| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
82,874 |
68,082 |
$21.16M |
| 99285 |
|
20,732 |
19,906 |
$6.41M |
| X4011 |
|
21,117 |
19,858 |
$5.12M |
| 85025 |
|
75,357 |
67,987 |
$4.30M |
| X4006 |
|
7,166 |
5,778 |
$3.32M |
| 80053 |
|
62,072 |
57,957 |
$3.31M |
| 99283 |
|
15,161 |
14,753 |
$2.79M |
| 42820 |
|
950 |
941 |
$2.71M |
| 69436 |
|
1,857 |
1,814 |
$2.40M |
| 99284 |
|
7,392 |
7,174 |
$1.81M |
| G0463 |
Hospital outpt clinic visit |
20,290 |
18,238 |
$1.52M |
| 88305 |
|
3,492 |
3,387 |
$874K |
| 43239 |
|
1,188 |
1,157 |
$864K |
| 93005 |
|
14,036 |
13,146 |
$777K |
| X4003 |
|
4,063 |
2,691 |
$589K |
| 99212 |
|
3,388 |
2,523 |
$400K |
| 88312 |
|
230 |
225 |
$388K |
| 96374 |
|
3,092 |
2,958 |
$354K |
| 0202U |
|
980 |
961 |
$327K |
| 97110 |
|
1,943 |
662 |
$323K |
| 99213 |
|
1,800 |
1,434 |
$313K |
| 80307 |
|
3,084 |
2,908 |
$261K |
| 81003 |
|
4,798 |
3,919 |
$234K |
| 71046 |
|
1,705 |
1,639 |
$227K |
| 96413 |
|
1,461 |
880 |
$223K |
| 11042 |
|
3,297 |
2,355 |
$198K |
| 66984 |
|
387 |
317 |
$191K |
| 0241U |
|
1,785 |
1,738 |
$188K |
| 95810 |
|
394 |
384 |
$183K |
| 43235 |
|
403 |
393 |
$170K |
| 88300 |
|
289 |
284 |
$164K |
| 71045 |
|
2,884 |
2,773 |
$162K |
| G0378 |
Hospital observation per hr |
145 |
118 |
$157K |
| 81001 |
|
2,623 |
2,536 |
$137K |
| J3490 |
Drugs unclassified injection |
6,740 |
3,711 |
$124K |
| 97140 |
|
353 |
131 |
$98K |
| 82657 |
|
135 |
133 |
$98K |
| 99282 |
|
627 |
616 |
$88K |
| 62323 |
|
416 |
395 |
$81K |
| 36415 |
|
2,829 |
2,499 |
$81K |
| G0480 |
Drug test def 1-7 classes |
825 |
781 |
$80K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,043 |
4,905 |
$64K |
| 97112 |
|
1,759 |
616 |
$64K |
| 47562 |
|
12 |
12 |
$58K |
| 93798 |
|
932 |
178 |
$57K |
| 95811 |
|
134 |
131 |
$53K |
| 64635 |
|
68 |
63 |
$53K |
| 83690 |
|
570 |
538 |
$49K |
| 87804 |
|
221 |
189 |
$45K |
| 97530 |
|
1,082 |
374 |
$45K |
| 80081 |
|
389 |
381 |
$37K |
| D7999 |
|
12 |
12 |
$35K |
| 76816 |
|
360 |
335 |
$34K |
| 87591 |
|
516 |
502 |
$34K |
| 88342 |
|
259 |
251 |
$34K |
| 42830 |
|
13 |
13 |
$33K |
| 80048 |
|
462 |
418 |
$33K |
| 87491 |
|
491 |
478 |
$31K |
| G0260 |
Inj for sacroiliac jt anesth |
119 |
97 |
$30K |
| 82306 |
|
972 |
951 |
$30K |
| 82077 |
|
2,041 |
1,955 |
$30K |
| 84484 |
|
2,075 |
1,762 |
$29K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
816 |
418 |
$25K |
| 84443 |
|
522 |
502 |
$23K |
| 81025 |
|
256 |
241 |
$23K |
| 96375 |
|
598 |
500 |
$22K |
| 64493 |
|
52 |
42 |
$22K |
| 82397 |
|
811 |
806 |
$22K |
| 87633 |
|
26 |
26 |
$18K |
| 87502 |
|
45 |
44 |
$18K |
| 87581 |
|
26 |
26 |
$17K |
| 87486 |
|
26 |
26 |
$17K |
| 87798 |
|
26 |
26 |
$17K |
| 88175 |
|
238 |
235 |
$17K |
| 87880 |
|
153 |
151 |
$15K |
| 74177 |
|
81 |
75 |
$14K |
| 83605 |
|
331 |
315 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
189 |
147 |
$12K |
| 45380 |
|
13 |
13 |
$11K |
| 64721 |
|
13 |
13 |
$11K |
| 93306 |
|
37 |
37 |
$10K |
| 70553 |
|
42 |
40 |
$10K |
| 95819 |
|
41 |
41 |
$9K |
| 95816 |
|
62 |
61 |
$9K |
| 0099U |
|
19 |
19 |
$7K |
| 87081 |
|
40 |
40 |
$7K |
| 76815 |
|
93 |
49 |
$7K |
| 83735 |
|
680 |
603 |
$7K |
| 36591 |
|
178 |
63 |
$7K |
| 43760 |
|
39 |
37 |
$6K |
| 70450 |
|
131 |
126 |
$6K |
| 84305 |
|
133 |
133 |
$5K |
| 74018 |
|
139 |
138 |
$5K |
| 87651 |
|
147 |
146 |
$5K |
| 59025 |
|
30 |
13 |
$5K |
| 93296 |
|
309 |
306 |
$4K |
| 85046 |
|
271 |
253 |
$4K |
| 84100 |
|
153 |
102 |
$4K |
| 87075 |
|
618 |
592 |
$4K |
| 87070 |
|
618 |
593 |
$4K |
| Y7507 |
|
54 |
39 |
$4K |
| 45378 |
|
15 |
14 |
$4K |
| 94640 |
|
44 |
39 |
$4K |
| 76811 |
|
12 |
12 |
$3K |
| 87176 |
|
545 |
523 |
$3K |
| Q3014 |
Telehealth facility fee |
97 |
92 |
$3K |
| 93797 |
|
52 |
13 |
$3K |
| 87205 |
|
618 |
593 |
$3K |
| 71260 |
|
36 |
36 |
$3K |
| 80143 |
|
158 |
151 |
$3K |
| 76770 |
|
38 |
37 |
$3K |
| 96365 |
|
29 |
27 |
$3K |
| 86803 |
|
37 |
36 |
$2K |
| 94726 |
|
26 |
26 |
$2K |
| 27096 |
|
15 |
12 |
$2K |
| 82728 |
|
198 |
196 |
$2K |
| 80179 |
|
125 |
121 |
$2K |
| 85610 |
|
355 |
328 |
$2K |
| 43762 |
|
25 |
24 |
$2K |
| 97597 |
|
19 |
15 |
$2K |
| 93226 |
|
27 |
27 |
$2K |
| 84112 |
|
14 |
12 |
$2K |
| 87186 |
|
164 |
158 |
$1K |
| 95800 |
|
17 |
17 |
$1K |
| 88304 |
|
40 |
40 |
$1K |
| 77334 |
|
15 |
12 |
$1K |
| 87635 |
|
29 |
28 |
$1K |
| 20553 |
|
12 |
12 |
$1K |
| 83880 |
|
25 |
25 |
$1K |
| 87077 |
|
107 |
102 |
$1K |
| 83036 |
|
111 |
111 |
$950.01 |
| 82784 |
|
101 |
101 |
$888.15 |
| 84140 |
|
15 |
15 |
$872.85 |
| 83550 |
|
96 |
96 |
$776.86 |
| 96156 |
|
13 |
12 |
$643.19 |
| 83540 |
|
97 |
97 |
$584.18 |
| 51798 |
|
25 |
25 |
$516.68 |
| J2704 |
Inj, propofol, 10 mg |
280 |
205 |
$332.87 |
| 82947 |
|
136 |
96 |
$325.93 |
| J2405 |
Ondansetron hcl injection |
145 |
125 |
$278.00 |
| J7050 |
Normal saline solution infus |
289 |
188 |
$266.68 |
| 85730 |
|
97 |
96 |
$226.84 |
| 94729 |
|
14 |
14 |
$213.60 |
| 96372 |
|
13 |
12 |
$171.53 |
| J7030 |
Normal saline solution infus |
189 |
180 |
$169.54 |
| 84702 |
|
12 |
12 |
$163.70 |
| 0641T |
|
163 |
115 |
$156.48 |
| 0240U |
|
17 |
16 |
$142.63 |
| 97161 |
|
15 |
13 |
$96.69 |
| J3010 |
Fentanyl citrate injection |
487 |
418 |
$82.44 |
| 85014 |
|
64 |
55 |
$75.64 |
| 85018 |
|
63 |
55 |
$73.51 |
| 84703 |
|
13 |
12 |
$61.62 |
| 86140 |
|
38 |
37 |
$58.82 |
| 82962 |
|
30 |
15 |
$32.53 |
| 87086 |
|
45 |
43 |
$27.09 |
| J2250 |
Inj midazolam hydrochloride |
866 |
745 |
$22.55 |
| J0171 |
Adrenalin epinephrine inject |
16 |
12 |
$21.15 |
| 83655 |
|
68 |
67 |
$19.36 |
| 83615 |
|
19 |
12 |
$5.44 |
| 97116 |
|
36 |
27 |
$3.24 |
| J1100 |
Dexamethasone sodium phos |
13 |
12 |
$2.41 |
| 11045 |
|
70 |
26 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
90 |
76 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
143 |
130 |
$0.00 |
| 86850 |
|
12 |
12 |
$0.00 |
| 86592 |
|
13 |
13 |
$0.00 |
| C1769 |
Guide wire |
15 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
41 |
39 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
68 |
62 |
$0.00 |
| C1776 |
Joint device (implantable) |
14 |
13 |
$0.00 |
| 64636 |
|
15 |
12 |
$0.00 |
| 99211 |
|
22 |
21 |
$0.00 |