| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
16,866 |
13,794 |
$2.72M |
| 99284 |
|
8,072 |
5,904 |
$970K |
| G0463 |
Hospital outpt clinic visit |
2,740 |
1,919 |
$546K |
| 90853 |
|
5,918 |
1,214 |
$311K |
| 93005 |
|
3,874 |
2,928 |
$244K |
| 71045 |
|
1,854 |
1,444 |
$236K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
598 |
455 |
$139K |
| 87502 |
|
1,608 |
1,347 |
$102K |
| 80307 |
|
1,676 |
968 |
$81K |
| 80048 |
|
13,506 |
10,096 |
$80K |
| 99282 |
|
456 |
398 |
$80K |
| 85025 |
|
13,297 |
10,391 |
$78K |
| H0015 |
Alcohol and/or drug services |
863 |
110 |
$72K |
| 71046 |
|
420 |
367 |
$67K |
| 74177 |
|
175 |
140 |
$66K |
| 87426 |
|
2,296 |
1,867 |
$60K |
| 97110 |
|
653 |
145 |
$56K |
| 36415 |
|
17,082 |
13,238 |
$42K |
| 80076 |
|
6,661 |
5,244 |
$39K |
| J7030 |
Normal saline solution infus |
1,524 |
1,074 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
433 |
401 |
$30K |
| 96361 |
|
771 |
624 |
$27K |
| G0480 |
Drug test def 1-7 classes |
371 |
275 |
$24K |
| 90834 |
|
292 |
153 |
$23K |
| 83605 |
|
2,418 |
1,795 |
$20K |
| 96374 |
|
755 |
665 |
$19K |
| 99221 |
|
29 |
25 |
$18K |
| 90791 |
|
205 |
153 |
$17K |
| 81001 |
|
3,976 |
3,191 |
$14K |
| 80050 |
|
99 |
93 |
$13K |
| 87651 |
|
392 |
352 |
$12K |
| 87636 |
|
103 |
97 |
$11K |
| 84484 |
|
1,215 |
834 |
$11K |
| 84443 |
|
1,163 |
1,055 |
$11K |
| 83690 |
|
2,388 |
1,924 |
$11K |
| 99217 |
|
32 |
24 |
$10K |
| 90832 |
|
126 |
64 |
$9K |
| 82306 |
|
328 |
296 |
$8K |
| 80061 |
|
1,013 |
901 |
$7K |
| 99213 |
|
15 |
12 |
$7K |
| 99238 |
|
13 |
12 |
$7K |
| 87635 |
|
152 |
137 |
$7K |
| 80053 |
|
1,076 |
973 |
$6K |
| 83735 |
|
687 |
544 |
$5K |
| 99219 |
|
16 |
12 |
$5K |
| 84439 |
|
835 |
759 |
$5K |
| U0005 |
Infec agen detec ampli probe |
427 |
395 |
$4K |
| 83036 |
|
982 |
874 |
$4K |
| 80305 |
|
374 |
289 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
51 |
45 |
$3K |
| 87086 |
|
461 |
376 |
$3K |
| 70450 |
|
32 |
25 |
$3K |
| 85027 |
|
651 |
472 |
$3K |
| 99285 |
|
73 |
49 |
$2K |
| 82607 |
|
151 |
140 |
$2K |
| 94640 |
|
108 |
68 |
$2K |
| 82746 |
|
103 |
96 |
$2K |
| 87801 |
|
33 |
29 |
$1K |
| 96360 |
|
29 |
25 |
$1K |
| P9604 |
One-way allow prorated trip |
955 |
677 |
$1K |
| 87634 |
|
20 |
16 |
$1K |
| 96372 |
|
27 |
25 |
$1K |
| 82150 |
|
451 |
370 |
$1K |
| 96375 |
|
387 |
321 |
$1K |
| 81003 |
|
353 |
306 |
$1K |
| 85379 |
|
121 |
92 |
$755.35 |
| J7040 |
Normal saline solution infus |
46 |
39 |
$737.13 |
| 87081 |
|
133 |
123 |
$735.89 |
| 87040 |
|
99 |
51 |
$629.69 |
| 87880 |
|
75 |
67 |
$586.20 |
| 96365 |
|
35 |
24 |
$569.56 |
| 82962 |
|
105 |
37 |
$532.03 |
| 84460 |
|
104 |
86 |
$238.99 |
| 86592 |
|
42 |
40 |
$155.98 |
| 81025 |
|
13 |
13 |
$94.71 |
| 96376 |
|
77 |
24 |
$85.48 |
| 80051 |
|
17 |
16 |
$54.61 |
| 82565 |
|
17 |
16 |
$39.91 |
| 84520 |
|
17 |
16 |
$30.76 |
| 82553 |
|
14 |
12 |
$19.43 |
| 82550 |
|
15 |
13 |
$18.64 |
| 85730 |
|
20 |
18 |
$14.40 |
| 85610 |
|
20 |
18 |
$9.40 |
| A9270 |
Non-covered item or service |
52 |
28 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
139 |
119 |
$0.00 |
| J1170 |
Hydromorphone injection |
20 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
277 |
248 |
$0.00 |
| G1004 |
Cdsm ndsc |
102 |
71 |
$0.00 |