| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,718 |
11,535 |
$828K |
| 96361 |
|
3,993 |
2,879 |
$423K |
| 99284 |
|
7,199 |
6,082 |
$340K |
| 80053 |
|
13,371 |
10,393 |
$255K |
| 97530 |
|
6,921 |
2,421 |
$238K |
| 96365 |
|
2,858 |
1,901 |
$171K |
| 99282 |
|
2,520 |
2,216 |
$156K |
| 99285 |
|
3,928 |
3,378 |
$154K |
| G0463 |
Hospital outpt clinic visit |
20,395 |
13,822 |
$147K |
| 92507 |
|
3,002 |
934 |
$129K |
| 80048 |
|
7,386 |
5,762 |
$126K |
| 87637 |
|
939 |
832 |
$111K |
| 80307 |
|
2,556 |
2,160 |
$110K |
| 70450 |
|
1,821 |
1,602 |
$103K |
| 74177 |
|
1,677 |
1,451 |
$101K |
| 85025 |
|
16,791 |
12,669 |
$82K |
| G0480 |
Drug test def 1-7 classes |
2,127 |
1,720 |
$76K |
| 81025 |
|
2,851 |
2,440 |
$67K |
| G0378 |
Hospital observation per hr |
2,257 |
1,113 |
$67K |
| 96360 |
|
852 |
722 |
$64K |
| 43239 |
|
326 |
288 |
$55K |
| 97116 |
|
1,939 |
723 |
$52K |
| 87636 |
|
411 |
357 |
$51K |
| 97110 |
|
5,697 |
1,901 |
$50K |
| 94640 |
|
1,346 |
934 |
$47K |
| 81001 |
|
8,192 |
6,936 |
$36K |
| 87086 |
|
3,306 |
2,805 |
$33K |
| U0004 |
Cov-19 test non-cdc hgh thru |
979 |
756 |
$32K |
| 85610 |
|
5,485 |
3,408 |
$32K |
| 87491 |
|
965 |
780 |
$31K |
| 80061 |
|
3,189 |
2,900 |
$31K |
| U0002 |
Covid-19 lab test non-cdc |
821 |
716 |
$30K |
| 84484 |
|
4,381 |
3,073 |
$29K |
| 84443 |
|
2,617 |
2,317 |
$26K |
| 87651 |
|
620 |
520 |
$26K |
| 87591 |
|
965 |
780 |
$25K |
| 96366 |
|
240 |
147 |
$25K |
| 87635 |
|
559 |
484 |
$24K |
| 93306 |
|
339 |
287 |
$23K |
| 97112 |
|
1,162 |
443 |
$22K |
| 83605 |
|
1,624 |
1,333 |
$22K |
| 82962 |
|
2,330 |
1,406 |
$20K |
| 83036 |
|
2,800 |
2,592 |
$19K |
| 77067 |
|
788 |
718 |
$19K |
| 99213 |
|
392 |
292 |
$18K |
| 87077 |
|
1,331 |
1,085 |
$18K |
| 87070 |
|
765 |
633 |
$15K |
| U0003 |
Cov-19 amp prb hgh thruput |
400 |
341 |
$15K |
| 83880 |
|
845 |
730 |
$15K |
| 82306 |
|
789 |
711 |
$15K |
| 83690 |
|
3,110 |
2,624 |
$15K |
| 85027 |
|
2,963 |
2,283 |
$14K |
| 93005 |
|
7,271 |
6,003 |
$14K |
| 99214 |
|
257 |
243 |
$14K |
| 80050 |
|
1,017 |
913 |
$13K |
| 97140 |
|
2,310 |
592 |
$13K |
| 20610 |
|
827 |
589 |
$13K |
| 87502 |
|
150 |
129 |
$13K |
| 83735 |
|
2,736 |
1,946 |
$11K |
| 87186 |
|
2,100 |
1,740 |
$11K |
| 76705 |
|
364 |
302 |
$11K |
| U0005 |
Infec agen detec ampli probe |
973 |
751 |
$10K |
| 71046 |
|
2,840 |
2,467 |
$9K |
| 83874 |
|
1,698 |
1,424 |
$9K |
| 77063 |
|
783 |
714 |
$9K |
| 45380 |
|
70 |
63 |
$9K |
| 82550 |
|
1,933 |
1,576 |
$8K |
| 97535 |
|
354 |
181 |
$8K |
| 76830 |
|
164 |
148 |
$7K |
| 86140 |
|
1,911 |
1,488 |
$7K |
| 84439 |
|
637 |
559 |
$7K |
| 76856 |
|
170 |
157 |
$7K |
| 88142 |
|
115 |
104 |
$7K |
| 36415 |
|
18,691 |
13,075 |
$6K |
| 80143 |
|
355 |
301 |
$6K |
| 74176 |
|
107 |
88 |
$6K |
| 85379 |
|
839 |
738 |
$6K |
| 0002A |
|
453 |
312 |
$6K |
| 82553 |
|
1,685 |
1,412 |
$5K |
| 45385 |
|
28 |
24 |
$5K |
| 82077 |
|
524 |
444 |
$5K |
| 96374 |
|
4,788 |
3,608 |
$5K |
| 85007 |
|
1,050 |
801 |
$5K |
| 96372 |
|
3,721 |
2,558 |
$5K |
| 88305 |
|
2,645 |
1,524 |
$5K |
| 87210 |
|
191 |
164 |
$5K |
| 87661 |
|
189 |
146 |
$5K |
| 88175 |
|
244 |
169 |
$5K |
| 0001A |
|
410 |
303 |
$5K |
| 72148 |
|
123 |
108 |
$5K |
| 76642 |
|
144 |
112 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
200 |
155 |
$4K |
| 87631 |
|
31 |
29 |
$4K |
| 99212 |
|
104 |
83 |
$4K |
| 80179 |
|
350 |
297 |
$3K |
| 83655 |
|
132 |
122 |
$3K |
| 87081 |
|
102 |
98 |
$3K |
| 71260 |
|
61 |
52 |
$3K |
| 62323 |
|
57 |
53 |
$3K |
| 84703 |
|
420 |
364 |
$3K |
| 86803 |
|
316 |
264 |
$3K |
| 80076 |
|
500 |
428 |
$3K |
| 82728 |
|
266 |
237 |
$3K |
| 43248 |
|
13 |
12 |
$3K |
| 87624 |
|
120 |
90 |
$2K |
| 85652 |
|
1,635 |
1,302 |
$2K |
| 87389 |
|
117 |
103 |
$2K |
| 87205 |
|
961 |
783 |
$2K |
| 83540 |
|
363 |
329 |
$2K |
| 85018 |
|
525 |
473 |
$2K |
| 76805 |
|
16 |
14 |
$2K |
| 90834 |
|
703 |
492 |
$2K |
| 87075 |
|
422 |
355 |
$2K |
| 73721 |
|
29 |
25 |
$2K |
| 87880 |
|
81 |
79 |
$2K |
| 96375 |
|
3,781 |
2,833 |
$2K |
| 87798 |
|
103 |
45 |
$2K |
| 85730 |
|
507 |
440 |
$2K |
| 87563 |
|
58 |
46 |
$2K |
| 82607 |
|
151 |
142 |
$1K |
| 72125 |
|
75 |
65 |
$1K |
| 72100 |
|
166 |
151 |
$1K |
| 83550 |
|
248 |
224 |
$1K |
| 91300 |
|
791 |
482 |
$1K |
| 76817 |
|
30 |
25 |
$1K |
| 82043 |
|
184 |
170 |
$1K |
| 82803 |
|
75 |
62 |
$1K |
| 97533 |
|
66 |
25 |
$1K |
| 84100 |
|
346 |
201 |
$1K |
| 71045 |
|
3,197 |
2,707 |
$1K |
| 97161 |
|
332 |
294 |
$972.31 |
| 74018 |
|
77 |
62 |
$737.92 |
| 82805 |
|
19 |
17 |
$698.68 |
| 87040 |
|
120 |
53 |
$679.24 |
| 77002 |
|
17 |
15 |
$671.47 |
| 93017 |
|
12 |
12 |
$614.95 |
| 71250 |
|
14 |
12 |
$529.12 |
| 93971 |
|
14 |
13 |
$468.45 |
| 90686 |
|
183 |
165 |
$404.22 |
| 73502 |
|
106 |
97 |
$403.40 |
| 99211 |
|
21 |
12 |
$395.53 |
| 11720 |
|
60 |
57 |
$376.60 |
| 90792 |
|
46 |
45 |
$367.01 |
| 82465 |
|
14 |
13 |
$322.99 |
| 73562 |
|
253 |
209 |
$318.95 |
| 82746 |
|
31 |
24 |
$300.92 |
| 86592 |
|
12 |
12 |
$284.29 |
| G1004 |
Cdsm ndsc |
400 |
254 |
$249.92 |
| G0279 |
Tomosynthesis, mammo |
53 |
50 |
$221.12 |
| 87147 |
|
50 |
44 |
$188.70 |
| J3301 |
Triamcinolone acet inj nos |
2,009 |
1,792 |
$180.49 |
| J0690 |
Cefazolin sodium injection |
526 |
321 |
$174.52 |
| J7030 |
Normal saline solution infus |
3,485 |
2,675 |
$131.19 |
| 84550 |
|
33 |
27 |
$126.70 |
| 72040 |
|
14 |
14 |
$111.85 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,894 |
3,276 |
$106.12 |
| 90715 |
|
13 |
13 |
$96.44 |
| 87340 |
|
21 |
14 |
$87.48 |
| 86901 |
|
68 |
52 |
$84.30 |
| 86900 |
|
68 |
52 |
$84.30 |
| J1200 |
Diphenhydramine hcl injectio |
821 |
640 |
$70.91 |
| 73610 |
|
123 |
98 |
$68.32 |
| 73630 |
|
114 |
106 |
$67.07 |
| 87088 |
|
24 |
24 |
$62.85 |
| 82150 |
|
17 |
13 |
$55.29 |
| 81002 |
|
25 |
15 |
$54.00 |
| G0008 |
Admin influenza virus vac |
361 |
332 |
$51.65 |
| J2001 |
Lidocaine injection |
1,998 |
1,690 |
$49.14 |
| 81003 |
|
66 |
56 |
$47.82 |
| 73030 |
|
15 |
12 |
$38.59 |
| Q3014 |
Telehealth facility fee |
15 |
12 |
$37.96 |
| 84460 |
|
15 |
12 |
$36.22 |
| 73564 |
|
35 |
29 |
$28.22 |
| J3490 |
Drugs unclassified injection |
810 |
717 |
$20.88 |
| 98940 |
|
25 |
12 |
$20.79 |
| 90471 |
|
29 |
26 |
$17.21 |
| J7040 |
Normal saline solution infus |
1,210 |
700 |
$16.88 |
| 74022 |
|
29 |
27 |
$16.00 |
| 96376 |
|
332 |
236 |
$13.41 |
| P9603 |
One-way allow prorated miles |
4,670 |
2,947 |
$11.66 |
| J1885 |
Ketorolac tromethamine inj |
3,791 |
2,861 |
$10.65 |
| J7120 |
Ringers lactate infusion |
2,200 |
1,746 |
$10.21 |
| J2704 |
Inj, propofol, 10 mg |
2,523 |
1,632 |
$8.72 |
| J7050 |
Normal saline solution infus |
422 |
301 |
$4.50 |
| J2250 |
Inj midazolam hydrochloride |
2,804 |
2,325 |
$3.77 |
| J1170 |
Hydromorphone injection |
617 |
427 |
$2.93 |
| J0330 |
Succinycholine chloride inj |
76 |
64 |
$2.43 |
| J1642 |
Inj heparin sodium per 10 u |
245 |
115 |
$2.25 |
| J3010 |
Fentanyl citrate injection |
2,606 |
1,764 |
$1.49 |
| J2765 |
Metoclopramide hcl injection |
2,113 |
1,754 |
$1.32 |
| J2175 |
Meperidine hydrochl /100 mg |
246 |
221 |
$1.07 |
| J1100 |
Dexamethasone sodium phos |
2,838 |
2,171 |
$0.35 |
| J2405 |
Ondansetron hcl injection |
4,995 |
3,817 |
$0.35 |
| 90662 |
|
80 |
72 |
$0.33 |
| A9270 |
Non-covered item or service |
8,155 |
1,350 |
$0.26 |
| J0696 |
Ceftriaxone sodium injection |
622 |
481 |
$0.00 |
| Q0162 |
Ondansetron oral |
468 |
401 |
$0.00 |
| G0515 |
Cognitive skills development |
338 |
135 |
$0.00 |
| A9585 |
Gadobutrol injection |
225 |
192 |
$0.00 |
| J2060 |
Lorazepam injection |
21 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
44 |
40 |
$0.00 |
| G8979 |
Mobility goal status |
341 |
264 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
339 |
291 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
47 |
40 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
212 |
176 |
$0.00 |
| 88312 |
|
44 |
41 |
$0.00 |
| G8978 |
Mobility current status |
232 |
198 |
$0.00 |
| A0130 |
Noner transport wheelch van |
76 |
25 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
12 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
216 |
163 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
13 |
$0.00 |
| A9577 |
Inj multihance |
12 |
12 |
$0.00 |