| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,211 |
17,902 |
$5.24M |
| 99283 |
|
34,560 |
31,557 |
$5.14M |
| 99285 |
|
4,182 |
3,798 |
$1.17M |
| 11042 |
|
5,066 |
2,306 |
$712K |
| 0241U |
|
4,201 |
3,728 |
$631K |
| 99282 |
|
5,058 |
4,683 |
$447K |
| 71046 |
|
7,872 |
7,385 |
$324K |
| 76816 |
|
3,224 |
2,681 |
$321K |
| 85025 |
|
39,872 |
35,118 |
$319K |
| J3490 |
Drugs unclassified injection |
96,322 |
39,257 |
$319K |
| 80053 |
|
28,656 |
25,564 |
$267K |
| 93005 |
|
6,948 |
6,180 |
$267K |
| 96374 |
|
6,310 |
5,550 |
$207K |
| 76811 |
|
1,160 |
1,048 |
$204K |
| 41899 |
|
155 |
126 |
$174K |
| 74177 |
|
323 |
302 |
$171K |
| 96375 |
|
2,214 |
1,738 |
$120K |
| 36415 |
|
34,049 |
29,308 |
$81K |
| 87389 |
|
2,916 |
2,613 |
$78K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,325 |
1,105 |
$74K |
| 87491 |
|
2,378 |
2,217 |
$64K |
| 87591 |
|
2,379 |
2,218 |
$64K |
| 76819 |
|
934 |
588 |
$61K |
| 70450 |
|
289 |
273 |
$50K |
| 80307 |
|
1,317 |
1,214 |
$50K |
| 87502 |
|
805 |
784 |
$48K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,546 |
1,417 |
$47K |
| 86780 |
|
2,923 |
2,617 |
$46K |
| U0005 |
Infec agen detec ampli probe |
2,690 |
2,288 |
$44K |
| 80061 |
|
2,482 |
2,364 |
$44K |
| 96372 |
|
826 |
697 |
$43K |
| 81001 |
|
12,319 |
10,854 |
$39K |
| 84443 |
|
1,886 |
1,720 |
$39K |
| 96413 |
|
436 |
230 |
$29K |
| 76820 |
|
276 |
122 |
$28K |
| 76815 |
|
281 |
147 |
$28K |
| 84484 |
|
2,648 |
2,294 |
$21K |
| 86762 |
|
1,211 |
1,074 |
$19K |
| 86787 |
|
1,328 |
1,177 |
$19K |
| 93306 |
|
99 |
99 |
$18K |
| J7050 |
Normal saline solution infus |
2,391 |
1,021 |
$16K |
| 87086 |
|
1,821 |
1,602 |
$16K |
| 87653 |
|
588 |
550 |
$16K |
| 86850 |
|
1,354 |
1,197 |
$15K |
| J7120 |
Ringers lactate infusion |
525 |
433 |
$14K |
| 83690 |
|
1,982 |
1,736 |
$14K |
| G0463 |
Hospital outpt clinic visit |
1,683 |
1,327 |
$12K |
| 87522 |
Neg quan hep c or qual rna |
367 |
300 |
$12K |
| 87536 |
|
180 |
163 |
$12K |
| 87340 |
|
1,122 |
997 |
$11K |
| Q3014 |
Telehealth facility fee |
1,188 |
790 |
$10K |
| 87633 |
|
42 |
41 |
$10K |
| 87071 |
|
815 |
778 |
$10K |
| J7030 |
Normal saline solution infus |
390 |
344 |
$8K |
| 83021 |
|
444 |
406 |
$8K |
| 71045 |
|
231 |
210 |
$8K |
| 74176 |
|
12 |
12 |
$7K |
| 80320 |
|
325 |
304 |
$7K |
| 86803 |
|
365 |
300 |
$7K |
| 83036 |
|
553 |
505 |
$7K |
| 82306 |
|
136 |
129 |
$6K |
| 87150 |
|
192 |
183 |
$6K |
| 82950 |
|
1,064 |
989 |
$5K |
| 11045 |
|
76 |
36 |
$5K |
| 80048 |
|
792 |
705 |
$5K |
| 81025 |
|
533 |
457 |
$4K |
| 77067 |
|
125 |
111 |
$4K |
| 96361 |
|
70 |
64 |
$4K |
| 87430 |
|
227 |
210 |
$3K |
| G0480 |
Drug test def 1-7 classes |
180 |
152 |
$3K |
| 87635 |
|
64 |
58 |
$3K |
| J7040 |
Normal saline solution infus |
696 |
259 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
51 |
51 |
$2K |
| 82607 |
|
81 |
74 |
$2K |
| 87486 |
|
45 |
44 |
$2K |
| 86900 |
|
1,252 |
1,115 |
$2K |
| 93798 |
|
89 |
12 |
$2K |
| 87581 |
|
45 |
44 |
$2K |
| 86901 |
|
1,252 |
1,115 |
$2K |
| 84480 |
|
81 |
74 |
$2K |
| 86361 |
|
38 |
37 |
$2K |
| 87798 |
|
45 |
44 |
$1K |
| 73630 |
|
22 |
15 |
$1K |
| 85660 |
|
227 |
208 |
$1K |
| J2405 |
Ondansetron hcl injection |
879 |
718 |
$1K |
| 84439 |
|
76 |
69 |
$1K |
| 88142 |
|
30 |
27 |
$889.39 |
| 83020 |
|
48 |
42 |
$863.53 |
| J1885 |
Ketorolac tromethamine inj |
321 |
283 |
$789.81 |
| 94375 |
|
12 |
12 |
$672.36 |
| 82728 |
|
34 |
32 |
$624.23 |
| 94727 |
|
12 |
12 |
$592.74 |
| 84702 |
|
55 |
36 |
$547.56 |
| 83655 |
|
44 |
40 |
$542.88 |
| 83540 |
|
44 |
42 |
$424.01 |
| 94640 |
|
40 |
39 |
$400.78 |
| 83550 |
|
28 |
28 |
$373.74 |
| J1100 |
Dexamethasone sodium phos |
149 |
111 |
$356.41 |
| 96367 |
|
18 |
12 |
$354.36 |
| 94150 |
|
12 |
12 |
$331.61 |
| 82746 |
|
12 |
12 |
$287.33 |
| J3010 |
Fentanyl citrate injection |
81 |
65 |
$214.09 |
| 85610 |
|
65 |
60 |
$202.90 |
| 80050 |
|
13 |
13 |
$141.96 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
43 |
22 |
$132.37 |
| 81002 |
|
722 |
595 |
$119.04 |
| 87186 |
|
13 |
12 |
$118.47 |
| 84436 |
|
17 |
16 |
$113.02 |
| 87077 |
|
13 |
12 |
$110.66 |
| J2250 |
Inj midazolam hydrochloride |
13 |
12 |
$104.95 |
| 84703 |
|
20 |
12 |
$101.11 |
| A9270 |
Non-covered item or service |
18 |
13 |
$19.55 |
| J1642 |
Inj heparin sodium per 10 u |
47 |
24 |
$17.16 |
| 99464 |
|
23 |
13 |
$0.00 |
| 59025 |
|
68 |
51 |
$0.00 |
| 59899 |
|
34 |
32 |
$0.00 |