| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
24,097 |
9,439 |
$2.55M |
| 92507 |
|
13,648 |
5,600 |
$664K |
| 97161 |
|
4,642 |
3,447 |
$571K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,581 |
3,339 |
$443K |
| 92523 |
|
1,868 |
1,481 |
$171K |
| 97162 |
|
1,306 |
1,011 |
$157K |
| 92567 |
|
9,642 |
6,260 |
$140K |
| 92587 |
|
6,088 |
4,083 |
$104K |
| L3010 |
Foot longitudinal arch suppo |
438 |
338 |
$101K |
| V5261 |
Hearing aid, digit, bin, bte |
154 |
134 |
$96K |
| 94010 |
|
3,266 |
2,117 |
$94K |
| 92610 |
|
1,514 |
1,177 |
$75K |
| 92579 |
|
3,154 |
2,064 |
$67K |
| 92557 |
|
1,740 |
1,084 |
$62K |
| 96409 |
|
1,263 |
707 |
$61K |
| 84443 |
|
10,581 |
7,437 |
$61K |
| 92582 |
|
2,524 |
1,634 |
$53K |
| 80053 |
|
15,843 |
9,880 |
$50K |
| V5264 |
Ear mold/insert |
1,099 |
820 |
$46K |
| V5160 |
Dispensing fee binaural |
143 |
129 |
$45K |
| 97166 |
|
1,247 |
1,013 |
$43K |
| 93005 |
|
3,977 |
3,194 |
$43K |
| 72082 |
|
1,624 |
1,300 |
$40K |
| 85025 |
|
28,699 |
17,669 |
$39K |
| 96112 |
|
355 |
248 |
$33K |
| 83655 |
|
3,574 |
2,742 |
$33K |
| L1940 |
Afo molded to patient plasti |
61 |
40 |
$30K |
| 87799 |
|
1,344 |
772 |
$28K |
| 92602 |
|
739 |
446 |
$28K |
| 92555 |
|
1,926 |
1,247 |
$28K |
| 86480 |
|
605 |
455 |
$26K |
| 87491 |
|
1,175 |
731 |
$25K |
| 92604 |
|
1,003 |
676 |
$25K |
| 92595 |
|
1,693 |
1,147 |
$25K |
| 73610 |
|
1,504 |
1,065 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
469 |
348 |
$24K |
| 87651 |
|
1,069 |
875 |
$24K |
| 84403 |
|
1,861 |
1,259 |
$23K |
| 83970 |
|
1,974 |
1,427 |
$23K |
| 87591 |
|
1,185 |
735 |
$23K |
| 96361 |
|
362 |
89 |
$22K |
| 94060 |
|
559 |
360 |
$22K |
| 96375 |
|
1,287 |
318 |
$21K |
| V5266 |
Battery for hearing device |
1,191 |
882 |
$20K |
| 87389 |
|
755 |
606 |
$20K |
| 71046 |
|
2,052 |
1,514 |
$20K |
| 97165 |
|
452 |
394 |
$19K |
| 84439 |
|
10,477 |
7,346 |
$19K |
| 73080 |
|
1,627 |
1,119 |
$19K |
| 83516 |
|
2,939 |
1,963 |
$19K |
| 77072 |
|
1,847 |
1,412 |
$18K |
| 73110 |
|
1,409 |
1,003 |
$17K |
| 84305 |
|
1,606 |
1,136 |
$16K |
| 92556 |
|
1,063 |
710 |
$15K |
| 73090 |
|
1,509 |
984 |
$15K |
| 82784 |
|
3,243 |
2,154 |
$14K |
| 82306 |
|
6,890 |
4,874 |
$14K |
| 92594 |
|
970 |
637 |
$14K |
| 96413 |
|
767 |
281 |
$14K |
| 72081 |
|
971 |
757 |
$13K |
| 92550 |
|
1,069 |
710 |
$13K |
| 73590 |
|
1,061 |
721 |
$12K |
| 82330 |
|
3,330 |
2,095 |
$12K |
| 86160 |
|
1,704 |
1,107 |
$11K |
| 86008 |
|
3,691 |
543 |
$11K |
| 92611 |
|
298 |
279 |
$11K |
| 72170 |
|
1,534 |
1,211 |
$10K |
| 86003 |
|
2,363 |
1,479 |
$10K |
| 73630 |
|
908 |
667 |
$10K |
| 80076 |
|
4,554 |
2,892 |
$9K |
| 92250 |
|
462 |
325 |
$9K |
| 74018 |
|
893 |
709 |
$9K |
| 87798 |
|
252 |
116 |
$9K |
| 80069 |
|
4,112 |
2,758 |
$8K |
| 80048 |
|
3,924 |
2,341 |
$8K |
| 80061 |
|
5,661 |
4,218 |
$8K |
| 92593 |
|
629 |
425 |
$8K |
| 73140 |
|
1,009 |
690 |
$8K |
| 96411 |
|
213 |
75 |
$7K |
| 80197 |
|
2,375 |
1,285 |
$7K |
| 83735 |
|
5,948 |
2,876 |
$7K |
| 0071A |
|
158 |
157 |
$7K |
| 77073 |
|
339 |
252 |
$7K |
| 83520 |
|
749 |
375 |
$7K |
| 87497 |
|
521 |
229 |
$6K |
| 96450 |
|
112 |
60 |
$6K |
| 86162 |
|
1,021 |
672 |
$6K |
| 0072A |
|
141 |
140 |
$6K |
| 82570 |
|
4,802 |
3,418 |
$6K |
| J9370 |
Vincristine sulfate 1 mg inj |
788 |
426 |
$6K |
| 86038 |
|
1,300 |
833 |
$6K |
| 83001 |
|
1,446 |
933 |
$6K |
| 92583 |
|
384 |
241 |
$6K |
| 81228 |
|
251 |
146 |
$5K |
| 82157 |
|
656 |
440 |
$5K |
| 82670 |
|
1,138 |
796 |
$5K |
| 82610 |
|
2,497 |
1,792 |
$5K |
| 73130 |
|
504 |
369 |
$5K |
| 87186 |
|
1,191 |
752 |
$5K |
| 87086 |
|
1,345 |
1,003 |
$5K |
| 83036 |
|
4,175 |
3,036 |
$5K |
| 73100 |
|
401 |
263 |
$5K |
| 86140 |
|
4,609 |
3,120 |
$4K |
| 82728 |
|
3,033 |
2,089 |
$4K |
| 73562 |
|
440 |
341 |
$4K |
| 84402 |
|
778 |
567 |
$4K |
| 36415 |
|
12,361 |
10,538 |
$4K |
| 86800 |
|
1,383 |
881 |
$4K |
| L1960 |
Afo pos solid ank plastic mo |
24 |
14 |
$4K |
| 74230 |
|
311 |
262 |
$4K |
| 92524 |
|
88 |
67 |
$4K |
| 84100 |
|
5,193 |
2,425 |
$4K |
| 83550 |
|
1,839 |
1,323 |
$4K |
| 73560 |
|
343 |
241 |
$4K |
| 73070 |
|
333 |
217 |
$4K |
| 86376 |
|
1,792 |
1,160 |
$3K |
| 80074 |
|
247 |
165 |
$3K |
| 86255 |
|
1,116 |
617 |
$3K |
| 96113 |
|
85 |
52 |
$3K |
| 82397 |
|
1,163 |
767 |
$3K |
| 83020 |
|
1,077 |
713 |
$3K |
| 84146 |
|
915 |
589 |
$3K |
| 86256 |
|
816 |
426 |
$3K |
| 82533 |
|
791 |
487 |
$3K |
| 88185 |
|
1,013 |
612 |
$3K |
| 85730 |
|
2,512 |
1,633 |
$3K |
| 85652 |
|
5,594 |
3,749 |
$3K |
| 0001A |
|
68 |
53 |
$3K |
| 81001 |
|
4,793 |
3,304 |
$3K |
| 83002 |
|
1,586 |
1,034 |
$3K |
| 94726 |
|
305 |
194 |
$3K |
| J3010 |
Fentanyl citrate injection |
236 |
71 |
$3K |
| 85610 |
|
3,371 |
2,086 |
$3K |
| 92552 |
|
187 |
123 |
$3K |
| 73552 |
|
206 |
139 |
$3K |
| 86225 |
|
1,073 |
731 |
$3K |
| 86317 |
|
28 |
15 |
$3K |
| 84480 |
|
1,287 |
886 |
$3K |
| 86355 |
|
271 |
155 |
$3K |
| 83498 |
|
919 |
636 |
$2K |
| 86357 |
|
273 |
156 |
$2K |
| 85045 |
|
4,667 |
2,911 |
$2K |
| 82785 |
|
1,504 |
919 |
$2K |
| 83540 |
|
2,095 |
1,508 |
$2K |
| 87536 |
|
58 |
48 |
$2K |
| 84030 |
|
819 |
419 |
$2K |
| 85027 |
|
1,699 |
1,247 |
$2K |
| 82627 |
|
927 |
638 |
$2K |
| 82550 |
|
1,629 |
1,041 |
$2K |
| J9260 |
Inj methotrexate sodium 50mg |
270 |
112 |
$2K |
| 81003 |
|
3,968 |
2,606 |
$2K |
| 0004A |
|
46 |
40 |
$2K |
| G0480 |
Drug test def 1-7 classes |
42 |
27 |
$2K |
| 92083 |
|
91 |
55 |
$2K |
| 92626 |
|
80 |
63 |
$2K |
| 82977 |
|
1,872 |
1,193 |
$2K |
| 87070 |
|
1,419 |
877 |
$2K |
| 97163 |
|
13 |
13 |
$2K |
| 96376 |
|
34 |
13 |
$2K |
| 84156 |
|
3,947 |
2,831 |
$2K |
| 86235 |
|
124 |
68 |
$2K |
| 83525 |
|
855 |
633 |
$2K |
| 96415 |
|
57 |
26 |
$2K |
| 70370 |
|
116 |
91 |
$1K |
| 73000 |
|
183 |
147 |
$1K |
| 86885 |
|
964 |
619 |
$1K |
| 84460 |
|
1,244 |
959 |
$1K |
| 83615 |
|
1,080 |
603 |
$1K |
| 87631 |
|
26 |
19 |
$1K |
| 87077 |
|
807 |
477 |
$1K |
| 80299 |
|
18 |
12 |
$1K |
| 83993 |
|
155 |
110 |
$1K |
| 88184 |
|
1,234 |
747 |
$1K |
| 82379 |
|
279 |
190 |
$1K |
| 92060 |
|
127 |
104 |
$1K |
| 82390 |
|
232 |
175 |
$1K |
| 82652 |
|
89 |
57 |
$1K |
| 84238 |
|
55 |
45 |
$978.21 |
| 82139 |
|
251 |
147 |
$972.48 |
| 84244 |
|
57 |
28 |
$964.30 |
| 82565 |
|
719 |
410 |
$941.34 |
| 92522 |
|
29 |
15 |
$938.00 |
| 82542 |
|
99 |
68 |
$910.99 |
| 0002A |
|
20 |
17 |
$849.49 |
| 87493 |
|
40 |
26 |
$842.00 |
| 95012 |
|
518 |
272 |
$798.27 |
| 82043 |
|
1,178 |
852 |
$758.12 |
| 86901 |
|
880 |
561 |
$726.23 |
| 85246 |
|
439 |
261 |
$714.00 |
| 73060 |
|
80 |
51 |
$711.63 |
| 94760 |
|
1,150 |
731 |
$679.76 |
| 80195 |
|
326 |
189 |
$668.94 |
| 82103 |
|
266 |
183 |
$649.41 |
| 89051 |
|
272 |
128 |
$629.40 |
| 80164 |
|
286 |
212 |
$618.15 |
| 86146 |
|
21 |
12 |
$552.50 |
| 92586 |
|
13 |
13 |
$546.43 |
| 86360 |
|
371 |
229 |
$531.37 |
| 86592 |
|
690 |
484 |
$527.86 |
| 92592 |
|
37 |
24 |
$526.27 |
| 82607 |
|
76 |
50 |
$525.99 |
| 86900 |
|
880 |
563 |
$502.98 |
| 82248 |
|
536 |
365 |
$456.59 |
| 82947 |
|
717 |
535 |
$455.95 |
| 73620 |
|
35 |
24 |
$445.99 |
| 86359 |
|
382 |
231 |
$429.95 |
| 83021 |
|
37 |
14 |
$401.38 |
| 93296 |
|
21 |
14 |
$400.88 |
| 83880 |
|
123 |
86 |
$390.61 |
| 83519 |
|
49 |
24 |
$373.43 |
| 90471 |
|
262 |
112 |
$369.75 |
| 82105 |
|
71 |
40 |
$342.98 |
| 94640 |
|
27 |
14 |
$324.55 |
| 83690 |
|
167 |
126 |
$306.69 |
| 87102 |
|
112 |
70 |
$301.93 |
| 86774 |
|
71 |
46 |
$271.82 |
| 87205 |
|
491 |
347 |
$259.54 |
| 84446 |
|
76 |
38 |
$242.92 |
| 85247 |
|
17 |
12 |
$221.42 |
| 72040 |
|
17 |
13 |
$203.96 |
| 84520 |
|
224 |
125 |
$188.73 |
| 84450 |
|
204 |
151 |
$186.38 |
| 87338 |
|
19 |
16 |
$178.27 |
| 85240 |
|
88 |
67 |
$165.77 |
| J1642 |
Inj heparin sodium per 10 u |
280 |
142 |
$163.06 |
| 84550 |
|
178 |
129 |
$161.82 |
| 84300 |
|
226 |
135 |
$139.39 |
| 82017 |
|
29 |
12 |
$128.03 |
| 86147 |
|
24 |
14 |
$125.85 |
| 85576 |
|
60 |
39 |
$110.95 |
| 84133 |
|
183 |
106 |
$106.91 |
| 82436 |
|
163 |
94 |
$100.74 |
| 86706 |
|
24 |
15 |
$74.92 |
| J9209 |
Mesna injection |
41 |
12 |
$68.11 |
| 97803 |
|
16 |
15 |
$65.00 |
| 81025 |
|
80 |
54 |
$53.24 |
| 82150 |
|
30 |
24 |
$51.88 |
| 87427 |
|
35 |
13 |
$50.28 |
| 85245 |
|
37 |
26 |
$47.63 |
| 86430 |
|
25 |
14 |
$45.98 |
| 84590 |
|
78 |
39 |
$42.44 |
| 85384 |
|
38 |
26 |
$42.02 |
| 85613 |
|
30 |
12 |
$31.39 |
| 86880 |
|
18 |
12 |
$31.38 |
| 82085 |
|
26 |
15 |
$31.26 |
| 87045 |
|
35 |
13 |
$31.18 |
| 83605 |
|
23 |
12 |
$30.92 |
| 82310 |
|
36 |
26 |
$25.61 |
| 82247 |
|
44 |
24 |
$25.41 |
| 82140 |
|
21 |
13 |
$21.69 |
| 87046 |
|
35 |
13 |
$19.24 |
| 85378 |
|
16 |
12 |
$17.68 |
| 82465 |
|
24 |
12 |
$8.57 |
| 84478 |
|
20 |
12 |
$2.85 |
| 86923 |
|
13 |
12 |
$0.00 |
| 36591 |
|
220 |
110 |
$0.00 |
| 80050 |
|
107 |
101 |
$0.00 |