| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
|
31,645 |
22,703 |
$3.75M |
| 99213 |
|
23,563 |
22,632 |
$1.93M |
| 99283 |
|
11,463 |
10,095 |
$1.01M |
| 99284 |
|
8,351 |
7,025 |
$957K |
| 90832 |
|
8,706 |
7,480 |
$784K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,340 |
10,947 |
$749K |
| G0463 |
Hospital outpt clinic visit |
7,662 |
7,005 |
$622K |
| 99212 |
|
6,253 |
6,060 |
$501K |
| 90791 |
|
2,665 |
2,399 |
$413K |
| 99282 |
|
3,737 |
3,354 |
$383K |
| 99285 |
|
2,216 |
2,062 |
$382K |
| 74177 |
|
1,597 |
1,571 |
$358K |
| 96361 |
|
1,830 |
1,581 |
$343K |
| 97110 |
|
8,317 |
2,922 |
$341K |
| 80053 |
|
20,305 |
17,988 |
$271K |
| 90837 |
|
2,041 |
1,564 |
$257K |
| 70450 |
|
782 |
771 |
$186K |
| U0005 |
Infec agen detec ampli probe |
7,263 |
7,058 |
$148K |
| 99214 |
|
1,325 |
1,302 |
$137K |
| 76856 |
|
719 |
709 |
$119K |
| 43239 |
|
180 |
177 |
$119K |
| H2011 |
Crisis interven svc, 15 min |
694 |
606 |
$98K |
| 95810 |
|
259 |
257 |
$97K |
| 96365 |
|
682 |
628 |
$94K |
| 97161 |
|
1,283 |
1,245 |
$93K |
| 84443 |
|
8,340 |
8,225 |
$89K |
| 71046 |
|
2,941 |
2,885 |
$86K |
| 80307 |
|
2,032 |
1,827 |
$85K |
| 80048 |
|
4,691 |
4,286 |
$79K |
| 80061 |
|
7,885 |
7,841 |
$78K |
| 87631 |
|
1,449 |
1,439 |
$75K |
| 36415 |
|
21,540 |
19,324 |
$66K |
| 96374 |
|
2,621 |
2,437 |
$65K |
| 85025 |
|
17,993 |
16,089 |
$60K |
| 82306 |
|
2,266 |
2,256 |
$59K |
| 77067 |
|
802 |
801 |
$53K |
| 76700 |
|
578 |
577 |
$52K |
| 84439 |
|
6,332 |
6,247 |
$51K |
| 88305 |
|
1,040 |
925 |
$49K |
| 87635 |
|
1,270 |
1,248 |
$48K |
| 87081 |
|
5,776 |
5,641 |
$48K |
| 76770 |
|
437 |
437 |
$46K |
| 74176 |
|
208 |
206 |
$44K |
| 99211 |
|
2,655 |
2,400 |
$44K |
| 86900 |
|
1,040 |
1,014 |
$40K |
| 90792 |
|
175 |
175 |
$35K |
| 90847 |
|
175 |
149 |
$34K |
| 87502 |
|
763 |
753 |
$33K |
| 87591 |
|
1,206 |
1,194 |
$33K |
| 87491 |
|
1,228 |
1,216 |
$32K |
| 96360 |
|
200 |
183 |
$32K |
| S5161 |
Emer rspns sys serv permonth |
993 |
974 |
$29K |
| 20610 |
|
572 |
324 |
$29K |
| 76705 |
|
480 |
469 |
$29K |
| 73721 |
|
105 |
104 |
$27K |
| 83036 |
|
3,572 |
3,547 |
$27K |
| 0241U |
|
1,331 |
1,310 |
$26K |
| 97140 |
|
932 |
364 |
$24K |
| 99203 |
|
357 |
357 |
$23K |
| 72110 |
|
446 |
445 |
$22K |
| 87086 |
|
4,090 |
3,781 |
$22K |
| 93010 |
|
2,874 |
2,610 |
$22K |
| 82607 |
|
1,908 |
1,897 |
$21K |
| 71260 |
|
129 |
128 |
$21K |
| G0480 |
Drug test def 1-7 classes |
545 |
376 |
$21K |
| 73630 |
|
1,099 |
1,070 |
$21K |
| 73562 |
|
858 |
850 |
$20K |
| 96375 |
|
2,035 |
1,731 |
$18K |
| 76830 |
|
296 |
293 |
$17K |
| 93306 |
|
59 |
59 |
$17K |
| 96372 |
|
1,471 |
1,190 |
$16K |
| 82728 |
|
1,552 |
1,513 |
$16K |
| 99202 |
|
261 |
244 |
$16K |
| 45385 |
|
26 |
24 |
$16K |
| 90836 |
|
194 |
186 |
$15K |
| 73030 |
|
696 |
687 |
$15K |
| 81025 |
|
2,167 |
2,115 |
$14K |
| 73610 |
|
797 |
769 |
$14K |
| 90833 |
|
274 |
270 |
$14K |
| 80076 |
|
1,526 |
1,495 |
$13K |
| 72148 |
|
55 |
55 |
$13K |
| 86850 |
|
1,010 |
982 |
$12K |
| 73130 |
|
543 |
535 |
$12K |
| 73110 |
|
451 |
442 |
$11K |
| 99281 |
|
84 |
80 |
$11K |
| 93005 |
|
2,670 |
2,479 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,459 |
2,180 |
$11K |
| 71045 |
|
1,090 |
1,063 |
$11K |
| 83735 |
|
3,835 |
3,231 |
$10K |
| 76805 |
|
92 |
92 |
$10K |
| 45380 |
|
13 |
12 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
558 |
546 |
$10K |
| 96366 |
|
48 |
40 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
2,316 |
2,250 |
$9K |
| 93971 |
|
130 |
128 |
$9K |
| 83550 |
|
1,255 |
1,240 |
$8K |
| 72100 |
|
367 |
367 |
$8K |
| 87088 |
|
1,386 |
1,279 |
$8K |
| 83540 |
|
1,657 |
1,625 |
$8K |
| 70553 |
|
25 |
25 |
$8K |
| 45378 |
|
12 |
12 |
$8K |
| 86901 |
|
1,048 |
1,020 |
$8K |
| 87389 |
|
592 |
592 |
$7K |
| 87400 |
|
593 |
373 |
$7K |
| 87070 |
|
943 |
919 |
$7K |
| 87624 |
|
247 |
246 |
$7K |
| 85027 |
|
2,008 |
1,912 |
$6K |
| 86803 |
|
857 |
853 |
$6K |
| 78815 |
|
12 |
12 |
$6K |
| 86780 |
|
576 |
575 |
$6K |
| 83655 |
|
708 |
707 |
$6K |
| 87186 |
|
1,085 |
1,045 |
$6K |
| 87158 |
|
1,331 |
1,301 |
$6K |
| 81003 |
|
3,275 |
3,075 |
$6K |
| 71271 |
|
121 |
121 |
$6K |
| 83721 |
|
699 |
694 |
$5K |
| 86140 |
|
1,692 |
1,606 |
$5K |
| 87077 |
|
697 |
672 |
$5K |
| 76536 |
|
100 |
100 |
$5K |
| V2632 |
Post chmbr intraocular lens |
266 |
13 |
$5K |
| 81001 |
|
2,416 |
2,278 |
$5K |
| 84702 |
|
477 |
361 |
$5K |
| 76000 |
|
334 |
323 |
$4K |
| 84403 |
|
185 |
182 |
$4K |
| 77063 |
|
311 |
311 |
$4K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 87634 |
|
122 |
121 |
$4K |
| 87340 |
|
680 |
673 |
$4K |
| 83690 |
|
2,008 |
1,879 |
$4K |
| 76816 |
|
61 |
50 |
$3K |
| 72020 |
|
204 |
131 |
$3K |
| 86618 |
|
269 |
266 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,706 |
1,646 |
$3K |
| 74018 |
|
160 |
154 |
$3K |
| 86703 |
|
214 |
214 |
$3K |
| 76801 |
|
53 |
50 |
$3K |
| 70551 |
|
12 |
12 |
$3K |
| 87430 |
|
1,284 |
1,263 |
$3K |
| J0690 |
Cefazolin sodium injection |
537 |
497 |
$3K |
| 86592 |
|
707 |
702 |
$3K |
| 87661 |
|
113 |
112 |
$3K |
| G0123 |
Screen cerv/vag thin layer |
183 |
183 |
$3K |
| 84484 |
|
1,244 |
848 |
$3K |
| C1751 |
Cath, inf, per/cent/midline |
1,173 |
1,146 |
$3K |
| 82746 |
|
246 |
244 |
$3K |
| 84153 |
|
144 |
144 |
$3K |
| 73502 |
|
144 |
144 |
$3K |
| 83880 |
|
89 |
83 |
$3K |
| 11721 |
|
119 |
95 |
$2K |
| 85610 |
|
953 |
836 |
$2K |
| 72050 |
|
53 |
53 |
$2K |
| 93975 |
|
13 |
13 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| 85651 |
|
928 |
903 |
$2K |
| 86941 |
|
454 |
445 |
$2K |
| 99404 |
|
24 |
24 |
$2K |
| 86038 |
|
265 |
264 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,542 |
2,406 |
$2K |
| G0378 |
Hospital observation per hr |
38 |
37 |
$2K |
| 83516 |
|
177 |
175 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,846 |
2,547 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,281 |
1,243 |
$2K |
| 59025 |
|
18 |
13 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,313 |
1,282 |
$2K |
| 85652 |
|
1,061 |
1,010 |
$2K |
| G0432 |
Eia hiv-1/hiv-2 screen |
112 |
111 |
$2K |
| 87505 |
|
13 |
13 |
$1K |
| 82948 |
|
479 |
376 |
$1K |
| 84703 |
|
761 |
735 |
$1K |
| 81002 |
|
366 |
352 |
$1K |
| 71250 |
|
12 |
12 |
$1K |
| 86756 |
|
101 |
99 |
$1K |
| 82784 |
|
138 |
132 |
$1K |
| 86762 |
|
184 |
184 |
$1K |
| 72072 |
|
39 |
38 |
$1K |
| 0012A |
|
57 |
57 |
$1K |
| 94010 |
|
117 |
76 |
$1K |
| 90715 |
|
83 |
83 |
$1K |
| G0108 |
Diab manage trn per indiv |
25 |
25 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
69 |
66 |
$1K |
| 73140 |
|
38 |
38 |
$985.39 |
| J1170 |
Hydromorphone injection |
273 |
209 |
$892.77 |
| 0011A |
|
61 |
61 |
$842.16 |
| Q9956 |
Inj octafluoropropane mic,ml |
43 |
26 |
$719.60 |
| 90471 |
|
12 |
12 |
$704.20 |
| 73564 |
|
12 |
12 |
$682.88 |
| G0103 |
Psa screening |
51 |
51 |
$656.65 |
| 94640 |
|
237 |
218 |
$609.67 |
| 86430 |
|
144 |
143 |
$607.54 |
| 83001 |
|
42 |
41 |
$586.51 |
| 82150 |
|
178 |
175 |
$580.30 |
| A9579 |
Gad-base mr contrast nos,1ml |
58 |
58 |
$572.15 |
| G2023 |
Specimen collect covid-19 |
63 |
62 |
$509.28 |
| 85007 |
|
330 |
302 |
$467.29 |
| 82565 |
|
205 |
203 |
$440.03 |
| 87205 |
|
161 |
158 |
$431.61 |
| 72070 |
|
12 |
12 |
$409.94 |
| P9604 |
One-way allow prorated trip |
806 |
591 |
$383.40 |
| 84480 |
|
40 |
38 |
$351.36 |
| 73560 |
|
25 |
24 |
$333.55 |
| A9576 |
Inj prohance multipack |
25 |
24 |
$319.67 |
| 82950 |
|
80 |
80 |
$308.31 |
| 88142 |
|
12 |
12 |
$307.74 |
| 85730 |
|
195 |
184 |
$282.74 |
| 84402 |
|
12 |
12 |
$277.16 |
| 86364 |
|
36 |
29 |
$272.52 |
| J7120 |
Ringers lactate infusion |
1,248 |
1,161 |
$259.09 |
| A9573 |
Inj, gadopiclenol, 1 ml |
21 |
14 |
$255.63 |
| 87147 |
|
90 |
90 |
$245.79 |
| 82570 |
|
65 |
54 |
$233.68 |
| 94727 |
|
25 |
25 |
$222.83 |
| 84520 |
|
149 |
148 |
$222.04 |
| 84146 |
|
13 |
13 |
$208.38 |
| 84460 |
|
87 |
86 |
$162.52 |
| 87040 |
|
82 |
71 |
$162.20 |
| 82043 |
|
12 |
12 |
$143.48 |
| 84550 |
|
40 |
36 |
$137.69 |
| 84100 |
|
47 |
36 |
$132.94 |
| Q3014 |
Telehealth facility fee |
14 |
14 |
$117.24 |
| 82247 |
|
54 |
50 |
$102.27 |
| 85014 |
|
55 |
53 |
$99.74 |
| 86706 |
|
17 |
17 |
$98.20 |
| 76870 |
|
14 |
14 |
$96.35 |
| 86704 |
|
14 |
14 |
$85.00 |
| J0330 |
Succinycholine chloride inj |
19 |
19 |
$77.18 |
| 94729 |
|
12 |
12 |
$75.01 |
| 81015 |
|
943 |
860 |
$65.33 |
| 96376 |
|
95 |
64 |
$62.16 |
| J2765 |
Metoclopramide hcl injection |
94 |
89 |
$59.82 |
| 82550 |
|
16 |
15 |
$52.06 |
| 85379 |
|
52 |
52 |
$38.55 |
| 87880 |
|
246 |
246 |
$33.25 |
| J1010 |
Inj, methylpred acetate 1 mg |
57 |
55 |
$31.52 |
| J1200 |
Diphenhydramine hcl injectio |
28 |
26 |
$30.15 |
| J0696 |
Ceftriaxone sodium injection |
27 |
26 |
$18.21 |
| J7512 |
Prednisone ir or dr oral 1mg |
72 |
66 |
$13.00 |
| J2270 |
Morphine sulfate injection |
29 |
25 |
$10.77 |
| 83605 |
|
27 |
27 |
$9.30 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
350 |
337 |
$4.30 |
| Q0162 |
Ondansetron oral |
73 |
69 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
18 |
18 |
$0.00 |