| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,190 |
3,853 |
$1.88M |
| 99283 |
|
2,902 |
2,678 |
$1.12M |
| 90832 |
|
7,490 |
5,068 |
$839K |
| 99285 |
|
1,396 |
1,337 |
$706K |
| 99213 |
|
4,014 |
3,376 |
$487K |
| 90834 |
|
1,689 |
1,157 |
$282K |
| 90791 |
|
1,076 |
848 |
$194K |
| 36415 |
|
12,963 |
11,048 |
$172K |
| 43239 |
|
85 |
85 |
$108K |
| 80307 |
|
3,913 |
2,878 |
$96K |
| 80053 |
|
6,722 |
6,048 |
$75K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,090 |
1,020 |
$70K |
| 96372 |
|
1,129 |
947 |
$64K |
| 87491 |
|
1,457 |
1,432 |
$54K |
| 87591 |
|
1,344 |
1,320 |
$48K |
| 96374 |
|
1,584 |
1,448 |
$42K |
| 88305 |
|
1,156 |
894 |
$41K |
| 70450 |
|
548 |
538 |
$41K |
| 80048 |
|
3,211 |
2,814 |
$34K |
| 77067 |
|
507 |
507 |
$31K |
| 71046 |
|
2,233 |
2,192 |
$26K |
| Q3014 |
Telehealth facility fee |
461 |
400 |
$25K |
| 80061 |
|
3,093 |
3,088 |
$23K |
| 97110 |
|
448 |
160 |
$22K |
| 74176 |
|
378 |
368 |
$21K |
| G0378 |
Hospital observation per hr |
27 |
12 |
$21K |
| 85025 |
|
8,047 |
6,935 |
$21K |
| 82306 |
|
990 |
984 |
$19K |
| J7030 |
Normal saline solution infus |
1,267 |
902 |
$18K |
| 74177 |
|
254 |
250 |
$17K |
| 88342 |
|
137 |
136 |
$17K |
| 77063 |
|
500 |
500 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
187 |
52 |
$15K |
| 99214 |
|
265 |
185 |
$13K |
| 84443 |
|
1,455 |
1,438 |
$13K |
| 83036 |
|
2,013 |
2,002 |
$13K |
| 87086 |
|
2,307 |
2,180 |
$13K |
| 99281 |
|
26 |
24 |
$11K |
| 73630 |
|
501 |
471 |
$10K |
| 0241U |
|
552 |
538 |
$9K |
| 93005 |
|
2,334 |
2,175 |
$8K |
| 81001 |
|
2,392 |
2,267 |
$8K |
| 82607 |
|
568 |
566 |
$7K |
| 82570 |
|
1,963 |
1,483 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
596 |
581 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,211 |
1,181 |
$7K |
| 84439 |
|
912 |
891 |
$6K |
| 87635 |
|
130 |
122 |
$5K |
| G0480 |
Drug test def 1-7 classes |
603 |
472 |
$5K |
| 11721 |
|
547 |
311 |
$5K |
| 76830 |
|
127 |
127 |
$4K |
| 86803 |
|
354 |
353 |
$4K |
| 71045 |
|
1,229 |
1,181 |
$4K |
| 83735 |
|
1,109 |
887 |
$4K |
| 82652 |
|
105 |
104 |
$4K |
| 73564 |
|
155 |
141 |
$3K |
| 99238 |
|
44 |
43 |
$3K |
| 87077 |
|
441 |
429 |
$3K |
| 72148 |
|
14 |
14 |
$3K |
| 99232 |
|
44 |
13 |
$3K |
| 74018 |
|
298 |
295 |
$3K |
| 86701 |
|
297 |
296 |
$3K |
| 76705 |
|
64 |
63 |
$3K |
| 71260 |
|
29 |
29 |
$2K |
| 82746 |
|
165 |
165 |
$2K |
| 73502 |
|
68 |
68 |
$2K |
| 83789 |
|
463 |
284 |
$2K |
| 85610 |
|
1,575 |
1,428 |
$2K |
| 84153 |
|
150 |
149 |
$2K |
| 96361 |
|
31 |
22 |
$2K |
| 87651 |
|
99 |
99 |
$2K |
| 87624 |
|
38 |
38 |
$2K |
| 81003 |
|
2,228 |
1,780 |
$2K |
| 87186 |
|
357 |
348 |
$2K |
| 92557 |
|
75 |
75 |
$2K |
| 85730 |
|
559 |
549 |
$1K |
| 88112 |
|
29 |
29 |
$1K |
| 85027 |
|
213 |
197 |
$995.92 |
| 72100 |
|
51 |
51 |
$933.40 |
| 94060 |
|
27 |
27 |
$884.22 |
| 73030 |
|
77 |
73 |
$870.53 |
| 87389 |
|
61 |
59 |
$856.52 |
| 87400 |
|
289 |
285 |
$834.68 |
| H0038 |
Self-help/peer svc per 15min |
32 |
26 |
$798.28 |
| 83970 |
|
40 |
40 |
$784.74 |
| 73610 |
|
46 |
41 |
$775.71 |
| 97161 |
|
14 |
14 |
$721.86 |
| 99212 |
|
13 |
12 |
$720.81 |
| 87510 |
|
127 |
123 |
$717.83 |
| 82728 |
|
66 |
66 |
$643.39 |
| A9577 |
Inj multihance |
24 |
24 |
$621.47 |
| 76700 |
|
12 |
12 |
$560.24 |
| 71250 |
|
12 |
12 |
$558.16 |
| 94729 |
|
14 |
14 |
$554.92 |
| 83690 |
|
1,026 |
954 |
$548.33 |
| 87425 |
|
100 |
99 |
$548.13 |
| 83986 |
|
610 |
379 |
$545.56 |
| 87070 |
|
50 |
49 |
$529.10 |
| 94726 |
|
14 |
14 |
$498.93 |
| 80320 |
|
94 |
53 |
$466.58 |
| 84100 |
|
125 |
95 |
$463.80 |
| 84460 |
|
79 |
79 |
$413.16 |
| 84450 |
|
79 |
79 |
$411.48 |
| 92567 |
|
85 |
84 |
$404.78 |
| 84484 |
|
1,232 |
1,095 |
$403.81 |
| 83550 |
|
54 |
54 |
$382.81 |
| 80050 |
|
69 |
68 |
$374.36 |
| 76775 |
|
25 |
25 |
$363.00 |
| 83540 |
|
85 |
85 |
$337.84 |
| 81025 |
|
112 |
111 |
$332.85 |
| 87040 |
|
74 |
73 |
$330.58 |
| 87480 |
|
31 |
29 |
$299.50 |
| 82962 |
|
34 |
27 |
$283.48 |
| 87660 |
|
31 |
29 |
$277.05 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
13 |
13 |
$253.25 |
| 82043 |
|
43 |
43 |
$248.94 |
| J7120 |
Ringers lactate infusion |
144 |
95 |
$223.00 |
| 80076 |
|
36 |
36 |
$181.03 |
| 84156 |
|
53 |
48 |
$121.59 |
| 80354 |
|
358 |
191 |
$102.52 |
| 96375 |
|
1,083 |
946 |
$99.94 |
| 83880 |
|
14 |
13 |
$98.84 |
| 84702 |
|
15 |
12 |
$94.09 |
| J1100 |
Dexamethasone sodium phos |
252 |
229 |
$90.57 |
| 87340 |
|
12 |
12 |
$89.87 |
| 85651 |
|
46 |
41 |
$82.49 |
| 86140 |
|
13 |
13 |
$61.23 |
| 86901 |
|
13 |
13 |
$55.18 |
| J2405 |
Ondansetron hcl injection |
1,060 |
901 |
$53.94 |
| G0279 |
Tomosynthesis, mammo |
33 |
31 |
$51.82 |
| 86900 |
|
13 |
13 |
$48.86 |
| 86592 |
|
12 |
12 |
$35.97 |
| J1885 |
Ketorolac tromethamine inj |
1,068 |
970 |
$22.69 |
| 81015 |
|
41 |
39 |
$4.78 |
| 87880 |
|
32 |
31 |
$3.75 |
| 84703 |
|
14 |
14 |
$3.74 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
24 |
$3.66 |
| J3010 |
Fentanyl citrate injection |
216 |
191 |
$3.34 |
| J3490 |
Drugs unclassified injection |
1,560 |
1,045 |
$1.73 |
| S0119 |
Ondansetron 4 mg |
133 |
131 |
$0.63 |
| J7040 |
Normal saline solution infus |
68 |
65 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
69 |
68 |
$0.00 |
| 94760 |
|
29 |
28 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |
| 83605 |
|
90 |
84 |
$0.00 |
| J2001 |
Lidocaine injection |
69 |
69 |
$0.00 |
| J1170 |
Hydromorphone injection |
14 |
12 |
$0.00 |