| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
|
94,248 |
71,501 |
$9.37M |
| 66984 |
|
3,112 |
2,947 |
$5.14M |
| 67311 |
|
1,557 |
1,546 |
$3.89M |
| 95810 |
|
2,248 |
2,235 |
$1.73M |
| 92002 |
|
13,129 |
12,933 |
$1.73M |
| 30140 |
|
764 |
763 |
$1.60M |
| 69436 |
|
1,028 |
1,027 |
$1.56M |
| J0178 |
Aflibercept injection |
2,779 |
1,701 |
$1.42M |
| 92250 |
|
17,140 |
14,900 |
$1.23M |
| 42820 |
|
640 |
639 |
$1.09M |
| 67028 |
|
5,123 |
4,465 |
$726K |
| 99212 |
|
5,570 |
5,066 |
$656K |
| 92060 |
|
7,488 |
7,315 |
$655K |
| 92083 |
|
7,463 |
7,112 |
$570K |
| 92134 |
|
6,849 |
6,326 |
$545K |
| 67113 |
|
166 |
166 |
$494K |
| 92567 |
|
6,740 |
6,177 |
$473K |
| 42830 |
|
278 |
278 |
$456K |
| 92133 |
|
4,813 |
4,655 |
$420K |
| 67228 |
|
649 |
595 |
$416K |
| 99202 |
|
2,529 |
2,460 |
$306K |
| 92557 |
|
4,820 |
4,776 |
$293K |
| 92507 |
|
3,842 |
1,902 |
$289K |
| 67314 |
|
456 |
453 |
$241K |
| 30520 |
|
587 |
586 |
$188K |
| 92235 |
|
1,693 |
1,648 |
$184K |
| 92020 |
|
2,299 |
2,215 |
$173K |
| L8699 |
Prosthetic implant nos |
752 |
747 |
$150K |
| 21235 |
|
204 |
203 |
$146K |
| 95782 |
|
181 |
178 |
$145K |
| 76512 |
|
1,629 |
1,445 |
$137K |
| 92604 |
|
1,364 |
1,319 |
$125K |
| J3490 |
Drugs unclassified injection |
31,644 |
11,222 |
$124K |
| 92550 |
|
1,679 |
1,629 |
$121K |
| 92136 |
|
1,618 |
1,585 |
$120K |
| 95811 |
|
172 |
165 |
$118K |
| 88305 |
|
3,193 |
3,132 |
$112K |
| 92025 |
|
1,226 |
1,205 |
$112K |
| 31231 |
|
353 |
342 |
$98K |
| G2023 |
Specimen collect covid-19 |
3,650 |
3,563 |
$94K |
| 92285 |
|
1,223 |
1,115 |
$94K |
| 97530 |
|
1,118 |
656 |
$93K |
| U0002 |
Covid-19 lab test non-cdc |
4,923 |
4,562 |
$92K |
| V5020 |
Conformity evaluation |
1,306 |
1,284 |
$89K |
| V2632 |
Post chmbr intraocular lens |
5,392 |
2,908 |
$85K |
| 92579 |
|
1,062 |
1,045 |
$80K |
| 92015 |
|
2,779 |
2,764 |
$70K |
| Q3014 |
Telehealth facility fee |
1,914 |
1,806 |
$63K |
| 65426 |
|
26 |
25 |
$62K |
| 88304 |
|
1,996 |
1,979 |
$59K |
| 31575 |
|
177 |
175 |
$46K |
| 92626 |
|
652 |
602 |
$44K |
| 69210 |
|
364 |
350 |
$41K |
| 88173 |
|
941 |
917 |
$33K |
| 92537 |
|
226 |
225 |
$29K |
| OP370 |
|
39 |
39 |
$28K |
| C9257 |
Bevacizumab injection |
3,498 |
2,852 |
$27K |
| 92524 |
|
231 |
224 |
$27K |
| 92582 |
|
429 |
426 |
$25K |
| V2785 |
Corneal tissue processing |
25 |
25 |
$24K |
| 99201 |
|
176 |
175 |
$23K |
| 95800 |
|
143 |
136 |
$23K |
| 31267 |
|
24 |
24 |
$21K |
| 80048 |
|
994 |
957 |
$21K |
| G0463 |
Hospital outpt clinic visit |
645 |
493 |
$21K |
| C9803 |
Hopd covid-19 spec collect |
1,374 |
1,321 |
$16K |
| 92553 |
|
207 |
205 |
$15K |
| 92540 |
|
279 |
275 |
$15K |
| 87635 |
|
650 |
618 |
$13K |
| 81025 |
|
2,593 |
2,546 |
$13K |
| 70480 |
|
92 |
92 |
$13K |
| 70486 |
|
98 |
98 |
$12K |
| 92593 |
|
244 |
239 |
$11K |
| 80053 |
|
457 |
449 |
$11K |
| 92520 |
|
113 |
109 |
$10K |
| 92556 |
|
150 |
150 |
$9K |
| 92552 |
|
105 |
104 |
$9K |
| 92555 |
|
139 |
138 |
$9K |
| J1097 |
Phenylep ketorolac opth soln |
73 |
63 |
$8K |
| 92622 |
|
67 |
62 |
$7K |
| 88311 |
|
522 |
459 |
$6K |
| J3473 |
Hyaluronidase recombinant |
361 |
349 |
$6K |
| V5010 |
Assessment for hearing aid |
74 |
74 |
$6K |
| 87070 |
|
1,254 |
1,189 |
$6K |
| 97162 |
|
39 |
38 |
$5K |
| J3471 |
Ovine, up to 999 usp units |
74 |
69 |
$5K |
| 93005 |
|
1,182 |
1,173 |
$4K |
| 92700 |
|
53 |
53 |
$4K |
| 92132 |
|
47 |
44 |
$4K |
| 97112 |
|
76 |
41 |
$4K |
| 87075 |
|
766 |
730 |
$3K |
| 82947 |
|
2,912 |
2,649 |
$3K |
| 36415 |
|
712 |
632 |
$3K |
| 92603 |
|
26 |
26 |
$3K |
| OP272 |
|
27 |
27 |
$2K |
| 87102 |
|
675 |
645 |
$2K |
| 92585 |
|
17 |
17 |
$2K |
| 92652 |
|
28 |
28 |
$2K |
| 99203 |
|
15 |
15 |
$2K |
| 99211 |
|
110 |
110 |
$2K |
| OP710 |
|
13 |
13 |
$2K |
| 92592 |
|
36 |
35 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
3,487 |
3,463 |
$1K |
| 92082 |
|
17 |
17 |
$1K |
| J8499 |
Oral prescrip drug non chemo |
3,657 |
2,779 |
$1K |
| L8610 |
Ocular implant |
27 |
26 |
$1K |
| J7315 |
Ophthalmic mitomycin |
14 |
13 |
$991.98 |
| J2704 |
Inj, propofol, 10 mg |
8,376 |
7,632 |
$959.21 |
| 87186 |
|
97 |
96 |
$888.92 |
| 95992 |
|
22 |
13 |
$772.44 |
| 92591 |
|
13 |
13 |
$655.98 |
| J0171 |
Adrenalin epinephrine inject |
2,624 |
2,507 |
$534.42 |
| 76511 |
|
13 |
12 |
$532.99 |
| 76513 |
|
12 |
12 |
$418.33 |
| 88172 |
|
13 |
13 |
$372.80 |
| 85025 |
|
599 |
589 |
$285.19 |
| J3010 |
Fentanyl citrate injection |
12,552 |
12,255 |
$259.63 |
| J2250 |
Inj midazolam hydrochloride |
9,433 |
9,156 |
$167.33 |
| A9270 |
Non-covered item or service |
516 |
311 |
$165.78 |
| J0690 |
Cefazolin sodium injection |
2,907 |
2,842 |
$161.81 |
| A4217 |
Sterile water/saline, 500 ml |
124 |
124 |
$157.62 |
| J1170 |
Hydromorphone injection |
2,438 |
2,257 |
$154.53 |
| OP250 |
|
123 |
38 |
$134.47 |
| 88313 |
|
28 |
27 |
$128.86 |
| 92570 |
|
57 |
57 |
$128.68 |
| C1780 |
Lens, intraocular (new tech) |
38 |
37 |
$108.47 |
| J2001 |
Lidocaine injection |
4,572 |
3,954 |
$45.86 |
| 86780 |
|
28 |
28 |
$33.60 |
| J7040 |
Normal saline solution infus |
1,040 |
1,038 |
$32.94 |
| J1100 |
Dexamethasone sodium phos |
2,365 |
2,236 |
$27.58 |
| J3301 |
Triamcinolone acet inj nos |
360 |
354 |
$27.21 |
| J1580 |
Garamycin gentamicin inj |
714 |
670 |
$24.23 |
| 86592 |
|
42 |
42 |
$18.01 |
| J7030 |
Normal saline solution infus |
493 |
491 |
$17.66 |
| J7120 |
Ringers lactate infusion |
62 |
62 |
$13.20 |
| J2405 |
Ondansetron hcl injection |
225 |
223 |
$1.60 |
| J2270 |
Morphine sulfate injection |
78 |
78 |
$0.68 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
12 |
$0.31 |
| 85014 |
|
28 |
28 |
$0.00 |
| 85049 |
|
28 |
28 |
$0.00 |
| 99429 |
|
57 |
42 |
$0.00 |
| 85018 |
|
28 |
28 |
$0.00 |