| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,300 |
9,677 |
$899K |
| 99283 |
|
12,827 |
12,377 |
$708K |
| G0378 |
Hospital observation per hr |
321 |
306 |
$328K |
| 99285 |
|
2,221 |
2,123 |
$236K |
| 87426 |
|
6,823 |
6,626 |
$215K |
| 74177 |
|
974 |
958 |
$155K |
| 80053 |
|
13,258 |
12,432 |
$129K |
| 96374 |
|
4,476 |
4,223 |
$112K |
| X0621 |
|
449 |
205 |
$94K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,003 |
959 |
$75K |
| 70450 |
|
1,248 |
1,215 |
$72K |
| 85025 |
|
14,390 |
13,161 |
$70K |
| C9803 |
Hopd covid-19 spec collect |
6,239 |
5,960 |
$68K |
| 88175 |
|
2,254 |
2,248 |
$68K |
| 80307 |
|
1,146 |
1,080 |
$60K |
| 99282 |
|
1,582 |
1,542 |
$60K |
| 74176 |
|
787 |
769 |
$59K |
| 84443 |
|
2,822 |
2,759 |
$56K |
| 76818 |
|
862 |
451 |
$49K |
| 87804 |
|
1,799 |
1,775 |
$39K |
| 96375 |
|
2,376 |
2,201 |
$38K |
| 96361 |
|
3,329 |
3,065 |
$36K |
| 80061 |
|
2,433 |
2,400 |
$30K |
| 71046 |
|
2,257 |
2,202 |
$29K |
| 76815 |
|
749 |
624 |
$29K |
| 93005 |
|
3,332 |
3,060 |
$27K |
| 76817 |
|
502 |
436 |
$26K |
| 45380 |
|
127 |
123 |
$26K |
| 76830 |
|
607 |
593 |
$26K |
| 81001 |
|
9,267 |
8,807 |
$23K |
| 77067 |
|
293 |
293 |
$23K |
| 87491 |
|
1,038 |
1,015 |
$22K |
| 82306 |
|
638 |
632 |
$22K |
| 87591 |
|
1,012 |
990 |
$22K |
| 87086 |
|
3,267 |
3,096 |
$22K |
| 71260 |
|
321 |
316 |
$21K |
| 78815 |
|
28 |
26 |
$20K |
| 80050 |
|
488 |
485 |
$19K |
| 96360 |
|
783 |
752 |
$19K |
| 71045 |
|
2,731 |
2,648 |
$19K |
| 76705 |
|
567 |
549 |
$19K |
| 84702 |
|
1,176 |
896 |
$19K |
| 96372 |
|
1,267 |
1,134 |
$17K |
| 84484 |
|
2,177 |
1,941 |
$16K |
| 87633 |
|
49 |
47 |
$16K |
| 72125 |
|
245 |
237 |
$15K |
| 87389 |
|
531 |
527 |
$14K |
| 76805 |
|
280 |
279 |
$14K |
| 88305 |
|
793 |
769 |
$14K |
| 96365 |
|
471 |
414 |
$14K |
| 86803 |
|
723 |
716 |
$13K |
| 76801 |
|
323 |
304 |
$12K |
| 84439 |
|
1,531 |
1,511 |
$11K |
| 83690 |
|
2,566 |
2,471 |
$11K |
| 76775 |
|
244 |
240 |
$11K |
| 85027 |
|
1,524 |
1,460 |
$10K |
| 93971 |
|
154 |
152 |
$10K |
| 84703 |
|
1,088 |
1,063 |
$10K |
| 86762 |
|
486 |
483 |
$9K |
| 76642 |
|
241 |
238 |
$9K |
| 43239 |
|
106 |
95 |
$9K |
| 77066 |
Tomosynthesis, mammo |
105 |
104 |
$9K |
| 87040 |
|
858 |
557 |
$8K |
| 88342 |
|
217 |
205 |
$8K |
| 86850 |
|
1,088 |
1,005 |
$8K |
| 99281 |
|
251 |
251 |
$8K |
| 83880 |
|
336 |
320 |
$8K |
| 83036 |
|
1,281 |
1,259 |
$8K |
| 84466 |
|
491 |
486 |
$7K |
| 87807 |
|
616 |
603 |
$7K |
| 87340 |
|
537 |
531 |
$7K |
| 82607 |
|
634 |
624 |
$7K |
| 83735 |
|
1,464 |
1,281 |
$7K |
| 76700 |
|
158 |
152 |
$7K |
| 81025 |
|
2,222 |
2,119 |
$7K |
| 80048 |
|
1,082 |
999 |
$7K |
| 71250 |
|
141 |
137 |
$7K |
| 36415 |
|
5,416 |
4,303 |
$7K |
| 74018 |
|
494 |
477 |
$6K |
| 77063 |
|
293 |
293 |
$6K |
| 85730 |
|
1,148 |
1,080 |
$6K |
| 85379 |
|
624 |
609 |
$6K |
| 76536 |
|
131 |
126 |
$6K |
| 73564 |
|
275 |
270 |
$5K |
| 82728 |
|
472 |
469 |
$5K |
| 86901 |
|
1,444 |
1,318 |
$5K |
| 86900 |
|
1,443 |
1,317 |
$5K |
| 84481 |
|
235 |
232 |
$5K |
| 73610 |
|
299 |
296 |
$5K |
| 85610 |
|
1,665 |
1,538 |
$5K |
| 72131 |
|
75 |
72 |
$5K |
| 87624 |
|
117 |
117 |
$5K |
| 87077 |
|
382 |
357 |
$4K |
| 93970 |
|
55 |
54 |
$4K |
| 72148 |
|
31 |
30 |
$4K |
| 83605 |
|
785 |
693 |
$4K |
| 72100 |
|
225 |
220 |
$4K |
| 73630 |
|
402 |
393 |
$4K |
| 73030 |
|
290 |
281 |
$4K |
| 83540 |
|
491 |
486 |
$4K |
| 84100 |
|
791 |
706 |
$4K |
| 87186 |
|
485 |
465 |
$4K |
| 86592 |
|
920 |
907 |
$3K |
| 73130 |
|
303 |
301 |
$3K |
| 88313 |
|
117 |
109 |
$3K |
| 82950 |
|
444 |
442 |
$3K |
| 82043 |
|
414 |
408 |
$3K |
| 87880 |
|
420 |
411 |
$3K |
| 85384 |
|
276 |
255 |
$2K |
| 82248 |
|
366 |
266 |
$2K |
| 73502 |
|
147 |
139 |
$2K |
| 87081 |
|
439 |
436 |
$2K |
| 87070 |
|
343 |
336 |
$2K |
| 86780 |
|
146 |
143 |
$2K |
| 0225U |
|
35 |
35 |
$2K |
| J7030 |
Normal saline solution infus |
1,144 |
999 |
$2K |
| 76816 |
|
51 |
51 |
$2K |
| 82570 |
|
352 |
343 |
$2K |
| 81003 |
|
729 |
698 |
$2K |
| 82105 |
|
102 |
101 |
$2K |
| 90715 |
|
130 |
130 |
$2K |
| 84153 |
|
89 |
86 |
$2K |
| 82746 |
|
174 |
174 |
$2K |
| 12001 |
|
83 |
83 |
$2K |
| 59025 |
|
239 |
165 |
$2K |
| 84550 |
|
325 |
299 |
$2K |
| 76856 |
|
39 |
39 |
$2K |
| 83655 |
|
151 |
149 |
$2K |
| 86480 |
|
19 |
19 |
$1K |
| 82805 |
|
58 |
57 |
$1K |
| 82550 |
|
257 |
253 |
$1K |
| 12011 |
|
30 |
29 |
$1K |
| 99291 |
|
15 |
14 |
$1K |
| 87147 |
|
341 |
325 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,354 |
2,184 |
$1K |
| 86038 |
|
88 |
85 |
$1K |
| 87635 |
|
46 |
43 |
$1K |
| 85652 |
|
422 |
408 |
$1K |
| 70486 |
|
13 |
13 |
$1K |
| 84146 |
|
50 |
49 |
$1K |
| 86140 |
|
392 |
374 |
$1K |
| 82962 |
|
842 |
525 |
$1K |
| 86618 |
|
46 |
45 |
$1K |
| 77065 |
Tomosynthesis, mammo |
16 |
15 |
$983.04 |
| 87486 |
|
51 |
49 |
$965.18 |
| 83615 |
|
149 |
142 |
$944.82 |
| 93306 |
|
25 |
24 |
$934.63 |
| 82951 |
|
72 |
72 |
$931.52 |
| 73110 |
|
94 |
92 |
$916.08 |
| 87798 |
|
53 |
51 |
$841.42 |
| 96366 |
|
51 |
47 |
$828.81 |
| 90471 |
|
99 |
91 |
$814.05 |
| G0475 |
Hiv combination assay |
28 |
27 |
$786.60 |
| 85018 |
|
289 |
283 |
$753.09 |
| J1170 |
Hydromorphone injection |
541 |
438 |
$692.10 |
| J0696 |
Ceftriaxone sodium injection |
539 |
509 |
$682.06 |
| J1100 |
Dexamethasone sodium phos |
1,022 |
965 |
$680.88 |
| 80074 |
|
12 |
12 |
$610.83 |
| J2704 |
Inj, propofol, 10 mg |
1,305 |
1,134 |
$609.19 |
| 85014 |
|
205 |
203 |
$593.90 |
| 84145 |
|
28 |
28 |
$567.45 |
| T1015 |
Clinic service |
14 |
13 |
$554.00 |
| 86787 |
|
31 |
30 |
$553.88 |
| U0005 |
Infec agen detec ampli probe |
79 |
78 |
$553.50 |
| 83021 |
|
26 |
26 |
$500.17 |
| 82077 |
|
160 |
139 |
$458.64 |
| 72040 |
|
30 |
29 |
$424.52 |
| 73590 |
|
27 |
26 |
$383.01 |
| J2405 |
Ondansetron hcl injection |
1,963 |
1,812 |
$378.06 |
| J2765 |
Metoclopramide hcl injection |
679 |
643 |
$375.31 |
| J1200 |
Diphenhydramine hcl injectio |
755 |
703 |
$360.36 |
| 87209 |
|
16 |
16 |
$327.44 |
| 86317 |
|
15 |
15 |
$295.45 |
| 84156 |
|
92 |
89 |
$287.22 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,047 |
993 |
$236.49 |
| 86704 |
|
15 |
15 |
$217.06 |
| J0690 |
Cefazolin sodium injection |
338 |
295 |
$214.71 |
| 84460 |
|
28 |
28 |
$206.57 |
| 80069 |
|
55 |
48 |
$201.16 |
| 80076 |
|
24 |
24 |
$199.83 |
| 80179 |
|
65 |
55 |
$191.52 |
| 80143 |
|
68 |
57 |
$191.52 |
| 86430 |
|
27 |
27 |
$191.46 |
| J3010 |
Fentanyl citrate injection |
926 |
850 |
$185.13 |
| J2930 |
Methylprednisolone injection |
61 |
57 |
$183.68 |
| J2270 |
Morphine sulfate injection |
173 |
152 |
$182.23 |
| 82150 |
|
40 |
40 |
$166.19 |
| 82247 |
|
22 |
13 |
$159.08 |
| 82952 |
|
46 |
46 |
$157.83 |
| J2060 |
Lorazepam injection |
210 |
183 |
$142.53 |
| 86769 |
|
13 |
13 |
$135.04 |
| 73080 |
|
12 |
12 |
$121.95 |
| 84450 |
|
15 |
15 |
$105.13 |
| A9576 |
Inj prohance multipack |
78 |
74 |
$104.34 |
| 85007 |
|
33 |
30 |
$99.98 |
| J7040 |
Normal saline solution infus |
93 |
80 |
$84.73 |
| 87177 |
|
14 |
14 |
$61.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
160 |
152 |
$57.88 |
| 82565 |
|
13 |
13 |
$54.69 |
| 85041 |
|
13 |
13 |
$42.00 |
| 87205 |
|
12 |
12 |
$37.15 |
| J2250 |
Inj midazolam hydrochloride |
968 |
851 |
$33.59 |
| 97161 |
|
23 |
18 |
$19.77 |
| 97165 |
|
23 |
18 |
$15.12 |
| 97116 |
|
35 |
15 |
$10.46 |
| J2001 |
Lidocaine injection |
502 |
468 |
$8.83 |
| 97530 |
|
20 |
12 |
$5.39 |
| J2543 |
Piperacillin/tazobactam |
17 |
12 |
$4.83 |
| J1650 |
Inj enoxaparin sodium |
17 |
13 |
$0.00 |
| 97535 |
|
26 |
12 |
$0.00 |