| Code | Description | Claims | Beneficiaries | Total Paid |
| X4011 |
|
13,283 |
12,417 |
$4.46M |
| 99283 |
|
21,906 |
21,176 |
$3.84M |
| 99285 |
|
14,861 |
14,027 |
$3.48M |
| 85025 |
|
46,548 |
43,278 |
$2.25M |
| 99284 |
|
10,984 |
10,465 |
$2.19M |
| 80053 |
|
36,184 |
34,115 |
$1.35M |
| 80307 |
|
10,391 |
9,661 |
$1.09M |
| 96374 |
|
6,631 |
6,237 |
$891K |
| 0241U |
|
9,027 |
8,790 |
$881K |
| 93005 |
|
15,385 |
14,310 |
$860K |
| 36415 |
|
14,648 |
12,978 |
$618K |
| 81003 |
|
10,166 |
9,643 |
$608K |
| 81001 |
|
11,363 |
10,807 |
$598K |
| 87880 |
|
1,943 |
1,907 |
$557K |
| 87070 |
|
10,306 |
10,129 |
$554K |
| 71046 |
|
5,658 |
5,377 |
$488K |
| Y7506 |
|
2,573 |
1,821 |
$474K |
| 87086 |
|
4,639 |
4,410 |
$464K |
| 87591 |
|
3,001 |
2,891 |
$423K |
| 87491 |
|
2,826 |
2,723 |
$403K |
| 86900 |
|
1,094 |
1,023 |
$370K |
| 86850 |
|
1,134 |
1,064 |
$369K |
| 86901 |
|
1,081 |
1,012 |
$366K |
| 84484 |
|
11,074 |
9,858 |
$342K |
| 80048 |
|
5,074 |
4,753 |
$336K |
| 74177 |
|
1,532 |
1,468 |
$329K |
| 87804 |
|
1,172 |
1,149 |
$307K |
| 83690 |
|
4,891 |
4,655 |
$298K |
| Y7507 |
|
1,527 |
1,410 |
$263K |
| 83721 |
|
4,977 |
4,708 |
$228K |
| 96375 |
|
3,620 |
3,280 |
$196K |
| X4006 |
|
348 |
245 |
$187K |
| 81025 |
|
2,934 |
2,812 |
$181K |
| 76811 |
|
856 |
825 |
$179K |
| 84443 |
|
5,426 |
5,285 |
$178K |
| 82950 |
|
1,294 |
1,242 |
$149K |
| 0202U |
|
369 |
365 |
$141K |
| 70450 |
|
2,175 |
2,035 |
$134K |
| G0463 |
Hospital outpt clinic visit |
2,886 |
2,024 |
$130K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,315 |
4,112 |
$120K |
| 83020 |
|
588 |
558 |
$115K |
| 71045 |
|
3,181 |
2,943 |
$108K |
| 80081 |
|
899 |
879 |
$103K |
| J3490 |
Drugs unclassified injection |
5,399 |
4,035 |
$103K |
| 86803 |
|
1,012 |
990 |
$102K |
| 85027 |
|
738 |
712 |
$89K |
| 82248 |
|
1,154 |
1,101 |
$78K |
| 96365 |
|
725 |
623 |
$76K |
| 74176 |
|
686 |
643 |
$72K |
| 76801 |
|
523 |
485 |
$70K |
| X4003 |
|
1,215 |
676 |
$67K |
| 87807 |
|
143 |
143 |
$62K |
| 76805 |
|
185 |
180 |
$62K |
| 94640 |
|
489 |
435 |
$62K |
| 87502 |
|
273 |
266 |
$60K |
| 87633 |
|
74 |
73 |
$55K |
| 84439 |
|
325 |
313 |
$53K |
| 87801 |
|
557 |
552 |
$52K |
| 87389 |
|
157 |
154 |
$48K |
| 82550 |
|
1,030 |
964 |
$48K |
| 84702 |
|
1,108 |
771 |
$44K |
| 76816 |
|
514 |
504 |
$43K |
| 85610 |
|
856 |
787 |
$38K |
| 87631 |
|
95 |
95 |
$35K |
| 73630 |
|
643 |
568 |
$34K |
| 80061 |
|
2,569 |
2,518 |
$32K |
| 87040 |
|
492 |
454 |
$30K |
| U0005 |
Infec agen detec ampli probe |
2,851 |
2,670 |
$30K |
| 86592 |
|
719 |
712 |
$28K |
| 92507 |
|
481 |
106 |
$27K |
| 87081 |
|
627 |
597 |
$26K |
| G0480 |
Drug test def 1-7 classes |
149 |
135 |
$25K |
| 83036 |
|
407 |
397 |
$23K |
| 85730 |
|
535 |
494 |
$23K |
| 88304 |
|
55 |
55 |
$20K |
| 87077 |
|
643 |
622 |
$19K |
| 99282 |
|
102 |
101 |
$18K |
| 86787 |
|
39 |
38 |
$17K |
| 77067 |
|
173 |
173 |
$17K |
| G0378 |
Hospital observation per hr |
139 |
117 |
$17K |
| 87210 |
|
444 |
434 |
$17K |
| 96372 |
|
450 |
398 |
$17K |
| 66984 |
|
23 |
15 |
$16K |
| 82077 |
|
1,449 |
1,331 |
$15K |
| 83880 |
|
459 |
441 |
$14K |
| 83605 |
|
976 |
879 |
$13K |
| G0472 |
Hep c screen high risk/other |
382 |
371 |
$13K |
| 88142 |
|
134 |
132 |
$9K |
| 83615 |
|
36 |
30 |
$8K |
| 83655 |
|
163 |
153 |
$8K |
| 84550 |
|
33 |
27 |
$7K |
| 88305 |
|
57 |
54 |
$7K |
| 84436 |
|
96 |
94 |
$7K |
| 78452 |
|
12 |
12 |
$7K |
| 77063 |
|
168 |
168 |
$7K |
| 87430 |
|
447 |
441 |
$6K |
| 93017 |
|
27 |
25 |
$6K |
| 87636 |
|
351 |
343 |
$5K |
| 83735 |
|
133 |
114 |
$5K |
| 82306 |
|
175 |
170 |
$4K |
| 80143 |
|
476 |
446 |
$4K |
| 80179 |
|
419 |
394 |
$4K |
| 71275 |
|
27 |
25 |
$4K |
| 82150 |
|
45 |
37 |
$3K |
| G0475 |
Hiv combination assay |
157 |
153 |
$3K |
| 81511 |
|
12 |
12 |
$3K |
| 87635 |
|
59 |
57 |
$2K |
| 96361 |
|
80 |
68 |
$2K |
| 29580 |
|
36 |
25 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
412 |
266 |
$1K |
| 99281 |
|
13 |
13 |
$1K |
| 82607 |
|
100 |
96 |
$969.55 |
| 82803 |
|
52 |
48 |
$959.10 |
| 87184 |
|
118 |
112 |
$956.08 |
| 93306 |
|
12 |
12 |
$915.74 |
| 87205 |
|
65 |
60 |
$897.27 |
| 80074 |
|
25 |
25 |
$878.00 |
| 87075 |
|
52 |
48 |
$816.09 |
| 72125 |
|
13 |
13 |
$762.18 |
| 76856 |
|
24 |
24 |
$702.34 |
| 80050 |
|
95 |
94 |
$696.32 |
| 84100 |
|
18 |
18 |
$679.31 |
| 82805 |
|
12 |
12 |
$578.14 |
| 82570 |
|
117 |
111 |
$460.10 |
| 82043 |
|
99 |
95 |
$410.47 |
| 84156 |
|
76 |
68 |
$400.16 |
| 85379 |
|
57 |
54 |
$357.53 |
| 83970 |
|
13 |
13 |
$321.71 |
| 83550 |
|
37 |
37 |
$288.98 |
| 83540 |
|
38 |
38 |
$219.51 |
| 80069 |
|
30 |
27 |
$154.56 |
| 82375 |
|
13 |
13 |
$123.71 |
| 82105 |
|
86 |
84 |
$107.28 |
| Q9969 |
Non-heu tc-99m add-on/dose |
12 |
12 |
$101.60 |
| 83050 |
|
13 |
13 |
$67.57 |
| 86140 |
|
14 |
14 |
$56.21 |
| 85651 |
|
19 |
19 |
$52.50 |
| 82731 |
|
12 |
12 |
$51.52 |
| 85014 |
|
24 |
24 |
$16.06 |
| 85018 |
|
24 |
24 |
$16.06 |
| 82962 |
|
13 |
13 |
$8.85 |
| J2930 |
Methylprednisolone injection |
14 |
14 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
73 |
67 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
48 |
40 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
27 |
24 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
22 |
14 |
$0.00 |