| Code | Description | Claims | Beneficiaries | Total Paid |
| X4011 |
|
13,959 |
13,215 |
$4.14M |
| 85025 |
|
42,347 |
36,409 |
$2.56M |
| 99284 |
|
10,828 |
9,997 |
$2.10M |
| 80053 |
|
36,321 |
31,755 |
$2.05M |
| 99283 |
|
16,684 |
15,765 |
$2.01M |
| Y7506 |
|
11,533 |
9,406 |
$1.53M |
| 81001 |
|
11,506 |
10,901 |
$1.41M |
| 93005 |
|
8,396 |
7,719 |
$560K |
| 99285 |
|
2,092 |
1,901 |
$549K |
| X4006 |
|
850 |
417 |
$526K |
| 71045 |
|
7,031 |
6,518 |
$522K |
| 96374 |
|
4,646 |
4,317 |
$483K |
| 36415 |
|
6,549 |
5,698 |
$289K |
| 87880 |
|
11,928 |
11,113 |
$287K |
| 83690 |
|
4,214 |
4,004 |
$276K |
| 71046 |
|
1,377 |
1,267 |
$223K |
| 43239 |
|
1,005 |
768 |
$201K |
| X4003 |
|
2,037 |
739 |
$198K |
| 82150 |
|
2,673 |
2,561 |
$186K |
| 93306 |
|
1,147 |
1,018 |
$177K |
| 78452 |
|
611 |
506 |
$172K |
| 88305 |
|
2,039 |
1,669 |
$162K |
| 87400 |
|
1,376 |
1,352 |
$155K |
| 87804 |
|
5,983 |
5,630 |
$143K |
| 84484 |
|
4,019 |
3,397 |
$135K |
| 82550 |
|
3,396 |
3,178 |
$127K |
| 74177 |
|
718 |
685 |
$114K |
| G0463 |
Hospital outpt clinic visit |
2,300 |
1,750 |
$112K |
| Y7507 |
|
410 |
346 |
$110K |
| 87651 |
|
7,517 |
7,231 |
$110K |
| 99282 |
|
1,553 |
1,492 |
$110K |
| 11042 |
|
801 |
327 |
$108K |
| 87086 |
|
2,212 |
1,929 |
$103K |
| 93017 |
|
757 |
693 |
$102K |
| 80307 |
|
1,384 |
1,268 |
$97K |
| 87081 |
|
401 |
381 |
$93K |
| 85610 |
|
2,247 |
2,074 |
$83K |
| 92507 |
|
506 |
144 |
$78K |
| 96413 |
|
542 |
268 |
$67K |
| 88312 |
|
908 |
727 |
$64K |
| 87581 |
|
76 |
74 |
$60K |
| 87486 |
|
76 |
74 |
$60K |
| 87798 |
|
75 |
73 |
$59K |
| 59025 |
|
616 |
483 |
$57K |
| 87633 |
|
59 |
59 |
$54K |
| 94726 |
|
416 |
388 |
$51K |
| 83735 |
|
3,386 |
2,289 |
$50K |
| 87635 |
|
4,672 |
4,261 |
$49K |
| 94060 |
|
436 |
391 |
$49K |
| 96375 |
|
1,371 |
1,246 |
$40K |
| 86141 |
|
768 |
711 |
$39K |
| 36591 |
|
1,989 |
902 |
$39K |
| 97530 |
|
625 |
177 |
$36K |
| 85730 |
|
1,495 |
1,395 |
$35K |
| G0480 |
Drug test def 1-7 classes |
547 |
504 |
$34K |
| 70450 |
|
534 |
479 |
$27K |
| A9502 |
Tc99m tetrofosmin |
376 |
282 |
$23K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,036 |
1,832 |
$20K |
| 84443 |
|
2,292 |
1,920 |
$18K |
| 87502 |
|
511 |
480 |
$17K |
| 94729 |
|
260 |
230 |
$17K |
| 95811 |
|
38 |
37 |
$16K |
| 97110 |
|
118 |
39 |
$15K |
| 45385 |
|
31 |
28 |
$14K |
| G0378 |
Hospital observation per hr |
26 |
25 |
$14K |
| 87811 |
|
769 |
739 |
$14K |
| 87426 |
|
740 |
715 |
$13K |
| 69436 |
|
16 |
13 |
$11K |
| 86592 |
|
451 |
409 |
$11K |
| 86900 |
|
86 |
75 |
$11K |
| 83605 |
|
167 |
153 |
$10K |
| 42820 |
|
12 |
12 |
$10K |
| 86850 |
|
100 |
88 |
$10K |
| 86901 |
|
100 |
87 |
$10K |
| 95810 |
|
28 |
28 |
$10K |
| 88175 |
|
431 |
366 |
$9K |
| J3490 |
Drugs unclassified injection |
1,168 |
915 |
$9K |
| 76819 |
|
199 |
111 |
$9K |
| J2785 |
Regadenoson injection |
266 |
247 |
$9K |
| 94640 |
|
35 |
28 |
$8K |
| 96365 |
|
87 |
80 |
$7K |
| 80061 |
|
1,205 |
1,003 |
$7K |
| 81025 |
|
243 |
232 |
$6K |
| 85018 |
|
917 |
856 |
$6K |
| 87070 |
|
1,234 |
985 |
$6K |
| 43235 |
|
23 |
19 |
$5K |
| 84703 |
|
589 |
563 |
$5K |
| 0202U |
|
42 |
39 |
$5K |
| A4641 |
Radiopharm dx agent noc |
335 |
272 |
$5K |
| 83880 |
|
193 |
174 |
$5K |
| 87807 |
|
528 |
500 |
$4K |
| 87653 |
|
143 |
127 |
$4K |
| 81003 |
|
3,024 |
2,381 |
$4K |
| 66984 |
|
45 |
24 |
$3K |
| 76815 |
|
58 |
55 |
$3K |
| 87389 |
|
43 |
41 |
$3K |
| 96361 |
|
104 |
98 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
689 |
667 |
$3K |
| 82950 |
|
179 |
162 |
$2K |
| 87634 |
|
97 |
90 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
68 |
65 |
$2K |
| 83036 |
|
325 |
297 |
$2K |
| 87905 |
|
12 |
12 |
$2K |
| 83655 |
|
235 |
221 |
$1K |
| 96372 |
|
30 |
29 |
$1K |
| 87801 |
|
57 |
56 |
$1K |
| 86803 |
|
127 |
111 |
$1K |
| 84439 |
|
245 |
208 |
$993.81 |
| 87624 |
|
32 |
26 |
$969.80 |
| G0476 |
Hpv combo assay ca screen |
66 |
57 |
$900.04 |
| C9803 |
Hopd covid-19 spec collect |
169 |
163 |
$846.16 |
| 76801 |
|
12 |
12 |
$792.12 |
| 74019 |
|
28 |
28 |
$790.16 |
| 85007 |
|
12 |
12 |
$785.88 |
| 85014 |
|
12 |
12 |
$785.88 |
| 85048 |
|
12 |
12 |
$785.88 |
| 85049 |
|
12 |
12 |
$785.88 |
| 76805 |
|
13 |
13 |
$690.69 |
| 87661 |
|
70 |
61 |
$677.95 |
| 80305 |
|
103 |
78 |
$642.53 |
| 85651 |
|
335 |
295 |
$562.09 |
| 87591 |
|
56 |
48 |
$506.79 |
| 87491 |
|
56 |
48 |
$506.79 |
| 71250 |
|
15 |
14 |
$482.74 |
| 86787 |
|
131 |
112 |
$474.23 |
| 76816 |
|
12 |
12 |
$450.34 |
| 80048 |
|
132 |
98 |
$392.54 |
| 36416 |
|
40 |
36 |
$333.66 |
| 88300 |
|
13 |
13 |
$189.50 |
| 87040 |
|
30 |
14 |
$163.04 |
| 86140 |
|
50 |
49 |
$117.95 |
| 83615 |
|
31 |
28 |
$103.36 |
| 82607 |
|
15 |
13 |
$86.62 |
| 82746 |
|
15 |
13 |
$84.44 |
| 82728 |
|
14 |
12 |
$66.04 |
| 84466 |
|
14 |
12 |
$61.79 |
| 83540 |
|
14 |
12 |
$31.31 |
| 82553 |
|
13 |
12 |
$20.80 |
| 82962 |
|
14 |
13 |
$17.70 |
| J7050 |
Normal saline solution infus |
14 |
12 |
$10.80 |
| A9270 |
Non-covered item or service |
168 |
153 |
$0.00 |
| 99156 |
|
108 |
58 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 86762 |
|
12 |
12 |
$0.00 |
| 74018 |
|
14 |
12 |
$0.00 |