| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
6,903 |
6,325 |
$2.51M |
| 99284 |
|
6,515 |
6,144 |
$1.50M |
| 99283 |
|
7,917 |
7,575 |
$1.19M |
| G0463 |
Hospital outpt clinic visit |
7,487 |
6,447 |
$644K |
| 96374 |
|
4,613 |
4,152 |
$562K |
| 74177 |
|
2,297 |
2,211 |
$412K |
| 96365 |
|
1,894 |
1,612 |
$218K |
| 96375 |
|
3,935 |
3,354 |
$159K |
| 99282 |
|
1,807 |
1,751 |
$150K |
| 97110 |
|
6,431 |
1,961 |
$146K |
| 96361 |
|
4,010 |
3,542 |
$145K |
| 70450 |
|
1,177 |
1,146 |
$143K |
| 96360 |
|
1,208 |
1,014 |
$134K |
| 71046 |
|
2,360 |
2,278 |
$107K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,982 |
1,925 |
$79K |
| 71045 |
|
1,305 |
1,260 |
$69K |
| 97140 |
|
3,557 |
1,304 |
$62K |
| 74176 |
|
383 |
374 |
$52K |
| 87637 |
|
525 |
520 |
$50K |
| 80061 |
|
2,452 |
2,445 |
$32K |
| 87635 |
|
1,274 |
1,242 |
$29K |
| 97112 |
|
749 |
326 |
$20K |
| 76830 |
|
272 |
269 |
$19K |
| 80053 |
|
11,658 |
10,579 |
$16K |
| 84443 |
|
4,118 |
4,042 |
$15K |
| 90460 |
|
407 |
405 |
$14K |
| 93005 |
|
4,058 |
3,673 |
$12K |
| 97530 |
|
476 |
238 |
$12K |
| 71260 |
|
80 |
79 |
$11K |
| 82306 |
|
1,373 |
1,369 |
$11K |
| 85025 |
|
13,971 |
12,446 |
$11K |
| 96372 |
|
3,093 |
2,764 |
$9K |
| 90471 |
|
582 |
563 |
$8K |
| 71275 |
|
68 |
68 |
$8K |
| 83036 |
|
2,404 |
2,383 |
$6K |
| Q3014 |
Telehealth facility fee |
302 |
278 |
$6K |
| 97162 |
|
129 |
125 |
$6K |
| 76700 |
|
98 |
95 |
$6K |
| 76856 |
|
81 |
81 |
$5K |
| 94060 |
|
30 |
30 |
$5K |
| 87389 |
|
686 |
686 |
$5K |
| 77067 |
|
75 |
75 |
$5K |
| 93976 |
|
66 |
64 |
$4K |
| 82607 |
|
939 |
937 |
$4K |
| 86900 |
|
493 |
487 |
$4K |
| 80307 |
|
1,184 |
1,155 |
$4K |
| 93971 |
|
43 |
41 |
$3K |
| 90686 |
|
300 |
298 |
$3K |
| 86850 |
|
895 |
885 |
$3K |
| 84439 |
|
1,182 |
1,166 |
$3K |
| 86803 |
|
531 |
530 |
$3K |
| 85027 |
|
2,000 |
1,873 |
$2K |
| 82728 |
|
529 |
528 |
$2K |
| 86780 |
|
413 |
413 |
$2K |
| 84702 |
|
662 |
474 |
$2K |
| 36415 |
|
1,740 |
1,538 |
$2K |
| 0124A |
|
73 |
73 |
$2K |
| 80048 |
|
3,804 |
3,507 |
$2K |
| 83550 |
|
646 |
642 |
$2K |
| G0378 |
Hospital observation per hr |
42 |
39 |
$2K |
| 87491 |
|
144 |
142 |
$2K |
| 82652 |
|
109 |
109 |
$2K |
| 87631 |
|
395 |
393 |
$2K |
| G0480 |
Drug test def 1-7 classes |
668 |
633 |
$1K |
| 90677 |
|
15 |
15 |
$1K |
| 87591 |
|
113 |
111 |
$1K |
| 83735 |
|
2,917 |
2,627 |
$1K |
| 83540 |
|
658 |
654 |
$1K |
| 73630 |
|
161 |
158 |
$1K |
| 87086 |
|
2,213 |
2,115 |
$1K |
| 86140 |
|
4,713 |
4,414 |
$1K |
| 82043 |
|
478 |
476 |
$983.87 |
| 97161 |
|
13 |
13 |
$910.29 |
| 87340 |
|
316 |
316 |
$893.76 |
| 82570 |
|
471 |
464 |
$880.95 |
| 72125 |
|
109 |
109 |
$869.87 |
| 83880 |
|
746 |
704 |
$834.74 |
| 84703 |
|
4,266 |
4,019 |
$684.82 |
| 81001 |
|
4,688 |
4,430 |
$643.59 |
| 72110 |
|
36 |
36 |
$588.01 |
| 85610 |
|
2,768 |
2,569 |
$510.47 |
| 90472 |
|
35 |
35 |
$476.00 |
| 85652 |
|
1,508 |
1,454 |
$461.14 |
| 80076 |
|
1,571 |
1,501 |
$432.51 |
| 90656 |
|
28 |
28 |
$417.75 |
| 77063 |
|
25 |
25 |
$407.17 |
| 87880 |
|
758 |
748 |
$404.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,482 |
3,320 |
$394.80 |
| 83690 |
|
3,179 |
2,932 |
$376.74 |
| 86901 |
|
481 |
476 |
$250.93 |
| 85730 |
|
2,466 |
2,362 |
$248.40 |
| 81003 |
|
2,032 |
1,950 |
$243.55 |
| 73130 |
|
24 |
24 |
$196.19 |
| 83605 |
|
3,986 |
3,665 |
$188.75 |
| 84484 |
|
2,610 |
2,353 |
$188.73 |
| 87804 |
|
1,431 |
1,370 |
$187.83 |
| 87798 |
|
188 |
163 |
$186.88 |
| 82746 |
|
41 |
41 |
$178.66 |
| 73564 |
|
14 |
14 |
$161.18 |
| 87077 |
|
247 |
237 |
$88.77 |
| 94640 |
|
706 |
605 |
$74.21 |
| 85379 |
|
482 |
469 |
$68.69 |
| 73610 |
|
12 |
12 |
$65.51 |
| 87420 |
|
292 |
284 |
$35.34 |
| 81002 |
|
38 |
38 |
$34.45 |
| 87040 |
|
171 |
166 |
$32.09 |
| 87186 |
|
99 |
97 |
$31.55 |
| J1885 |
Ketorolac tromethamine inj |
1,496 |
1,385 |
$29.07 |
| 87486 |
|
13 |
13 |
$25.89 |
| 87581 |
|
13 |
13 |
$25.89 |
| 85007 |
|
65 |
62 |
$16.62 |
| 91312 |
|
69 |
69 |
$1.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| J7120 |
Ringers lactate infusion |
261 |
195 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
162 |
146 |
$0.00 |
| 90461 |
|
96 |
96 |
$0.00 |
| 82948 |
|
27 |
24 |
$0.00 |
| 90715 |
|
42 |
42 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| A9578 |
Inj multihance multipack |
12 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
26 |
25 |
$0.00 |
| 94729 |
|
24 |
24 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 94726 |
|
27 |
27 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 96376 |
|
328 |
236 |
$0.00 |
| Q0162 |
Ondansetron oral |
66 |
61 |
$0.00 |
| 0241U |
|
307 |
301 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
15 |
13 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
14 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
19 |
19 |
$0.00 |