| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
|
4,971 |
4,319 |
$1.54M |
| 99284 |
|
8,991 |
7,836 |
$1.46M |
| 99283 |
|
8,401 |
7,510 |
$1.23M |
| 80053 |
|
11,914 |
10,079 |
$579K |
| 85025 |
|
12,746 |
10,753 |
$537K |
| 87633 |
|
823 |
747 |
$341K |
| 96374 |
|
2,010 |
1,775 |
$220K |
| 86140 |
|
2,990 |
2,496 |
$207K |
| 93005 |
|
4,831 |
3,802 |
$206K |
| 83605 |
|
3,609 |
2,917 |
$187K |
| 99285 |
|
941 |
810 |
$177K |
| 87636 |
|
2,496 |
2,208 |
$171K |
| 71045 |
|
2,556 |
2,138 |
$136K |
| D7999 |
|
25 |
25 |
$119K |
| 96361 |
|
2,102 |
1,840 |
$94K |
| X4006 |
|
91 |
66 |
$77K |
| 81003 |
|
1,521 |
1,316 |
$62K |
| 59025 |
|
393 |
308 |
$62K |
| 88304 |
|
13 |
13 |
$52K |
| 81001 |
|
1,400 |
1,184 |
$50K |
| 96365 |
|
576 |
513 |
$47K |
| 36415 |
|
1,062 |
906 |
$45K |
| 96375 |
|
1,308 |
1,134 |
$45K |
| 84484 |
|
2,360 |
1,729 |
$44K |
| 87632 |
|
279 |
244 |
$40K |
| 87040 |
|
239 |
155 |
$31K |
| 93306 |
|
128 |
107 |
$24K |
| 87502 |
|
76 |
71 |
$19K |
| 76805 |
|
261 |
240 |
$18K |
| 80307 |
|
91 |
77 |
$13K |
| 84145 |
|
59 |
58 |
$13K |
| 83690 |
|
564 |
473 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
116 |
91 |
$10K |
| 96360 |
|
111 |
102 |
$9K |
| 87430 |
|
15 |
14 |
$9K |
| 70450 |
|
119 |
90 |
$8K |
| 87635 |
|
587 |
506 |
$7K |
| 83735 |
|
552 |
453 |
$7K |
| 99281 |
|
180 |
160 |
$7K |
| 83874 |
|
87 |
78 |
$6K |
| 82553 |
|
88 |
79 |
$6K |
| 64483 |
|
14 |
12 |
$6K |
| 82150 |
|
61 |
52 |
$6K |
| 99213 |
|
15 |
13 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
250 |
218 |
$3K |
| 85730 |
|
34 |
26 |
$3K |
| 85610 |
|
34 |
26 |
$3K |
| Y7506 |
|
269 |
218 |
$2K |
| 71046 |
|
14 |
13 |
$2K |
| 76816 |
|
27 |
24 |
$2K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
23 |
12 |
$2K |
| 80061 |
|
170 |
150 |
$2K |
| 93017 |
|
14 |
13 |
$1K |
| 83880 |
|
109 |
81 |
$1K |
| 83036 |
|
145 |
127 |
$1K |
| 96372 |
|
47 |
40 |
$1K |
| 84703 |
|
225 |
196 |
$940.97 |
| 80048 |
|
86 |
73 |
$318.56 |
| 81025 |
|
41 |
38 |
$243.41 |
| 99152 |
|
198 |
168 |
$222.20 |
| 96366 |
|
18 |
16 |
$195.70 |
| 87186 |
|
32 |
26 |
$174.40 |
| 87086 |
|
75 |
68 |
$159.55 |
| 87077 |
|
19 |
14 |
$91.63 |
| J3490 |
Unclassified drugs |
651 |
337 |
$22.35 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
494 |
382 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
240 |
209 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
200 |
175 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
122 |
99 |
$0.00 |