| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
46,027 |
40,888 |
$1.43M |
| 99284 |
|
22,282 |
19,536 |
$1.11M |
| 96374 |
|
14,438 |
13,013 |
$246K |
| 99232 |
|
9,927 |
3,996 |
$227K |
| 99233 |
Prolong inpt eval add15 m |
4,435 |
2,091 |
$197K |
| 99285 |
|
2,871 |
2,553 |
$153K |
| 0002A |
|
4,684 |
4,299 |
$107K |
| 99239 |
|
2,379 |
2,234 |
$104K |
| 0001A |
|
4,712 |
4,276 |
$101K |
| 99223 |
Prolong inpt eval add15 m |
1,194 |
1,136 |
$82K |
| 99282 |
|
4,609 |
4,214 |
$69K |
| 90832 |
|
861 |
691 |
$61K |
| 87635 |
|
21,068 |
19,391 |
$61K |
| 99460 |
|
743 |
732 |
$47K |
| G0463 |
Hospital outpt clinic visit |
4,534 |
3,534 |
$39K |
| 80053 |
|
92,810 |
82,683 |
$36K |
| 85025 |
|
96,939 |
84,737 |
$33K |
| 96361 |
|
5,009 |
4,466 |
$28K |
| 96375 |
|
5,538 |
4,931 |
$26K |
| 0012A |
|
902 |
824 |
$20K |
| 99213 |
|
3,231 |
2,958 |
$19K |
| 0011A |
|
986 |
885 |
$18K |
| 87637 |
|
1,375 |
1,322 |
$16K |
| 36415 |
|
81,413 |
72,312 |
$13K |
| 99291 |
|
125 |
63 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
5,561 |
4,951 |
$11K |
| 93005 |
|
13,094 |
11,716 |
$11K |
| 41899 |
|
185 |
177 |
$9K |
| J7120 |
Ringers lactate infusion |
8,300 |
7,354 |
$9K |
| 99479 |
|
70 |
12 |
$8K |
| 99222 |
|
153 |
143 |
$8K |
| 74177 |
|
655 |
613 |
$8K |
| 99214 |
|
1,228 |
1,142 |
$8K |
| 84443 |
|
11,892 |
11,258 |
$7K |
| 99231 |
|
574 |
247 |
$7K |
| 99220 |
|
112 |
104 |
$7K |
| 80061 |
|
11,114 |
10,582 |
$7K |
| 90791 |
|
93 |
92 |
$7K |
| 81513 |
|
535 |
515 |
$6K |
| 71046 |
|
1,546 |
1,411 |
$6K |
| 80307 |
|
3,477 |
3,036 |
$5K |
| J7030 |
Normal saline solution infus |
9,523 |
7,879 |
$5K |
| 96413 |
|
466 |
245 |
$4K |
| 87491 |
|
3,764 |
3,535 |
$4K |
| 87591 |
|
3,769 |
3,540 |
$4K |
| 90834 |
|
37 |
28 |
$4K |
| 59025 |
|
645 |
491 |
$4K |
| 99238 |
|
76 |
76 |
$3K |
| 83036 |
|
6,413 |
6,147 |
$3K |
| 90686 |
|
181 |
175 |
$3K |
| 0031A |
|
99 |
95 |
$3K |
| 81001 |
|
19,527 |
17,631 |
$2K |
| 43239 |
|
103 |
98 |
$2K |
| 99281 |
|
612 |
580 |
$2K |
| 87661 |
|
692 |
669 |
$2K |
| G0480 |
Drug test def 1-7 classes |
846 |
761 |
$2K |
| 86780 |
|
1,215 |
1,154 |
$2K |
| 87389 |
|
1,955 |
1,831 |
$2K |
| 87481 |
|
535 |
515 |
$2K |
| 71045 |
|
347 |
321 |
$2K |
| 96365 |
|
771 |
531 |
$2K |
| 86900 |
|
289 |
268 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
6,989 |
4,461 |
$1K |
| 87086 |
|
7,120 |
6,339 |
$1K |
| 70450 |
|
466 |
439 |
$1K |
| 87430 |
|
1,273 |
1,225 |
$1K |
| 87798 |
|
1,759 |
1,640 |
$1K |
| M0243 |
Casirivi and imdevi inj |
24 |
23 |
$1K |
| 90682 |
|
25 |
25 |
$1K |
| 96366 |
|
118 |
82 |
$1K |
| 94060 |
|
25 |
24 |
$1K |
| 0202U |
|
64 |
63 |
$1K |
| 86803 |
|
1,769 |
1,694 |
$970.35 |
| 96360 |
|
524 |
483 |
$953.54 |
| 82306 |
|
1,951 |
1,860 |
$917.96 |
| 87633 |
|
172 |
169 |
$880.83 |
| 80074 |
|
296 |
281 |
$860.85 |
| 76705 |
|
440 |
406 |
$688.65 |
| 87502 |
|
123 |
118 |
$687.84 |
| 87631 |
|
857 |
801 |
$637.16 |
| 87804 |
|
499 |
224 |
$636.30 |
| 74176 |
|
96 |
91 |
$620.28 |
| 83690 |
|
4,860 |
4,395 |
$617.26 |
| 93010 |
|
219 |
172 |
$611.59 |
| 93306 |
|
293 |
281 |
$569.82 |
| 86140 |
|
3,046 |
2,695 |
$513.74 |
| 83605 |
|
1,222 |
1,092 |
$453.30 |
| 72125 |
|
16 |
15 |
$443.03 |
| 80048 |
|
2,791 |
2,512 |
$412.36 |
| 87507 |
|
157 |
153 |
$411.63 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,806 |
2,343 |
$379.25 |
| J2405 |
Ondansetron hcl injection |
3,471 |
2,888 |
$342.14 |
| 90471 |
|
25 |
25 |
$323.63 |
| 96372 |
|
657 |
543 |
$282.05 |
| 84484 |
|
2,757 |
2,398 |
$262.41 |
| 85652 |
|
3,176 |
2,842 |
$253.86 |
| 82565 |
|
2,134 |
1,901 |
$235.96 |
| 87480 |
|
754 |
718 |
$227.76 |
| 87510 |
|
754 |
718 |
$227.76 |
| 87660 |
|
758 |
721 |
$227.76 |
| 87486 |
|
1,031 |
971 |
$222.39 |
| 87581 |
|
1,030 |
970 |
$201.54 |
| 71275 |
|
84 |
79 |
$188.98 |
| 85027 |
|
1,891 |
1,751 |
$186.56 |
| 82728 |
|
1,218 |
1,137 |
$172.97 |
| 87081 |
|
2,007 |
1,909 |
$172.97 |
| G0378 |
Hospital observation per hr |
350 |
217 |
$172.78 |
| 84439 |
|
1,411 |
1,317 |
$170.30 |
| J3010 |
Fentanyl citrate injection |
1,318 |
1,066 |
$169.23 |
| 80076 |
|
716 |
614 |
$167.52 |
| 99212 |
|
90 |
71 |
$164.44 |
| 84466 |
|
1,076 |
1,009 |
$152.69 |
| J7050 |
Normal saline solution infus |
545 |
252 |
$149.44 |
| 84703 |
|
1,834 |
1,694 |
$139.48 |
| 81003 |
|
976 |
939 |
$138.94 |
| 94640 |
|
267 |
201 |
$133.32 |
| G2012 |
Brief check in by md/qhp |
17 |
16 |
$132.30 |
| 87070 |
|
1,613 |
1,510 |
$127.27 |
| U0003 |
Cov-19 amp prb hgh thruput |
429 |
284 |
$111.00 |
| 84460 |
|
476 |
434 |
$106.05 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$103.50 |
| 84450 |
|
422 |
383 |
$99.09 |
| J1100 |
Dexamethasone sodium phos |
979 |
855 |
$95.60 |
| 99152 |
|
145 |
137 |
$93.30 |
| 97530 |
|
1,536 |
624 |
$89.99 |
| 83880 |
|
295 |
272 |
$88.63 |
| 81025 |
|
508 |
474 |
$86.41 |
| 93971 |
|
15 |
14 |
$84.96 |
| 83540 |
|
1,100 |
1,030 |
$78.37 |
| 87077 |
|
1,953 |
1,810 |
$71.85 |
| 87088 |
|
1,930 |
1,774 |
$71.49 |
| 87276 |
|
357 |
347 |
$68.18 |
| J1170 |
Hydromorphone injection |
728 |
574 |
$65.75 |
| 82962 |
|
635 |
511 |
$63.56 |
| 85379 |
|
332 |
314 |
$58.24 |
| 82607 |
|
600 |
564 |
$56.78 |
| J1885 |
Ketorolac tromethamine inj |
2,091 |
1,627 |
$54.55 |
| 83735 |
|
559 |
474 |
$54.02 |
| 87205 |
|
1,153 |
1,067 |
$53.53 |
| 87186 |
|
1,566 |
1,375 |
$52.61 |
| 85610 |
|
1,094 |
946 |
$48.30 |
| 87147 |
|
965 |
888 |
$45.78 |
| 92507 |
|
937 |
355 |
$45.60 |
| 87275 |
|
357 |
347 |
$43.69 |
| J2270 |
Morphine sulfate injection |
591 |
478 |
$42.78 |
| 82950 |
|
590 |
556 |
$40.23 |
| 87040 |
|
262 |
247 |
$40.02 |
| 85007 |
|
870 |
802 |
$36.61 |
| 87075 |
|
174 |
160 |
$36.00 |
| 86762 |
|
106 |
101 |
$31.36 |
| 96376 |
|
587 |
477 |
$30.18 |
| 84702 |
|
512 |
379 |
$29.16 |
| 87340 |
|
294 |
282 |
$25.76 |
| 81002 |
|
277 |
237 |
$25.00 |
| 82784 |
|
206 |
192 |
$24.12 |
| 87046 |
|
250 |
235 |
$23.79 |
| J2060 |
Lorazepam injection |
304 |
273 |
$22.43 |
| 87899 |
|
333 |
240 |
$21.86 |
| J0690 |
Cefazolin sodium injection |
311 |
245 |
$21.16 |
| 99153 |
Mod sedat endo service >5yrs |
69 |
66 |
$20.18 |
| G0475 |
Hiv combination assay |
460 |
458 |
$19.62 |
| J2250 |
Inj midazolam hydrochloride |
701 |
658 |
$19.39 |
| 84481 |
|
176 |
167 |
$17.64 |
| 86901 |
|
322 |
301 |
$17.51 |
| 86592 |
|
582 |
552 |
$16.51 |
| J0780 |
Prochlorperazine injection |
230 |
196 |
$14.23 |
| 86850 |
|
411 |
385 |
$13.32 |
| 97602 |
|
93 |
40 |
$12.62 |
| 86704 |
|
54 |
54 |
$12.43 |
| 82746 |
|
393 |
369 |
$11.98 |
| 87338 |
|
78 |
77 |
$11.34 |
| 86038 |
|
189 |
179 |
$10.44 |
| U0005 |
Infec agen detec ampli probe |
366 |
255 |
$10.08 |
| 87807 |
|
18 |
18 |
$10.06 |
| J1200 |
Diphenhydramine hcl injectio |
360 |
297 |
$8.61 |
| 87045 |
|
250 |
235 |
$7.93 |
| 82977 |
|
55 |
48 |
$6.46 |
| J0134 |
Inj acetaminophen -fresenius |
14 |
14 |
$6.37 |
| 82043 |
|
474 |
456 |
$4.86 |
| J1644 |
Inj heparin sodium per 1000u |
47 |
43 |
$4.66 |
| 82247 |
|
177 |
122 |
$4.09 |
| 85014 |
|
80 |
72 |
$3.03 |
| 89051 |
|
14 |
13 |
$1.94 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
12 |
$0.54 |
| 88720 |
|
53 |
51 |
$0.00 |
| 83615 |
|
188 |
172 |
$0.00 |
| 83001 |
|
195 |
181 |
$0.00 |
| 87529 |
|
49 |
46 |
$0.00 |
| 80055 |
|
201 |
200 |
$0.00 |
| 85730 |
|
254 |
238 |
$0.00 |
| 84402 |
|
168 |
158 |
$0.00 |
| 80349 |
|
67 |
55 |
$0.00 |
| 84132 |
|
43 |
41 |
$0.00 |
| 85018 |
|
38 |
32 |
$0.00 |
| 88305 |
|
141 |
139 |
$0.00 |
| 89190 |
|
92 |
83 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
93 |
85 |
$0.00 |
| 82550 |
|
134 |
106 |
$0.00 |
| 80081 |
|
262 |
244 |
$0.00 |
| 36591 |
|
374 |
224 |
$0.00 |
| 86376 |
|
67 |
62 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
120 |
100 |
$0.00 |
| 82952 |
|
12 |
12 |
$0.00 |
| 86706 |
|
143 |
138 |
$0.00 |
| 76830 |
|
154 |
145 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
37 |
26 |
$0.00 |
| 97112 |
|
357 |
159 |
$0.00 |
| 45380 |
|
39 |
38 |
$0.00 |
| 97140 |
|
215 |
104 |
$0.00 |
| 80178 |
|
188 |
161 |
$0.00 |
| Q0162 |
Ondansetron oral |
41 |
33 |
$0.00 |
| 82670 |
|
66 |
65 |
$0.00 |
| 84153 |
|
371 |
355 |
$0.00 |
| 86430 |
|
146 |
140 |
$0.00 |
| J1630 |
Haloperidol injection |
17 |
12 |
$0.00 |
| 76815 |
|
13 |
12 |
$0.00 |
| 82105 |
|
137 |
136 |
$0.00 |
| 86664 |
|
27 |
24 |
$0.00 |
| 93351 |
|
25 |
25 |
$0.00 |
| 86800 |
|
29 |
29 |
$0.00 |
| 76819 |
|
16 |
15 |
$0.00 |
| 87255 |
|
17 |
17 |
$0.00 |
| 86141 |
|
18 |
18 |
$0.00 |
| 82803 |
|
15 |
13 |
$0.00 |
| 97162 |
|
29 |
27 |
$0.00 |
| 97802 |
|
76 |
61 |
$0.00 |
| 96415 |
|
17 |
12 |
$0.00 |
| 86701 |
|
19 |
19 |
$0.00 |
| 82951 |
|
24 |
24 |
$0.00 |
| 86702 |
|
19 |
19 |
$0.00 |
| 84154 |
|
20 |
18 |
$0.00 |
| 76817 |
|
16 |
15 |
$0.00 |
| 45378 |
|
12 |
12 |
$0.00 |
| 84480 |
|
12 |
12 |
$0.00 |
| 83002 |
|
40 |
37 |
$0.00 |
| 87177 |
|
125 |
113 |
$0.00 |
| J7040 |
Normal saline solution infus |
275 |
188 |
$0.00 |
| 83516 |
|
191 |
143 |
$0.00 |
| 87209 |
|
125 |
113 |
$0.00 |
| 86480 |
|
27 |
26 |
$0.00 |
| 84146 |
|
117 |
111 |
$0.00 |
| 84100 |
|
94 |
76 |
$0.00 |
| 84520 |
|
155 |
107 |
$0.00 |
| 84403 |
|
241 |
229 |
$0.00 |
| 97110 |
|
1,090 |
377 |
$0.00 |
| 86665 |
|
76 |
61 |
$0.00 |
| 87329 |
|
125 |
116 |
$0.00 |
| 97163 |
|
13 |
12 |
$0.00 |
| 76856 |
|
175 |
163 |
$0.00 |
| 97803 |
|
192 |
139 |
$0.00 |
| 80356 |
|
31 |
28 |
$0.00 |
| 97116 |
|
300 |
91 |
$0.00 |
| 99211 |
|
691 |
527 |
$0.00 |
| 84156 |
|
58 |
36 |
$0.00 |
| 87210 |
|
232 |
226 |
$0.00 |
| 83970 |
|
59 |
56 |
$0.00 |
| 96367 |
|
324 |
163 |
$0.00 |
| 84550 |
|
284 |
242 |
$0.00 |
| 80164 |
|
33 |
31 |
$0.00 |
| 99001 |
|
20 |
17 |
$0.00 |
| 80365 |
|
31 |
28 |
$0.00 |
| 82570 |
|
39 |
31 |
$0.00 |
| 86787 |
|
13 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
19 |
12 |
$0.00 |
| 82274 |
|
14 |
13 |
$0.00 |
| 82947 |
|
57 |
52 |
$0.00 |
| 86703 |
|
86 |
85 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
54 |
54 |
$0.00 |
| 86003 |
|
73 |
44 |
$0.00 |
| 87324 |
|
16 |
16 |
$0.00 |
| 97167 |
|
28 |
27 |
$0.00 |
| P9604 |
One-way allow prorated trip |
16 |
13 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
15 |
13 |
$0.00 |
| 93017 |
|
17 |
14 |
$0.00 |
| 76000 |
|
12 |
12 |
$0.00 |
| 82248 |
|
26 |
17 |
$0.00 |