| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
287,764 |
261,650 |
$7.57M |
| 99283 |
|
27,872 |
26,210 |
$5.36M |
| 99284 |
|
16,938 |
15,520 |
$3.52M |
| U0002 |
Covid-19 lab test non-cdc |
39,936 |
37,729 |
$2.61M |
| 87502 |
|
12,814 |
12,183 |
$1.13M |
| 99285 |
|
4,853 |
4,287 |
$1.07M |
| 87651 |
|
22,716 |
21,689 |
$931K |
| 87880 |
|
42,066 |
40,731 |
$653K |
| 74177 |
|
870 |
806 |
$628K |
| 87804 |
|
25,717 |
17,703 |
$524K |
| 99282 |
|
3,648 |
3,447 |
$431K |
| 70450 |
|
1,143 |
1,044 |
$306K |
| 96374 |
|
4,690 |
4,235 |
$249K |
| 36902 |
|
1,057 |
1,003 |
$245K |
| 96372 |
|
2,744 |
2,421 |
$219K |
| 0241U |
|
1,316 |
1,234 |
$210K |
| 93005 |
|
4,504 |
3,886 |
$210K |
| 85025 |
|
29,446 |
26,527 |
$207K |
| 87081 |
|
27,324 |
26,430 |
$205K |
| J3490 |
Drugs unclassified injection |
48,167 |
22,576 |
$191K |
| 92552 |
|
6,053 |
5,806 |
$185K |
| 80053 |
|
21,710 |
19,535 |
$166K |
| 96127 |
|
19,987 |
19,299 |
$152K |
| 96375 |
|
2,237 |
1,967 |
$150K |
| 96361 |
|
3,049 |
2,689 |
$108K |
| 71046 |
|
2,268 |
2,119 |
$83K |
| 88305 |
|
614 |
551 |
$77K |
| 80307 |
|
1,312 |
1,174 |
$74K |
| 36415 |
|
34,738 |
30,900 |
$67K |
| 90837 |
|
1,578 |
1,015 |
$60K |
| 81001 |
|
16,343 |
14,878 |
$52K |
| 87634 |
|
412 |
405 |
$46K |
| 87807 |
|
2,498 |
2,422 |
$45K |
| 71045 |
|
1,989 |
1,730 |
$38K |
| 93306 |
|
446 |
438 |
$38K |
| 73630 |
|
2,312 |
1,948 |
$35K |
| 96161 |
|
5,257 |
4,989 |
$35K |
| 80048 |
|
4,525 |
4,111 |
$34K |
| 84484 |
|
4,616 |
3,577 |
$33K |
| 99152 |
|
1,437 |
1,337 |
$31K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,712 |
3,386 |
$31K |
| C1725 |
Cath, translumin non-laser |
1,245 |
1,147 |
$30K |
| 96365 |
|
369 |
343 |
$29K |
| 82306 |
|
954 |
919 |
$27K |
| 84443 |
|
1,741 |
1,640 |
$27K |
| 80076 |
|
2,504 |
2,161 |
$26K |
| J7040 |
Normal saline solution infus |
2,952 |
2,672 |
$26K |
| 87086 |
|
3,125 |
2,923 |
$25K |
| G0480 |
Drug test def 1-7 classes |
525 |
457 |
$25K |
| 81025 |
|
2,836 |
2,629 |
$23K |
| J7030 |
Normal saline solution infus |
1,817 |
1,590 |
$23K |
| 11042 |
|
450 |
311 |
$23K |
| 0002A |
|
418 |
372 |
$22K |
| 97110 |
|
462 |
147 |
$21K |
| 96360 |
|
307 |
287 |
$20K |
| 83690 |
|
3,130 |
2,816 |
$20K |
| 88175 |
|
675 |
571 |
$19K |
| 83550 |
|
1,580 |
1,488 |
$19K |
| 0001A |
|
385 |
328 |
$18K |
| 69436 |
|
16 |
16 |
$17K |
| 74176 |
|
44 |
39 |
$16K |
| 82728 |
|
817 |
775 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
227 |
207 |
$16K |
| 83036 |
|
1,673 |
1,598 |
$16K |
| 80061 |
|
1,051 |
996 |
$15K |
| 83540 |
|
1,584 |
1,491 |
$14K |
| J7120 |
Ringers lactate infusion |
872 |
775 |
$12K |
| 43239 |
|
14 |
13 |
$11K |
| 72148 |
|
14 |
14 |
$10K |
| 97010 |
|
281 |
92 |
$9K |
| 83735 |
|
1,495 |
1,361 |
$9K |
| 78452 |
|
49 |
49 |
$9K |
| J7050 |
Normal saline solution infus |
2,144 |
1,511 |
$9K |
| M0243 |
Casirivi and imdevi inj |
28 |
27 |
$8K |
| 95810 |
|
26 |
26 |
$8K |
| 82607 |
|
452 |
439 |
$8K |
| 87637 |
|
48 |
45 |
$8K |
| C1769 |
Guide wire |
1,434 |
1,300 |
$8K |
| 92567 |
|
1,039 |
963 |
$8K |
| 83655 |
|
420 |
393 |
$7K |
| J1644 |
Inj heparin sodium per 1000u |
3,694 |
2,434 |
$7K |
| C1894 |
Intro/sheath, non-laser |
1,399 |
1,277 |
$6K |
| J0690 |
Cefazolin sodium injection |
2,342 |
2,029 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
1,446 |
1,144 |
$6K |
| 94640 |
|
299 |
265 |
$6K |
| 11750 |
|
40 |
38 |
$6K |
| J3010 |
Fentanyl citrate injection |
3,192 |
2,661 |
$6K |
| 81003 |
|
2,204 |
2,045 |
$5K |
| 93017 |
|
138 |
133 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,495 |
1,366 |
$5K |
| 99243 |
|
201 |
191 |
$5K |
| 76801 |
|
146 |
112 |
$5K |
| J2405 |
Ondansetron hcl injection |
1,620 |
1,440 |
$5K |
| 99406 |
|
776 |
726 |
$4K |
| 87811 |
|
106 |
104 |
$4K |
| 83880 |
|
178 |
159 |
$4K |
| 76830 |
|
56 |
54 |
$4K |
| 76856 |
|
42 |
41 |
$4K |
| 97140 |
|
103 |
40 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
2,775 |
2,481 |
$3K |
| 85018 |
|
1,394 |
1,346 |
$3K |
| 0031A |
|
74 |
73 |
$3K |
| 87635 |
|
150 |
146 |
$3K |
| J1100 |
Dexamethasone sodium phos |
816 |
608 |
$3K |
| 11730 |
|
62 |
52 |
$3K |
| 87426 |
|
75 |
75 |
$3K |
| 84439 |
|
266 |
254 |
$3K |
| 86300 |
|
106 |
86 |
$3K |
| 76805 |
|
80 |
55 |
$3K |
| 93923 |
|
29 |
15 |
$3K |
| 73130 |
|
38 |
38 |
$2K |
| A9500 |
Tc99m sestamibi |
48 |
48 |
$2K |
| 72110 |
|
66 |
66 |
$2K |
| 73030 |
|
42 |
38 |
$2K |
| C1887 |
Catheter, guiding |
504 |
441 |
$1K |
| 0072A |
|
26 |
25 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
264 |
241 |
$1K |
| 82378 |
|
47 |
39 |
$1K |
| 85610 |
|
250 |
229 |
$1K |
| 87491 |
|
41 |
40 |
$1K |
| 87591 |
|
39 |
38 |
$1K |
| 85027 |
|
163 |
160 |
$1K |
| 51798 |
|
166 |
149 |
$993.68 |
| C1760 |
Closure dev, vasc |
13 |
12 |
$977.40 |
| 82962 |
|
1,470 |
1,105 |
$966.38 |
| 90834 |
|
37 |
25 |
$955.76 |
| 0004A |
|
15 |
14 |
$927.87 |
| 0012A |
|
15 |
15 |
$910.00 |
| J0702 |
Betamethasone acet&sod phosp |
97 |
95 |
$905.74 |
| U0005 |
Infec agen detec ampli probe |
36 |
36 |
$875.00 |
| 86671 |
|
35 |
27 |
$871.80 |
| 90791 |
|
32 |
25 |
$769.76 |
| J8597 |
Antiemetic drug oral nos |
175 |
157 |
$664.09 |
| 0071A |
|
17 |
13 |
$644.22 |
| 20610 |
|
28 |
25 |
$565.76 |
| 83615 |
|
63 |
55 |
$521.27 |
| 84132 |
|
729 |
614 |
$511.09 |
| 84480 |
|
25 |
25 |
$453.19 |
| J2270 |
Morphine sulfate injection |
117 |
101 |
$443.57 |
| 87420 |
|
31 |
31 |
$442.68 |
| 0011A |
|
22 |
22 |
$429.34 |
| 83605 |
|
40 |
38 |
$412.61 |
| 87040 |
|
16 |
14 |
$411.76 |
| 92579 |
|
43 |
38 |
$408.16 |
| 73610 |
|
16 |
14 |
$407.30 |
| J2785 |
Regadenoson injection |
37 |
37 |
$390.81 |
| 94664 |
|
12 |
12 |
$377.88 |
| 94642 |
|
12 |
12 |
$377.88 |
| 87186 |
|
49 |
49 |
$373.74 |
| 85055 |
|
15 |
14 |
$365.66 |
| 92553 |
|
13 |
12 |
$358.92 |
| 87070 |
|
92 |
79 |
$346.60 |
| 31575 |
|
15 |
13 |
$342.72 |
| 84702 |
|
30 |
27 |
$283.95 |
| 85730 |
|
81 |
70 |
$282.08 |
| 86140 |
|
39 |
39 |
$278.62 |
| 88141 |
|
14 |
12 |
$278.26 |
| 87077 |
|
38 |
38 |
$258.50 |
| 58300 |
|
13 |
12 |
$257.92 |
| 90715 |
|
13 |
12 |
$241.62 |
| 81002 |
|
142 |
138 |
$233.95 |
| 0003A |
|
22 |
14 |
$210.85 |
| J2001 |
Lidocaine injection |
271 |
235 |
$199.43 |
| 86036 |
|
27 |
27 |
$185.05 |
| 0202U |
|
17 |
15 |
$184.81 |
| 87205 |
|
94 |
81 |
$171.54 |
| J0696 |
Ceftriaxone sodium injection |
57 |
53 |
$168.46 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
88 |
70 |
$161.42 |
| J2550 |
Promethazine hcl injection |
62 |
51 |
$160.43 |
| J1170 |
Hydromorphone injection |
31 |
26 |
$158.26 |
| 76937 |
|
47 |
42 |
$153.08 |
| 90656 |
|
14 |
13 |
$135.57 |
| A9270 |
Non-covered item or service |
3,467 |
1,620 |
$113.54 |
| 90471 |
|
13 |
13 |
$94.89 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
24 |
$91.49 |
| 82550 |
|
80 |
66 |
$89.21 |
| J1790 |
Droperidol injection |
12 |
12 |
$65.31 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
15 |
$64.71 |
| J7613 |
Albuterol non-comp unit |
14 |
14 |
$59.22 |
| 90686 |
|
30 |
30 |
$36.53 |
| 82948 |
|
14 |
13 |
$11.56 |
| 91300 |
|
1,188 |
966 |
$3.25 |
| 91307 |
|
75 |
65 |
$1.30 |
| Q0244 |
Casirivi and imdevi 1200 mg |
28 |
23 |
$0.90 |
| 36416 |
|
414 |
394 |
$0.00 |
| 91303 |
|
74 |
73 |
$0.00 |
| 91301 |
|
45 |
43 |
$0.00 |
| G0008 |
Admin influenza virus vac |
18 |
18 |
$0.00 |
| P9604 |
One-way allow prorated trip |
247 |
131 |
$0.00 |