| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
16,414 |
15,955 |
$1.04M |
| 99284 |
|
8,669 |
8,344 |
$770K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,555 |
9,202 |
$740K |
| G0378 |
Hospital observation per hr |
2,392 |
1,672 |
$629K |
| T1015 |
Clinic service |
13,815 |
4,190 |
$510K |
| 99282 |
|
14,243 |
13,775 |
$453K |
| 0202U |
|
1,724 |
1,686 |
$428K |
| 87633 |
|
1,081 |
1,066 |
$306K |
| 99211 |
|
9,377 |
9,215 |
$270K |
| 74177 |
|
1,678 |
1,619 |
$266K |
| X0592 |
|
7,844 |
7,068 |
$216K |
| 96374 |
|
8,959 |
8,540 |
$208K |
| 90837 |
|
1,437 |
673 |
$205K |
| X0616 |
|
1,129 |
1,099 |
$200K |
| 80053 |
|
24,567 |
20,271 |
$196K |
| 99285 |
|
1,749 |
1,662 |
$161K |
| 87637 |
|
1,533 |
1,516 |
$153K |
| 99213 |
|
3,609 |
3,178 |
$147K |
| X0621 |
|
660 |
386 |
$127K |
| U0005 |
Infec agen detec ampli probe |
5,823 |
5,576 |
$115K |
| 85025 |
|
27,438 |
22,208 |
$111K |
| 70450 |
|
1,700 |
1,619 |
$93K |
| 80050 |
|
1,831 |
1,796 |
$84K |
| 96375 |
|
4,361 |
4,029 |
$71K |
| 93005 |
|
8,614 |
7,919 |
$65K |
| 64615 |
|
746 |
739 |
$61K |
| 80307 |
|
1,481 |
1,405 |
$58K |
| 74176 |
|
771 |
752 |
$57K |
| 0002A |
|
1,216 |
1,212 |
$49K |
| 71045 |
|
6,754 |
6,424 |
$44K |
| 84484 |
|
5,726 |
5,063 |
$44K |
| 0001A |
|
1,198 |
1,192 |
$42K |
| 87486 |
|
1,083 |
1,068 |
$40K |
| 77067 |
|
503 |
503 |
$39K |
| 83874 |
|
3,601 |
3,369 |
$38K |
| 96372 |
|
3,140 |
2,886 |
$37K |
| 82306 |
|
925 |
904 |
$34K |
| 81001 |
|
12,637 |
11,983 |
$32K |
| 80061 |
|
2,486 |
2,452 |
$31K |
| 71275 |
|
173 |
163 |
$30K |
| 95811 |
|
82 |
80 |
$30K |
| 62323 |
|
500 |
491 |
$29K |
| 83880 |
|
1,130 |
1,058 |
$28K |
| 87635 |
|
868 |
858 |
$27K |
| 99212 |
|
784 |
775 |
$26K |
| 82553 |
|
3,597 |
3,365 |
$26K |
| 87426 |
|
859 |
844 |
$26K |
| 72148 |
|
193 |
185 |
$25K |
| 93306 |
|
458 |
448 |
$24K |
| 88305 |
|
1,315 |
1,272 |
$23K |
| M0243 |
Casirivi and imdevi inj |
75 |
73 |
$22K |
| 87086 |
|
3,165 |
2,988 |
$22K |
| 78452 |
|
156 |
150 |
$22K |
| 96413 |
|
362 |
230 |
$21K |
| 76830 |
|
484 |
473 |
$21K |
| 84443 |
|
1,366 |
1,307 |
$20K |
| 73721 |
|
97 |
92 |
$20K |
| 83690 |
|
4,810 |
4,607 |
$20K |
| 87428 |
|
593 |
589 |
$19K |
| 96365 |
|
720 |
531 |
$19K |
| 87040 |
|
1,239 |
1,129 |
$19K |
| 72141 |
|
94 |
94 |
$19K |
| 72125 |
|
336 |
320 |
$19K |
| 87491 |
|
702 |
692 |
$16K |
| 87591 |
|
682 |
672 |
$16K |
| 97161 |
|
468 |
441 |
$16K |
| 92557 |
|
596 |
588 |
$15K |
| 71260 |
|
227 |
222 |
$15K |
| 93971 |
|
270 |
258 |
$15K |
| 84702 |
|
897 |
736 |
$15K |
| 92567 |
|
1,330 |
1,301 |
$15K |
| 70551 |
|
84 |
84 |
$14K |
| 87661 |
|
363 |
356 |
$14K |
| 73110 |
|
527 |
479 |
$14K |
| 87070 |
|
1,976 |
1,920 |
$13K |
| 97597 |
|
779 |
440 |
$13K |
| 83735 |
|
2,923 |
2,452 |
$13K |
| 29848 |
|
26 |
26 |
$13K |
| 71250 |
|
248 |
237 |
$12K |
| 83036 |
|
1,886 |
1,852 |
$12K |
| 70553 |
|
55 |
55 |
$11K |
| 99214 |
|
197 |
194 |
$11K |
| 76705 |
|
328 |
313 |
$10K |
| 85610 |
|
3,811 |
3,505 |
$10K |
| 77063 |
|
503 |
503 |
$10K |
| 73630 |
|
921 |
849 |
$10K |
| 76817 |
|
199 |
180 |
$10K |
| 73564 |
|
566 |
525 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
431 |
411 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
990 |
904 |
$9K |
| 84145 |
|
676 |
551 |
$9K |
| 84703 |
|
975 |
942 |
$9K |
| 76815 |
|
246 |
212 |
$9K |
| 73610 |
|
575 |
525 |
$9K |
| 71046 |
|
754 |
728 |
$9K |
| 83605 |
|
1,282 |
1,091 |
$8K |
| 95810 |
|
43 |
41 |
$8K |
| 72100 |
|
537 |
518 |
$8K |
| 73030 |
|
640 |
596 |
$8K |
| 87880 |
|
1,178 |
1,170 |
$8K |
| 76805 |
|
161 |
159 |
$7K |
| 80081 |
|
92 |
92 |
$7K |
| 76816 |
|
183 |
175 |
$7K |
| 80048 |
|
1,013 |
833 |
$7K |
| 86803 |
|
404 |
398 |
$7K |
| 11042 |
|
362 |
236 |
$7K |
| 87186 |
|
1,018 |
958 |
$7K |
| 84146 |
|
294 |
275 |
$7K |
| G0481 |
Drug test def 8-14 classes |
139 |
136 |
$6K |
| 82728 |
|
682 |
631 |
$6K |
| 99203 |
|
128 |
127 |
$6K |
| 69436 |
|
14 |
14 |
$6K |
| 76642 |
|
156 |
150 |
$6K |
| 0003A |
|
144 |
144 |
$6K |
| 73130 |
|
555 |
498 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
43 |
40 |
$6K |
| 84439 |
|
830 |
804 |
$6K |
| 87150 |
|
132 |
131 |
$6K |
| 93017 |
|
221 |
214 |
$5K |
| 94729 |
|
228 |
222 |
$5K |
| 85730 |
|
1,052 |
997 |
$5K |
| 86618 |
|
230 |
227 |
$5K |
| 87502 |
|
32 |
27 |
$5K |
| 90853 |
|
521 |
152 |
$5K |
| 96367 |
|
268 |
186 |
$5K |
| 76536 |
|
119 |
117 |
$5K |
| 82805 |
|
147 |
136 |
$5K |
| M0245 |
Bamlan and etesev infusion |
19 |
18 |
$5K |
| 94726 |
|
216 |
210 |
$5K |
| 97165 |
|
179 |
174 |
$5K |
| 87077 |
|
744 |
706 |
$5K |
| 82607 |
|
396 |
392 |
$4K |
| 76770 |
|
144 |
134 |
$4K |
| 72110 |
|
270 |
259 |
$4K |
| 87641 |
|
230 |
217 |
$4K |
| 85379 |
|
503 |
465 |
$4K |
| 87806 |
|
157 |
155 |
$4K |
| 82550 |
|
761 |
687 |
$4K |
| 73502 |
|
300 |
280 |
$4K |
| 85027 |
|
519 |
489 |
$4K |
| 80349 |
|
305 |
289 |
$4K |
| 83540 |
|
490 |
477 |
$4K |
| 86140 |
|
1,370 |
1,228 |
$3K |
| 86038 |
|
246 |
242 |
$3K |
| 72131 |
|
58 |
58 |
$3K |
| 85652 |
|
1,336 |
1,196 |
$3K |
| 84153 |
|
164 |
160 |
$3K |
| 82150 |
|
799 |
769 |
$3K |
| 81025 |
|
1,007 |
951 |
$3K |
| 99395 |
|
25 |
24 |
$3K |
| 87804 |
|
132 |
129 |
$3K |
| 96361 |
|
365 |
303 |
$3K |
| 36415 |
|
19,471 |
15,888 |
$3K |
| 90715 |
|
379 |
373 |
$3K |
| 88342 |
|
113 |
107 |
$3K |
| 97168 |
|
91 |
86 |
$3K |
| 97162 |
|
68 |
67 |
$3K |
| 87430 |
|
416 |
404 |
$3K |
| Q3014 |
Telehealth facility fee |
188 |
184 |
$2K |
| 74018 |
|
195 |
185 |
$2K |
| 72040 |
|
205 |
191 |
$2K |
| 95806 |
|
38 |
38 |
$2K |
| X0620 |
|
14 |
14 |
$2K |
| 73080 |
|
217 |
198 |
$2K |
| 93976 |
|
29 |
29 |
$2K |
| 84460 |
|
297 |
290 |
$2K |
| 84450 |
|
293 |
286 |
$2K |
| 96360 |
|
91 |
63 |
$2K |
| 84100 |
|
507 |
417 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 83550 |
|
481 |
468 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| A9500 |
Tc99m sestamibi |
132 |
127 |
$2K |
| 87631 |
|
14 |
14 |
$2K |
| 82570 |
|
322 |
282 |
$2K |
| 70496 |
|
16 |
15 |
$2K |
| 94060 |
|
238 |
230 |
$2K |
| 70498 |
|
15 |
14 |
$2K |
| 86850 |
|
337 |
304 |
$2K |
| 73140 |
|
229 |
209 |
$2K |
| 80069 |
|
222 |
206 |
$2K |
| 82746 |
|
176 |
173 |
$2K |
| 94664 |
|
247 |
219 |
$2K |
| 83970 |
|
56 |
54 |
$2K |
| G0463 |
Hospital outpt clinic visit |
779 |
717 |
$2K |
| 62321 |
|
25 |
24 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 76700 |
|
43 |
42 |
$2K |
| 73560 |
|
143 |
130 |
$2K |
| 82962 |
|
1,091 |
695 |
$1K |
| 87205 |
|
404 |
373 |
$1K |
| 73100 |
|
129 |
105 |
$1K |
| 81003 |
|
455 |
446 |
$1K |
| 83001 |
|
75 |
74 |
$1K |
| 86900 |
|
406 |
358 |
$1K |
| 84550 |
|
244 |
227 |
$1K |
| 86592 |
|
326 |
315 |
$1K |
| 96523 |
|
91 |
72 |
$1K |
| 80320 |
|
142 |
131 |
$1K |
| 80324 |
|
79 |
72 |
$1K |
| 82043 |
|
152 |
152 |
$1K |
| 72070 |
|
86 |
84 |
$1K |
| 82565 |
|
179 |
172 |
$1K |
| 86901 |
|
406 |
358 |
$1K |
| 82950 |
|
176 |
174 |
$1K |
| 93226 |
|
42 |
41 |
$1K |
| 80076 |
|
123 |
112 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
77 |
76 |
$1K |
| 73562 |
|
91 |
86 |
$1K |
| 84156 |
|
304 |
266 |
$1K |
| 17110 |
|
24 |
24 |
$1K |
| 71271 |
|
12 |
12 |
$1K |
| 86430 |
|
147 |
146 |
$1K |
| 73590 |
|
80 |
74 |
$990.66 |
| 96376 |
|
320 |
296 |
$985.48 |
| 86200 |
|
74 |
73 |
$965.00 |
| 80329 |
|
87 |
83 |
$957.51 |
| 87522 |
Neg quan hep c or qual rna |
25 |
25 |
$915.21 |
| 83615 |
|
198 |
182 |
$909.52 |
| 93970 |
|
12 |
12 |
$877.34 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
544 |
538 |
$843.33 |
| 20553 |
|
52 |
50 |
$832.55 |
| 96415 |
|
41 |
29 |
$808.86 |
| 82784 |
|
42 |
39 |
$778.43 |
| 72050 |
|
36 |
36 |
$771.75 |
| 82375 |
|
163 |
152 |
$768.04 |
| 70486 |
|
14 |
12 |
$763.69 |
| 86617 |
|
19 |
19 |
$753.28 |
| J7030 |
Normal saline solution infus |
5,687 |
5,195 |
$711.81 |
| 86235 |
|
12 |
12 |
$680.37 |
| 80074 |
|
12 |
12 |
$679.35 |
| 77080 |
|
13 |
12 |
$628.47 |
| J2704 |
Inj, propofol, 10 mg |
1,573 |
1,420 |
$627.43 |
| J3490 |
Drugs unclassified injection |
930 |
895 |
$608.48 |
| 76857 |
|
50 |
49 |
$585.20 |
| 76801 |
|
13 |
13 |
$498.85 |
| 93225 |
|
42 |
41 |
$495.52 |
| 73090 |
|
48 |
46 |
$477.71 |
| J2710 |
Neostigmine methylslfte inj |
193 |
183 |
$465.48 |
| 99281 |
|
26 |
26 |
$456.58 |
| 92587 |
|
16 |
16 |
$442.20 |
| 82378 |
|
51 |
43 |
$436.74 |
| 82140 |
|
96 |
87 |
$392.50 |
| 86160 |
|
13 |
13 |
$365.26 |
| 83050 |
|
148 |
137 |
$359.25 |
| 87340 |
|
24 |
24 |
$339.00 |
| J1885 |
Ketorolac tromethamine inj |
3,527 |
3,214 |
$338.95 |
| 80179 |
|
444 |
409 |
$338.22 |
| 82077 |
|
582 |
534 |
$335.28 |
| 69210 |
|
28 |
28 |
$328.00 |
| 36600 |
|
43 |
40 |
$327.60 |
| 80143 |
|
450 |
412 |
$326.34 |
| 84403 |
|
13 |
13 |
$324.00 |
| 99406 |
|
238 |
226 |
$321.27 |
| J7120 |
Ringers lactate infusion |
2,279 |
2,102 |
$293.64 |
| 90471 |
|
165 |
155 |
$290.00 |
| J2360 |
Orphenadrine injection |
294 |
272 |
$274.23 |
| 11102 |
|
15 |
14 |
$273.72 |
| 12001 |
|
12 |
12 |
$269.50 |
| 87581 |
|
851 |
837 |
$249.54 |
| J2785 |
Regadenoson injection |
47 |
47 |
$237.24 |
| C9290 |
Inj, bupivacaine liposome |
56 |
55 |
$227.70 |
| 80164 |
|
14 |
12 |
$226.49 |
| 72170 |
|
35 |
33 |
$197.09 |
| G0483 |
Drug test def 22+ classes |
13 |
13 |
$189.40 |
| 36591 |
|
227 |
153 |
$188.32 |
| J0131 |
Inj, acetaminophen (nos) |
70 |
59 |
$178.00 |
| J2270 |
Morphine sulfate injection |
649 |
506 |
$176.82 |
| 85007 |
|
39 |
38 |
$166.26 |
| J1100 |
Dexamethasone sodium phos |
1,414 |
1,266 |
$156.23 |
| J3370 |
Vancomycin hcl injection |
222 |
159 |
$152.34 |
| 83655 |
|
14 |
14 |
$152.00 |
| J3010 |
Fentanyl citrate injection |
1,180 |
942 |
$139.41 |
| 85520 |
|
30 |
25 |
$133.82 |
| J1170 |
Hydromorphone injection |
369 |
286 |
$130.80 |
| 84436 |
|
12 |
12 |
$124.45 |
| E0113 |
Crutch underarm each wood |
15 |
15 |
$119.00 |
| J0690 |
Cefazolin sodium injection |
464 |
397 |
$116.42 |
| 51701 |
|
12 |
12 |
$112.00 |
| J2405 |
Ondansetron hcl injection |
3,206 |
2,792 |
$107.50 |
| 82947 |
|
26 |
26 |
$104.40 |
| 86376 |
|
12 |
12 |
$94.12 |
| 82310 |
|
12 |
12 |
$93.84 |
| Q9969 |
Non-heu tc-99m add-on/dose |
293 |
281 |
$92.20 |
| 82248 |
|
12 |
12 |
$89.37 |
| J2930 |
Methylprednisolone injection |
180 |
161 |
$87.04 |
| 92555 |
|
13 |
13 |
$86.35 |
| 88304 |
|
28 |
26 |
$76.70 |
| J0696 |
Ceftriaxone sodium injection |
317 |
245 |
$74.93 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
163 |
114 |
$74.56 |
| 36000 |
|
12 |
12 |
$70.71 |
| J7050 |
Normal saline solution infus |
1,046 |
867 |
$69.56 |
| A4311 |
Catheter w/o bag 2-way latex |
56 |
54 |
$55.48 |
| J1200 |
Diphenhydramine hcl injectio |
596 |
520 |
$55.13 |
| J0780 |
Prochlorperazine injection |
86 |
81 |
$44.02 |
| J7040 |
Normal saline solution infus |
288 |
250 |
$40.92 |
| J3301 |
Triamcinolone acet inj nos |
74 |
73 |
$39.43 |
| A9585 |
Gadobutrol injection |
13 |
12 |
$35.00 |
| J2795 |
Ropivacaine hcl injection |
26 |
25 |
$31.50 |
| A4570 |
Splint |
69 |
67 |
$28.62 |
| J2250 |
Inj midazolam hydrochloride |
664 |
595 |
$28.35 |
| J2765 |
Metoclopramide hcl injection |
323 |
282 |
$27.69 |
| J2550 |
Promethazine hcl injection |
144 |
116 |
$26.81 |
| 3052F |
|
33 |
31 |
$24.57 |
| 3051F |
|
131 |
128 |
$20.00 |
| J2060 |
Lorazepam injection |
121 |
98 |
$19.98 |
| J7060 |
5% dextrose/water |
183 |
135 |
$19.86 |
| J3475 |
Inj magnesium sulfate |
92 |
76 |
$16.55 |
| J1650 |
Inj enoxaparin sodium |
361 |
192 |
$9.16 |
| 81050 |
|
12 |
12 |
$8.10 |
| S0020 |
Injection, bupivicaine hydro |
37 |
37 |
$7.73 |
| J0171 |
Adrenalin epinephrine inject |
30 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
46 |
31 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
113 |
58 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
46 |
46 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
68 |
62 |
$0.00 |
| 97110 |
|
47 |
12 |
$0.00 |
| 92579 |
|
12 |
12 |
$0.00 |
| 3044F |
|
33 |
31 |
$0.00 |