| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,280 |
15,381 |
$2.22M |
| 99284 |
|
11,086 |
8,823 |
$2.06M |
| 74177 |
|
1,504 |
1,122 |
$607K |
| 99285 |
|
2,241 |
1,680 |
$552K |
| 99282 |
|
5,132 |
4,434 |
$437K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,817 |
6,223 |
$402K |
| 96374 |
|
5,592 |
4,368 |
$325K |
| 70450 |
|
1,533 |
1,109 |
$317K |
| 43239 |
|
569 |
413 |
$265K |
| A0427 |
Als1-emergency |
4,382 |
2,434 |
$230K |
| 11042 |
|
360 |
89 |
$116K |
| 93005 |
|
4,991 |
3,678 |
$115K |
| 74176 |
|
350 |
264 |
$114K |
| A0429 |
Bls-emergency |
2,252 |
1,220 |
$109K |
| 97110 |
|
3,227 |
932 |
$108K |
| 71045 |
|
3,840 |
2,932 |
$106K |
| 80053 |
|
17,718 |
13,489 |
$104K |
| 76700 |
|
574 |
450 |
$82K |
| 85027 |
|
20,158 |
15,080 |
$71K |
| 96365 |
|
1,312 |
680 |
$70K |
| 76856 |
|
494 |
418 |
$64K |
| 71046 |
|
1,262 |
953 |
$62K |
| 45380 |
|
74 |
65 |
$58K |
| 88305 |
|
1,284 |
931 |
$54K |
| 76830 |
|
407 |
350 |
$53K |
| 96372 |
|
2,016 |
1,413 |
$52K |
| 96361 |
|
2,493 |
1,743 |
$51K |
| 71275 |
|
123 |
93 |
$50K |
| 84443 |
|
4,981 |
4,072 |
$49K |
| 97140 |
|
1,619 |
526 |
$47K |
| 96375 |
|
2,657 |
1,746 |
$47K |
| 80307 |
|
1,470 |
1,116 |
$46K |
| A0425 |
Ground mileage |
7,403 |
4,048 |
$45K |
| 96360 |
|
662 |
500 |
$44K |
| G0480 |
Drug test def 1-7 classes |
1,307 |
970 |
$41K |
| 72125 |
|
139 |
104 |
$38K |
| 87426 |
|
1,373 |
1,152 |
$38K |
| G0378 |
Hospital observation per hr |
155 |
49 |
$37K |
| 99281 |
|
838 |
621 |
$34K |
| 97530 |
|
523 |
182 |
$27K |
| 76816 |
|
194 |
159 |
$27K |
| 73610 |
|
422 |
334 |
$24K |
| 80061 |
|
2,605 |
2,216 |
$22K |
| 73630 |
|
380 |
291 |
$22K |
| 87591 |
|
992 |
853 |
$20K |
| 87491 |
|
991 |
852 |
$20K |
| 36415 |
|
20,230 |
14,369 |
$18K |
| 93306 |
|
54 |
39 |
$15K |
| 84702 |
|
1,272 |
944 |
$14K |
| 73030 |
|
166 |
121 |
$13K |
| 82306 |
|
795 |
663 |
$13K |
| 83036 |
|
1,996 |
1,679 |
$12K |
| 87804 |
|
1,354 |
1,152 |
$12K |
| 84484 |
|
3,148 |
1,939 |
$12K |
| 87389 |
|
491 |
424 |
$11K |
| 12001 |
|
32 |
28 |
$11K |
| 93971 |
|
104 |
68 |
$11K |
| 80048 |
|
2,261 |
1,813 |
$11K |
| 97597 |
|
159 |
66 |
$10K |
| 76820 |
|
137 |
103 |
$10K |
| 83690 |
|
2,722 |
2,116 |
$10K |
| 96413 |
|
152 |
56 |
$10K |
| G0463 |
Hospital outpt clinic visit |
784 |
342 |
$9K |
| 73130 |
|
138 |
115 |
$9K |
| 87077 |
|
1,019 |
805 |
$8K |
| G0410 |
Grp psych php/iop 45-50 |
173 |
24 |
$8K |
| 71260 |
|
37 |
24 |
$8K |
| 81001 |
|
5,222 |
4,098 |
$8K |
| 87086 |
|
1,869 |
1,484 |
$8K |
| 83735 |
|
2,694 |
1,926 |
$8K |
| 45378 |
|
18 |
12 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
2,224 |
1,861 |
$7K |
| 90791 |
|
119 |
36 |
$7K |
| 87040 |
|
1,077 |
576 |
$7K |
| 97535 |
|
529 |
346 |
$7K |
| 97161 |
|
188 |
145 |
$7K |
| 10060 |
|
15 |
12 |
$7K |
| 96376 |
|
485 |
292 |
$7K |
| 87880 |
|
727 |
607 |
$6K |
| 87635 |
|
160 |
148 |
$6K |
| 82728 |
|
647 |
472 |
$6K |
| 83880 |
|
475 |
324 |
$6K |
| 83550 |
|
755 |
573 |
$5K |
| 71250 |
|
30 |
25 |
$5K |
| 87186 |
|
843 |
677 |
$5K |
| 83605 |
|
1,000 |
693 |
$5K |
| 87400 |
|
411 |
396 |
$5K |
| 82550 |
|
1,677 |
1,043 |
$5K |
| 85379 |
|
788 |
596 |
$4K |
| 96366 |
|
77 |
39 |
$4K |
| 86803 |
|
430 |
380 |
$4K |
| 82553 |
|
1,484 |
902 |
$4K |
| 86850 |
|
485 |
373 |
$4K |
| 82607 |
|
549 |
453 |
$4K |
| 76801 |
|
28 |
25 |
$4K |
| 83540 |
|
863 |
659 |
$4K |
| 74018 |
|
62 |
39 |
$4K |
| 87081 |
|
864 |
705 |
$4K |
| 45385 |
|
15 |
13 |
$4K |
| 84439 |
|
618 |
484 |
$4K |
| 73110 |
|
81 |
65 |
$3K |
| 87905 |
|
254 |
218 |
$3K |
| 87808 |
|
224 |
188 |
$3K |
| 94640 |
|
62 |
37 |
$3K |
| J7030 |
Normal saline solution infus |
1,782 |
1,153 |
$3K |
| 86140 |
|
770 |
594 |
$3K |
| G0177 |
Opps/php/iop; train & educ |
76 |
13 |
$3K |
| 86780 |
|
251 |
224 |
$2K |
| 85610 |
|
1,166 |
810 |
$2K |
| 73564 |
|
36 |
26 |
$2K |
| 76805 |
|
13 |
12 |
$2K |
| 82746 |
|
250 |
199 |
$2K |
| 99211 |
|
387 |
245 |
$2K |
| 76819 |
|
18 |
12 |
$2K |
| 87420 |
|
181 |
149 |
$2K |
| 76536 |
|
14 |
12 |
$2K |
| 80076 |
|
272 |
234 |
$2K |
| 80143 |
|
131 |
104 |
$1K |
| 73140 |
|
17 |
12 |
$1K |
| 76942 |
|
25 |
15 |
$1K |
| 90471 |
|
77 |
56 |
$1K |
| 87340 |
|
166 |
137 |
$1K |
| 85652 |
|
684 |
518 |
$1K |
| 80179 |
|
119 |
94 |
$1K |
| 87502 |
|
38 |
28 |
$1K |
| 76770 |
|
32 |
24 |
$1K |
| 82043 |
|
334 |
278 |
$990.21 |
| 82784 |
|
77 |
66 |
$940.49 |
| 72100 |
|
14 |
12 |
$850.33 |
| 85730 |
|
299 |
217 |
$775.95 |
| 82570 |
|
297 |
236 |
$762.93 |
| 87205 |
|
279 |
218 |
$754.76 |
| C1726 |
Cath, bal dil, non-vascular |
17 |
13 |
$726.54 |
| 81003 |
|
854 |
736 |
$640.25 |
| 97035 |
|
23 |
12 |
$580.23 |
| 97162 |
|
19 |
12 |
$547.71 |
| 86618 |
|
59 |
51 |
$507.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
543 |
378 |
$449.23 |
| 88342 |
|
26 |
13 |
$413.35 |
| 85007 |
|
258 |
171 |
$412.57 |
| G0103 |
Psa screening |
36 |
27 |
$397.56 |
| 83516 |
|
32 |
24 |
$390.29 |
| 81025 |
|
98 |
91 |
$368.85 |
| 84100 |
|
181 |
100 |
$368.16 |
| 87522 |
Neg quan hep c or qual rna |
17 |
15 |
$357.24 |
| J7050 |
Normal saline solution infus |
261 |
196 |
$335.87 |
| J1885 |
Ketorolac tromethamine inj |
964 |
655 |
$330.06 |
| 87807 |
|
27 |
27 |
$285.66 |
| 86762 |
|
26 |
24 |
$254.60 |
| 73502 |
|
15 |
13 |
$246.20 |
| 87070 |
|
47 |
42 |
$232.57 |
| A9270 |
Non-covered item or service |
2,389 |
1,054 |
$226.21 |
| 87140 |
|
61 |
48 |
$226.03 |
| 84460 |
|
43 |
26 |
$215.72 |
| J1100 |
Dexamethasone sodium phos |
47 |
36 |
$201.17 |
| 84146 |
|
15 |
14 |
$146.34 |
| 86038 |
|
19 |
14 |
$135.23 |
| J2405 |
Ondansetron hcl injection |
1,046 |
483 |
$122.30 |
| J2704 |
Inj, propofol, 10 mg |
656 |
406 |
$111.20 |
| J3490 |
Drugs unclassified injection |
888 |
583 |
$102.92 |
| 86906 |
|
15 |
12 |
$94.23 |
| 86900 |
|
39 |
26 |
$81.78 |
| 84450 |
|
26 |
13 |
$67.89 |
| 86901 |
|
24 |
14 |
$50.93 |
| J2250 |
Inj midazolam hydrochloride |
43 |
26 |
$0.49 |
| 82077 |
|
81 |
69 |
$0.00 |
| Q0162 |
Ondansetron oral |
16 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
14 |
14 |
$0.00 |