| Code | Description | Claims | Beneficiaries | Total Paid |
| 90853 |
|
55,431 |
6,676 |
$3.41M |
| 99283 |
|
10,312 |
9,906 |
$2.16M |
| 99284 |
|
8,479 |
8,047 |
$1.63M |
| 97110 |
|
16,871 |
4,794 |
$1.11M |
| 96365 |
|
3,050 |
1,891 |
$805K |
| 99285 |
|
2,665 |
2,545 |
$560K |
| H2001 |
Rehabilitation program 1/2 d |
4,349 |
535 |
$524K |
| 43239 |
|
766 |
763 |
$507K |
| 74177 |
|
1,653 |
1,639 |
$471K |
| 80053 |
|
16,838 |
14,785 |
$402K |
| 70450 |
|
1,364 |
1,335 |
$399K |
| 99282 |
|
1,876 |
1,834 |
$369K |
| 45380 |
|
473 |
472 |
$345K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,173 |
3,775 |
$324K |
| 90832 |
|
7,062 |
2,290 |
$320K |
| 77067 |
|
3,099 |
3,092 |
$313K |
| 97140 |
|
10,420 |
3,085 |
$300K |
| H0005 |
Alcohol and/or drug services |
3,476 |
770 |
$281K |
| 90834 |
|
1,433 |
827 |
$268K |
| H2036 |
A/d tx program, per diem |
1,973 |
246 |
$259K |
| 87633 |
|
3,469 |
3,420 |
$248K |
| 36415 |
|
28,457 |
18,186 |
$241K |
| 96413 |
|
1,203 |
858 |
$227K |
| 45378 |
|
215 |
215 |
$192K |
| 99214 |
|
1,439 |
1,287 |
$189K |
| 80307 |
|
4,604 |
2,970 |
$181K |
| 99213 |
|
1,106 |
961 |
$159K |
| 70553 |
|
261 |
260 |
$155K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
803 |
790 |
$153K |
| 97161 |
|
1,386 |
1,377 |
$151K |
| 93306 |
|
756 |
752 |
$142K |
| 87486 |
|
3,498 |
3,449 |
$131K |
| 92507 |
|
1,053 |
377 |
$110K |
| 76641 |
|
1,507 |
1,505 |
$110K |
| G0463 |
Hospital outpt clinic visit |
2,249 |
887 |
$105K |
| 86900 |
|
2,220 |
1,934 |
$90K |
| 82306 |
|
1,837 |
1,793 |
$87K |
| 72148 |
|
271 |
270 |
$84K |
| 76705 |
|
1,153 |
1,147 |
$81K |
| G0396 |
Alcohol/subs interv 15-30mn |
687 |
166 |
$80K |
| 87635 |
|
1,460 |
1,364 |
$78K |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
264 |
261 |
$77K |
| 88305 |
|
1,720 |
1,705 |
$73K |
| J1756 |
Iron sucrose injection |
861 |
338 |
$69K |
| 87798 |
|
3,475 |
3,424 |
$68K |
| 87581 |
|
3,498 |
3,450 |
$67K |
| 76536 |
|
926 |
922 |
$65K |
| J2704 |
Inj, propofol, 10 mg |
2,122 |
1,808 |
$64K |
| 74176 |
|
211 |
210 |
$60K |
| 59025 |
|
262 |
183 |
$60K |
| J0131 |
Inj, acetaminophen (nos) |
1,257 |
1,085 |
$59K |
| 76830 |
|
691 |
683 |
$57K |
| C9803 |
Hopd covid-19 spec collect |
4,162 |
3,766 |
$57K |
| 86901 |
|
2,219 |
1,932 |
$55K |
| 0241U |
|
3,583 |
2,767 |
$52K |
| 99281 |
|
267 |
236 |
$52K |
| 85025 |
|
10,786 |
9,465 |
$52K |
| J3490 |
Drugs unclassified injection |
3,698 |
2,511 |
$51K |
| 84443 |
|
2,845 |
2,760 |
$50K |
| 71046 |
|
2,300 |
2,272 |
$50K |
| 86850 |
|
2,206 |
1,921 |
$45K |
| 82728 |
|
2,194 |
2,118 |
$38K |
| 96372 |
|
2,837 |
2,578 |
$38K |
| 77065 |
Tomosynthesis, mammo |
391 |
361 |
$37K |
| 84439 |
|
2,120 |
2,062 |
$36K |
| A9585 |
Gadobutrol injection |
686 |
662 |
$35K |
| 77063 |
|
3,095 |
3,088 |
$34K |
| 45385 |
|
36 |
36 |
$34K |
| 97162 |
|
253 |
249 |
$32K |
| 97530 |
|
398 |
138 |
$29K |
| 96375 |
|
3,303 |
2,815 |
$29K |
| 84403 |
|
919 |
776 |
$28K |
| 96374 |
|
4,058 |
3,897 |
$27K |
| 77072 |
|
1,079 |
1,076 |
$25K |
| C1889 |
Implant/insert device, noc |
63 |
62 |
$25K |
| 73564 |
|
555 |
548 |
$25K |
| 70551 |
|
42 |
41 |
$23K |
| 77080 |
|
220 |
220 |
$23K |
| 82784 |
|
583 |
539 |
$22K |
| 77066 |
Tomosynthesis, mammo |
231 |
231 |
$22K |
| 87651 |
|
873 |
865 |
$21K |
| 82607 |
|
779 |
766 |
$20K |
| 80061 |
|
965 |
954 |
$19K |
| 87501 |
|
522 |
517 |
$19K |
| 83550 |
|
2,012 |
1,957 |
$19K |
| 83036 |
|
1,134 |
1,125 |
$18K |
| 80048 |
|
1,412 |
1,318 |
$18K |
| 71250 |
|
147 |
146 |
$18K |
| 83540 |
|
2,023 |
1,967 |
$18K |
| 76642 |
|
418 |
416 |
$17K |
| 80321 |
|
2,371 |
1,439 |
$16K |
| 86140 |
|
2,490 |
2,180 |
$14K |
| J7030 |
Normal saline solution infus |
3,437 |
3,043 |
$13K |
| 85610 |
|
2,618 |
2,462 |
$13K |
| 99443 |
|
87 |
48 |
$13K |
| 84305 |
|
581 |
574 |
$13K |
| 99212 |
|
75 |
67 |
$12K |
| 83615 |
|
1,971 |
1,641 |
$11K |
| 93005 |
|
3,021 |
2,822 |
$11K |
| 83735 |
|
3,070 |
2,605 |
$11K |
| 85027 |
|
2,463 |
2,212 |
$11K |
| 82746 |
|
404 |
397 |
$10K |
| 83880 |
|
336 |
330 |
$10K |
| 85652 |
|
2,558 |
2,232 |
$9K |
| 88312 |
|
445 |
442 |
$9K |
| 84100 |
|
2,338 |
1,953 |
$9K |
| 80050 |
|
38 |
38 |
$9K |
| 83002 |
|
468 |
463 |
$9K |
| J7120 |
Ringers lactate infusion |
542 |
489 |
$8K |
| 73630 |
|
456 |
443 |
$8K |
| 84550 |
|
1,622 |
1,378 |
$8K |
| 97112 |
|
144 |
55 |
$8K |
| 86800 |
|
412 |
396 |
$7K |
| 99211 |
|
384 |
374 |
$7K |
| 72141 |
|
13 |
13 |
$7K |
| J2001 |
Lidocaine injection |
2,134 |
1,928 |
$7K |
| 83001 |
|
387 |
382 |
$7K |
| 94375 |
|
39 |
39 |
$7K |
| 96366 |
|
23 |
14 |
$7K |
| 99442 |
|
52 |
30 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
1,794 |
1,624 |
$7K |
| 71045 |
|
1,489 |
1,436 |
$7K |
| 81001 |
|
3,771 |
3,602 |
$6K |
| 76700 |
|
29 |
29 |
$6K |
| 71260 |
|
52 |
52 |
$6K |
| J7050 |
Normal saline solution infus |
987 |
650 |
$6K |
| 86769 |
|
242 |
234 |
$6K |
| 97014 |
|
293 |
113 |
$6K |
| 84146 |
|
293 |
289 |
$6K |
| 73610 |
|
285 |
276 |
$6K |
| 94060 |
|
24 |
24 |
$6K |
| 76770 |
|
39 |
39 |
$6K |
| 86376 |
|
329 |
323 |
$6K |
| 86334 |
|
221 |
212 |
$6K |
| 90791 |
|
29 |
28 |
$5K |
| 82378 |
|
424 |
379 |
$5K |
| 84703 |
|
2,345 |
2,112 |
$5K |
| 73130 |
|
198 |
192 |
$5K |
| 85007 |
|
1,321 |
1,127 |
$5K |
| 82024 |
|
103 |
96 |
$4K |
| 82533 |
|
224 |
216 |
$4K |
| 84702 |
|
856 |
813 |
$4K |
| 73110 |
|
125 |
110 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,182 |
985 |
$4K |
| 85730 |
|
1,234 |
1,181 |
$4K |
| 87086 |
|
1,562 |
1,514 |
$3K |
| J3010 |
Fentanyl citrate injection |
774 |
693 |
$3K |
| 96361 |
|
12 |
12 |
$3K |
| 76817 |
|
27 |
24 |
$3K |
| 99441 |
|
18 |
16 |
$2K |
| 83498 |
|
90 |
90 |
$2K |
| 84432 |
|
30 |
29 |
$2K |
| 85379 |
|
287 |
276 |
$2K |
| 80076 |
|
175 |
172 |
$2K |
| 94729 |
|
51 |
51 |
$2K |
| 87389 |
|
24 |
24 |
$2K |
| 93017 |
|
76 |
76 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,416 |
1,313 |
$2K |
| 83003 |
|
92 |
89 |
$2K |
| 90792 |
|
26 |
12 |
$1K |
| 82157 |
|
50 |
50 |
$1K |
| 94200 |
|
26 |
26 |
$1K |
| 80320 |
|
391 |
362 |
$1K |
| C9399 |
Unclassified drugs or biolog |
12 |
12 |
$1K |
| 97165 |
|
12 |
12 |
$1K |
| 84484 |
|
1,262 |
966 |
$1K |
| J7060 |
5% dextrose/water |
85 |
52 |
$1K |
| 84165 |
|
85 |
82 |
$995.76 |
| 87631 |
|
16 |
16 |
$986.55 |
| 72082 |
|
61 |
61 |
$873.37 |
| 83690 |
|
1,697 |
1,627 |
$862.96 |
| 82962 |
|
564 |
453 |
$854.74 |
| 86003 |
|
40 |
40 |
$819.34 |
| 82627 |
|
40 |
40 |
$791.65 |
| 73030 |
|
55 |
53 |
$791.38 |
| 77062 |
|
26 |
26 |
$758.38 |
| 85045 |
|
123 |
120 |
$752.26 |
| 82570 |
|
67 |
67 |
$724.12 |
| 87634 |
|
135 |
134 |
$720.96 |
| 84436 |
|
447 |
441 |
$709.38 |
| 93971 |
|
12 |
12 |
$584.71 |
| J2250 |
Inj midazolam hydrochloride |
301 |
289 |
$557.46 |
| 76775 |
|
13 |
13 |
$551.71 |
| 72100 |
|
13 |
13 |
$476.07 |
| J1030 |
Methylprednisolone 40 mg inj |
16 |
13 |
$352.35 |
| 87070 |
|
189 |
184 |
$345.86 |
| 84480 |
|
57 |
55 |
$345.37 |
| 86300 |
|
15 |
14 |
$290.81 |
| 82626 |
|
13 |
13 |
$266.24 |
| 82232 |
|
12 |
12 |
$258.70 |
| 83605 |
|
298 |
276 |
$239.55 |
| 84140 |
|
12 |
12 |
$220.67 |
| 84156 |
|
41 |
41 |
$200.25 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
84 |
77 |
$187.29 |
| 86880 |
|
13 |
12 |
$140.64 |
| 83010 |
|
13 |
12 |
$129.51 |
| 81003 |
|
495 |
479 |
$126.64 |
| J2765 |
Metoclopramide hcl injection |
158 |
156 |
$124.00 |
| 83525 |
|
12 |
12 |
$101.79 |
| 87186 |
|
13 |
12 |
$98.45 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
12 |
$65.97 |
| 84479 |
|
158 |
153 |
$59.42 |
| 82550 |
|
13 |
12 |
$44.80 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
25 |
$38.46 |
| 87430 |
|
75 |
73 |
$25.68 |
| 82947 |
|
17 |
15 |
$7.34 |
| 87040 |
|
19 |
15 |
$0.00 |
| 90471 |
|
12 |
12 |
$0.00 |