| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,832 |
13,272 |
$778K |
| 99213 |
|
26,377 |
23,158 |
$700K |
| 97110 |
|
12,883 |
4,658 |
$438K |
| 99214 |
|
13,276 |
11,355 |
$426K |
| 96361 |
|
4,210 |
3,109 |
$415K |
| 99284 |
|
6,941 |
5,785 |
$303K |
| G0463 |
Hospital outpt clinic visit |
29,962 |
19,717 |
$225K |
| 92015 |
|
5,075 |
3,990 |
$223K |
| 99282 |
|
3,724 |
3,284 |
$216K |
| 80053 |
|
14,369 |
11,586 |
$199K |
| 90834 |
|
4,455 |
2,960 |
$152K |
| 99285 |
|
3,534 |
2,920 |
$114K |
| 74177 |
|
1,834 |
1,530 |
$99K |
| 70450 |
|
2,143 |
1,784 |
$97K |
| 85025 |
|
14,653 |
11,024 |
$71K |
| 96365 |
|
2,313 |
1,410 |
$68K |
| 90832 |
|
1,885 |
1,028 |
$68K |
| 97140 |
|
3,389 |
1,331 |
$66K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,204 |
1,016 |
$60K |
| 81001 |
|
4,647 |
3,926 |
$59K |
| 92507 |
|
963 |
438 |
$59K |
| 94640 |
|
1,811 |
1,262 |
$53K |
| 92014 |
|
2,379 |
2,161 |
$53K |
| 96360 |
|
839 |
716 |
$52K |
| 99391 |
|
951 |
795 |
$49K |
| 93306 |
|
698 |
592 |
$47K |
| 87081 |
|
2,466 |
2,148 |
$47K |
| 80048 |
|
4,242 |
3,344 |
$43K |
| 99215 |
Prolong outpt/office vis |
1,011 |
836 |
$42K |
| 87631 |
|
401 |
358 |
$42K |
| 87635 |
|
1,323 |
1,131 |
$42K |
| 99392 |
|
724 |
708 |
$41K |
| 90837 |
|
613 |
418 |
$39K |
| 0241U |
|
1,001 |
875 |
$39K |
| 97162 |
|
1,184 |
1,033 |
$39K |
| 87491 |
|
1,288 |
1,131 |
$39K |
| 92340 |
|
2,083 |
1,815 |
$38K |
| 84443 |
|
3,817 |
3,390 |
$35K |
| 99212 |
|
1,106 |
1,015 |
$34K |
| 97530 |
|
1,425 |
801 |
$34K |
| 87880 |
|
1,998 |
1,818 |
$32K |
| 80061 |
|
3,824 |
3,509 |
$28K |
| 87591 |
|
1,276 |
1,120 |
$26K |
| 99393 |
|
459 |
439 |
$25K |
| 84484 |
|
4,306 |
2,974 |
$24K |
| 93010 |
|
3,736 |
2,950 |
$21K |
| 87086 |
|
2,449 |
2,063 |
$20K |
| 81025 |
|
1,846 |
1,578 |
$20K |
| 85610 |
|
2,765 |
1,981 |
$19K |
| 97112 |
|
761 |
341 |
$18K |
| 87502 |
|
341 |
278 |
$17K |
| 0002A |
|
442 |
426 |
$16K |
| 92004 |
|
410 |
350 |
$14K |
| 83036 |
|
3,131 |
2,890 |
$14K |
| 84145 |
|
1,279 |
967 |
$14K |
| 0001A |
|
462 |
427 |
$13K |
| 99394 |
|
227 |
219 |
$13K |
| 85027 |
|
3,821 |
3,399 |
$13K |
| 83690 |
|
2,987 |
2,401 |
$12K |
| 83605 |
|
2,081 |
1,465 |
$12K |
| 81003 |
|
2,541 |
2,187 |
$11K |
| 90686 |
|
1,841 |
1,769 |
$10K |
| 80306 |
|
761 |
629 |
$9K |
| 90833 |
|
279 |
210 |
$9K |
| 82077 |
|
514 |
410 |
$8K |
| 83735 |
|
2,238 |
1,707 |
$7K |
| 82962 |
|
1,231 |
595 |
$7K |
| 87637 |
|
93 |
85 |
$7K |
| 71275 |
|
137 |
105 |
$7K |
| 99203 |
|
163 |
149 |
$7K |
| G0378 |
Hospital observation per hr |
819 |
636 |
$7K |
| 82565 |
|
409 |
305 |
$6K |
| 0004A |
|
189 |
169 |
$6K |
| 82306 |
|
480 |
446 |
$6K |
| 99202 |
|
126 |
121 |
$6K |
| 97161 |
|
99 |
91 |
$6K |
| 71046 |
|
2,185 |
1,865 |
$6K |
| G0480 |
Drug test def 1-7 classes |
187 |
155 |
$6K |
| 97035 |
|
675 |
241 |
$6K |
| 96372 |
|
4,066 |
3,051 |
$6K |
| 90792 |
|
112 |
78 |
$6K |
| 82948 |
|
1,198 |
727 |
$5K |
| 72125 |
|
366 |
304 |
$5K |
| 77067 |
|
148 |
134 |
$5K |
| 99291 |
|
223 |
190 |
$4K |
| 84703 |
|
767 |
644 |
$4K |
| 99218 |
|
153 |
105 |
$4K |
| 82607 |
|
262 |
229 |
$4K |
| 87040 |
|
547 |
267 |
$4K |
| 85379 |
|
702 |
591 |
$4K |
| 0071A |
|
192 |
96 |
$4K |
| 83655 |
|
318 |
303 |
$3K |
| 20610 |
|
275 |
226 |
$3K |
| 0072A |
|
149 |
93 |
$3K |
| 92012 |
|
115 |
82 |
$3K |
| 87186 |
|
829 |
625 |
$3K |
| U0005 |
Infec agen detec ampli probe |
624 |
516 |
$2K |
| 71045 |
|
3,505 |
2,861 |
$2K |
| 90791 |
|
34 |
28 |
$2K |
| 97163 |
|
92 |
86 |
$2K |
| 96374 |
|
4,685 |
3,761 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| 0124A |
|
46 |
44 |
$2K |
| 80143 |
|
186 |
146 |
$2K |
| 96366 |
|
19 |
12 |
$1K |
| 87210 |
|
335 |
304 |
$1K |
| 0031A |
|
45 |
38 |
$1K |
| 80179 |
|
162 |
132 |
$1K |
| 87634 |
|
14 |
14 |
$1K |
| 90961 |
|
31 |
29 |
$1K |
| 36415 |
|
15,733 |
11,688 |
$1K |
| 99281 |
|
15 |
14 |
$1K |
| 85730 |
|
404 |
330 |
$1K |
| 80050 |
|
60 |
55 |
$1K |
| 93005 |
|
6,453 |
5,128 |
$1K |
| 77063 |
|
148 |
134 |
$1K |
| 92341 |
|
42 |
40 |
$1K |
| 87088 |
|
97 |
84 |
$966.58 |
| 96375 |
|
3,790 |
2,856 |
$961.72 |
| 84132 |
|
22 |
12 |
$957.71 |
| 82728 |
|
174 |
153 |
$934.28 |
| 86703 |
|
178 |
163 |
$818.16 |
| 70553 |
|
22 |
15 |
$762.00 |
| 90670 |
|
149 |
140 |
$743.96 |
| 90677 |
|
15 |
12 |
$722.42 |
| 85007 |
|
14 |
14 |
$668.10 |
| 96110 |
|
30 |
28 |
$652.11 |
| 80055 |
|
57 |
53 |
$642.08 |
| V5266 |
Battery for hearing device |
312 |
308 |
$606.67 |
| 86140 |
|
265 |
213 |
$601.84 |
| 90651 |
|
58 |
58 |
$586.98 |
| 73630 |
|
340 |
296 |
$579.92 |
| 87070 |
|
104 |
83 |
$557.99 |
| 99204 |
|
13 |
12 |
$487.63 |
| G2211 |
Complex e/m visit add on |
812 |
732 |
$467.54 |
| 83540 |
|
43 |
38 |
$453.42 |
| 84439 |
|
164 |
151 |
$396.76 |
| 90723 |
|
56 |
49 |
$386.06 |
| 99238 |
|
15 |
12 |
$379.70 |
| 76700 |
|
14 |
13 |
$370.07 |
| 11721 |
|
70 |
66 |
$355.92 |
| 83880 |
|
28 |
26 |
$355.55 |
| 86850 |
|
129 |
106 |
$349.98 |
| 87077 |
|
140 |
104 |
$346.19 |
| 90662 |
|
115 |
111 |
$343.25 |
| 84702 |
|
34 |
28 |
$302.11 |
| 99188 |
|
31 |
26 |
$296.47 |
| 99309 |
|
28 |
26 |
$290.14 |
| 73130 |
|
27 |
26 |
$279.84 |
| 73610 |
|
138 |
114 |
$276.84 |
| 85014 |
|
397 |
382 |
$200.31 |
| 87389 |
|
12 |
12 |
$193.44 |
| 90685 |
|
60 |
60 |
$191.98 |
| G1004 |
Cdsm ndsc |
2,971 |
1,915 |
$188.78 |
| 90734 |
|
25 |
25 |
$187.99 |
| 99443 |
|
19 |
13 |
$186.18 |
| 85652 |
|
163 |
133 |
$180.70 |
| 86900 |
|
116 |
95 |
$179.71 |
| 86901 |
|
113 |
92 |
$176.72 |
| 90633 |
|
55 |
50 |
$162.19 |
| 84450 |
|
68 |
55 |
$152.67 |
| 90694 |
|
56 |
50 |
$132.88 |
| 82570 |
|
87 |
83 |
$109.52 |
| 82947 |
|
41 |
36 |
$106.11 |
| 85018 |
|
211 |
202 |
$105.80 |
| 87205 |
|
48 |
40 |
$102.30 |
| 92551 |
|
12 |
12 |
$101.52 |
| 96161 |
|
25 |
24 |
$93.66 |
| 83550 |
|
14 |
14 |
$81.28 |
| 91307 |
|
77 |
51 |
$80.03 |
| J3010 |
Fentanyl citrate injection |
3,571 |
2,736 |
$78.17 |
| 82043 |
|
56 |
52 |
$74.83 |
| 86592 |
|
91 |
83 |
$70.18 |
| 82746 |
|
12 |
12 |
$58.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,332 |
2,723 |
$54.54 |
| 82550 |
|
17 |
13 |
$53.84 |
| 84550 |
|
30 |
26 |
$47.62 |
| J2405 |
Ondansetron hcl injection |
4,062 |
3,105 |
$47.57 |
| 90710 |
|
13 |
13 |
$43.03 |
| 90647 |
|
12 |
12 |
$36.41 |
| 96376 |
|
410 |
262 |
$35.83 |
| G0008 |
Admin influenza virus vac |
560 |
541 |
$33.27 |
| J7030 |
Normal saline solution infus |
6,184 |
4,684 |
$32.74 |
| 88305 |
|
910 |
696 |
$32.61 |
| 74019 |
|
13 |
13 |
$29.08 |
| 73564 |
|
68 |
54 |
$24.58 |
| J1885 |
Ketorolac tromethamine inj |
5,329 |
3,550 |
$23.38 |
| 90471 |
|
28 |
24 |
$11.86 |
| J7120 |
Ringers lactate infusion |
2,922 |
2,236 |
$10.95 |
| J1100 |
Dexamethasone sodium phos |
2,910 |
2,244 |
$10.87 |
| 81015 |
|
36 |
31 |
$9.45 |
| J0690 |
Cefazolin sodium injection |
488 |
330 |
$9.03 |
| J2250 |
Inj midazolam hydrochloride |
2,393 |
1,946 |
$8.52 |
| 99152 |
|
62 |
51 |
$7.18 |
| J2704 |
Inj, propofol, 10 mg |
2,198 |
1,853 |
$6.09 |
| J1170 |
Hydromorphone injection |
432 |
317 |
$2.74 |
| J7620 |
Albuterol ipratrop non-comp |
453 |
325 |
$2.17 |
| 72170 |
|
35 |
29 |
$1.76 |
| 91305 |
|
23 |
18 |
$0.01 |
| A9270 |
Non-covered item or service |
663 |
471 |
$0.00 |
| J3490 |
Drugs unclassified injection |
325 |
229 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
18 |
$0.00 |
| A9585 |
Gadobutrol injection |
123 |
95 |
$0.00 |
| Q0162 |
Ondansetron oral |
245 |
196 |
$0.00 |
| J2060 |
Lorazepam injection |
61 |
49 |
$0.00 |
| J7050 |
Normal saline solution infus |
206 |
101 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
163 |
118 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
18 |
13 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
38 |
26 |
$0.00 |
| 73502 |
|
14 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
44 |
24 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
320 |
200 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
109 |
96 |
$0.00 |
| 72100 |
|
16 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
155 |
141 |
$0.00 |
| J0780 |
Prochlorperazine injection |
195 |
155 |
$0.00 |
| 36592 |
|
95 |
87 |
$0.00 |
| 91312 |
|
14 |
12 |
$0.00 |
| 73030 |
|
17 |
12 |
$0.00 |
| 91300 |
|
98 |
95 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
18 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
14 |
12 |
$0.00 |
| A4649 |
Surgical supplies |
222 |
178 |
$0.00 |