| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
15,235 |
14,690 |
$2.88M |
| 99285 |
|
8,393 |
7,846 |
$2.80M |
| X4011 |
|
8,233 |
7,499 |
$2.49M |
| 99284 |
|
7,735 |
7,354 |
$1.92M |
| 85025 |
|
30,108 |
27,292 |
$1.18M |
| 80053 |
|
25,557 |
23,304 |
$786K |
| 96374 |
|
5,171 |
4,938 |
$776K |
| 0241U |
|
5,185 |
5,017 |
$523K |
| 93005 |
|
10,040 |
9,216 |
$510K |
| 74177 |
|
982 |
944 |
$273K |
| 71046 |
|
1,965 |
1,792 |
$244K |
| 81001 |
|
6,092 |
5,751 |
$238K |
| 11042 |
|
1,404 |
604 |
$236K |
| J3490 |
Drugs unclassified injection |
3,902 |
3,025 |
$225K |
| 71045 |
|
4,937 |
4,620 |
$215K |
| 80307 |
|
2,165 |
2,021 |
$205K |
| 96375 |
|
2,870 |
2,659 |
$163K |
| 36415 |
|
7,198 |
6,125 |
$159K |
| Y7507 |
|
812 |
716 |
$139K |
| 84484 |
|
5,805 |
5,110 |
$105K |
| 87086 |
|
1,833 |
1,672 |
$103K |
| 86900 |
|
601 |
567 |
$100K |
| 87491 |
|
1,118 |
1,092 |
$96K |
| 87591 |
|
1,148 |
1,122 |
$96K |
| 86850 |
|
620 |
582 |
$82K |
| G0463 |
Hospital outpt clinic visit |
1,118 |
734 |
$79K |
| 84443 |
|
2,623 |
2,482 |
$77K |
| 86901 |
|
600 |
566 |
$76K |
| C9803 |
Hopd covid-19 spec collect |
4,383 |
4,190 |
$69K |
| 87804 |
|
310 |
301 |
$62K |
| Y7506 |
|
488 |
399 |
$56K |
| 96361 |
|
999 |
911 |
$54K |
| 80061 |
|
2,391 |
2,266 |
$53K |
| X4006 |
|
47 |
44 |
$51K |
| 70450 |
|
371 |
351 |
$46K |
| 43239 |
|
69 |
69 |
$43K |
| 83690 |
|
2,594 |
2,469 |
$41K |
| 92507 |
|
534 |
178 |
$38K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,111 |
1,072 |
$32K |
| 87502 |
|
164 |
157 |
$26K |
| 76815 |
|
334 |
306 |
$23K |
| 99281 |
|
155 |
151 |
$20K |
| 83036 |
|
1,513 |
1,417 |
$19K |
| 81003 |
|
1,400 |
1,351 |
$19K |
| 76830 |
|
94 |
92 |
$19K |
| 94640 |
|
161 |
139 |
$18K |
| 82306 |
|
660 |
615 |
$16K |
| 87660 |
|
673 |
648 |
$16K |
| 99282 |
|
83 |
81 |
$16K |
| 96372 |
|
275 |
254 |
$16K |
| 80048 |
|
139 |
125 |
$15K |
| 88305 |
|
303 |
293 |
$14K |
| 76816 |
|
165 |
160 |
$13K |
| 87480 |
|
497 |
477 |
$13K |
| 87631 |
|
43 |
40 |
$13K |
| 76856 |
|
72 |
71 |
$12K |
| 83605 |
|
552 |
513 |
$11K |
| 87081 |
|
118 |
117 |
$11K |
| 87510 |
|
352 |
339 |
$11K |
| 76817 |
|
24 |
24 |
$11K |
| 87430 |
|
49 |
48 |
$11K |
| 87651 |
|
288 |
283 |
$11K |
| 96365 |
|
72 |
63 |
$10K |
| 87801 |
|
135 |
134 |
$9K |
| 84702 |
|
469 |
351 |
$9K |
| U0005 |
Infec agen detec ampli probe |
859 |
832 |
$8K |
| G0472 |
Hep c screen high risk/other |
172 |
171 |
$8K |
| 84703 |
|
393 |
386 |
$7K |
| 86803 |
|
106 |
105 |
$6K |
| 88175 |
|
51 |
50 |
$6K |
| 97597 |
|
53 |
40 |
$5K |
| 80081 |
|
72 |
72 |
$5K |
| 87420 |
|
15 |
14 |
$5K |
| G0378 |
Hospital observation per hr |
33 |
30 |
$5K |
| 84439 |
|
257 |
249 |
$5K |
| 86780 |
|
12 |
12 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
163 |
158 |
$4K |
| 87636 |
|
119 |
112 |
$3K |
| 82077 |
|
199 |
182 |
$3K |
| G0475 |
Hiv combination assay |
105 |
103 |
$2K |
| 87624 |
|
58 |
55 |
$2K |
| 76805 |
|
24 |
24 |
$2K |
| 85379 |
|
204 |
199 |
$2K |
| 83880 |
|
92 |
84 |
$1K |
| 97110 |
|
88 |
24 |
$1K |
| 83655 |
|
24 |
24 |
$1K |
| 86592 |
|
178 |
176 |
$673.71 |
| 87040 |
|
44 |
42 |
$550.26 |
| 85027 |
|
88 |
86 |
$501.41 |
| 80143 |
|
42 |
38 |
$451.60 |
| 82043 |
|
82 |
76 |
$407.24 |
| J2405 |
Ondansetron hcl injection |
32 |
27 |
$387.17 |
| 82570 |
|
84 |
78 |
$350.58 |
| 80179 |
|
30 |
27 |
$289.52 |
| 82950 |
|
55 |
52 |
$233.04 |
| 87389 |
|
13 |
13 |
$230.59 |
| 82803 |
|
13 |
12 |
$208.50 |
| J1885 |
Ketorolac tromethamine inj |
40 |
37 |
$204.32 |
| 82550 |
|
39 |
37 |
$187.55 |
| 81025 |
|
13 |
13 |
$105.28 |
| 86140 |
|
17 |
13 |
$76.65 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16 |
13 |
$59.36 |
| 85730 |
|
14 |
12 |
$53.37 |
| 85610 |
|
18 |
16 |
$42.68 |
| 85652 |
|
17 |
13 |
$39.90 |
| 82962 |
|
15 |
13 |
$31.44 |
| J2704 |
Inj, propofol, 10 mg |
24 |
12 |
$27.11 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$16.79 |