| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
7,776 |
6,163 |
$889K |
| 99283 |
|
6,088 |
4,896 |
$871K |
| 99213 |
|
19,587 |
16,012 |
$562K |
| 99285 |
|
4,292 |
3,307 |
$547K |
| 96361 |
|
1,680 |
1,151 |
$522K |
| 99214 |
|
13,011 |
9,354 |
$470K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,185 |
2,659 |
$257K |
| 90837 |
|
2,489 |
1,086 |
$216K |
| 99282 |
|
1,897 |
1,554 |
$213K |
| 97112 |
|
8,399 |
3,405 |
$171K |
| 74177 |
|
796 |
628 |
$170K |
| 0241U |
|
4,498 |
3,821 |
$162K |
| 96365 |
|
1,049 |
689 |
$137K |
| 96413 |
|
1,057 |
649 |
$106K |
| 87651 |
|
3,758 |
3,266 |
$105K |
| 80053 |
|
5,859 |
4,550 |
$105K |
| 97110 |
|
5,171 |
2,146 |
$79K |
| 97140 |
|
5,604 |
2,213 |
$79K |
| J0585 |
Injection,onabotulinumtoxina |
209 |
119 |
$73K |
| 93306 |
|
226 |
204 |
$57K |
| 80048 |
|
6,819 |
5,284 |
$53K |
| 85025 |
|
11,866 |
8,815 |
$52K |
| 71046 |
|
4,024 |
2,757 |
$52K |
| 90834 |
|
1,364 |
490 |
$51K |
| 97530 |
|
1,904 |
945 |
$45K |
| 87491 |
|
1,462 |
1,241 |
$43K |
| 73630 |
|
1,802 |
1,086 |
$43K |
| 87591 |
|
1,462 |
1,241 |
$42K |
| 84443 |
|
3,377 |
2,827 |
$37K |
| 87880 |
|
2,755 |
2,387 |
$37K |
| 97162 |
|
999 |
887 |
$32K |
| 82306 |
|
1,379 |
1,169 |
$29K |
| 80061 |
|
2,741 |
2,327 |
$27K |
| 70450 |
|
157 |
127 |
$27K |
| 93010 |
|
5,971 |
4,882 |
$27K |
| 95886 |
|
609 |
205 |
$25K |
| 95913 |
|
62 |
38 |
$24K |
| 87426 |
|
1,098 |
915 |
$22K |
| 99391 |
|
455 |
394 |
$22K |
| 36415 |
|
13,858 |
10,844 |
$21K |
| 71260 |
|
85 |
65 |
$20K |
| 45385 |
|
37 |
26 |
$20K |
| 87086 |
|
2,749 |
2,231 |
$19K |
| 93005 |
|
3,688 |
2,966 |
$17K |
| 81025 |
|
2,257 |
1,833 |
$17K |
| U0005 |
Infec agen detec ampli probe |
1,507 |
1,249 |
$17K |
| 80306 |
|
1,117 |
914 |
$16K |
| 87081 |
|
1,939 |
1,660 |
$16K |
| G2025 |
Dis site tele svcs rhc/fqhc |
852 |
611 |
$15K |
| 87804 |
|
1,045 |
444 |
$14K |
| 81001 |
|
5,141 |
4,138 |
$13K |
| 73562 |
|
591 |
406 |
$13K |
| 77067 |
|
511 |
459 |
$13K |
| 83036 |
|
1,945 |
1,681 |
$12K |
| 84484 |
|
1,810 |
1,224 |
$11K |
| 90471 |
|
739 |
686 |
$11K |
| 85610 |
|
4,125 |
2,577 |
$11K |
| 88305 |
|
1,794 |
1,008 |
$9K |
| 99203 |
|
333 |
291 |
$9K |
| 96360 |
|
42 |
36 |
$8K |
| 71045 |
|
1,033 |
741 |
$8K |
| 86803 |
|
806 |
689 |
$8K |
| 86140 |
|
2,429 |
1,941 |
$8K |
| 82565 |
|
1,791 |
1,453 |
$8K |
| 99215 |
Prolong outpt/office vis |
270 |
170 |
$7K |
| 96374 |
|
1,999 |
1,676 |
$7K |
| 86703 |
|
608 |
511 |
$6K |
| 97035 |
|
708 |
325 |
$6K |
| 99441 |
|
194 |
185 |
$6K |
| 99281 |
|
75 |
66 |
$6K |
| 76856 |
|
46 |
38 |
$6K |
| 90686 |
|
770 |
728 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
230 |
221 |
$5K |
| 74176 |
|
14 |
13 |
$5K |
| 84460 |
|
1,637 |
1,365 |
$5K |
| 73030 |
|
242 |
158 |
$5K |
| 83690 |
|
1,045 |
846 |
$5K |
| 87186 |
|
815 |
636 |
$5K |
| 36416 |
|
2,952 |
2,117 |
$4K |
| 72100 |
|
216 |
144 |
$4K |
| 86850 |
|
1,024 |
824 |
$4K |
| 87210 |
|
685 |
554 |
$4K |
| 86780 |
|
470 |
390 |
$4K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
189 |
157 |
$4K |
| 82607 |
|
393 |
326 |
$4K |
| 76705 |
|
75 |
64 |
$4K |
| 93976 |
|
36 |
29 |
$4K |
| 73610 |
|
242 |
159 |
$4K |
| 76830 |
|
45 |
36 |
$4K |
| 96372 |
|
1,215 |
867 |
$4K |
| 96367 |
|
17 |
12 |
$3K |
| V5266 |
Battery for hearing device |
335 |
297 |
$3K |
| 86618 |
|
187 |
131 |
$3K |
| 84450 |
|
956 |
787 |
$3K |
| 83735 |
|
1,008 |
656 |
$3K |
| 83605 |
|
505 |
371 |
$3K |
| 87635 |
|
63 |
47 |
$3K |
| 99212 |
|
262 |
176 |
$3K |
| 99204 |
|
280 |
243 |
$2K |
| 73130 |
|
77 |
43 |
$2K |
| 99392 |
|
45 |
41 |
$2K |
| 82248 |
|
812 |
677 |
$2K |
| 94640 |
|
35 |
24 |
$2K |
| 83655 |
|
195 |
175 |
$2K |
| 87624 |
|
82 |
74 |
$2K |
| 20553 |
|
35 |
27 |
$2K |
| 96375 |
|
1,834 |
1,393 |
$2K |
| 82948 |
|
1,087 |
504 |
$2K |
| 87077 |
|
355 |
265 |
$2K |
| 82728 |
|
184 |
154 |
$2K |
| 85652 |
|
1,168 |
966 |
$2K |
| 85027 |
|
483 |
389 |
$2K |
| 80050 |
|
137 |
117 |
$2K |
| 76801 |
|
18 |
12 |
$1K |
| 83880 |
|
115 |
92 |
$1K |
| 82077 |
|
156 |
123 |
$1K |
| 77063 |
|
104 |
86 |
$1K |
| L4361 |
Pneuma/vac walk boot pre ots |
16 |
13 |
$1K |
| 85018 |
|
565 |
462 |
$1K |
| 0011A |
|
49 |
48 |
$1K |
| 71250 |
|
40 |
27 |
$1K |
| 0012A |
|
44 |
42 |
$1K |
| 99393 |
|
15 |
13 |
$1K |
| 99394 |
|
12 |
12 |
$1K |
| 87340 |
|
141 |
112 |
$986.48 |
| 90472 |
|
48 |
46 |
$964.75 |
| 73110 |
|
31 |
24 |
$941.12 |
| 97535 |
|
152 |
96 |
$900.06 |
| 72125 |
|
14 |
13 |
$861.06 |
| J3490 |
Drugs unclassified injection |
244 |
92 |
$807.28 |
| 72040 |
|
12 |
12 |
$784.40 |
| 99211 |
|
30 |
26 |
$768.57 |
| 86900 |
|
358 |
295 |
$743.78 |
| 86901 |
|
358 |
295 |
$716.69 |
| G0480 |
Drug test def 1-7 classes |
19 |
13 |
$709.75 |
| 84702 |
|
24 |
12 |
$679.06 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,047 |
2,445 |
$581.49 |
| 83550 |
|
87 |
80 |
$568.89 |
| 83540 |
|
104 |
96 |
$510.26 |
| 84439 |
|
63 |
55 |
$476.72 |
| 90670 |
|
151 |
140 |
$443.54 |
| 87040 |
|
112 |
50 |
$402.88 |
| 82570 |
|
121 |
81 |
$401.25 |
| 97163 |
|
29 |
24 |
$382.36 |
| 92567 |
|
25 |
24 |
$371.81 |
| J2704 |
Inj, propofol, 10 mg |
2,876 |
1,437 |
$370.96 |
| 90723 |
|
113 |
107 |
$347.55 |
| J7050 |
Normal saline solution infus |
3,533 |
1,667 |
$297.69 |
| 80076 |
|
44 |
37 |
$293.64 |
| 84156 |
|
117 |
80 |
$291.83 |
| 99442 |
|
17 |
15 |
$275.52 |
| 90685 |
|
87 |
82 |
$268.11 |
| 87389 |
|
13 |
12 |
$248.80 |
| 92593 |
|
16 |
12 |
$245.67 |
| 82043 |
|
40 |
37 |
$173.13 |
| 64405 |
|
25 |
14 |
$157.50 |
| 90647 |
|
54 |
49 |
$145.64 |
| 84145 |
|
32 |
24 |
$142.85 |
| J2001 |
Lidocaine injection |
1,289 |
1,044 |
$119.07 |
| J7040 |
Normal saline solution infus |
2,115 |
1,373 |
$107.96 |
| J3010 |
Fentanyl citrate injection |
2,197 |
1,709 |
$97.41 |
| J7030 |
Normal saline solution infus |
2,871 |
1,991 |
$96.84 |
| 85379 |
|
15 |
12 |
$94.68 |
| J7120 |
Ringers lactate infusion |
1,823 |
1,440 |
$93.49 |
| 93793 |
|
206 |
131 |
$85.25 |
| J2250 |
Inj midazolam hydrochloride |
1,942 |
1,536 |
$85.08 |
| J1642 |
Inj heparin sodium per 10 u |
332 |
187 |
$81.50 |
| 98960 |
|
15 |
12 |
$80.77 |
| J1885 |
Ketorolac tromethamine inj |
1,496 |
1,178 |
$61.05 |
| 99000 |
|
25 |
13 |
$55.52 |
| J1100 |
Dexamethasone sodium phos |
1,606 |
1,266 |
$33.17 |
| J2405 |
Ondansetron hcl injection |
1,643 |
1,284 |
$29.03 |
| J1170 |
Hydromorphone injection |
334 |
247 |
$28.01 |
| 96376 |
|
36 |
24 |
$18.55 |
| J1030 |
Methylprednisolone 40 mg inj |
82 |
62 |
$12.84 |
| J0690 |
Cefazolin sodium injection |
246 |
182 |
$11.01 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
649 |
288 |
$4.16 |
| Q0162 |
Ondansetron oral |
87 |
60 |
$0.00 |
| A9270 |
Non-covered item or service |
496 |
168 |
$0.00 |
| 36591 |
|
16 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
22 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
97 |
94 |
$0.00 |
| 91301 |
|
128 |
122 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
50 |
45 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
61 |
39 |
$0.00 |
| 90662 |
|
19 |
18 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
17 |
12 |
$0.00 |
| 99152 |
|
16 |
13 |
$0.00 |