| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,903 |
24,774 |
$5.82M |
| G0378 |
Hospital observation per hr |
4,693 |
2,628 |
$3.56M |
| 99283 |
|
9,617 |
9,293 |
$2.64M |
| 96374 |
|
7,228 |
6,682 |
$476K |
| 99282 |
|
3,014 |
2,908 |
$469K |
| T1015 |
Clinic service |
7,196 |
5,313 |
$430K |
| 99285 |
|
2,845 |
2,674 |
$420K |
| 77067 |
|
2,593 |
2,573 |
$235K |
| 76818 |
|
2,807 |
1,585 |
$207K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,333 |
2,196 |
$159K |
| 76816 |
|
2,727 |
2,557 |
$140K |
| 99281 |
|
720 |
677 |
$121K |
| 99213 |
|
2,439 |
2,222 |
$105K |
| 74177 |
|
1,491 |
1,441 |
$97K |
| 76811 |
|
700 |
677 |
$82K |
| 99214 |
|
1,191 |
1,147 |
$77K |
| 96372 |
|
1,823 |
1,288 |
$68K |
| 96413 |
|
542 |
363 |
$65K |
| 77063 |
|
2,614 |
2,568 |
$57K |
| 80053 |
|
9,740 |
7,960 |
$53K |
| 76801 |
|
1,074 |
975 |
$48K |
| 96361 |
|
1,992 |
1,808 |
$48K |
| G0463 |
Hospital outpt clinic visit |
1,089 |
983 |
$44K |
| 76830 |
|
857 |
833 |
$40K |
| 59025 |
|
1,011 |
839 |
$39K |
| 99212 |
|
1,170 |
963 |
$38K |
| 76856 |
|
1,044 |
1,008 |
$38K |
| 76805 |
|
555 |
537 |
$37K |
| T1001 |
Nursing assessment/evaluatn |
230 |
225 |
$33K |
| 93005 |
|
8,220 |
7,488 |
$32K |
| 85025 |
|
22,109 |
18,252 |
$31K |
| 93306 |
|
335 |
329 |
$31K |
| 76817 |
|
608 |
529 |
$29K |
| 80048 |
|
5,989 |
5,203 |
$28K |
| 96365 |
|
420 |
330 |
$27K |
| 70553 |
|
145 |
143 |
$27K |
| 71260 |
|
553 |
537 |
$24K |
| 80307 |
|
1,302 |
1,087 |
$23K |
| 76813 |
|
325 |
316 |
$23K |
| 87636 |
|
1,304 |
1,283 |
$22K |
| 76815 |
|
404 |
340 |
$22K |
| 71046 |
|
1,956 |
1,909 |
$22K |
| 96375 |
|
2,481 |
1,927 |
$21K |
| 93976 |
|
172 |
158 |
$21K |
| 76642 |
|
433 |
389 |
$20K |
| 84443 |
|
1,708 |
1,616 |
$20K |
| 97110 |
|
782 |
341 |
$20K |
| 77066 |
Tomosynthesis, mammo |
174 |
171 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
698 |
631 |
$17K |
| 76700 |
|
262 |
255 |
$16K |
| 70450 |
|
999 |
949 |
$13K |
| 97162 |
|
262 |
241 |
$12K |
| 76536 |
|
201 |
196 |
$12K |
| 87635 |
|
705 |
671 |
$10K |
| 72148 |
|
77 |
75 |
$10K |
| 93971 |
|
276 |
270 |
$10K |
| 76705 |
|
401 |
388 |
$10K |
| 78452 |
|
73 |
72 |
$10K |
| 99215 |
Prolong outpt/office vis |
98 |
97 |
$9K |
| 77065 |
Tomosynthesis, mammo |
120 |
103 |
$9K |
| 90471 |
|
1,158 |
1,117 |
$9K |
| 92507 |
|
584 |
130 |
$9K |
| 80061 |
|
786 |
760 |
$9K |
| 74176 |
|
333 |
328 |
$9K |
| 99429 |
|
88 |
85 |
$9K |
| 71250 |
|
143 |
137 |
$8K |
| 96417 |
|
126 |
94 |
$8K |
| 87491 |
|
770 |
730 |
$7K |
| 84702 |
|
1,720 |
1,591 |
$7K |
| 93975 |
|
81 |
78 |
$7K |
| 93325 |
|
72 |
71 |
$7K |
| 0241U |
|
144 |
144 |
$7K |
| 87591 |
|
758 |
718 |
$7K |
| 73564 |
|
393 |
356 |
$6K |
| G0279 |
Tomosynthesis, mammo |
224 |
207 |
$6K |
| 70551 |
|
42 |
41 |
$6K |
| 76770 |
|
115 |
113 |
$6K |
| 72100 |
|
291 |
283 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,722 |
6,276 |
$5K |
| 71045 |
|
1,995 |
1,883 |
$5K |
| 99211 |
|
258 |
234 |
$5K |
| 82306 |
|
178 |
169 |
$5K |
| 84484 |
|
2,987 |
2,379 |
$5K |
| 72141 |
|
28 |
26 |
$5K |
| 71275 |
|
107 |
106 |
$4K |
| 87086 |
|
1,453 |
1,358 |
$4K |
| 73030 |
|
288 |
258 |
$4K |
| 86803 |
|
236 |
229 |
$4K |
| 76825 |
|
57 |
56 |
$4K |
| 72125 |
|
343 |
324 |
$4K |
| 96360 |
|
508 |
491 |
$4K |
| 83880 |
|
478 |
452 |
$4K |
| 85027 |
|
1,363 |
1,122 |
$4K |
| 86703 |
|
218 |
213 |
$4K |
| A9500 |
Tc99m sestamibi |
119 |
118 |
$3K |
| 96411 |
|
68 |
45 |
$3K |
| J1756 |
Iron sucrose injection |
51 |
25 |
$3K |
| 73630 |
|
349 |
311 |
$3K |
| G2012 |
Brief check in by md/qhp |
347 |
336 |
$3K |
| 99204 |
|
26 |
26 |
$3K |
| 96415 |
|
99 |
75 |
$3K |
| 73610 |
|
250 |
231 |
$3K |
| 86780 |
|
308 |
297 |
$3K |
| 36415 |
|
5,586 |
4,698 |
$3K |
| 93970 |
|
80 |
76 |
$3K |
| 85610 |
|
2,630 |
2,193 |
$3K |
| 29125 |
|
25 |
25 |
$3K |
| 73721 |
|
13 |
13 |
$3K |
| 90715 |
|
231 |
225 |
$3K |
| 83036 |
|
641 |
611 |
$3K |
| 76827 |
|
57 |
56 |
$3K |
| 81001 |
|
3,486 |
3,264 |
$3K |
| 86850 |
|
1,100 |
1,013 |
$3K |
| A9585 |
Gadobutrol injection |
478 |
463 |
$3K |
| 90472 |
|
389 |
382 |
$3K |
| 80076 |
|
1,130 |
1,049 |
$3K |
| 76641 |
|
45 |
41 |
$3K |
| 93017 |
|
69 |
67 |
$2K |
| 59430 |
|
36 |
35 |
$2K |
| 86900 |
|
1,539 |
1,410 |
$2K |
| 83735 |
|
1,238 |
865 |
$2K |
| 0011A |
|
49 |
49 |
$2K |
| 73130 |
|
172 |
147 |
$2K |
| 85730 |
|
1,497 |
1,371 |
$2K |
| 29515 |
|
14 |
13 |
$2K |
| 83690 |
|
1,884 |
1,754 |
$2K |
| 73502 |
|
136 |
127 |
$2K |
| 82570 |
|
325 |
308 |
$2K |
| D1110 |
|
58 |
58 |
$2K |
| 80320 |
|
351 |
322 |
$2K |
| 86901 |
|
1,463 |
1,336 |
$2K |
| 88305 |
|
391 |
372 |
$2K |
| 87631 |
|
61 |
61 |
$2K |
| 96367 |
|
73 |
55 |
$2K |
| 82728 |
|
291 |
266 |
$2K |
| U0005 |
Infec agen detec ampli probe |
138 |
132 |
$1K |
| 76820 |
|
36 |
13 |
$1K |
| 82607 |
|
234 |
219 |
$1K |
| 80329 |
|
333 |
309 |
$1K |
| 85379 |
|
727 |
677 |
$1K |
| 81003 |
|
1,781 |
1,705 |
$1K |
| 90686 |
|
193 |
187 |
$1K |
| 77080 |
|
27 |
25 |
$1K |
| 72050 |
|
51 |
42 |
$1K |
| 87040 |
|
489 |
339 |
$1K |
| 83540 |
|
256 |
238 |
$1K |
| 87624 |
|
28 |
27 |
$1K |
| 70486 |
|
25 |
24 |
$1K |
| 82247 |
|
341 |
289 |
$1K |
| D0120 |
|
57 |
57 |
$991.10 |
| 84439 |
|
243 |
231 |
$953.25 |
| 72110 |
|
39 |
39 |
$937.56 |
| 82043 |
|
114 |
110 |
$845.40 |
| 76775 |
|
13 |
12 |
$802.92 |
| 77062 |
|
38 |
38 |
$765.45 |
| 82746 |
|
130 |
125 |
$723.63 |
| 96376 |
|
787 |
524 |
$691.87 |
| 87186 |
|
235 |
226 |
$658.43 |
| 82550 |
|
529 |
460 |
$640.41 |
| A9579 |
Gad-base mr contrast nos,1ml |
126 |
121 |
$640.38 |
| 87340 |
|
70 |
68 |
$631.05 |
| 90658 |
|
78 |
77 |
$622.00 |
| J3490 |
Drugs unclassified injection |
3,303 |
2,050 |
$608.40 |
| 90746 |
|
12 |
12 |
$587.20 |
| 90474 |
|
353 |
348 |
$582.81 |
| 83605 |
|
452 |
410 |
$581.44 |
| 88720 |
|
99 |
95 |
$555.22 |
| 83550 |
|
222 |
207 |
$519.17 |
| 87077 |
|
188 |
179 |
$491.96 |
| 86762 |
|
40 |
38 |
$485.33 |
| 87502 |
|
12 |
12 |
$479.00 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
33 |
32 |
$477.46 |
| J2704 |
Inj, propofol, 10 mg |
1,832 |
1,759 |
$471.22 |
| 90461 |
|
123 |
121 |
$468.15 |
| 86706 |
|
64 |
60 |
$447.69 |
| J1170 |
Hydromorphone injection |
3,977 |
2,424 |
$415.02 |
| 82248 |
|
95 |
79 |
$389.21 |
| 81025 |
|
134 |
125 |
$387.44 |
| 82378 |
|
29 |
24 |
$384.15 |
| Q0114 |
Fern test |
57 |
50 |
$371.90 |
| 94640 |
|
63 |
46 |
$360.34 |
| 77061 |
|
16 |
15 |
$353.94 |
| A9270 |
Non-covered item or service |
19,095 |
5,192 |
$338.32 |
| 84156 |
|
116 |
104 |
$324.34 |
| J1100 |
Dexamethasone sodium phos |
2,318 |
2,046 |
$295.61 |
| 86140 |
|
223 |
206 |
$247.57 |
| 81002 |
|
98 |
92 |
$247.53 |
| 90670 |
|
628 |
625 |
$247.46 |
| 74018 |
|
24 |
24 |
$235.69 |
| 90460 |
|
120 |
118 |
$234.15 |
| 85652 |
|
182 |
173 |
$228.63 |
| 84100 |
|
350 |
236 |
$227.99 |
| 90682 |
|
18 |
18 |
$198.24 |
| G0480 |
Drug test def 1-7 classes |
111 |
99 |
$191.85 |
| 74022 |
|
14 |
12 |
$174.20 |
| J1650 |
Inj enoxaparin sodium |
2,642 |
1,322 |
$164.26 |
| 83986 |
|
72 |
62 |
$161.74 |
| 80050 |
|
43 |
32 |
$149.95 |
| 87081 |
|
104 |
103 |
$143.38 |
| 88342 |
|
14 |
13 |
$138.48 |
| 94664 |
|
70 |
58 |
$125.47 |
| 73110 |
|
18 |
15 |
$123.81 |
| J1200 |
Diphenhydramine hcl injectio |
1,815 |
1,440 |
$114.79 |
| 90648 |
|
500 |
497 |
$112.09 |
| 73080 |
|
12 |
12 |
$111.53 |
| 87070 |
|
84 |
82 |
$98.91 |
| J2405 |
Ondansetron hcl injection |
4,674 |
3,780 |
$96.74 |
| 84075 |
|
120 |
114 |
$75.48 |
| 84155 |
|
161 |
151 |
$73.05 |
| J3010 |
Fentanyl citrate injection |
1,744 |
1,657 |
$62.95 |
| 82040 |
|
159 |
149 |
$61.69 |
| J1644 |
Inj heparin sodium per 1000u |
1,563 |
733 |
$58.98 |
| J2270 |
Morphine sulfate injection |
343 |
269 |
$51.18 |
| 83615 |
|
33 |
27 |
$50.94 |
| J1885 |
Ketorolac tromethamine inj |
4,279 |
3,538 |
$45.01 |
| 96366 |
|
28 |
26 |
$42.40 |
| J1815 |
Insulin injection |
1,500 |
464 |
$41.61 |
| 84460 |
|
67 |
63 |
$37.20 |
| 82553 |
|
19 |
13 |
$30.24 |
| J0696 |
Ceftriaxone sodium injection |
973 |
700 |
$28.04 |
| J2060 |
Lorazepam injection |
523 |
363 |
$18.58 |
| 88304 |
|
12 |
12 |
$17.62 |
| J2765 |
Metoclopramide hcl injection |
1,279 |
1,059 |
$16.54 |
| J0690 |
Cefazolin sodium injection |
453 |
341 |
$15.30 |
| J7040 |
Normal saline solution infus |
16 |
13 |
$14.07 |
| 90723 |
|
440 |
437 |
$13.75 |
| P9604 |
One-way allow prorated trip |
108 |
75 |
$13.01 |
| J2250 |
Inj midazolam hydrochloride |
1,361 |
1,291 |
$11.86 |
| J2001 |
Lidocaine injection |
1,833 |
1,510 |
$8.06 |
| 94760 |
|
18 |
14 |
$3.96 |
| J7512 |
Prednisone ir or dr oral 1mg |
756 |
551 |
$3.50 |
| S0028 |
Injection, famotidine, 20 mg |
36 |
32 |
$2.98 |
| 90680 |
|
429 |
426 |
$2.18 |
| 36416 |
|
21 |
13 |
$1.50 |
| 90681 |
|
19 |
19 |
$0.16 |
| 91301 |
|
13 |
13 |
$0.04 |
| G1004 |
Cdsm ndsc |
338 |
239 |
$0.01 |
| J2919 |
Inj, methylpred sod succ 5mg |
46 |
38 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
156 |
143 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
193 |
105 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
231 |
110 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
92 |
91 |
$0.00 |
| J2930 |
Methylprednisolone injection |
36 |
33 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
181 |
155 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
23 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
151 |
104 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
187 |
140 |
$0.00 |
| 90473 |
|
19 |
19 |
$0.00 |
| J7999 |
Compounded drug, noc |
105 |
73 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
37 |
24 |
$0.00 |
| J1790 |
Droperidol injection |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
109 |
88 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
14 |
12 |
$0.00 |