| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
20,847 |
19,602 |
$2.77M |
| 99284 |
|
20,010 |
18,232 |
$2.59M |
| G0463 |
Hospital outpt clinic visit |
28,833 |
24,910 |
$2.38M |
| 96361 |
|
6,106 |
5,034 |
$1.69M |
| 70450 |
|
2,599 |
2,317 |
$698K |
| 74176 |
|
2,154 |
1,969 |
$610K |
| 99285 |
|
5,951 |
5,354 |
$603K |
| 74177 |
|
1,522 |
1,308 |
$498K |
| 99282 |
|
3,997 |
3,816 |
$464K |
| 99281 |
|
3,216 |
3,120 |
$359K |
| 0240U |
|
2,557 |
2,365 |
$335K |
| 0241U |
|
2,657 |
2,417 |
$328K |
| 96365 |
|
2,599 |
2,181 |
$289K |
| 96366 |
|
1,052 |
705 |
$275K |
| 71275 |
|
701 |
609 |
$251K |
| 97597 |
|
2,589 |
1,325 |
$247K |
| 97110 |
|
2,222 |
752 |
$202K |
| 97530 |
|
2,070 |
833 |
$200K |
| 92507 |
|
2,011 |
741 |
$190K |
| 20610 |
|
1,187 |
1,062 |
$165K |
| 96360 |
|
650 |
560 |
$157K |
| 93306 |
|
369 |
342 |
$126K |
| 80048 |
|
22,900 |
19,350 |
$113K |
| 84484 |
|
16,270 |
9,443 |
$46K |
| 94640 |
|
655 |
384 |
$40K |
| 71250 |
|
699 |
635 |
$33K |
| 11042 |
|
443 |
221 |
$31K |
| G0378 |
Hospital observation per hr |
898 |
582 |
$30K |
| 80053 |
|
5,763 |
5,095 |
$29K |
| 97161 |
|
253 |
244 |
$24K |
| 80076 |
|
10,338 |
9,336 |
$24K |
| 96368 |
|
301 |
206 |
$23K |
| 97112 |
|
258 |
91 |
$16K |
| 72125 |
|
526 |
475 |
$14K |
| 85025 |
|
29,820 |
25,397 |
$14K |
| 71045 |
|
9,028 |
8,038 |
$14K |
| 99291 |
|
120 |
97 |
$12K |
| 93005 |
|
14,364 |
12,786 |
$11K |
| G0480 |
Drug test def 1-7 classes |
685 |
605 |
$10K |
| 96367 |
|
198 |
150 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
55 |
54 |
$9K |
| 83605 |
|
5,138 |
3,471 |
$8K |
| 70486 |
|
99 |
95 |
$8K |
| 84443 |
|
1,707 |
1,548 |
$8K |
| 80320 |
|
360 |
301 |
$7K |
| 97162 |
|
125 |
119 |
$7K |
| 12001 |
|
39 |
39 |
$6K |
| 36415 |
|
27,463 |
22,989 |
$6K |
| 87633 |
|
29 |
28 |
$6K |
| 71046 |
|
1,163 |
1,078 |
$5K |
| 71260 |
|
60 |
52 |
$5K |
| 97140 |
|
69 |
40 |
$5K |
| 96372 |
|
6,662 |
4,579 |
$5K |
| 73630 |
|
432 |
384 |
$4K |
| 73562 |
|
381 |
333 |
$4K |
| 76705 |
|
29 |
26 |
$3K |
| 76700 |
|
13 |
13 |
$3K |
| 96374 |
|
8,601 |
7,721 |
$3K |
| 73610 |
|
349 |
305 |
$3K |
| 11721 |
|
190 |
176 |
$3K |
| 87040 |
|
3,173 |
1,513 |
$3K |
| 81001 |
|
12,875 |
11,756 |
$2K |
| 96375 |
|
4,439 |
3,602 |
$2K |
| 73030 |
|
229 |
212 |
$2K |
| 96376 |
|
944 |
637 |
$2K |
| 97166 |
|
29 |
28 |
$2K |
| 94664 |
|
1,271 |
995 |
$2K |
| 87635 |
|
780 |
734 |
$2K |
| 90715 |
|
105 |
96 |
$2K |
| 73110 |
|
130 |
115 |
$2K |
| 73130 |
|
203 |
190 |
$2K |
| 82962 |
|
2,345 |
807 |
$2K |
| 83036 |
|
200 |
176 |
$2K |
| 85610 |
|
7,144 |
6,361 |
$1K |
| 99406 |
|
147 |
134 |
$1K |
| 93971 |
|
12 |
12 |
$1K |
| 86140 |
|
2,920 |
2,610 |
$1K |
| 80061 |
|
93 |
87 |
$1K |
| 83690 |
|
5,359 |
4,699 |
$1K |
| 93922 |
|
14 |
13 |
$1K |
| J3490 |
Drugs unclassified injection |
147 |
116 |
$1K |
| 87086 |
|
1,727 |
1,566 |
$1K |
| 85730 |
|
6,942 |
6,070 |
$1K |
| 83880 |
|
1,733 |
1,530 |
$966.51 |
| 87804 |
|
2,474 |
1,237 |
$950.97 |
| 81025 |
|
2,151 |
1,940 |
$700.40 |
| 82803 |
|
1,101 |
736 |
$692.22 |
| 80306 |
|
636 |
555 |
$589.49 |
| 87880 |
|
640 |
599 |
$552.82 |
| U0002 |
Covid-19 lab test non-cdc |
42 |
41 |
$550.03 |
| 84702 |
|
91 |
77 |
$539.37 |
| 82553 |
|
76 |
39 |
$537.18 |
| 87420 |
|
18 |
17 |
$528.66 |
| 94660 |
|
16 |
12 |
$521.58 |
| 83735 |
|
1,641 |
1,432 |
$492.80 |
| 85379 |
|
740 |
641 |
$470.01 |
| 82306 |
|
28 |
27 |
$456.42 |
| 90686 |
|
64 |
60 |
$450.26 |
| 81003 |
|
1,196 |
1,086 |
$443.06 |
| 86900 |
|
17 |
14 |
$387.61 |
| J2270 |
Morphine sulfate injection |
1,067 |
786 |
$372.33 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,525 |
3,047 |
$360.00 |
| J1885 |
Ketorolac tromethamine inj |
4,388 |
3,855 |
$358.01 |
| 82150 |
|
809 |
735 |
$343.89 |
| 82140 |
|
190 |
160 |
$328.71 |
| 73502 |
|
19 |
13 |
$323.61 |
| 80307 |
|
77 |
70 |
$282.24 |
| 87186 |
|
812 |
587 |
$198.80 |
| Q0162 |
Ondansetron oral |
243 |
227 |
$194.37 |
| 87077 |
|
819 |
592 |
$181.77 |
| 85652 |
|
158 |
146 |
$173.36 |
| J7030 |
Normal saline solution infus |
3,263 |
2,389 |
$171.62 |
| J7050 |
Normal saline solution infus |
1,753 |
1,130 |
$171.32 |
| 36600 |
|
201 |
142 |
$169.96 |
| J1170 |
Hydromorphone injection |
593 |
419 |
$164.45 |
| 82550 |
|
76 |
39 |
$138.61 |
| J3301 |
Triamcinolone acet inj nos |
1,471 |
1,353 |
$110.70 |
| 82375 |
|
375 |
247 |
$108.93 |
| 84703 |
|
116 |
92 |
$102.80 |
| 84100 |
|
115 |
111 |
$98.27 |
| 85018 |
|
333 |
235 |
$94.92 |
| 87340 |
|
13 |
13 |
$89.51 |
| J2930 |
Methylprednisolone injection |
468 |
362 |
$88.91 |
| J2405 |
Ondansetron hcl injection |
4,618 |
3,847 |
$65.34 |
| 80329 |
|
216 |
180 |
$62.48 |
| 86709 |
|
13 |
13 |
$61.14 |
| J0696 |
Ceftriaxone sodium injection |
697 |
562 |
$43.88 |
| 82607 |
|
28 |
26 |
$42.88 |
| J2360 |
Orphenadrine injection |
68 |
59 |
$42.56 |
| 84439 |
|
13 |
12 |
$36.82 |
| 82746 |
|
27 |
25 |
$30.56 |
| 86803 |
|
13 |
13 |
$30.56 |
| 86706 |
|
13 |
13 |
$30.56 |
| 86704 |
|
13 |
13 |
$30.56 |
| J2060 |
Lorazepam injection |
277 |
217 |
$28.28 |
| J2550 |
Promethazine hcl injection |
202 |
153 |
$25.68 |
| J7060 |
5% dextrose/water |
511 |
365 |
$24.47 |
| U0005 |
Infec agen detec ampli probe |
55 |
54 |
$23.18 |
| J2543 |
Piperacillin/tazobactam |
49 |
38 |
$19.11 |
| J1100 |
Dexamethasone sodium phos |
342 |
250 |
$13.24 |
| J2765 |
Metoclopramide hcl injection |
112 |
92 |
$10.12 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
36 |
23 |
$6.73 |
| J7512 |
Prednisone ir or dr oral 1mg |
223 |
199 |
$4.65 |
| J1200 |
Diphenhydramine hcl injectio |
324 |
255 |
$2.81 |
| J2919 |
Inj, methylpred sod succ 5mg |
202 |
186 |
$0.54 |
| 84145 |
|
37 |
27 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
16 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
36 |
25 |
$0.00 |
| 73590 |
|
16 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
835 |
494 |
$0.00 |
| 94760 |
|
272 |
148 |
$0.00 |
| 90471 |
|
132 |
121 |
$0.00 |
| G0008 |
Admin influenza virus vac |
95 |
89 |
$0.00 |
| 86901 |
|
17 |
14 |
$0.00 |