| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
6,053 |
5,091 |
$1.94M |
| 99284 |
|
12,705 |
11,611 |
$1.82M |
| 99283 |
|
10,808 |
10,046 |
$1.54M |
| 99285 |
|
9,911 |
8,897 |
$1.46M |
| 97110 |
|
24,536 |
8,115 |
$1.40M |
| U0004 |
Cov-19 test non-cdc hgh thru |
19,273 |
15,446 |
$1.15M |
| 96365 |
|
4,038 |
2,686 |
$511K |
| 99214 |
|
3,810 |
3,152 |
$468K |
| 59025 |
|
1,525 |
682 |
$398K |
| 97112 |
|
9,532 |
3,814 |
$396K |
| 92507 |
|
4,096 |
1,447 |
$338K |
| 74177 |
|
2,898 |
2,758 |
$321K |
| 97530 |
|
6,573 |
2,664 |
$286K |
| 87637 |
|
2,842 |
2,650 |
$279K |
| G0463 |
Hospital outpt clinic visit |
8,841 |
7,325 |
$279K |
| 97140 |
|
9,879 |
3,671 |
$271K |
| 70450 |
|
2,569 |
2,399 |
$268K |
| 96360 |
|
1,874 |
1,678 |
$204K |
| 77063 |
|
2,927 |
2,890 |
$199K |
| 80307 |
|
7,008 |
5,205 |
$185K |
| S9485 |
Crisis intervention mental h |
307 |
261 |
$164K |
| 85025 |
|
38,623 |
32,636 |
$157K |
| 11042 |
|
1,070 |
564 |
$157K |
| 99211 |
|
1,105 |
1,004 |
$154K |
| 82306 |
|
8,798 |
8,562 |
$151K |
| 43239 |
|
219 |
214 |
$148K |
| 87491 |
|
5,718 |
5,539 |
$148K |
| G2023 |
Specimen collect covid-19 |
8,450 |
7,204 |
$147K |
| 97161 |
|
2,464 |
2,334 |
$146K |
| 87591 |
|
5,693 |
5,514 |
$145K |
| 99213 |
|
1,239 |
931 |
$133K |
| 84443 |
|
13,660 |
13,112 |
$123K |
| 97803 |
|
1,462 |
1,376 |
$111K |
| U0002 |
Covid-19 lab test non-cdc |
3,528 |
3,185 |
$111K |
| 90791 |
|
2,689 |
2,433 |
$108K |
| 87635 |
|
2,640 |
2,517 |
$103K |
| 71046 |
|
6,649 |
6,212 |
$100K |
| 80053 |
|
32,304 |
28,204 |
$91K |
| 93306 |
|
581 |
561 |
$89K |
| 83970 |
|
3,638 |
3,522 |
$82K |
| ATP14 |
|
12,218 |
9,576 |
$82K |
| 77067 |
|
3,324 |
3,278 |
$80K |
| G0378 |
Hospital observation per hr |
886 |
724 |
$78K |
| 76705 |
|
950 |
902 |
$77K |
| 87624 |
|
2,895 |
2,844 |
$68K |
| G0480 |
Drug test def 1-7 classes |
3,139 |
2,181 |
$65K |
| 96413 |
|
582 |
352 |
$56K |
| 87086 |
|
11,053 |
10,151 |
$53K |
| 82728 |
|
6,364 |
6,155 |
$52K |
| 87502 |
|
1,005 |
948 |
$51K |
| 99215 |
Prolong outpt/office vis |
315 |
302 |
$50K |
| 83036 |
|
9,949 |
9,644 |
$49K |
| 82607 |
|
5,731 |
5,577 |
$47K |
| 88305 |
|
3,174 |
3,023 |
$46K |
| 87389 |
|
2,611 |
2,553 |
$46K |
| 76642 |
|
569 |
485 |
$45K |
| 99205 |
Prolong outpt/office vis |
233 |
226 |
$37K |
| 84484 |
|
6,158 |
5,172 |
$36K |
| 84425 |
|
2,721 |
2,646 |
$36K |
| 85027 |
|
9,104 |
8,481 |
$35K |
| 74176 |
|
389 |
359 |
$33K |
| 96374 |
|
7,739 |
6,136 |
$32K |
| 99282 |
|
254 |
248 |
$31K |
| 82746 |
|
3,589 |
3,487 |
$31K |
| 87081 |
|
5,841 |
5,645 |
$30K |
| 84703 |
|
5,800 |
5,328 |
$30K |
| 86780 |
|
2,983 |
2,921 |
$30K |
| 93005 |
|
11,720 |
10,560 |
$28K |
| ATP17 |
|
3,973 |
3,474 |
$27K |
| 84439 |
|
5,113 |
4,903 |
$27K |
| 83550 |
|
5,015 |
4,859 |
$26K |
| 86850 |
|
3,950 |
3,681 |
$25K |
| 83540 |
|
6,280 |
6,075 |
$24K |
| 86803 |
|
2,430 |
2,376 |
$24K |
| 87077 |
|
4,488 |
4,212 |
$24K |
| 83735 |
|
6,939 |
5,776 |
$23K |
| 83013 |
|
504 |
494 |
$23K |
| 84134 |
|
2,474 |
2,321 |
$22K |
| 80048 |
|
11,717 |
9,902 |
$22K |
| J3490 |
Drugs unclassified injection |
1,173 |
866 |
$22K |
| 83880 |
|
1,793 |
1,619 |
$21K |
| 87480 |
|
1,468 |
1,394 |
$21K |
| 87660 |
|
1,468 |
1,394 |
$21K |
| 87510 |
|
1,466 |
1,393 |
$21K |
| 83690 |
|
4,936 |
4,434 |
$20K |
| ATP08 |
|
4,373 |
3,384 |
$17K |
| 84590 |
|
2,311 |
2,263 |
$17K |
| ATP15 |
|
2,661 |
2,106 |
$17K |
| 80050 |
|
1,256 |
1,239 |
$16K |
| 85610 |
|
8,742 |
6,404 |
$16K |
| 80061 |
|
9,995 |
9,755 |
$15K |
| 81003 |
|
13,339 |
12,123 |
$15K |
| 86140 |
|
5,060 |
4,622 |
$15K |
| 76856 |
|
139 |
130 |
$15K |
| 87186 |
|
3,059 |
2,876 |
$14K |
| 86618 |
|
1,376 |
763 |
$14K |
| 96372 |
|
2,745 |
1,845 |
$14K |
| 85730 |
|
3,785 |
3,580 |
$13K |
| 73630 |
|
518 |
477 |
$12K |
| 88342 |
|
740 |
706 |
$12K |
| 94640 |
|
380 |
310 |
$12K |
| 84702 |
|
1,017 |
777 |
$12K |
| 97162 |
|
263 |
242 |
$11K |
| 86900 |
|
3,902 |
3,641 |
$10K |
| 84446 |
|
1,066 |
1,036 |
$10K |
| 96375 |
|
6,055 |
4,409 |
$9K |
| 87070 |
|
1,921 |
1,779 |
$9K |
| 87340 |
|
1,137 |
1,112 |
$9K |
| 73721 |
|
52 |
51 |
$9K |
| 82784 |
|
1,059 |
1,023 |
$8K |
| 86901 |
|
3,882 |
3,621 |
$8K |
| 76770 |
|
66 |
62 |
$8K |
| 0241U |
|
296 |
271 |
$7K |
| 84597 |
|
821 |
802 |
$7K |
| 74246 |
|
43 |
42 |
$7K |
| 85651 |
|
3,389 |
3,162 |
$7K |
| 97802 |
|
93 |
93 |
$7K |
| 82948 |
|
2,847 |
1,978 |
$7K |
| 87636 |
|
57 |
55 |
$6K |
| 86762 |
|
517 |
506 |
$6K |
| 73610 |
|
181 |
174 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
2,945 |
2,612 |
$6K |
| 99204 |
|
37 |
37 |
$5K |
| J3010 |
Fentanyl citrate injection |
3,915 |
3,271 |
$5K |
| 97535 |
|
144 |
98 |
$5K |
| 76536 |
|
65 |
64 |
$5K |
| J2405 |
Ondansetron hcl injection |
6,395 |
4,859 |
$5K |
| 87040 |
|
1,238 |
682 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
3,478 |
2,833 |
$5K |
| 81001 |
|
2,713 |
2,448 |
$5K |
| 87880 |
|
454 |
429 |
$5K |
| 83605 |
|
966 |
806 |
$4K |
| 87633 |
|
13 |
12 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
2,651 |
2,386 |
$4K |
| 82043 |
|
1,889 |
1,833 |
$4K |
| 73564 |
|
183 |
176 |
$4K |
| 83516 |
|
524 |
334 |
$4K |
| 93976 |
|
56 |
54 |
$4K |
| 72148 |
|
39 |
38 |
$4K |
| 80076 |
|
3,414 |
3,153 |
$4K |
| 97116 |
|
253 |
126 |
$4K |
| 93971 |
|
61 |
54 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
431 |
217 |
$4K |
| 93017 |
|
77 |
76 |
$4K |
| 84153 |
|
392 |
371 |
$4K |
| 87205 |
|
1,663 |
1,555 |
$4K |
| 84466 |
|
523 |
502 |
$4K |
| 87661 |
|
122 |
120 |
$4K |
| M0243 |
Casirivi and imdevi inj |
16 |
14 |
$4K |
| J7050 |
Normal saline solution infus |
3,001 |
1,803 |
$3K |
| 85379 |
|
542 |
503 |
$3K |
| 76830 |
|
41 |
37 |
$3K |
| 74018 |
|
115 |
107 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
2,788 |
2,739 |
$3K |
| 87147 |
|
762 |
715 |
$3K |
| 83014 |
|
504 |
494 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,392 |
1,219 |
$3K |
| 83655 |
|
237 |
234 |
$3K |
| 87653 |
|
89 |
88 |
$3K |
| 36415 |
|
26,863 |
20,705 |
$3K |
| 87798 |
|
76 |
71 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
778 |
681 |
$2K |
| 87088 |
|
492 |
467 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,609 |
1,449 |
$2K |
| ATP03 |
|
544 |
473 |
$2K |
| 77066 |
Tomosynthesis, mammo |
39 |
39 |
$2K |
| G0481 |
Drug test def 8-14 classes |
30 |
13 |
$2K |
| 83721 |
|
322 |
316 |
$2K |
| 84146 |
|
134 |
131 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| 87807 |
|
158 |
151 |
$2K |
| 84403 |
|
84 |
83 |
$2K |
| 86480 |
|
27 |
27 |
$2K |
| 74247 |
|
12 |
12 |
$1K |
| 71260 |
|
24 |
24 |
$1K |
| 74240 |
|
13 |
12 |
$1K |
| 86038 |
|
183 |
175 |
$1K |
| 82950 |
|
276 |
274 |
$1K |
| 84255 |
|
74 |
73 |
$1K |
| 82378 |
|
75 |
65 |
$986.10 |
| J0690 |
Cefazolin sodium injection |
717 |
619 |
$963.43 |
| 73030 |
|
43 |
37 |
$955.53 |
| J1170 |
Hydromorphone injection |
1,022 |
597 |
$837.59 |
| 84480 |
|
130 |
126 |
$767.93 |
| 84630 |
|
106 |
105 |
$703.36 |
| 77080 |
|
14 |
14 |
$656.30 |
| 84100 |
|
1,977 |
1,720 |
$653.61 |
| 81002 |
|
680 |
645 |
$643.17 |
| 94761 |
|
14,647 |
12,937 |
$602.31 |
| 84402 |
|
30 |
29 |
$546.06 |
| 82525 |
|
77 |
76 |
$523.16 |
| 88142 |
|
25 |
25 |
$522.25 |
| 71275 |
|
12 |
12 |
$480.02 |
| 93041 |
|
2,991 |
2,796 |
$432.74 |
| ATP07 |
|
93 |
88 |
$430.77 |
| 72100 |
|
25 |
25 |
$367.75 |
| 87899 |
|
59 |
52 |
$358.03 |
| 90792 |
|
32 |
30 |
$340.85 |
| 51798 |
|
96 |
89 |
$329.30 |
| 71250 |
|
25 |
25 |
$325.07 |
| 71045 |
|
283 |
261 |
$315.10 |
| 88304 |
|
14 |
13 |
$315.00 |
| ATP02 |
|
79 |
65 |
$306.23 |
| 72125 |
|
111 |
105 |
$298.77 |
| 84460 |
|
511 |
491 |
$296.59 |
| 87427 |
|
85 |
41 |
$291.68 |
| 85048 |
|
1,008 |
860 |
$289.07 |
| 82565 |
|
504 |
475 |
$282.76 |
| 84450 |
|
247 |
238 |
$263.62 |
| 80320 |
|
780 |
472 |
$258.55 |
| 86255 |
|
13 |
13 |
$230.79 |
| 86430 |
|
68 |
65 |
$224.40 |
| ATP18 |
|
47 |
38 |
$197.91 |
| 87046 |
|
43 |
41 |
$196.81 |
| 88175 |
|
12 |
12 |
$193.36 |
| ATP11 |
|
35 |
32 |
$182.20 |
| 84550 |
|
384 |
346 |
$176.39 |
| 0002A |
|
26 |
26 |
$170.34 |
| 80164 |
|
56 |
51 |
$152.43 |
| Q3014 |
Telehealth facility fee |
446 |
320 |
$144.16 |
| 87015 |
|
44 |
42 |
$139.07 |
| 82570 |
|
31 |
24 |
$133.04 |
| 87328 |
|
15 |
15 |
$131.28 |
| 87329 |
|
15 |
15 |
$131.28 |
| 82550 |
|
165 |
149 |
$124.47 |
| 86258 |
|
12 |
12 |
$122.04 |
| 81514 |
|
241 |
225 |
$118.35 |
| 87207 |
|
29 |
27 |
$114.87 |
| 83020 |
|
15 |
12 |
$113.50 |
| G0103 |
Psa screening |
246 |
241 |
$113.19 |
| 73130 |
|
12 |
12 |
$107.34 |
| 86706 |
|
14 |
13 |
$98.00 |
| J2270 |
Morphine sulfate injection |
903 |
624 |
$74.32 |
| 83615 |
|
592 |
488 |
$61.96 |
| 83001 |
|
13 |
13 |
$49.17 |
| 36416 |
|
4,598 |
2,949 |
$36.74 |
| ATP10 |
|
13 |
13 |
$35.84 |
| 85045 |
|
15 |
13 |
$32.96 |
| 82040 |
|
112 |
107 |
$31.57 |
| 82247 |
|
36 |
24 |
$22.15 |
| 80178 |
|
13 |
12 |
$20.46 |
| 86364 |
|
14 |
14 |
$10.17 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,129 |
3,822 |
$7.50 |
| 82248 |
|
112 |
87 |
$4.43 |
| 82947 |
|
19 |
17 |
$3.58 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
57 |
53 |
$0.33 |
| 96376 |
|
1,208 |
787 |
$0.00 |
| J2001 |
Lidocaine injection |
514 |
474 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
122 |
59 |
$0.00 |
| J2060 |
Lorazepam injection |
383 |
256 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
505 |
471 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
31 |
25 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
16 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
39 |
39 |
$0.00 |
| G8978 |
Mobility current status |
111 |
105 |
$0.00 |
| 84145 |
|
345 |
300 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,002 |
909 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
356 |
242 |
$0.00 |
| 80323 |
|
286 |
205 |
$0.00 |
| G8979 |
Mobility goal status |
138 |
125 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
280 |
265 |
$0.00 |
| 84520 |
|
39 |
36 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
145 |
141 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
66 |
63 |
$0.00 |
| 99238 |
|
15 |
15 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
21 |
14 |
$0.00 |