| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
12,444 |
11,485 |
$942K |
| 99285 |
|
3,075 |
2,680 |
$641K |
| 99284 |
|
3,036 |
2,706 |
$279K |
| 85025 |
|
28,457 |
22,290 |
$244K |
| 80053 |
|
18,170 |
15,538 |
$235K |
| 99282 |
|
4,985 |
4,618 |
$225K |
| 97110 |
|
7,029 |
1,923 |
$192K |
| 36415 |
|
34,278 |
24,303 |
$191K |
| 80061 |
|
8,417 |
7,908 |
$113K |
| 80048 |
|
11,419 |
8,533 |
$108K |
| 87426 |
|
3,995 |
3,591 |
$107K |
| 84443 |
|
7,415 |
6,836 |
$104K |
| 96365 |
|
2,803 |
1,503 |
$103K |
| 80307 |
|
4,490 |
3,865 |
$99K |
| 92507 |
|
1,709 |
465 |
$94K |
| 96361 |
|
2,495 |
1,833 |
$93K |
| 93306 |
|
913 |
859 |
$86K |
| 70450 |
|
1,720 |
1,530 |
$84K |
| 74177 |
|
643 |
583 |
$73K |
| 74176 |
|
862 |
775 |
$71K |
| 87804 |
|
3,470 |
3,189 |
$69K |
| 93005 |
|
5,214 |
4,356 |
$65K |
| 97140 |
|
2,869 |
886 |
$64K |
| 96372 |
|
3,536 |
2,813 |
$64K |
| 71046 |
|
3,158 |
2,872 |
$63K |
| 84484 |
|
3,612 |
2,584 |
$62K |
| 82306 |
|
2,771 |
2,525 |
$59K |
| 83036 |
|
6,082 |
5,668 |
$57K |
| 83735 |
|
5,541 |
4,401 |
$57K |
| 82550 |
|
2,087 |
1,722 |
$54K |
| 71045 |
|
4,364 |
3,775 |
$52K |
| 97112 |
|
2,501 |
755 |
$52K |
| 82553 |
|
1,596 |
1,304 |
$51K |
| 99281 |
|
2,178 |
2,049 |
$50K |
| 96374 |
|
2,604 |
2,249 |
$49K |
| 81001 |
|
5,693 |
5,032 |
$48K |
| 96375 |
|
2,685 |
2,056 |
$48K |
| G0463 |
Hospital outpt clinic visit |
5,684 |
4,634 |
$48K |
| 83874 |
|
1,574 |
1,283 |
$47K |
| 87633 |
|
243 |
216 |
$46K |
| 80076 |
|
2,687 |
2,447 |
$41K |
| 83690 |
|
2,766 |
2,453 |
$40K |
| U0004 |
Cov-19 test non-cdc hgh thru |
438 |
373 |
$38K |
| 84439 |
|
3,257 |
3,046 |
$37K |
| 97530 |
|
1,330 |
446 |
$37K |
| U0002 |
Covid-19 lab test non-cdc |
1,033 |
976 |
$37K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
672 |
604 |
$36K |
| 82150 |
|
1,516 |
1,351 |
$34K |
| 80348 |
|
3,027 |
2,586 |
$31K |
| 85610 |
|
3,367 |
2,411 |
$30K |
| 81003 |
|
2,685 |
2,442 |
$30K |
| 87086 |
|
2,932 |
2,616 |
$29K |
| 80074 |
|
511 |
475 |
$28K |
| 78452 |
|
94 |
85 |
$27K |
| 81025 |
|
994 |
910 |
$27K |
| 77067 |
|
398 |
378 |
$24K |
| 83605 |
|
2,178 |
1,819 |
$23K |
| A9500 |
Tc99m sestamibi |
110 |
98 |
$23K |
| 83880 |
|
1,066 |
905 |
$23K |
| 85730 |
|
1,483 |
1,323 |
$22K |
| 82607 |
|
1,731 |
1,618 |
$22K |
| G0482 |
Drug test def 15-21 classes |
645 |
630 |
$21K |
| 93017 |
|
114 |
100 |
$19K |
| 94761 |
|
410 |
344 |
$19K |
| 87880 |
|
985 |
934 |
$18K |
| 87491 |
|
481 |
443 |
$18K |
| 87186 |
|
1,729 |
1,563 |
$17K |
| 87389 |
|
678 |
560 |
$17K |
| 87591 |
|
459 |
426 |
$17K |
| J2785 |
Regadenoson injection |
79 |
70 |
$15K |
| 85027 |
|
1,252 |
1,020 |
$15K |
| 97162 |
|
435 |
400 |
$15K |
| G0378 |
Hospital observation per hr |
352 |
282 |
$15K |
| 87807 |
|
1,083 |
1,018 |
$14K |
| 73630 |
|
399 |
363 |
$14K |
| 85007 |
|
1,216 |
994 |
$14K |
| 76705 |
|
222 |
211 |
$14K |
| 83992 |
|
876 |
838 |
$14K |
| 80346 |
|
907 |
866 |
$13K |
| 87798 |
|
176 |
158 |
$13K |
| 84145 |
|
1,165 |
1,001 |
$12K |
| 82248 |
|
390 |
340 |
$12K |
| 87486 |
|
161 |
144 |
$11K |
| 87581 |
|
161 |
144 |
$11K |
| 80305 |
|
575 |
504 |
$11K |
| 96360 |
|
326 |
289 |
$10K |
| 74022 |
|
411 |
377 |
$10K |
| 73610 |
|
244 |
218 |
$10K |
| 87040 |
|
826 |
673 |
$10K |
| 80361 |
|
896 |
854 |
$10K |
| 87088 |
|
649 |
592 |
$9K |
| J0131 |
Inj, acetaminophen (nos) |
55 |
42 |
$9K |
| 96376 |
|
406 |
232 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
209 |
138 |
$8K |
| P9603 |
One-way allow prorated miles |
8,407 |
4,982 |
$8K |
| 72148 |
|
14 |
13 |
$8K |
| 99211 |
|
579 |
444 |
$8K |
| 83540 |
|
1,275 |
1,188 |
$8K |
| 73562 |
|
249 |
230 |
$8K |
| 80326 |
|
894 |
853 |
$8K |
| 84481 |
|
633 |
594 |
$8K |
| 72110 |
|
214 |
203 |
$8K |
| 86886 |
|
364 |
351 |
$7K |
| 80360 |
|
899 |
855 |
$7K |
| 82947 |
|
945 |
890 |
$7K |
| 87205 |
|
317 |
275 |
$6K |
| 82948 |
|
186 |
86 |
$6K |
| 80373 |
|
894 |
853 |
$6K |
| 87070 |
|
293 |
257 |
$6K |
| 80354 |
|
877 |
839 |
$6K |
| 94640 |
|
293 |
177 |
$6K |
| 82565 |
|
693 |
618 |
$6K |
| 73130 |
|
99 |
93 |
$6K |
| 83550 |
|
864 |
807 |
$6K |
| 86780 |
|
423 |
367 |
$5K |
| 87517 |
|
148 |
97 |
$5K |
| 94664 |
|
216 |
154 |
$5K |
| G8979 |
Mobility goal status |
338 |
296 |
$5K |
| G0480 |
Drug test def 1-7 classes |
84 |
77 |
$5K |
| 88305 |
|
93 |
88 |
$5K |
| A9270 |
Non-covered item or service |
2,640 |
1,348 |
$5K |
| 87081 |
|
555 |
524 |
$5K |
| 73030 |
|
149 |
138 |
$5K |
| 86592 |
|
126 |
106 |
$4K |
| 86480 |
|
77 |
56 |
$4K |
| 85651 |
|
530 |
448 |
$4K |
| 76536 |
|
65 |
64 |
$4K |
| 84550 |
|
98 |
90 |
$4K |
| 82043 |
|
379 |
352 |
$4K |
| 80355 |
|
907 |
866 |
$4K |
| 80358 |
|
895 |
853 |
$4K |
| 80371 |
|
894 |
853 |
$4K |
| 80367 |
|
894 |
853 |
$4K |
| 80372 |
|
894 |
853 |
$4K |
| 80370 |
|
894 |
853 |
$4K |
| 80365 |
|
894 |
853 |
$4K |
| 80368 |
|
894 |
853 |
$4K |
| 80364 |
|
877 |
839 |
$4K |
| 80359 |
|
877 |
839 |
$4K |
| G8978 |
Mobility current status |
273 |
242 |
$4K |
| 82746 |
|
331 |
314 |
$4K |
| 97161 |
|
116 |
105 |
$4K |
| P9604 |
One-way allow prorated trip |
2,116 |
1,424 |
$4K |
| 82728 |
|
445 |
404 |
$4K |
| 87077 |
|
131 |
115 |
$4K |
| 84460 |
|
398 |
379 |
$3K |
| 76805 |
|
29 |
25 |
$3K |
| 99213 |
|
105 |
92 |
$3K |
| 84132 |
|
424 |
400 |
$3K |
| 86803 |
|
82 |
77 |
$3K |
| 88142 |
|
53 |
48 |
$3K |
| 73110 |
|
31 |
24 |
$3K |
| 86140 |
|
533 |
435 |
$3K |
| 80353 |
|
520 |
493 |
$2K |
| 80366 |
|
513 |
488 |
$2K |
| 80321 |
|
141 |
120 |
$2K |
| 99214 |
|
122 |
115 |
$2K |
| 86704 |
|
192 |
120 |
$2K |
| 66984 |
|
18 |
12 |
$2K |
| 86705 |
|
17 |
17 |
$1K |
| 77063 |
|
109 |
104 |
$1K |
| 86706 |
|
156 |
101 |
$1K |
| 96366 |
|
55 |
25 |
$1K |
| 80349 |
|
121 |
100 |
$1K |
| 83525 |
|
98 |
96 |
$1K |
| 87340 |
|
137 |
87 |
$1K |
| 90471 |
|
15 |
13 |
$1K |
| 84295 |
|
280 |
265 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
56 |
51 |
$1K |
| 84520 |
|
176 |
164 |
$1K |
| 97165 |
|
26 |
26 |
$1K |
| 85379 |
|
100 |
95 |
$907.49 |
| 97116 |
|
53 |
25 |
$889.34 |
| 94760 |
|
77 |
56 |
$860.06 |
| 87635 |
|
24 |
22 |
$842.75 |
| 99212 |
|
54 |
40 |
$759.62 |
| 86708 |
|
62 |
44 |
$673.81 |
| 82172 |
|
42 |
24 |
$632.99 |
| 76830 |
|
13 |
13 |
$627.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
990 |
897 |
$590.68 |
| 80164 |
|
13 |
13 |
$562.76 |
| 88175 |
|
27 |
24 |
$499.06 |
| 80050 |
|
14 |
14 |
$459.22 |
| 83883 |
|
42 |
24 |
$447.85 |
| 83010 |
|
42 |
24 |
$414.24 |
| 85018 |
|
18 |
17 |
$396.87 |
| 85014 |
|
18 |
17 |
$396.87 |
| 87350 |
|
20 |
13 |
$332.16 |
| 93880 |
|
13 |
12 |
$301.94 |
| J3490 |
Drugs unclassified injection |
931 |
391 |
$274.39 |
| G8985 |
Carry goal status |
20 |
14 |
$273.79 |
| G8984 |
Carry current status |
20 |
14 |
$273.79 |
| 82977 |
|
42 |
24 |
$237.08 |
| 72100 |
|
20 |
12 |
$227.59 |
| 84153 |
|
14 |
14 |
$224.92 |
| 97597 |
|
22 |
12 |
$213.30 |
| 86901 |
|
26 |
24 |
$210.18 |
| 86900 |
|
26 |
24 |
$210.18 |
| G2023 |
Specimen collect covid-19 |
15 |
13 |
$177.36 |
| 86141 |
|
13 |
12 |
$137.53 |
| 71101 |
|
13 |
13 |
$127.38 |
| 90686 |
|
58 |
55 |
$121.44 |
| J1885 |
Ketorolac tromethamine inj |
457 |
335 |
$117.22 |
| 86850 |
|
13 |
12 |
$112.82 |
| 83615 |
|
18 |
13 |
$59.29 |
| 84450 |
|
13 |
13 |
$53.97 |
| J2405 |
Ondansetron hcl injection |
704 |
488 |
$47.61 |
| J0696 |
Ceftriaxone sodium injection |
257 |
143 |
$39.10 |
| J2704 |
Inj, propofol, 10 mg |
84 |
63 |
$28.69 |
| G0008 |
Admin influenza virus vac |
77 |
75 |
$21.11 |
| 84100 |
|
14 |
12 |
$15.89 |
| J1100 |
Dexamethasone sodium phos |
193 |
114 |
$10.51 |
| J1170 |
Hydromorphone injection |
54 |
24 |
$6.51 |
| J8499 |
Oral prescrip drug non chemo |
1,313 |
403 |
$2.77 |
| J2250 |
Inj midazolam hydrochloride |
15 |
13 |
$0.76 |