| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
27,292 |
24,676 |
$2.31M |
| 74177 |
|
1,632 |
1,603 |
$491K |
| 70450 |
|
1,528 |
1,490 |
$347K |
| 77067 |
|
1,999 |
1,999 |
$347K |
| 96374 |
|
3,365 |
3,191 |
$342K |
| U0002 |
Covid-19 lab test non-cdc |
3,991 |
3,895 |
$291K |
| 93005 |
|
5,156 |
4,693 |
$231K |
| 70551 |
|
290 |
288 |
$211K |
| 96361 |
|
3,027 |
2,879 |
$177K |
| 76700 |
|
1,306 |
1,305 |
$165K |
| 96365 |
|
1,308 |
1,233 |
$158K |
| 96375 |
|
2,329 |
2,193 |
$146K |
| 73721 |
|
211 |
210 |
$146K |
| 99213 |
|
724 |
672 |
$139K |
| 76856 |
|
1,269 |
1,257 |
$138K |
| 76830 |
|
1,167 |
1,161 |
$127K |
| 80053 |
|
9,320 |
8,645 |
$126K |
| 72148 |
|
147 |
146 |
$122K |
| 76705 |
|
1,284 |
1,267 |
$119K |
| 72125 |
|
377 |
372 |
$114K |
| 80307 |
|
1,789 |
1,390 |
$113K |
| 96360 |
|
1,116 |
1,099 |
$108K |
| 99211 |
|
1,814 |
1,338 |
$99K |
| 97530 |
|
2,933 |
882 |
$98K |
| 85025 |
|
9,725 |
8,934 |
$97K |
| 71046 |
|
3,351 |
3,272 |
$91K |
| 77063 |
|
1,995 |
1,995 |
$88K |
| 76805 |
|
545 |
545 |
$86K |
| 87651 |
|
1,371 |
1,361 |
$71K |
| 97535 |
|
2,255 |
755 |
$70K |
| 93976 |
|
220 |
219 |
$68K |
| 93306 |
|
284 |
284 |
$65K |
| 59025 |
|
1,047 |
767 |
$65K |
| 93971 |
|
343 |
342 |
$59K |
| 74176 |
|
401 |
397 |
$55K |
| 76801 |
|
599 |
572 |
$54K |
| V5008 |
Hearing screening |
640 |
635 |
$54K |
| 87502 |
|
443 |
441 |
$46K |
| 76815 |
|
421 |
405 |
$44K |
| 96366 |
|
528 |
491 |
$43K |
| 76817 |
|
440 |
389 |
$43K |
| 83605 |
|
2,754 |
2,621 |
$43K |
| 76642 |
|
482 |
479 |
$42K |
| 76770 |
|
361 |
361 |
$42K |
| 76816 |
|
471 |
466 |
$41K |
| 81025 |
|
3,802 |
3,649 |
$41K |
| 71260 |
|
117 |
116 |
$40K |
| 71275 |
|
164 |
163 |
$37K |
| 45380 |
|
478 |
476 |
$36K |
| 84484 |
|
2,106 |
1,927 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,775 |
1,748 |
$32K |
| 77066 |
Tomosynthesis, mammo |
162 |
162 |
$31K |
| T1999 |
Noc retail items andsupplies |
18,590 |
11,590 |
$28K |
| G0279 |
Tomosynthesis, mammo |
340 |
340 |
$28K |
| 83690 |
|
2,994 |
2,844 |
$28K |
| Z7502 |
|
683 |
655 |
$26K |
| 87086 |
|
2,443 |
2,370 |
$26K |
| 73030 |
|
593 |
591 |
$24K |
| 73562 |
|
659 |
654 |
$23K |
| 73610 |
|
485 |
480 |
$21K |
| 81001 |
|
5,024 |
4,811 |
$21K |
| 94640 |
|
540 |
522 |
$20K |
| 76536 |
|
219 |
218 |
$20K |
| 73630 |
|
494 |
491 |
$19K |
| 78452 |
|
59 |
59 |
$18K |
| 70553 |
|
12 |
12 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
2,046 |
1,935 |
$17K |
| 72100 |
|
357 |
356 |
$15K |
| 83880 |
|
497 |
481 |
$15K |
| 84443 |
|
666 |
656 |
$14K |
| 81002 |
|
2,727 |
2,666 |
$14K |
| J2405 |
Ondansetron hcl injection |
1,871 |
1,789 |
$14K |
| 73564 |
|
319 |
317 |
$13K |
| J7030 |
Normal saline solution infus |
973 |
927 |
$13K |
| 87040 |
|
568 |
542 |
$12K |
| 87186 |
|
1,028 |
1,005 |
$12K |
| 71045 |
|
1,022 |
994 |
$12K |
| 84702 |
|
533 |
432 |
$12K |
| 93017 |
|
170 |
170 |
$11K |
| 77065 |
Tomosynthesis, mammo |
80 |
80 |
$11K |
| 86403 |
|
403 |
398 |
$11K |
| 86141 |
|
754 |
726 |
$11K |
| 87077 |
|
1,093 |
1,065 |
$11K |
| 76641 |
|
83 |
83 |
$10K |
| 43239 |
|
172 |
172 |
$10K |
| 83735 |
|
1,153 |
1,085 |
$10K |
| 73130 |
|
232 |
232 |
$9K |
| 74018 |
|
314 |
304 |
$9K |
| J2274 |
Inj morphine pf epid ithc |
670 |
633 |
$9K |
| 73502 |
|
225 |
224 |
$8K |
| 82962 |
|
1,966 |
1,563 |
$8K |
| 76857 |
|
110 |
109 |
$7K |
| J2765 |
Metoclopramide hcl injection |
816 |
771 |
$7K |
| 77080 |
|
151 |
150 |
$7K |
| 80061 |
|
338 |
335 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
755 |
722 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
630 |
612 |
$6K |
| J1170 |
Hydromorphone injection |
532 |
453 |
$6K |
| J7040 |
Normal saline solution infus |
642 |
638 |
$6K |
| Z9725 |
|
137 |
132 |
$6K |
| 87634 |
|
72 |
72 |
$6K |
| 80179 |
|
297 |
285 |
$6K |
| 72110 |
|
69 |
69 |
$5K |
| 82652 |
|
96 |
96 |
$5K |
| 87491 |
|
375 |
375 |
$5K |
| 87591 |
|
375 |
375 |
$5K |
| 11042 |
|
446 |
237 |
$5K |
| J2785 |
Regadenoson injection |
12 |
12 |
$4K |
| 85610 |
|
763 |
743 |
$4K |
| 83036 |
|
273 |
270 |
$4K |
| 84145 |
|
137 |
137 |
$4K |
| J1100 |
Dexamethasone sodium phos |
390 |
384 |
$4K |
| 80048 |
|
341 |
324 |
$4K |
| 86850 |
|
274 |
267 |
$3K |
| 82728 |
|
158 |
154 |
$3K |
| 84466 |
|
162 |
157 |
$3K |
| 72040 |
|
77 |
77 |
$3K |
| 73560 |
|
117 |
116 |
$3K |
| 85730 |
|
383 |
376 |
$3K |
| 82570 |
|
347 |
322 |
$3K |
| 90715 |
|
40 |
40 |
$3K |
| 73110 |
|
63 |
61 |
$3K |
| 86901 |
|
616 |
592 |
$3K |
| J2060 |
Lorazepam injection |
309 |
299 |
$2K |
| 85379 |
|
191 |
190 |
$2K |
| 76882 |
|
142 |
142 |
$2K |
| 82803 |
|
60 |
58 |
$2K |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$2K |
| 73140 |
|
79 |
78 |
$2K |
| 85027 |
|
207 |
202 |
$2K |
| 83540 |
|
175 |
170 |
$2K |
| 73590 |
|
54 |
53 |
$2K |
| 84703 |
|
131 |
130 |
$1K |
| Z7610 |
|
131 |
126 |
$1K |
| 87806 |
|
34 |
34 |
$1K |
| J2270 |
Morphine sulfate injection |
122 |
122 |
$1K |
| 85651 |
|
206 |
203 |
$1K |
| 93350 |
|
13 |
13 |
$1K |
| 84156 |
|
259 |
244 |
$1K |
| 82247 |
|
155 |
105 |
$1K |
| S0164 |
Injection pantroprazole |
74 |
69 |
$1K |
| 76775 |
|
12 |
12 |
$1K |
| 86900 |
|
289 |
281 |
$1K |
| 82043 |
|
120 |
115 |
$953.53 |
| 96372 |
|
93 |
89 |
$911.15 |
| 96367 |
|
15 |
15 |
$844.58 |
| 82248 |
|
103 |
86 |
$781.65 |
| 80069 |
|
64 |
52 |
$766.65 |
| 83655 |
|
62 |
62 |
$733.04 |
| 84100 |
|
105 |
95 |
$655.08 |
| 73080 |
|
13 |
13 |
$642.43 |
| 84439 |
|
43 |
43 |
$487.45 |
| 84153 |
|
15 |
15 |
$427.50 |
| 82550 |
|
57 |
57 |
$406.84 |
| J7050 |
Normal saline solution infus |
49 |
38 |
$373.77 |
| 82951 |
|
17 |
17 |
$350.03 |
| 0450 |
|
12 |
12 |
$347.20 |
| 86592 |
|
53 |
53 |
$342.65 |
| J3475 |
Inj magnesium sulfate |
30 |
30 |
$335.53 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$235.44 |
| 87210 |
|
25 |
25 |
$220.25 |
| 99156 |
|
56 |
56 |
$218.00 |
| 87070 |
|
12 |
12 |
$165.48 |
| J2470 |
Inj pantoprazole sodium 40mg |
19 |
19 |
$146.30 |
| 87045 |
|
12 |
12 |
$117.04 |
| 82952 |
|
17 |
17 |
$106.59 |
| A9579 |
Gad-base mr contrast nos,1ml |
13 |
13 |
$90.06 |
| 83970 |
|
12 |
12 |
$74.21 |
| Q0162 |
Ondansetron oral |
14 |
14 |
$69.49 |
| 96379 |
|
803 |
564 |
$55.50 |
| 87046 |
|
12 |
12 |
$32.40 |
| J3010 |
Fentanyl citrate injection |
29 |
29 |
$8.23 |
| J2250 |
Inj midazolam hydrochloride |
30 |
29 |
$8.20 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
16 |
$2.89 |