| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
37,112 |
35,336 |
$3.49M |
| 99284 |
|
30,169 |
28,343 |
$3.15M |
| 99285 |
|
12,422 |
11,441 |
$1.42M |
| 99211 |
|
17,109 |
14,351 |
$1.35M |
| 99282 |
|
13,034 |
12,608 |
$1.06M |
| 96361 |
|
6,438 |
5,779 |
$1.02M |
| 80048 |
|
38,128 |
34,172 |
$642K |
| 99212 |
|
3,664 |
3,561 |
$379K |
| 59025 |
|
2,173 |
987 |
$199K |
| 76816 |
|
3,385 |
2,903 |
$182K |
| G0378 |
Hospital observation per hr |
2,941 |
1,263 |
$155K |
| 70450 |
|
655 |
616 |
$115K |
| 84484 |
|
6,743 |
5,167 |
$110K |
| 80053 |
|
6,516 |
6,149 |
$93K |
| 76811 |
|
1,327 |
1,221 |
$60K |
| 80061 |
|
4,695 |
4,487 |
$52K |
| 80076 |
|
5,329 |
4,955 |
$49K |
| 87591 |
|
1,621 |
1,538 |
$44K |
| 36415 |
|
56,201 |
51,872 |
$38K |
| 82306 |
|
1,797 |
1,707 |
$38K |
| 11042 |
|
458 |
222 |
$36K |
| 84443 |
|
3,077 |
2,937 |
$35K |
| 85025 |
|
37,106 |
33,914 |
$35K |
| 94640 |
|
224 |
208 |
$33K |
| 62323 |
|
133 |
121 |
$33K |
| 43239 |
|
151 |
114 |
$33K |
| 83036 |
|
3,171 |
3,079 |
$32K |
| G0463 |
Hospital outpt clinic visit |
1,369 |
1,257 |
$31K |
| 76817 |
|
827 |
688 |
$31K |
| 99213 |
|
344 |
289 |
$31K |
| 76805 |
|
467 |
431 |
$25K |
| 97110 |
|
362 |
105 |
$23K |
| 87502 |
|
1,047 |
959 |
$22K |
| 96365 |
|
158 |
131 |
$22K |
| 87491 |
|
1,633 |
1,550 |
$19K |
| 71046 |
|
14,951 |
14,071 |
$19K |
| 82607 |
|
1,053 |
982 |
$16K |
| 87536 |
|
313 |
297 |
$15K |
| 76820 |
|
562 |
353 |
$14K |
| 84146 |
|
469 |
438 |
$14K |
| 80307 |
|
733 |
650 |
$13K |
| 86780 |
|
691 |
665 |
$13K |
| 87086 |
|
1,344 |
1,214 |
$12K |
| 74177 |
|
54 |
50 |
$12K |
| 64493 |
|
27 |
25 |
$11K |
| 76801 |
|
213 |
204 |
$10K |
| 86360 |
|
292 |
277 |
$10K |
| 85027 |
|
2,640 |
2,404 |
$9K |
| 84439 |
|
918 |
860 |
$9K |
| 81001 |
|
18,832 |
17,636 |
$8K |
| 86140 |
|
604 |
544 |
$7K |
| 80050 |
|
510 |
503 |
$7K |
| 93005 |
|
15,884 |
14,243 |
$7K |
| 86701 |
|
582 |
529 |
$7K |
| 96360 |
|
37 |
36 |
$7K |
| 82746 |
|
364 |
330 |
$5K |
| 90715 |
|
259 |
251 |
$5K |
| 80320 |
|
242 |
217 |
$5K |
| 87661 |
|
227 |
210 |
$5K |
| 82728 |
|
430 |
414 |
$4K |
| 88175 |
|
226 |
198 |
$4K |
| 81025 |
|
14,356 |
13,602 |
$4K |
| 87651 |
|
123 |
112 |
$3K |
| 86480 |
|
51 |
46 |
$3K |
| 83735 |
|
749 |
656 |
$3K |
| 83540 |
|
502 |
472 |
$3K |
| 74280 |
|
27 |
27 |
$3K |
| 76818 |
|
60 |
38 |
$2K |
| 82043 |
|
575 |
548 |
$2K |
| 86762 |
|
210 |
191 |
$2K |
| 87340 |
|
231 |
223 |
$2K |
| 76705 |
|
26 |
26 |
$2K |
| 96374 |
|
9,751 |
9,075 |
$2K |
| 76815 |
|
48 |
41 |
$2K |
| 82947 |
|
309 |
284 |
$2K |
| 20610 |
|
15 |
13 |
$2K |
| 86803 |
|
207 |
191 |
$2K |
| 96366 |
|
23 |
15 |
$2K |
| 99214 |
|
18 |
15 |
$2K |
| 86787 |
|
158 |
140 |
$2K |
| 86900 |
|
181 |
158 |
$2K |
| 87040 |
|
78 |
41 |
$1K |
| 86850 |
|
193 |
170 |
$1K |
| 83605 |
|
63 |
52 |
$1K |
| 59430 |
|
15 |
15 |
$1K |
| 83013 |
|
35 |
30 |
$1K |
| 73130 |
|
127 |
108 |
$1K |
| 86901 |
|
184 |
161 |
$967.00 |
| 87624 |
|
54 |
42 |
$964.46 |
| 84207 |
|
66 |
59 |
$956.55 |
| 83721 |
|
76 |
73 |
$852.73 |
| 83690 |
|
3,223 |
2,986 |
$836.46 |
| 90471 |
|
112 |
108 |
$785.82 |
| 76819 |
|
29 |
26 |
$781.70 |
| J7030 |
Normal saline solution infus |
9,207 |
8,185 |
$777.10 |
| 84425 |
|
60 |
53 |
$761.24 |
| 86735 |
|
52 |
51 |
$751.79 |
| 73630 |
|
94 |
77 |
$613.92 |
| 73110 |
|
94 |
78 |
$584.89 |
| 96372 |
|
9,386 |
8,757 |
$575.56 |
| 86765 |
|
53 |
52 |
$548.83 |
| 85652 |
|
155 |
137 |
$548.21 |
| 83970 |
|
39 |
39 |
$544.71 |
| 77067 |
|
13 |
13 |
$511.28 |
| 86706 |
|
49 |
43 |
$509.87 |
| 87210 |
|
503 |
485 |
$506.21 |
| 82248 |
|
122 |
114 |
$423.19 |
| 86200 |
|
28 |
24 |
$412.83 |
| 88305 |
|
257 |
202 |
$357.41 |
| 81003 |
|
1,416 |
1,331 |
$347.19 |
| 00731 |
|
110 |
84 |
$346.63 |
| 86141 |
|
16 |
16 |
$342.02 |
| 86431 |
|
26 |
25 |
$316.49 |
| 84153 |
|
24 |
24 |
$307.94 |
| 80329 |
|
25 |
25 |
$298.38 |
| 86696 |
|
18 |
14 |
$279.62 |
| J3301 |
Triamcinolone acet inj nos |
807 |
717 |
$277.16 |
| 86038 |
|
25 |
24 |
$267.93 |
| 85379 |
|
13 |
13 |
$255.52 |
| J1170 |
Hydromorphone injection |
2,063 |
1,819 |
$242.76 |
| 90658 |
|
28 |
28 |
$230.06 |
| 73610 |
|
381 |
312 |
$216.01 |
| 84703 |
|
26 |
25 |
$204.72 |
| 84550 |
|
98 |
92 |
$204.10 |
| 86695 |
|
18 |
14 |
$196.39 |
| J1885 |
Ketorolac tromethamine inj |
4,512 |
4,231 |
$173.44 |
| 87186 |
|
52 |
49 |
$167.22 |
| 84460 |
|
40 |
40 |
$146.38 |
| 87081 |
|
13 |
13 |
$135.59 |
| J2704 |
Inj, propofol, 10 mg |
348 |
272 |
$132.68 |
| 73560 |
|
324 |
291 |
$107.49 |
| 82565 |
|
62 |
52 |
$103.11 |
| 84520 |
|
48 |
40 |
$91.86 |
| 80051 |
|
36 |
28 |
$82.15 |
| 83880 |
|
16 |
12 |
$75.82 |
| 71045 |
|
114 |
100 |
$54.00 |
| 85610 |
|
42 |
25 |
$53.16 |
| 85007 |
|
29 |
27 |
$32.90 |
| 83550 |
|
19 |
15 |
$29.52 |
| J2405 |
Ondansetron hcl injection |
1,683 |
1,559 |
$29.37 |
| 84100 |
|
14 |
13 |
$21.36 |
| 81002 |
|
15 |
12 |
$18.10 |
| 87205 |
|
14 |
13 |
$16.81 |
| 84156 |
|
12 |
12 |
$15.44 |
| J8597 |
Antiemetic drug oral nos |
189 |
176 |
$13.47 |
| 87070 |
|
14 |
13 |
$8.41 |
| 87176 |
|
14 |
13 |
$8.41 |
| J7120 |
Ringers lactate infusion |
76 |
72 |
$5.20 |
| 96375 |
|
4,259 |
3,809 |
$2.28 |
| J2550 |
Promethazine hcl injection |
30 |
27 |
$2.28 |
| J1200 |
Diphenhydramine hcl injectio |
30 |
26 |
$1.90 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$1.16 |
| U0002 |
Covid-19 lab test non-cdc |
25 |
24 |
$0.00 |
| 96376 |
|
176 |
102 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.00 |
| 90657 |
|
65 |
65 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
23 |
17 |
$0.00 |
| 64494 |
|
14 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
247 |
224 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
332 |
317 |
$0.00 |
| 73030 |
|
12 |
12 |
$0.00 |