| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
14,901 |
12,751 |
$6.04M |
| 99284 |
|
12,628 |
10,998 |
$3.55M |
| 99283 |
|
14,948 |
13,279 |
$2.99M |
| 96374 |
|
11,141 |
9,197 |
$1.53M |
| 97010 |
|
14,829 |
4,370 |
$915K |
| 74177 |
|
4,623 |
4,085 |
$829K |
| 97110 |
|
8,854 |
3,095 |
$500K |
| 99291 |
|
852 |
695 |
$468K |
| 70450 |
|
4,126 |
3,577 |
$408K |
| 96361 |
|
8,593 |
6,780 |
$386K |
| 96360 |
|
2,859 |
2,396 |
$369K |
| 96375 |
|
7,921 |
6,159 |
$348K |
| 96365 |
|
2,726 |
2,080 |
$322K |
| 99282 |
|
2,544 |
2,333 |
$306K |
| 71046 |
|
5,683 |
5,100 |
$290K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,415 |
3,010 |
$256K |
| 87637 |
|
2,534 |
2,159 |
$219K |
| 71045 |
|
4,511 |
3,809 |
$206K |
| G0463 |
Hospital outpt clinic visit |
3,518 |
1,949 |
$183K |
| 96413 |
|
795 |
447 |
$161K |
| 95810 |
|
201 |
196 |
$153K |
| 74176 |
|
1,225 |
1,070 |
$151K |
| 41899 |
|
583 |
533 |
$128K |
| 43239 |
|
308 |
286 |
$122K |
| 97597 |
|
1,250 |
696 |
$114K |
| 71260 |
|
772 |
696 |
$104K |
| 87635 |
|
2,507 |
2,081 |
$86K |
| 45380 |
|
126 |
115 |
$83K |
| 11042 |
|
437 |
257 |
$74K |
| 97140 |
|
1,765 |
717 |
$68K |
| 93306 |
|
286 |
260 |
$56K |
| 82947 |
|
18,712 |
15,927 |
$48K |
| 76705 |
|
533 |
487 |
$48K |
| 71275 |
|
441 |
386 |
$46K |
| 85025 |
|
35,739 |
27,965 |
$43K |
| 84443 |
|
5,061 |
4,554 |
$39K |
| 96372 |
|
5,385 |
3,906 |
$33K |
| 77067 |
|
248 |
239 |
$28K |
| 76856 |
|
320 |
291 |
$27K |
| 82306 |
|
1,527 |
1,370 |
$26K |
| 93971 |
|
446 |
408 |
$26K |
| U0005 |
Infec agen detec ampli probe |
1,109 |
997 |
$25K |
| 0002A |
|
672 |
619 |
$24K |
| 0001A |
|
767 |
644 |
$22K |
| 83718 |
|
2,914 |
2,771 |
$20K |
| 72100 |
|
806 |
738 |
$20K |
| 97162 |
|
408 |
368 |
$20K |
| 86900 |
|
1,325 |
1,084 |
$19K |
| 36415 |
|
19,347 |
15,399 |
$19K |
| 76801 |
|
170 |
142 |
$18K |
| 0241U |
|
291 |
238 |
$18K |
| 83036 |
|
3,601 |
3,297 |
$17K |
| 78452 |
|
38 |
36 |
$17K |
| 94060 |
|
98 |
96 |
$16K |
| 82247 |
|
14,757 |
12,624 |
$15K |
| 82040 |
|
7,117 |
6,285 |
$15K |
| 76830 |
|
161 |
146 |
$15K |
| 72125 |
|
1,158 |
995 |
$15K |
| 97014 |
|
205 |
81 |
$14K |
| 82607 |
|
1,981 |
1,757 |
$14K |
| 97035 |
|
263 |
110 |
$13K |
| 82728 |
|
2,059 |
1,836 |
$12K |
| 82310 |
|
18,649 |
15,839 |
$11K |
| 80053 |
|
5,443 |
4,364 |
$10K |
| 99281 |
|
120 |
101 |
$9K |
| 83550 |
|
2,232 |
2,002 |
$9K |
| 93017 |
|
158 |
152 |
$9K |
| 73562 |
|
953 |
874 |
$8K |
| 71250 |
|
140 |
117 |
$8K |
| 96366 |
|
243 |
165 |
$8K |
| 80061 |
|
2,321 |
2,024 |
$7K |
| 87636 |
|
73 |
63 |
$7K |
| 73030 |
|
836 |
765 |
$7K |
| 83540 |
|
2,311 |
2,076 |
$7K |
| 73630 |
|
948 |
852 |
$6K |
| U0004 |
Cov-19 test non-cdc hgh thru |
126 |
77 |
$6K |
| 84439 |
|
1,188 |
1,070 |
$6K |
| 73610 |
|
939 |
844 |
$5K |
| 93005 |
|
11,460 |
8,917 |
$5K |
| 36591 |
|
174 |
108 |
$5K |
| 80307 |
|
3,980 |
3,395 |
$4K |
| 74018 |
|
158 |
131 |
$4K |
| 86618 |
|
738 |
633 |
$3K |
| 73130 |
|
522 |
472 |
$3K |
| 82746 |
|
423 |
385 |
$3K |
| 83735 |
|
6,684 |
4,954 |
$3K |
| 77063 |
|
180 |
174 |
$3K |
| 80048 |
|
9,925 |
6,906 |
$3K |
| 85610 |
|
4,779 |
3,849 |
$3K |
| 82374 |
|
18,657 |
15,856 |
$3K |
| 87633 |
|
21 |
15 |
$2K |
| 88305 |
|
1,224 |
1,141 |
$2K |
| 82465 |
|
2,929 |
2,781 |
$2K |
| 87086 |
|
6,323 |
5,398 |
$2K |
| 82570 |
|
601 |
544 |
$2K |
| 86140 |
|
868 |
765 |
$2K |
| 85652 |
|
1,527 |
1,324 |
$1K |
| 76805 |
|
14 |
12 |
$1K |
| 87491 |
|
84 |
74 |
$1K |
| 0012A |
|
93 |
57 |
$1K |
| 96367 |
|
23 |
12 |
$1K |
| 93970 |
|
15 |
12 |
$1K |
| 87389 |
|
120 |
113 |
$1K |
| 82043 |
|
412 |
384 |
$1K |
| 87591 |
|
72 |
62 |
$1K |
| 83880 |
|
2,013 |
1,672 |
$1K |
| G0283 |
Elec stim other than wound |
243 |
95 |
$852.22 |
| 73110 |
|
165 |
153 |
$826.38 |
| 85730 |
|
1,029 |
848 |
$786.72 |
| 81001 |
|
6,146 |
5,228 |
$777.01 |
| 83690 |
|
9,733 |
8,245 |
$718.06 |
| 82565 |
|
19,021 |
16,160 |
$704.29 |
| 0011A |
|
93 |
47 |
$700.38 |
| 12001 |
|
40 |
38 |
$586.20 |
| 83615 |
|
8,989 |
7,650 |
$483.51 |
| 82150 |
|
7,193 |
6,128 |
$445.63 |
| 73502 |
|
79 |
70 |
$407.76 |
| 84153 |
|
43 |
39 |
$407.60 |
| 87186 |
|
1,367 |
1,166 |
$391.47 |
| 85379 |
|
2,351 |
2,071 |
$379.44 |
| 85027 |
|
335 |
258 |
$366.48 |
| 72040 |
|
15 |
14 |
$331.73 |
| 81003 |
|
4,625 |
4,037 |
$292.73 |
| 84484 |
|
7,346 |
5,877 |
$275.75 |
| 84478 |
|
2,938 |
2,788 |
$223.06 |
| 80076 |
|
344 |
263 |
$210.18 |
| 87581 |
|
21 |
15 |
$201.06 |
| 87486 |
|
21 |
15 |
$201.06 |
| 82248 |
|
9,001 |
7,705 |
$196.21 |
| 73080 |
|
14 |
13 |
$194.97 |
| 87040 |
|
2,084 |
1,718 |
$189.75 |
| C9803 |
Hopd covid-19 spec collect |
3,562 |
3,108 |
$182.42 |
| 84702 |
|
101 |
85 |
$144.82 |
| 84450 |
|
14,851 |
12,724 |
$131.42 |
| 86703 |
|
14 |
13 |
$130.90 |
| 76817 |
|
78 |
68 |
$123.29 |
| 84550 |
|
181 |
164 |
$122.87 |
| 87070 |
|
1,264 |
1,122 |
$119.68 |
| 83605 |
|
3,574 |
2,883 |
$116.21 |
| 96376 |
|
2,312 |
1,609 |
$115.60 |
| 82550 |
|
895 |
679 |
$109.32 |
| 84703 |
|
624 |
559 |
$106.83 |
| 90471 |
|
616 |
518 |
$100.44 |
| 86753 |
|
96 |
76 |
$94.64 |
| 82784 |
|
14 |
12 |
$86.28 |
| 84520 |
|
18,890 |
16,062 |
$85.25 |
| 84460 |
|
14,866 |
12,738 |
$69.89 |
| 82435 |
|
18,656 |
15,855 |
$67.55 |
| 81025 |
|
1,303 |
1,179 |
$67.08 |
| 71100 |
|
29 |
26 |
$66.04 |
| 82077 |
|
2,374 |
1,968 |
$61.80 |
| 84075 |
|
14,778 |
12,652 |
$48.87 |
| 87430 |
|
898 |
822 |
$46.39 |
| 84132 |
|
18,735 |
15,887 |
$44.56 |
| 94640 |
|
2,770 |
2,003 |
$41.20 |
| 82962 |
|
4,376 |
2,566 |
$29.84 |
| 87077 |
|
303 |
228 |
$26.40 |
| 87147 |
|
93 |
85 |
$26.15 |
| 84100 |
|
251 |
184 |
$20.85 |
| 86666 |
|
35 |
24 |
$19.44 |
| 87088 |
|
136 |
126 |
$16.67 |
| 84155 |
|
6,945 |
6,143 |
$15.24 |
| 84295 |
|
18,689 |
15,871 |
$13.87 |
| 82553 |
|
528 |
393 |
$11.02 |
| 81015 |
|
100 |
90 |
$2.69 |
| J7030 |
Normal saline solution infus |
95 |
87 |
$2.57 |
| J0696 |
Ceftriaxone sodium injection |
1,808 |
1,285 |
$1.80 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
84 |
79 |
$0.39 |
| G8979 |
Mobility goal status |
61 |
46 |
$0.16 |
| G8978 |
Mobility current status |
55 |
41 |
$0.15 |
| J2405 |
Ondansetron hcl injection |
7,121 |
5,858 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,634 |
1,238 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,624 |
5,815 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
35 |
28 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,224 |
1,008 |
$0.00 |
| 94727 |
|
98 |
96 |
$0.00 |
| 87400 |
|
856 |
795 |
$0.00 |
| 90715 |
|
341 |
313 |
$0.00 |
| 88313 |
|
189 |
179 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
353 |
234 |
$0.00 |
| 91300 |
|
1,383 |
1,176 |
$0.00 |
| 93041 |
|
809 |
738 |
$0.00 |
| J2930 |
Methylprednisolone injection |
352 |
286 |
$0.00 |
| J1756 |
Iron sucrose injection |
214 |
80 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
135 |
97 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
218 |
130 |
$0.00 |
| 94729 |
|
98 |
96 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
27 |
$0.00 |
| 84145 |
|
20 |
14 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
78 |
28 |
$0.00 |
| J7120 |
Ringers lactate infusion |
13 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
14 |
13 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
12 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
1,091 |
901 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,474 |
1,662 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
4,664 |
3,100 |
$0.00 |
| J2060 |
Lorazepam injection |
1,239 |
993 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,455 |
2,185 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
730 |
640 |
$0.00 |
| J8540 |
Oral dexamethasone |
61 |
36 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
7,402 |
6,309 |
$0.00 |
| 86901 |
|
1,325 |
1,084 |
$0.00 |
| J1790 |
Droperidol injection |
60 |
52 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,243 |
1,053 |
$0.00 |
| J2001 |
Lidocaine injection |
512 |
431 |
$0.00 |
| A9500 |
Tc99m sestamibi |
65 |
64 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,140 |
954 |
$0.00 |
| 86850 |
|
1,298 |
1,061 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,414 |
2,104 |
$0.00 |
| J3420 |
Vitamin b12 injection |
362 |
241 |
$0.00 |
| J3490 |
Drugs unclassified injection |
32,558 |
15,440 |
$0.00 |
| 88342 |
|
99 |
91 |
$0.00 |
| 91301 |
|
123 |
115 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
111 |
94 |
$0.00 |
| J1940 |
Furosemide injection |
29 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
18 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
42 |
34 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
84 |
38 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
14 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
12 |
12 |
$0.00 |