| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
58,762 |
56,311 |
$17.24M |
| G0463 |
Hospital outpt clinic visit |
103,996 |
98,213 |
$11.45M |
| 99285 |
|
26,732 |
25,216 |
$10.43M |
| 99283 |
|
30,765 |
29,662 |
$5.79M |
| 99211 |
|
138,325 |
132,093 |
$1.88M |
| 96374 |
|
11,553 |
10,742 |
$1.72M |
| 0202U |
|
4,148 |
4,034 |
$1.36M |
| 90460 |
|
15,026 |
14,542 |
$700K |
| J0585 |
Injection,onabotulinumtoxina |
1,492 |
728 |
$672K |
| 99392 |
|
8,212 |
7,981 |
$618K |
| 0241U |
|
4,323 |
4,185 |
$518K |
| 97530 |
|
9,587 |
3,812 |
$506K |
| 99393 |
|
6,198 |
6,054 |
$468K |
| 99391 |
|
6,827 |
6,394 |
$467K |
| J0485 |
Belatacept injection |
964 |
664 |
$425K |
| 96361 |
|
4,665 |
4,260 |
$314K |
| S9455 |
Diabetic management program, |
2,486 |
2,209 |
$311K |
| 93306 |
|
962 |
877 |
$286K |
| 92507 |
|
4,409 |
1,659 |
$272K |
| 90461 |
|
6,799 |
6,573 |
$249K |
| 96110 |
|
3,408 |
3,307 |
$226K |
| 59025 |
|
1,719 |
1,559 |
$214K |
| T1013 |
Sign lang/oral interpreter |
3,939 |
3,666 |
$185K |
| 43239 |
|
282 |
278 |
$182K |
| 90670 |
|
2,688 |
2,628 |
$113K |
| 64615 |
|
716 |
615 |
$113K |
| 95813 |
|
511 |
443 |
$113K |
| 71046 |
|
1,642 |
1,550 |
$103K |
| 96375 |
|
2,456 |
2,243 |
$92K |
| 96365 |
|
1,052 |
697 |
$84K |
| 99281 |
|
11,154 |
10,884 |
$84K |
| 99282 |
|
561 |
543 |
$63K |
| 90686 |
|
7,397 |
7,192 |
$62K |
| 99394 |
|
680 |
670 |
$57K |
| 85025 |
|
44,351 |
40,914 |
$49K |
| 97597 |
|
561 |
381 |
$47K |
| 80053 |
|
24,042 |
21,980 |
$46K |
| 96127 |
|
10,983 |
10,227 |
$45K |
| 96360 |
|
196 |
187 |
$34K |
| 90471 |
|
637 |
632 |
$34K |
| 93005 |
|
11,144 |
10,036 |
$33K |
| 97110 |
|
1,376 |
531 |
$32K |
| 94060 |
|
110 |
108 |
$31K |
| 93296 |
|
1,492 |
1,414 |
$29K |
| U0003 |
Cov-19 amp prb hgh thruput |
273 |
269 |
$25K |
| 90723 |
|
1,033 |
1,020 |
$19K |
| 0072A |
|
515 |
512 |
$19K |
| 96413 |
|
180 |
140 |
$18K |
| 90792 |
|
134 |
134 |
$18K |
| 0071A |
|
461 |
459 |
$16K |
| 87636 |
|
131 |
127 |
$15K |
| 95004 |
|
83 |
82 |
$15K |
| 91200 |
|
121 |
115 |
$13K |
| 74177 |
|
81 |
75 |
$12K |
| 97112 |
|
353 |
142 |
$11K |
| 94010 |
|
2,567 |
2,483 |
$11K |
| 97803 |
|
552 |
508 |
$10K |
| 97140 |
|
398 |
141 |
$10K |
| 91321 |
|
113 |
112 |
$9K |
| 70450 |
|
57 |
54 |
$8K |
| 85046 |
|
1,422 |
1,311 |
$7K |
| 95913 |
|
20 |
17 |
$7K |
| 90651 |
|
91 |
88 |
$7K |
| 36415 |
|
46,421 |
40,481 |
$6K |
| 82728 |
|
445 |
402 |
$5K |
| 83690 |
|
4,932 |
4,623 |
$5K |
| 81001 |
|
16,584 |
15,529 |
$5K |
| 71045 |
|
94 |
91 |
$5K |
| 92523 |
|
30 |
30 |
$5K |
| 92526 |
|
63 |
45 |
$4K |
| 90677 |
|
125 |
123 |
$4K |
| 94762 |
|
30 |
26 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,775 |
2,594 |
$4K |
| 83036 |
|
2,353 |
2,190 |
$3K |
| 97802 |
|
61 |
55 |
$2K |
| 81025 |
|
1,486 |
1,432 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,380 |
1,303 |
$2K |
| 96372 |
|
164 |
155 |
$1K |
| 0154A |
|
49 |
35 |
$1K |
| 29581 |
|
25 |
14 |
$1K |
| 93017 |
|
57 |
52 |
$1K |
| 0082A |
|
41 |
29 |
$1K |
| 91322 |
|
12 |
12 |
$1K |
| 90672 |
|
153 |
144 |
$939.55 |
| G0008 |
Admin influenza virus vac |
31 |
28 |
$937.18 |
| 80307 |
|
62 |
55 |
$887.12 |
| 99173 |
|
608 |
598 |
$763.39 |
| 80048 |
|
5,171 |
4,783 |
$593.26 |
| 90697 |
|
195 |
185 |
$576.89 |
| 0074A |
|
21 |
14 |
$560.00 |
| 87426 |
|
15 |
14 |
$542.76 |
| J2704 |
Inj, propofol, 10 mg |
86 |
82 |
$518.51 |
| J2405 |
Ondansetron hcl injection |
456 |
405 |
$332.90 |
| 94640 |
|
913 |
833 |
$279.21 |
| 90734 |
|
12 |
12 |
$273.39 |
| 99177 |
|
447 |
441 |
$257.92 |
| J3010 |
Fentanyl citrate injection |
302 |
269 |
$232.77 |
| J3490 |
Drugs unclassified injection |
47 |
41 |
$221.94 |
| 87880 |
|
471 |
458 |
$219.80 |
| U0005 |
Infec agen detec ampli probe |
42 |
41 |
$125.00 |
| 85652 |
|
54 |
51 |
$123.71 |
| 69210 |
|
17 |
16 |
$111.88 |
| 83550 |
|
17 |
13 |
$107.90 |
| 83735 |
|
912 |
850 |
$105.84 |
| 74019 |
|
391 |
378 |
$103.43 |
| 96366 |
|
13 |
12 |
$88.99 |
| 83540 |
|
17 |
13 |
$79.95 |
| 84100 |
|
16 |
12 |
$72.86 |
| 84484 |
|
3,343 |
2,249 |
$69.91 |
| 87502 |
|
434 |
413 |
$69.08 |
| 82962 |
|
192 |
104 |
$40.56 |
| J2250 |
Inj midazolam hydrochloride |
184 |
169 |
$35.15 |
| 83605 |
|
154 |
129 |
$31.54 |
| 85027 |
|
342 |
318 |
$30.33 |
| 81003 |
|
556 |
514 |
$22.42 |
| 87510 |
|
73 |
65 |
$19.05 |
| 87480 |
|
73 |
65 |
$19.05 |
| 87660 |
|
73 |
65 |
$19.05 |
| J8540 |
Oral dexamethasone |
516 |
471 |
$17.78 |
| 82077 |
|
27 |
25 |
$16.41 |
| 87804 |
|
28 |
28 |
$15.72 |
| 87081 |
|
325 |
318 |
$13.94 |
| 80047 |
|
456 |
433 |
$13.71 |
| 87430 |
|
620 |
599 |
$10.40 |
| 85610 |
|
73 |
68 |
$8.16 |
| J0696 |
Ceftriaxone sodium injection |
24 |
16 |
$4.89 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$3.43 |
| 85014 |
|
453 |
433 |
$2.93 |
| 95886 |
|
258 |
251 |
$0.00 |
| 90680 |
|
1,135 |
1,116 |
$0.00 |
| 95012 |
|
711 |
692 |
$0.00 |
| 90647 |
|
1,123 |
1,104 |
$0.00 |
| 87086 |
|
189 |
178 |
$0.00 |
| 88305 |
|
724 |
360 |
$0.00 |
| 86850 |
|
16 |
13 |
$0.00 |
| 87486 |
|
71 |
67 |
$0.00 |
| 96376 |
|
78 |
60 |
$0.00 |
| 86140 |
|
144 |
137 |
$0.00 |
| 82657 |
|
119 |
66 |
$0.00 |
| 0352U |
|
65 |
59 |
$0.00 |
| G0378 |
Hospital observation per hr |
388 |
367 |
$0.00 |
| 91315 |
|
31 |
31 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
96 |
89 |
$0.00 |
| 87581 |
|
71 |
67 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 84703 |
|
14 |
14 |
$0.00 |
| 85730 |
|
14 |
14 |
$0.00 |
| 87040 |
|
13 |
12 |
$0.00 |
| 86901 |
|
17 |
14 |
$0.00 |
| 85018 |
|
13 |
12 |
$0.00 |
| 90696 |
|
25 |
24 |
$0.00 |
| 87591 |
|
27 |
24 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
470 |
423 |
$0.00 |
| C1729 |
Cath, drainage |
218 |
190 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
105 |
96 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90633 |
|
581 |
564 |
$0.00 |
| 90473 |
|
29 |
26 |
$0.00 |
| A4617 |
Mouth piece |
402 |
397 |
$0.00 |
| 87400 |
|
889 |
426 |
$0.00 |
| J7120 |
Ringers lactate infusion |
124 |
116 |
$0.00 |
| 87798 |
|
112 |
67 |
$0.00 |
| 84702 |
|
16 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
13 |
$0.00 |
| 80076 |
|
81 |
78 |
$0.00 |
| 87491 |
|
27 |
24 |
$0.00 |
| 87633 |
|
71 |
67 |
$0.00 |
| 90833 |
|
14 |
14 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |
| 86900 |
|
17 |
14 |
$0.00 |