| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
18,117 |
16,900 |
$3.50M |
| 99284 |
|
14,874 |
13,998 |
$2.61M |
| 96361 |
|
6,217 |
5,696 |
$1.84M |
| 99285 |
|
8,418 |
7,886 |
$1.53M |
| 90834 |
|
7,222 |
3,736 |
$905K |
| 70450 |
|
2,549 |
2,502 |
$775K |
| 99213 |
|
6,094 |
5,235 |
$746K |
| 90853 |
|
11,213 |
1,940 |
$736K |
| 99282 |
|
3,984 |
3,818 |
$734K |
| 80053 |
|
25,835 |
20,425 |
$548K |
| 74177 |
|
1,865 |
1,833 |
$546K |
| 90832 |
|
5,303 |
3,007 |
$537K |
| 92507 |
|
3,728 |
1,240 |
$521K |
| 96360 |
|
1,830 |
1,789 |
$402K |
| 96365 |
|
1,500 |
1,402 |
$253K |
| 76856 |
|
400 |
392 |
$245K |
| H0005 |
Alcohol and/or drug services |
3,123 |
608 |
$240K |
| 74176 |
|
694 |
682 |
$220K |
| 80307 |
|
8,811 |
4,589 |
$215K |
| 99214 |
|
1,734 |
1,584 |
$198K |
| 87635 |
|
4,476 |
4,282 |
$189K |
| 99212 |
|
1,258 |
1,160 |
$179K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,862 |
1,484 |
$158K |
| 90791 |
|
723 |
719 |
$143K |
| 97110 |
|
1,705 |
515 |
$143K |
| G0378 |
Hospital observation per hr |
500 |
352 |
$84K |
| 87633 |
|
1,128 |
1,112 |
$80K |
| 96372 |
|
3,974 |
3,652 |
$77K |
| 0241U |
|
9,710 |
6,928 |
$67K |
| 95810 |
|
61 |
61 |
$56K |
| 86850 |
|
1,788 |
1,717 |
$55K |
| G0396 |
Alcohol/subs interv 15-30mn |
363 |
180 |
$48K |
| 86901 |
|
2,169 |
1,815 |
$46K |
| 86900 |
|
2,169 |
1,817 |
$44K |
| 87486 |
|
1,134 |
1,118 |
$43K |
| 71275 |
|
124 |
120 |
$40K |
| 93976 |
|
103 |
102 |
$40K |
| 92550 |
|
416 |
416 |
$38K |
| U0004 |
Cov-19 test non-cdc hgh thru |
498 |
480 |
$38K |
| G0397 |
Alcohol/subs interv >30 min |
221 |
129 |
$37K |
| 36415 |
|
9,044 |
7,597 |
$32K |
| 80048 |
|
2,039 |
1,869 |
$32K |
| 76700 |
|
49 |
49 |
$27K |
| 87798 |
|
1,288 |
1,239 |
$27K |
| 12001 |
|
47 |
47 |
$26K |
| 87581 |
|
1,135 |
1,119 |
$22K |
| 87491 |
|
565 |
548 |
$20K |
| 92567 |
|
239 |
239 |
$20K |
| 72125 |
|
414 |
408 |
$19K |
| 76705 |
|
221 |
215 |
$18K |
| 99281 |
|
91 |
83 |
$17K |
| 97803 |
|
255 |
187 |
$17K |
| 90833 |
|
419 |
380 |
$16K |
| 83880 |
|
509 |
487 |
$16K |
| H2001 |
Rehabilitation program 1/2 d |
114 |
13 |
$15K |
| 76830 |
|
117 |
115 |
$14K |
| 87636 |
|
142 |
136 |
$14K |
| 92588 |
|
215 |
213 |
$13K |
| 97161 |
|
105 |
104 |
$13K |
| 11042 |
|
28 |
13 |
$12K |
| 88305 |
|
287 |
207 |
$12K |
| 87591 |
|
565 |
548 |
$11K |
| 96374 |
|
5,175 |
4,889 |
$10K |
| 0012A |
|
350 |
350 |
$10K |
| 92579 |
|
140 |
139 |
$10K |
| 71046 |
|
1,719 |
1,679 |
$10K |
| 92557 |
|
155 |
154 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
13 |
$8K |
| 80061 |
|
1,157 |
1,132 |
$8K |
| 85025 |
|
11,217 |
10,175 |
$8K |
| S9480 |
Intensive outpatient psychia |
54 |
12 |
$8K |
| 83036 |
|
985 |
974 |
$8K |
| 86703 |
|
546 |
541 |
$8K |
| 96375 |
|
4,000 |
3,629 |
$8K |
| 12011 |
|
13 |
13 |
$8K |
| 84443 |
|
1,373 |
1,329 |
$7K |
| 85027 |
|
4,429 |
4,098 |
$7K |
| 99291 |
|
45 |
43 |
$7K |
| 0011A |
|
327 |
324 |
$7K |
| 93005 |
|
5,373 |
5,062 |
$7K |
| 92587 |
|
156 |
156 |
$7K |
| 29125 |
|
24 |
24 |
$7K |
| G0480 |
Drug test def 1-7 classes |
578 |
524 |
$6K |
| 90715 |
|
282 |
282 |
$6K |
| 85610 |
|
3,020 |
2,789 |
$6K |
| 93306 |
|
31 |
25 |
$5K |
| 93971 |
|
40 |
39 |
$5K |
| 83516 |
|
594 |
528 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
1,318 |
1,068 |
$4K |
| 85730 |
|
2,248 |
2,187 |
$4K |
| 96366 |
|
17 |
12 |
$4K |
| 92526 |
|
25 |
12 |
$4K |
| 71045 |
|
2,682 |
2,595 |
$3K |
| 82306 |
|
116 |
111 |
$3K |
| 0002A |
|
74 |
74 |
$3K |
| 96379 |
|
101 |
101 |
$3K |
| 83735 |
|
1,447 |
1,223 |
$2K |
| 77067 |
|
36 |
36 |
$2K |
| 86618 |
|
409 |
217 |
$2K |
| 73610 |
|
437 |
405 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 73562 |
|
323 |
318 |
$2K |
| 87086 |
|
1,778 |
1,718 |
$2K |
| 85007 |
|
2,645 |
2,452 |
$2K |
| 82784 |
|
126 |
86 |
$2K |
| 73030 |
|
257 |
250 |
$2K |
| 81001 |
|
3,515 |
3,360 |
$2K |
| 86140 |
|
1,005 |
960 |
$1K |
| 81025 |
|
452 |
446 |
$1K |
| 84703 |
|
4,417 |
4,099 |
$1K |
| 97140 |
|
50 |
12 |
$1K |
| 88304 |
|
19 |
13 |
$1K |
| 70486 |
|
13 |
13 |
$1K |
| 85651 |
|
966 |
942 |
$1K |
| 0031A |
|
30 |
30 |
$1K |
| 97010 |
|
65 |
27 |
$1K |
| 84439 |
|
157 |
150 |
$1K |
| 0001A |
|
74 |
74 |
$1K |
| 84484 |
|
2,525 |
2,269 |
$954.44 |
| 83690 |
|
2,794 |
2,601 |
$931.68 |
| 82962 |
|
177 |
131 |
$860.64 |
| 82947 |
|
2,290 |
1,276 |
$819.52 |
| 73630 |
|
261 |
254 |
$739.55 |
| 80320 |
|
2,855 |
2,588 |
$686.62 |
| G0108 |
Diab manage trn per indiv |
17 |
12 |
$662.62 |
| 86769 |
|
22 |
22 |
$599.41 |
| 83540 |
|
133 |
133 |
$568.25 |
| 87469 |
|
15 |
15 |
$552.99 |
| 81003 |
|
2,796 |
2,693 |
$512.09 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
834 |
816 |
$509.58 |
| 84466 |
|
50 |
50 |
$478.19 |
| P9604 |
One-way allow prorated trip |
406 |
262 |
$464.92 |
| 82728 |
|
37 |
37 |
$459.31 |
| 83605 |
|
784 |
698 |
$445.40 |
| 87899 |
|
267 |
262 |
$419.74 |
| 72020 |
|
319 |
312 |
$381.18 |
| 73110 |
|
57 |
51 |
$371.22 |
| J1885 |
Ketorolac tromethamine inj |
3,562 |
3,138 |
$370.88 |
| 72100 |
|
52 |
52 |
$321.25 |
| 73130 |
|
70 |
69 |
$301.17 |
| 94799 |
|
18 |
16 |
$299.06 |
| 84100 |
|
156 |
134 |
$278.50 |
| 82150 |
|
639 |
607 |
$247.23 |
| 82550 |
|
234 |
206 |
$217.29 |
| 85379 |
|
364 |
354 |
$217.05 |
| 82570 |
|
43 |
37 |
$204.54 |
| 96376 |
|
315 |
273 |
$204.49 |
| 87070 |
|
96 |
87 |
$190.45 |
| 77063 |
|
24 |
24 |
$159.04 |
| 82607 |
|
12 |
12 |
$130.74 |
| 87040 |
|
314 |
246 |
$120.92 |
| 87186 |
|
64 |
55 |
$116.61 |
| 73560 |
|
25 |
24 |
$112.16 |
| J2405 |
Ondansetron hcl injection |
3,058 |
2,856 |
$110.83 |
| 87430 |
|
1,106 |
1,084 |
$105.48 |
| 83550 |
|
65 |
65 |
$104.06 |
| 74018 |
|
38 |
37 |
$102.70 |
| 86364 |
|
14 |
14 |
$99.81 |
| 87804 |
|
597 |
311 |
$94.40 |
| 83789 |
|
113 |
99 |
$91.36 |
| J1200 |
Diphenhydramine hcl injectio |
695 |
625 |
$82.43 |
| 87081 |
|
1,018 |
1,006 |
$79.61 |
| 90471 |
|
185 |
181 |
$70.84 |
| J1630 |
Haloperidol injection |
140 |
125 |
$65.22 |
| 82077 |
|
458 |
407 |
$63.68 |
| J2270 |
Morphine sulfate injection |
561 |
527 |
$59.17 |
| 84702 |
|
26 |
24 |
$49.42 |
| J2060 |
Lorazepam injection |
403 |
363 |
$46.31 |
| J0696 |
Ceftriaxone sodium injection |
250 |
228 |
$38.52 |
| J3535 |
Metered dose inhaler drug |
12 |
12 |
$37.16 |
| 95806 |
|
12 |
12 |
$34.38 |
| J1170 |
Hydromorphone injection |
181 |
171 |
$34.35 |
| J2765 |
Metoclopramide hcl injection |
124 |
118 |
$31.05 |
| J0690 |
Cefazolin sodium injection |
623 |
563 |
$30.67 |
| J7120 |
Ringers lactate infusion |
714 |
678 |
$27.13 |
| 87420 |
|
99 |
99 |
$25.72 |
| J3010 |
Fentanyl citrate injection |
756 |
745 |
$18.16 |
| J1100 |
Dexamethasone sodium phos |
1,578 |
1,493 |
$18.01 |
| 80143 |
|
102 |
98 |
$17.13 |
| 87205 |
|
14 |
14 |
$13.60 |
| J2704 |
Inj, propofol, 10 mg |
992 |
975 |
$9.86 |
| 87254 |
|
182 |
179 |
$9.74 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$6.75 |
| J0134 |
Inj acetaminophen -fresenius |
371 |
363 |
$4.68 |
| J7613 |
Albuterol non-comp unit |
46 |
44 |
$3.42 |
| J2250 |
Inj midazolam hydrochloride |
440 |
432 |
$2.05 |
| J2001 |
Lidocaine injection |
466 |
456 |
$0.60 |
| 87880 |
|
143 |
142 |
$0.00 |
| 84145 |
|
27 |
24 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
129 |
122 |
$0.00 |
| 80329 |
|
288 |
183 |
$0.00 |
| 87807 |
|
19 |
18 |
$0.00 |
| 87015 |
|
12 |
12 |
$0.00 |
| J7611 |
Albuterol non-comp con |
19 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
13 |
$0.00 |