| Code | Description | Claims | Beneficiaries | Total Paid |
| Y7506 |
|
22,166 |
19,043 |
$7.64M |
| X4011 |
|
24,093 |
22,472 |
$6.93M |
| Y7507 |
|
10,540 |
8,869 |
$5.34M |
| G0463 |
Hospital outpt clinic visit |
52,278 |
46,460 |
$3.26M |
| 85025 |
|
53,704 |
46,677 |
$3.22M |
| 80053 |
|
51,383 |
45,323 |
$2.92M |
| J3490 |
Drugs unclassified injection |
6,583 |
3,591 |
$2.71M |
| X4006 |
|
2,814 |
2,484 |
$2.46M |
| 99284 |
|
15,081 |
13,992 |
$2.25M |
| 81001 |
|
20,938 |
19,609 |
$2.06M |
| X4003 |
|
15,181 |
12,531 |
$1.73M |
| 99283 |
|
12,217 |
11,687 |
$1.44M |
| 0202U |
|
3,537 |
3,397 |
$1.20M |
| 94761 |
|
17,753 |
16,599 |
$1.17M |
| 96374 |
|
7,335 |
7,003 |
$753K |
| 88304 |
|
357 |
348 |
$738K |
| 93005 |
|
12,755 |
11,838 |
$663K |
| 11042 |
|
5,551 |
2,661 |
$625K |
| 71046 |
|
1,864 |
1,765 |
$394K |
| 62323 |
|
1,687 |
1,635 |
$360K |
| 43239 |
|
1,236 |
1,198 |
$350K |
| 85610 |
|
2,590 |
2,381 |
$349K |
| 99282 |
|
4,573 |
4,452 |
$344K |
| 59025 |
|
1,477 |
1,019 |
$338K |
| 85730 |
|
2,154 |
1,983 |
$319K |
| 36415 |
|
7,710 |
6,294 |
$261K |
| 88305 |
|
2,912 |
2,798 |
$249K |
| 71045 |
|
4,564 |
4,322 |
$238K |
| 96413 |
|
1,398 |
874 |
$221K |
| 69436 |
|
238 |
236 |
$212K |
| 84484 |
|
4,284 |
3,877 |
$210K |
| 83605 |
|
2,181 |
2,037 |
$201K |
| 83690 |
|
2,180 |
2,051 |
$181K |
| G0378 |
Hospital observation per hr |
281 |
255 |
$173K |
| 82550 |
|
2,169 |
1,997 |
$156K |
| 99392 |
|
3,106 |
3,079 |
$148K |
| 86141 |
|
3,679 |
3,543 |
$146K |
| 88342 |
|
1,198 |
1,162 |
$145K |
| 96361 |
|
4,239 |
4,023 |
$142K |
| 0241U |
|
1,264 |
1,227 |
$135K |
| 87633 |
|
666 |
644 |
$134K |
| 45380 |
|
479 |
460 |
$133K |
| 87581 |
|
1,497 |
1,458 |
$128K |
| 87486 |
|
1,497 |
1,458 |
$128K |
| 87798 |
|
1,136 |
1,103 |
$127K |
| 99391 |
|
2,829 |
2,777 |
$126K |
| 96375 |
|
3,569 |
3,218 |
$114K |
| 92523 |
|
518 |
510 |
$113K |
| 20610 |
|
2,027 |
1,649 |
$113K |
| 70450 |
|
1,041 |
993 |
$112K |
| 87088 |
|
3,153 |
2,936 |
$108K |
| 97165 |
|
363 |
349 |
$96K |
| 87040 |
|
1,015 |
934 |
$96K |
| 97161 |
|
236 |
227 |
$90K |
| 80048 |
|
673 |
559 |
$89K |
| 87631 |
|
449 |
433 |
$89K |
| 87070 |
|
3,742 |
3,604 |
$88K |
| 42820 |
|
24 |
24 |
$85K |
| 82553 |
|
911 |
822 |
$82K |
| 36591 |
|
1,510 |
933 |
$81K |
| 85027 |
|
647 |
513 |
$78K |
| 84145 |
|
1,953 |
1,861 |
$76K |
| 74176 |
|
642 |
615 |
$66K |
| 95811 |
|
130 |
127 |
$63K |
| C9803 |
Hopd covid-19 spec collect |
4,127 |
3,977 |
$62K |
| 87660 |
|
859 |
804 |
$57K |
| 84443 |
|
2,271 |
2,192 |
$51K |
| 83880 |
|
795 |
747 |
$48K |
| 87502 |
|
198 |
184 |
$47K |
| 97597 |
|
1,281 |
597 |
$44K |
| 80307 |
|
618 |
569 |
$43K |
| 84439 |
|
1,580 |
1,513 |
$42K |
| 87400 |
|
290 |
277 |
$41K |
| 87880 |
|
244 |
235 |
$41K |
| 87480 |
|
486 |
448 |
$40K |
| 87801 |
|
442 |
435 |
$40K |
| 88312 |
|
295 |
280 |
$39K |
| 87510 |
|
358 |
326 |
$39K |
| 83655 |
|
4,491 |
4,349 |
$36K |
| 81025 |
|
79 |
75 |
$34K |
| 97110 |
|
94 |
91 |
$32K |
| 95810 |
|
55 |
53 |
$32K |
| 90471 |
|
445 |
443 |
$32K |
| 74177 |
|
212 |
202 |
$29K |
| 82306 |
|
1,511 |
1,466 |
$28K |
| 93296 |
|
2,873 |
2,741 |
$26K |
| 90698 |
|
1,130 |
1,104 |
$25K |
| J1745 |
Infliximab not biosimil 10mg |
54 |
52 |
$23K |
| 64483 |
|
67 |
65 |
$23K |
| 87651 |
|
134 |
128 |
$22K |
| 99285 |
|
81 |
77 |
$22K |
| 43248 |
|
57 |
53 |
$20K |
| G2066 |
Inter devc remote 30d |
1,406 |
1,356 |
$19K |
| 88313 |
|
337 |
330 |
$19K |
| 62321 |
|
52 |
52 |
$19K |
| 99393 |
|
303 |
295 |
$18K |
| 93306 |
|
540 |
495 |
$18K |
| 84703 |
|
989 |
924 |
$18K |
| 20605 |
|
202 |
190 |
$18K |
| 43235 |
|
28 |
27 |
$16K |
| 87591 |
|
162 |
150 |
$16K |
| 87491 |
|
162 |
150 |
$16K |
| 87804 |
|
203 |
198 |
$15K |
| 87641 |
|
28 |
25 |
$13K |
| 97530 |
|
30 |
27 |
$13K |
| 82728 |
|
990 |
953 |
$12K |
| 45385 |
|
54 |
51 |
$12K |
| 82150 |
|
81 |
74 |
$12K |
| 99281 |
|
228 |
222 |
$11K |
| 45384 |
|
12 |
12 |
$11K |
| 87636 |
|
155 |
153 |
$11K |
| 80061 |
|
1,033 |
1,001 |
$10K |
| 86803 |
|
253 |
227 |
$10K |
| 80081 |
|
139 |
129 |
$10K |
| 87086 |
|
1,652 |
1,587 |
$10K |
| 96372 |
|
187 |
179 |
$10K |
| 92507 |
|
279 |
107 |
$10K |
| 45378 |
|
15 |
13 |
$10K |
| M0243 |
Casirivi and imdevi inj |
47 |
40 |
$9K |
| 87635 |
|
379 |
362 |
$9K |
| 11045 |
|
1,024 |
494 |
$9K |
| 83970 |
|
366 |
363 |
$9K |
| Q3014 |
Telehealth facility fee |
492 |
460 |
$7K |
| 82607 |
|
350 |
335 |
$7K |
| 86235 |
|
136 |
134 |
$7K |
| 87210 |
|
26 |
24 |
$7K |
| 85651 |
|
2,177 |
2,106 |
$7K |
| 83540 |
|
904 |
872 |
$6K |
| 20553 |
|
45 |
44 |
$6K |
| 76816 |
|
63 |
56 |
$6K |
| 83036 |
|
590 |
566 |
$6K |
| 90472 |
|
42 |
41 |
$6K |
| 94726 |
|
40 |
38 |
$5K |
| 87081 |
|
111 |
107 |
$5K |
| 83550 |
|
798 |
773 |
$5K |
| 95831 |
|
185 |
177 |
$5K |
| 87077 |
|
610 |
591 |
$5K |
| 96365 |
|
51 |
51 |
$4K |
| 71250 |
|
135 |
129 |
$4K |
| 81002 |
|
1,446 |
1,203 |
$4K |
| 71260 |
|
40 |
36 |
$4K |
| 90670 |
|
582 |
552 |
$4K |
| 86703 |
|
109 |
102 |
$4K |
| 93010 |
|
2,885 |
2,217 |
$4K |
| 87340 |
|
86 |
80 |
$4K |
| 86762 |
|
72 |
66 |
$3K |
| 87186 |
|
441 |
429 |
$3K |
| 77336 |
|
84 |
27 |
$3K |
| 82950 |
|
122 |
116 |
$3K |
| 95813 |
|
12 |
12 |
$3K |
| 84425 |
|
118 |
110 |
$3K |
| 77065 |
Tomosynthesis, mammo |
42 |
38 |
$3K |
| 95832 |
|
102 |
98 |
$3K |
| 83735 |
|
140 |
134 |
$2K |
| 86300 |
|
203 |
185 |
$2K |
| 80047 |
|
27 |
25 |
$2K |
| 94060 |
|
15 |
14 |
$2K |
| 99394 |
|
58 |
51 |
$2K |
| 90686 |
|
492 |
468 |
$2K |
| 86592 |
|
95 |
89 |
$2K |
| 84630 |
|
100 |
94 |
$2K |
| 82525 |
|
87 |
82 |
$2K |
| 96360 |
|
13 |
13 |
$2K |
| 84702 |
|
153 |
134 |
$2K |
| 86039 |
|
261 |
256 |
$2K |
| 81511 |
|
16 |
12 |
$2K |
| 88142 |
|
62 |
62 |
$2K |
| 80074 |
|
39 |
37 |
$2K |
| 90633 |
|
218 |
203 |
$1K |
| 84681 |
|
123 |
122 |
$1K |
| 86200 |
|
193 |
192 |
$1K |
| 72131 |
|
29 |
28 |
$1K |
| 96415 |
|
146 |
142 |
$1K |
| 84480 |
|
170 |
167 |
$1K |
| 90744 |
|
221 |
216 |
$1K |
| 72125 |
|
30 |
29 |
$1K |
| G0439 |
Ppps, subseq visit |
14 |
14 |
$1K |
| 71275 |
|
13 |
13 |
$1K |
| 76830 |
|
13 |
12 |
$1K |
| 77067 |
|
19 |
16 |
$1K |
| 90677 |
|
112 |
112 |
$1K |
| 95861 |
|
26 |
25 |
$1K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$1K |
| 80076 |
|
15 |
15 |
$1K |
| 99214 |
|
68 |
58 |
$968.47 |
| 83615 |
|
368 |
329 |
$956.98 |
| 90681 |
|
98 |
90 |
$944.14 |
| 80069 |
|
229 |
222 |
$850.14 |
| 83525 |
|
122 |
121 |
$843.04 |
| 94640 |
|
15 |
12 |
$827.55 |
| 76642 |
|
15 |
15 |
$762.90 |
| 90656 |
|
111 |
107 |
$748.16 |
| 86780 |
|
69 |
65 |
$735.18 |
| 87661 |
|
26 |
25 |
$704.88 |
| 86900 |
|
12 |
12 |
$656.34 |
| 86800 |
|
13 |
13 |
$599.62 |
| 84432 |
|
13 |
13 |
$589.12 |
| C9399 |
Unclassified drugs or biolog |
225 |
100 |
$560.93 |
| 82533 |
|
55 |
54 |
$552.71 |
| 82043 |
|
199 |
196 |
$547.16 |
| 93299 |
|
171 |
169 |
$538.47 |
| 96417 |
|
14 |
12 |
$530.96 |
| 87522 |
Neg quan hep c or qual rna |
14 |
14 |
$521.32 |
| 80050 |
|
14 |
13 |
$412.65 |
| 99213 |
|
1,500 |
1,405 |
$393.85 |
| J2270 |
Morphine sulfate injection |
157 |
65 |
$390.52 |
| 72100 |
|
13 |
13 |
$362.63 |
| 86757 |
|
13 |
13 |
$353.96 |
| 85045 |
|
189 |
173 |
$336.79 |
| 86225 |
|
30 |
30 |
$320.63 |
| 93016 |
|
95 |
89 |
$287.11 |
| 90707 |
|
12 |
12 |
$280.98 |
| 87640 |
|
27 |
24 |
$280.70 |
| 86850 |
|
12 |
12 |
$279.43 |
| 86431 |
|
73 |
72 |
$255.97 |
| 86430 |
|
57 |
56 |
$233.46 |
| 85652 |
|
160 |
156 |
$213.39 |
| 86901 |
|
12 |
12 |
$203.17 |
| 93018 |
|
95 |
89 |
$190.97 |
| U0003 |
Cov-19 amp prb hgh thruput |
38 |
38 |
$175.00 |
| 77063 |
|
21 |
17 |
$170.09 |
| 80164 |
|
13 |
13 |
$168.18 |
| 84156 |
|
91 |
82 |
$156.72 |
| 82378 |
|
13 |
12 |
$150.12 |
| 85014 |
|
98 |
91 |
$138.33 |
| 85018 |
|
110 |
103 |
$138.33 |
| 83721 |
|
15 |
15 |
$125.57 |
| 82746 |
|
12 |
12 |
$98.42 |
| 90716 |
|
12 |
12 |
$93.75 |
| 86666 |
|
12 |
12 |
$93.08 |
| 90680 |
|
12 |
12 |
$75.26 |
| 84436 |
|
39 |
38 |
$69.00 |
| 82570 |
|
20 |
13 |
$68.06 |
| 88311 |
|
40 |
38 |
$67.80 |
| 86140 |
|
74 |
71 |
$65.96 |
| J2704 |
Inj, propofol, 10 mg |
840 |
778 |
$64.92 |
| 84550 |
|
17 |
12 |
$55.40 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$54.33 |
| J2405 |
Ondansetron hcl injection |
62 |
60 |
$34.24 |
| 86038 |
|
14 |
14 |
$32.64 |
| 82948 |
|
16 |
13 |
$16.12 |
| J3301 |
Triamcinolone acet inj nos |
1,060 |
1,006 |
$0.00 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
94 |
65 |
$0.00 |
| G1004 |
Cdsm ndsc |
146 |
98 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
267 |
266 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
155 |
148 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99212 |
|
13 |
13 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
160 |
101 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,138 |
1,107 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
587 |
564 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
107 |
62 |
$0.00 |
| G0453 |
Cont intraop neuro monitor |
12 |
12 |
$0.00 |
| 87807 |
|
18 |
18 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
149 |
141 |
$0.00 |
| A9585 |
Gadobutrol injection |
27 |
26 |
$0.00 |
| 94760 |
|
33 |
30 |
$0.00 |