| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
34,917 |
27,016 |
$5.94M |
| Y7506 |
|
33,842 |
28,948 |
$4.63M |
| 99284 |
|
24,099 |
18,942 |
$3.56M |
| 99283 |
|
24,404 |
18,487 |
$2.92M |
| X4011 |
|
12,018 |
11,344 |
$2.86M |
| 85025 |
|
36,818 |
33,263 |
$1.80M |
| 80053 |
|
32,522 |
30,080 |
$1.51M |
| 96374 |
|
5,228 |
5,026 |
$512K |
| 81001 |
|
7,443 |
7,105 |
$444K |
| 59025 |
|
3,470 |
2,248 |
$364K |
| X4006 |
|
377 |
334 |
$248K |
| 80307 |
|
2,862 |
2,692 |
$240K |
| 93005 |
|
4,478 |
4,278 |
$235K |
| 71045 |
|
4,091 |
3,905 |
$227K |
| X4003 |
|
1,686 |
964 |
$202K |
| 0241U |
|
1,752 |
1,722 |
$157K |
| G0463 |
Hospital outpt clinic visit |
3,330 |
2,846 |
$153K |
| 97597 |
|
1,990 |
1,357 |
$146K |
| 74177 |
|
738 |
721 |
$129K |
| 84484 |
|
3,583 |
2,780 |
$112K |
| 83690 |
|
1,336 |
1,292 |
$108K |
| 87502 |
|
317 |
296 |
$104K |
| 71046 |
|
410 |
400 |
$85K |
| 87804 |
|
378 |
316 |
$84K |
| 96375 |
|
2,662 |
2,512 |
$83K |
| 85610 |
|
1,090 |
1,026 |
$81K |
| 84443 |
|
2,864 |
2,719 |
$71K |
| 87086 |
|
382 |
362 |
$60K |
| 87636 |
|
557 |
510 |
$51K |
| 76816 |
|
727 |
708 |
$49K |
| 87880 |
|
123 |
117 |
$43K |
| 85730 |
|
303 |
289 |
$39K |
| 71260 |
|
440 |
428 |
$37K |
| 87081 |
|
503 |
499 |
$35K |
| 96413 |
|
215 |
141 |
$33K |
| 99212 |
|
124 |
101 |
$29K |
| 83880 |
|
688 |
647 |
$29K |
| 93306 |
|
94 |
94 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
942 |
886 |
$22K |
| G0480 |
Drug test def 1-7 classes |
263 |
242 |
$20K |
| 88305 |
|
245 |
236 |
$20K |
| 81003 |
|
587 |
568 |
$17K |
| 86140 |
|
282 |
276 |
$16K |
| 85652 |
|
237 |
231 |
$15K |
| 87631 |
|
46 |
44 |
$14K |
| 36591 |
|
227 |
163 |
$14K |
| 70450 |
|
147 |
138 |
$14K |
| 82077 |
|
995 |
929 |
$14K |
| 84703 |
|
228 |
224 |
$12K |
| 80048 |
|
148 |
142 |
$12K |
| 81025 |
|
113 |
112 |
$12K |
| 80076 |
|
174 |
169 |
$10K |
| 87807 |
|
26 |
25 |
$10K |
| 82565 |
|
147 |
143 |
$10K |
| 85027 |
|
41 |
39 |
$9K |
| 86235 |
|
62 |
62 |
$9K |
| 93017 |
|
61 |
61 |
$9K |
| G0378 |
Hospital observation per hr |
26 |
24 |
$8K |
| 83516 |
|
77 |
62 |
$8K |
| 0240U |
|
66 |
64 |
$8K |
| 82728 |
|
302 |
276 |
$8K |
| 76805 |
|
77 |
77 |
$6K |
| 83615 |
|
329 |
295 |
$6K |
| 96361 |
|
13 |
13 |
$6K |
| 11042 |
|
47 |
41 |
$6K |
| 99291 |
|
26 |
25 |
$5K |
| 84466 |
|
195 |
182 |
$5K |
| 86200 |
|
38 |
38 |
$4K |
| 86225 |
|
40 |
40 |
$4K |
| 87634 |
|
12 |
12 |
$4K |
| 96365 |
|
39 |
37 |
$4K |
| 83540 |
|
195 |
182 |
$4K |
| 86431 |
|
37 |
37 |
$4K |
| 99282 |
|
31 |
25 |
$4K |
| 36415 |
|
698 |
557 |
$4K |
| 96367 |
|
95 |
61 |
$3K |
| 99213 |
|
105 |
80 |
$3K |
| 87801 |
|
16 |
12 |
$3K |
| 82746 |
|
121 |
109 |
$3K |
| 87651 |
|
185 |
178 |
$3K |
| Y7507 |
|
52 |
37 |
$3K |
| 74176 |
|
25 |
24 |
$2K |
| 82607 |
|
94 |
84 |
$2K |
| 95816 |
|
12 |
12 |
$2K |
| 83735 |
|
608 |
584 |
$2K |
| 82550 |
|
12 |
12 |
$1K |
| 88175 |
|
26 |
26 |
$976.25 |
| 99214 |
|
13 |
13 |
$948.26 |
| 87653 |
|
13 |
13 |
$858.88 |
| 86160 |
|
12 |
12 |
$843.47 |
| 74018 |
|
12 |
12 |
$737.02 |
| 80061 |
|
55 |
54 |
$694.62 |
| 86039 |
|
12 |
12 |
$667.47 |
| 73120 |
|
12 |
12 |
$639.68 |
| 87635 |
|
12 |
12 |
$637.50 |
| 83036 |
|
120 |
116 |
$556.10 |
| 86038 |
|
12 |
12 |
$495.93 |
| 77336 |
|
21 |
12 |
$403.42 |
| 84702 |
|
41 |
40 |
$363.07 |
| 43239 |
|
15 |
15 |
$337.96 |
| J3490 |
Drugs unclassified injection |
1,798 |
1,309 |
$335.70 |
| 97110 |
|
46 |
13 |
$189.73 |
| 87491 |
|
27 |
26 |
$168.42 |
| 87591 |
|
27 |
26 |
$168.42 |
| 83605 |
|
27 |
27 |
$167.46 |
| 87661 |
|
15 |
14 |
$140.35 |
| 84165 |
|
13 |
12 |
$63.27 |
| 87088 |
|
13 |
12 |
$29.12 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
85 |
76 |
$28.35 |
| J2704 |
Inj, propofol, 10 mg |
292 |
184 |
$9.72 |
| C9803 |
Hopd covid-19 spec collect |
100 |
96 |
$0.00 |
| J7030 |
Normal saline solution infus |
76 |
53 |
$0.00 |
| J7120 |
Ringers lactate infusion |
180 |
172 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
39 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
68 |
65 |
$0.00 |
| J7050 |
Normal saline solution infus |
59 |
39 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
16 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
15 |
13 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
46 |
43 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
14 |
$0.00 |