| Code | Description | Claims | Beneficiaries | Total Paid |
| 87633 |
|
55,789 |
48,204 |
$13.53M |
| 87798 |
|
55,881 |
48,262 |
$4.05M |
| T1015 |
Clinic service |
189,888 |
151,610 |
$2.89M |
| 0241U |
|
15,115 |
12,877 |
$2.34M |
| 87581 |
|
55,735 |
48,235 |
$2.31M |
| 87486 |
|
55,717 |
48,225 |
$2.31M |
| 70551 |
|
3,209 |
2,907 |
$1.75M |
| 87651 |
|
19,584 |
17,527 |
$1.18M |
| J0585 |
Injection,onabotulinumtoxina |
275 |
220 |
$1.02M |
| 93306 |
|
3,184 |
2,852 |
$958K |
| 70450 |
|
3,684 |
3,257 |
$739K |
| 93303 |
|
4,229 |
3,685 |
$641K |
| 80053 |
|
31,468 |
24,958 |
$614K |
| 42820 |
|
1,421 |
1,342 |
$587K |
| 97110 |
|
6,998 |
2,902 |
$505K |
| 85025 |
|
32,672 |
26,063 |
$466K |
| 71046 |
|
19,470 |
16,689 |
$465K |
| 96365 |
|
4,673 |
2,574 |
$432K |
| U0002 |
Covid-19 lab test non-cdc |
5,570 |
5,094 |
$396K |
| 69436 |
|
1,453 |
1,372 |
$387K |
| 70553 |
|
535 |
467 |
$356K |
| 43239 |
|
799 |
709 |
$341K |
| 84145 |
|
10,161 |
8,446 |
$306K |
| 84443 |
|
9,349 |
8,471 |
$304K |
| 74177 |
|
1,130 |
998 |
$287K |
| 82306 |
|
3,915 |
3,587 |
$243K |
| 76770 |
|
4,551 |
4,135 |
$237K |
| 74019 |
|
7,663 |
6,723 |
$227K |
| 93005 |
|
10,294 |
8,796 |
$222K |
| 87631 |
|
1,548 |
1,434 |
$221K |
| 93320 |
|
4,229 |
3,683 |
$218K |
| 95819 |
|
2,106 |
1,935 |
$197K |
| 84439 |
|
10,768 |
9,785 |
$197K |
| 80050 |
|
2,721 |
2,500 |
$197K |
| 83036 |
|
9,607 |
8,644 |
$196K |
| 80061 |
|
6,165 |
5,634 |
$186K |
| 87086 |
|
12,978 |
11,214 |
$173K |
| 87804 |
|
6,713 |
5,820 |
$164K |
| 72148 |
|
289 |
272 |
$164K |
| 90686 |
|
9,104 |
7,593 |
$160K |
| 86140 |
|
18,184 |
15,027 |
$154K |
| 85027 |
|
16,602 |
11,867 |
$154K |
| 72141 |
|
244 |
217 |
$143K |
| 94010 |
|
4,777 |
4,414 |
$141K |
| 73721 |
|
305 |
273 |
$136K |
| 92587 |
|
2,663 |
2,372 |
$133K |
| 76705 |
|
5,241 |
4,489 |
$123K |
| 87040 |
|
8,148 |
6,637 |
$123K |
| 82728 |
|
4,686 |
4,098 |
$121K |
| 80048 |
|
8,688 |
7,151 |
$119K |
| 92611 |
|
2,510 |
2,365 |
$114K |
| 74022 |
|
2,885 |
2,521 |
$108K |
| 74018 |
|
3,623 |
3,184 |
$103K |
| 97162 |
|
575 |
521 |
$101K |
| 72082 |
|
1,510 |
1,387 |
$101K |
| 81003 |
|
23,143 |
19,652 |
$90K |
| 85055 |
|
3,158 |
2,227 |
$90K |
| 42830 |
|
257 |
242 |
$89K |
| 92567 |
|
5,446 |
4,888 |
$86K |
| 93325 |
|
4,558 |
3,964 |
$79K |
| 74230 |
|
2,557 |
2,414 |
$77K |
| 72170 |
|
2,517 |
2,288 |
$76K |
| 73630 |
|
1,823 |
1,490 |
$75K |
| 80306 |
|
1,952 |
1,660 |
$74K |
| 85007 |
|
15,170 |
10,583 |
$73K |
| 0072A |
|
493 |
400 |
$67K |
| 72146 |
|
91 |
91 |
$67K |
| 81025 |
|
4,745 |
3,922 |
$64K |
| 0071A |
|
498 |
392 |
$63K |
| 92507 |
|
3,421 |
1,313 |
$58K |
| 82803 |
|
1,469 |
1,122 |
$58K |
| 90670 |
|
5,316 |
4,980 |
$58K |
| 73590 |
|
2,120 |
1,611 |
$55K |
| 73090 |
|
2,559 |
1,953 |
$55K |
| 83690 |
|
4,172 |
3,503 |
$54K |
| 90647 |
|
4,561 |
4,237 |
$54K |
| 76700 |
|
821 |
749 |
$54K |
| 76376 |
|
2,106 |
1,904 |
$53K |
| 73610 |
|
2,205 |
1,862 |
$52K |
| 90651 |
|
2,130 |
1,942 |
$51K |
| 76536 |
|
877 |
779 |
$51K |
| 87077 |
|
3,171 |
2,734 |
$47K |
| 83735 |
|
4,340 |
2,892 |
$47K |
| 81001 |
|
8,740 |
7,544 |
$46K |
| 73562 |
|
1,045 |
856 |
$46K |
| 90633 |
|
3,990 |
3,710 |
$45K |
| 90723 |
|
4,155 |
3,908 |
$45K |
| 95812 |
|
354 |
331 |
$45K |
| 80069 |
|
2,696 |
2,041 |
$45K |
| 0001A |
|
569 |
476 |
$45K |
| J2405 |
Ondansetron hcl injection |
3,157 |
1,968 |
$43K |
| 82948 |
|
5,978 |
4,955 |
$43K |
| 90619 |
|
605 |
562 |
$43K |
| 82977 |
|
3,005 |
2,495 |
$42K |
| 73130 |
|
1,089 |
924 |
$41K |
| 93975 |
|
337 |
281 |
$41K |
| 83550 |
|
2,212 |
1,971 |
$37K |
| 73080 |
|
1,663 |
1,381 |
$37K |
| 84703 |
|
2,534 |
2,011 |
$36K |
| 90681 |
|
3,171 |
2,949 |
$35K |
| 73110 |
|
1,102 |
961 |
$34K |
| 76856 |
|
672 |
588 |
$33K |
| 87186 |
|
3,015 |
2,596 |
$33K |
| 82248 |
|
3,977 |
2,852 |
$32K |
| 85652 |
|
5,878 |
4,996 |
$32K |
| 77073 |
|
664 |
621 |
$31K |
| 80076 |
|
1,679 |
1,500 |
$31K |
| 83540 |
|
2,323 |
2,131 |
$30K |
| 93225 |
|
544 |
472 |
$30K |
| 84100 |
|
3,868 |
2,583 |
$30K |
| 90710 |
|
2,571 |
2,368 |
$30K |
| 0081A |
|
278 |
274 |
$28K |
| 90715 |
|
1,337 |
1,207 |
$28K |
| 85046 |
|
3,055 |
2,241 |
$28K |
| 71260 |
|
86 |
78 |
$25K |
| 0002A |
|
251 |
236 |
$24K |
| 70250 |
|
604 |
541 |
$22K |
| 85610 |
|
2,909 |
2,280 |
$22K |
| 77072 |
|
601 |
561 |
$22K |
| 76885 |
|
462 |
388 |
$21K |
| 84460 |
|
2,278 |
1,702 |
$21K |
| 90700 |
|
1,796 |
1,663 |
$21K |
| 87506 |
|
73 |
69 |
$21K |
| 72081 |
|
545 |
488 |
$20K |
| 82962 |
|
3,516 |
2,845 |
$19K |
| 83525 |
|
747 |
712 |
$19K |
| 97530 |
|
145 |
62 |
$19K |
| 90734 |
|
970 |
914 |
$19K |
| 76870 |
|
456 |
412 |
$19K |
| 87088 |
|
1,794 |
1,482 |
$19K |
| 0082A |
|
175 |
173 |
$17K |
| 73552 |
|
789 |
625 |
$17K |
| 90696 |
|
1,369 |
1,273 |
$17K |
| 87807 |
|
1,438 |
1,275 |
$16K |
| 73100 |
|
676 |
550 |
$16K |
| 87880 |
|
1,273 |
1,105 |
$16K |
| 73070 |
|
890 |
661 |
$16K |
| 90697 |
|
1,160 |
1,081 |
$16K |
| 85730 |
|
1,522 |
1,245 |
$15K |
| 73140 |
|
677 |
589 |
$15K |
| 82247 |
|
2,939 |
1,616 |
$15K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
299 |
139 |
$15K |
| 86901 |
|
473 |
279 |
$15K |
| 87505 |
|
80 |
65 |
$14K |
| 83615 |
|
1,585 |
1,326 |
$14K |
| 82550 |
|
1,276 |
1,093 |
$14K |
| 0124A |
|
211 |
188 |
$13K |
| 91320 |
|
139 |
116 |
$13K |
| 82330 |
|
513 |
386 |
$13K |
| 87070 |
|
1,242 |
869 |
$13K |
| 82375 |
|
509 |
382 |
$12K |
| 97001 |
|
327 |
300 |
$12K |
| 92582 |
|
1,531 |
1,408 |
$12K |
| 83605 |
|
562 |
421 |
$11K |
| 82150 |
|
921 |
778 |
$11K |
| 80051 |
|
751 |
578 |
$11K |
| 73564 |
|
253 |
181 |
$11K |
| 90671 |
|
1,180 |
830 |
$11K |
| J9370 |
Vincristine sulfate 1 mg inj |
268 |
173 |
$11K |
| 73030 |
|
380 |
321 |
$9K |
| 92523 |
|
232 |
163 |
$9K |
| 90656 |
|
496 |
349 |
$8K |
| 44970 |
|
30 |
25 |
$8K |
| 70360 |
|
746 |
689 |
$8K |
| 82810 |
|
446 |
332 |
$8K |
| 51798 |
|
35 |
25 |
$8K |
| 82565 |
|
1,188 |
835 |
$8K |
| 90707 |
|
624 |
587 |
$8K |
| 93976 |
|
75 |
68 |
$7K |
| 72100 |
|
185 |
167 |
$7K |
| 82947 |
|
892 |
730 |
$7K |
| 84295 |
|
903 |
659 |
$7K |
| 82374 |
|
839 |
619 |
$7K |
| 90716 |
|
612 |
566 |
$7K |
| 84132 |
|
889 |
663 |
$7K |
| 70486 |
|
27 |
26 |
$6K |
| 84550 |
|
891 |
740 |
$6K |
| 90688 |
|
692 |
661 |
$6K |
| 0054A |
|
186 |
111 |
$6K |
| 80143 |
|
173 |
134 |
$6K |
| 91319 |
|
126 |
103 |
$6K |
| 71045 |
|
429 |
306 |
$6K |
| 77080 |
|
25 |
24 |
$6K |
| 83050 |
|
522 |
381 |
$6K |
| 94060 |
|
97 |
96 |
$6K |
| 85018 |
|
1,663 |
1,413 |
$6K |
| 92555 |
|
1,826 |
1,645 |
$5K |
| Q3014 |
Telehealth facility fee |
1,479 |
1,381 |
$5K |
| 92552 |
|
914 |
841 |
$5K |
| 0154A |
|
138 |
127 |
$5K |
| 93242 |
|
352 |
289 |
$5K |
| 72040 |
|
118 |
111 |
$5K |
| 87205 |
|
980 |
673 |
$5K |
| 76882 |
|
372 |
291 |
$5K |
| 0202U |
|
2,523 |
1,998 |
$5K |
| 71020 |
|
339 |
303 |
$5K |
| 91318 |
|
184 |
168 |
$4K |
| 95816 |
|
86 |
81 |
$4K |
| 82570 |
|
477 |
403 |
$4K |
| 73000 |
|
237 |
196 |
$4K |
| 85014 |
|
908 |
678 |
$4K |
| 83880 |
|
59 |
49 |
$4K |
| 73560 |
|
126 |
95 |
$4K |
| 90677 |
|
283 |
275 |
$4K |
| 80179 |
|
91 |
74 |
$3K |
| 92556 |
|
670 |
616 |
$3K |
| 82010 |
|
168 |
126 |
$3K |
| 54161 |
|
14 |
12 |
$3K |
| 86308 |
|
293 |
266 |
$3K |
| 82043 |
|
248 |
209 |
$3K |
| 94664 |
|
789 |
736 |
$2K |
| 74020 |
|
134 |
105 |
$2K |
| 92553 |
|
346 |
310 |
$2K |
| 89051 |
|
390 |
254 |
$2K |
| 82077 |
|
65 |
52 |
$2K |
| 97165 |
|
12 |
12 |
$2K |
| 86900 |
|
479 |
279 |
$2K |
| 84156 |
|
301 |
248 |
$2K |
| 87015 |
|
249 |
160 |
$2K |
| 90381 |
|
121 |
117 |
$2K |
| 84450 |
|
138 |
122 |
$1K |
| 93978 |
|
15 |
13 |
$1K |
| 72070 |
|
50 |
39 |
$1K |
| 84484 |
|
62 |
51 |
$1K |
| 86850 |
|
265 |
165 |
$1K |
| 94760 |
|
56 |
28 |
$1K |
| 73620 |
|
33 |
26 |
$1K |
| 82270 |
|
234 |
193 |
$989.45 |
| 82945 |
|
250 |
161 |
$974.13 |
| 85384 |
|
88 |
62 |
$916.78 |
| 74000 |
|
57 |
50 |
$907.72 |
| 84157 |
|
250 |
161 |
$906.54 |
| 83970 |
|
12 |
12 |
$875.85 |
| 80164 |
|
24 |
24 |
$854.81 |
| 93226 |
|
13 |
12 |
$830.00 |
| 76010 |
|
107 |
95 |
$818.06 |
| J1100 |
Dexamethasone sodium phos |
64 |
55 |
$789.20 |
| 90380 |
|
94 |
61 |
$788.40 |
| 0083A |
|
13 |
12 |
$636.40 |
| J0696 |
Ceftriaxone sodium injection |
228 |
97 |
$532.03 |
| 90732 |
|
47 |
29 |
$505.36 |
| 84520 |
|
52 |
50 |
$393.49 |
| 90471 |
|
55 |
46 |
$374.40 |
| 84702 |
|
39 |
29 |
$359.59 |
| J1642 |
Inj heparin sodium per 10 u |
946 |
255 |
$341.19 |
| A9276 |
Disposable sensor, cgm sys |
1,096 |
880 |
$259.03 |
| 85379 |
|
14 |
13 |
$253.55 |
| J2704 |
Inj, propofol, 10 mg |
116 |
70 |
$210.98 |
| 76000 |
|
90 |
79 |
$0.00 |
| E0445 |
Oximeter non-invasive |
561 |
445 |
$0.00 |
| A4565 |
Slings |
14 |
13 |
$0.00 |
| 92595 |
|
15 |
14 |
$0.00 |
| A7046 |
Repl water chamber, pap dev |
12 |
12 |
$0.00 |
| V5275 |
Ear impression |
56 |
52 |
$0.00 |
| 92558 |
|
60 |
60 |
$0.00 |
| 85008 |
|
86 |
66 |
$0.00 |
| 99214 |
|
58 |
54 |
$0.00 |
| 99213 |
|
13 |
13 |
$0.00 |