| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
36,430 |
30,342 |
$4.85M |
| 99283 |
|
7,311 |
6,714 |
$1.15M |
| 97110 |
|
11,865 |
3,881 |
$1.15M |
| 99284 |
|
4,522 |
4,143 |
$657K |
| 96361 |
|
1,678 |
1,471 |
$430K |
| 80053 |
|
13,118 |
11,659 |
$425K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,603 |
3,911 |
$331K |
| 99282 |
|
1,520 |
1,442 |
$277K |
| 43239 |
|
395 |
393 |
$238K |
| 87635 |
|
4,407 |
3,836 |
$209K |
| 99285 |
|
1,574 |
1,472 |
$205K |
| G2023 |
Specimen collect covid-19 |
7,851 |
6,668 |
$189K |
| 74177 |
|
662 |
647 |
$179K |
| 36415 |
|
13,322 |
11,619 |
$147K |
| 87581 |
|
1,613 |
1,585 |
$131K |
| 99214 |
|
1,226 |
1,154 |
$120K |
| 97161 |
|
1,266 |
1,253 |
$120K |
| 70450 |
|
400 |
384 |
$117K |
| 97140 |
|
5,405 |
1,941 |
$116K |
| D0120 |
|
3,149 |
2,436 |
$111K |
| U0005 |
Infec agen detec ampli probe |
4,558 |
3,894 |
$109K |
| 99213 |
|
885 |
831 |
$105K |
| 96365 |
|
581 |
495 |
$91K |
| 80048 |
|
1,874 |
1,721 |
$86K |
| 45380 |
|
117 |
115 |
$82K |
| 76705 |
|
849 |
843 |
$79K |
| 90686 |
|
1,909 |
1,905 |
$78K |
| D1110 |
|
1,358 |
1,354 |
$74K |
| 87651 |
|
1,193 |
1,167 |
$72K |
| 82306 |
|
2,404 |
2,396 |
$65K |
| 36416 |
|
295 |
249 |
$65K |
| 88305 |
|
1,416 |
1,393 |
$64K |
| 96372 |
|
1,852 |
1,455 |
$63K |
| 87491 |
|
1,650 |
1,623 |
$63K |
| 71046 |
|
1,971 |
1,919 |
$60K |
| 97597 |
|
209 |
103 |
$54K |
| 96374 |
|
1,753 |
1,582 |
$49K |
| 76830 |
|
487 |
473 |
$46K |
| 90834 |
|
223 |
189 |
$45K |
| 85025 |
|
17,048 |
14,543 |
$40K |
| 80061 |
|
4,412 |
4,367 |
$38K |
| 84443 |
|
5,440 |
5,311 |
$37K |
| 77067 |
|
429 |
429 |
$35K |
| 86900 |
|
666 |
641 |
$34K |
| 87800 |
|
1,608 |
1,580 |
$32K |
| 87591 |
|
1,644 |
1,617 |
$30K |
| 88175 |
|
1,049 |
1,046 |
$28K |
| 90715 |
|
726 |
725 |
$26K |
| 83036 |
|
3,415 |
3,377 |
$24K |
| 74176 |
|
70 |
67 |
$20K |
| 73560 |
|
376 |
360 |
$20K |
| 90836 |
|
216 |
184 |
$19K |
| 80307 |
|
586 |
538 |
$18K |
| 90648 |
|
433 |
432 |
$18K |
| 96375 |
|
1,586 |
1,391 |
$17K |
| 84703 |
|
1,928 |
1,808 |
$15K |
| 87502 |
|
254 |
251 |
$15K |
| 84439 |
|
2,074 |
2,026 |
$14K |
| 82607 |
|
1,681 |
1,670 |
$13K |
| 87389 |
|
921 |
916 |
$13K |
| 87624 |
|
319 |
317 |
$12K |
| 73610 |
|
387 |
347 |
$12K |
| 97803 |
|
133 |
131 |
$11K |
| 73030 |
|
294 |
279 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,272 |
1,223 |
$11K |
| 87636 |
|
110 |
109 |
$10K |
| 76816 |
|
113 |
106 |
$10K |
| 90670 |
|
465 |
464 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
611 |
437 |
$10K |
| 82728 |
|
1,315 |
1,301 |
$10K |
| 97162 |
|
90 |
90 |
$9K |
| 90791 |
|
54 |
50 |
$9K |
| 96360 |
|
43 |
37 |
$9K |
| 59025 |
|
43 |
25 |
$9K |
| 73630 |
|
266 |
242 |
$9K |
| 90734 |
|
258 |
257 |
$8K |
| 90651 |
|
191 |
191 |
$8K |
| 87086 |
|
2,300 |
2,158 |
$8K |
| 85610 |
|
2,282 |
2,015 |
$8K |
| D0274 |
|
270 |
262 |
$8K |
| 77063 |
|
357 |
357 |
$8K |
| 86901 |
|
665 |
640 |
$7K |
| 90685 |
|
284 |
284 |
$7K |
| 86769 |
|
218 |
215 |
$7K |
| G0378 |
Hospital observation per hr |
34 |
12 |
$7K |
| 84702 |
|
1,043 |
925 |
$7K |
| 81001 |
|
6,012 |
5,511 |
$7K |
| 90833 |
|
124 |
111 |
$7K |
| 82746 |
|
1,092 |
1,088 |
$6K |
| 86141 |
|
1,264 |
1,177 |
$6K |
| 99441 |
|
55 |
45 |
$5K |
| 86803 |
|
649 |
642 |
$5K |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
176 |
176 |
$5K |
| 83655 |
|
423 |
422 |
$5K |
| 93005 |
|
3,692 |
3,347 |
$5K |
| 87070 |
|
1,011 |
983 |
$4K |
| 90723 |
|
247 |
247 |
$4K |
| 83735 |
|
3,000 |
2,694 |
$4K |
| 0071A |
|
102 |
102 |
$4K |
| 73564 |
|
71 |
70 |
$4K |
| 97010 |
|
207 |
82 |
$4K |
| 99443 |
|
45 |
43 |
$4K |
| D0150 |
|
99 |
83 |
$4K |
| D2391 |
|
56 |
53 |
$4K |
| 0002A |
|
93 |
93 |
$4K |
| 87804 |
|
1,613 |
1,584 |
$4K |
| 87809 |
|
1,612 |
1,583 |
$4K |
| 83540 |
|
1,257 |
1,239 |
$3K |
| 0072A |
|
81 |
81 |
$3K |
| 87807 |
|
1,612 |
1,584 |
$3K |
| 0001A |
|
85 |
85 |
$3K |
| 83550 |
|
1,225 |
1,209 |
$3K |
| 80076 |
|
293 |
275 |
$3K |
| 81025 |
|
106 |
105 |
$3K |
| 71045 |
|
765 |
728 |
$3K |
| 93306 |
|
24 |
24 |
$3K |
| 0004A |
|
69 |
69 |
$3K |
| 90633 |
|
53 |
53 |
$3K |
| 83880 |
|
98 |
92 |
$2K |
| 85730 |
|
1,451 |
1,377 |
$2K |
| 99442 |
|
27 |
25 |
$2K |
| J7120 |
Ringers lactate infusion |
2,315 |
2,146 |
$2K |
| 90700 |
|
15 |
14 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
36 |
36 |
$2K |
| 87340 |
|
245 |
240 |
$2K |
| 84153 |
|
131 |
130 |
$2K |
| 73562 |
|
70 |
68 |
$2K |
| 74018 |
|
47 |
42 |
$2K |
| J7030 |
Normal saline solution infus |
1,899 |
1,704 |
$2K |
| 76641 |
|
15 |
14 |
$2K |
| 87186 |
|
635 |
614 |
$2K |
| 80164 |
|
147 |
137 |
$2K |
| 93971 |
|
25 |
25 |
$1K |
| 93923 |
|
25 |
25 |
$1K |
| 86592 |
|
391 |
387 |
$1K |
| 85651 |
|
1,282 |
1,204 |
$1K |
| 76817 |
|
14 |
14 |
$1K |
| 99212 |
|
12 |
12 |
$1K |
| 87210 |
|
540 |
531 |
$1K |
| 90460 |
|
3,116 |
3,085 |
$1K |
| 86885 |
|
72 |
70 |
$1K |
| 87081 |
|
733 |
727 |
$1K |
| 90680 |
|
64 |
64 |
$1K |
| 83605 |
|
1,848 |
1,694 |
$1K |
| 83690 |
|
1,957 |
1,808 |
$1K |
| 84425 |
|
307 |
307 |
$934.29 |
| 84484 |
|
1,266 |
1,136 |
$933.26 |
| 90710 |
|
16 |
16 |
$885.60 |
| D0140 |
|
21 |
12 |
$851.43 |
| 97802 |
|
15 |
14 |
$790.03 |
| 73110 |
|
28 |
24 |
$766.53 |
| 72110 |
|
24 |
24 |
$707.76 |
| 73590 |
|
13 |
12 |
$700.56 |
| J1170 |
Hydromorphone injection |
901 |
689 |
$676.68 |
| 90471 |
|
1,894 |
1,855 |
$646.15 |
| J0690 |
Cefazolin sodium injection |
889 |
833 |
$598.54 |
| 73130 |
|
27 |
27 |
$591.51 |
| 84550 |
|
311 |
293 |
$569.39 |
| 85018 |
|
30 |
25 |
$536.05 |
| 87205 |
|
318 |
305 |
$533.15 |
| 0012A |
|
13 |
13 |
$493.23 |
| D1120 |
|
12 |
12 |
$473.00 |
| 90461 |
|
1,240 |
1,235 |
$472.03 |
| 84590 |
|
250 |
250 |
$471.33 |
| J0131 |
Inj, acetaminophen (nos) |
109 |
104 |
$460.00 |
| 91320 |
|
16 |
16 |
$368.00 |
| 99211 |
|
32 |
30 |
$360.00 |
| 82248 |
|
109 |
101 |
$333.05 |
| D0210 |
|
12 |
12 |
$313.96 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$304.11 |
| 0124A |
|
27 |
25 |
$297.85 |
| J2704 |
Inj, propofol, 10 mg |
2,740 |
2,641 |
$294.48 |
| 94640 |
|
198 |
178 |
$290.51 |
| 81002 |
|
243 |
240 |
$286.75 |
| 82962 |
|
330 |
257 |
$259.35 |
| 0011A |
|
19 |
19 |
$251.37 |
| J1885 |
Ketorolac tromethamine inj |
2,879 |
1,966 |
$250.46 |
| 90713 |
|
14 |
13 |
$249.90 |
| D1208 |
|
15 |
15 |
$210.00 |
| J3010 |
Fentanyl citrate injection |
1,651 |
1,385 |
$208.69 |
| 86618 |
|
13 |
13 |
$201.54 |
| 73140 |
|
14 |
13 |
$199.16 |
| 87077 |
|
69 |
65 |
$193.92 |
| 84460 |
|
60 |
58 |
$188.54 |
| 81003 |
|
231 |
223 |
$169.08 |
| 0100U |
|
13 |
13 |
$162.80 |
| 90480 |
|
74 |
74 |
$160.00 |
| D0220 |
|
12 |
12 |
$157.92 |
| J2405 |
Ondansetron hcl injection |
2,413 |
2,158 |
$156.74 |
| J1100 |
Dexamethasone sodium phos |
1,797 |
1,611 |
$137.36 |
| 80305 |
|
672 |
618 |
$131.42 |
| 87040 |
|
58 |
52 |
$125.11 |
| 85379 |
|
165 |
164 |
$123.45 |
| 84481 |
|
16 |
13 |
$117.00 |
| 82150 |
|
106 |
106 |
$100.16 |
| 73565 |
|
12 |
12 |
$87.57 |
| 80354 |
|
29 |
29 |
$76.91 |
| 86580 |
|
14 |
12 |
$75.91 |
| 80361 |
|
28 |
28 |
$70.60 |
| 80367 |
|
28 |
28 |
$65.55 |
| 80353 |
|
28 |
28 |
$65.55 |
| J7050 |
Normal saline solution infus |
95 |
83 |
$60.62 |
| 80358 |
|
27 |
27 |
$60.50 |
| 80348 |
|
27 |
27 |
$60.50 |
| 80365 |
|
27 |
27 |
$60.50 |
| 84450 |
|
30 |
29 |
$60.36 |
| 82950 |
|
12 |
12 |
$57.00 |
| 84100 |
|
26 |
24 |
$56.88 |
| 80329 |
|
32 |
30 |
$54.00 |
| 82043 |
|
12 |
12 |
$51.91 |
| J2250 |
Inj midazolam hydrochloride |
1,671 |
1,433 |
$51.07 |
| 83615 |
|
14 |
12 |
$50.25 |
| 82040 |
|
28 |
26 |
$49.58 |
| 80320 |
|
193 |
155 |
$46.40 |
| 82525 |
|
21 |
21 |
$45.96 |
| 82247 |
|
27 |
26 |
$45.19 |
| 84520 |
|
36 |
26 |
$42.00 |
| 84075 |
|
26 |
25 |
$40.24 |
| 84155 |
|
28 |
26 |
$37.56 |
| 84630 |
|
22 |
22 |
$31.60 |
| J2270 |
Morphine sulfate injection |
81 |
68 |
$28.47 |
| 80359 |
|
14 |
14 |
$25.20 |
| 80337 |
|
14 |
14 |
$25.20 |
| 80326 |
|
14 |
14 |
$25.20 |
| 80364 |
|
14 |
14 |
$25.20 |
| 80347 |
|
14 |
14 |
$25.20 |
| 82805 |
|
27 |
26 |
$24.13 |
| 80306 |
|
37 |
29 |
$16.19 |
| J0696 |
Ceftriaxone sodium injection |
16 |
13 |
$13.76 |
| 90472 |
|
13 |
13 |
$7.00 |
| C9113 |
Inj pantoprazole sodium, via |
13 |
12 |
$6.02 |
| J1200 |
Diphenhydramine hcl injectio |
77 |
58 |
$4.12 |
| S0119 |
Ondansetron 4 mg |
194 |
189 |
$2.78 |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$0.21 |
| C1727 |
Cath, bal tis dis, non-vas |
185 |
184 |
$0.00 |
| 96127 |
|
359 |
358 |
$0.00 |
| 81000 |
|
44 |
43 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
36 |
35 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
12 |
12 |
$0.00 |
| 80179 |
|
18 |
17 |
$0.00 |