| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
4,873 |
3,963 |
$1.31M |
| 99283 |
|
10,256 |
9,519 |
$1.11M |
| G0463 |
Hospital outpt clinic visit |
11,516 |
9,471 |
$834K |
| 99284 |
|
10,140 |
9,032 |
$748K |
| 74177 |
|
2,326 |
2,175 |
$451K |
| 99282 |
|
3,351 |
3,183 |
$391K |
| 87635 |
|
7,173 |
6,610 |
$262K |
| 97110 |
|
10,726 |
3,564 |
$237K |
| 70450 |
|
1,848 |
1,732 |
$210K |
| 96365 |
|
2,331 |
1,671 |
$200K |
| 92507 |
|
4,526 |
1,443 |
$200K |
| 99281 |
|
1,677 |
1,570 |
$185K |
| 96360 |
|
1,266 |
1,101 |
$150K |
| 59025 |
|
1,078 |
623 |
$138K |
| 97140 |
|
6,818 |
2,454 |
$116K |
| 76856 |
|
1,136 |
1,090 |
$104K |
| 99285 |
|
1,696 |
1,530 |
$98K |
| 80053 |
|
16,706 |
14,247 |
$91K |
| 11042 |
|
767 |
309 |
$78K |
| 97112 |
|
3,647 |
1,400 |
$77K |
| 87633 |
|
1,116 |
1,065 |
$70K |
| 76705 |
|
785 |
740 |
$64K |
| 97530 |
|
2,193 |
913 |
$61K |
| 96366 |
|
276 |
181 |
$56K |
| 93306 |
|
258 |
249 |
$54K |
| 71046 |
|
2,833 |
2,696 |
$53K |
| 36415 |
|
25,816 |
21,409 |
$48K |
| C9803 |
Hopd covid-19 spec collect |
3,538 |
3,230 |
$39K |
| Q3014 |
Telehealth facility fee |
2,385 |
1,721 |
$38K |
| 85025 |
|
18,987 |
15,512 |
$35K |
| G0378 |
Hospital observation per hr |
1,955 |
1,104 |
$35K |
| 77067 |
|
644 |
636 |
$27K |
| 76830 |
|
900 |
860 |
$25K |
| 84484 |
|
3,773 |
3,308 |
$24K |
| 76811 |
|
325 |
313 |
$23K |
| 84443 |
|
4,105 |
3,897 |
$21K |
| 76700 |
|
229 |
219 |
$21K |
| 97535 |
|
1,341 |
900 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
270 |
250 |
$21K |
| 80050 |
|
2,289 |
2,230 |
$20K |
| 93005 |
|
6,301 |
5,554 |
$20K |
| 74176 |
|
89 |
88 |
$19K |
| 80048 |
|
3,498 |
3,063 |
$18K |
| 87400 |
|
2,029 |
1,958 |
$17K |
| 80061 |
|
4,190 |
4,049 |
$17K |
| 73630 |
|
830 |
762 |
$17K |
| 73562 |
|
816 |
707 |
$16K |
| 83036 |
|
3,313 |
3,195 |
$16K |
| 87591 |
|
1,214 |
1,162 |
$15K |
| 87086 |
|
5,401 |
4,875 |
$15K |
| G0480 |
Drug test def 1-7 classes |
2,074 |
1,777 |
$15K |
| 96374 |
|
5,429 |
4,756 |
$15K |
| 83605 |
|
2,482 |
2,198 |
$15K |
| 84145 |
|
1,402 |
1,243 |
$14K |
| 84439 |
|
2,155 |
2,068 |
$14K |
| 87070 |
|
3,327 |
3,037 |
$14K |
| 97113 |
|
204 |
76 |
$13K |
| 71045 |
|
3,839 |
3,509 |
$12K |
| 73610 |
|
633 |
576 |
$12K |
| 87491 |
|
1,237 |
1,185 |
$12K |
| 87040 |
|
1,247 |
1,092 |
$11K |
| 71275 |
|
68 |
64 |
$11K |
| 97162 |
|
253 |
246 |
$11K |
| 72100 |
|
352 |
343 |
$10K |
| 96413 |
|
99 |
37 |
$10K |
| 0012A |
|
257 |
251 |
$9K |
| 84702 |
|
1,100 |
885 |
$9K |
| 83880 |
|
1,425 |
1,268 |
$9K |
| 73030 |
|
416 |
375 |
$8K |
| 87077 |
|
3,497 |
3,174 |
$8K |
| 87186 |
|
2,734 |
2,465 |
$8K |
| 94640 |
|
711 |
579 |
$8K |
| 0011A |
|
279 |
273 |
$7K |
| 97161 |
|
193 |
182 |
$7K |
| 86803 |
|
1,196 |
1,166 |
$7K |
| 87880 |
|
1,738 |
1,652 |
$6K |
| 96372 |
|
3,064 |
2,327 |
$6K |
| 90837 |
|
546 |
302 |
$6K |
| 72148 |
|
55 |
54 |
$6K |
| 96375 |
|
4,691 |
3,829 |
$6K |
| 77063 |
|
644 |
636 |
$6K |
| 83690 |
|
6,433 |
5,774 |
$6K |
| 73130 |
|
270 |
238 |
$6K |
| 86140 |
|
1,423 |
1,300 |
$5K |
| 87502 |
|
293 |
281 |
$5K |
| 80305 |
|
2,374 |
2,162 |
$5K |
| 76642 |
|
62 |
52 |
$5K |
| 81025 |
|
4,244 |
3,885 |
$5K |
| 82728 |
|
628 |
603 |
$4K |
| 97116 |
|
344 |
170 |
$4K |
| 85610 |
|
3,883 |
3,379 |
$4K |
| 83735 |
|
2,574 |
2,183 |
$4K |
| 81001 |
|
3,662 |
3,345 |
$4K |
| 84481 |
|
430 |
413 |
$4K |
| 81003 |
|
7,231 |
6,622 |
$4K |
| 73110 |
|
215 |
196 |
$4K |
| 87420 |
|
1,364 |
1,312 |
$4K |
| 76817 |
|
50 |
42 |
$3K |
| 87389 |
|
948 |
928 |
$3K |
| 82607 |
|
464 |
447 |
$3K |
| 85379 |
|
518 |
480 |
$3K |
| J2405 |
Ondansetron hcl injection |
5,897 |
4,173 |
$3K |
| 87653 |
|
187 |
182 |
$3K |
| 81002 |
|
1,870 |
1,719 |
$3K |
| 76801 |
|
69 |
64 |
$3K |
| J1170 |
Hydromorphone injection |
2,633 |
1,440 |
$3K |
| 82306 |
|
683 |
661 |
$3K |
| 72125 |
|
118 |
111 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
6,584 |
3,903 |
$3K |
| 85651 |
|
1,013 |
954 |
$3K |
| 82550 |
|
3,237 |
2,916 |
$3K |
| 87205 |
|
1,717 |
1,536 |
$3K |
| 83550 |
|
561 |
542 |
$3K |
| 82570 |
|
925 |
845 |
$2K |
| 93971 |
|
25 |
24 |
$2K |
| 82553 |
|
722 |
657 |
$2K |
| 87147 |
|
1,299 |
1,205 |
$2K |
| 0031A |
|
72 |
70 |
$2K |
| 85018 |
|
678 |
645 |
$2K |
| 85730 |
|
2,589 |
2,392 |
$2K |
| 83540 |
|
574 |
554 |
$2K |
| 97010 |
|
145 |
58 |
$2K |
| 99291 |
|
14 |
12 |
$2K |
| 86900 |
|
1,415 |
1,315 |
$2K |
| J3010 |
Fentanyl citrate injection |
3,199 |
2,135 |
$1K |
| 85014 |
|
370 |
353 |
$1K |
| 85027 |
|
351 |
336 |
$1K |
| 86787 |
|
274 |
266 |
$1K |
| 90834 |
|
112 |
72 |
$1K |
| 76815 |
|
32 |
25 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,646 |
2,468 |
$1K |
| 87210 |
|
398 |
349 |
$1K |
| 87634 |
|
59 |
56 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,862 |
2,291 |
$1K |
| 82043 |
|
529 |
499 |
$1K |
| 80055 |
|
201 |
196 |
$1K |
| 86850 |
|
1,190 |
1,127 |
$1K |
| 93017 |
|
14 |
12 |
$942.42 |
| J2250 |
Inj midazolam hydrochloride |
2,246 |
1,885 |
$941.73 |
| 82962 |
|
942 |
673 |
$916.50 |
| 96376 |
|
1,212 |
926 |
$899.71 |
| 74018 |
|
55 |
53 |
$887.75 |
| 86695 |
|
60 |
58 |
$774.54 |
| 86901 |
|
1,414 |
1,315 |
$763.00 |
| 0002A |
|
17 |
17 |
$759.60 |
| 86703 |
|
223 |
206 |
$711.29 |
| 71260 |
|
43 |
42 |
$697.38 |
| J2060 |
Lorazepam injection |
577 |
382 |
$683.45 |
| 94060 |
|
13 |
13 |
$626.60 |
| C9113 |
Inj pantoprazole sodium, via |
529 |
432 |
$623.29 |
| 90715 |
|
37 |
37 |
$605.75 |
| 73502 |
|
25 |
25 |
$601.48 |
| J2270 |
Morphine sulfate injection |
551 |
397 |
$599.33 |
| 90471 |
|
160 |
150 |
$585.91 |
| J2704 |
Inj, propofol, 10 mg |
2,531 |
1,619 |
$560.88 |
| 0001A |
|
15 |
15 |
$520.91 |
| 87651 |
|
37 |
35 |
$453.77 |
| 86696 |
|
60 |
58 |
$376.31 |
| 82950 |
|
98 |
94 |
$330.68 |
| 90832 |
|
35 |
26 |
$322.31 |
| 94729 |
|
13 |
13 |
$318.70 |
| 94726 |
|
12 |
12 |
$313.31 |
| 80076 |
|
69 |
64 |
$306.02 |
| G0379 |
Direct refer hospital observ |
44 |
38 |
$272.31 |
| J0690 |
Cefazolin sodium injection |
455 |
337 |
$213.75 |
| 81015 |
|
3,073 |
2,884 |
$202.99 |
| G0279 |
Tomosynthesis, mammo |
40 |
38 |
$195.84 |
| J1200 |
Diphenhydramine hcl injectio |
292 |
238 |
$167.79 |
| 84403 |
|
25 |
24 |
$163.03 |
| 82105 |
|
15 |
13 |
$131.84 |
| J2765 |
Metoclopramide hcl injection |
226 |
187 |
$106.08 |
| 74022 |
|
30 |
30 |
$104.03 |
| 93010 |
|
18 |
17 |
$95.76 |
| 83001 |
|
12 |
12 |
$82.92 |
| G0103 |
Psa screening |
13 |
13 |
$77.66 |
| 51798 |
|
31 |
27 |
$72.06 |
| 87075 |
|
18 |
16 |
$48.76 |
| 36591 |
|
23 |
14 |
$46.58 |
| 84703 |
|
79 |
77 |
$45.84 |
| J0696 |
Ceftriaxone sodium injection |
175 |
135 |
$40.10 |
| 36592 |
|
103 |
48 |
$28.34 |
| 82150 |
|
31 |
29 |
$23.18 |
| J3490 |
Drugs unclassified injection |
823 |
535 |
$18.97 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$13.71 |
| J1940 |
Furosemide injection |
18 |
12 |
$5.41 |
| J0171 |
Adrenalin epinephrine inject |
76 |
41 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
12 |
$0.00 |
| 99152 |
|
17 |
16 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
15 |
14 |
$0.00 |
| 85007 |
|
13 |
12 |
$0.00 |
| 96367 |
|
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
5,334 |
1,726 |
$0.00 |
| 91303 |
|
69 |
67 |
$0.00 |
| 91301 |
|
532 |
481 |
$0.00 |
| 0241U |
|
131 |
119 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
15 |
15 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
19 |
14 |
$0.00 |