| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
49,987 |
47,591 |
$13.48M |
| 99283 |
|
22,054 |
20,784 |
$3.60M |
| 97110 |
|
20,135 |
9,217 |
$1.23M |
| G0463 |
Hospital outpt clinic visit |
23,280 |
19,744 |
$1.21M |
| 99285 |
|
3,287 |
2,958 |
$998K |
| 36415 |
|
48,944 |
42,854 |
$530K |
| 99233 |
Prolong inpt eval add15 m |
5,946 |
1,236 |
$405K |
| 96374 |
|
5,284 |
4,815 |
$391K |
| 96361 |
|
3,747 |
2,800 |
$371K |
| 80048 |
|
21,539 |
19,600 |
$344K |
| J0585 |
Injection,onabotulinumtoxina |
228 |
175 |
$315K |
| 85027 |
|
19,553 |
18,295 |
$263K |
| 93005 |
|
12,203 |
10,538 |
$252K |
| G0378 |
Hospital observation per hr |
1,343 |
699 |
$213K |
| 99223 |
Prolong inpt eval add15 m |
1,466 |
1,075 |
$196K |
| Q3014 |
Telehealth facility fee |
7,232 |
6,024 |
$191K |
| 99232 |
|
3,995 |
959 |
$190K |
| 80053 |
|
6,393 |
5,782 |
$172K |
| 97113 |
|
3,151 |
1,244 |
$170K |
| 70450 |
|
824 |
756 |
$158K |
| 97112 |
|
4,376 |
2,051 |
$140K |
| 90870 |
|
519 |
194 |
$118K |
| 11042 |
|
451 |
345 |
$109K |
| 74177 |
|
832 |
744 |
$105K |
| 85025 |
|
14,074 |
13,065 |
$100K |
| 97530 |
|
3,133 |
1,372 |
$86K |
| 71046 |
|
2,658 |
2,447 |
$82K |
| 59400 |
|
65 |
64 |
$80K |
| 70553 |
|
310 |
298 |
$78K |
| 99239 |
|
1,056 |
982 |
$75K |
| 99291 |
|
445 |
125 |
$67K |
| 97162 |
|
2,381 |
2,291 |
$61K |
| 97140 |
|
4,529 |
2,137 |
$60K |
| 96375 |
|
1,601 |
1,311 |
$52K |
| H0035 |
Mh partial hosp tx under 24h |
186 |
24 |
$49K |
| 97535 |
|
1,998 |
1,400 |
$46K |
| 99222 |
|
399 |
340 |
$37K |
| 97161 |
|
1,569 |
1,486 |
$36K |
| 96372 |
|
2,108 |
1,124 |
$34K |
| 71260 |
|
154 |
135 |
$32K |
| H2012 |
Behav hlth day treat, per hr |
179 |
25 |
$32K |
| 97602 |
|
567 |
459 |
$29K |
| 90868 |
|
271 |
25 |
$28K |
| J7060 |
5% dextrose/water |
88 |
39 |
$28K |
| 90834 |
|
595 |
349 |
$26K |
| 76811 |
|
169 |
158 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
946 |
839 |
$25K |
| 99254 |
|
204 |
182 |
$22K |
| 81001 |
|
2,491 |
2,264 |
$22K |
| 82565 |
|
2,018 |
1,661 |
$22K |
| 66984 |
|
14 |
12 |
$20K |
| J7050 |
Normal saline solution infus |
4,555 |
2,043 |
$19K |
| 99255 |
|
138 |
111 |
$18K |
| 93306 |
|
247 |
221 |
$18K |
| J7030 |
Normal saline solution infus |
5,135 |
4,361 |
$18K |
| 95886 |
|
308 |
240 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,890 |
2,506 |
$17K |
| 90853 |
|
481 |
151 |
$17K |
| 59510 |
|
17 |
12 |
$17K |
| 97116 |
|
529 |
222 |
$16K |
| 90837 |
|
458 |
236 |
$15K |
| G1004 |
Cdsm ndsc |
7,294 |
5,460 |
$14K |
| 76818 |
|
95 |
66 |
$14K |
| 83880 |
|
1,254 |
1,143 |
$13K |
| 59025 |
|
229 |
130 |
$13K |
| 96376 |
|
47 |
25 |
$13K |
| 76816 |
|
172 |
127 |
$13K |
| 71045 |
|
264 |
253 |
$12K |
| J3010 |
Fentanyl citrate injection |
1,702 |
1,360 |
$11K |
| 96365 |
|
151 |
114 |
$11K |
| 99231 |
|
405 |
183 |
$11K |
| U0005 |
Infec agen detec ampli probe |
804 |
712 |
$11K |
| 99253 |
|
146 |
131 |
$11K |
| 82248 |
|
2,913 |
2,642 |
$10K |
| 99221 |
|
151 |
135 |
$10K |
| 96360 |
|
61 |
57 |
$10K |
| 77067 |
|
134 |
133 |
$9K |
| J1170 |
Hydromorphone injection |
757 |
496 |
$9K |
| 83690 |
|
2,487 |
2,267 |
$8K |
| 74176 |
|
57 |
55 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
1,335 |
999 |
$8K |
| 84512 |
|
1,166 |
969 |
$7K |
| 90791 |
|
172 |
168 |
$7K |
| 99460 |
|
97 |
95 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
2,251 |
1,542 |
$7K |
| 84484 |
|
2,121 |
1,304 |
$6K |
| 92507 |
|
82 |
21 |
$6K |
| 99282 |
|
76 |
73 |
$6K |
| 99238 |
|
106 |
106 |
$5K |
| 97542 |
|
76 |
71 |
$5K |
| J2405 |
Ondansetron hcl injection |
2,309 |
1,833 |
$5K |
| 85610 |
|
1,616 |
1,207 |
$4K |
| 93303 |
|
13 |
13 |
$4K |
| 64644 |
|
12 |
12 |
$4K |
| A9585 |
Gadobutrol injection |
371 |
357 |
$4K |
| 84132 |
|
947 |
698 |
$4K |
| 76827 |
|
28 |
24 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
895 |
780 |
$4K |
| 71250 |
|
14 |
14 |
$4K |
| J7120 |
Ringers lactate infusion |
1,918 |
1,534 |
$4K |
| J2001 |
Lidocaine injection |
1,548 |
1,146 |
$3K |
| 83735 |
|
1,387 |
1,031 |
$3K |
| 90935 |
|
80 |
25 |
$3K |
| 96133 |
|
13 |
13 |
$3K |
| 81025 |
|
324 |
313 |
$3K |
| 82803 |
|
175 |
170 |
$2K |
| J1100 |
Dexamethasone sodium phos |
893 |
722 |
$2K |
| 84295 |
|
281 |
261 |
$2K |
| J0475 |
Baclofen 10 mg injection |
26 |
17 |
$2K |
| 76825 |
|
13 |
13 |
$2K |
| 72125 |
|
13 |
13 |
$2K |
| 82947 |
|
146 |
143 |
$2K |
| 93010 |
|
330 |
263 |
$2K |
| 90792 |
|
41 |
38 |
$2K |
| 87502 |
|
51 |
50 |
$2K |
| 84520 |
|
147 |
143 |
$2K |
| 93325 |
|
54 |
50 |
$2K |
| 96132 |
|
13 |
13 |
$1K |
| 95874 |
|
593 |
456 |
$1K |
| 96116 |
|
13 |
13 |
$1K |
| 96137 |
|
13 |
13 |
$1K |
| 82435 |
|
134 |
131 |
$1K |
| 83605 |
|
199 |
150 |
$1K |
| 64643 |
|
15 |
14 |
$1K |
| 99417 |
Prolong home eval add 15m |
17 |
15 |
$1K |
| 97163 |
|
33 |
29 |
$919.09 |
| 84443 |
|
230 |
210 |
$915.36 |
| J0330 |
Succinycholine chloride inj |
367 |
151 |
$794.29 |
| 87086 |
|
111 |
106 |
$776.94 |
| 85018 |
|
449 |
252 |
$765.90 |
| 83036 |
|
104 |
100 |
$744.65 |
| 87426 |
|
19 |
19 |
$733.91 |
| 0241U |
|
13 |
12 |
$687.55 |
| J0690 |
Cefazolin sodium injection |
277 |
212 |
$584.45 |
| 81003 |
|
165 |
150 |
$555.97 |
| V2632 |
Post chmbr intraocular lens |
14 |
12 |
$491.36 |
| 0240U |
|
15 |
14 |
$409.29 |
| 96136 |
|
13 |
13 |
$388.75 |
| J0171 |
Adrenalin epinephrine inject |
158 |
121 |
$376.39 |
| C1769 |
Guide wire |
74 |
53 |
$346.54 |
| A9270 |
Non-covered item or service |
1,586 |
858 |
$212.98 |
| 93320 |
|
13 |
13 |
$210.08 |
| 97165 |
|
13 |
12 |
$180.43 |
| 85379 |
|
13 |
12 |
$115.68 |
| 90686 |
|
12 |
12 |
$84.79 |
| 82077 |
|
14 |
14 |
$81.90 |
| 88305 |
|
20 |
12 |
$70.11 |
| 84703 |
|
12 |
12 |
$60.93 |
| J1642 |
Inj heparin sodium per 10 u |
76 |
49 |
$53.31 |
| J2370 |
Phenylephrine hcl injection |
31 |
26 |
$46.26 |
| 86850 |
|
18 |
14 |
$37.66 |
| G8978 |
Mobility current status |
436 |
381 |
$32.02 |
| G8979 |
Mobility goal status |
525 |
449 |
$31.91 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
31 |
27 |
$30.75 |
| 86900 |
|
17 |
14 |
$18.54 |
| 86901 |
|
36 |
26 |
$18.54 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$10.43 |
| Q0162 |
Ondansetron oral |
14 |
13 |
$6.74 |
| G8980 |
Mobility d/c status |
103 |
89 |
$0.00 |
| G8988 |
Self care goal status |
16 |
12 |
$0.00 |