| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
11,863 |
8,893 |
$2.25M |
| 99283 |
|
13,507 |
9,957 |
$2.16M |
| 99213 |
|
54,619 |
50,288 |
$1.61M |
| 99285 |
|
2,488 |
2,061 |
$675K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
46,729 |
41,941 |
$479K |
| 99214 |
|
9,458 |
8,679 |
$358K |
| 85025 |
|
7,100 |
6,289 |
$279K |
| 99211 |
|
15,770 |
14,252 |
$213K |
| 99282 |
|
3,685 |
3,300 |
$161K |
| 36415 |
|
9,600 |
8,423 |
$159K |
| 96374 |
|
896 |
821 |
$96K |
| 87502 |
|
1,219 |
1,133 |
$89K |
| 99212 |
|
4,817 |
4,492 |
$87K |
| 87651 |
|
2,567 |
2,467 |
$84K |
| 80053 |
|
1,406 |
1,243 |
$66K |
| 99391 |
|
1,450 |
781 |
$66K |
| 96361 |
|
669 |
554 |
$62K |
| 87880 |
|
2,704 |
2,592 |
$61K |
| 90472 |
|
2,566 |
2,510 |
$54K |
| 87804 |
|
2,201 |
2,092 |
$49K |
| 96110 |
|
738 |
709 |
$48K |
| 84484 |
|
908 |
662 |
$43K |
| 80047 |
|
3,055 |
2,729 |
$41K |
| 86140 |
|
1,008 |
892 |
$41K |
| 87635 |
|
1,137 |
1,064 |
$41K |
| 90471 |
|
3,644 |
3,547 |
$37K |
| A0425 |
Ground mileage, per statute mile |
414 |
338 |
$37K |
| 93005 |
|
1,642 |
1,423 |
$36K |
| 71045 |
|
575 |
491 |
$32K |
| 99394 |
|
586 |
364 |
$32K |
| 83605 |
|
499 |
402 |
$31K |
| 84145 |
|
692 |
618 |
$31K |
| 80048 |
|
953 |
796 |
$28K |
| 99392 |
|
550 |
343 |
$28K |
| 99281 |
|
1,874 |
1,705 |
$25K |
| 70450 |
|
56 |
49 |
$25K |
| 99203 |
|
419 |
404 |
$23K |
| 99215 |
Prolong outpt/office vis |
470 |
446 |
$22K |
| 81001 |
|
919 |
849 |
$22K |
| 92567 |
|
1,314 |
1,262 |
$20K |
| 69436 |
|
22 |
12 |
$19K |
| 90460 |
|
1,177 |
1,158 |
$19K |
| 96372 |
|
449 |
397 |
$18K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
584 |
523 |
$17K |
| 76816 |
|
68 |
67 |
$14K |
| 81003 |
|
821 |
747 |
$13K |
| 84443 |
|
354 |
348 |
$11K |
| 90473 |
|
743 |
720 |
$11K |
| 86141 |
|
681 |
584 |
$10K |
| 96375 |
|
156 |
138 |
$10K |
| 77067 |
|
282 |
280 |
$9K |
| 99393 |
|
194 |
124 |
$9K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
598 |
565 |
$9K |
| 76805 |
|
13 |
12 |
$8K |
| 85027 |
|
555 |
520 |
$8K |
| 71046 |
|
516 |
487 |
$8K |
| 81002 |
|
810 |
695 |
$7K |
| 87486 |
|
215 |
189 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
168 |
153 |
$6K |
| 90461 |
|
319 |
317 |
$6K |
| 83036 |
|
168 |
163 |
$5K |
| 87798 |
|
215 |
189 |
$5K |
| 81025 |
|
279 |
241 |
$5K |
| 99309 |
|
405 |
308 |
$5K |
| 87581 |
|
215 |
189 |
$5K |
| 87633 |
|
201 |
175 |
$4K |
| 73630 |
|
147 |
122 |
$4K |
| 80061 |
|
131 |
128 |
$4K |
| 0202U |
|
18 |
16 |
$4K |
| 90792 |
|
49 |
25 |
$3K |
| 87070 |
|
182 |
171 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
89 |
81 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
63 |
58 |
$3K |
| 90688 |
|
250 |
245 |
$3K |
| 59025 |
|
33 |
13 |
$3K |
| 84439 |
|
181 |
177 |
$3K |
| 87088 |
|
191 |
171 |
$2K |
| 92557 |
|
88 |
87 |
$2K |
| 87591 |
|
56 |
52 |
$2K |
| 87491 |
|
56 |
52 |
$2K |
| 80076 |
|
42 |
41 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
74 |
64 |
$2K |
| 82306 |
|
83 |
76 |
$2K |
| 11720 |
|
334 |
211 |
$2K |
| 87634 |
|
27 |
27 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
59 |
55 |
$2K |
| 82728 |
|
55 |
51 |
$2K |
| 82077 |
|
17 |
17 |
$2K |
| 80305 |
|
74 |
69 |
$2K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
68 |
52 |
$1K |
| 86780 |
|
26 |
26 |
$1K |
| 83690 |
|
29 |
29 |
$1K |
| 91322 |
|
19 |
18 |
$1K |
| 87807 |
|
111 |
111 |
$1K |
| 99395 |
|
17 |
13 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| 86850 |
|
16 |
16 |
$1K |
| 99232 |
|
41 |
15 |
$930.78 |
| 90686 |
|
1,533 |
1,490 |
$793.75 |
| 73562 |
|
87 |
73 |
$768.03 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
14 |
14 |
$737.80 |
| 99441 |
|
77 |
72 |
$686.28 |
| 80143 |
|
13 |
12 |
$650.60 |
| 87631 |
|
12 |
12 |
$591.43 |
| 82553 |
|
17 |
12 |
$561.93 |
| 80179 |
|
12 |
12 |
$552.51 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
15 |
$529.10 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
16 |
15 |
$438.79 |
| 90620 |
|
50 |
48 |
$428.22 |
| 90715 |
|
160 |
158 |
$403.82 |
| 76830 |
|
12 |
12 |
$375.46 |
| 90651 |
|
261 |
259 |
$364.92 |
| 85007 |
|
19 |
15 |
$329.09 |
| 86803 |
|
12 |
12 |
$302.40 |
| 99308 |
|
85 |
54 |
$294.87 |
| A9270 |
Non-covered item or service |
127 |
56 |
$280.28 |
| 86900 |
|
16 |
16 |
$220.18 |
| 90734 |
|
303 |
301 |
$218.54 |
| 86901 |
|
16 |
16 |
$215.69 |
| 99497 |
|
17 |
14 |
$185.08 |
| 99442 |
|
13 |
13 |
$151.33 |
| 90656 |
|
118 |
118 |
$131.72 |
| 72100 |
|
13 |
13 |
$130.86 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$126.48 |
| 73030 |
|
13 |
12 |
$114.59 |
| 73130 |
|
17 |
12 |
$101.28 |
| 85018 |
|
12 |
12 |
$76.56 |
| 90633 |
|
774 |
765 |
$61.89 |
| 99318 |
|
32 |
29 |
$59.58 |
| 90480 |
|
19 |
18 |
$51.42 |
| 87811 |
|
342 |
327 |
$2.00 |
| 90670 |
|
1,270 |
1,234 |
$0.49 |
| 90647 |
|
782 |
754 |
$0.35 |
| 90723 |
|
932 |
905 |
$0.29 |
| 90680 |
|
631 |
607 |
$0.23 |
| 90685 |
|
184 |
179 |
$0.17 |
| 90696 |
|
60 |
60 |
$0.05 |
| 90648 |
|
213 |
211 |
$0.05 |
| 90710 |
|
48 |
48 |
$0.04 |
| 90700 |
|
38 |
38 |
$0.03 |
| 90716 |
|
59 |
59 |
$0.01 |
| 90707 |
|
48 |
48 |
$0.01 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90681 |
|
123 |
123 |
$0.00 |