| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,637 |
13,273 |
$326K |
| 99285 |
|
9,849 |
5,820 |
$281K |
| 74177 |
|
2,356 |
2,196 |
$230K |
| G0378 |
Hospital observation per hr |
1,083 |
910 |
$120K |
| 99283 |
|
13,252 |
9,674 |
$111K |
| 93005 |
|
8,811 |
7,488 |
$109K |
| 70450 |
|
1,992 |
1,865 |
$105K |
| 71046 |
|
5,382 |
4,987 |
$96K |
| 96365 |
|
3,913 |
2,886 |
$83K |
| 97110 |
|
14,424 |
5,583 |
$69K |
| 74176 |
|
745 |
713 |
$68K |
| G0463 |
Hospital outpt clinic visit |
12,287 |
9,147 |
$62K |
| 99282 |
|
8,752 |
6,383 |
$55K |
| 88305 |
|
1,728 |
1,602 |
$47K |
| 97140 |
|
9,022 |
3,725 |
$46K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,826 |
3,552 |
$41K |
| 71260 |
|
317 |
303 |
$38K |
| 94640 |
|
2,982 |
2,196 |
$36K |
| 96361 |
|
4,005 |
3,465 |
$35K |
| 80053 |
|
25,487 |
21,098 |
$33K |
| 99214 |
|
10,148 |
8,189 |
$30K |
| 99213 |
|
12,709 |
10,118 |
$29K |
| 96360 |
|
1,247 |
1,098 |
$28K |
| 96375 |
|
4,354 |
3,656 |
$27K |
| 85025 |
|
26,475 |
21,083 |
$23K |
| 73564 |
|
1,515 |
1,062 |
$22K |
| 93306 |
|
447 |
258 |
$22K |
| 71250 |
|
297 |
288 |
$21K |
| 96374 |
|
5,377 |
4,657 |
$19K |
| 72125 |
|
439 |
423 |
$19K |
| G0382 |
Lev 3 hosp type b ed visit |
1,944 |
1,834 |
$18K |
| 99212 |
|
10,334 |
7,970 |
$18K |
| 71045 |
|
830 |
753 |
$15K |
| 76705 |
|
655 |
646 |
$14K |
| 71275 |
|
153 |
141 |
$13K |
| G0381 |
Lev 2 hosp type b ed visit |
1,657 |
1,561 |
$13K |
| 84443 |
|
7,397 |
7,133 |
$13K |
| 73030 |
|
1,265 |
826 |
$11K |
| 73502 |
|
773 |
560 |
$11K |
| 96372 |
|
2,151 |
1,715 |
$10K |
| 97162 |
|
1,310 |
1,241 |
$10K |
| 99204 |
|
1,708 |
1,660 |
$10K |
| 36415 |
|
23,753 |
19,050 |
$10K |
| 80048 |
|
6,452 |
5,070 |
$9K |
| 96413 |
|
251 |
183 |
$9K |
| 97530 |
|
2,655 |
1,210 |
$8K |
| 99203 |
|
3,205 |
3,110 |
$8K |
| 83036 |
|
6,010 |
5,873 |
$7K |
| 73630 |
|
829 |
634 |
$7K |
| 97166 |
|
841 |
787 |
$7K |
| 72148 |
|
66 |
65 |
$6K |
| 96376 |
|
1,136 |
974 |
$6K |
| 97112 |
|
1,168 |
496 |
$6K |
| 82306 |
|
1,952 |
1,906 |
$6K |
| 73610 |
|
1,069 |
729 |
$5K |
| 83880 |
|
1,907 |
1,608 |
$5K |
| 20610 |
|
710 |
288 |
$5K |
| 99291 |
|
120 |
60 |
$4K |
| 84484 |
|
5,357 |
3,333 |
$4K |
| G0383 |
Lev 4 hosp type b ed visit |
335 |
329 |
$4K |
| 87086 |
|
4,075 |
3,739 |
$4K |
| 96366 |
|
316 |
256 |
$4K |
| 73130 |
|
443 |
300 |
$3K |
| 83735 |
|
3,491 |
2,567 |
$3K |
| 82607 |
|
1,792 |
1,754 |
$3K |
| 73110 |
|
492 |
316 |
$3K |
| 81001 |
|
5,280 |
4,814 |
$3K |
| 97803 |
|
1,069 |
823 |
$3K |
| 85027 |
|
2,960 |
2,421 |
$3K |
| 93010 |
|
7,391 |
5,959 |
$3K |
| 82728 |
|
1,648 |
1,598 |
$3K |
| 99215 |
Prolong outpt/office vis |
820 |
739 |
$3K |
| 86140 |
|
4,412 |
3,879 |
$3K |
| 87077 |
|
2,603 |
2,451 |
$2K |
| 85610 |
|
5,289 |
3,245 |
$2K |
| 97161 |
|
498 |
472 |
$2K |
| 87186 |
|
2,236 |
2,109 |
$2K |
| 82043 |
|
1,189 |
1,156 |
$2K |
| 87636 |
|
2,744 |
2,571 |
$2K |
| 82746 |
|
1,143 |
1,116 |
$2K |
| 84439 |
|
1,444 |
1,358 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
7,691 |
6,412 |
$2K |
| G0480 |
Drug test def 1-7 classes |
2,393 |
2,166 |
$2K |
| 83550 |
|
1,471 |
1,425 |
$2K |
| 80061 |
|
5,601 |
5,465 |
$2K |
| 83540 |
|
1,548 |
1,498 |
$2K |
| 83690 |
|
3,652 |
3,225 |
$2K |
| 93971 |
|
44 |
42 |
$2K |
| 87070 |
|
3,999 |
3,798 |
$2K |
| 86618 |
|
1,842 |
1,779 |
$2K |
| 83605 |
|
1,986 |
1,730 |
$2K |
| 87040 |
|
2,019 |
1,488 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,442 |
945 |
$1K |
| 82948 |
|
3,965 |
1,465 |
$1K |
| 92134 |
|
361 |
179 |
$1K |
| 45385 |
|
28 |
13 |
$1K |
| J3010 |
Fentanyl citrate injection |
2,022 |
1,512 |
$1K |
| 85652 |
|
1,914 |
1,720 |
$1K |
| J2270 |
Morphine sulfate injection |
951 |
745 |
$1K |
| 87481 |
|
479 |
231 |
$1K |
| 87798 |
|
905 |
869 |
$1K |
| 99211 |
|
5,272 |
4,782 |
$1K |
| 87389 |
|
1,291 |
1,266 |
$995.79 |
| 81003 |
|
2,528 |
2,378 |
$991.18 |
| 76856 |
|
114 |
107 |
$957.34 |
| 92133 |
|
387 |
192 |
$905.60 |
| 86803 |
|
1,511 |
1,480 |
$904.69 |
| 87591 |
|
2,090 |
2,015 |
$870.04 |
| 87491 |
|
2,090 |
2,015 |
$870.04 |
| J7120 |
Ringers lactate infusion |
162 |
148 |
$839.35 |
| 87502 |
|
653 |
629 |
$805.16 |
| 86850 |
|
1,142 |
1,008 |
$779.80 |
| 87624 |
|
980 |
951 |
$760.93 |
| U0003 |
Cov-19 amp prb hgh thruput |
2,370 |
1,700 |
$743.47 |
| 70551 |
|
13 |
13 |
$733.13 |
| 73140 |
|
183 |
123 |
$713.28 |
| 93242 |
|
57 |
53 |
$708.66 |
| 99202 |
|
300 |
289 |
$662.00 |
| J1790 |
Droperidol injection |
293 |
234 |
$622.62 |
| 87205 |
|
955 |
902 |
$621.20 |
| 92014 |
|
92 |
46 |
$621.09 |
| 87469 |
|
612 |
596 |
$598.49 |
| 87468 |
|
612 |
596 |
$597.98 |
| J0690 |
Cefazolin sodium injection |
375 |
288 |
$594.17 |
| 72110 |
|
39 |
37 |
$576.09 |
| 96367 |
|
64 |
58 |
$555.41 |
| G0108 |
Diab manage trn per indiv |
65 |
51 |
$540.86 |
| 87661 |
|
251 |
238 |
$522.06 |
| 87511 |
|
246 |
233 |
$521.63 |
| 99220 |
|
78 |
72 |
$504.77 |
| 83970 |
|
52 |
50 |
$503.24 |
| J1885 |
Ketorolac tromethamine inj |
2,681 |
2,232 |
$493.99 |
| 87635 |
|
1,632 |
1,492 |
$487.71 |
| J2405 |
Ondansetron hcl injection |
3,883 |
3,284 |
$477.94 |
| 73721 |
|
13 |
12 |
$471.56 |
| 85379 |
|
875 |
850 |
$460.90 |
| 99441 |
|
67 |
65 |
$447.70 |
| 86900 |
|
1,181 |
1,038 |
$435.44 |
| 72100 |
|
30 |
29 |
$435.40 |
| 86901 |
|
1,188 |
1,042 |
$431.44 |
| 87880 |
|
3,512 |
3,348 |
$420.39 |
| 80306 |
|
988 |
920 |
$369.11 |
| J2060 |
Lorazepam injection |
496 |
391 |
$359.26 |
| J1100 |
Dexamethasone sodium phos |
1,096 |
958 |
$354.78 |
| J3301 |
Triamcinolone acet inj nos |
169 |
157 |
$312.81 |
| 84100 |
|
312 |
265 |
$302.34 |
| J2930 |
Methylprednisolone injection |
76 |
61 |
$259.88 |
| 92015 |
|
619 |
349 |
$251.35 |
| J2250 |
Inj midazolam hydrochloride |
1,375 |
1,186 |
$230.88 |
| 90715 |
|
190 |
186 |
$227.59 |
| 92083 |
|
49 |
25 |
$222.06 |
| J1170 |
Hydromorphone injection |
860 |
618 |
$216.22 |
| 81002 |
|
1,261 |
1,215 |
$207.16 |
| 85730 |
|
429 |
373 |
$197.28 |
| 92507 |
|
1,090 |
350 |
$190.80 |
| J2001 |
Lidocaine injection |
116 |
106 |
$187.84 |
| 85018 |
|
1,247 |
1,192 |
$178.56 |
| 88142 |
|
801 |
788 |
$175.79 |
| 97116 |
|
105 |
50 |
$169.78 |
| 88175 |
|
291 |
282 |
$151.04 |
| 90471 |
|
229 |
214 |
$149.51 |
| 99223 |
Prolong inpt eval add15 m |
72 |
67 |
$142.34 |
| 77067 |
|
1,532 |
1,522 |
$137.03 |
| 94727 |
|
22 |
12 |
$127.27 |
| 81025 |
|
588 |
563 |
$124.77 |
| 00811 |
|
18 |
14 |
$123.14 |
| 76805 |
|
42 |
37 |
$122.20 |
| 84703 |
|
2,417 |
2,230 |
$121.18 |
| J0134 |
Inj acetaminophen -fresenius |
20 |
17 |
$116.21 |
| 82570 |
|
70 |
56 |
$112.43 |
| J3370 |
Vancomycin hcl injection |
21 |
14 |
$103.49 |
| J2919 |
Inj, methylpred sod succ 5mg |
44 |
32 |
$103.41 |
| 80307 |
|
184 |
155 |
$102.34 |
| 99222 |
|
31 |
30 |
$100.48 |
| 99239 |
|
29 |
28 |
$91.53 |
| 99217 |
|
57 |
52 |
$89.25 |
| 86617 |
|
57 |
36 |
$84.81 |
| 82550 |
|
100 |
85 |
$84.08 |
| 92004 |
|
34 |
17 |
$75.60 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
238 |
224 |
$75.17 |
| 87428 |
|
256 |
248 |
$74.58 |
| 17000 |
|
24 |
12 |
$72.99 |
| J1644 |
Inj heparin sodium per 1000u |
67 |
25 |
$68.31 |
| U0005 |
Infec agen detec ampli probe |
1,593 |
1,085 |
$62.80 |
| 93244 |
|
27 |
27 |
$59.80 |
| 80305 |
|
3,414 |
3,108 |
$58.67 |
| 99232 |
|
64 |
40 |
$58.33 |
| 77063 |
|
1,492 |
1,483 |
$56.34 |
| J0131 |
Inj, acetaminophen (nos) |
16 |
12 |
$56.16 |
| 84702 |
|
258 |
191 |
$54.50 |
| 87340 |
|
162 |
161 |
$51.17 |
| 84481 |
|
12 |
12 |
$45.60 |
| 87400 |
|
248 |
239 |
$43.97 |
| 76830 |
|
12 |
12 |
$42.81 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$40.77 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
64 |
54 |
$40.27 |
| 86038 |
|
15 |
15 |
$29.15 |
| G0103 |
Psa screening |
56 |
55 |
$25.49 |
| 36416 |
|
19 |
13 |
$24.80 |
| 85014 |
|
41 |
38 |
$24.01 |
| J1200 |
Diphenhydramine hcl injectio |
45 |
36 |
$23.44 |
| 86431 |
|
12 |
12 |
$19.68 |
| 82803 |
|
36 |
28 |
$19.61 |
| 83615 |
|
12 |
12 |
$18.42 |
| 86364 |
|
13 |
12 |
$15.62 |
| 87484 |
|
13 |
13 |
$15.12 |
| G0008 |
Admin influenza virus vac |
196 |
196 |
$13.67 |
| 80050 |
|
33 |
32 |
$8.50 |
| 87804 |
|
100 |
59 |
$8.31 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
106 |
68 |
$8.05 |
| 85651 |
|
187 |
165 |
$8.03 |
| 86780 |
|
332 |
326 |
$6.76 |
| 82784 |
|
28 |
27 |
$6.68 |
| 84156 |
|
14 |
12 |
$6.67 |
| U0002 |
Covid-19 lab test non-cdc |
44 |
38 |
$6.35 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
14 |
$5.02 |
| 90686 |
|
181 |
181 |
$4.59 |
| 99459 |
|
15 |
14 |
$3.42 |
| G0328 |
Fecal blood scrn immunoassay |
232 |
229 |
$2.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
49 |
40 |
$1.08 |
| 84403 |
|
27 |
24 |
$0.26 |
| G1004 |
Cdsm ndsc |
812 |
697 |
$0.09 |
| G8979 |
Mobility goal status |
138 |
122 |
$0.01 |
| 0011A |
|
1,102 |
1,102 |
$0.00 |
| 0001A |
|
192 |
192 |
$0.00 |
| 0012A |
|
1,171 |
1,156 |
$0.00 |
| 91301 |
|
1,329 |
1,299 |
$0.00 |
| 76816 |
|
13 |
12 |
$0.00 |
| 0064A |
|
363 |
363 |
$0.00 |
| 0072A |
|
181 |
181 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
37 |
35 |
$0.00 |
| 86762 |
|
14 |
14 |
$0.00 |
| J3490 |
Drugs unclassified injection |
16 |
15 |
$0.00 |
| G8978 |
Mobility current status |
93 |
81 |
$0.00 |
| 83655 |
|
784 |
743 |
$0.00 |
| 00812 |
|
12 |
12 |
$0.00 |
| 80076 |
|
43 |
37 |
$0.00 |
| 91300 |
|
529 |
522 |
$0.00 |
| 87420 |
|
81 |
74 |
$0.00 |
| 85007 |
|
27 |
26 |
$0.00 |
| 59025 |
|
81 |
27 |
$0.00 |
| 83037 |
|
18 |
18 |
$0.00 |
| 0034A |
|
12 |
12 |
$0.00 |
| 0002A |
|
200 |
180 |
$0.00 |
| 84550 |
|
19 |
14 |
$0.00 |
| 0004A |
|
163 |
163 |
$0.00 |
| 0071A |
|
180 |
180 |
$0.00 |
| 0054A |
|
20 |
20 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
36 |
34 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |