| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,535 |
6,286 |
$879K |
| 99285 |
|
4,343 |
4,018 |
$786K |
| 99284 |
|
5,510 |
4,998 |
$753K |
| G0463 |
Hospital outpt clinic visit |
12,331 |
11,129 |
$628K |
| 96374 |
|
4,133 |
3,738 |
$291K |
| 96361 |
|
2,858 |
2,523 |
$192K |
| 99282 |
|
1,401 |
1,353 |
$163K |
| 96372 |
|
2,747 |
2,353 |
$101K |
| G0378 |
Hospital observation per hr |
156 |
89 |
$69K |
| 74177 |
|
672 |
651 |
$57K |
| 71046 |
|
2,326 |
2,193 |
$50K |
| 97110 |
|
2,389 |
572 |
$46K |
| 77067 |
|
835 |
832 |
$41K |
| 70450 |
|
878 |
840 |
$40K |
| U0003 |
Cov-19 amp prb hgh thruput |
807 |
789 |
$39K |
| 96375 |
|
2,183 |
1,922 |
$36K |
| 76830 |
|
736 |
695 |
$35K |
| 71045 |
|
1,326 |
1,272 |
$28K |
| 82947 |
|
2,633 |
2,315 |
$26K |
| 90471 |
|
950 |
931 |
$25K |
| 96360 |
|
284 |
259 |
$22K |
| 96365 |
|
270 |
254 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
1,339 |
1,307 |
$20K |
| 99391 |
|
364 |
354 |
$19K |
| 99395 |
|
680 |
678 |
$18K |
| 76816 |
|
328 |
296 |
$17K |
| 99396 |
|
619 |
618 |
$17K |
| 76815 |
|
405 |
333 |
$16K |
| 99406 |
|
763 |
728 |
$11K |
| 77063 |
|
832 |
828 |
$10K |
| 74176 |
|
130 |
126 |
$8K |
| Q0091 |
Obtaining screen pap smear |
595 |
588 |
$7K |
| 85025 |
|
10,153 |
8,783 |
$6K |
| 99392 |
|
105 |
105 |
$6K |
| 76805 |
|
117 |
112 |
$6K |
| 80053 |
|
2,864 |
2,612 |
$5K |
| 93005 |
|
3,460 |
3,229 |
$5K |
| 97140 |
|
443 |
115 |
$5K |
| 86900 |
|
694 |
650 |
$4K |
| 80048 |
|
4,909 |
4,354 |
$4K |
| 80307 |
|
730 |
656 |
$4K |
| 87491 |
|
219 |
215 |
$3K |
| 87591 |
|
214 |
210 |
$3K |
| 84484 |
|
1,943 |
1,667 |
$3K |
| 84443 |
|
544 |
530 |
$3K |
| 87635 |
|
138 |
130 |
$3K |
| 80061 |
|
252 |
251 |
$3K |
| 76856 |
|
63 |
61 |
$3K |
| U0005 |
Infec agen detec ampli probe |
359 |
353 |
$3K |
| 90472 |
|
84 |
84 |
$3K |
| 82306 |
|
201 |
201 |
$2K |
| 73564 |
|
50 |
49 |
$2K |
| 76705 |
|
54 |
52 |
$2K |
| 36415 |
|
5,025 |
4,488 |
$2K |
| 83735 |
|
3,175 |
2,864 |
$2K |
| 87624 |
|
123 |
123 |
$2K |
| 73721 |
|
18 |
15 |
$2K |
| A9270 |
Non-covered item or service |
4,525 |
3,864 |
$2K |
| 99281 |
|
13 |
13 |
$2K |
| 87390 |
|
188 |
187 |
$2K |
| 73030 |
|
63 |
55 |
$1K |
| 81025 |
|
3,769 |
3,500 |
$1K |
| 84702 |
|
453 |
387 |
$1K |
| 71275 |
|
19 |
18 |
$1K |
| 87086 |
|
826 |
781 |
$1K |
| 73610 |
|
109 |
104 |
$1K |
| 86702 |
|
188 |
187 |
$1K |
| 87502 |
|
631 |
612 |
$998.10 |
| 73630 |
|
132 |
127 |
$979.45 |
| 87637 |
|
13 |
13 |
$767.72 |
| 83036 |
|
181 |
179 |
$753.86 |
| 59025 |
|
16 |
12 |
$752.55 |
| 84439 |
|
190 |
186 |
$704.53 |
| 90656 |
|
40 |
38 |
$704.43 |
| 86701 |
|
188 |
187 |
$675.70 |
| 86803 |
|
116 |
116 |
$669.05 |
| 97162 |
|
14 |
13 |
$632.31 |
| 87660 |
|
64 |
63 |
$600.66 |
| 87510 |
|
64 |
63 |
$600.65 |
| 87480 |
|
64 |
63 |
$600.65 |
| 88305 |
|
407 |
391 |
$587.51 |
| 87340 |
|
143 |
143 |
$578.32 |
| 86762 |
|
103 |
103 |
$540.04 |
| 82565 |
|
1,636 |
1,520 |
$519.21 |
| 86850 |
|
546 |
511 |
$493.25 |
| 85610 |
|
2,395 |
2,171 |
$423.33 |
| 94640 |
|
653 |
497 |
$415.87 |
| 84460 |
|
580 |
550 |
$407.13 |
| 81002 |
|
286 |
263 |
$403.72 |
| 84520 |
|
1,622 |
1,507 |
$393.85 |
| 84480 |
|
54 |
54 |
$392.87 |
| 84450 |
|
569 |
539 |
$390.20 |
| 76817 |
|
17 |
14 |
$353.64 |
| 84402 |
|
28 |
28 |
$348.10 |
| 86592 |
|
175 |
175 |
$340.14 |
| 73110 |
|
13 |
13 |
$314.58 |
| 81001 |
|
4,198 |
3,852 |
$307.01 |
| 99394 |
|
15 |
15 |
$302.10 |
| 84403 |
|
31 |
31 |
$291.12 |
| 87428 |
|
16 |
16 |
$289.60 |
| 90686 |
|
33 |
32 |
$278.87 |
| 73080 |
|
12 |
12 |
$269.64 |
| 87804 |
|
23 |
12 |
$257.34 |
| 87081 |
|
76 |
75 |
$206.10 |
| 80076 |
|
1,270 |
1,187 |
$194.26 |
| Q3014 |
Telehealth facility fee |
13 |
13 |
$192.14 |
| 83001 |
|
25 |
25 |
$190.40 |
| 86901 |
|
681 |
637 |
$187.41 |
| 85730 |
|
2,193 |
2,046 |
$178.63 |
| 81003 |
|
1,075 |
1,025 |
$177.25 |
| 85027 |
|
126 |
110 |
$169.84 |
| 87088 |
|
69 |
65 |
$168.90 |
| 87880 |
|
117 |
112 |
$158.01 |
| 86696 |
|
12 |
12 |
$138.44 |
| 84144 |
|
12 |
12 |
$137.34 |
| 72125 |
|
25 |
25 |
$131.53 |
| 83690 |
|
2,725 |
2,396 |
$125.01 |
| 73130 |
|
26 |
25 |
$124.27 |
| 86787 |
|
27 |
26 |
$119.34 |
| 80305 |
|
515 |
493 |
$117.51 |
| 87186 |
|
46 |
44 |
$112.15 |
| 82570 |
|
49 |
46 |
$110.81 |
| 86695 |
|
12 |
12 |
$94.28 |
| 82247 |
|
225 |
210 |
$85.04 |
| 83002 |
|
12 |
12 |
$81.30 |
| 80051 |
|
1,368 |
1,303 |
$77.34 |
| 82043 |
|
15 |
15 |
$44.57 |
| 83605 |
|
1,237 |
1,108 |
$40.52 |
| 82077 |
|
572 |
529 |
$39.54 |
| 87077 |
|
12 |
12 |
$37.25 |
| 83540 |
|
24 |
24 |
$36.76 |
| 83550 |
|
12 |
12 |
$25.60 |
| J2405 |
Ondansetron hcl injection |
2,868 |
2,545 |
$14.84 |
| 87210 |
|
39 |
38 |
$5.92 |
| 82550 |
|
26 |
25 |
$4.76 |
| 84075 |
|
136 |
128 |
$3.03 |
| J1885 |
Ketorolac tromethamine inj |
3,109 |
2,826 |
$2.94 |
| J1200 |
Diphenhydramine hcl injectio |
808 |
750 |
$0.80 |
| J3490 |
Drugs unclassified injection |
1,840 |
1,696 |
$0.01 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,839 |
1,766 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
138 |
137 |
$0.00 |
| J2270 |
Morphine sulfate injection |
783 |
622 |
$0.00 |
| J7120 |
Ringers lactate infusion |
101 |
97 |
$0.00 |
| 94799 |
|
92 |
84 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
13 |
13 |
$0.00 |
| 90715 |
|
69 |
69 |
$0.00 |
| J2930 |
Methylprednisolone injection |
30 |
27 |
$0.00 |
| 90670 |
|
62 |
62 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
595 |
584 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
616 |
604 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
417 |
400 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
668 |
634 |
$0.00 |
| 85379 |
|
25 |
25 |
$0.00 |
| J2001 |
Lidocaine injection |
102 |
101 |
$0.00 |
| J8540 |
Oral dexamethasone |
25 |
24 |
$0.00 |
| 74022 |
|
39 |
37 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
27 |
25 |
$0.00 |
| J1170 |
Hydromorphone injection |
123 |
100 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
41 |
37 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| 90698 |
|
25 |
25 |
$0.00 |
| 87801 |
|
24 |
23 |
$0.00 |
| 94761 |
|
13 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |