| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,369 |
21,243 |
$4.55M |
| 99283 |
|
25,372 |
21,991 |
$3.46M |
| 99285 |
|
15,075 |
13,274 |
$3.40M |
| 0202U |
|
3,141 |
2,222 |
$406K |
| 0241U |
|
2,313 |
2,218 |
$378K |
| 93005 |
|
11,064 |
9,757 |
$331K |
| 0240U |
|
1,931 |
1,822 |
$276K |
| 85025 |
|
37,491 |
31,288 |
$240K |
| 71045 |
|
8,466 |
7,602 |
$228K |
| G0463 |
Hospital outpt clinic visit |
15,506 |
11,203 |
$205K |
| 11042 |
|
5,045 |
1,888 |
$196K |
| 80053 |
|
27,469 |
23,116 |
$192K |
| 74177 |
|
304 |
291 |
$186K |
| 99214 |
|
6,519 |
4,761 |
$184K |
| 96361 |
|
5,550 |
4,749 |
$177K |
| 99282 |
|
3,404 |
2,890 |
$160K |
| 80307 |
|
2,576 |
2,309 |
$151K |
| J3490 |
Drugs unclassified injection |
40,696 |
17,069 |
$149K |
| 96375 |
|
3,960 |
3,243 |
$135K |
| 70450 |
|
1,366 |
1,240 |
$134K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,747 |
1,323 |
$125K |
| 96374 |
|
5,825 |
5,089 |
$121K |
| 36415 |
|
47,983 |
40,013 |
$109K |
| 96365 |
|
1,854 |
1,559 |
$99K |
| 96372 |
|
5,514 |
4,429 |
$81K |
| 71046 |
|
2,808 |
2,314 |
$79K |
| 80061 |
|
4,094 |
3,787 |
$70K |
| 87804 |
|
3,029 |
2,680 |
$68K |
| 84443 |
|
3,516 |
3,222 |
$58K |
| 87591 |
|
1,468 |
1,247 |
$47K |
| 81003 |
|
22,500 |
19,749 |
$46K |
| 87491 |
|
1,466 |
1,244 |
$45K |
| 87801 |
|
676 |
589 |
$45K |
| 74176 |
|
83 |
77 |
$44K |
| 83036 |
|
4,265 |
3,871 |
$44K |
| 80048 |
|
5,642 |
5,008 |
$42K |
| 96413 |
|
969 |
441 |
$40K |
| 88175 |
|
1,190 |
1,016 |
$37K |
| 81025 |
|
4,645 |
4,072 |
$34K |
| 99213 |
|
2,451 |
1,298 |
$32K |
| 87661 |
|
1,198 |
1,019 |
$32K |
| 84484 |
|
4,490 |
3,844 |
$31K |
| 83605 |
|
3,210 |
2,865 |
$31K |
| 87880 |
|
2,092 |
1,887 |
$28K |
| 82306 |
|
841 |
739 |
$28K |
| 88305 |
|
513 |
453 |
$28K |
| 87798 |
|
771 |
669 |
$26K |
| 87070 |
|
2,609 |
2,333 |
$25K |
| 99281 |
|
603 |
570 |
$25K |
| 83690 |
|
3,757 |
3,359 |
$23K |
| 43239 |
|
135 |
128 |
$22K |
| U0005 |
Infec agen detec ampli probe |
925 |
711 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
745 |
696 |
$18K |
| 83704 |
|
612 |
561 |
$18K |
| J8499 |
Oral prescrip drug non chemo |
9,528 |
5,072 |
$17K |
| 96360 |
|
288 |
271 |
$16K |
| 87633 |
|
86 |
68 |
$16K |
| 87426 |
|
431 |
411 |
$15K |
| 80076 |
|
1,758 |
1,633 |
$15K |
| 83735 |
|
2,966 |
2,644 |
$15K |
| 93010 |
|
4,687 |
3,813 |
$15K |
| 82607 |
|
747 |
643 |
$14K |
| 83880 |
|
774 |
701 |
$14K |
| 82728 |
|
1,761 |
1,539 |
$13K |
| 99215 |
Prolong outpt/office vis |
611 |
540 |
$13K |
| 87635 |
|
277 |
241 |
$12K |
| 84466 |
|
1,805 |
1,553 |
$12K |
| 94640 |
|
462 |
379 |
$11K |
| 36591 |
|
2,135 |
1,157 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
3,697 |
3,135 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
3,772 |
3,249 |
$11K |
| 99204 |
|
227 |
173 |
$11K |
| 87086 |
|
1,427 |
1,222 |
$10K |
| 87806 |
|
351 |
307 |
$10K |
| 83655 |
|
489 |
403 |
$9K |
| A9150 |
Misc/exper non-prescript dru |
11,784 |
8,157 |
$9K |
| 99212 |
|
1,085 |
546 |
$8K |
| 86592 |
|
1,552 |
1,381 |
$8K |
| 86140 |
|
2,070 |
1,869 |
$7K |
| J7050 |
Normal saline solution infus |
3,119 |
1,190 |
$7K |
| 97140 |
|
308 |
78 |
$6K |
| 83540 |
|
1,809 |
1,560 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,050 |
1,720 |
$6K |
| 86850 |
|
474 |
402 |
$5K |
| G0480 |
Drug test def 1-7 classes |
129 |
115 |
$5K |
| 29581 |
|
222 |
105 |
$5K |
| 85610 |
|
1,866 |
1,640 |
$5K |
| 84703 |
|
465 |
413 |
$4K |
| 85379 |
|
673 |
627 |
$4K |
| 72125 |
|
16 |
13 |
$3K |
| 88112 |
|
72 |
69 |
$3K |
| 82378 |
|
266 |
203 |
$3K |
| 85027 |
|
390 |
324 |
$3K |
| J0690 |
Cefazolin sodium injection |
395 |
309 |
$3K |
| 74018 |
|
68 |
67 |
$3K |
| 87807 |
|
248 |
240 |
$3K |
| J3010 |
Fentanyl citrate injection |
700 |
605 |
$3K |
| 87389 |
|
63 |
50 |
$3K |
| 86762 |
|
167 |
148 |
$2K |
| 87340 |
|
245 |
215 |
$2K |
| 95810 |
|
30 |
12 |
$2K |
| Q0138 |
Ferumoxytol, non-esrd |
15 |
14 |
$2K |
| 74022 |
|
69 |
64 |
$2K |
| 85651 |
|
1,124 |
1,010 |
$2K |
| 83615 |
|
627 |
514 |
$2K |
| 87581 |
|
84 |
68 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
612 |
500 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
505 |
252 |
$2K |
| 86900 |
|
459 |
378 |
$2K |
| 80329 |
|
32 |
27 |
$1K |
| 88108 |
|
143 |
93 |
$1K |
| 87486 |
|
57 |
44 |
$1K |
| 82962 |
|
543 |
393 |
$1K |
| J2930 |
Methylprednisolone injection |
212 |
167 |
$1K |
| 86901 |
|
350 |
297 |
$1K |
| 80305 |
|
140 |
130 |
$1K |
| 76805 |
|
15 |
13 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
205 |
190 |
$1K |
| 85730 |
|
277 |
233 |
$1K |
| 83021 |
|
62 |
49 |
$1K |
| 95816 |
|
68 |
27 |
$1K |
| 72110 |
|
40 |
15 |
$924.87 |
| 87624 |
|
31 |
26 |
$862.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
73 |
71 |
$821.56 |
| 99238 |
|
17 |
13 |
$811.93 |
| 80320 |
|
51 |
41 |
$795.60 |
| 82947 |
|
185 |
170 |
$769.85 |
| J1100 |
Dexamethasone sodium phos |
216 |
146 |
$746.16 |
| 97110 |
|
124 |
31 |
$698.67 |
| 96366 |
|
39 |
13 |
$667.10 |
| A9270 |
Non-covered item or service |
2,427 |
1,133 |
$605.38 |
| 73630 |
|
25 |
12 |
$599.48 |
| Q0144 |
Azithromycin dihydrate, oral |
149 |
121 |
$551.89 |
| 95909 |
|
28 |
13 |
$504.11 |
| 87653 |
|
13 |
13 |
$495.60 |
| 84480 |
|
19 |
15 |
$442.59 |
| 82009 |
|
134 |
123 |
$442.18 |
| J1040 |
Methylprednisolone 80 mg inj |
48 |
41 |
$405.48 |
| 82150 |
|
86 |
79 |
$396.69 |
| 82077 |
|
70 |
64 |
$390.03 |
| 97161 |
|
18 |
13 |
$374.54 |
| 84436 |
|
57 |
54 |
$352.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
25 |
25 |
$324.25 |
| 85660 |
|
62 |
49 |
$316.48 |
| 87040 |
|
39 |
28 |
$316.08 |
| 82043 |
|
55 |
52 |
$293.52 |
| 95886 |
|
29 |
14 |
$290.67 |
| J1170 |
Hydromorphone injection |
53 |
26 |
$263.85 |
| 87077 |
|
46 |
41 |
$262.65 |
| 86735 |
|
13 |
12 |
$254.98 |
| 86765 |
|
13 |
12 |
$251.64 |
| 86787 |
|
13 |
12 |
$251.64 |
| 84479 |
|
41 |
41 |
$229.99 |
| J1642 |
Inj heparin sodium per 10 u |
646 |
312 |
$207.90 |
| 84702 |
|
15 |
12 |
$207.48 |
| 97803 |
|
34 |
25 |
$194.80 |
| 87186 |
|
29 |
25 |
$187.09 |
| J7040 |
Normal saline solution infus |
194 |
91 |
$186.16 |
| J7030 |
Normal saline solution infus |
63 |
60 |
$165.24 |
| J0131 |
Inj, acetaminophen (nos) |
55 |
50 |
$163.82 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
57 |
46 |
$134.50 |
| 82140 |
|
16 |
15 |
$120.44 |
| Q0162 |
Ondansetron oral |
409 |
358 |
$119.02 |
| 94760 |
|
45 |
23 |
$106.43 |
| 85007 |
|
34 |
26 |
$95.37 |
| J2001 |
Lidocaine injection |
45 |
40 |
$84.72 |
| 82570 |
|
14 |
13 |
$79.03 |
| S0020 |
Injection, bupivicaine hydro |
16 |
16 |
$56.97 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$48.18 |
| J0330 |
Succinycholine chloride inj |
19 |
14 |
$46.52 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$34.19 |
| 94664 |
|
12 |
12 |
$28.04 |
| J0585 |
Injection,onabotulinumtoxina |
15 |
13 |
$5.52 |
| G1004 |
Cdsm ndsc |
361 |
332 |
$0.04 |