| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
|
28,126 |
26,546 |
$13.44M |
| G0463 |
Hospital outpt clinic visit |
102,268 |
93,754 |
$7.68M |
| 99285 |
|
17,314 |
16,338 |
$5.71M |
| X4003 |
|
47,475 |
42,909 |
$2.78M |
| 99283 |
|
15,591 |
14,544 |
$2.38M |
| 81002 |
|
31,827 |
25,101 |
$1.99M |
| 85025 |
|
73,408 |
67,758 |
$1.79M |
| 99284 |
|
7,002 |
6,607 |
$1.36M |
| X4006 |
|
1,372 |
1,143 |
$1.17M |
| 93005 |
|
16,922 |
15,656 |
$916K |
| 86900 |
|
9,300 |
8,443 |
$847K |
| 87491 |
|
12,048 |
11,611 |
$792K |
| 87591 |
|
12,051 |
11,613 |
$778K |
| 59025 |
|
3,675 |
1,907 |
$764K |
| 80053 |
|
45,541 |
41,467 |
$756K |
| 85027 |
|
13,231 |
12,495 |
$737K |
| 86850 |
|
9,283 |
8,421 |
$732K |
| 76816 |
|
4,500 |
4,221 |
$682K |
| 86901 |
|
9,291 |
8,432 |
$681K |
| 81025 |
|
9,473 |
9,057 |
$593K |
| 76817 |
|
3,534 |
3,332 |
$555K |
| 86592 |
|
12,752 |
12,345 |
$548K |
| J2426 |
Inj, invega sustenna, 1 mg |
853 |
736 |
$534K |
| 80048 |
|
18,151 |
17,020 |
$512K |
| 96374 |
|
4,454 |
4,021 |
$512K |
| 77067 |
|
5,109 |
5,009 |
$499K |
| 80307 |
|
5,785 |
5,286 |
$455K |
| 87661 |
|
11,214 |
10,835 |
$452K |
| 87086 |
|
7,278 |
6,929 |
$415K |
| Y7506 |
|
1,160 |
1,082 |
$400K |
| J3490 |
Drugs unclassified injection |
8,378 |
7,041 |
$399K |
| 96372 |
|
9,166 |
8,302 |
$351K |
| 87389 |
|
5,571 |
5,436 |
$334K |
| G0378 |
Hospital observation per hr |
3,254 |
2,861 |
$331K |
| 90471 |
|
9,182 |
8,777 |
$325K |
| 71046 |
|
6,762 |
6,291 |
$323K |
| 87801 |
|
2,832 |
2,773 |
$294K |
| 86787 |
|
3,766 |
3,659 |
$291K |
| 76819 |
|
1,780 |
1,126 |
$269K |
| Y7507 |
|
1,278 |
1,157 |
$256K |
| 88142 |
|
2,453 |
2,421 |
$243K |
| 76811 |
|
1,296 |
1,252 |
$238K |
| 83020 |
|
3,454 |
3,147 |
$234K |
| 81001 |
|
8,064 |
7,675 |
$229K |
| 87340 |
|
3,845 |
3,723 |
$223K |
| 36415 |
|
11,900 |
11,212 |
$221K |
| 86762 |
|
3,209 |
3,111 |
$208K |
| 86803 |
|
3,424 |
3,326 |
$196K |
| 83036 |
|
20,514 |
20,043 |
$188K |
| 77063 |
|
5,036 |
4,936 |
$188K |
| 76805 |
|
921 |
897 |
$185K |
| 87536 |
|
2,117 |
2,001 |
$171K |
| 87081 |
|
2,004 |
1,950 |
$164K |
| G0480 |
Drug test def 1-7 classes |
2,295 |
2,110 |
$162K |
| 82950 |
|
3,009 |
2,955 |
$158K |
| 84484 |
|
8,396 |
7,434 |
$156K |
| 76801 |
|
1,262 |
1,205 |
$140K |
| 87624 |
|
2,289 |
2,218 |
$138K |
| P9016 |
Rbc leukocytes reduced |
491 |
431 |
$130K |
| 87077 |
|
1,991 |
1,899 |
$130K |
| 0241U |
|
1,453 |
1,380 |
$121K |
| 84443 |
|
6,258 |
6,021 |
$116K |
| 74177 |
|
570 |
529 |
$115K |
| 99211 |
|
5,427 |
4,097 |
$111K |
| 80061 |
|
7,413 |
7,227 |
$105K |
| G0472 |
Hep c screen high risk/other |
2,686 |
2,634 |
$94K |
| G0475 |
Hiv combination assay |
4,890 |
4,815 |
$89K |
| 76815 |
|
1,125 |
1,053 |
$85K |
| 76820 |
|
478 |
277 |
$83K |
| 71260 |
|
912 |
850 |
$81K |
| 84156 |
|
2,093 |
1,929 |
$81K |
| 82962 |
|
5,778 |
5,222 |
$79K |
| 82728 |
|
2,839 |
2,776 |
$78K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,461 |
1,369 |
$77K |
| 82570 |
|
5,363 |
5,149 |
$77K |
| 90870 |
|
449 |
223 |
$73K |
| 70450 |
|
1,133 |
1,041 |
$71K |
| 80081 |
|
307 |
299 |
$64K |
| 86920 |
|
483 |
405 |
$57K |
| 86922 |
|
500 |
420 |
$57K |
| 36430 |
|
405 |
363 |
$56K |
| 76830 |
|
494 |
483 |
$56K |
| 82306 |
|
2,981 |
2,891 |
$54K |
| 0202U |
|
156 |
150 |
$54K |
| 87635 |
|
1,368 |
1,278 |
$53K |
| Y7510 |
|
75 |
61 |
$48K |
| 86361 |
|
1,046 |
974 |
$47K |
| 66984 |
|
41 |
41 |
$38K |
| 99281 |
|
698 |
538 |
$37K |
| 71045 |
|
1,074 |
992 |
$37K |
| 76856 |
|
387 |
376 |
$35K |
| 73630 |
|
802 |
699 |
$34K |
| 99282 |
|
318 |
285 |
$33K |
| 99213 |
|
565 |
441 |
$31K |
| 96375 |
|
1,297 |
1,098 |
$30K |
| 73610 |
|
588 |
550 |
$26K |
| 88305 |
|
396 |
374 |
$26K |
| Q3014 |
Telehealth facility fee |
1,948 |
1,919 |
$24K |
| 85610 |
|
5,713 |
3,738 |
$24K |
| 99212 |
|
1,238 |
1,081 |
$22K |
| 90480 |
|
1,072 |
1,060 |
$21K |
| 73030 |
|
631 |
563 |
$20K |
| 73564 |
|
497 |
395 |
$19K |
| 0054A |
|
676 |
641 |
$19K |
| 87631 |
|
138 |
138 |
$18K |
| 81003 |
|
7,041 |
6,373 |
$18K |
| 96413 |
|
99 |
62 |
$18K |
| 83550 |
|
1,862 |
1,815 |
$18K |
| 0124A |
|
673 |
644 |
$17K |
| 82607 |
|
1,345 |
1,319 |
$17K |
| 83540 |
|
2,032 |
1,982 |
$16K |
| 83690 |
|
1,371 |
1,311 |
$16K |
| 82043 |
|
3,086 |
3,019 |
$14K |
| 81511 |
|
78 |
75 |
$13K |
| 72125 |
|
174 |
162 |
$11K |
| J1631 |
Haloperidol decanoate inj |
1,794 |
1,350 |
$11K |
| 96361 |
|
442 |
333 |
$10K |
| 83880 |
|
375 |
354 |
$10K |
| 84439 |
|
961 |
930 |
$9K |
| 86902 |
|
121 |
98 |
$9K |
| 73130 |
|
168 |
133 |
$9K |
| 70553 |
|
61 |
52 |
$9K |
| 83735 |
|
1,714 |
1,532 |
$8K |
| 76705 |
|
157 |
147 |
$8K |
| 83605 |
|
594 |
545 |
$8K |
| 82077 |
|
618 |
593 |
$7K |
| 96360 |
|
14 |
12 |
$7K |
| 87184 |
|
232 |
225 |
$7K |
| 93306 |
|
49 |
47 |
$7K |
| G0123 |
Screen cerv/vag thin layer |
1,513 |
1,456 |
$6K |
| 90732 |
|
122 |
122 |
$6K |
| P3000 |
Screen pap by tech w md supv |
95 |
94 |
$6K |
| J1050 |
Medroxyprogesterone acetate |
124 |
122 |
$6K |
| 94640 |
|
109 |
103 |
$6K |
| 11042 |
|
61 |
51 |
$5K |
| 73552 |
|
117 |
108 |
$5K |
| 36591 |
|
75 |
51 |
$5K |
| 0004A |
|
144 |
144 |
$5K |
| 86481 |
|
57 |
54 |
$5K |
| 72100 |
|
67 |
66 |
$4K |
| 84702 |
|
166 |
139 |
$4K |
| 90715 |
|
134 |
132 |
$4K |
| 20610 |
|
26 |
25 |
$4K |
| 73590 |
|
67 |
60 |
$4K |
| 84550 |
|
148 |
127 |
$4K |
| 86706 |
|
393 |
384 |
$4K |
| 85660 |
|
613 |
549 |
$4K |
| 85730 |
|
419 |
375 |
$4K |
| 87040 |
|
189 |
183 |
$3K |
| 82746 |
|
163 |
159 |
$3K |
| 86704 |
|
248 |
244 |
$3K |
| 87633 |
|
16 |
14 |
$3K |
| 73560 |
|
28 |
25 |
$3K |
| 99460 |
|
32 |
32 |
$3K |
| 0052A |
|
84 |
77 |
$3K |
| 99231 |
|
64 |
57 |
$3K |
| 0051A |
|
74 |
72 |
$2K |
| 71250 |
|
26 |
24 |
$2K |
| 82248 |
|
198 |
191 |
$2K |
| 82803 |
|
104 |
87 |
$2K |
| 0002A |
|
55 |
54 |
$2K |
| 62323 |
|
13 |
12 |
$2K |
| 72082 |
|
26 |
26 |
$2K |
| J3010 |
Fentanyl citrate injection |
222 |
204 |
$1K |
| 0001A |
|
38 |
38 |
$1K |
| 0053A |
|
36 |
35 |
$1K |
| 31575 |
|
68 |
59 |
$1K |
| 73562 |
|
29 |
26 |
$1K |
| 85652 |
|
350 |
333 |
$948.79 |
| 88313 |
|
18 |
14 |
$925.69 |
| 72170 |
|
13 |
13 |
$893.35 |
| J3370 |
Vancomycin hcl injection |
87 |
85 |
$876.69 |
| 86140 |
|
288 |
266 |
$833.18 |
| 80197 |
|
207 |
154 |
$796.81 |
| 83615 |
|
489 |
353 |
$771.98 |
| 80050 |
|
29 |
28 |
$757.49 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$708.36 |
| 88307 |
|
12 |
12 |
$588.64 |
| J2250 |
Inj midazolam hydrochloride |
142 |
129 |
$514.59 |
| 77001 |
|
14 |
13 |
$479.22 |
| 80076 |
|
48 |
44 |
$463.39 |
| J0330 |
Succinycholine chloride inj |
18 |
17 |
$463.11 |
| J2704 |
Inj, propofol, 10 mg |
32 |
29 |
$450.36 |
| 82784 |
|
58 |
33 |
$449.61 |
| 0121A |
|
30 |
28 |
$427.37 |
| 82010 |
|
64 |
59 |
$412.51 |
| 87210 |
|
12 |
12 |
$409.64 |
| 84100 |
|
140 |
126 |
$392.01 |
| 93010 |
|
32 |
24 |
$384.00 |
| 87497 |
|
23 |
12 |
$380.70 |
| 86038 |
|
31 |
26 |
$363.40 |
| U0005 |
Infec agen detec ampli probe |
229 |
204 |
$332.00 |
| J1644 |
Inj heparin sodium per 1000u |
48 |
41 |
$319.71 |
| J2405 |
Ondansetron hcl injection |
218 |
192 |
$300.30 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$298.64 |
| G0279 |
Tomosynthesis, mammo |
56 |
54 |
$294.15 |
| 80069 |
|
50 |
49 |
$292.08 |
| 82330 |
|
14 |
12 |
$283.50 |
| 90677 |
|
149 |
149 |
$275.08 |
| J0692 |
Cefepime hcl for injection |
27 |
27 |
$251.34 |
| J2370 |
Phenylephrine hcl injection |
31 |
31 |
$238.66 |
| 84403 |
|
28 |
27 |
$232.30 |
| 84146 |
|
14 |
14 |
$219.85 |
| J1100 |
Dexamethasone sodium phos |
60 |
54 |
$204.87 |
| G0008 |
Admin influenza virus vac |
1,056 |
1,050 |
$204.13 |
| 87070 |
|
43 |
42 |
$193.03 |
| 58100 |
|
12 |
12 |
$173.39 |
| 86160 |
|
16 |
12 |
$171.76 |
| 84153 |
|
28 |
27 |
$165.50 |
| 83883 |
|
22 |
14 |
$165.48 |
| 83970 |
|
15 |
15 |
$165.10 |
| 84165 |
|
29 |
25 |
$161.24 |
| J0690 |
Cefazolin sodium injection |
37 |
33 |
$148.18 |
| 82378 |
|
15 |
12 |
$148.08 |
| 83521 |
|
15 |
12 |
$129.05 |
| 91320 |
|
425 |
421 |
$124.15 |
| 87205 |
|
30 |
29 |
$119.59 |
| 82105 |
|
14 |
12 |
$105.02 |
| 76937 |
|
17 |
15 |
$103.55 |
| J1885 |
Ketorolac tromethamine inj |
162 |
147 |
$102.80 |
| 90662 |
|
597 |
589 |
$92.88 |
| J7140 |
|
13 |
12 |
$87.50 |
| J0171 |
Adrenalin epinephrine inject |
25 |
25 |
$68.88 |
| J0696 |
Ceftriaxone sodium injection |
14 |
14 |
$55.50 |
| 86923 |
|
35 |
27 |
$50.83 |
| J2060 |
Lorazepam injection |
12 |
12 |
$41.86 |
| J1940 |
Furosemide injection |
14 |
14 |
$39.87 |
| 90686 |
|
710 |
698 |
$17.75 |
| 82951 |
|
12 |
12 |
$10.29 |
| J1642 |
Inj heparin sodium per 10 u |
12 |
12 |
$0.45 |
| J0697 |
Sterile cefuroxime injection |
12 |
12 |
$0.05 |
| 96376 |
|
492 |
380 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
207 |
206 |
$0.00 |
| J1170 |
Hydromorphone injection |
59 |
39 |
$0.00 |
| 90656 |
|
87 |
86 |
$0.00 |
| 93320 |
|
12 |
12 |
$0.00 |
| 51798 |
|
14 |
12 |
$0.00 |
| 0000 |
|
17 |
13 |
$0.00 |
| 99202 |
|
39 |
39 |
$0.00 |
| 87636 |
|
31 |
31 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
13 |
12 |
$0.00 |
| 93325 |
|
12 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 90472 |
|
17 |
17 |
$0.00 |
| 92504 |
|
16 |
13 |
$0.00 |