| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
22,125 |
18,858 |
$3.47M |
| X4011 |
|
9,964 |
9,289 |
$3.23M |
| Y7506 |
|
17,708 |
16,146 |
$2.70M |
| 99283 |
|
15,922 |
13,374 |
$1.82M |
| 85025 |
|
28,591 |
26,336 |
$1.35M |
| 80053 |
|
27,183 |
25,084 |
$1.32M |
| 93005 |
|
12,718 |
11,980 |
$638K |
| 71045 |
|
9,560 |
9,057 |
$531K |
| 99285 |
|
2,458 |
2,127 |
$512K |
| 87502 |
|
2,780 |
2,712 |
$385K |
| 36415 |
|
15,820 |
13,992 |
$370K |
| 87651 |
|
2,257 |
2,220 |
$333K |
| 87400 |
|
1,182 |
1,114 |
$250K |
| 81003 |
|
4,047 |
3,835 |
$239K |
| 0241U |
|
2,943 |
2,854 |
$218K |
| X4006 |
|
332 |
294 |
$206K |
| 96374 |
|
2,227 |
2,143 |
$199K |
| 81001 |
|
5,960 |
5,653 |
$182K |
| 80307 |
|
2,850 |
2,697 |
$147K |
| G0463 |
Hospital outpt clinic visit |
3,610 |
3,241 |
$129K |
| X4003 |
|
2,094 |
1,677 |
$125K |
| 11042 |
|
855 |
445 |
$96K |
| 99214 |
|
2,130 |
1,700 |
$89K |
| 87635 |
|
2,908 |
2,826 |
$84K |
| 84484 |
|
3,595 |
3,095 |
$82K |
| 83690 |
|
1,680 |
1,602 |
$60K |
| 87634 |
|
531 |
519 |
$44K |
| 94640 |
|
258 |
240 |
$43K |
| 93010 |
|
9,016 |
8,039 |
$42K |
| 96361 |
|
1,525 |
1,466 |
$37K |
| Y7507 |
|
272 |
118 |
$37K |
| 95816 |
|
296 |
292 |
$36K |
| 96372 |
|
857 |
818 |
$35K |
| 95810 |
|
119 |
116 |
$35K |
| 96413 |
|
289 |
174 |
$33K |
| 87811 |
|
1,550 |
1,508 |
$32K |
| 62323 |
|
551 |
334 |
$31K |
| 95811 |
|
75 |
70 |
$31K |
| 74177 |
|
176 |
171 |
$31K |
| 86703 |
|
966 |
935 |
$29K |
| 70450 |
|
449 |
436 |
$28K |
| 87807 |
|
76 |
75 |
$26K |
| 86803 |
|
813 |
785 |
$26K |
| 76805 |
|
326 |
322 |
$23K |
| 85610 |
|
1,079 |
1,035 |
$22K |
| 87591 |
|
501 |
486 |
$22K |
| G2023 |
Specimen collect covid-19 |
880 |
866 |
$21K |
| 83880 |
|
791 |
746 |
$21K |
| 71046 |
|
120 |
119 |
$21K |
| G0480 |
Drug test def 1-7 classes |
438 |
407 |
$20K |
| 87491 |
|
402 |
387 |
$20K |
| 88175 |
|
384 |
376 |
$16K |
| 87086 |
|
728 |
693 |
$16K |
| 87661 |
|
318 |
302 |
$16K |
| 97110 |
|
83 |
27 |
$15K |
| 76801 |
|
247 |
240 |
$15K |
| 80055 |
|
197 |
194 |
$13K |
| 96375 |
|
456 |
435 |
$10K |
| 84443 |
|
508 |
489 |
$9K |
| 51798 |
|
460 |
433 |
$8K |
| 87801 |
|
216 |
209 |
$8K |
| 82962 |
|
460 |
361 |
$8K |
| 87880 |
|
32 |
31 |
$8K |
| 99282 |
|
145 |
106 |
$8K |
| 96360 |
|
70 |
68 |
$8K |
| 87480 |
|
152 |
148 |
$7K |
| G0378 |
Hospital observation per hr |
66 |
58 |
$7K |
| 87510 |
|
148 |
144 |
$7K |
| 87660 |
|
101 |
99 |
$7K |
| 0352U |
|
89 |
88 |
$7K |
| 96365 |
|
61 |
60 |
$7K |
| 84703 |
|
63 |
63 |
$6K |
| 99215 |
Prolong outpt/office vis |
75 |
68 |
$6K |
| 99212 |
|
390 |
355 |
$6K |
| 87653 |
|
130 |
129 |
$5K |
| 99213 |
|
254 |
231 |
$4K |
| 76816 |
|
51 |
50 |
$4K |
| 86850 |
|
166 |
157 |
$3K |
| 80061 |
|
142 |
139 |
$3K |
| 93306 |
|
12 |
12 |
$2K |
| 86762 |
|
154 |
149 |
$2K |
| 99211 |
|
306 |
284 |
$2K |
| 86592 |
|
619 |
604 |
$2K |
| 74176 |
|
12 |
12 |
$2K |
| 84439 |
|
130 |
125 |
$2K |
| 82947 |
|
82 |
82 |
$1K |
| 87340 |
|
155 |
150 |
$1K |
| 80047 |
|
336 |
320 |
$1K |
| 83735 |
|
311 |
290 |
$1K |
| 77003 |
|
12 |
12 |
$785.80 |
| 82607 |
|
103 |
101 |
$778.01 |
| 83036 |
|
103 |
100 |
$626.64 |
| 72125 |
|
12 |
12 |
$594.09 |
| 80076 |
|
235 |
226 |
$556.03 |
| 83605 |
|
88 |
85 |
$524.34 |
| 94060 |
|
16 |
12 |
$517.14 |
| 87624 |
|
26 |
26 |
$490.82 |
| 87070 |
|
65 |
62 |
$490.45 |
| 84481 |
|
50 |
50 |
$479.40 |
| 99072 |
|
79 |
78 |
$474.00 |
| 97597 |
|
31 |
13 |
$437.58 |
| 85379 |
|
95 |
90 |
$427.67 |
| 82310 |
|
251 |
232 |
$416.74 |
| 82306 |
|
25 |
25 |
$352.02 |
| 82728 |
|
75 |
68 |
$319.22 |
| 87186 |
|
26 |
25 |
$247.37 |
| 84145 |
|
31 |
31 |
$243.36 |
| 76815 |
|
12 |
12 |
$234.96 |
| 94727 |
|
16 |
12 |
$206.74 |
| 83550 |
|
74 |
67 |
$204.73 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
26 |
26 |
$201.84 |
| 83540 |
|
74 |
67 |
$151.38 |
| 94729 |
|
16 |
12 |
$126.79 |
| 81025 |
|
17 |
17 |
$96.05 |
| U0001 |
2019-ncov diagnostic p |
25 |
25 |
$72.00 |
| J3490 |
Drugs unclassified injection |
551 |
285 |
$70.54 |
| J1030 |
Methylprednisolone 40 mg inj |
146 |
106 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
36 |
24 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
61 |
41 |
$0.00 |
| J7030 |
Normal saline solution infus |
43 |
38 |
$0.00 |