulin injection |
27 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
454 |
283 |
$0.00 |
| J3420 |
Vitamin b12 injection |
138 |
113 |
$0.00 |
| 90474 |
|
19 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
114 |
80 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
71 |
67 |
$0.00 |
| 80320 |
|
35 |
28 |
$0.00 |
| A9585 |
Gadobutrol injection |
42 |
37 |
$0.00 |
| J2001 |
Lidocaine injection |
14 |
14 |
$0.00 |
| 90723 |
|
36 |
31 |
$0.00 |
| 80329 |
|
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
20 |
17 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
16 |
12 |
$0.00 |
| 00160 |
|
12 |
12 |
$0.00 |