| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
12,947 |
11,350 |
$1.41M |
| 99284 |
|
7,388 |
5,446 |
$867K |
| 0241U |
|
4,286 |
3,208 |
$528K |
| 99285 |
|
3,699 |
2,559 |
$463K |
| 99282 |
|
2,736 |
2,442 |
$281K |
| 43239 |
|
1,136 |
686 |
$277K |
| 96361 |
|
958 |
600 |
$277K |
| 74177 |
|
1,134 |
738 |
$275K |
| 70450 |
|
1,133 |
836 |
$264K |
| 99214 |
|
4,042 |
3,453 |
$253K |
| 74176 |
|
919 |
618 |
$218K |
| 99213 |
|
5,087 |
4,242 |
$193K |
| 99281 |
|
1,815 |
1,663 |
$165K |
| 99212 |
|
4,286 |
3,085 |
$161K |
| 94640 |
|
1,242 |
588 |
$157K |
| 97110 |
|
2,464 |
612 |
$156K |
| 92507 |
|
1,713 |
543 |
$118K |
| 96365 |
|
642 |
361 |
$98K |
| 97530 |
|
1,073 |
338 |
$83K |
| 93306 |
|
596 |
478 |
$81K |
| G0378 |
Hospital observation per hr |
972 |
531 |
$77K |
| 99203 |
|
1,456 |
1,317 |
$67K |
| 80048 |
|
12,357 |
9,843 |
$64K |
| U0003 |
Cov-19 amp prb hgh thruput |
319 |
308 |
$51K |
| 80053 |
|
4,650 |
2,926 |
$36K |
| 45380 |
|
120 |
63 |
$35K |
| C9803 |
Hopd covid-19 spec collect |
1,029 |
630 |
$33K |
| 96413 |
|
444 |
168 |
$30K |
| 93010 |
|
4,727 |
3,917 |
$27K |
| 87491 |
|
709 |
551 |
$26K |
| 99204 |
|
377 |
362 |
$25K |
| 96360 |
|
105 |
68 |
$25K |
| 76705 |
|
230 |
177 |
$23K |
| 85025 |
|
17,400 |
12,783 |
$22K |
| 76856 |
|
105 |
80 |
$20K |
| 64493 |
|
29 |
25 |
$19K |
| 36415 |
|
17,183 |
12,681 |
$18K |
| 87631 |
|
111 |
104 |
$17K |
| 97140 |
|
441 |
153 |
$15K |
| 88305 |
|
1,656 |
1,197 |
$14K |
| 71046 |
|
1,189 |
904 |
$14K |
| 84443 |
|
1,861 |
1,353 |
$13K |
| 87591 |
|
707 |
549 |
$13K |
| 99211 |
|
161 |
144 |
$13K |
| 96366 |
|
52 |
29 |
$13K |
| 71275 |
|
46 |
36 |
$11K |
| 73721 |
|
58 |
40 |
$11K |
| 71045 |
|
5,912 |
4,844 |
$10K |
| 80306 |
|
1,142 |
745 |
$9K |
| J3490 |
Drugs unclassified injection |
2,791 |
1,190 |
$9K |
| 87086 |
|
1,120 |
749 |
$8K |
| 76815 |
|
64 |
38 |
$8K |
| 96367 |
|
47 |
15 |
$7K |
| 93005 |
|
4,422 |
3,138 |
$7K |
| 97161 |
|
148 |
124 |
$6K |
| 85027 |
|
925 |
699 |
$6K |
| 82306 |
|
288 |
196 |
$5K |
| 84484 |
|
3,833 |
2,633 |
$5K |
| 87081 |
|
908 |
689 |
$5K |
| 80061 |
|
446 |
342 |
$5K |
| 73562 |
|
180 |
145 |
$5K |
| 80320 |
|
681 |
453 |
$5K |
| 73630 |
|
244 |
199 |
$5K |
| 86140 |
|
2,066 |
1,470 |
$5K |
| 84439 |
|
379 |
241 |
$4K |
| 83036 |
|
326 |
243 |
$4K |
| G0463 |
Hospital outpt clinic visit |
421 |
337 |
$4K |
| 80076 |
|
2,127 |
1,463 |
$4K |
| 81001 |
|
4,219 |
3,047 |
$4K |
| 82728 |
|
254 |
180 |
$4K |
| 80307 |
|
482 |
345 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
91 |
81 |
$4K |
| 87502 |
|
155 |
151 |
$3K |
| 84702 |
|
200 |
97 |
$3K |
| 84703 |
|
2,701 |
1,582 |
$3K |
| 97112 |
|
50 |
24 |
$3K |
| U0005 |
Infec agen detec ampli probe |
148 |
146 |
$3K |
| 83735 |
|
1,750 |
1,119 |
$3K |
| 76830 |
|
113 |
82 |
$3K |
| 96372 |
|
2,028 |
1,326 |
$3K |
| 73130 |
|
102 |
66 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
15 |
14 |
$3K |
| 83540 |
|
289 |
199 |
$3K |
| 88175 |
|
130 |
106 |
$3K |
| 83605 |
|
1,318 |
935 |
$3K |
| 73030 |
|
121 |
95 |
$2K |
| 82607 |
|
109 |
82 |
$2K |
| 96374 |
|
2,631 |
1,987 |
$2K |
| 85610 |
|
1,254 |
853 |
$2K |
| 82805 |
|
47 |
15 |
$2K |
| 83880 |
|
1,222 |
895 |
$2K |
| 81003 |
|
1,323 |
910 |
$2K |
| 83550 |
|
230 |
154 |
$2K |
| 99215 |
Prolong outpt/office vis |
35 |
24 |
$2K |
| 87661 |
|
95 |
70 |
$2K |
| 83690 |
|
4,079 |
2,852 |
$2K |
| 73610 |
|
107 |
96 |
$2K |
| 87426 |
|
62 |
62 |
$2K |
| 82962 |
|
1,344 |
706 |
$1K |
| 00170 |
|
13 |
13 |
$1K |
| 72148 |
|
14 |
13 |
$1K |
| 85379 |
|
825 |
569 |
$1K |
| 99291 |
|
19 |
12 |
$1K |
| 87806 |
|
34 |
27 |
$1K |
| 86592 |
|
47 |
41 |
$1K |
| 99202 |
|
57 |
39 |
$1K |
| 95165 |
|
13 |
12 |
$982.10 |
| 87150 |
|
17 |
13 |
$946.40 |
| 00731 |
|
15 |
12 |
$892.65 |
| 96375 |
|
2,007 |
1,206 |
$870.74 |
| 87186 |
|
303 |
197 |
$865.09 |
| J0131 |
Inj, acetaminophen (nos) |
137 |
63 |
$843.21 |
| 86850 |
|
47 |
38 |
$804.77 |
| 93971 |
|
13 |
12 |
$803.57 |
| 74022 |
|
339 |
258 |
$761.39 |
| 87077 |
|
227 |
169 |
$668.28 |
| J7030 |
Normal saline solution infus |
6,833 |
3,585 |
$632.61 |
| 72100 |
|
12 |
12 |
$620.48 |
| 85651 |
|
218 |
160 |
$582.02 |
| 85730 |
|
961 |
681 |
$545.58 |
| 87798 |
|
44 |
27 |
$541.85 |
| 72125 |
|
43 |
39 |
$523.42 |
| 86900 |
|
92 |
68 |
$513.66 |
| 74018 |
|
56 |
41 |
$435.94 |
| 96376 |
|
313 |
161 |
$424.80 |
| 36591 |
|
143 |
51 |
$421.59 |
| 80055 |
|
12 |
12 |
$410.96 |
| 73110 |
|
12 |
12 |
$304.87 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,907 |
1,232 |
$301.29 |
| 87101 |
|
12 |
12 |
$297.25 |
| J2469 |
Palonosetron hcl |
45 |
14 |
$292.90 |
| 82565 |
|
37 |
34 |
$275.75 |
| 86901 |
|
92 |
68 |
$257.97 |
| 80143 |
|
159 |
112 |
$252.61 |
| 87880 |
|
769 |
567 |
$227.00 |
| 99239 |
|
17 |
14 |
$213.78 |
| J2704 |
Inj, propofol, 10 mg |
4,889 |
2,001 |
$195.60 |
| J1170 |
Hydromorphone injection |
729 |
360 |
$154.56 |
| C9113 |
Inj pantoprazole sodium, via |
236 |
118 |
$153.16 |
| J2272 |
Inj, morphine (fresenius) |
202 |
126 |
$140.84 |
| J7120 |
Ringers lactate infusion |
1,081 |
544 |
$123.62 |
| J3301 |
Triamcinolone acet inj nos |
629 |
436 |
$88.80 |
| 84481 |
|
27 |
12 |
$85.32 |
| J1642 |
Inj heparin sodium per 10 u |
492 |
196 |
$73.40 |
| J1885 |
Ketorolac tromethamine inj |
2,556 |
1,380 |
$70.26 |
| 84460 |
|
614 |
562 |
$61.99 |
| 87040 |
|
281 |
149 |
$58.90 |
| J7050 |
Normal saline solution infus |
1,442 |
402 |
$50.74 |
| 84450 |
|
630 |
575 |
$48.63 |
| 82247 |
|
516 |
471 |
$43.15 |
| J2405 |
Ondansetron hcl injection |
3,825 |
2,056 |
$39.44 |
| 84075 |
|
532 |
484 |
$39.35 |
| 83615 |
|
14 |
13 |
$35.64 |
| J3010 |
Fentanyl citrate injection |
1,394 |
753 |
$34.30 |
| J0690 |
Cefazolin sodium injection |
656 |
313 |
$34.05 |
| 80179 |
|
137 |
97 |
$33.02 |
| 87070 |
|
40 |
25 |
$32.90 |
| J1100 |
Dexamethasone sodium phos |
2,191 |
1,083 |
$28.44 |
| J2550 |
Promethazine hcl injection |
55 |
27 |
$25.32 |
| J0696 |
Ceftriaxone sodium injection |
145 |
90 |
$21.84 |
| J1200 |
Diphenhydramine hcl injectio |
548 |
300 |
$15.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
31 |
16 |
$13.50 |
| J2270 |
Morphine sulfate injection |
420 |
233 |
$10.77 |
| J7799 |
Non-inhalation drug for dme |
29 |
12 |
$9.84 |
| C1729 |
Cath, drainage |
28 |
12 |
$9.33 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
959 |
637 |
$9.00 |
| J7613 |
Albuterol non-comp unit |
137 |
66 |
$2.10 |
| J2250 |
Inj midazolam hydrochloride |
817 |
428 |
$2.00 |
| J7620 |
Albuterol ipratrop non-comp |
302 |
164 |
$0.34 |
| J2930 |
Methylprednisolone injection |
255 |
167 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
247 |
226 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
25 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
208 |
140 |
$0.00 |
| G1004 |
Cdsm ndsc |
78 |
72 |
$0.00 |
| G8730 |
Pain doc pos and plan |
77 |
76 |
$0.00 |
| G9578 |
Doc opioid tx 1x during ther |
17 |
16 |
$0.00 |
| J2360 |
Orphenadrine injection |
42 |
27 |
$0.00 |
| 1006F |
|
28 |
27 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
296 |
152 |
$0.00 |
| 64494 |
|
29 |
25 |
$0.00 |
| P9612 |
Catheterize for urine spec |
12 |
12 |
$0.00 |
| 88304 |
|
188 |
88 |
$0.00 |
| A9270 |
Non-covered item or service |
44 |
24 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
36 |
35 |
$0.00 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
24 |
13 |
$0.00 |
| 82150 |
|
27 |
19 |
$0.00 |
| J1815 |
Insulin injection |
21 |
12 |
$0.00 |