| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
28,480 |
21,185 |
$5.30M |
| 99283 |
|
32,469 |
24,997 |
$3.97M |
| 99284 |
|
26,602 |
21,185 |
$3.86M |
| Y7506 |
|
19,458 |
17,030 |
$2.91M |
| X4011 |
|
13,000 |
12,299 |
$2.56M |
| 85025 |
|
28,522 |
25,586 |
$1.56M |
| 80053 |
|
22,336 |
20,207 |
$1.01M |
| X4006 |
|
1,638 |
1,367 |
$756K |
| 96374 |
|
6,783 |
6,454 |
$673K |
| 71045 |
|
5,192 |
4,978 |
$294K |
| 59025 |
|
2,133 |
992 |
$274K |
| 83690 |
|
4,073 |
3,897 |
$186K |
| 81001 |
|
3,712 |
3,578 |
$167K |
| 0202U |
|
384 |
379 |
$144K |
| 93005 |
|
1,970 |
1,883 |
$139K |
| 80048 |
|
1,205 |
1,136 |
$122K |
| 87804 |
|
436 |
388 |
$102K |
| 76816 |
|
925 |
871 |
$94K |
| 87636 |
|
1,126 |
1,067 |
$91K |
| 96375 |
|
2,498 |
2,381 |
$88K |
| 74177 |
|
433 |
423 |
$80K |
| 36415 |
|
1,425 |
1,293 |
$65K |
| X4003 |
|
951 |
644 |
$65K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,269 |
907 |
$61K |
| 83735 |
|
650 |
583 |
$49K |
| 71046 |
|
387 |
363 |
$46K |
| 99213 |
|
103 |
86 |
$45K |
| 84484 |
|
1,122 |
865 |
$36K |
| 88305 |
|
672 |
650 |
$36K |
| 84443 |
|
767 |
740 |
$32K |
| 80307 |
|
196 |
182 |
$30K |
| 87502 |
|
89 |
86 |
$29K |
| 73630 |
|
787 |
665 |
$28K |
| 99282 |
|
370 |
271 |
$24K |
| 64483 |
|
99 |
92 |
$24K |
| 86803 |
|
299 |
292 |
$23K |
| 62323 |
|
66 |
64 |
$21K |
| 93306 |
|
101 |
100 |
$20K |
| 94761 |
|
171 |
165 |
$20K |
| 81003 |
|
395 |
380 |
$19K |
| 86140 |
|
330 |
311 |
$18K |
| G0463 |
Hospital outpt clinic visit |
283 |
236 |
$18K |
| G0378 |
Hospital observation per hr |
17 |
17 |
$15K |
| 87081 |
|
162 |
159 |
$15K |
| 81025 |
|
1,376 |
1,324 |
$15K |
| 66984 |
|
13 |
13 |
$14K |
| 90853 |
|
45 |
12 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,625 |
1,568 |
$11K |
| 87880 |
|
260 |
253 |
$11K |
| 76801 |
|
95 |
92 |
$10K |
| 69436 |
|
12 |
12 |
$10K |
| 71250 |
|
218 |
217 |
$9K |
| 0241U |
|
86 |
85 |
$9K |
| 43239 |
|
30 |
29 |
$9K |
| 70450 |
|
165 |
155 |
$8K |
| 74176 |
|
49 |
42 |
$7K |
| 93271 |
|
131 |
130 |
$6K |
| 87651 |
|
260 |
253 |
$6K |
| 80081 |
|
50 |
50 |
$6K |
| J3490 |
Drugs unclassified injection |
3,386 |
2,499 |
$6K |
| Y7507 |
|
101 |
55 |
$6K |
| 87807 |
|
13 |
13 |
$5K |
| 94726 |
|
65 |
63 |
$5K |
| 87070 |
|
239 |
236 |
$5K |
| 85610 |
|
61 |
52 |
$5K |
| 95810 |
|
12 |
12 |
$4K |
| 87801 |
|
41 |
37 |
$4K |
| 80061 |
|
304 |
295 |
$4K |
| 45385 |
|
12 |
12 |
$3K |
| 87631 |
|
12 |
12 |
$3K |
| 87086 |
|
140 |
131 |
$3K |
| 99291 |
|
13 |
13 |
$3K |
| 99212 |
|
42 |
42 |
$3K |
| 87430 |
|
199 |
199 |
$2K |
| 95806 |
|
25 |
25 |
$2K |
| 87653 |
|
12 |
12 |
$2K |
| 94618 |
|
51 |
49 |
$2K |
| 94729 |
|
61 |
60 |
$1K |
| 76856 |
|
29 |
29 |
$1K |
| 76830 |
|
15 |
15 |
$1K |
| 87428 |
|
32 |
30 |
$882.64 |
| 76805 |
|
12 |
12 |
$841.38 |
| U0002 |
Covid-19 lab test non-cdc |
16 |
16 |
$706.64 |
| 96372 |
|
12 |
12 |
$697.91 |
| 83036 |
|
46 |
45 |
$492.06 |
| 82950 |
|
25 |
24 |
$399.30 |
| 0240U |
|
27 |
27 |
$285.26 |
| 83970 |
|
12 |
12 |
$261.13 |
| 82306 |
|
12 |
12 |
$165.76 |
| 87661 |
|
13 |
13 |
$140.35 |
| 81002 |
|
38 |
37 |
$102.61 |
| 82947 |
|
46 |
41 |
$92.88 |
| 84439 |
|
17 |
17 |
$86.98 |
| 87591 |
|
48 |
47 |
$84.21 |
| 87491 |
|
48 |
47 |
$84.21 |
| 80069 |
|
13 |
13 |
$47.35 |
| C9803 |
Hopd covid-19 spec collect |
108 |
104 |
$36.80 |
| 88175 |
|
12 |
12 |
$21.28 |
| 82962 |
|
13 |
13 |
$13.10 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
28 |
17 |
$1.35 |
| J1642 |
Inj heparin sodium per 10 u |
58 |
25 |
$0.42 |
| J2704 |
Inj, propofol, 10 mg |
44 |
40 |
$0.00 |
| A9270 |
Non-covered item or service |
14 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
403 |
372 |
$0.00 |
| J7030 |
Normal saline solution infus |
15 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
32 |
27 |
$0.00 |