| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
30,113 |
25,058 |
$4.61M |
| 90834 |
|
37,400 |
26,324 |
$4.54M |
| 99283 |
|
22,051 |
19,327 |
$3.36M |
| 90853 |
|
45,976 |
14,696 |
$2.51M |
| 41899 |
|
713 |
584 |
$1.24M |
| G0463 |
Hospital outpt clinic visit |
19,916 |
12,068 |
$1.07M |
| 99214 |
|
7,849 |
6,785 |
$979K |
| 90832 |
|
5,525 |
4,553 |
$662K |
| 99211 |
|
8,096 |
7,011 |
$660K |
| 99213 |
|
5,680 |
5,152 |
$549K |
| 90791 |
|
4,772 |
4,302 |
$546K |
| 11042 |
|
906 |
388 |
$518K |
| G0330 |
Facility svs dental rehab |
110 |
108 |
$470K |
| 90847 |
|
6,004 |
4,653 |
$387K |
| 93306 |
|
929 |
772 |
$381K |
| 71045 |
|
2,123 |
1,794 |
$336K |
| 93005 |
|
5,183 |
4,081 |
$335K |
| Q3014 |
Telehealth facility fee |
6,738 |
3,612 |
$267K |
| 99285 |
|
1,374 |
1,141 |
$178K |
| 93017 |
|
1,179 |
952 |
$173K |
| 78452 |
|
394 |
331 |
$152K |
| 96374 |
|
4,442 |
3,562 |
$147K |
| 96372 |
|
6,248 |
4,012 |
$138K |
| 85025 |
|
32,368 |
24,092 |
$131K |
| 96413 |
|
517 |
258 |
$96K |
| 90837 |
|
563 |
436 |
$82K |
| 59025 |
|
263 |
186 |
$81K |
| 36415 |
|
31,479 |
23,686 |
$78K |
| 71046 |
|
615 |
563 |
$63K |
| 74177 |
|
132 |
101 |
$56K |
| 87502 |
|
756 |
675 |
$55K |
| 93458 |
|
14 |
12 |
$53K |
| 80048 |
|
11,051 |
8,397 |
$52K |
| 77067 |
|
282 |
260 |
$45K |
| 90792 |
|
394 |
357 |
$45K |
| C9803 |
Hopd covid-19 spec collect |
607 |
525 |
$42K |
| 80053 |
|
8,236 |
5,510 |
$38K |
| 99215 |
Prolong outpt/office vis |
239 |
193 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
468 |
409 |
$30K |
| 96361 |
|
874 |
587 |
$29K |
| 71250 |
|
209 |
161 |
$27K |
| 99221 |
|
75 |
57 |
$24K |
| 84443 |
|
2,582 |
2,117 |
$23K |
| 99239 |
|
63 |
47 |
$19K |
| J2785 |
Regadenoson injection |
148 |
132 |
$17K |
| 80061 |
|
1,817 |
1,535 |
$16K |
| 87635 |
|
273 |
252 |
$10K |
| 84484 |
|
1,352 |
954 |
$10K |
| U0005 |
Infec agen detec ampli probe |
444 |
389 |
$9K |
| 43239 |
|
13 |
12 |
$8K |
| 83036 |
|
1,593 |
1,368 |
$8K |
| 96375 |
|
563 |
411 |
$8K |
| 99218 |
|
38 |
27 |
$8K |
| 99217 |
|
37 |
26 |
$8K |
| 77063 |
|
156 |
141 |
$8K |
| A0429 |
Bls-emergency |
187 |
116 |
$7K |
| 84480 |
|
1,051 |
903 |
$6K |
| 80050 |
|
32 |
25 |
$5K |
| 80305 |
|
594 |
317 |
$5K |
| 77336 |
|
25 |
14 |
$5K |
| A0427 |
Als1-emergency |
161 |
126 |
$5K |
| 80076 |
|
743 |
617 |
$4K |
| A0425 |
Ground mileage |
479 |
279 |
$4K |
| 84439 |
|
646 |
500 |
$4K |
| 84436 |
|
1,134 |
980 |
$4K |
| 83690 |
|
951 |
768 |
$4K |
| 81001 |
|
2,005 |
1,608 |
$4K |
| 94060 |
|
157 |
142 |
$4K |
| 85027 |
|
1,134 |
982 |
$3K |
| G0378 |
Hospital observation per hr |
38 |
13 |
$3K |
| 70450 |
|
30 |
25 |
$3K |
| 80081 |
|
44 |
41 |
$3K |
| 82728 |
|
313 |
265 |
$3K |
| 81025 |
|
454 |
380 |
$3K |
| 77300 |
|
22 |
12 |
$2K |
| 87086 |
|
416 |
338 |
$2K |
| 90846 |
|
35 |
30 |
$2K |
| 83550 |
|
289 |
246 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
839 |
341 |
$2K |
| 94726 |
|
123 |
118 |
$2K |
| 87634 |
|
30 |
25 |
$1K |
| 83540 |
|
293 |
248 |
$1K |
| 87804 |
|
123 |
56 |
$1K |
| 87651 |
|
41 |
40 |
$1K |
| 87491 |
|
29 |
27 |
$952.74 |
| 87591 |
|
29 |
27 |
$952.74 |
| G0480 |
Drug test def 1-7 classes |
88 |
79 |
$914.88 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
41 |
26 |
$903.57 |
| 87661 |
|
27 |
26 |
$885.71 |
| A0428 |
Bls |
34 |
26 |
$759.88 |
| 82950 |
|
173 |
153 |
$671.49 |
| 87389 |
|
29 |
28 |
$638.39 |
| G2023 |
Specimen collect covid-19 |
13 |
13 |
$513.02 |
| 96376 |
|
79 |
29 |
$442.26 |
| 80069 |
|
197 |
119 |
$418.58 |
| 80055 |
|
13 |
12 |
$405.35 |
| 82947 |
|
64 |
14 |
$324.56 |
| 87088 |
|
77 |
58 |
$320.29 |
| 82306 |
|
30 |
28 |
$319.05 |
| 83880 |
|
15 |
14 |
$314.08 |
| 82607 |
|
27 |
24 |
$214.90 |
| 82746 |
|
27 |
24 |
$209.54 |
| 86364 |
|
16 |
15 |
$164.16 |
| 82784 |
|
16 |
15 |
$132.95 |
| T2003 |
N-et; encounter/trip |
16 |
13 |
$126.50 |
| J7120 |
Ringers lactate infusion |
401 |
357 |
$112.81 |
| 82043 |
|
28 |
27 |
$111.77 |
| 82570 |
|
30 |
29 |
$102.77 |
| 96365 |
|
19 |
12 |
$102.06 |
| 83735 |
|
25 |
12 |
$87.10 |
| 82553 |
|
42 |
25 |
$48.78 |
| 85014 |
|
31 |
24 |
$47.18 |
| 85018 |
|
31 |
24 |
$46.08 |
| C1769 |
Guide wire |
31 |
24 |
$31.20 |
| J1644 |
Inj heparin sodium per 1000u |
291 |
126 |
$28.68 |
| J2250 |
Inj midazolam hydrochloride |
284 |
177 |
$26.34 |
| 94729 |
|
134 |
129 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
207 |
178 |
$0.00 |
| 99188 |
|
30 |
25 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
44 |
14 |
$0.00 |
| J2270 |
Morphine sulfate injection |
13 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
12 |
12 |
$0.00 |
| 0202U |
|
19 |
19 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
257 |
201 |
$0.00 |
| A9500 |
Tc99m sestamibi |
133 |
121 |
$0.00 |
| 88305 |
|
320 |
276 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
114 |
103 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
39 |
29 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
110 |
99 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
24 |
24 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
39 |
24 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
29 |
24 |
$0.00 |
| J0461 |
Atropine sulfate injection |
33 |
29 |
$0.00 |