| Code | Description | Claims | Beneficiaries | Total Paid |
| Y7506 |
|
37,986 |
32,087 |
$9.24M |
| 99285 |
|
53,063 |
42,674 |
$9.06M |
| 99284 |
|
45,032 |
35,922 |
$6.65M |
| 99283 |
|
42,349 |
33,768 |
$5.73M |
| X4011 |
|
19,040 |
18,025 |
$3.75M |
| 85025 |
|
54,809 |
44,469 |
$2.23M |
| G0463 |
Hospital outpt clinic visit |
25,009 |
22,582 |
$1.58M |
| 76816 |
|
7,469 |
6,684 |
$1.46M |
| 80053 |
|
43,162 |
35,689 |
$1.42M |
| 0202U |
|
3,687 |
3,632 |
$1.06M |
| 76815 |
|
3,129 |
1,557 |
$1.02M |
| 93303 |
|
2,100 |
2,021 |
$882K |
| 59025 |
|
4,483 |
1,923 |
$879K |
| 43239 |
|
1,357 |
1,305 |
$739K |
| 55175 |
|
570 |
549 |
$679K |
| 93325 |
|
1,690 |
1,599 |
$638K |
| 93005 |
|
4,364 |
4,192 |
$542K |
| 99212 |
|
9,604 |
9,070 |
$539K |
| 99211 |
|
12,369 |
11,339 |
$526K |
| 88305 |
|
1,577 |
1,538 |
$452K |
| 96413 |
|
3,163 |
1,894 |
$436K |
| 93320 |
|
1,032 |
980 |
$431K |
| 42820 |
|
120 |
115 |
$350K |
| 81002 |
|
7,139 |
5,564 |
$306K |
| 74018 |
|
2,673 |
2,443 |
$253K |
| X4003 |
|
4,285 |
3,132 |
$243K |
| 87804 |
|
1,451 |
1,396 |
$242K |
| 54304 |
|
136 |
135 |
$237K |
| 76770 |
|
2,675 |
2,654 |
$231K |
| 87880 |
|
2,179 |
2,149 |
$210K |
| 69436 |
|
201 |
194 |
$189K |
| 99213 |
|
2,930 |
2,899 |
$177K |
| 94060 |
|
1,185 |
1,173 |
$177K |
| 36591 |
|
3,366 |
2,038 |
$175K |
| 90686 |
|
4,247 |
4,232 |
$172K |
| 81001 |
|
3,438 |
3,148 |
$171K |
| 99282 |
|
1,695 |
1,470 |
$167K |
| V2020 |
Vision svcs frames purchases |
1,897 |
1,844 |
$129K |
| 90698 |
|
2,221 |
2,204 |
$117K |
| 90853 |
|
836 |
166 |
$108K |
| 90670 |
|
1,698 |
1,695 |
$108K |
| 87086 |
|
2,230 |
2,105 |
$103K |
| 83036 |
|
2,366 |
2,340 |
$98K |
| 80061 |
|
1,452 |
1,439 |
$89K |
| D7999 |
|
662 |
660 |
$89K |
| 92567 |
|
1,762 |
1,743 |
$87K |
| 36415 |
|
2,556 |
2,131 |
$84K |
| G0378 |
Hospital observation per hr |
294 |
245 |
$81K |
| 45380 |
|
143 |
139 |
$75K |
| 96374 |
|
769 |
714 |
$72K |
| 87070 |
|
707 |
693 |
$70K |
| V2784 |
Lens polycarb or equal |
1,150 |
1,126 |
$70K |
| J3490 |
Drugs unclassified injection |
3,116 |
2,364 |
$69K |
| 84443 |
|
1,224 |
1,194 |
$64K |
| 87591 |
|
867 |
848 |
$60K |
| 87491 |
|
840 |
822 |
$59K |
| 84450 |
|
1,067 |
1,065 |
$58K |
| 84460 |
|
1,064 |
1,063 |
$57K |
| 87631 |
|
176 |
175 |
$56K |
| 96375 |
|
1,495 |
884 |
$55K |
| 84439 |
|
841 |
834 |
$54K |
| 71046 |
|
705 |
691 |
$54K |
| 90744 |
|
993 |
987 |
$54K |
| 90633 |
|
1,089 |
1,084 |
$53K |
| 54161 |
|
25 |
25 |
$51K |
| 80307 |
|
628 |
580 |
$48K |
| 90681 |
|
881 |
878 |
$47K |
| 81003 |
|
672 |
634 |
$45K |
| 90651 |
|
705 |
705 |
$43K |
| 83655 |
|
1,240 |
1,235 |
$41K |
| 87661 |
|
413 |
401 |
$40K |
| 53605 |
|
54 |
42 |
$37K |
| 86140 |
|
425 |
394 |
$37K |
| 80081 |
|
491 |
454 |
$35K |
| 94640 |
|
232 |
181 |
$33K |
| 85018 |
|
1,098 |
1,093 |
$33K |
| 85014 |
|
1,098 |
1,093 |
$33K |
| 94760 |
|
630 |
612 |
$29K |
| 96367 |
|
887 |
515 |
$29K |
| 0241U |
|
721 |
699 |
$28K |
| 99214 |
|
529 |
510 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,077 |
2,997 |
$26K |
| 87807 |
|
85 |
85 |
$22K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
344 |
338 |
$21K |
| 87081 |
|
1,115 |
1,092 |
$21K |
| 92555 |
|
220 |
217 |
$21K |
| 94761 |
|
29 |
27 |
$20K |
| 87502 |
|
54 |
54 |
$19K |
| 74019 |
|
228 |
222 |
$18K |
| 87481 |
|
87 |
82 |
$18K |
| 87511 |
|
71 |
69 |
$18K |
| 92014 |
|
168 |
165 |
$17K |
| 90734 |
|
219 |
219 |
$16K |
| 83516 |
|
46 |
46 |
$15K |
| 96372 |
|
393 |
338 |
$15K |
| 99291 |
|
81 |
74 |
$14K |
| 82397 |
|
141 |
141 |
$14K |
| 92587 |
|
215 |
214 |
$13K |
| 80048 |
|
89 |
79 |
$11K |
| 0072A |
|
293 |
293 |
$11K |
| 94010 |
|
561 |
540 |
$10K |
| 82784 |
|
92 |
92 |
$10K |
| 87799 |
|
33 |
33 |
$9K |
| 82306 |
|
115 |
115 |
$9K |
| X4006 |
|
14 |
12 |
$9K |
| G0381 |
Lev 2 hosp type b ed visit |
98 |
97 |
$9K |
| 92552 |
|
52 |
50 |
$8K |
| Y7507 |
|
119 |
66 |
$8K |
| 87801 |
|
46 |
41 |
$7K |
| 82728 |
|
295 |
285 |
$7K |
| 95819 |
|
24 |
24 |
$6K |
| 92015 |
|
851 |
842 |
$6K |
| 15852 |
|
13 |
13 |
$6K |
| 90471 |
|
158 |
151 |
$6K |
| 85610 |
|
53 |
50 |
$6K |
| 85652 |
|
50 |
50 |
$6K |
| 87088 |
|
164 |
154 |
$6K |
| 71045 |
|
115 |
71 |
$6K |
| 0071A |
|
197 |
197 |
$5K |
| 90707 |
|
122 |
122 |
$5K |
| 87651 |
|
174 |
172 |
$5K |
| 90716 |
|
127 |
125 |
$4K |
| D2930 |
|
17 |
17 |
$4K |
| 86580 |
|
67 |
67 |
$4K |
| 87428 |
|
163 |
157 |
$4K |
| 84702 |
|
510 |
455 |
$4K |
| 81025 |
|
326 |
308 |
$3K |
| 92579 |
|
40 |
40 |
$3K |
| 90710 |
|
44 |
44 |
$3K |
| 0240U |
|
34 |
34 |
$3K |
| 93306 |
|
12 |
12 |
$3K |
| 73120 |
|
52 |
50 |
$3K |
| 0052A |
|
95 |
94 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
39 |
39 |
$3K |
| 90715 |
|
36 |
36 |
$3K |
| 86803 |
|
44 |
43 |
$3K |
| 96365 |
|
31 |
24 |
$3K |
| 92004 |
|
28 |
28 |
$3K |
| 54162 |
|
13 |
12 |
$3K |
| 92582 |
|
29 |
28 |
$3K |
| 90656 |
|
569 |
507 |
$3K |
| 74455 |
|
12 |
12 |
$3K |
| 92507 |
|
32 |
14 |
$2K |
| 90677 |
|
427 |
411 |
$2K |
| D7140 |
|
17 |
17 |
$2K |
| 0001A |
|
56 |
54 |
$2K |
| 74177 |
|
29 |
29 |
$2K |
| 90620 |
|
29 |
29 |
$2K |
| 82950 |
|
70 |
70 |
$2K |
| 0002A |
|
54 |
54 |
$2K |
| 88175 |
|
54 |
54 |
$2K |
| 84466 |
|
251 |
242 |
$2K |
| 86900 |
|
58 |
57 |
$2K |
| 96417 |
|
57 |
36 |
$2K |
| 82607 |
|
198 |
191 |
$1K |
| 95812 |
|
13 |
13 |
$1K |
| 83037 |
|
219 |
217 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
36 |
35 |
$1K |
| 99202 |
|
31 |
26 |
$1K |
| 82746 |
|
180 |
174 |
$1K |
| 93308 |
|
23 |
15 |
$950.74 |
| 85027 |
|
28 |
28 |
$927.66 |
| 83540 |
|
251 |
242 |
$869.65 |
| 76811 |
|
13 |
12 |
$763.88 |
| 83615 |
|
252 |
238 |
$722.38 |
| 0124A |
|
35 |
35 |
$680.00 |
| 86901 |
|
58 |
57 |
$529.66 |
| 84484 |
|
43 |
37 |
$457.02 |
| 81513 |
|
48 |
43 |
$456.40 |
| 0003A |
|
19 |
19 |
$440.00 |
| C9803 |
Hopd covid-19 spec collect |
139 |
123 |
$373.10 |
| 87430 |
|
93 |
92 |
$358.81 |
| D1120 |
|
14 |
14 |
$344.57 |
| 83880 |
|
13 |
13 |
$333.52 |
| 93010 |
|
44 |
43 |
$331.32 |
| 82657 |
|
78 |
64 |
$228.85 |
| 84703 |
|
37 |
37 |
$194.20 |
| 90480 |
|
17 |
17 |
$190.16 |
| D1110 |
|
33 |
20 |
$168.08 |
| 90619 |
|
29 |
29 |
$163.62 |
| 54450 |
|
19 |
14 |
$146.65 |
| 83690 |
|
25 |
25 |
$57.82 |
| 87653 |
|
16 |
16 |
$28.07 |
| J7050 |
Normal saline solution infus |
38 |
25 |
$1.47 |
| J1642 |
Inj heparin sodium per 10 u |
188 |
114 |
$0.00 |
| G0008 |
Admin influenza virus vac |
356 |
348 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
16 |
16 |
$0.00 |
| 87637 |
|
14 |
14 |
$0.00 |
| 87636 |
|
12 |
12 |
$0.00 |
| 90662 |
|
44 |
44 |
$0.00 |
| 88302 |
|
12 |
12 |
$0.00 |