| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
29,267 |
27,070 |
$4.03M |
| 99284 |
|
26,697 |
24,256 |
$3.72M |
| 99285 |
|
13,973 |
12,567 |
$2.21M |
| 96361 |
|
7,091 |
6,002 |
$2.17M |
| 97110 |
|
15,868 |
4,582 |
$863K |
| 99282 |
|
6,155 |
5,854 |
$783K |
| 74177 |
|
5,764 |
5,493 |
$755K |
| 43239 |
|
940 |
908 |
$733K |
| 70450 |
|
5,225 |
4,903 |
$644K |
| S9485 |
Crisis intervention mental h |
1,105 |
776 |
$537K |
| 0241U |
|
7,177 |
6,448 |
$433K |
| 74176 |
|
2,034 |
1,969 |
$429K |
| 96365 |
|
3,569 |
3,002 |
$309K |
| 96360 |
|
1,992 |
1,901 |
$237K |
| 80307 |
|
6,364 |
5,600 |
$197K |
| 85025 |
|
36,096 |
30,887 |
$161K |
| 93971 |
|
1,092 |
1,034 |
$157K |
| 76705 |
|
1,872 |
1,793 |
$155K |
| 87635 |
|
4,088 |
3,799 |
$145K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,458 |
2,236 |
$140K |
| 97161 |
|
2,560 |
2,410 |
$139K |
| 77063 |
|
2,410 |
2,365 |
$133K |
| 71046 |
|
14,298 |
13,227 |
$133K |
| G2023 |
Specimen collect covid-19 |
7,103 |
6,417 |
$131K |
| 94640 |
|
1,967 |
1,766 |
$130K |
| 76856 |
|
744 |
733 |
$114K |
| 93306 |
|
818 |
798 |
$112K |
| 77067 |
|
3,033 |
2,981 |
$101K |
| 87631 |
|
1,431 |
1,376 |
$101K |
| 97140 |
|
3,973 |
1,317 |
$100K |
| 96374 |
|
14,519 |
13,049 |
$82K |
| 96366 |
|
425 |
361 |
$80K |
| 76830 |
|
774 |
764 |
$78K |
| 84484 |
|
10,982 |
9,274 |
$71K |
| 45385 |
|
72 |
71 |
$68K |
| M0243 |
Casirivi and imdevi inj |
243 |
233 |
$67K |
| G0378 |
Hospital observation per hr |
1,861 |
1,688 |
$66K |
| 76700 |
|
309 |
298 |
$59K |
| 83605 |
|
8,575 |
7,607 |
$58K |
| 45380 |
|
81 |
81 |
$52K |
| 83880 |
|
2,829 |
2,595 |
$51K |
| J0248 |
Inj, remdesivir, 1 mg |
142 |
51 |
$48K |
| 80048 |
|
14,603 |
12,398 |
$47K |
| 83690 |
|
11,017 |
9,914 |
$47K |
| Q0222 |
Bebtelovimab 175 mg |
96 |
80 |
$47K |
| 80053 |
|
8,606 |
7,780 |
$42K |
| 93975 |
|
415 |
409 |
$42K |
| 71275 |
|
383 |
360 |
$42K |
| 81025 |
|
7,387 |
6,894 |
$40K |
| M0247 |
Sotrovimab infusion |
162 |
147 |
$38K |
| 76770 |
|
283 |
274 |
$34K |
| 87086 |
|
6,341 |
5,887 |
$31K |
| 87880 |
|
2,537 |
2,433 |
$27K |
| G0480 |
Drug test def 1-7 classes |
908 |
810 |
$25K |
| 84443 |
|
2,640 |
2,514 |
$25K |
| 97014 |
|
937 |
312 |
$24K |
| 72100 |
|
1,167 |
1,115 |
$23K |
| 80051 |
|
13,094 |
11,420 |
$23K |
| 87088 |
|
2,992 |
2,170 |
$23K |
| 73030 |
|
1,303 |
1,263 |
$23K |
| 73630 |
|
1,544 |
1,487 |
$21K |
| 85379 |
|
3,405 |
3,176 |
$21K |
| 81001 |
|
10,442 |
9,644 |
$20K |
| 73562 |
|
544 |
501 |
$19K |
| 73560 |
|
1,311 |
1,270 |
$19K |
| 87040 |
|
2,922 |
1,695 |
$18K |
| 96375 |
|
10,850 |
9,315 |
$18K |
| 73610 |
|
1,507 |
1,427 |
$18K |
| ATP14 |
|
1,970 |
1,573 |
$17K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
13 |
$16K |
| 83735 |
|
4,345 |
3,747 |
$16K |
| 99291 |
|
94 |
91 |
$16K |
| ATP08 |
|
2,386 |
1,877 |
$15K |
| 71045 |
|
3,778 |
3,495 |
$14K |
| 84703 |
|
2,492 |
2,365 |
$14K |
| 82947 |
|
12,301 |
11,021 |
$13K |
| 85610 |
|
6,828 |
5,570 |
$12K |
| 82565 |
|
12,836 |
11,288 |
$12K |
| 93005 |
|
18,883 |
16,613 |
$12K |
| 87081 |
|
1,981 |
1,903 |
$11K |
| ATP07 |
|
1,587 |
1,274 |
$11K |
| 84520 |
|
12,775 |
11,266 |
$10K |
| 70496 |
|
64 |
62 |
$9K |
| 73130 |
|
699 |
670 |
$9K |
| M0222 |
Bebtelovimab injection |
92 |
89 |
$9K |
| 86140 |
|
2,411 |
2,152 |
$8K |
| 96372 |
|
5,565 |
4,436 |
$7K |
| 80076 |
|
2,654 |
2,324 |
$7K |
| 71260 |
|
125 |
124 |
$7K |
| 70551 |
|
60 |
57 |
$6K |
| 81000 |
|
3,126 |
2,845 |
$6K |
| 73110 |
|
396 |
375 |
$6K |
| ATP11 |
|
838 |
673 |
$6K |
| 81003 |
|
4,231 |
3,984 |
$6K |
| 88305 |
|
2,961 |
2,731 |
$5K |
| 90715 |
|
235 |
233 |
$5K |
| 72125 |
|
770 |
724 |
$5K |
| G0463 |
Hospital outpt clinic visit |
159 |
126 |
$5K |
| M0239 |
Bamlanivimab-xxxx infusion |
29 |
28 |
$5K |
| 84450 |
|
5,496 |
5,044 |
$5K |
| 94060 |
|
71 |
66 |
$5K |
| 84460 |
|
5,409 |
4,967 |
$5K |
| 84075 |
|
5,085 |
4,676 |
$4K |
| 82247 |
|
5,053 |
4,653 |
$4K |
| 76642 |
|
53 |
50 |
$4K |
| 71250 |
|
56 |
56 |
$4K |
| ATP15 |
|
502 |
423 |
$4K |
| 76536 |
|
39 |
39 |
$4K |
| 87186 |
|
724 |
682 |
$4K |
| 85027 |
|
951 |
778 |
$4K |
| J2405 |
Ondansetron hcl injection |
9,499 |
8,101 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
7,677 |
6,986 |
$3K |
| 96376 |
|
3,858 |
2,608 |
$3K |
| 87070 |
|
351 |
331 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| 94729 |
|
70 |
65 |
$2K |
| 73502 |
|
136 |
129 |
$2K |
| J1170 |
Hydromorphone injection |
2,428 |
1,637 |
$2K |
| 94726 |
|
57 |
53 |
$2K |
| 82962 |
|
4,310 |
2,849 |
$1K |
| 87147 |
|
331 |
315 |
$1K |
| J3490 |
Drugs unclassified injection |
946 |
731 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
5,064 |
4,748 |
$1K |
| 70491 |
|
13 |
12 |
$1K |
| 90471 |
|
448 |
402 |
$1K |
| 81002 |
|
782 |
728 |
$1K |
| 84100 |
|
963 |
798 |
$1K |
| 87491 |
|
38 |
38 |
$1K |
| 87591 |
|
39 |
39 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,105 |
1,046 |
$1K |
| J3010 |
Fentanyl citrate injection |
995 |
897 |
$1K |
| 85730 |
|
352 |
336 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,859 |
5,095 |
$966.90 |
| G0283 |
Elec stim other than wound |
161 |
41 |
$720.94 |
| J1200 |
Diphenhydramine hcl injectio |
368 |
325 |
$712.95 |
| 36415 |
|
6,831 |
5,923 |
$633.09 |
| J2270 |
Morphine sulfate injection |
2,952 |
2,313 |
$555.44 |
| 87103 |
|
92 |
84 |
$508.73 |
| J0696 |
Ceftriaxone sodium injection |
1,461 |
1,190 |
$500.74 |
| J1650 |
Inj enoxaparin sodium |
106 |
58 |
$452.25 |
| 87798 |
|
14 |
13 |
$395.96 |
| 87476 |
|
14 |
13 |
$393.04 |
| 73140 |
|
47 |
45 |
$334.28 |
| C9803 |
Hopd covid-19 spec collect |
2,637 |
2,413 |
$213.92 |
| 84702 |
|
13 |
12 |
$172.51 |
| 86618 |
|
12 |
12 |
$165.22 |
| J2272 |
Inj, morphine (fresenius) |
294 |
222 |
$150.21 |
| J0690 |
Cefazolin sodium injection |
43 |
41 |
$141.47 |
| J2250 |
Inj midazolam hydrochloride |
162 |
162 |
$141.47 |
| 73590 |
|
12 |
12 |
$132.74 |
| 87077 |
|
30 |
29 |
$126.68 |
| ATP09 |
|
23 |
16 |
$125.44 |
| 82550 |
|
70 |
63 |
$112.77 |
| 82010 |
|
15 |
14 |
$82.06 |
| 96367 |
|
17 |
16 |
$56.57 |
| J2060 |
Lorazepam injection |
986 |
860 |
$54.92 |
| 86308 |
|
12 |
12 |
$54.84 |
| 73080 |
|
15 |
13 |
$50.65 |
| J2765 |
Metoclopramide hcl injection |
622 |
568 |
$44.39 |
| J1630 |
Haloperidol injection |
161 |
148 |
$1.25 |
| Q0247 |
Sotrovimab |
81 |
67 |
$0.08 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
341 |
288 |
$0.00 |
| G8979 |
Mobility goal status |
51 |
50 |
$0.00 |
| 80061 |
|
27 |
26 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
49 |
48 |
$0.00 |
| G8978 |
Mobility current status |
51 |
50 |
$0.00 |
| J2930 |
Methylprednisolone injection |
15 |
13 |
$0.00 |
| 94664 |
|
27 |
27 |
$0.00 |
| J0780 |
Prochlorperazine injection |
14 |
12 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
13 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$0.00 |
| 94760 |
|
574 |
328 |
$0.00 |
| 36416 |
|
553 |
439 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
14 |
$0.00 |
| 70498 |
|
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| C9285 |
Patch, lidocaine/tetracaine |
15 |
12 |
$0.00 |