| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,992 |
7,642 |
$1.87M |
| 99282 |
|
3,040 |
2,966 |
$702K |
| 99213 |
|
6,389 |
5,390 |
$685K |
| 99284 |
|
3,376 |
3,243 |
$563K |
| 80053 |
|
8,579 |
8,076 |
$539K |
| 74177 |
|
932 |
921 |
$526K |
| 99214 |
|
4,358 |
4,202 |
$491K |
| 99285 |
|
3,282 |
3,150 |
$413K |
| 96361 |
|
1,174 |
1,108 |
$335K |
| 36415 |
|
9,900 |
9,096 |
$266K |
| 97110 |
|
4,790 |
1,649 |
$249K |
| 99215 |
Prolong outpt/office vis |
2,297 |
2,240 |
$239K |
| 93306 |
|
452 |
443 |
$209K |
| 87502 |
|
855 |
843 |
$187K |
| 77067 |
|
1,429 |
1,428 |
$165K |
| 81025 |
|
2,282 |
2,204 |
$139K |
| 80048 |
|
2,739 |
2,566 |
$126K |
| 70450 |
|
326 |
316 |
$120K |
| 84443 |
|
4,882 |
4,845 |
$116K |
| 85025 |
|
10,743 |
9,710 |
$112K |
| 80061 |
|
4,187 |
4,174 |
$105K |
| 74176 |
|
247 |
241 |
$99K |
| 77063 |
|
1,304 |
1,303 |
$99K |
| 99212 |
|
831 |
815 |
$98K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,344 |
1,312 |
$88K |
| 95806 |
|
397 |
395 |
$82K |
| 76856 |
|
283 |
280 |
$70K |
| 87635 |
|
2,368 |
2,303 |
$67K |
| 83036 |
|
4,221 |
4,206 |
$65K |
| 97140 |
|
907 |
342 |
$64K |
| 71046 |
|
1,877 |
1,842 |
$63K |
| 71271 |
|
110 |
110 |
$57K |
| Q3014 |
Telehealth facility fee |
1,312 |
1,304 |
$53K |
| 87491 |
|
780 |
775 |
$45K |
| 82306 |
|
1,974 |
1,972 |
$39K |
| 93005 |
|
3,774 |
3,385 |
$37K |
| 80051 |
|
846 |
828 |
$33K |
| 76705 |
|
265 |
263 |
$33K |
| 86850 |
|
536 |
525 |
$31K |
| 73564 |
|
594 |
550 |
$30K |
| 76830 |
|
154 |
153 |
$29K |
| 73630 |
|
748 |
710 |
$28K |
| 87798 |
|
307 |
163 |
$27K |
| 82607 |
|
1,237 |
1,235 |
$27K |
| 97530 |
|
354 |
185 |
$26K |
| 84439 |
|
1,620 |
1,608 |
$26K |
| 99211 |
|
690 |
593 |
$25K |
| 96372 |
|
1,270 |
1,156 |
$22K |
| 85027 |
|
1,861 |
1,792 |
$21K |
| 73610 |
|
634 |
614 |
$19K |
| 73030 |
|
390 |
371 |
$19K |
| 88175 |
|
485 |
484 |
$18K |
| 87591 |
|
781 |
776 |
$17K |
| 88305 |
|
375 |
259 |
$16K |
| 86803 |
|
559 |
554 |
$15K |
| 96360 |
|
83 |
81 |
$14K |
| 86900 |
|
623 |
609 |
$13K |
| 86901 |
|
622 |
608 |
$13K |
| 87661 |
|
543 |
542 |
$12K |
| 96365 |
|
86 |
73 |
$11K |
| 82565 |
|
1,286 |
1,251 |
$11K |
| 83735 |
|
2,665 |
2,436 |
$10K |
| 86140 |
|
960 |
930 |
$10K |
| 84450 |
|
1,927 |
1,866 |
$10K |
| 84466 |
|
642 |
635 |
$10K |
| 83540 |
|
854 |
839 |
$8K |
| 85610 |
|
938 |
703 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,121 |
1,854 |
$8K |
| 82728 |
|
362 |
358 |
$8K |
| 87624 |
|
200 |
200 |
$8K |
| 97161 |
|
76 |
76 |
$7K |
| 84460 |
|
519 |
507 |
$7K |
| 97162 |
|
55 |
55 |
$7K |
| 87086 |
|
922 |
884 |
$7K |
| 85652 |
|
1,034 |
1,017 |
$6K |
| 84520 |
|
887 |
858 |
$6K |
| 71045 |
|
920 |
885 |
$6K |
| 83690 |
|
2,891 |
2,713 |
$6K |
| 73110 |
|
205 |
191 |
$6K |
| 72110 |
|
55 |
55 |
$5K |
| 87389 |
|
279 |
279 |
$5K |
| 73130 |
|
184 |
173 |
$5K |
| 81003 |
|
1,779 |
1,536 |
$4K |
| 20610 |
|
27 |
24 |
$4K |
| G0463 |
Hospital outpt clinic visit |
269 |
236 |
$4K |
| 81001 |
|
2,442 |
2,312 |
$4K |
| 99395 |
|
51 |
51 |
$4K |
| 82570 |
|
270 |
263 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
76 |
76 |
$3K |
| 84702 |
|
262 |
215 |
$3K |
| 92567 |
|
111 |
111 |
$2K |
| 83880 |
|
74 |
73 |
$2K |
| 84484 |
|
1,774 |
1,488 |
$2K |
| 84153 |
|
76 |
76 |
$2K |
| 77080 |
|
13 |
13 |
$2K |
| 86618 |
|
245 |
242 |
$2K |
| 96375 |
|
1,137 |
1,059 |
$2K |
| 92557 |
|
42 |
42 |
$2K |
| 82947 |
|
507 |
497 |
$2K |
| 80377 |
|
12 |
12 |
$2K |
| 99281 |
|
12 |
12 |
$2K |
| 87651 |
|
42 |
42 |
$2K |
| A9585 |
Gadobutrol injection |
108 |
58 |
$1K |
| 96374 |
|
2,141 |
1,996 |
$1K |
| 82247 |
|
1,261 |
1,211 |
$1K |
| 87634 |
|
49 |
49 |
$1K |
| 83655 |
|
128 |
128 |
$1K |
| 86780 |
|
90 |
90 |
$1K |
| 87340 |
|
66 |
64 |
$1K |
| 17110 |
|
15 |
15 |
$982.25 |
| 82040 |
|
1,202 |
1,161 |
$967.41 |
| 99396 |
|
12 |
12 |
$965.60 |
| 83520 |
|
91 |
91 |
$926.07 |
| 80076 |
|
16 |
16 |
$824.18 |
| U0005 |
Infec agen detec ampli probe |
59 |
56 |
$770.14 |
| 87081 |
|
333 |
331 |
$752.79 |
| 90715 |
|
25 |
25 |
$738.78 |
| 11721 |
|
25 |
25 |
$626.77 |
| 84480 |
|
25 |
24 |
$585.33 |
| 82043 |
|
51 |
51 |
$583.76 |
| 87476 |
|
32 |
31 |
$533.21 |
| 83550 |
|
72 |
72 |
$451.13 |
| 90686 |
|
14 |
14 |
$327.76 |
| 87468 |
|
12 |
12 |
$326.60 |
| 85379 |
|
24 |
24 |
$313.38 |
| 84155 |
|
743 |
719 |
$278.87 |
| 83605 |
|
126 |
114 |
$274.32 |
| 87469 |
|
12 |
12 |
$249.28 |
| 87484 |
|
12 |
12 |
$249.28 |
| 87478 |
|
12 |
12 |
$249.28 |
| J3301 |
Triamcinolone acet inj nos |
89 |
87 |
$201.63 |
| 87077 |
|
40 |
39 |
$191.86 |
| 82784 |
|
15 |
14 |
$164.91 |
| 73590 |
|
12 |
12 |
$159.50 |
| 90471 |
|
103 |
98 |
$159.11 |
| 86617 |
|
30 |
15 |
$156.54 |
| 86666 |
|
24 |
13 |
$152.50 |
| 82950 |
|
13 |
12 |
$150.41 |
| 82948 |
|
196 |
147 |
$138.71 |
| 86038 |
|
12 |
12 |
$117.08 |
| 87804 |
|
114 |
81 |
$112.41 |
| 86753 |
|
13 |
13 |
$92.75 |
| J2405 |
Ondansetron hcl injection |
1,015 |
937 |
$86.17 |
| 82248 |
|
14 |
12 |
$77.61 |
| J7030 |
Normal saline solution infus |
2,255 |
2,073 |
$68.54 |
| J3490 |
Drugs unclassified injection |
59 |
58 |
$68.46 |
| 87186 |
|
14 |
14 |
$56.84 |
| 87880 |
|
261 |
260 |
$33.10 |
| J1885 |
Ketorolac tromethamine inj |
1,247 |
1,178 |
$32.01 |
| J1100 |
Dexamethasone sodium phos |
138 |
132 |
$24.05 |
| J1010 |
Inj, methylpred acetate 1 mg |
25 |
24 |
$17.91 |
| Q0162 |
Ondansetron oral |
117 |
113 |
$2.38 |
| J2004 |
Inj, lidocaine w epinephrine |
14 |
14 |
$0.62 |
| G1004 |
Cdsm ndsc |
47 |
44 |
$0.10 |
| J7120 |
Ringers lactate infusion |
25 |
25 |
$0.00 |
| 94640 |
|
59 |
49 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
13 |
$0.00 |