| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
13,474 |
11,007 |
$1.50M |
| 99284 |
|
5,533 |
4,756 |
$1.04M |
| 99285 |
|
1,702 |
1,476 |
$356K |
| 99282 |
|
5,646 |
4,901 |
$333K |
| 87428 |
|
4,599 |
4,121 |
$263K |
| 96372 |
|
6,446 |
5,323 |
$255K |
| 97110 |
|
9,886 |
1,391 |
$223K |
| 96374 |
|
2,148 |
1,859 |
$214K |
| 87880 |
|
13,284 |
11,419 |
$181K |
| 87804 |
|
9,872 |
5,546 |
$173K |
| G0378 |
Hospital observation per hr |
409 |
370 |
$132K |
| 74176 |
|
1,283 |
1,141 |
$124K |
| 87426 |
|
3,735 |
3,209 |
$123K |
| 96361 |
|
1,598 |
1,087 |
$106K |
| 70450 |
|
1,918 |
1,696 |
$94K |
| 71045 |
|
2,604 |
2,303 |
$83K |
| 71046 |
|
2,216 |
1,990 |
$80K |
| 80053 |
|
10,024 |
8,434 |
$71K |
| 85025 |
|
13,611 |
10,697 |
$70K |
| 93005 |
|
3,134 |
2,710 |
$61K |
| 97530 |
|
3,065 |
536 |
$57K |
| 96365 |
|
439 |
372 |
$42K |
| 80061 |
|
4,033 |
3,660 |
$41K |
| 96375 |
|
1,445 |
1,210 |
$36K |
| 84443 |
|
2,796 |
2,540 |
$35K |
| 80048 |
|
4,220 |
3,408 |
$26K |
| 83036 |
|
3,318 |
3,037 |
$24K |
| 83880 |
|
1,370 |
1,134 |
$22K |
| 94640 |
|
274 |
183 |
$21K |
| G0480 |
Drug test def 1-7 classes |
558 |
452 |
$21K |
| 87420 |
|
1,512 |
1,309 |
$19K |
| 77067 |
|
254 |
222 |
$18K |
| 80305 |
|
1,697 |
1,490 |
$17K |
| 81001 |
|
5,682 |
4,965 |
$12K |
| 36415 |
|
5,597 |
4,383 |
$12K |
| 74018 |
|
256 |
211 |
$11K |
| 87086 |
|
1,942 |
1,714 |
$11K |
| 87400 |
|
486 |
449 |
$10K |
| G0481 |
Drug test def 8-14 classes |
128 |
114 |
$9K |
| 74177 |
|
65 |
56 |
$9K |
| 84484 |
|
1,629 |
1,179 |
$9K |
| M0243 |
Casirivi and imdevi inj |
38 |
38 |
$9K |
| 81025 |
|
878 |
770 |
$6K |
| 81003 |
|
2,690 |
2,372 |
$6K |
| 92507 |
|
89 |
38 |
$6K |
| Q3014 |
Telehealth facility fee |
281 |
257 |
$6K |
| 83874 |
|
712 |
530 |
$5K |
| 82553 |
|
727 |
545 |
$5K |
| 87077 |
|
754 |
630 |
$4K |
| 83735 |
|
1,148 |
997 |
$4K |
| 87186 |
|
728 |
612 |
$4K |
| 73030 |
|
108 |
98 |
$3K |
| 80076 |
|
474 |
431 |
$3K |
| 86803 |
|
282 |
265 |
$3K |
| 87040 |
|
511 |
265 |
$3K |
| 73630 |
|
112 |
104 |
$3K |
| 83690 |
|
696 |
604 |
$3K |
| 82044 |
|
656 |
580 |
$3K |
| 82550 |
|
594 |
478 |
$3K |
| 82150 |
|
554 |
485 |
$3K |
| 87807 |
|
231 |
218 |
$3K |
| 82570 |
|
895 |
804 |
$3K |
| 73562 |
|
85 |
79 |
$2K |
| 97162 |
|
45 |
42 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
23 |
23 |
$2K |
| 74019 |
|
16 |
15 |
$1K |
| 80050 |
|
319 |
294 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,158 |
992 |
$980.74 |
| 96360 |
|
13 |
12 |
$953.15 |
| 76705 |
|
13 |
12 |
$815.06 |
| 85610 |
|
336 |
230 |
$802.56 |
| 80306 |
|
58 |
51 |
$755.31 |
| 82948 |
|
264 |
132 |
$706.34 |
| 82962 |
|
549 |
264 |
$673.50 |
| 72100 |
|
16 |
12 |
$644.98 |
| 84439 |
|
87 |
81 |
$618.98 |
| 82306 |
|
24 |
24 |
$551.03 |
| 72131 |
|
13 |
13 |
$505.93 |
| 82043 |
|
137 |
133 |
$500.38 |
| 85651 |
|
93 |
84 |
$276.44 |
| 86677 |
|
27 |
24 |
$249.38 |
| J7030 |
Normal saline solution infus |
1,820 |
1,306 |
$238.22 |
| 83655 |
|
14 |
14 |
$162.20 |
| 84703 |
|
25 |
24 |
$160.39 |
| J1100 |
Dexamethasone sodium phos |
1,813 |
1,657 |
$113.58 |
| J1885 |
Ketorolac tromethamine inj |
3,459 |
2,937 |
$64.75 |
| A9270 |
Non-covered item or service |
1,584 |
1,212 |
$63.44 |
| 83605 |
|
19 |
16 |
$41.64 |
| 97535 |
|
121 |
51 |
$32.63 |
| 97166 |
|
13 |
13 |
$32.38 |
| 84145 |
|
189 |
153 |
$30.40 |
| 85652 |
|
14 |
14 |
$27.04 |
| 85018 |
|
12 |
12 |
$25.62 |
| J2001 |
Lidocaine injection |
88 |
81 |
$19.60 |
| J7050 |
Normal saline solution infus |
93 |
64 |
$3.35 |
| J2405 |
Ondansetron hcl injection |
578 |
477 |
$2.11 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
13 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
224 |
209 |
$0.00 |
| J2360 |
Orphenadrine injection |
30 |
25 |
$0.00 |
| 77063 |
|
124 |
100 |
$0.00 |
| 96376 |
|
54 |
39 |
$0.00 |
| J2550 |
Promethazine hcl injection |
448 |
386 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
903 |
780 |
$0.00 |
| G1004 |
Cdsm ndsc |
116 |
99 |
$0.00 |
| J7040 |
Normal saline solution infus |
42 |
38 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
29 |
29 |
$0.00 |
| G8979 |
Mobility goal status |
28 |
24 |
$0.00 |