| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
14,788 |
12,531 |
$1.05M |
| 99231 |
|
7,320 |
6,451 |
$329K |
| 90853 |
|
36,339 |
5,935 |
$291K |
| 74177 |
|
1,541 |
1,523 |
$234K |
| 99285 |
|
606 |
577 |
$221K |
| 70450 |
|
1,895 |
1,846 |
$215K |
| 96374 |
|
2,471 |
2,265 |
$211K |
| 0681 |
|
38 |
38 |
$205K |
| 99070 |
|
801 |
609 |
$199K |
| 0250 |
|
16,745 |
5,899 |
$199K |
| G0463 |
Hospital outpt clinic visit |
9,960 |
8,304 |
$133K |
| 71260 |
|
818 |
815 |
$129K |
| 71045 |
|
3,412 |
3,205 |
$115K |
| 96365 |
|
1,210 |
1,016 |
$97K |
| 71046 |
|
2,826 |
2,747 |
$81K |
| 96413 |
|
1,379 |
864 |
$80K |
| 85025 |
|
10,669 |
9,671 |
$76K |
| 93308 |
|
782 |
751 |
$74K |
| 84484 |
|
5,011 |
4,541 |
$73K |
| 99199 |
|
754 |
675 |
$72K |
| 96375 |
|
1,862 |
1,598 |
$69K |
| 76705 |
|
1,053 |
1,030 |
$54K |
| 72125 |
|
534 |
527 |
$53K |
| 36415 |
|
5,045 |
4,572 |
$44K |
| 96361 |
|
1,390 |
1,262 |
$43K |
| 80053 |
|
1,709 |
1,603 |
$40K |
| 83690 |
|
2,791 |
2,567 |
$39K |
| 96372 |
|
1,421 |
1,189 |
$37K |
| 96360 |
|
496 |
449 |
$37K |
| 97110 |
|
1,994 |
910 |
$35K |
| 90834 |
|
1,998 |
1,221 |
$31K |
| 90832 |
|
2,584 |
1,948 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
740 |
718 |
$25K |
| 82962 |
|
2,068 |
1,653 |
$24K |
| 71250 |
|
426 |
424 |
$23K |
| 74176 |
|
396 |
393 |
$23K |
| G0480 |
Drug test def 1-7 classes |
720 |
681 |
$21K |
| J3490 |
Drugs unclassified injection |
611 |
377 |
$19K |
| 97530 |
|
919 |
519 |
$19K |
| 83605 |
|
1,308 |
1,213 |
$18K |
| 81003 |
|
3,935 |
3,726 |
$18K |
| 93005 |
|
1,181 |
1,117 |
$18K |
| 90837 |
|
382 |
185 |
$17K |
| 87491 |
|
519 |
504 |
$16K |
| 99283 |
|
377 |
346 |
$16K |
| 87591 |
|
519 |
504 |
$16K |
| 93306 |
|
108 |
108 |
$15K |
| 86703 |
|
1,109 |
1,092 |
$14K |
| 94060 |
|
117 |
117 |
$14K |
| 85027 |
|
2,092 |
1,988 |
$14K |
| 73030 |
|
636 |
613 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,022 |
2,945 |
$13K |
| 80048 |
|
1,243 |
1,148 |
$13K |
| 86803 |
|
1,865 |
1,850 |
$13K |
| 70498 |
|
27 |
26 |
$12K |
| 86900 |
|
544 |
535 |
$11K |
| 84443 |
|
566 |
549 |
$11K |
| 92012 |
|
235 |
191 |
$10K |
| 92553 |
|
199 |
199 |
$10K |
| 73562 |
|
428 |
418 |
$8K |
| 70496 |
|
27 |
26 |
$8K |
| 76770 |
|
125 |
125 |
$8K |
| 73630 |
|
446 |
423 |
$8K |
| 0450 |
|
249 |
214 |
$8K |
| 87502 |
|
487 |
478 |
$7K |
| 87811 |
|
1,738 |
1,625 |
$7K |
| 93971 |
|
87 |
87 |
$6K |
| 73502 |
|
282 |
271 |
$6K |
| 83036 |
|
748 |
734 |
$6K |
| 80061 |
|
396 |
386 |
$6K |
| 87088 |
|
1,717 |
1,647 |
$6K |
| 72148 |
|
85 |
85 |
$6K |
| 85610 |
|
1,569 |
1,543 |
$5K |
| 73564 |
|
176 |
156 |
$5K |
| 96366 |
|
186 |
151 |
$5K |
| 83880 |
|
380 |
369 |
$5K |
| 78452 |
|
12 |
12 |
$5K |
| 73110 |
|
212 |
192 |
$5K |
| 87490 |
|
250 |
234 |
$4K |
| 91200 |
|
108 |
108 |
$4K |
| J7050 |
Normal saline solution infus |
1,687 |
779 |
$4K |
| 86850 |
|
542 |
534 |
$4K |
| 73560 |
|
167 |
158 |
$4K |
| 87590 |
|
250 |
234 |
$4K |
| 72100 |
|
145 |
145 |
$4K |
| 81001 |
|
1,423 |
1,351 |
$4K |
| J7030 |
Normal saline solution infus |
834 |
590 |
$4K |
| 86901 |
|
544 |
535 |
$4K |
| 76604 |
|
147 |
143 |
$3K |
| 99282 |
|
81 |
78 |
$3K |
| 82803 |
|
141 |
127 |
$3K |
| J1815 |
Insulin injection |
76 |
49 |
$3K |
| 73610 |
|
154 |
148 |
$3K |
| 80307 |
|
58 |
44 |
$3K |
| 72170 |
|
163 |
162 |
$3K |
| 96415 |
|
76 |
62 |
$3K |
| G0279 |
Tomosynthesis, mammo |
113 |
112 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
34 |
31 |
$2K |
| 97140 |
|
236 |
116 |
$2K |
| 94640 |
|
149 |
128 |
$2K |
| J7120 |
Ringers lactate infusion |
1,455 |
1,291 |
$2K |
| 81025 |
|
304 |
278 |
$2K |
| 93970 |
|
26 |
25 |
$2K |
| 73130 |
|
115 |
108 |
$2K |
| 88305 |
|
86 |
84 |
$2K |
| 87341 |
|
292 |
291 |
$2K |
| 70551 |
|
13 |
13 |
$2K |
| 86480 |
|
35 |
35 |
$2K |
| 87040 |
|
240 |
231 |
$2K |
| 93017 |
|
96 |
96 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
876 |
817 |
$2K |
| 77066 |
Tomosynthesis, mammo |
53 |
53 |
$1K |
| 84439 |
|
119 |
111 |
$1K |
| 90686 |
|
162 |
161 |
$1K |
| 76700 |
|
25 |
25 |
$1K |
| 86140 |
|
307 |
298 |
$1K |
| 71275 |
|
12 |
12 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
386 |
238 |
$1K |
| 93925 |
|
12 |
12 |
$905.91 |
| 87635 |
|
83 |
82 |
$865.45 |
| 82306 |
|
49 |
49 |
$853.57 |
| 87077 |
|
160 |
159 |
$851.77 |
| 94618 |
|
60 |
60 |
$847.69 |
| 94729 |
|
104 |
104 |
$684.39 |
| 85379 |
|
64 |
63 |
$665.95 |
| 84100 |
|
26 |
24 |
$663.05 |
| 93289 |
|
36 |
36 |
$649.51 |
| 82043 |
|
86 |
86 |
$554.34 |
| 92014 |
|
13 |
13 |
$539.63 |
| 94726 |
|
54 |
54 |
$538.16 |
| 93922 |
|
57 |
56 |
$492.61 |
| A9579 |
Gad-base mr contrast nos,1ml |
246 |
245 |
$480.08 |
| 90471 |
|
103 |
95 |
$473.44 |
| 82274 |
|
27 |
27 |
$439.60 |
| 85652 |
|
161 |
158 |
$422.92 |
| 87186 |
|
177 |
174 |
$381.03 |
| 36593 |
|
13 |
12 |
$378.88 |
| 82565 |
|
80 |
78 |
$358.45 |
| 76642 |
|
14 |
13 |
$337.67 |
| 73590 |
|
27 |
25 |
$320.36 |
| 82040 |
|
26 |
26 |
$319.37 |
| 82607 |
|
64 |
64 |
$270.76 |
| J3535 |
Metered dose inhaler drug |
29 |
29 |
$258.46 |
| J2405 |
Ondansetron hcl injection |
118 |
103 |
$210.46 |
| 73552 |
|
15 |
15 |
$166.47 |
| 73080 |
|
15 |
15 |
$161.46 |
| 87086 |
|
118 |
114 |
$154.83 |
| 82550 |
|
49 |
42 |
$132.33 |
| 86706 |
|
28 |
28 |
$118.75 |
| 82310 |
|
40 |
40 |
$112.34 |
| 82247 |
|
41 |
40 |
$109.93 |
| J0696 |
Ceftriaxone sodium injection |
117 |
101 |
$104.02 |
| 82728 |
|
15 |
13 |
$101.08 |
| 84460 |
|
68 |
68 |
$99.11 |
| 84466 |
|
14 |
14 |
$82.80 |
| 83540 |
|
15 |
15 |
$78.99 |
| 11721 |
|
15 |
15 |
$53.14 |
| 94760 |
|
78 |
52 |
$46.93 |
| G0008 |
Admin influenza virus vac |
71 |
71 |
$36.78 |
| 82947 |
|
44 |
44 |
$23.08 |
| 84145 |
|
12 |
12 |
$22.21 |
| 84295 |
|
40 |
40 |
$8.32 |
| 87081 |
|
44 |
43 |
$5.68 |
| 84075 |
|
36 |
36 |
$5.18 |
| 82374 |
|
38 |
38 |
$4.88 |
| 84520 |
|
39 |
39 |
$3.95 |
| 90688 |
|
29 |
29 |
$0.04 |
| J3475 |
Inj magnesium sulfate |
13 |
13 |
$0.00 |
| 0250R |
|
355 |
272 |
$0.00 |
| G0410 |
Grp psych php/iop 45-50 |
2,420 |
315 |
$0.00 |
| Q0162 |
Ondansetron oral |
82 |
68 |
$0.00 |
| J8540 |
Oral dexamethasone |
15 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
16 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$0.00 |