| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
7,569 |
5,874 |
$3.27M |
| 99283 |
|
8,265 |
6,958 |
$2.61M |
| 99285 |
|
3,969 |
2,941 |
$2.37M |
| 97110 |
|
10,502 |
3,634 |
$1.30M |
| 96365 |
|
2,302 |
1,604 |
$476K |
| 97140 |
|
5,070 |
1,823 |
$432K |
| 99282 |
|
1,953 |
1,736 |
$385K |
| 74177 |
|
847 |
571 |
$383K |
| 70450 |
|
1,378 |
829 |
$314K |
| 96375 |
|
3,015 |
2,062 |
$285K |
| 96361 |
|
2,984 |
2,262 |
$258K |
| 97530 |
|
1,677 |
787 |
$250K |
| 85025 |
|
9,390 |
7,539 |
$225K |
| 96374 |
|
2,448 |
2,128 |
$210K |
| 80053 |
|
8,534 |
6,897 |
$210K |
| 71046 |
|
2,507 |
1,834 |
$199K |
| 93005 |
|
3,247 |
2,668 |
$193K |
| 87635 |
|
4,041 |
2,797 |
$181K |
| 71045 |
|
3,533 |
2,014 |
$171K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,774 |
1,581 |
$163K |
| G0481 |
Drug test def 8-14 classes |
1,708 |
1,451 |
$140K |
| G0378 |
Hospital observation per hr |
278 |
213 |
$136K |
| 96372 |
|
2,010 |
1,370 |
$111K |
| 83605 |
|
3,280 |
2,582 |
$90K |
| 92507 |
|
670 |
294 |
$83K |
| 84443 |
|
1,640 |
1,487 |
$83K |
| J7050 |
Normal saline solution infus |
4,353 |
2,184 |
$80K |
| 36415 |
|
11,005 |
8,511 |
$76K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,906 |
1,687 |
$76K |
| 84484 |
|
2,839 |
2,003 |
$72K |
| 87631 |
|
385 |
372 |
$67K |
| 83880 |
|
802 |
639 |
$54K |
| 83690 |
|
2,493 |
2,164 |
$53K |
| 86140 |
|
3,220 |
2,793 |
$52K |
| 81001 |
|
5,398 |
4,663 |
$50K |
| 97162 |
|
380 |
340 |
$49K |
| J7030 |
Normal saline solution infus |
2,602 |
1,571 |
$45K |
| 97130 |
|
187 |
79 |
$42K |
| 97161 |
|
419 |
386 |
$40K |
| 97602 |
|
292 |
68 |
$38K |
| 84703 |
|
1,025 |
960 |
$34K |
| 83735 |
|
1,718 |
1,419 |
$32K |
| 76705 |
|
190 |
135 |
$32K |
| 96360 |
|
254 |
221 |
$32K |
| 74176 |
|
113 |
75 |
$28K |
| C9803 |
Hopd covid-19 spec collect |
1,871 |
1,457 |
$28K |
| 87804 |
|
627 |
584 |
$27K |
| J1170 |
Hydromorphone injection |
1,650 |
789 |
$24K |
| 80307 |
|
136 |
128 |
$24K |
| 85379 |
|
909 |
780 |
$23K |
| G0463 |
Hospital outpt clinic visit |
266 |
205 |
$23K |
| J2405 |
Ondansetron hcl injection |
2,189 |
1,617 |
$20K |
| A9270 |
Non-covered item or service |
15,453 |
6,926 |
$18K |
| 73030 |
|
212 |
155 |
$17K |
| 85610 |
|
1,680 |
1,359 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
1,434 |
1,256 |
$17K |
| 94640 |
|
298 |
264 |
$15K |
| 97129 |
|
208 |
91 |
$15K |
| 77067 |
|
83 |
77 |
$14K |
| 0002A |
|
392 |
386 |
$13K |
| 73610 |
|
128 |
105 |
$13K |
| 0001A |
|
437 |
430 |
$13K |
| 72125 |
|
37 |
25 |
$12K |
| 87040 |
|
567 |
267 |
$12K |
| 87088 |
|
626 |
543 |
$11K |
| 85730 |
|
793 |
660 |
$10K |
| 87880 |
|
172 |
166 |
$10K |
| 73562 |
|
118 |
82 |
$9K |
| J2001 |
Lidocaine injection |
545 |
470 |
$9K |
| 83036 |
|
295 |
283 |
$8K |
| 36592 |
|
138 |
121 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
91 |
80 |
$8K |
| 80048 |
|
471 |
376 |
$7K |
| J3490 |
Drugs unclassified injection |
312 |
198 |
$7K |
| 80061 |
|
137 |
133 |
$6K |
| 76801 |
|
16 |
13 |
$6K |
| 97163 |
|
28 |
26 |
$5K |
| 87184 |
|
288 |
232 |
$5K |
| 87077 |
|
226 |
158 |
$5K |
| A9576 |
Inj prohance multipack |
14 |
12 |
$5K |
| 76856 |
|
16 |
15 |
$5K |
| 82077 |
|
105 |
92 |
$4K |
| 96366 |
|
89 |
63 |
$4K |
| 87081 |
|
133 |
129 |
$4K |
| G0480 |
Drug test def 1-7 classes |
121 |
70 |
$4K |
| 73630 |
|
30 |
26 |
$4K |
| J7120 |
Ringers lactate infusion |
234 |
169 |
$4K |
| 97112 |
|
35 |
14 |
$3K |
| 73130 |
|
35 |
25 |
$3K |
| 99213 |
|
84 |
63 |
$2K |
| 97010 |
|
316 |
127 |
$2K |
| 84479 |
|
27 |
27 |
$2K |
| 87070 |
|
45 |
37 |
$1K |
| 90471 |
|
32 |
30 |
$1K |
| J7040 |
Normal saline solution infus |
77 |
69 |
$1K |
| 84145 |
|
13 |
13 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
600 |
462 |
$1K |
| 90715 |
|
12 |
12 |
$1K |
| 85651 |
|
72 |
68 |
$968.17 |
| 96376 |
|
38 |
27 |
$833.98 |
| 87807 |
|
13 |
13 |
$746.10 |
| 36000 |
|
16 |
16 |
$705.64 |
| J0696 |
Ceftriaxone sodium injection |
73 |
44 |
$663.26 |
| 99214 |
|
29 |
29 |
$648.17 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$609.89 |
| 82948 |
|
89 |
56 |
$569.06 |
| J2704 |
Inj, propofol, 10 mg |
39 |
24 |
$479.06 |
| 0004A |
|
13 |
13 |
$440.00 |
| 97035 |
|
29 |
13 |
$431.11 |
| 94770 |
|
14 |
12 |
$418.50 |
| 84436 |
|
12 |
12 |
$378.96 |
| 85027 |
|
16 |
13 |
$351.88 |
| 82803 |
|
14 |
12 |
$132.78 |
| 93010 |
|
1,053 |
796 |
$2.40 |
| T1015 |
Clinic service |
937 |
847 |
$0.00 |