| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,186 |
10,896 |
$2.10M |
| 99282 |
|
6,159 |
5,191 |
$1.27M |
| 99213 |
|
32,458 |
18,815 |
$1.25M |
| 99281 |
|
3,704 |
3,216 |
$632K |
| 99214 |
|
13,099 |
6,831 |
$540K |
| 96361 |
|
1,076 |
785 |
$437K |
| 96365 |
|
1,535 |
752 |
$300K |
| 87631 |
|
3,766 |
3,262 |
$271K |
| 70450 |
|
1,005 |
776 |
$246K |
| 99212 |
|
6,332 |
3,585 |
$210K |
| 97110 |
|
8,359 |
2,820 |
$183K |
| 74177 |
|
693 |
548 |
$158K |
| 87635 |
|
3,398 |
2,704 |
$113K |
| 99284 |
|
4,343 |
3,701 |
$107K |
| 87651 |
|
2,562 |
2,209 |
$82K |
| 80053 |
|
10,683 |
8,250 |
$80K |
| G0378 |
Hospital observation per hr |
426 |
351 |
$73K |
| 99215 |
Prolong outpt/office vis |
806 |
470 |
$70K |
| 85025 |
|
13,706 |
9,742 |
$56K |
| 97140 |
|
3,468 |
1,396 |
$54K |
| 99391 |
|
312 |
252 |
$41K |
| U0003 |
Cov-19 amp prb hgh thruput |
506 |
443 |
$41K |
| 80306 |
|
2,583 |
2,054 |
$40K |
| 93306 |
|
95 |
83 |
$39K |
| 96372 |
|
3,448 |
2,088 |
$32K |
| 84443 |
|
3,063 |
2,574 |
$31K |
| 99308 |
|
2,595 |
1,615 |
$31K |
| 80048 |
|
4,624 |
3,573 |
$30K |
| 97112 |
|
1,796 |
779 |
$29K |
| 71046 |
|
1,756 |
1,423 |
$26K |
| 87491 |
|
892 |
740 |
$25K |
| 99392 |
|
156 |
148 |
$25K |
| 99211 |
|
377 |
200 |
$24K |
| 97530 |
|
1,441 |
623 |
$24K |
| G0108 |
Diab manage trn per indiv |
300 |
248 |
$23K |
| 87591 |
|
827 |
697 |
$23K |
| 83880 |
|
2,378 |
1,858 |
$22K |
| 74176 |
|
80 |
55 |
$22K |
| 90670 |
|
138 |
121 |
$21K |
| 80061 |
|
2,464 |
2,092 |
$20K |
| 81001 |
|
6,332 |
5,165 |
$20K |
| 71045 |
|
4,297 |
3,155 |
$19K |
| 87502 |
|
298 |
267 |
$18K |
| 84484 |
|
3,726 |
2,694 |
$16K |
| 93005 |
|
5,518 |
4,437 |
$15K |
| 83036 |
|
2,697 |
2,288 |
$14K |
| 90686 |
|
982 |
840 |
$14K |
| 11721 |
|
2,203 |
774 |
$13K |
| 90853 |
|
195 |
24 |
$13K |
| 90471 |
|
1,650 |
1,429 |
$10K |
| 73630 |
|
612 |
421 |
$10K |
| 84145 |
|
1,503 |
1,091 |
$10K |
| 20610 |
|
38 |
24 |
$9K |
| 81025 |
|
1,296 |
1,038 |
$9K |
| 96366 |
|
43 |
24 |
$9K |
| 99393 |
|
76 |
71 |
$9K |
| 36415 |
|
22,486 |
14,175 |
$9K |
| 87086 |
|
1,727 |
1,473 |
$8K |
| 96374 |
|
4,439 |
3,136 |
$8K |
| 0002A |
|
288 |
203 |
$8K |
| 97162 |
|
243 |
217 |
$8K |
| 83690 |
|
1,945 |
1,615 |
$8K |
| 82306 |
|
431 |
378 |
$7K |
| 83605 |
|
1,840 |
1,438 |
$7K |
| 93356 |
|
14 |
14 |
$7K |
| 87077 |
|
1,440 |
1,199 |
$7K |
| 85610 |
|
2,743 |
1,971 |
$6K |
| 0001A |
|
264 |
187 |
$6K |
| 87186 |
|
1,145 |
969 |
$6K |
| 73562 |
|
312 |
223 |
$6K |
| 99307 |
|
1,093 |
561 |
$5K |
| 11056 |
|
195 |
114 |
$5K |
| 96360 |
|
31 |
26 |
$5K |
| 99285 |
|
271 |
229 |
$5K |
| 85027 |
|
999 |
863 |
$5K |
| 83735 |
|
1,718 |
1,327 |
$4K |
| 87205 |
|
1,560 |
1,260 |
$4K |
| 87503 |
|
216 |
200 |
$4K |
| 82728 |
|
363 |
315 |
$3K |
| 99309 |
|
265 |
150 |
$3K |
| 82803 |
|
442 |
335 |
$3K |
| 86140 |
|
1,246 |
909 |
$3K |
| 84703 |
|
367 |
316 |
$3K |
| 82962 |
|
1,659 |
594 |
$3K |
| 90723 |
|
117 |
102 |
$3K |
| 91320 |
|
55 |
52 |
$3K |
| 87389 |
|
140 |
124 |
$3K |
| 90647 |
|
70 |
61 |
$3K |
| 86850 |
|
159 |
139 |
$2K |
| 90715 |
|
57 |
51 |
$2K |
| 87806 |
|
94 |
79 |
$2K |
| 87040 |
|
403 |
316 |
$2K |
| G0127 |
Trim nail(s) |
197 |
117 |
$2K |
| 82570 |
|
417 |
329 |
$2K |
| 90680 |
|
30 |
25 |
$2K |
| 99394 |
|
12 |
12 |
$2K |
| Q3014 |
Telehealth facility fee |
349 |
314 |
$2K |
| 85379 |
|
382 |
302 |
$2K |
| 87420 |
|
96 |
88 |
$2K |
| 86803 |
|
139 |
124 |
$2K |
| 99203 |
|
38 |
25 |
$1K |
| 90832 |
|
23 |
12 |
$1K |
| 87634 |
|
23 |
21 |
$1K |
| 80050 |
|
106 |
94 |
$1K |
| 87070 |
|
163 |
141 |
$1K |
| 86780 |
|
129 |
109 |
$1K |
| 85730 |
|
513 |
424 |
$1K |
| 96375 |
|
2,585 |
1,918 |
$929.20 |
| 82607 |
|
92 |
83 |
$797.92 |
| 0124A |
|
84 |
80 |
$793.34 |
| 72100 |
|
14 |
13 |
$732.59 |
| 11720 |
|
180 |
112 |
$697.15 |
| 73030 |
|
86 |
65 |
$677.18 |
| 90472 |
|
386 |
327 |
$619.68 |
| 74018 |
|
46 |
37 |
$606.10 |
| 87426 |
|
37 |
25 |
$550.13 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,777 |
1,403 |
$547.72 |
| 0003A |
|
17 |
16 |
$547.12 |
| 87340 |
|
75 |
64 |
$512.16 |
| 73610 |
|
78 |
64 |
$491.74 |
| 99310 |
Prolong nursin fac eval 15m |
29 |
26 |
$434.55 |
| 88305 |
|
178 |
146 |
$421.96 |
| 82565 |
|
164 |
122 |
$418.33 |
| J7120 |
Ringers lactate infusion |
2,467 |
1,881 |
$398.82 |
| 80329 |
|
81 |
53 |
$385.47 |
| 99335 |
|
25 |
13 |
$340.92 |
| 85651 |
|
129 |
101 |
$334.62 |
| G0008 |
Admin influenza virus vac |
267 |
199 |
$304.02 |
| 87220 |
|
75 |
65 |
$299.51 |
| 83540 |
|
57 |
54 |
$272.87 |
| 99334 |
|
30 |
14 |
$266.54 |
| 87880 |
|
39 |
31 |
$249.78 |
| 87811 |
|
21 |
21 |
$248.28 |
| 86900 |
|
121 |
104 |
$244.41 |
| 73502 |
|
15 |
14 |
$240.78 |
| 86901 |
|
121 |
105 |
$234.84 |
| 88142 |
|
16 |
13 |
$203.95 |
| 80320 |
|
356 |
274 |
$192.70 |
| 73110 |
|
16 |
12 |
$188.40 |
| 86762 |
|
15 |
13 |
$163.57 |
| 85018 |
|
51 |
43 |
$153.51 |
| 87905 |
|
15 |
13 |
$151.96 |
| 84460 |
|
48 |
39 |
$127.66 |
| 84153 |
|
14 |
12 |
$125.28 |
| 96376 |
|
227 |
145 |
$125.18 |
| 97161 |
|
12 |
12 |
$113.49 |
| 90662 |
|
62 |
46 |
$111.77 |
| 99441 |
|
26 |
13 |
$103.95 |
| 87081 |
|
35 |
28 |
$81.58 |
| 82043 |
|
16 |
12 |
$78.09 |
| J2704 |
Inj, propofol, 10 mg |
865 |
506 |
$76.68 |
| 85652 |
|
42 |
37 |
$75.33 |
| 94664 |
|
65 |
57 |
$69.63 |
| 82150 |
|
14 |
13 |
$60.30 |
| J1170 |
Hydromorphone injection |
610 |
341 |
$56.08 |
| 84439 |
|
17 |
12 |
$37.28 |
| J1885 |
Ketorolac tromethamine inj |
1,168 |
895 |
$36.28 |
| J2405 |
Ondansetron hcl injection |
1,691 |
1,277 |
$31.77 |
| J3010 |
Fentanyl citrate injection |
635 |
478 |
$23.80 |
| J1100 |
Dexamethasone sodium phos |
308 |
185 |
$17.41 |
| J2250 |
Inj midazolam hydrochloride |
242 |
183 |
$8.58 |
| J7030 |
Normal saline solution infus |
233 |
189 |
$8.53 |
| J0696 |
Ceftriaxone sodium injection |
72 |
40 |
$8.15 |
| A9270 |
Non-covered item or service |
232 |
72 |
$6.21 |
| J3301 |
Triamcinolone acet inj nos |
33 |
24 |
$3.46 |
| J2270 |
Morphine sulfate injection |
51 |
31 |
$2.80 |
| A4217 |
Sterile water/saline, 500 ml |
89 |
68 |
$0.00 |
| 91300 |
|
184 |
103 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
14 |
14 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
13 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
12 |
$0.00 |