| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
52,249 |
44,616 |
$10.33M |
| 99283 |
|
51,601 |
44,051 |
$6.74M |
| 99285 |
|
12,298 |
10,920 |
$3.06M |
| G0463 |
Hospital outpt clinic visit |
31,166 |
25,646 |
$2.41M |
| 96374 |
|
13,004 |
11,711 |
$1.53M |
| U0003 |
Cov-19 amp prb hgh thruput |
11,830 |
10,957 |
$609K |
| 99282 |
|
3,942 |
3,659 |
$351K |
| 71046 |
|
6,876 |
6,315 |
$313K |
| 99281 |
|
5,266 |
4,867 |
$258K |
| 96375 |
|
6,310 |
5,730 |
$256K |
| 97110 |
|
5,413 |
1,346 |
$167K |
| 11042 |
|
793 |
345 |
$146K |
| 0241U |
|
1,308 |
1,255 |
$131K |
| C9803 |
Hopd covid-19 spec collect |
5,923 |
5,387 |
$110K |
| 74177 |
|
469 |
425 |
$85K |
| 96361 |
|
2,403 |
2,164 |
$75K |
| 36415 |
|
85,581 |
74,767 |
$74K |
| 87800 |
|
2,238 |
2,115 |
$66K |
| 87591 |
|
2,373 |
2,261 |
$61K |
| 87491 |
|
2,356 |
2,247 |
$60K |
| 71045 |
|
1,303 |
1,192 |
$60K |
| 80053 |
|
68,908 |
62,156 |
$56K |
| 87502 |
|
3,486 |
3,319 |
$55K |
| 86900 |
|
771 |
706 |
$55K |
| 86850 |
|
3,052 |
2,847 |
$41K |
| 97140 |
|
2,582 |
808 |
$41K |
| 85025 |
|
75,594 |
67,830 |
$40K |
| 84443 |
|
3,789 |
3,510 |
$36K |
| 86780 |
|
3,193 |
3,002 |
$28K |
| 80061 |
|
3,142 |
2,898 |
$23K |
| 96365 |
|
184 |
167 |
$22K |
| 97597 |
|
338 |
156 |
$22K |
| 99214 |
|
571 |
492 |
$22K |
| 0240U |
|
212 |
202 |
$20K |
| 93306 |
|
609 |
523 |
$19K |
| 83036 |
|
3,226 |
2,960 |
$17K |
| 82306 |
|
902 |
846 |
$17K |
| 70450 |
|
223 |
190 |
$13K |
| 80307 |
|
2,667 |
2,437 |
$13K |
| 87081 |
|
3,483 |
3,289 |
$13K |
| 87086 |
|
10,305 |
9,344 |
$12K |
| 87635 |
|
349 |
343 |
$12K |
| G0472 |
Hep c screen high risk/other |
269 |
251 |
$8K |
| 84439 |
|
1,436 |
1,357 |
$7K |
| 87389 |
|
851 |
795 |
$7K |
| 96413 |
|
55 |
27 |
$7K |
| 82652 |
|
288 |
274 |
$6K |
| 99201 |
|
54 |
37 |
$6K |
| 0450 |
|
144 |
120 |
$6K |
| 73630 |
|
141 |
130 |
$4K |
| 97530 |
|
132 |
40 |
$4K |
| 73221 |
|
24 |
24 |
$4K |
| 80074 |
|
93 |
92 |
$4K |
| 87633 |
|
12 |
12 |
$3K |
| 87150 |
|
128 |
127 |
$3K |
| 93005 |
|
13,468 |
12,328 |
$2K |
| 82950 |
|
606 |
577 |
$2K |
| 85027 |
|
535 |
474 |
$2K |
| 84480 |
|
223 |
203 |
$2K |
| 99202 |
|
17 |
13 |
$2K |
| 81003 |
|
6,320 |
5,822 |
$2K |
| 86803 |
|
442 |
396 |
$2K |
| 87631 |
|
133 |
129 |
$1K |
| 99212 |
|
269 |
204 |
$1K |
| 87340 |
|
518 |
477 |
$1K |
| 87077 |
|
500 |
405 |
$1K |
| 84702 |
|
110 |
88 |
$1K |
| 99070 |
|
76 |
52 |
$959.66 |
| 82043 |
|
296 |
271 |
$881.22 |
| 81001 |
|
19,403 |
17,839 |
$856.94 |
| J3490 |
Drugs unclassified injection |
71 |
58 |
$845.87 |
| 82570 |
|
312 |
287 |
$841.62 |
| 73610 |
|
13 |
12 |
$831.60 |
| 85610 |
|
3,798 |
2,738 |
$817.29 |
| 97162 |
|
16 |
12 |
$776.28 |
| 93010 |
|
1,863 |
1,446 |
$753.64 |
| 80048 |
|
522 |
459 |
$748.97 |
| 86705 |
|
92 |
85 |
$638.40 |
| 83690 |
|
9,102 |
8,425 |
$634.78 |
| 86762 |
|
401 |
362 |
$609.93 |
| 82607 |
|
54 |
53 |
$550.26 |
| U0002 |
Covid-19 lab test non-cdc |
18 |
18 |
$532.62 |
| G2211 |
Complex e/m visit add on |
99 |
92 |
$482.81 |
| 87641 |
|
31 |
31 |
$364.91 |
| 87640 |
|
31 |
31 |
$364.91 |
| 83615 |
|
474 |
370 |
$342.87 |
| 87798 |
|
13 |
12 |
$333.33 |
| 87070 |
|
127 |
105 |
$331.20 |
| 87186 |
|
122 |
113 |
$295.84 |
| 87581 |
|
12 |
12 |
$277.19 |
| 87486 |
|
12 |
12 |
$277.19 |
| 99213 |
|
88 |
66 |
$256.50 |
| 84146 |
|
15 |
15 |
$231.00 |
| 96372 |
|
1,321 |
1,249 |
$219.97 |
| J2405 |
Ondansetron hcl injection |
2,146 |
1,952 |
$170.76 |
| 87205 |
|
127 |
105 |
$164.16 |
| 85730 |
|
726 |
643 |
$137.10 |
| 84481 |
|
12 |
12 |
$135.50 |
| J1885 |
Ketorolac tromethamine inj |
3,029 |
2,773 |
$99.11 |
| 85007 |
|
56 |
41 |
$92.53 |
| 84484 |
|
4,134 |
3,575 |
$76.19 |
| 80069 |
|
15 |
13 |
$64.15 |
| 86901 |
|
759 |
694 |
$30.24 |
| 87880 |
|
805 |
756 |
$25.62 |
| 83605 |
|
844 |
763 |
$24.06 |
| 80164 |
|
12 |
12 |
$23.24 |
| 81025 |
|
1,677 |
1,617 |
$21.35 |
| 99211 |
|
51 |
29 |
$10.36 |
| 83735 |
|
878 |
765 |
$4.82 |
| 82962 |
|
91 |
69 |
$2.62 |
| 80179 |
|
12 |
12 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
196 |
92 |
$0.00 |
| A6446 |
Conform band s w>=3" <5"/yd |
22 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
93 |
82 |
$0.00 |
| A6196 |
Alginate dressing <=16 sq in |
103 |
53 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
13 |
12 |
$0.00 |
| 87634 |
|
53 |
53 |
$0.00 |
| 82805 |
|
13 |
12 |
$0.00 |
| 84100 |
|
12 |
12 |
$0.00 |
| 80143 |
|
12 |
12 |
$0.00 |
| 87040 |
|
24 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
517 |
428 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
331 |
317 |
$0.00 |
| 83880 |
|
56 |
52 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
759 |
691 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
229 |
213 |
$0.00 |
| 90471 |
|
25 |
25 |
$0.00 |
| 94640 |
|
46 |
39 |
$0.00 |
| 86140 |
|
72 |
71 |
$0.00 |
| G0378 |
Hospital observation per hr |
128 |
75 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
82 |
37 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
91 |
76 |
$0.00 |
| 94761 |
|
142 |
132 |
$0.00 |
| 88305 |
|
133 |
117 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
52 |
50 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |
| 84703 |
|
57 |
55 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
12 |
$0.00 |
| 85379 |
|
15 |
15 |
$0.00 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
32 |
14 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
44 |
43 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
62 |
25 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
26 |
13 |
$0.00 |