| Code | Description | Claims | Beneficiaries | Total Paid |
| 90832 |
|
4,973 |
3,356 |
$638K |
| 80053 |
|
13,031 |
12,135 |
$569K |
| G0463 |
Hospital outpt clinic visit |
7,311 |
6,044 |
$369K |
| 99213 |
|
3,378 |
2,903 |
$348K |
| 96375 |
|
1,075 |
867 |
$295K |
| 96413 |
|
159 |
117 |
$268K |
| 96365 |
|
284 |
260 |
$252K |
| 36415 |
|
4,139 |
3,899 |
$241K |
| 96361 |
|
921 |
852 |
$237K |
| 81001 |
|
3,912 |
3,732 |
$237K |
| 90833 |
|
1,552 |
1,363 |
$227K |
| C9803 |
Hopd covid-19 spec collect |
3,734 |
3,532 |
$210K |
| 88305 |
|
1,110 |
974 |
$204K |
| 0241U |
|
1,393 |
1,327 |
$195K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,702 |
4,420 |
$190K |
| 99214 |
|
1,386 |
1,224 |
$181K |
| 86850 |
|
2,024 |
1,846 |
$181K |
| 90834 |
|
1,024 |
658 |
$161K |
| 96374 |
|
1,070 |
1,006 |
$140K |
| 99281 |
|
1,659 |
1,581 |
$131K |
| 87806 |
|
2,284 |
2,276 |
$130K |
| 87631 |
|
1,362 |
1,337 |
$121K |
| 86480 |
|
1,087 |
1,074 |
$119K |
| 80061 |
|
9,459 |
9,330 |
$107K |
| 99282 |
|
1,588 |
1,536 |
$105K |
| 81003 |
|
1,772 |
1,716 |
$99K |
| 80048 |
|
3,318 |
3,138 |
$95K |
| 99283 |
|
1,846 |
1,758 |
$84K |
| 97110 |
|
1,823 |
661 |
$78K |
| 99393 |
|
537 |
527 |
$65K |
| 77067 |
|
1,127 |
1,126 |
$64K |
| 77063 |
|
494 |
493 |
$61K |
| 85025 |
|
18,566 |
16,916 |
$58K |
| 87081 |
|
1,165 |
1,146 |
$55K |
| 86900 |
|
2,032 |
1,851 |
$51K |
| 87491 |
|
2,237 |
2,099 |
$50K |
| 99394 |
|
426 |
396 |
$49K |
| 99392 |
|
414 |
373 |
$47K |
| 99212 |
|
264 |
251 |
$47K |
| 93306 |
|
341 |
339 |
$45K |
| 86769 |
|
741 |
740 |
$42K |
| 71046 |
|
1,432 |
1,383 |
$41K |
| 99391 |
|
251 |
250 |
$39K |
| 96360 |
|
160 |
157 |
$38K |
| 86901 |
|
2,032 |
1,851 |
$38K |
| 82306 |
|
4,223 |
4,167 |
$37K |
| 99284 |
|
1,101 |
1,057 |
$37K |
| 80307 |
|
736 |
564 |
$35K |
| 92551 |
|
669 |
642 |
$35K |
| 82948 |
|
843 |
628 |
$33K |
| 86780 |
|
2,926 |
2,790 |
$32K |
| 87481 |
|
199 |
196 |
$30K |
| 87086 |
|
2,702 |
2,574 |
$30K |
| 80076 |
|
1,783 |
1,730 |
$29K |
| 82728 |
|
2,653 |
2,585 |
$29K |
| 90686 |
|
1,965 |
1,896 |
$25K |
| 90791 |
|
121 |
113 |
$24K |
| 83655 |
|
1,128 |
1,103 |
$23K |
| 82784 |
|
596 |
474 |
$23K |
| 87486 |
|
78 |
75 |
$21K |
| 87070 |
|
376 |
367 |
$21K |
| 83021 |
|
547 |
500 |
$21K |
| 96366 |
|
26 |
25 |
$20K |
| 87624 |
|
811 |
807 |
$20K |
| G0438 |
Ppps, initial visit |
224 |
223 |
$20K |
| 83036 |
|
8,898 |
8,791 |
$19K |
| 99395 |
|
249 |
237 |
$15K |
| G0480 |
Drug test def 1-7 classes |
476 |
302 |
$15K |
| 87637 |
|
134 |
132 |
$14K |
| 0002A |
|
362 |
362 |
$14K |
| 0001A |
|
418 |
418 |
$14K |
| 84439 |
|
3,473 |
3,398 |
$14K |
| 90836 |
|
82 |
54 |
$14K |
| 74177 |
|
205 |
204 |
$14K |
| 87633 |
|
139 |
135 |
$13K |
| 84702 |
|
1,848 |
1,661 |
$13K |
| 82607 |
|
2,188 |
2,152 |
$13K |
| 96110 |
|
88 |
85 |
$13K |
| 85610 |
|
2,140 |
1,987 |
$11K |
| 87077 |
|
694 |
686 |
$11K |
| 86803 |
|
2,331 |
2,313 |
$11K |
| 99285 |
|
674 |
636 |
$11K |
| 84443 |
|
6,934 |
6,806 |
$11K |
| 86359 |
|
87 |
85 |
$11K |
| 94640 |
|
247 |
220 |
$10K |
| 99215 |
Prolong outpt/office vis |
55 |
55 |
$10K |
| 96127 |
|
1,372 |
1,362 |
$10K |
| 99396 |
|
56 |
56 |
$9K |
| 87635 |
|
265 |
249 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
1,163 |
1,082 |
$9K |
| 87490 |
|
1,587 |
1,575 |
$9K |
| 83735 |
|
2,185 |
1,882 |
$9K |
| 82330 |
|
1,258 |
1,137 |
$9K |
| 84466 |
|
2,362 |
2,310 |
$8K |
| G0475 |
Hiv combination assay |
1,447 |
1,416 |
$8K |
| 90670 |
|
335 |
328 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,183 |
712 |
$7K |
| 83615 |
|
842 |
693 |
$7K |
| 86140 |
|
972 |
942 |
$7K |
| 83540 |
|
2,447 |
2,389 |
$6K |
| 97010 |
|
106 |
48 |
$6K |
| 87205 |
|
377 |
333 |
$6K |
| 90651 |
|
214 |
205 |
$6K |
| 0003A |
|
154 |
154 |
$6K |
| 73630 |
|
48 |
45 |
$6K |
| J7050 |
Normal saline solution infus |
1,681 |
1,023 |
$6K |
| 87581 |
|
78 |
75 |
$5K |
| 92557 |
|
44 |
43 |
$5K |
| 82043 |
|
1,661 |
1,649 |
$5K |
| G0123 |
Screen cerv/vag thin layer |
1,184 |
1,177 |
$4K |
| 84100 |
|
1,315 |
1,166 |
$4K |
| 86706 |
|
1,089 |
1,077 |
$4K |
| 82565 |
|
227 |
210 |
$4K |
| 82550 |
|
1,338 |
1,210 |
$4K |
| 87591 |
|
3,957 |
3,751 |
$4K |
| 70450 |
|
46 |
46 |
$4K |
| 90734 |
|
203 |
195 |
$3K |
| 85046 |
|
281 |
242 |
$3K |
| 82785 |
|
101 |
82 |
$3K |
| 76700 |
|
25 |
25 |
$3K |
| 86704 |
|
415 |
410 |
$3K |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$3K |
| 84484 |
|
1,139 |
973 |
$2K |
| 83690 |
|
1,343 |
1,246 |
$2K |
| J3490 |
Drugs unclassified injection |
1,548 |
1,078 |
$2K |
| 82570 |
|
2,098 |
2,061 |
$2K |
| 96372 |
|
708 |
615 |
$2K |
| 82746 |
|
859 |
848 |
$2K |
| 83880 |
|
277 |
262 |
$2K |
| 76830 |
|
40 |
40 |
$2K |
| 84153 |
|
315 |
305 |
$2K |
| 84550 |
|
816 |
724 |
$2K |
| 87798 |
|
492 |
482 |
$2K |
| 90853 |
|
33 |
12 |
$2K |
| 99173 |
|
26 |
26 |
$2K |
| 86592 |
|
29 |
28 |
$2K |
| 83605 |
|
1,243 |
1,125 |
$2K |
| 87340 |
|
1,820 |
1,807 |
$2K |
| J7030 |
Normal saline solution infus |
1,262 |
1,134 |
$2K |
| 90715 |
|
219 |
216 |
$2K |
| 82375 |
|
1,243 |
1,125 |
$2K |
| 83970 |
|
182 |
173 |
$2K |
| 83001 |
|
212 |
210 |
$2K |
| 85730 |
|
1,787 |
1,699 |
$2K |
| 76705 |
|
15 |
15 |
$2K |
| 71045 |
|
30 |
29 |
$2K |
| 76770 |
|
29 |
28 |
$1K |
| 95117 |
|
65 |
42 |
$1K |
| 86696 |
|
13 |
13 |
$1K |
| 0124A |
|
94 |
93 |
$1K |
| 84520 |
|
189 |
171 |
$1K |
| 99211 |
|
65 |
54 |
$1K |
| 86735 |
|
459 |
453 |
$1K |
| 93970 |
|
25 |
25 |
$1K |
| 84703 |
|
63 |
62 |
$1K |
| H2010 |
Comprehensive med svc 15 min |
19 |
14 |
$1K |
| 86762 |
|
648 |
641 |
$1K |
| 82947 |
|
1,564 |
1,440 |
$1K |
| 87661 |
|
1,375 |
1,342 |
$1K |
| 90680 |
|
146 |
146 |
$1K |
| 87880 |
|
56 |
56 |
$1K |
| 85044 |
|
551 |
505 |
$1K |
| 97140 |
|
147 |
66 |
$1K |
| 73610 |
|
14 |
12 |
$1K |
| 82150 |
|
260 |
241 |
$1K |
| 90633 |
|
136 |
116 |
$971.15 |
| 92083 |
|
12 |
12 |
$965.30 |
| J7120 |
Ringers lactate infusion |
923 |
874 |
$913.86 |
| J2001 |
Lidocaine injection |
830 |
762 |
$894.83 |
| 86360 |
|
87 |
85 |
$842.30 |
| 84295 |
|
1,407 |
1,300 |
$829.69 |
| 0011A |
|
20 |
20 |
$800.00 |
| 0012A |
|
20 |
20 |
$795.00 |
| 73560 |
|
13 |
12 |
$756.39 |
| 82800 |
|
1,239 |
1,123 |
$747.93 |
| 84403 |
|
203 |
198 |
$740.20 |
| 85652 |
|
929 |
904 |
$719.50 |
| 84146 |
|
109 |
107 |
$699.33 |
| 86038 |
|
310 |
308 |
$680.95 |
| 86200 |
|
13 |
13 |
$672.83 |
| 92567 |
|
51 |
50 |
$642.53 |
| 99385 |
|
16 |
16 |
$583.54 |
| 83050 |
|
1,243 |
1,125 |
$574.45 |
| 86765 |
|
694 |
687 |
$565.31 |
| 87088 |
|
788 |
769 |
$448.25 |
| 82310 |
|
52 |
52 |
$446.12 |
| 84132 |
|
1,156 |
1,069 |
$440.24 |
| 93005 |
|
1,371 |
1,272 |
$439.59 |
| 92012 |
|
12 |
12 |
$377.35 |
| 86787 |
|
592 |
583 |
$376.17 |
| 86003 |
|
163 |
159 |
$364.96 |
| 80197 |
|
64 |
37 |
$358.97 |
| 90696 |
|
16 |
16 |
$346.45 |
| 90698 |
|
27 |
27 |
$329.77 |
| 81025 |
|
12 |
12 |
$313.22 |
| 82465 |
|
88 |
88 |
$306.76 |
| 85651 |
|
197 |
196 |
$284.01 |
| 90723 |
|
25 |
25 |
$279.64 |
| 90750 |
|
12 |
12 |
$275.91 |
| 90710 |
|
67 |
59 |
$254.24 |
| 86708 |
|
53 |
53 |
$245.69 |
| 90648 |
|
13 |
12 |
$236.69 |
| 87186 |
|
337 |
335 |
$235.88 |
| 84156 |
|
594 |
570 |
$233.82 |
| 76642 |
|
18 |
18 |
$195.04 |
| 84436 |
|
27 |
27 |
$194.00 |
| 84155 |
|
86 |
77 |
$161.99 |
| J1100 |
Dexamethasone sodium phos |
834 |
734 |
$154.37 |
| 90471 |
|
576 |
544 |
$145.92 |
| J1200 |
Diphenhydramine hcl injectio |
250 |
217 |
$138.60 |
| 82977 |
|
30 |
27 |
$134.00 |
| 87536 |
|
68 |
67 |
$119.42 |
| H0049 |
Alcohol/drug screening |
188 |
149 |
$114.25 |
| J8540 |
Oral dexamethasone |
15 |
14 |
$109.56 |
| J2250 |
Inj midazolam hydrochloride |
882 |
867 |
$108.92 |
| 83520 |
|
14 |
14 |
$89.15 |
| 87563 |
|
38 |
38 |
$86.55 |
| 87651 |
|
32 |
31 |
$79.42 |
| G0103 |
Psa screening |
319 |
317 |
$78.15 |
| J3010 |
Fentanyl citrate injection |
1,193 |
945 |
$55.79 |
| 87147 |
|
14 |
13 |
$55.00 |
| 84402 |
|
77 |
75 |
$35.98 |
| J2405 |
Ondansetron hcl injection |
1,081 |
980 |
$33.62 |
| 86161 |
|
12 |
12 |
$26.48 |
| 90697 |
|
13 |
13 |
$17.85 |
| 86225 |
|
27 |
25 |
$15.09 |
| J2370 |
Phenylephrine hcl injection |
12 |
12 |
$11.97 |
| J1885 |
Ketorolac tromethamine inj |
583 |
543 |
$3.44 |
| 91312 |
|
79 |
78 |
$1.08 |
| Q0163 |
Diphenhydramine hcl 50mg |
60 |
55 |
$0.74 |
| 91313 |
|
13 |
13 |
$0.13 |
| S0020 |
Injection, bupivicaine hydro |
70 |
67 |
$0.00 |
| Q0162 |
Ondansetron oral |
71 |
69 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
48 |
43 |
$0.00 |
| 86376 |
|
25 |
25 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
128 |
127 |
$0.00 |
| 84480 |
|
26 |
26 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
12 |
$0.00 |
| 86141 |
|
15 |
15 |
$0.00 |
| 83002 |
|
39 |
39 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
45 |
45 |
$0.00 |
| 85362 |
|
12 |
12 |
$0.00 |
| 86431 |
|
105 |
105 |
$0.00 |
| 83516 |
|
64 |
63 |
$0.00 |
| 81513 |
|
198 |
195 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
50 |
37 |
$0.00 |
| 86618 |
|
12 |
12 |
$0.00 |
| 90472 |
|
102 |
100 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |
| 99051 |
|
26 |
26 |
$0.00 |
| 76857 |
|
15 |
15 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |