| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
43,395 |
36,874 |
$9.37M |
| 99283 |
|
53,507 |
46,427 |
$8.03M |
| G0463 |
Hospital outpt clinic visit |
37,475 |
22,153 |
$2.31M |
| 99285 |
|
10,218 |
8,782 |
$2.28M |
| U0003 |
Cov-19 amp prb hgh thruput |
29,015 |
19,983 |
$1.16M |
| 76811 |
|
4,373 |
4,180 |
$794K |
| 96374 |
|
6,115 |
5,455 |
$756K |
| 76819 |
|
6,717 |
3,913 |
$624K |
| 99282 |
|
4,824 |
4,490 |
$498K |
| 76816 |
|
7,986 |
7,298 |
$447K |
| 76805 |
|
3,311 |
3,172 |
$304K |
| 80053 |
|
96,763 |
86,845 |
$257K |
| C9803 |
Hopd covid-19 spec collect |
13,807 |
11,747 |
$249K |
| 84443 |
|
20,830 |
19,416 |
$211K |
| 85025 |
|
99,146 |
87,715 |
$176K |
| 11042 |
|
1,353 |
605 |
$167K |
| 86900 |
|
2,467 |
2,314 |
$166K |
| 80061 |
|
19,774 |
18,469 |
$156K |
| 99281 |
|
2,688 |
2,498 |
$149K |
| 82306 |
|
7,861 |
7,373 |
$148K |
| 76813 |
|
1,505 |
1,423 |
$139K |
| 71046 |
|
2,557 |
2,347 |
$136K |
| 36415 |
|
86,895 |
74,107 |
$116K |
| 83036 |
|
17,069 |
15,803 |
$92K |
| 96413 |
|
489 |
279 |
$86K |
| 93296 |
|
4,458 |
3,851 |
$58K |
| 76825 |
|
115 |
114 |
$53K |
| 87389 |
|
3,028 |
2,843 |
$50K |
| 93306 |
|
584 |
482 |
$43K |
| 80074 |
|
1,159 |
1,101 |
$40K |
| 96375 |
|
996 |
900 |
$37K |
| 86780 |
|
3,379 |
3,176 |
$31K |
| G0472 |
Hep c screen high risk/other |
1,111 |
1,019 |
$30K |
| 43762 |
|
272 |
201 |
$30K |
| 87502 |
|
1,983 |
1,841 |
$30K |
| 97602 |
|
468 |
239 |
$26K |
| 84439 |
|
4,058 |
3,854 |
$24K |
| 87491 |
|
920 |
856 |
$23K |
| 87591 |
|
912 |
849 |
$23K |
| 71045 |
|
469 |
418 |
$23K |
| 96361 |
|
584 |
542 |
$18K |
| 29581 |
|
303 |
119 |
$17K |
| 43239 |
|
39 |
38 |
$16K |
| 76801 |
|
162 |
146 |
$15K |
| 87086 |
|
3,799 |
3,459 |
$15K |
| 87631 |
|
402 |
379 |
$14K |
| 81514 |
|
59 |
56 |
$12K |
| 99214 |
|
713 |
473 |
$11K |
| 97597 |
|
207 |
101 |
$10K |
| 0240U |
|
118 |
106 |
$10K |
| 74177 |
|
39 |
37 |
$9K |
| 0241U |
|
74 |
73 |
$8K |
| 80307 |
|
946 |
862 |
$8K |
| 84207 |
|
442 |
414 |
$8K |
| 82607 |
|
786 |
746 |
$8K |
| 70450 |
|
76 |
69 |
$8K |
| 82746 |
|
752 |
715 |
$7K |
| 87081 |
|
1,476 |
1,411 |
$7K |
| 87536 |
|
151 |
144 |
$7K |
| 43235 |
|
12 |
12 |
$7K |
| 87150 |
|
239 |
233 |
$6K |
| 82728 |
|
667 |
622 |
$6K |
| 93010 |
|
1,365 |
959 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
135 |
123 |
$5K |
| 84481 |
|
441 |
417 |
$5K |
| J3490 |
Drugs unclassified injection |
342 |
250 |
$5K |
| 99201 |
|
52 |
39 |
$4K |
| 85027 |
|
2,122 |
1,646 |
$4K |
| 93005 |
|
7,481 |
6,774 |
$4K |
| 99202 |
|
43 |
30 |
$4K |
| 99070 |
|
260 |
199 |
$3K |
| 86762 |
|
334 |
314 |
$3K |
| 83721 |
|
469 |
433 |
$3K |
| 83550 |
|
490 |
462 |
$3K |
| 82043 |
|
809 |
750 |
$2K |
| 87340 |
|
333 |
314 |
$2K |
| 76817 |
|
533 |
486 |
$2K |
| 82670 |
|
112 |
101 |
$2K |
| 82570 |
|
855 |
789 |
$2K |
| 87800 |
|
70 |
66 |
$2K |
| 84480 |
|
264 |
248 |
$2K |
| 93298 |
|
95 |
77 |
$2K |
| 83540 |
|
502 |
474 |
$2K |
| 87635 |
|
52 |
50 |
$2K |
| 85007 |
|
1,875 |
1,416 |
$2K |
| 95806 |
|
13 |
13 |
$2K |
| 86360 |
|
79 |
73 |
$2K |
| 82950 |
|
462 |
435 |
$2K |
| 86359 |
|
79 |
73 |
$1K |
| 86141 |
|
145 |
140 |
$1K |
| 86850 |
|
2,386 |
2,236 |
$1K |
| G2211 |
Complex e/m visit add on |
214 |
212 |
$1K |
| 83880 |
|
87 |
67 |
$1K |
| 94010 |
|
12 |
12 |
$1K |
| 99212 |
|
260 |
156 |
$1K |
| 84403 |
|
54 |
54 |
$1K |
| 84402 |
|
53 |
52 |
$951.40 |
| 81003 |
|
954 |
885 |
$948.23 |
| 80069 |
|
261 |
199 |
$932.89 |
| 84144 |
|
59 |
52 |
$904.98 |
| 86803 |
|
96 |
87 |
$872.11 |
| 81001 |
|
7,010 |
6,408 |
$851.46 |
| 93295 |
|
112 |
107 |
$762.28 |
| 83090 |
|
65 |
63 |
$748.37 |
| 84252 |
|
54 |
52 |
$741.32 |
| 82627 |
|
39 |
39 |
$638.66 |
| 95251 |
|
34 |
28 |
$615.73 |
| 84425 |
|
39 |
38 |
$534.76 |
| 0450 |
|
15 |
12 |
$496.00 |
| 82533 |
|
41 |
40 |
$495.52 |
| 93294 |
|
122 |
105 |
$492.43 |
| 80048 |
|
282 |
165 |
$435.61 |
| 86140 |
|
101 |
99 |
$369.03 |
| 82550 |
|
92 |
90 |
$304.47 |
| 86901 |
|
2,469 |
2,315 |
$265.54 |
| 99213 |
|
158 |
77 |
$253.13 |
| 83525 |
|
30 |
29 |
$212.12 |
| 83615 |
|
231 |
179 |
$204.63 |
| 85610 |
|
6,831 |
4,643 |
$189.81 |
| 87880 |
|
39 |
38 |
$185.08 |
| 82274 |
|
12 |
12 |
$152.88 |
| 84154 |
|
15 |
15 |
$141.00 |
| 84153 |
|
15 |
15 |
$141.00 |
| 87070 |
|
15 |
14 |
$94.86 |
| 87077 |
|
14 |
12 |
$83.99 |
| 85018 |
|
38 |
38 |
$66.73 |
| 81015 |
|
29 |
26 |
$65.58 |
| 87641 |
|
13 |
13 |
$56.14 |
| 87205 |
|
15 |
14 |
$50.01 |
| 85045 |
|
12 |
12 |
$38.28 |
| 99211 |
|
110 |
61 |
$29.72 |
| J1885 |
Ketorolac tromethamine inj |
564 |
538 |
$29.43 |
| 83690 |
|
1,620 |
1,511 |
$11.47 |
| 85652 |
|
13 |
13 |
$9.20 |
| 84703 |
|
1,415 |
1,326 |
$6.39 |
| 17250 |
|
40 |
14 |
$2.17 |
| A6212 |
Foam drg <=16 sq in w/border |
7,344 |
3,071 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
156 |
131 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
386 |
201 |
$0.00 |
| A6196 |
Alginate dressing <=16 sq in |
2,436 |
1,084 |
$0.00 |
| A6251 |
Absorpt drg <=16 sq in w/o b |
1,199 |
616 |
$0.00 |
| A6457 |
Tubular dressing |
328 |
150 |
$0.00 |
| A6266 |
Impreg gauze no h20/sal/yard |
1,039 |
525 |
$0.00 |
| 76821 |
|
351 |
205 |
$0.00 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
178 |
99 |
$0.00 |
| 93325 |
|
117 |
116 |
$0.00 |
| A6206 |
Contact layer <= 16 sq in |
168 |
63 |
$0.00 |
| 76827 |
|
114 |
113 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$0.00 |
| 76000 |
|
13 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
18 |
14 |
$0.00 |
| 84484 |
|
1,112 |
974 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
418 |
367 |
$0.00 |
| A6452 |
High compres band w>=3"<5"yd |
303 |
119 |
$0.00 |
| 96372 |
|
59 |
51 |
$0.00 |
| A6456 |
Zinc paste band w >=3"<5"/yd |
47 |
25 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
347 |
161 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
353 |
166 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
163 |
101 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
401 |
385 |
$0.00 |
| 85730 |
|
482 |
418 |
$0.00 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
65 |
39 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
65 |
51 |
$0.00 |
| A6454 |
Self-adher band w>=3" <5"/yd |
645 |
249 |
$0.00 |
| A6207 |
Contact layer >16<= 48 sq in |
662 |
307 |
$0.00 |
| 88305 |
|
338 |
305 |
$0.00 |
| A6240 |
Hydrocolld drg filler paste |
82 |
37 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
76 |
61 |
$0.00 |
| G0378 |
Hospital observation per hr |
31 |
12 |
$0.00 |
| 94640 |
|
30 |
25 |
$0.00 |
| 76820 |
|
132 |
89 |
$0.00 |
| 83735 |
|
22 |
17 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |