| Code | Description | Claims | Beneficiaries | Total Paid |
| X4011 |
|
72,141 |
69,961 |
$20.83M |
| Y7506 |
|
21,557 |
19,556 |
$9.56M |
| 99285 |
|
22,058 |
21,590 |
$8.44M |
| 99284 |
|
28,361 |
27,840 |
$7.74M |
| G0463 |
Hospital outpt clinic visit |
82,772 |
77,954 |
$6.92M |
| 85025 |
|
128,884 |
121,815 |
$6.86M |
| 80053 |
|
125,914 |
118,950 |
$6.61M |
| 99283 |
|
33,836 |
33,302 |
$6.51M |
| 81001 |
|
87,836 |
85,417 |
$5.75M |
| 93005 |
|
35,481 |
33,961 |
$2.32M |
| X4006 |
|
1,239 |
1,127 |
$2.05M |
| 96374 |
|
13,504 |
13,227 |
$1.88M |
| G0480 |
Drug test def 1-7 classes |
17,570 |
16,679 |
$1.76M |
| X4003 |
|
15,904 |
12,314 |
$1.57M |
| 80306 |
|
24,167 |
23,316 |
$1.50M |
| D7999 |
|
726 |
725 |
$1.36M |
| 92507 |
|
8,372 |
2,720 |
$1.24M |
| 71045 |
|
19,525 |
18,885 |
$1.22M |
| 83690 |
|
32,597 |
31,707 |
$1.15M |
| 87880 |
|
6,949 |
6,872 |
$1.09M |
| 87637 |
|
8,604 |
8,515 |
$1.04M |
| 71046 |
|
7,176 |
7,060 |
$996K |
| 99213 |
|
7,981 |
7,918 |
$789K |
| 99214 |
|
5,819 |
5,777 |
$772K |
| 99212 |
|
11,542 |
11,415 |
$744K |
| J3490 |
Drugs unclassified injection |
40,345 |
35,664 |
$677K |
| 81003 |
|
10,686 |
7,851 |
$676K |
| 87081 |
|
16,039 |
15,939 |
$631K |
| X4014 |
|
1,066 |
1,037 |
$560K |
| 84484 |
|
15,877 |
14,506 |
$518K |
| 82044 |
|
2,514 |
2,310 |
$512K |
| 97530 |
|
4,167 |
1,587 |
$499K |
| G0378 |
Hospital observation per hr |
800 |
774 |
$469K |
| 81025 |
|
11,736 |
11,495 |
$459K |
| 99282 |
|
4,097 |
4,046 |
$434K |
| 96375 |
|
9,359 |
8,567 |
$410K |
| 76816 |
|
3,833 |
3,487 |
$395K |
| Y7507 |
|
1,809 |
872 |
$375K |
| 87804 |
|
1,839 |
1,815 |
$357K |
| 76819 |
|
3,297 |
1,779 |
$336K |
| 96365 |
|
2,041 |
1,948 |
$301K |
| 96413 |
|
1,888 |
1,077 |
$297K |
| 87086 |
|
7,067 |
7,008 |
$222K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,474 |
8,227 |
$212K |
| 43239 |
|
445 |
438 |
$196K |
| 74177 |
|
767 |
743 |
$193K |
| 77386 |
|
493 |
41 |
$176K |
| 88305 |
|
2,476 |
2,414 |
$170K |
| 69436 |
|
119 |
118 |
$166K |
| 94640 |
|
728 |
607 |
$145K |
| 76811 |
|
1,362 |
1,300 |
$143K |
| 84702 |
|
640 |
616 |
$114K |
| 77336 |
|
1,090 |
504 |
$111K |
| 99281 |
|
1,630 |
1,611 |
$104K |
| 83735 |
|
9,707 |
9,256 |
$101K |
| 70450 |
|
1,132 |
1,096 |
$99K |
| 87635 |
|
2,219 |
2,198 |
$94K |
| 36591 |
|
1,565 |
878 |
$83K |
| 97110 |
|
979 |
274 |
$82K |
| 76815 |
|
390 |
230 |
$82K |
| 0241U |
|
561 |
560 |
$67K |
| 74019 |
|
934 |
932 |
$64K |
| 42820 |
|
24 |
24 |
$62K |
| 85610 |
|
1,559 |
1,448 |
$62K |
| 84443 |
|
3,364 |
3,305 |
$60K |
| 93306 |
|
243 |
243 |
$60K |
| 86140 |
|
2,137 |
2,086 |
$56K |
| 80048 |
|
732 |
572 |
$46K |
| 87428 |
|
2,032 |
2,024 |
$40K |
| 87426 |
|
3,187 |
3,142 |
$37K |
| 41899 |
|
224 |
222 |
$34K |
| 87807 |
|
527 |
525 |
$34K |
| 87205 |
|
475 |
461 |
$34K |
| D9420 |
|
143 |
143 |
$30K |
| 87502 |
|
119 |
117 |
$30K |
| 77334 |
|
87 |
70 |
$29K |
| 64483 |
|
55 |
55 |
$27K |
| 96372 |
|
480 |
465 |
$26K |
| 85027 |
|
323 |
286 |
$21K |
| 76820 |
|
105 |
57 |
$21K |
| 87808 |
|
81 |
80 |
$20K |
| 80061 |
|
1,089 |
1,060 |
$19K |
| 99211 |
|
88 |
59 |
$19K |
| 85730 |
|
497 |
455 |
$18K |
| 87653 |
|
38 |
38 |
$18K |
| 77300 |
|
82 |
75 |
$17K |
| 83880 |
|
554 |
515 |
$14K |
| 80307 |
|
205 |
191 |
$13K |
| 78452 |
|
39 |
37 |
$12K |
| 74018 |
|
178 |
175 |
$12K |
| 93017 |
|
51 |
48 |
$12K |
| 88342 |
|
119 |
118 |
$11K |
| 70551 |
|
185 |
181 |
$11K |
| 80081 |
|
70 |
68 |
$10K |
| 87491 |
|
41 |
40 |
$9K |
| 87591 |
|
41 |
40 |
$9K |
| 95819 |
|
37 |
37 |
$9K |
| 86003 |
|
197 |
195 |
$8K |
| 87077 |
|
973 |
961 |
$8K |
| 76817 |
|
107 |
102 |
$8K |
| 87040 |
|
108 |
102 |
$7K |
| 71260 |
|
69 |
66 |
$7K |
| 82306 |
|
270 |
270 |
$7K |
| 86803 |
|
53 |
52 |
$6K |
| A4641 |
Radiopharm dx agent noc |
859 |
765 |
$5K |
| 71275 |
|
41 |
40 |
$5K |
| 76805 |
|
32 |
32 |
$5K |
| A9500 |
Tc99m sestamibi |
69 |
66 |
$5K |
| 64615 |
|
40 |
40 |
$4K |
| 93296 |
|
244 |
243 |
$4K |
| 84112 |
|
13 |
13 |
$4K |
| 87801 |
|
51 |
51 |
$4K |
| 87634 |
|
14 |
14 |
$4K |
| 76642 |
|
43 |
30 |
$3K |
| 00170 |
|
31 |
31 |
$3K |
| 97760 |
|
51 |
50 |
$3K |
| 80050 |
|
12 |
12 |
$3K |
| 82805 |
|
61 |
49 |
$3K |
| G0483 |
Drug test def 22+ classes |
26 |
25 |
$3K |
| 76821 |
|
25 |
12 |
$3K |
| 83036 |
|
304 |
296 |
$3K |
| 86920 |
|
16 |
15 |
$2K |
| 90791 |
|
27 |
27 |
$2K |
| 84439 |
|
196 |
196 |
$2K |
| 83605 |
|
241 |
228 |
$2K |
| A9577 |
Inj multihance |
251 |
222 |
$2K |
| 97597 |
|
58 |
42 |
$2K |
| 82947 |
|
474 |
458 |
$2K |
| 85652 |
|
298 |
292 |
$2K |
| 74176 |
|
16 |
14 |
$2K |
| 99232 |
|
29 |
12 |
$2K |
| 90792 |
|
12 |
12 |
$2K |
| 71250 |
|
17 |
15 |
$1K |
| D2930 |
|
15 |
15 |
$1K |
| 99238 |
|
25 |
24 |
$1K |
| A9552 |
F18 fdg |
13 |
12 |
$1K |
| 84145 |
|
61 |
56 |
$1K |
| 96367 |
|
38 |
25 |
$1K |
| 84703 |
|
198 |
195 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| A0425 |
Ground mileage |
44 |
41 |
$1K |
| 77072 |
|
12 |
12 |
$1K |
| 85379 |
|
124 |
120 |
$874.49 |
| 82728 |
|
45 |
44 |
$759.55 |
| 87420 |
|
62 |
62 |
$756.23 |
| 86592 |
|
45 |
45 |
$744.97 |
| J3010 |
Fentanyl citrate injection |
176 |
158 |
$687.75 |
| 96417 |
|
26 |
13 |
$684.04 |
| 87070 |
|
116 |
110 |
$682.63 |
| 83655 |
|
63 |
63 |
$681.25 |
| 82950 |
|
84 |
84 |
$612.75 |
| 82565 |
|
200 |
192 |
$568.14 |
| 86850 |
|
80 |
68 |
$518.22 |
| 90471 |
|
13 |
12 |
$483.65 |
| 80164 |
|
15 |
12 |
$457.63 |
| 87186 |
|
49 |
49 |
$440.14 |
| 83010 |
|
50 |
49 |
$390.00 |
| 93010 |
|
42 |
41 |
$340.57 |
| 83615 |
|
121 |
115 |
$326.11 |
| 82785 |
|
26 |
26 |
$299.28 |
| 84481 |
|
12 |
12 |
$251.18 |
| 83516 |
|
29 |
29 |
$250.21 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$240.12 |
| 83525 |
|
25 |
25 |
$227.37 |
| J2250 |
Inj midazolam hydrochloride |
101 |
93 |
$214.04 |
| 82550 |
|
33 |
31 |
$212.27 |
| 84550 |
|
106 |
101 |
$192.34 |
| 86304 |
|
12 |
12 |
$190.20 |
| J2795 |
Ropivacaine hcl injection |
32 |
28 |
$189.28 |
| 82784 |
|
29 |
29 |
$187.50 |
| 82977 |
|
27 |
27 |
$178.26 |
| 36415 |
|
2,057 |
1,854 |
$172.70 |
| 86900 |
|
82 |
70 |
$163.36 |
| 86901 |
|
82 |
70 |
$163.36 |
| 93297 |
|
30 |
30 |
$106.30 |
| 86060 |
|
15 |
14 |
$95.93 |
| J2405 |
Ondansetron hcl injection |
27 |
26 |
$86.90 |
| 85007 |
|
42 |
37 |
$68.10 |
| 82570 |
|
40 |
38 |
$44.28 |
| 84100 |
|
14 |
12 |
$41.69 |
| 84156 |
|
39 |
37 |
$31.36 |
| G0500 |
Mod sedat endo service >5yrs |
587 |
576 |
$0.00 |
| J1815 |
Insulin injection |
37 |
12 |
$0.00 |
| 36000 |
|
12 |
12 |
$0.00 |