| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
188,634 |
182,073 |
$33.23M |
| 99284 |
|
66,250 |
63,139 |
$18.19M |
| G0463 |
Hospital outpt clinic visit |
161,083 |
150,573 |
$15.42M |
| 0241U |
|
49,662 |
47,943 |
$6.65M |
| J1100 |
Dexamethasone sodium phos |
7,709 |
6,765 |
$3.68M |
| D7140 |
|
2,667 |
874 |
$2.99M |
| 0240U |
|
13,119 |
12,835 |
$1.77M |
| 99392 |
|
20,811 |
20,155 |
$1.47M |
| 99393 |
|
20,558 |
19,965 |
$1.40M |
| C9803 |
Hopd covid-19 spec collect |
52,925 |
51,207 |
$1.11M |
| 99391 |
|
16,959 |
15,712 |
$1.11M |
| D2930 |
|
11,441 |
2,231 |
$988K |
| 99282 |
|
8,862 |
8,624 |
$970K |
| 69436 |
|
1,004 |
839 |
$906K |
| 90471 |
|
44,571 |
42,425 |
$903K |
| 93303 |
|
2,428 |
2,329 |
$902K |
| 99212 |
|
9,094 |
8,329 |
$727K |
| H0035 |
Mh partial hosp tx under 24h |
2,015 |
203 |
$670K |
| 99394 |
|
8,858 |
8,593 |
$646K |
| 71046 |
|
8,650 |
8,184 |
$421K |
| 95810 |
|
527 |
515 |
$391K |
| 94640 |
|
3,779 |
3,541 |
$357K |
| 93306 |
|
720 |
697 |
$260K |
| 42820 |
|
80 |
67 |
$257K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,251 |
3,077 |
$247K |
| 76770 |
|
2,174 |
2,045 |
$202K |
| 87651 |
|
19,757 |
19,136 |
$201K |
| 43239 |
|
281 |
262 |
$180K |
| D1510 |
|
178 |
115 |
$178K |
| 90670 |
|
4,416 |
4,166 |
$175K |
| 92610 |
|
2,192 |
2,086 |
$158K |
| 90837 |
|
1,230 |
852 |
$126K |
| 90834 |
|
1,452 |
959 |
$120K |
| 94060 |
|
981 |
870 |
$119K |
| 92551 |
|
3,544 |
3,430 |
$114K |
| 80050 |
|
3,120 |
2,766 |
$112K |
| 70551 |
|
606 |
553 |
$110K |
| D2933 |
|
1,200 |
345 |
$104K |
| 93325 |
|
6,088 |
5,792 |
$102K |
| 97802 |
|
1,462 |
1,395 |
$99K |
| 74019 |
|
2,273 |
2,173 |
$98K |
| 97530 |
|
1,179 |
481 |
$93K |
| 95782 |
|
128 |
120 |
$91K |
| U0005 |
Infec agen detec ampli probe |
6,099 |
5,894 |
$90K |
| 97166 |
|
1,009 |
970 |
$88K |
| 90686 |
|
22,681 |
21,293 |
$85K |
| D3220 |
|
2,549 |
993 |
$80K |
| 70553 |
|
201 |
174 |
$78K |
| 36415 |
|
41,976 |
38,738 |
$78K |
| 93320 |
|
2,451 |
2,349 |
$75K |
| 74018 |
|
1,961 |
1,813 |
$66K |
| 92507 |
|
959 |
330 |
$63K |
| 90472 |
|
21,817 |
20,804 |
$55K |
| 36591 |
|
1,214 |
931 |
$52K |
| 93005 |
|
3,084 |
2,947 |
$50K |
| 90480 |
|
1,224 |
1,201 |
$45K |
| 80061 |
|
3,365 |
3,218 |
$45K |
| 96127 |
|
1,870 |
1,777 |
$44K |
| D1120 |
|
2,209 |
2,077 |
$44K |
| 82306 |
|
3,030 |
2,863 |
$42K |
| G2023 |
Specimen collect covid-19 |
2,666 |
2,532 |
$40K |
| 85025 |
|
13,111 |
11,354 |
$32K |
| 83036 |
|
13,988 |
13,024 |
$31K |
| 99213 |
|
873 |
736 |
$28K |
| 87635 |
|
813 |
736 |
$28K |
| 96110 |
|
841 |
725 |
$28K |
| 42830 |
|
13 |
12 |
$27K |
| 88305 |
|
424 |
394 |
$25K |
| 99188 |
|
994 |
961 |
$25K |
| 90677 |
|
696 |
655 |
$25K |
| G0378 |
Hospital observation per hr |
220 |
144 |
$24K |
| 90723 |
|
2,769 |
2,599 |
$22K |
| 97803 |
|
348 |
327 |
$21K |
| 94664 |
|
190 |
188 |
$21K |
| 0002A |
|
542 |
524 |
$20K |
| 0072A |
|
685 |
641 |
$20K |
| D1208 |
|
1,694 |
1,587 |
$20K |
| 36430 |
|
66 |
63 |
$19K |
| 99211 |
|
389 |
351 |
$19K |
| 90651 |
|
1,140 |
1,059 |
$17K |
| 84443 |
|
3,422 |
3,196 |
$15K |
| 84439 |
|
5,563 |
5,107 |
$15K |
| 99395 |
|
154 |
151 |
$14K |
| 90734 |
|
426 |
393 |
$13K |
| 0001A |
|
410 |
388 |
$13K |
| 76705 |
|
126 |
116 |
$13K |
| D1206 |
|
592 |
574 |
$11K |
| 90846 |
|
115 |
49 |
$11K |
| 87631 |
|
1,092 |
1,046 |
$11K |
| 0071A |
|
326 |
306 |
$10K |
| 96361 |
|
149 |
132 |
$10K |
| 99173 |
|
856 |
828 |
$10K |
| 83655 |
|
1,291 |
1,246 |
$8K |
| 96374 |
|
54 |
48 |
$8K |
| D2332 |
|
21 |
12 |
$8K |
| 97165 |
|
115 |
109 |
$7K |
| 96360 |
|
53 |
51 |
$7K |
| 82728 |
|
1,542 |
1,421 |
$7K |
| 95012 |
|
772 |
678 |
$7K |
| 85055 |
|
539 |
483 |
$6K |
| 85045 |
|
4,773 |
4,323 |
$6K |
| 97110 |
|
129 |
54 |
$6K |
| 84460 |
|
2,338 |
2,170 |
$5K |
| 85018 |
|
3,682 |
3,549 |
$5K |
| 96372 |
|
78 |
70 |
$5K |
| 82947 |
|
1,224 |
1,173 |
$4K |
| 93226 |
|
51 |
50 |
$4K |
| 80048 |
|
1,416 |
1,294 |
$4K |
| J3010 |
Fentanyl citrate injection |
11,503 |
8,570 |
$4K |
| 90681 |
|
275 |
254 |
$4K |
| 64450 |
|
14 |
14 |
$4K |
| P9016 |
Rbc leukocytes reduced |
14 |
12 |
$4K |
| 88261 |
|
13 |
12 |
$3K |
| D1351 |
|
273 |
85 |
$3K |
| 99215 |
Prolong outpt/office vis |
117 |
80 |
$3K |
| 93296 |
|
104 |
95 |
$3K |
| 96409 |
|
21 |
16 |
$3K |
| 86902 |
|
52 |
50 |
$2K |
| 29705 |
|
12 |
12 |
$2K |
| 96158 |
|
33 |
24 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
8,634 |
7,021 |
$2K |
| J7030 |
Normal saline solution infus |
3,466 |
3,214 |
$2K |
| 97112 |
|
29 |
12 |
$2K |
| 87040 |
|
553 |
513 |
$2K |
| 0124A |
|
74 |
67 |
$2K |
| 96161 |
|
24 |
24 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
425 |
370 |
$2K |
| 87491 |
|
27 |
27 |
$2K |
| 88230 |
|
14 |
13 |
$2K |
| 87633 |
|
1,370 |
1,283 |
$2K |
| 87086 |
|
1,308 |
1,231 |
$1K |
| 93321 |
|
81 |
76 |
$1K |
| 0054A |
|
34 |
32 |
$1K |
| 87591 |
|
27 |
27 |
$1K |
| 90791 |
|
15 |
15 |
$1K |
| 81025 |
|
474 |
449 |
$1K |
| 73090 |
|
28 |
25 |
$1K |
| 97167 |
|
13 |
13 |
$1K |
| 86140 |
|
826 |
769 |
$1K |
| D2929 |
|
94 |
27 |
$1K |
| J2405 |
Ondansetron hcl injection |
7,487 |
6,465 |
$1K |
| 70360 |
|
12 |
12 |
$987.43 |
| 83020 |
|
364 |
331 |
$984.85 |
| 77072 |
|
13 |
12 |
$950.66 |
| 82565 |
|
512 |
468 |
$950.25 |
| 99285 |
|
15 |
13 |
$875.36 |
| 80053 |
|
263 |
223 |
$781.46 |
| 0004A |
|
35 |
24 |
$768.08 |
| 74022 |
|
13 |
12 |
$748.12 |
| 80069 |
|
116 |
91 |
$697.23 |
| 82465 |
|
234 |
210 |
$634.95 |
| 0082A |
|
24 |
24 |
$631.50 |
| 96375 |
|
13 |
12 |
$604.53 |
| 84481 |
|
140 |
136 |
$580.05 |
| J3490 |
Drugs unclassified injection |
197 |
167 |
$567.27 |
| A9585 |
Gadobutrol injection |
334 |
289 |
$560.93 |
| 83001 |
|
65 |
64 |
$554.62 |
| 83002 |
|
65 |
64 |
$543.81 |
| 88300 |
|
95 |
83 |
$529.28 |
| 87536 |
|
42 |
38 |
$513.46 |
| 73100 |
|
15 |
12 |
$496.00 |
| 84478 |
|
120 |
109 |
$463.58 |
| 0081A |
|
17 |
17 |
$433.19 |
| 73070 |
|
28 |
25 |
$424.57 |
| 96136 |
|
12 |
12 |
$377.17 |
| J1885 |
Ketorolac tromethamine inj |
2,766 |
2,522 |
$368.21 |
| 85027 |
|
160 |
154 |
$353.78 |
| 86923 |
|
13 |
13 |
$345.30 |
| 86360 |
|
40 |
38 |
$342.35 |
| 86850 |
|
67 |
65 |
$330.48 |
| 84305 |
|
73 |
68 |
$323.70 |
| 90656 |
|
1,167 |
1,150 |
$319.17 |
| 84450 |
|
59 |
56 |
$268.79 |
| 86359 |
|
40 |
38 |
$262.36 |
| 82570 |
|
146 |
140 |
$262.04 |
| 91300 |
|
120 |
114 |
$237.15 |
| 0074A |
|
12 |
12 |
$236.82 |
| 70250 |
|
14 |
12 |
$225.22 |
| 82670 |
|
13 |
13 |
$191.65 |
| 91321 |
|
437 |
419 |
$186.87 |
| 86900 |
|
67 |
64 |
$176.97 |
| 83520 |
|
58 |
52 |
$161.69 |
| 84100 |
|
191 |
171 |
$161.63 |
| 84252 |
|
13 |
13 |
$157.17 |
| J0171 |
Adrenalin epinephrine inject |
29 |
26 |
$155.24 |
| 96137 |
|
12 |
12 |
$150.41 |
| 87804 |
|
2,206 |
2,085 |
$150.23 |
| 82248 |
|
81 |
75 |
$136.21 |
| 82784 |
|
30 |
27 |
$133.23 |
| J9370 |
Vincristine sulfate 1 mg inj |
12 |
12 |
$126.48 |
| 86901 |
|
67 |
64 |
$121.29 |
| 82043 |
|
65 |
64 |
$121.16 |
| 90474 |
|
13 |
13 |
$120.38 |
| 85660 |
|
31 |
29 |
$100.69 |
| 83735 |
|
65 |
51 |
$98.75 |
| 84403 |
|
15 |
14 |
$87.56 |
| 84402 |
|
14 |
14 |
$86.54 |
| 81001 |
|
253 |
233 |
$82.69 |
| 82247 |
|
54 |
50 |
$70.82 |
| 84156 |
|
52 |
51 |
$55.88 |
| 83550 |
|
26 |
24 |
$53.10 |
| 82962 |
|
13 |
13 |
$51.10 |
| 83690 |
|
44 |
40 |
$47.82 |
| 83516 |
|
16 |
15 |
$46.68 |
| 83615 |
|
16 |
14 |
$43.20 |
| 83540 |
|
27 |
25 |
$39.30 |
| 85007 |
|
51 |
46 |
$38.90 |
| 82550 |
|
44 |
40 |
$37.17 |
| 81003 |
|
103 |
99 |
$36.96 |
| 82657 |
|
38 |
26 |
$34.56 |
| 82533 |
|
16 |
14 |
$32.80 |
| 87880 |
|
1,165 |
1,128 |
$17.53 |
| 91322 |
|
77 |
73 |
$17.44 |
| 86003 |
|
27 |
25 |
$17.40 |
| 86141 |
|
13 |
13 |
$15.85 |
| 85652 |
|
12 |
12 |
$9.12 |
| 82785 |
|
27 |
25 |
$3.79 |
| 90710 |
|
46 |
44 |
$0.02 |
| 90647 |
|
2,660 |
2,515 |
$0.00 |
| 90696 |
|
20 |
20 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 87081 |
|
15 |
13 |
$0.00 |
| 90633 |
|
900 |
862 |
$0.00 |
| 90715 |
|
136 |
129 |
$0.00 |
| 90691 |
|
13 |
12 |
$0.00 |
| 96159 |
|
16 |
12 |
$0.00 |