| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
62,724 |
57,448 |
$24.64M |
| 99283 |
|
50,264 |
46,109 |
$10.97M |
| 0241U |
|
20,908 |
19,434 |
$3.27M |
| 99285 |
|
5,084 |
4,439 |
$2.40M |
| G0463 |
Hospital outpt clinic visit |
77,034 |
68,181 |
$2.30M |
| 96374 |
|
15,809 |
14,374 |
$693K |
| 99282 |
|
5,577 |
5,193 |
$682K |
| 71045 |
|
12,930 |
11,950 |
$668K |
| 93005 |
|
14,603 |
12,839 |
$615K |
| 41899 |
|
786 |
725 |
$508K |
| G0378 |
Hospital observation per hr |
6,132 |
4,444 |
$504K |
| 93306 |
|
851 |
760 |
$485K |
| 85025 |
|
54,249 |
46,656 |
$449K |
| 59025 |
|
3,457 |
2,796 |
$441K |
| 96375 |
|
4,989 |
4,456 |
$363K |
| 93303 |
|
916 |
771 |
$335K |
| 99213 |
|
14,440 |
12,516 |
$314K |
| 80048 |
|
36,911 |
33,476 |
$310K |
| J1745 |
Infliximab not biosimil 10mg |
54 |
50 |
$300K |
| G0379 |
Direct refer hospital observ |
4,379 |
3,728 |
$292K |
| 74177 |
|
386 |
358 |
$283K |
| 96361 |
|
5,667 |
5,027 |
$241K |
| 80053 |
|
25,413 |
21,110 |
$237K |
| J3490 |
Drugs unclassified injection |
133,957 |
58,222 |
$227K |
| 84443 |
|
10,448 |
9,317 |
$224K |
| 82306 |
|
5,008 |
4,597 |
$201K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,271 |
1,902 |
$182K |
| 88305 |
|
958 |
821 |
$181K |
| 70450 |
|
667 |
613 |
$181K |
| 87491 |
|
5,803 |
4,951 |
$179K |
| 87591 |
|
5,803 |
4,951 |
$176K |
| 43239 |
|
622 |
583 |
$175K |
| 99215 |
Prolong outpt/office vis |
4,796 |
4,393 |
$162K |
| 93325 |
|
1,065 |
911 |
$151K |
| 87389 |
|
4,817 |
4,076 |
$143K |
| J7030 |
Normal saline solution infus |
10,137 |
8,992 |
$139K |
| 36415 |
|
43,388 |
37,347 |
$131K |
| 83036 |
|
10,047 |
8,994 |
$128K |
| 96413 |
|
1,658 |
1,062 |
$127K |
| 97803 |
|
1,410 |
1,278 |
$114K |
| 87426 |
|
2,593 |
2,327 |
$111K |
| 93320 |
|
903 |
758 |
$104K |
| 94760 |
|
6,329 |
5,620 |
$103K |
| 87798 |
|
2,506 |
2,337 |
$92K |
| 80307 |
|
1,312 |
1,121 |
$90K |
| 84439 |
|
6,796 |
6,251 |
$88K |
| 97802 |
|
829 |
758 |
$87K |
| 85027 |
|
11,543 |
10,114 |
$84K |
| 80076 |
|
9,393 |
8,537 |
$83K |
| 81025 |
|
8,802 |
7,875 |
$74K |
| 80061 |
|
3,922 |
3,589 |
$72K |
| 81001 |
|
18,302 |
16,437 |
$71K |
| 87651 |
|
1,790 |
1,677 |
$68K |
| 87536 |
|
1,558 |
1,450 |
$64K |
| 96372 |
|
3,379 |
3,040 |
$62K |
| 90471 |
|
5,844 |
5,153 |
$58K |
| 94060 |
|
306 |
278 |
$55K |
| 83690 |
|
6,801 |
6,239 |
$52K |
| 88184 |
|
1,308 |
1,213 |
$51K |
| 88175 |
|
1,459 |
1,308 |
$50K |
| 87631 |
|
425 |
370 |
$48K |
| 94010 |
|
962 |
886 |
$47K |
| 70551 |
|
77 |
64 |
$47K |
| 11042 |
|
1,082 |
442 |
$45K |
| 0002A |
|
1,001 |
927 |
$45K |
| 86800 |
|
1,874 |
1,729 |
$45K |
| U0005 |
Infec agen detec ampli probe |
1,737 |
1,450 |
$45K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,343 |
1,205 |
$43K |
| 86850 |
|
3,043 |
2,471 |
$43K |
| 0001A |
|
981 |
917 |
$42K |
| 87086 |
|
3,884 |
3,268 |
$40K |
| 95819 |
|
169 |
158 |
$40K |
| 84403 |
|
1,049 |
960 |
$39K |
| 86376 |
|
1,868 |
1,728 |
$39K |
| 86780 |
|
1,997 |
1,767 |
$36K |
| 83002 |
|
1,280 |
1,172 |
$34K |
| D0272 |
|
132 |
124 |
$34K |
| 83001 |
|
1,264 |
1,155 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
6,852 |
6,242 |
$31K |
| D2930 |
|
111 |
104 |
$30K |
| 88185 |
|
1,308 |
1,213 |
$30K |
| 82670 |
|
885 |
787 |
$30K |
| D0220 |
|
118 |
110 |
$30K |
| 86762 |
|
1,727 |
1,392 |
$29K |
| 86803 |
|
1,777 |
1,434 |
$29K |
| 86787 |
|
1,797 |
1,476 |
$27K |
| D3220 |
|
91 |
87 |
$27K |
| G0481 |
Drug test def 8-14 classes |
299 |
257 |
$26K |
| D1206 |
|
125 |
117 |
$26K |
| 76801 |
|
497 |
368 |
$25K |
| 95012 |
|
743 |
675 |
$25K |
| D0230 |
|
130 |
108 |
$25K |
| 82784 |
|
1,831 |
1,690 |
$24K |
| 97161 |
|
350 |
316 |
$23K |
| 83655 |
|
1,617 |
1,314 |
$23K |
| 99214 |
|
923 |
836 |
$22K |
| 82533 |
|
822 |
748 |
$21K |
| 83525 |
|
1,169 |
1,072 |
$20K |
| 80306 |
|
1,293 |
1,067 |
$19K |
| 76770 |
|
129 |
96 |
$19K |
| 86592 |
|
3,727 |
3,124 |
$19K |
| 87340 |
|
1,661 |
1,341 |
$17K |
| 83735 |
|
2,602 |
2,354 |
$17K |
| 82728 |
|
1,040 |
940 |
$16K |
| J1439 |
Inj ferric carboxymaltos 1mg |
28 |
25 |
$15K |
| 99205 |
Prolong outpt/office vis |
414 |
373 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
2,173 |
2,005 |
$15K |
| 81220 |
|
32 |
28 |
$15K |
| 94640 |
|
240 |
221 |
$15K |
| G0108 |
Diab manage trn per indiv |
303 |
273 |
$14K |
| 95018 |
|
29 |
28 |
$14K |
| 76856 |
|
89 |
69 |
$13K |
| J7120 |
Ringers lactate infusion |
886 |
795 |
$12K |
| 85045 |
|
853 |
777 |
$12K |
| 83520 |
|
626 |
584 |
$12K |
| 84305 |
|
581 |
542 |
$11K |
| 84484 |
|
1,077 |
890 |
$11K |
| 83021 |
|
554 |
422 |
$11K |
| 90472 |
|
898 |
786 |
$11K |
| J2405 |
Ondansetron hcl injection |
2,909 |
2,663 |
$11K |
| 82657 |
|
377 |
356 |
$11K |
| 71046 |
|
104 |
97 |
$11K |
| 87624 |
|
367 |
327 |
$10K |
| 84445 |
|
128 |
122 |
$10K |
| 71260 |
|
56 |
43 |
$10K |
| 87081 |
|
1,249 |
1,090 |
$10K |
| 87635 |
|
147 |
142 |
$10K |
| 83516 |
|
585 |
516 |
$10K |
| 76830 |
|
88 |
67 |
$9K |
| 86255 |
|
568 |
505 |
$9K |
| J7050 |
Normal saline solution infus |
1,570 |
663 |
$9K |
| 82950 |
|
1,434 |
1,271 |
$9K |
| 70553 |
|
20 |
12 |
$9K |
| 81003 |
|
3,018 |
2,703 |
$8K |
| 83540 |
|
809 |
740 |
$8K |
| G0480 |
Drug test def 1-7 classes |
289 |
180 |
$8K |
| 86361 |
|
157 |
152 |
$7K |
| 86140 |
|
834 |
772 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,070 |
937 |
$6K |
| 83020 |
|
398 |
340 |
$6K |
| 86003 |
|
45 |
43 |
$6K |
| 90715 |
|
939 |
823 |
$6K |
| 86900 |
|
1,414 |
1,143 |
$6K |
| 81420 |
|
14 |
13 |
$6K |
| 86901 |
|
1,415 |
1,143 |
$5K |
| 0031A |
|
139 |
137 |
$5K |
| 83550 |
|
435 |
402 |
$5K |
| J0134 |
Inj acetaminophen -fresenius |
80 |
72 |
$4K |
| 90674 |
|
930 |
833 |
$4K |
| 85652 |
|
905 |
833 |
$4K |
| 82248 |
|
461 |
406 |
$4K |
| 83615 |
|
454 |
389 |
$4K |
| 84480 |
|
159 |
146 |
$4K |
| 85660 |
|
554 |
422 |
$3K |
| 0071A |
|
92 |
70 |
$3K |
| D1351 |
|
13 |
12 |
$3K |
| 0072A |
|
80 |
60 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
2,195 |
1,240 |
$3K |
| 82570 |
|
404 |
363 |
$3K |
| 95816 |
|
13 |
12 |
$3K |
| 93242 |
|
17 |
16 |
$3K |
| 87633 |
|
35 |
34 |
$2K |
| 93798 |
|
89 |
14 |
$2K |
| 94761 |
|
57 |
53 |
$2K |
| J1170 |
Hydromorphone injection |
342 |
297 |
$2K |
| 90686 |
|
742 |
620 |
$2K |
| 87661 |
|
47 |
45 |
$2K |
| 84156 |
|
370 |
317 |
$2K |
| 81243 |
|
32 |
28 |
$2K |
| 97110 |
|
38 |
14 |
$2K |
| 87486 |
|
35 |
34 |
$2K |
| 87581 |
|
35 |
34 |
$2K |
| 86364 |
|
1,224 |
1,150 |
$1K |
| 87502 |
|
16 |
14 |
$1K |
| 82043 |
|
138 |
125 |
$1K |
| 96415 |
|
28 |
24 |
$1K |
| 84550 |
|
244 |
200 |
$1K |
| 86231 |
|
1,041 |
980 |
$985.78 |
| 99212 |
|
51 |
40 |
$967.22 |
| 0124A |
|
29 |
26 |
$858.92 |
| 96360 |
|
13 |
13 |
$849.68 |
| 81329 |
|
16 |
14 |
$713.76 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
43 |
37 |
$705.58 |
| 77336 |
|
28 |
12 |
$625.91 |
| 84702 |
|
49 |
39 |
$625.78 |
| 80299 |
|
60 |
52 |
$578.20 |
| 85007 |
|
105 |
73 |
$569.88 |
| 96365 |
|
15 |
13 |
$532.29 |
| 99204 |
|
12 |
12 |
$340.56 |
| 81596 |
|
16 |
14 |
$320.94 |
| 76817 |
|
15 |
14 |
$318.43 |
| J2930 |
Methylprednisolone injection |
18 |
12 |
$310.59 |
| Q0111 |
Wet mounts/ w preparations |
71 |
66 |
$301.68 |
| J3535 |
Metered dose inhaler drug |
67 |
61 |
$273.58 |
| 90670 |
|
234 |
200 |
$259.15 |
| J2920 |
Methylprednisolone injection |
40 |
36 |
$238.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
24 |
17 |
$237.73 |
| J3010 |
Fentanyl citrate injection |
120 |
109 |
$222.35 |
| 82947 |
|
42 |
39 |
$179.56 |
| J0690 |
Cefazolin sodium injection |
45 |
40 |
$133.08 |
| 83992 |
|
62 |
50 |
$91.94 |
| A9585 |
Gadobutrol injection |
20 |
12 |
$88.51 |
| 90474 |
|
12 |
12 |
$86.41 |
| 82270 |
|
12 |
12 |
$65.02 |
| J2250 |
Inj midazolam hydrochloride |
54 |
52 |
$58.29 |
| J1644 |
Inj heparin sodium per 1000u |
75 |
36 |
$56.38 |
| 85014 |
|
16 |
12 |
$41.34 |
| 85018 |
|
16 |
12 |
$41.34 |
| J8540 |
Oral dexamethasone |
105 |
62 |
$34.95 |
| J8597 |
Antiemetic drug oral nos |
532 |
428 |
$29.60 |
| J8499 |
Oral prescrip drug non chemo |
255 |
154 |
$16.95 |
| G0008 |
Admin influenza virus vac |
31 |
31 |
$9.35 |
| 84132 |
|
29 |
26 |
$6.01 |
| 91300 |
|
1,981 |
1,613 |
$5.83 |
| Q0162 |
Ondansetron oral |
14 |
14 |
$3.79 |
| 91307 |
|
174 |
132 |
$0.48 |
| 91312 |
|
28 |
26 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| A0429 |
Bls-emergency |
14 |
12 |
$0.00 |
| 90647 |
|
87 |
76 |
$0.00 |
| 91303 |
|
139 |
137 |
$0.00 |
| A0427 |
Als1-emergency |
68 |
57 |
$0.00 |
| 91301 |
|
18 |
16 |
$0.00 |
| 90723 |
|
115 |
100 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |