| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
26,935 |
23,782 |
$3.79M |
| 99283 |
|
21,612 |
18,139 |
$2.99M |
| 96361 |
|
8,004 |
7,171 |
$2.64M |
| 99284 |
|
16,857 |
15,260 |
$2.25M |
| 99212 |
|
10,440 |
9,617 |
$1.60M |
| 99213 |
|
9,923 |
9,266 |
$1.48M |
| 99214 |
|
8,806 |
8,123 |
$1.38M |
| 45385 |
|
1,358 |
1,345 |
$1.29M |
| 43239 |
|
1,750 |
1,699 |
$999K |
| 59025 |
|
3,302 |
1,351 |
$930K |
| 70450 |
|
9,177 |
8,337 |
$846K |
| 77063 |
|
10,709 |
10,623 |
$794K |
| 74177 |
|
5,191 |
4,885 |
$680K |
| 97112 |
|
11,596 |
3,861 |
$634K |
| G0463 |
Hospital outpt clinic visit |
22,507 |
19,634 |
$618K |
| S9485 |
Crisis intervention mental h |
1,502 |
1,047 |
$558K |
| G0378 |
Hospital observation per hr |
7,810 |
4,675 |
$527K |
| 76830 |
|
4,493 |
4,335 |
$511K |
| 45380 |
|
668 |
658 |
$465K |
| 99282 |
|
3,093 |
2,847 |
$410K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,731 |
6,280 |
$400K |
| S5102 |
Adult day care per diem |
6,156 |
485 |
$390K |
| 97110 |
|
5,919 |
2,438 |
$383K |
| 80307 |
|
13,812 |
11,433 |
$376K |
| 96360 |
|
3,443 |
3,176 |
$345K |
| 93306 |
|
2,080 |
1,991 |
$314K |
| 97140 |
|
12,875 |
4,111 |
$305K |
| 80053 |
|
64,241 |
56,393 |
$269K |
| 0241U |
|
5,895 |
5,239 |
$266K |
| 74176 |
|
2,376 |
2,186 |
$264K |
| 71046 |
|
21,589 |
19,852 |
$251K |
| 87491 |
|
9,173 |
8,861 |
$239K |
| 87591 |
|
9,183 |
8,870 |
$238K |
| 76705 |
|
2,150 |
2,072 |
$230K |
| 85025 |
|
58,414 |
48,492 |
$222K |
| 76642 |
|
1,698 |
1,657 |
$216K |
| 84443 |
|
23,287 |
22,528 |
$207K |
| 97530 |
|
9,043 |
3,792 |
$191K |
| 77067 |
|
10,872 |
10,791 |
$187K |
| 97161 |
|
3,402 |
3,155 |
$179K |
| 76856 |
|
1,041 |
1,035 |
$177K |
| T2003 |
N-et; encounter/trip |
11,430 |
436 |
$176K |
| 99281 |
|
1,307 |
1,200 |
$175K |
| 82306 |
|
10,624 |
10,374 |
$159K |
| 99211 |
|
1,146 |
1,111 |
$153K |
| 93971 |
|
1,318 |
1,224 |
$150K |
| 76700 |
|
795 |
789 |
$146K |
| 87636 |
|
1,234 |
1,200 |
$141K |
| G2023 |
Specimen collect covid-19 |
4,648 |
4,271 |
$138K |
| 99203 |
|
1,022 |
961 |
$135K |
| 87651 |
|
4,640 |
4,434 |
$120K |
| 87624 |
|
4,073 |
4,027 |
$112K |
| G0480 |
Drug test def 1-7 classes |
6,455 |
5,356 |
$109K |
| 84484 |
|
15,948 |
12,637 |
$105K |
| 76536 |
|
768 |
758 |
$102K |
| 92507 |
|
672 |
257 |
$101K |
| G0108 |
Diab manage trn per indiv |
1,598 |
1,409 |
$101K |
| 84702 |
|
8,696 |
7,289 |
$100K |
| 83036 |
|
21,704 |
21,081 |
$98K |
| 80074 |
|
2,519 |
2,435 |
$96K |
| 87635 |
|
2,180 |
2,023 |
$96K |
| 76817 |
|
763 |
661 |
$95K |
| 45378 |
|
64 |
63 |
$91K |
| 80061 |
|
27,780 |
27,265 |
$91K |
| 85027 |
|
28,183 |
25,924 |
$91K |
| 97803 |
|
1,233 |
1,084 |
$90K |
| 71275 |
|
665 |
621 |
$90K |
| 87086 |
|
19,208 |
17,008 |
$88K |
| 87389 |
|
4,192 |
4,122 |
$81K |
| ATP14 |
|
12,174 |
9,815 |
$77K |
| 96365 |
|
1,293 |
1,166 |
$76K |
| 96372 |
|
7,449 |
5,366 |
$72K |
| 99396 |
|
740 |
740 |
$70K |
| 76815 |
|
812 |
592 |
$69K |
| 83735 |
|
21,458 |
18,391 |
$69K |
| 80048 |
|
23,140 |
19,715 |
$69K |
| 94640 |
|
1,450 |
1,211 |
$62K |
| 87502 |
|
1,142 |
1,044 |
$62K |
| 96374 |
|
12,458 |
11,194 |
$62K |
| 11042 |
|
810 |
394 |
$60K |
| 73630 |
|
3,411 |
3,221 |
$59K |
| 88175 |
|
2,739 |
2,699 |
$56K |
| 90471 |
|
3,368 |
3,194 |
$56K |
| 82607 |
|
7,238 |
7,056 |
$56K |
| 93975 |
|
370 |
358 |
$55K |
| 77080 |
|
1,184 |
1,165 |
$55K |
| 88305 |
|
7,495 |
6,867 |
$53K |
| 99215 |
Prolong outpt/office vis |
304 |
287 |
$48K |
| 73562 |
|
2,398 |
2,171 |
$47K |
| 87480 |
|
2,858 |
2,744 |
$47K |
| 87510 |
|
2,851 |
2,741 |
$46K |
| 88342 |
|
2,651 |
2,506 |
$46K |
| 87660 |
|
2,879 |
2,768 |
$46K |
| 80050 |
|
2,963 |
2,932 |
$44K |
| 71250 |
|
749 |
725 |
$43K |
| 73130 |
|
1,761 |
1,664 |
$41K |
| 82728 |
|
5,306 |
5,131 |
$41K |
| 72100 |
|
1,580 |
1,519 |
$41K |
| 77065 |
Tomosynthesis, mammo |
675 |
649 |
$37K |
| 99204 |
|
239 |
230 |
$37K |
| 93005 |
|
21,571 |
18,294 |
$36K |
| 83690 |
|
8,972 |
8,137 |
$36K |
| 87070 |
|
6,997 |
6,535 |
$36K |
| 0002A |
|
1,199 |
1,181 |
$35K |
| 77061 |
|
314 |
314 |
$35K |
| 84153 |
|
2,102 |
2,085 |
$33K |
| 83880 |
|
3,186 |
2,873 |
$33K |
| 81001 |
|
19,161 |
17,289 |
$32K |
| 90791 |
|
860 |
470 |
$32K |
| 70553 |
|
100 |
99 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
488 |
460 |
$31K |
| 81025 |
|
6,129 |
5,605 |
$30K |
| 77062 |
|
284 |
284 |
$30K |
| 93017 |
|
267 |
262 |
$30K |
| 90834 |
|
1,837 |
1,095 |
$29K |
| J0131 |
Inj, acetaminophen (nos) |
1,947 |
1,860 |
$29K |
| 82948 |
|
12,609 |
8,267 |
$28K |
| 84439 |
|
5,458 |
5,272 |
$28K |
| 0001A |
|
1,237 |
1,203 |
$28K |
| 86803 |
|
2,629 |
2,605 |
$27K |
| 86850 |
|
4,767 |
4,355 |
$27K |
| 83550 |
|
5,003 |
4,838 |
$25K |
| 87186 |
|
5,697 |
5,207 |
$24K |
| 90686 |
|
1,012 |
1,000 |
$23K |
| 86480 |
|
430 |
428 |
$23K |
| 85379 |
|
3,977 |
3,747 |
$23K |
| 73610 |
|
1,913 |
1,782 |
$22K |
| S5100 |
Adult daycare services 15min |
467 |
217 |
$22K |
| 82746 |
|
2,757 |
2,682 |
$21K |
| 82043 |
|
8,411 |
8,231 |
$21K |
| 83540 |
|
5,408 |
5,213 |
$20K |
| 94060 |
|
119 |
118 |
$20K |
| 84146 |
|
1,529 |
1,468 |
$20K |
| 73030 |
|
1,516 |
1,378 |
$19K |
| 82570 |
|
8,362 |
8,104 |
$19K |
| 97802 |
|
204 |
204 |
$18K |
| 87077 |
|
4,191 |
3,810 |
$18K |
| 80076 |
|
7,011 |
6,639 |
$17K |
| 82553 |
|
3,226 |
2,598 |
$17K |
| ATP15 |
|
2,867 |
2,345 |
$17K |
| 90715 |
|
820 |
803 |
$16K |
| 72125 |
|
3,533 |
3,213 |
$16K |
| 82150 |
|
4,116 |
3,778 |
$16K |
| 83001 |
|
950 |
942 |
$16K |
| 70496 |
|
58 |
58 |
$15K |
| 85610 |
|
10,732 |
6,763 |
$15K |
| 87205 |
|
4,629 |
4,172 |
$14K |
| 82550 |
|
10,975 |
9,009 |
$14K |
| 71260 |
|
237 |
230 |
$13K |
| 99395 |
|
125 |
123 |
$12K |
| 86900 |
|
4,883 |
4,448 |
$12K |
| 81003 |
|
9,551 |
8,904 |
$12K |
| 86140 |
|
4,091 |
3,743 |
$12K |
| 97162 |
|
157 |
153 |
$12K |
| 84403 |
|
519 |
509 |
$12K |
| 83970 |
|
1,495 |
1,458 |
$11K |
| C9803 |
Hopd covid-19 spec collect |
3,311 |
3,007 |
$11K |
| 87650 |
|
1,106 |
1,051 |
$11K |
| 84144 |
|
620 |
486 |
$11K |
| 76770 |
|
85 |
83 |
$11K |
| 12001 |
|
57 |
54 |
$11K |
| 86592 |
|
2,879 |
2,818 |
$11K |
| 86780 |
|
1,026 |
1,011 |
$11K |
| 86787 |
|
859 |
848 |
$10K |
| 86901 |
|
4,067 |
3,695 |
$10K |
| 87522 |
Neg quan hep c or qual rna |
258 |
257 |
$10K |
| 84480 |
|
1,008 |
978 |
$10K |
| 77066 |
Tomosynthesis, mammo |
239 |
239 |
$10K |
| 86038 |
|
1,013 |
1,002 |
$10K |
| ATP08 |
|
5,450 |
4,331 |
$10K |
| 85730 |
|
3,139 |
2,878 |
$9K |
| 73110 |
|
588 |
521 |
$9K |
| 78452 |
|
36 |
36 |
$9K |
| J2405 |
Ondansetron hcl injection |
7,190 |
6,059 |
$9K |
| 87147 |
|
1,835 |
1,637 |
$9K |
| 94729 |
|
98 |
98 |
$9K |
| 71271 |
|
161 |
159 |
$9K |
| J7120 |
Ringers lactate infusion |
2,157 |
1,807 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
6,738 |
5,636 |
$8K |
| 80055 |
|
232 |
223 |
$8K |
| J3010 |
Fentanyl citrate injection |
6,596 |
5,259 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
8,848 |
7,976 |
$8K |
| 87880 |
|
670 |
651 |
$8K |
| 85652 |
|
5,130 |
4,850 |
$7K |
| 86706 |
|
791 |
783 |
$7K |
| 36415 |
|
58,175 |
46,423 |
$7K |
| Q3014 |
Telehealth facility fee |
3,540 |
2,417 |
$7K |
| 82784 |
|
681 |
650 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
4,152 |
3,692 |
$7K |
| 84703 |
|
1,229 |
1,149 |
$6K |
| ATP17 |
|
4,576 |
4,069 |
$6K |
| 82670 |
|
253 |
249 |
$6K |
| 72148 |
|
69 |
62 |
$6K |
| 83655 |
|
545 |
544 |
$6K |
| 82274 |
|
399 |
398 |
$6K |
| 82565 |
|
3,908 |
3,651 |
$6K |
| 96375 |
|
6,429 |
5,656 |
$6K |
| 87088 |
|
1,300 |
1,179 |
$6K |
| 83605 |
|
1,228 |
1,068 |
$6K |
| 94726 |
|
62 |
62 |
$5K |
| 83516 |
|
504 |
487 |
$5K |
| U0005 |
Infec agen detec ampli probe |
1,228 |
1,118 |
$5K |
| J7030 |
Normal saline solution infus |
5,546 |
4,844 |
$5K |
| 97116 |
|
197 |
120 |
$5K |
| J1170 |
Hydromorphone injection |
1,349 |
853 |
$4K |
| J1100 |
Dexamethasone sodium phos |
2,800 |
2,476 |
$4K |
| 86762 |
|
359 |
350 |
$4K |
| 83002 |
|
269 |
266 |
$4K |
| 73140 |
|
173 |
159 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,240 |
1,694 |
$4K |
| 87340 |
|
483 |
472 |
$4K |
| 87081 |
|
818 |
797 |
$4K |
| 87400 |
|
394 |
294 |
$4K |
| 99291 |
|
49 |
46 |
$4K |
| 73502 |
|
341 |
319 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
1,993 |
871 |
$4K |
| 87661 |
|
213 |
189 |
$4K |
| 93970 |
|
25 |
25 |
$4K |
| 84550 |
|
2,682 |
2,539 |
$4K |
| 87040 |
|
629 |
527 |
$4K |
| 74018 |
|
100 |
95 |
$3K |
| 86618 |
|
188 |
182 |
$3K |
| 0004A |
|
106 |
105 |
$3K |
| 82951 |
|
281 |
239 |
$3K |
| 74183 |
|
12 |
12 |
$3K |
| A4649 |
Surgical supplies |
757 |
717 |
$3K |
| 87653 |
|
98 |
95 |
$3K |
| 84520 |
|
2,630 |
2,445 |
$3K |
| 71045 |
|
1,157 |
1,043 |
$3K |
| 86431 |
|
581 |
567 |
$3K |
| 76819 |
|
42 |
29 |
$3K |
| 88142 |
|
139 |
139 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,224 |
5,654 |
$2K |
| 82248 |
|
2,242 |
2,070 |
$2K |
| 82947 |
|
1,129 |
1,086 |
$2K |
| 87625 |
|
147 |
145 |
$2K |
| 87634 |
|
40 |
39 |
$2K |
| ATP18 |
|
1,486 |
1,316 |
$2K |
| 96366 |
|
20 |
13 |
$2K |
| J3490 |
Drugs unclassified injection |
1,080 |
859 |
$2K |
| 90853 |
|
349 |
65 |
$2K |
| 84402 |
|
89 |
87 |
$2K |
| 70486 |
|
185 |
173 |
$2K |
| 82950 |
|
368 |
366 |
$2K |
| 82465 |
|
896 |
858 |
$2K |
| 84460 |
|
890 |
854 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,493 |
1,072 |
$1K |
| 87075 |
|
270 |
247 |
$1K |
| 80051 |
|
453 |
420 |
$1K |
| 86039 |
|
107 |
107 |
$1K |
| 85014 |
|
419 |
397 |
$1K |
| 0031A |
|
40 |
38 |
$1K |
| 83020 |
|
98 |
98 |
$1K |
| 0012A |
|
96 |
90 |
$1K |
| ATP03 |
|
2,446 |
2,206 |
$1K |
| 90688 |
|
72 |
72 |
$1K |
| ATP11 |
|
861 |
781 |
$1K |
| 83021 |
|
69 |
69 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
674 |
572 |
$1K |
| 0064A |
|
38 |
37 |
$1K |
| 84100 |
|
1,948 |
1,661 |
$1K |
| 90656 |
|
43 |
43 |
$1K |
| 81002 |
|
523 |
458 |
$1K |
| 73080 |
|
52 |
50 |
$1K |
| A9585 |
Gadobutrol injection |
1,416 |
1,260 |
$1K |
| G0008 |
Admin influenza virus vac |
748 |
732 |
$1K |
| 76775 |
|
13 |
12 |
$1K |
| 86765 |
|
80 |
79 |
$959.30 |
| 86200 |
|
83 |
83 |
$953.59 |
| 86235 |
|
20 |
16 |
$938.93 |
| 83721 |
|
540 |
534 |
$937.02 |
| 95250 |
|
44 |
37 |
$925.51 |
| 80164 |
|
455 |
418 |
$890.32 |
| 0011A |
|
91 |
87 |
$861.42 |
| 72040 |
|
13 |
13 |
$837.38 |
| 86735 |
|
66 |
66 |
$810.11 |
| 83718 |
|
112 |
112 |
$801.44 |
| 97597 |
|
45 |
26 |
$795.06 |
| ATP16 |
|
149 |
107 |
$794.97 |
| 88304 |
|
39 |
39 |
$725.07 |
| 84450 |
|
349 |
326 |
$720.25 |
| G0279 |
Tomosynthesis, mammo |
40 |
40 |
$711.00 |
| 94762 |
|
252 |
241 |
$661.64 |
| 0054A |
|
46 |
29 |
$659.90 |
| 99219 |
|
74 |
69 |
$577.62 |
| 86430 |
|
131 |
131 |
$577.36 |
| 85018 |
|
338 |
322 |
$535.43 |
| 82040 |
|
872 |
820 |
$523.23 |
| ATP10 |
|
336 |
271 |
$519.94 |
| 86364 |
|
56 |
55 |
$486.87 |
| Q0162 |
Ondansetron oral |
219 |
192 |
$474.42 |
| 86141 |
|
42 |
42 |
$466.05 |
| 82652 |
|
14 |
14 |
$456.56 |
| 86225 |
|
41 |
41 |
$455.62 |
| 90653 |
|
111 |
109 |
$450.17 |
| 93976 |
|
27 |
25 |
$449.05 |
| ATP02 |
|
379 |
329 |
$447.56 |
| 90662 |
|
180 |
177 |
$431.68 |
| J1200 |
Diphenhydramine hcl injectio |
674 |
555 |
$358.53 |
| 86694 |
|
14 |
14 |
$355.32 |
| 90792 |
|
38 |
32 |
$340.30 |
| 84156 |
|
125 |
102 |
$339.89 |
| 84436 |
|
96 |
95 |
$312.01 |
| ATP07 |
|
129 |
110 |
$286.62 |
| J2060 |
Lorazepam injection |
972 |
759 |
$283.40 |
| 90691 |
|
12 |
12 |
$274.62 |
| J2270 |
Morphine sulfate injection |
823 |
588 |
$257.97 |
| 87427 |
|
25 |
25 |
$243.67 |
| J1630 |
Haloperidol injection |
150 |
126 |
$224.64 |
| 83993 |
|
12 |
12 |
$218.16 |
| 86160 |
|
12 |
12 |
$211.32 |
| J1815 |
Insulin injection |
136 |
41 |
$210.73 |
| G0103 |
Psa screening |
985 |
971 |
$208.31 |
| 72170 |
|
157 |
147 |
$193.96 |
| 87045 |
|
25 |
25 |
$192.08 |
| 91300 |
|
983 |
864 |
$183.25 |
| ATP09 |
|
98 |
77 |
$179.20 |
| 86800 |
|
13 |
12 |
$171.54 |
| 71100 |
|
27 |
26 |
$153.74 |
| 90472 |
|
19 |
15 |
$143.08 |
| 80178 |
|
160 |
141 |
$134.82 |
| 82310 |
|
78 |
75 |
$124.18 |
| 85384 |
|
16 |
12 |
$120.41 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
269 |
254 |
$118.27 |
| 81015 |
|
84 |
83 |
$116.58 |
| 86308 |
|
26 |
26 |
$107.18 |
| 86769 |
|
17 |
15 |
$84.26 |
| 88341 |
|
39 |
39 |
$82.04 |
| 96376 |
|
1,040 |
697 |
$55.89 |
| J2765 |
Metoclopramide hcl injection |
406 |
364 |
$51.98 |
| 84075 |
|
12 |
12 |
$44.00 |
| 94761 |
|
1,150 |
1,029 |
$25.28 |
| 90694 |
|
14 |
14 |
$25.08 |
| 85041 |
|
12 |
12 |
$19.32 |
| 84132 |
|
96 |
81 |
$18.92 |
| 80320 |
|
3,114 |
2,695 |
$18.24 |
| 85007 |
|
29 |
26 |
$14.16 |
| 80185 |
|
15 |
13 |
$13.67 |
| 80177 |
|
14 |
13 |
$13.67 |
| J7040 |
Normal saline solution infus |
201 |
179 |
$8.64 |
| G8978 |
Mobility current status |
492 |
468 |
$0.00 |
| G8979 |
Mobility goal status |
557 |
515 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 01999 |
|
27 |
25 |
$0.00 |
| G0476 |
Hpv combo assay ca screen |
76 |
75 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
66 |
26 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
25 |
25 |
$0.00 |
| 99001 |
|
54 |
54 |
$0.00 |
| 94760 |
|
1,035 |
967 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
70 |
70 |
$0.00 |
| 91301 |
|
29 |
26 |
$0.00 |
| 36000 |
|
629 |
599 |
$0.00 |
| 80069 |
|
111 |
108 |
$0.00 |
| G8980 |
Mobility d/c status |
14 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
13 |
13 |
$0.00 |
| 70498 |
|
56 |
56 |
$0.00 |
| 91303 |
|
16 |
16 |
$0.00 |
| 91306 |
|
17 |
17 |
$0.00 |
| 91305 |
|
14 |
13 |
$0.00 |
| C1769 |
Guide wire |
16 |
12 |
$0.00 |