| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,650 |
15,110 |
$961K |
| 96361 |
|
7,458 |
5,241 |
$825K |
| 99284 |
|
11,911 |
10,020 |
$557K |
| 80053 |
|
12,172 |
9,445 |
$311K |
| 96365 |
|
4,535 |
2,809 |
$288K |
| 74177 |
|
3,216 |
2,794 |
$210K |
| 70450 |
|
3,396 |
3,002 |
$200K |
| 80048 |
|
9,184 |
7,260 |
$185K |
| 96360 |
|
2,515 |
2,052 |
$175K |
| 80307 |
|
3,583 |
2,924 |
$159K |
| 87636 |
|
1,763 |
1,536 |
$120K |
| 85025 |
|
18,981 |
14,361 |
$110K |
| 87637 |
|
981 |
891 |
$102K |
| G0378 |
Hospital observation per hr |
2,913 |
2,406 |
$97K |
| 96366 |
|
939 |
589 |
$91K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,517 |
1,289 |
$88K |
| 88305 |
|
4,326 |
2,137 |
$76K |
| 84443 |
|
5,703 |
5,140 |
$75K |
| 94640 |
|
2,014 |
1,306 |
$59K |
| 85610 |
|
4,693 |
3,305 |
$56K |
| 99282 |
|
690 |
629 |
$47K |
| 88175 |
|
1,963 |
1,839 |
$46K |
| 71275 |
|
694 |
612 |
$46K |
| 99285 |
|
1,062 |
907 |
$45K |
| 84484 |
|
6,319 |
3,470 |
$45K |
| 87086 |
|
5,826 |
5,111 |
$43K |
| 81025 |
|
4,259 |
3,577 |
$41K |
| 87081 |
|
2,697 |
2,536 |
$34K |
| 87502 |
|
353 |
319 |
$32K |
| 83880 |
|
1,453 |
1,263 |
$29K |
| 74176 |
|
483 |
416 |
$28K |
| 99213 |
|
492 |
272 |
$28K |
| 87070 |
|
2,682 |
2,439 |
$26K |
| 70553 |
|
264 |
241 |
$25K |
| 83735 |
|
5,480 |
4,001 |
$24K |
| 83690 |
|
4,572 |
3,742 |
$24K |
| 84702 |
|
1,653 |
1,049 |
$23K |
| 71046 |
|
3,277 |
2,968 |
$23K |
| 80143 |
|
1,420 |
1,141 |
$19K |
| 82962 |
|
3,385 |
1,954 |
$19K |
| 87077 |
|
2,407 |
2,155 |
$18K |
| 81001 |
|
5,677 |
4,851 |
$18K |
| 76856 |
|
343 |
308 |
$16K |
| 82077 |
|
1,624 |
1,328 |
$16K |
| U0005 |
Infec agen detec ampli probe |
1,193 |
1,016 |
$16K |
| 87389 |
|
863 |
763 |
$16K |
| 87635 |
|
420 |
368 |
$15K |
| 85027 |
|
3,155 |
2,445 |
$15K |
| 72125 |
|
777 |
692 |
$15K |
| 80179 |
|
1,383 |
1,128 |
$15K |
| G0480 |
Drug test def 1-7 classes |
351 |
277 |
$13K |
| 87186 |
|
2,159 |
1,881 |
$13K |
| 80076 |
|
1,982 |
1,707 |
$13K |
| 82728 |
|
1,094 |
976 |
$12K |
| 82607 |
|
832 |
756 |
$11K |
| 83605 |
|
1,421 |
1,149 |
$11K |
| 96413 |
|
314 |
159 |
$10K |
| 87205 |
|
2,698 |
2,452 |
$10K |
| 99212 |
|
276 |
195 |
$10K |
| 85379 |
|
1,292 |
1,160 |
$10K |
| 76830 |
|
261 |
235 |
$9K |
| 84439 |
|
1,198 |
1,035 |
$9K |
| 96367 |
|
162 |
83 |
$9K |
| 81003 |
|
1,859 |
1,638 |
$8K |
| 87400 |
|
196 |
178 |
$8K |
| 76705 |
|
300 |
260 |
$8K |
| G0103 |
Psa screening |
308 |
291 |
$6K |
| 96374 |
|
9,384 |
7,315 |
$5K |
| 87040 |
|
779 |
366 |
$5K |
| 72148 |
|
92 |
77 |
$5K |
| 82805 |
|
248 |
196 |
$5K |
| 71260 |
|
105 |
80 |
$4K |
| G0463 |
Hospital outpt clinic visit |
1,076 |
681 |
$4K |
| 87210 |
|
721 |
647 |
$4K |
| 73721 |
|
57 |
51 |
$4K |
| 80050 |
|
190 |
177 |
$4K |
| 96372 |
|
3,745 |
2,063 |
$3K |
| 87147 |
|
670 |
610 |
$3K |
| 99214 |
|
62 |
46 |
$3K |
| 71045 |
|
4,676 |
4,065 |
$3K |
| 84100 |
|
840 |
599 |
$3K |
| 76642 |
|
56 |
52 |
$2K |
| 76801 |
|
52 |
39 |
$2K |
| 77065 |
Tomosynthesis, mammo |
80 |
69 |
$2K |
| 74018 |
|
129 |
115 |
$2K |
| 93005 |
|
8,889 |
7,351 |
$2K |
| 70551 |
|
43 |
39 |
$2K |
| C8929 |
Tte w or wo fol wcon,doppler |
30 |
27 |
$2K |
| 87880 |
|
117 |
109 |
$2K |
| 11042 |
|
35 |
26 |
$2K |
| 93306 |
|
17 |
14 |
$2K |
| 87798 |
|
62 |
55 |
$2K |
| 96375 |
|
6,995 |
5,163 |
$2K |
| 74183 |
|
21 |
12 |
$1K |
| 80061 |
|
79 |
76 |
$1K |
| 76817 |
|
80 |
64 |
$889.64 |
| 86850 |
|
173 |
148 |
$801.73 |
| U0002 |
Covid-19 lab test non-cdc |
31 |
27 |
$797.50 |
| 83615 |
|
235 |
159 |
$776.98 |
| 87591 |
|
26 |
24 |
$740.49 |
| 87491 |
|
26 |
24 |
$740.49 |
| 84145 |
|
45 |
40 |
$707.07 |
| 93971 |
|
35 |
28 |
$673.14 |
| 70498 |
|
12 |
12 |
$659.63 |
| 82746 |
|
56 |
51 |
$622.73 |
| 86900 |
|
312 |
261 |
$609.83 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,216 |
4,397 |
$546.78 |
| 83970 |
|
15 |
14 |
$545.01 |
| 95806 |
|
89 |
81 |
$536.70 |
| 86901 |
|
251 |
213 |
$496.92 |
| Q3014 |
Telehealth facility fee |
15 |
12 |
$449.80 |
| 84703 |
|
72 |
68 |
$448.56 |
| 86140 |
|
117 |
98 |
$433.31 |
| 73630 |
|
58 |
54 |
$373.33 |
| 94060 |
|
13 |
12 |
$373.27 |
| 82565 |
|
100 |
78 |
$367.38 |
| 85730 |
|
97 |
88 |
$325.30 |
| 88304 |
|
43 |
38 |
$311.76 |
| 77066 |
Tomosynthesis, mammo |
26 |
25 |
$302.61 |
| J1885 |
Ketorolac tromethamine inj |
5,221 |
4,075 |
$265.31 |
| 90715 |
|
49 |
38 |
$253.56 |
| 87899 |
|
13 |
12 |
$251.31 |
| 87106 |
|
30 |
24 |
$238.40 |
| 77063 |
|
12 |
12 |
$236.82 |
| 82570 |
|
50 |
26 |
$234.64 |
| 36415 |
|
3,134 |
2,128 |
$179.91 |
| 77061 |
|
28 |
25 |
$175.24 |
| 84550 |
|
58 |
48 |
$174.73 |
| 0352U |
|
62 |
54 |
$161.00 |
| 73130 |
|
72 |
62 |
$160.06 |
| 71250 |
|
13 |
12 |
$156.47 |
| 72131 |
|
21 |
14 |
$154.52 |
| J1170 |
Hydromorphone injection |
2,911 |
1,955 |
$134.09 |
| 83540 |
|
26 |
25 |
$133.81 |
| 77067 |
|
12 |
12 |
$119.92 |
| 82550 |
|
27 |
24 |
$116.35 |
| 96376 |
|
2,833 |
1,894 |
$113.61 |
| 73560 |
|
122 |
106 |
$99.18 |
| 36416 |
|
3,078 |
1,982 |
$94.59 |
| 83036 |
|
12 |
12 |
$90.63 |
| 83550 |
|
13 |
12 |
$86.69 |
| 73110 |
|
31 |
24 |
$76.45 |
| 85652 |
|
47 |
37 |
$74.44 |
| 36591 |
|
323 |
160 |
$72.34 |
| G1004 |
Cdsm ndsc |
957 |
615 |
$71.09 |
| J2060 |
Lorazepam injection |
769 |
623 |
$60.65 |
| 84156 |
|
20 |
14 |
$60.37 |
| J2405 |
Ondansetron hcl injection |
7,174 |
4,790 |
$51.02 |
| 77062 |
|
12 |
12 |
$46.25 |
| J1642 |
Inj heparin sodium per 10 u |
1,492 |
521 |
$10.94 |
| J2704 |
Inj, propofol, 10 mg |
1,430 |
1,058 |
$8.58 |
| J1100 |
Dexamethasone sodium phos |
2,195 |
1,702 |
$7.20 |
| J3475 |
Inj magnesium sulfate |
313 |
235 |
$2.82 |
| J0696 |
Ceftriaxone sodium injection |
881 |
618 |
$2.46 |
| A9585 |
Gadobutrol injection |
1,488 |
1,331 |
$2.02 |
| J2765 |
Metoclopramide hcl injection |
855 |
692 |
$0.83 |
| J1200 |
Diphenhydramine hcl injectio |
1,805 |
1,388 |
$0.82 |
| J3010 |
Fentanyl citrate injection |
3,659 |
2,332 |
$0.73 |
| P9612 |
Catheterize for urine spec |
181 |
153 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
925 |
750 |
$0.00 |
| Q0162 |
Ondansetron oral |
297 |
249 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
318 |
200 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
55 |
38 |
$0.00 |
| 90471 |
|
50 |
39 |
$0.00 |
| J1790 |
Droperidol injection |
35 |
26 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
48 |
40 |
$0.00 |
| J0780 |
Prochlorperazine injection |
30 |
25 |
$0.00 |
| J7120 |
Ringers lactate infusion |
671 |
523 |
$0.00 |
| J2270 |
Morphine sulfate injection |
468 |
354 |
$0.00 |
| 73610 |
|
32 |
25 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
59 |
24 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
155 |
132 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
19 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
100 |
73 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
56 |
36 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
15 |
12 |
$0.00 |
| 73030 |
|
15 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
20 |
12 |
$0.00 |