| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
68,971 |
63,618 |
$11.54M |
| 99285 |
|
36,121 |
32,954 |
$6.38M |
| 99213 |
|
177,443 |
158,070 |
$6.10M |
| 99283 |
|
53,914 |
50,447 |
$5.66M |
| 99212 |
|
68,895 |
58,584 |
$2.05M |
| 87635 |
|
28,580 |
26,108 |
$1.09M |
| 99214 |
|
19,007 |
17,365 |
$991K |
| 87502 |
|
14,468 |
13,100 |
$884K |
| 80053 |
|
97,770 |
84,341 |
$664K |
| 87491 |
|
18,329 |
16,359 |
$543K |
| 85025 |
|
105,933 |
91,198 |
$542K |
| 96374 |
|
24,926 |
20,672 |
$540K |
| 87591 |
|
18,421 |
16,356 |
$536K |
| 93005 |
|
39,439 |
35,778 |
$470K |
| 87389 |
|
22,256 |
19,620 |
$414K |
| 99282 |
|
5,441 |
4,986 |
$395K |
| 93306 |
|
2,184 |
2,066 |
$392K |
| 97110 |
|
15,751 |
4,157 |
$389K |
| 71045 |
|
21,955 |
19,972 |
$349K |
| 80307 |
|
7,570 |
6,846 |
$347K |
| 76819 |
|
8,165 |
5,856 |
$299K |
| 81514 |
|
2,457 |
2,057 |
$281K |
| 96375 |
|
16,554 |
13,138 |
$276K |
| 74176 |
|
1,801 |
1,626 |
$274K |
| 70450 |
|
3,381 |
3,059 |
$245K |
| 36415 |
|
115,559 |
97,094 |
$244K |
| 59025 |
|
2,714 |
2,253 |
$229K |
| 99215 |
Prolong outpt/office vis |
4,396 |
4,087 |
$229K |
| 96361 |
|
18,130 |
13,633 |
$229K |
| 83880 |
|
10,061 |
9,180 |
$228K |
| 76816 |
|
6,950 |
6,337 |
$223K |
| 96372 |
|
19,051 |
16,055 |
$199K |
| 80074 |
|
5,843 |
5,164 |
$189K |
| 81025 |
|
29,272 |
26,532 |
$184K |
| 87481 |
|
2,818 |
2,444 |
$170K |
| 84484 |
|
22,429 |
17,773 |
$165K |
| 93303 |
|
1,039 |
927 |
$164K |
| 86803 |
|
14,796 |
13,220 |
$158K |
| 99211 |
|
6,840 |
5,503 |
$156K |
| 92507 |
|
5,050 |
1,724 |
$148K |
| 80050 |
|
3,464 |
3,059 |
$127K |
| 88175 |
|
6,021 |
5,448 |
$124K |
| 99291 |
|
199 |
192 |
$122K |
| 87801 |
|
2,636 |
2,439 |
$119K |
| 76805 |
|
2,150 |
2,031 |
$116K |
| 80061 |
|
11,917 |
10,654 |
$110K |
| M0243 |
Casirivi and imdevi inj |
493 |
309 |
$110K |
| G0480 |
Drug test def 1-7 classes |
2,667 |
2,170 |
$109K |
| 96365 |
|
3,786 |
2,851 |
$103K |
| 86703 |
|
9,538 |
8,760 |
$96K |
| 96413 |
|
1,629 |
957 |
$94K |
| 71046 |
|
4,421 |
4,110 |
$90K |
| G0378 |
Hospital observation per hr |
640 |
305 |
$86K |
| 83036 |
|
12,613 |
11,252 |
$83K |
| 93320 |
|
1,047 |
927 |
$80K |
| 74177 |
|
398 |
343 |
$79K |
| 93325 |
|
1,065 |
948 |
$74K |
| 81000 |
|
26,871 |
24,113 |
$72K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,946 |
1,740 |
$72K |
| 43239 |
|
310 |
266 |
$71K |
| 87661 |
|
2,684 |
2,445 |
$68K |
| 87624 |
|
2,369 |
2,169 |
$67K |
| 83690 |
|
12,937 |
11,660 |
$63K |
| 76801 |
|
1,192 |
1,097 |
$60K |
| 87651 |
|
2,028 |
1,833 |
$59K |
| 84443 |
|
4,846 |
4,225 |
$58K |
| J1050 |
Medroxyprogesterone acetate |
1,308 |
1,199 |
$58K |
| 95819 |
|
530 |
503 |
$55K |
| 86003 |
|
1,016 |
466 |
$51K |
| U0003 |
Cov-19 amp prb hgh thruput |
687 |
586 |
$47K |
| 86592 |
|
11,755 |
10,564 |
$42K |
| 99203 |
|
1,171 |
1,127 |
$41K |
| 0001A |
|
1,145 |
1,127 |
$36K |
| 87086 |
|
5,283 |
4,677 |
$34K |
| 81003 |
|
20,902 |
18,659 |
$34K |
| J3490 |
Drugs unclassified injection |
3,042 |
2,237 |
$33K |
| 97530 |
|
1,231 |
482 |
$29K |
| 0002A |
|
872 |
819 |
$28K |
| 69436 |
|
104 |
76 |
$25K |
| 87480 |
|
1,263 |
1,109 |
$24K |
| 87660 |
|
1,263 |
1,109 |
$24K |
| 87510 |
|
1,263 |
1,109 |
$24K |
| G0108 |
Diab manage trn per indiv |
876 |
732 |
$24K |
| 84439 |
|
3,469 |
2,813 |
$23K |
| 76856 |
|
728 |
679 |
$23K |
| 82728 |
|
2,578 |
2,326 |
$22K |
| 96360 |
|
1,026 |
749 |
$22K |
| 74018 |
|
841 |
714 |
$20K |
| 87634 |
|
316 |
287 |
$20K |
| 76830 |
|
489 |
460 |
$19K |
| 87081 |
|
2,905 |
2,678 |
$19K |
| 73630 |
|
951 |
843 |
$18K |
| 84466 |
|
2,319 |
2,106 |
$17K |
| 19318 |
|
25 |
25 |
$17K |
| 99281 |
|
228 |
219 |
$16K |
| 84481 |
|
1,794 |
1,426 |
$16K |
| 86762 |
|
1,318 |
1,146 |
$15K |
| J2405 |
Ondansetron hcl injection |
11,948 |
10,439 |
$15K |
| 83516 |
|
1,539 |
473 |
$14K |
| J1756 |
Iron sucrose injection |
304 |
92 |
$14K |
| 92134 |
|
810 |
715 |
$14K |
| 45380 |
|
42 |
37 |
$13K |
| 84702 |
|
958 |
799 |
$12K |
| 90715 |
|
770 |
686 |
$11K |
| 80197 |
|
1,306 |
752 |
$11K |
| 76770 |
|
227 |
212 |
$11K |
| 20610 |
|
179 |
134 |
$11K |
| 73564 |
|
460 |
417 |
$10K |
| 86140 |
|
3,260 |
2,926 |
$10K |
| 87880 |
|
659 |
625 |
$9K |
| 64721 |
|
35 |
30 |
$9K |
| 86850 |
|
1,692 |
1,468 |
$9K |
| U0005 |
Infec agen detec ampli probe |
475 |
373 |
$9K |
| 95004 |
|
31 |
31 |
$9K |
| 77067 |
|
212 |
202 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
5,259 |
4,747 |
$9K |
| 83540 |
|
2,339 |
2,119 |
$9K |
| 87340 |
|
871 |
794 |
$8K |
| 51798 |
|
158 |
122 |
$8K |
| 96367 |
|
467 |
266 |
$7K |
| 87400 |
|
1,028 |
511 |
$7K |
| 82550 |
|
1,801 |
1,656 |
$7K |
| 83655 |
|
590 |
557 |
$7K |
| 62323 |
|
24 |
24 |
$7K |
| 31575 |
|
13 |
13 |
$6K |
| 86593 |
|
1,575 |
1,373 |
$6K |
| J2469 |
Palonosetron hcl |
159 |
96 |
$6K |
| 99204 |
|
97 |
96 |
$6K |
| 64483 |
|
46 |
40 |
$5K |
| J2270 |
Morphine sulfate injection |
3,930 |
3,421 |
$5K |
| 95816 |
|
41 |
39 |
$5K |
| 20611 |
|
16 |
13 |
$5K |
| 83021 |
|
297 |
271 |
$5K |
| 87653 |
|
129 |
125 |
$4K |
| 82962 |
|
1,947 |
1,738 |
$4K |
| 86900 |
|
1,678 |
1,456 |
$4K |
| 86901 |
|
1,732 |
1,455 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
12 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
117 |
106 |
$4K |
| J1030 |
Methylprednisolone 40 mg inj |
842 |
772 |
$4K |
| 85610 |
|
1,674 |
1,429 |
$4K |
| 80055 |
|
198 |
174 |
$4K |
| 74019 |
|
157 |
143 |
$4K |
| 93017 |
|
91 |
86 |
$4K |
| 83735 |
|
868 |
752 |
$4K |
| 90686 |
|
601 |
537 |
$4K |
| 82950 |
|
787 |
739 |
$4K |
| 85027 |
|
699 |
642 |
$4K |
| 73030 |
|
179 |
163 |
$4K |
| 83020 |
|
327 |
273 |
$3K |
| 93296 |
|
683 |
586 |
$3K |
| 73130 |
|
194 |
176 |
$3K |
| 86300 |
|
181 |
171 |
$3K |
| 80048 |
|
481 |
428 |
$3K |
| 82378 |
|
205 |
194 |
$3K |
| 87804 |
|
206 |
95 |
$3K |
| 45385 |
|
23 |
13 |
$3K |
| 83605 |
|
449 |
378 |
$3K |
| 76705 |
|
127 |
115 |
$3K |
| 82570 |
|
827 |
745 |
$3K |
| 95806 |
|
28 |
26 |
$3K |
| 77336 |
|
61 |
24 |
$3K |
| J7120 |
Ringers lactate infusion |
5,251 |
4,298 |
$3K |
| 87210 |
|
574 |
492 |
$3K |
| 83615 |
|
791 |
697 |
$3K |
| 82306 |
|
131 |
110 |
$3K |
| 76817 |
|
65 |
62 |
$2K |
| 96376 |
|
198 |
132 |
$2K |
| 86696 |
|
143 |
132 |
$2K |
| 85652 |
|
1,647 |
1,484 |
$2K |
| 96417 |
|
173 |
107 |
$2K |
| G0463 |
Hospital outpt clinic visit |
11,337 |
8,071 |
$2K |
| J3010 |
Fentanyl citrate injection |
4,040 |
3,459 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
2,411 |
1,480 |
$2K |
| 94761 |
|
258 |
210 |
$2K |
| 82043 |
|
404 |
381 |
$2K |
| 82784 |
|
294 |
225 |
$2K |
| 83993 |
|
121 |
110 |
$2K |
| 77063 |
|
198 |
190 |
$2K |
| 76820 |
|
56 |
40 |
$2K |
| J7030 |
Normal saline solution infus |
1,500 |
1,342 |
$2K |
| 72082 |
|
26 |
26 |
$2K |
| 97802 |
|
168 |
156 |
$2K |
| 80076 |
|
234 |
220 |
$2K |
| 86364 |
|
348 |
136 |
$2K |
| 82607 |
|
180 |
151 |
$2K |
| 86769 |
|
100 |
31 |
$2K |
| 86695 |
|
143 |
132 |
$2K |
| 97803 |
|
259 |
244 |
$2K |
| 88305 |
|
1,976 |
1,194 |
$2K |
| 72100 |
|
61 |
55 |
$2K |
| 85018 |
|
659 |
626 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
3,767 |
3,146 |
$2K |
| 97161 |
|
28 |
27 |
$2K |
| 92567 |
|
151 |
131 |
$2K |
| 73562 |
|
69 |
64 |
$1K |
| 80069 |
|
381 |
346 |
$1K |
| 96415 |
|
60 |
37 |
$1K |
| 82785 |
|
113 |
96 |
$1K |
| 99152 |
|
347 |
275 |
$1K |
| J1100 |
Dexamethasone sodium phos |
729 |
578 |
$1K |
| 85730 |
|
357 |
308 |
$1K |
| 83525 |
|
116 |
103 |
$1K |
| 0031A |
|
76 |
65 |
$1K |
| 94010 |
|
39 |
39 |
$1K |
| 78452 |
|
13 |
13 |
$1K |
| 90661 |
|
169 |
160 |
$1K |
| 82542 |
|
61 |
42 |
$1K |
| 80179 |
|
86 |
85 |
$995.68 |
| 11721 |
|
215 |
183 |
$982.83 |
| 80177 |
|
87 |
83 |
$979.71 |
| 80320 |
|
87 |
66 |
$971.12 |
| 81002 |
|
364 |
317 |
$922.87 |
| 94060 |
|
24 |
24 |
$916.90 |
| 85651 |
|
390 |
351 |
$906.81 |
| 82105 |
|
106 |
94 |
$882.14 |
| J3301 |
Triamcinolone acet inj nos |
235 |
214 |
$879.37 |
| 85660 |
|
191 |
158 |
$832.01 |
| 83970 |
|
40 |
36 |
$795.50 |
| 90834 |
|
64 |
40 |
$781.34 |
| 82746 |
|
88 |
80 |
$748.58 |
| 84156 |
|
394 |
353 |
$714.25 |
| J1010 |
Inj, methylpred acetate 1 mg |
202 |
164 |
$688.58 |
| 27096 |
|
15 |
13 |
$683.86 |
| 87040 |
|
104 |
53 |
$635.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
945 |
808 |
$616.40 |
| 36000 |
|
36 |
25 |
$579.82 |
| 87807 |
|
48 |
42 |
$544.51 |
| 87522 |
Neg quan hep c or qual rna |
17 |
13 |
$521.39 |
| 86160 |
|
78 |
39 |
$482.40 |
| 73610 |
|
27 |
25 |
$478.55 |
| 94640 |
|
20 |
15 |
$455.08 |
| 69210 |
|
14 |
13 |
$453.45 |
| J0696 |
Ceftriaxone sodium injection |
99 |
92 |
$428.90 |
| 82150 |
|
75 |
67 |
$381.48 |
| 99415 |
Prolong outpt/office vis |
554 |
302 |
$372.61 |
| 90656 |
|
90 |
77 |
$370.91 |
| J2930 |
Methylprednisolone injection |
188 |
124 |
$319.75 |
| 76815 |
|
27 |
27 |
$318.64 |
| 96366 |
|
26 |
12 |
$316.36 |
| 96161 |
|
35 |
31 |
$302.44 |
| 95886 |
|
25 |
24 |
$301.26 |
| 85379 |
|
49 |
40 |
$299.79 |
| 93880 |
|
14 |
13 |
$293.89 |
| 84100 |
|
98 |
74 |
$269.76 |
| 81001 |
|
62 |
61 |
$263.64 |
| 82948 |
|
134 |
112 |
$250.07 |
| J1200 |
Diphenhydramine hcl injectio |
324 |
221 |
$244.56 |
| 84146 |
|
15 |
12 |
$236.05 |
| 86225 |
|
32 |
26 |
$231.90 |
| 83001 |
|
20 |
14 |
$226.12 |
| 84153 |
|
17 |
13 |
$223.63 |
| 85045 |
|
103 |
94 |
$202.10 |
| 94729 |
|
31 |
26 |
$193.76 |
| 86038 |
|
25 |
24 |
$178.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,644 |
1,436 |
$175.54 |
| J2704 |
Inj, propofol, 10 mg |
4,017 |
3,319 |
$155.03 |
| J2550 |
Promethazine hcl injection |
169 |
146 |
$147.89 |
| 86706 |
|
29 |
25 |
$146.22 |
| J1170 |
Hydromorphone injection |
84 |
77 |
$140.24 |
| A9585 |
Gadobutrol injection |
29 |
27 |
$135.38 |
| 99416 |
Prolong outpt/office vis |
210 |
143 |
$130.10 |
| J1040 |
Methylprednisolone 80 mg inj |
29 |
27 |
$128.96 |
| 87338 |
|
17 |
17 |
$111.62 |
| 84480 |
|
16 |
14 |
$110.97 |
| 87088 |
|
15 |
13 |
$106.77 |
| 83010 |
|
14 |
13 |
$104.68 |
| 96127 |
|
37 |
31 |
$104.66 |
| 0352U |
|
21 |
17 |
$86.73 |
| 82977 |
|
19 |
12 |
$80.34 |
| 87147 |
|
16 |
12 |
$60.93 |
| J7050 |
Normal saline solution infus |
41 |
24 |
$59.82 |
| Q0111 |
Wet mounts/ w preparations |
57 |
49 |
$55.07 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
13 |
$38.74 |
| J0690 |
Cefazolin sodium injection |
247 |
199 |
$35.89 |
| 90480 |
|
16 |
13 |
$28.13 |
| 94726 |
|
12 |
12 |
$25.90 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
12 |
$1.99 |
| 00813 |
|
57 |
55 |
$0.00 |
| J2001 |
Lidocaine injection |
35 |
28 |
$0.00 |
| 82657 |
|
13 |
13 |
$0.00 |
| 91303 |
|
65 |
64 |
$0.00 |
| 00126 |
|
14 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
628 |
626 |
$0.00 |
| 91300 |
|
1,876 |
1,674 |
$0.00 |
| 01810 |
|
40 |
35 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
311 |
268 |
$0.00 |
| 00402 |
|
25 |
25 |
$0.00 |