| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
23,658 |
21,897 |
$2.89M |
| 99284 |
|
22,657 |
20,808 |
$2.73M |
| 99285 |
|
14,858 |
13,346 |
$2.05M |
| 96361 |
|
3,232 |
2,746 |
$1.07M |
| 80053 |
|
48,257 |
39,275 |
$802K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,788 |
5,292 |
$777K |
| 97110 |
|
9,024 |
2,253 |
$580K |
| 92507 |
|
6,677 |
2,062 |
$538K |
| 97530 |
|
5,688 |
1,654 |
$482K |
| 70450 |
|
1,330 |
1,181 |
$356K |
| 74176 |
|
1,089 |
952 |
$309K |
| 85025 |
|
48,407 |
38,400 |
$286K |
| 41899 |
|
200 |
168 |
$236K |
| 82306 |
|
6,256 |
5,923 |
$181K |
| 84443 |
|
8,774 |
8,279 |
$171K |
| 74177 |
|
555 |
504 |
$164K |
| 80061 |
|
10,395 |
9,867 |
$144K |
| 96365 |
|
1,181 |
655 |
$142K |
| 36415 |
|
60,554 |
41,657 |
$136K |
| 82607 |
|
3,914 |
3,689 |
$104K |
| 71046 |
|
2,964 |
2,757 |
$101K |
| 99281 |
|
760 |
679 |
$95K |
| C9803 |
Hopd covid-19 spec collect |
2,425 |
2,231 |
$90K |
| 94640 |
|
705 |
605 |
$86K |
| G0463 |
Hospital outpt clinic visit |
1,221 |
1,031 |
$82K |
| 11042 |
|
582 |
271 |
$74K |
| 96360 |
|
526 |
409 |
$73K |
| 83036 |
|
4,871 |
4,576 |
$70K |
| 99282 |
|
526 |
492 |
$63K |
| 81001 |
|
16,799 |
15,227 |
$59K |
| 97112 |
|
2,068 |
787 |
$53K |
| 97161 |
|
561 |
527 |
$50K |
| 93306 |
|
192 |
173 |
$50K |
| 85027 |
|
4,736 |
4,189 |
$49K |
| 82728 |
|
2,051 |
1,924 |
$48K |
| 96374 |
|
5,634 |
5,007 |
$42K |
| 96366 |
|
297 |
163 |
$40K |
| 97140 |
|
801 |
288 |
$40K |
| 84439 |
|
1,882 |
1,739 |
$38K |
| 80048 |
|
3,395 |
2,511 |
$38K |
| 87086 |
|
7,866 |
7,089 |
$38K |
| 87491 |
|
1,293 |
1,174 |
$36K |
| 80307 |
|
1,603 |
1,363 |
$29K |
| 69436 |
|
14 |
12 |
$26K |
| 87070 |
|
1,221 |
1,082 |
$26K |
| 87088 |
|
7,878 |
7,102 |
$26K |
| 87635 |
|
1,755 |
1,581 |
$24K |
| 97164 |
|
432 |
395 |
$24K |
| 83605 |
|
6,150 |
5,447 |
$24K |
| 87804 |
|
6,462 |
4,814 |
$23K |
| 93005 |
|
7,425 |
6,433 |
$22K |
| 83550 |
|
1,923 |
1,808 |
$21K |
| 87591 |
|
890 |
830 |
$21K |
| 84484 |
|
4,972 |
3,605 |
$20K |
| 82977 |
|
1,344 |
1,219 |
$20K |
| 82746 |
|
1,656 |
1,562 |
$20K |
| 97165 |
|
153 |
147 |
$19K |
| 83735 |
|
9,351 |
7,878 |
$19K |
| 96372 |
|
5,874 |
5,165 |
$18K |
| 83540 |
|
1,931 |
1,807 |
$18K |
| 99406 |
|
601 |
495 |
$17K |
| 92508 |
|
168 |
106 |
$17K |
| 71045 |
|
6,706 |
5,977 |
$17K |
| 88175 |
|
686 |
658 |
$15K |
| 86140 |
|
4,391 |
3,892 |
$15K |
| 77063 |
|
293 |
276 |
$14K |
| 92523 |
|
180 |
163 |
$14K |
| 73030 |
|
486 |
430 |
$14K |
| 74018 |
|
466 |
439 |
$13K |
| 73130 |
|
557 |
478 |
$12K |
| 99214 |
|
105 |
96 |
$12K |
| 85610 |
|
4,693 |
4,046 |
$12K |
| 80320 |
|
907 |
745 |
$12K |
| 84436 |
|
727 |
691 |
$11K |
| 76705 |
|
88 |
83 |
$11K |
| G0378 |
Hospital observation per hr |
218 |
180 |
$10K |
| 87077 |
|
1,447 |
1,279 |
$10K |
| 86617 |
|
493 |
450 |
$10K |
| 84479 |
|
711 |
676 |
$10K |
| 73630 |
|
579 |
516 |
$9K |
| 93971 |
|
92 |
86 |
$9K |
| 85046 |
|
1,219 |
1,167 |
$8K |
| 97113 |
|
99 |
36 |
$8K |
| 84481 |
|
637 |
602 |
$8K |
| 86003 |
|
179 |
172 |
$8K |
| 99215 |
Prolong outpt/office vis |
76 |
54 |
$8K |
| 73562 |
|
335 |
304 |
$7K |
| 76770 |
|
47 |
43 |
$7K |
| 87186 |
|
1,597 |
1,405 |
$7K |
| 76830 |
|
57 |
53 |
$7K |
| 73610 |
|
514 |
464 |
$7K |
| 73110 |
|
146 |
124 |
$7K |
| 88142 |
|
373 |
362 |
$7K |
| 72100 |
|
305 |
268 |
$7K |
| 87661 |
|
288 |
279 |
$7K |
| 80074 |
|
303 |
273 |
$6K |
| 87426 |
|
2,905 |
2,588 |
$6K |
| 72110 |
|
87 |
84 |
$6K |
| 73502 |
|
191 |
170 |
$6K |
| 85651 |
|
1,201 |
1,030 |
$6K |
| 86225 |
|
303 |
286 |
$6K |
| 87624 |
|
108 |
106 |
$6K |
| 97150 |
|
91 |
57 |
$6K |
| 97014 |
|
154 |
46 |
$6K |
| 83690 |
|
5,703 |
5,066 |
$5K |
| 71250 |
|
55 |
45 |
$5K |
| 82785 |
|
179 |
159 |
$5K |
| 84153 |
|
282 |
254 |
$5K |
| 97162 |
|
62 |
57 |
$5K |
| 82570 |
|
473 |
438 |
$5K |
| 96375 |
|
2,688 |
2,291 |
$5K |
| 86431 |
|
425 |
401 |
$5K |
| 72125 |
|
409 |
350 |
$5K |
| 80076 |
|
349 |
327 |
$4K |
| 84550 |
|
561 |
512 |
$4K |
| J7030 |
Normal saline solution infus |
4,650 |
3,939 |
$4K |
| 87651 |
|
380 |
323 |
$4K |
| 76700 |
|
20 |
14 |
$4K |
| 82043 |
|
535 |
509 |
$4K |
| 86038 |
|
424 |
393 |
$4K |
| 12002 |
|
25 |
24 |
$4K |
| 12001 |
|
28 |
25 |
$4K |
| 82140 |
|
278 |
193 |
$4K |
| 70486 |
|
48 |
39 |
$4K |
| 92522 |
|
41 |
40 |
$4K |
| 87481 |
|
103 |
94 |
$4K |
| 77067 |
|
293 |
276 |
$3K |
| 84100 |
|
528 |
394 |
$3K |
| 87389 |
|
158 |
145 |
$3K |
| 84702 |
|
881 |
758 |
$3K |
| 85730 |
|
3,893 |
3,421 |
$3K |
| 76856 |
|
18 |
16 |
$3K |
| 88305 |
|
147 |
132 |
$3K |
| 87040 |
|
1,674 |
1,317 |
$3K |
| 87420 |
|
575 |
519 |
$3K |
| 83970 |
|
82 |
78 |
$2K |
| 82550 |
|
886 |
736 |
$2K |
| 97168 |
|
28 |
24 |
$2K |
| 87205 |
|
463 |
399 |
$2K |
| 87798 |
|
95 |
94 |
$2K |
| 97016 |
|
77 |
24 |
$2K |
| 73560 |
|
27 |
25 |
$2K |
| 86618 |
|
48 |
44 |
$2K |
| 90715 |
|
142 |
137 |
$2K |
| 87081 |
|
1,099 |
1,065 |
$1K |
| 87510 |
|
46 |
43 |
$1K |
| 83880 |
|
715 |
647 |
$1K |
| 87075 |
|
186 |
166 |
$1K |
| 87880 |
|
1,237 |
1,198 |
$1K |
| 99291 |
|
16 |
14 |
$988.17 |
| 87480 |
|
46 |
43 |
$950.42 |
| 81025 |
|
1,388 |
1,242 |
$927.33 |
| 82248 |
|
112 |
94 |
$914.65 |
| 72072 |
|
15 |
13 |
$897.72 |
| 73080 |
|
50 |
44 |
$872.85 |
| 00170 |
|
281 |
232 |
$837.54 |
| 87625 |
|
12 |
12 |
$804.41 |
| J1885 |
Ketorolac tromethamine inj |
3,082 |
2,742 |
$769.49 |
| 85007 |
|
633 |
528 |
$740.84 |
| 86850 |
|
43 |
41 |
$721.04 |
| 86328 |
|
21 |
20 |
$696.93 |
| 86900 |
|
43 |
41 |
$643.61 |
| J3490 |
Drugs unclassified injection |
145 |
112 |
$608.07 |
| 87660 |
|
46 |
43 |
$601.68 |
| 80164 |
|
52 |
43 |
$582.38 |
| 73564 |
|
15 |
14 |
$572.46 |
| 80069 |
|
30 |
26 |
$529.61 |
| 90471 |
|
267 |
224 |
$478.20 |
| 86762 |
|
31 |
29 |
$461.03 |
| 86592 |
|
80 |
73 |
$455.13 |
| G0480 |
Drug test def 1-7 classes |
134 |
96 |
$436.43 |
| Q0162 |
Ondansetron oral |
872 |
790 |
$372.60 |
| 80329 |
|
467 |
202 |
$371.10 |
| 80177 |
|
29 |
27 |
$363.20 |
| 86901 |
|
43 |
41 |
$351.48 |
| 96376 |
|
132 |
96 |
$350.92 |
| 84460 |
|
30 |
28 |
$345.76 |
| 87147 |
|
30 |
26 |
$290.45 |
| 84703 |
|
72 |
63 |
$265.24 |
| 84156 |
|
49 |
42 |
$255.02 |
| J2930 |
Methylprednisolone injection |
769 |
657 |
$249.73 |
| 82947 |
|
19 |
14 |
$248.76 |
| 84134 |
|
33 |
30 |
$239.53 |
| J2270 |
Morphine sulfate injection |
314 |
268 |
$238.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,034 |
934 |
$173.39 |
| 86308 |
|
41 |
37 |
$164.26 |
| 84402 |
|
12 |
12 |
$162.85 |
| 84146 |
|
14 |
12 |
$150.47 |
| 82565 |
|
12 |
12 |
$144.09 |
| 86703 |
|
14 |
12 |
$132.55 |
| 85379 |
|
127 |
116 |
$106.11 |
| J2405 |
Ondansetron hcl injection |
2,000 |
1,699 |
$105.35 |
| J1170 |
Hydromorphone injection |
190 |
147 |
$103.92 |
| 88304 |
|
43 |
39 |
$82.22 |
| J1100 |
Dexamethasone sodium phos |
828 |
688 |
$79.21 |
| 70320 |
|
85 |
69 |
$79.03 |
| 88300 |
|
53 |
51 |
$66.36 |
| J7120 |
Ringers lactate infusion |
948 |
826 |
$55.24 |
| J0696 |
Ceftriaxone sodium injection |
511 |
423 |
$52.16 |
| J2704 |
Inj, propofol, 10 mg |
1,074 |
889 |
$35.30 |
| J2919 |
Inj, methylpred sod succ 5mg |
325 |
297 |
$27.16 |
| J1200 |
Diphenhydramine hcl injectio |
579 |
490 |
$24.95 |
| J3010 |
Fentanyl citrate injection |
758 |
613 |
$23.17 |
| J2765 |
Metoclopramide hcl injection |
270 |
241 |
$14.19 |
| 86701 |
|
33 |
30 |
$13.10 |
| 86702 |
|
33 |
30 |
$13.10 |
| J1815 |
Insulin injection |
16 |
12 |
$9.45 |
| J2060 |
Lorazepam injection |
35 |
27 |
$3.62 |
| J2250 |
Inj midazolam hydrochloride |
273 |
224 |
$2.34 |
| J7040 |
Normal saline solution infus |
47 |
44 |
$1.31 |
| J7512 |
Prednisone ir or dr oral 1mg |
94 |
78 |
$0.61 |
| J2001 |
Lidocaine injection |
258 |
214 |
$0.19 |
| J0690 |
Cefazolin sodium injection |
25 |
25 |
$0.00 |
| 94760 |
|
70 |
68 |
$0.00 |
| 94761 |
|
18 |
15 |
$0.00 |
| 00126 |
|
14 |
12 |
$0.00 |