| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
29,761 |
26,261 |
$4.50M |
| 99284 |
|
17,134 |
14,504 |
$2.21M |
| 11042 |
|
1,608 |
782 |
$1.01M |
| 93005 |
|
11,143 |
8,589 |
$686K |
| 97110 |
|
6,920 |
2,096 |
$577K |
| 71046 |
|
4,352 |
3,684 |
$498K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,838 |
1,536 |
$435K |
| 96374 |
|
3,697 |
3,042 |
$329K |
| 96413 |
|
1,149 |
501 |
$287K |
| 85025 |
|
37,031 |
30,312 |
$163K |
| 99285 |
|
1,790 |
1,427 |
$163K |
| 71045 |
|
1,107 |
923 |
$162K |
| 80048 |
|
29,315 |
24,610 |
$140K |
| 74177 |
|
335 |
281 |
$123K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,671 |
1,552 |
$118K |
| G0463 |
Hospital outpt clinic visit |
2,053 |
1,105 |
$110K |
| 87631 |
|
1,001 |
864 |
$90K |
| 36415 |
|
33,822 |
27,343 |
$86K |
| 80307 |
|
2,282 |
1,618 |
$77K |
| 96361 |
|
2,038 |
1,606 |
$66K |
| 87491 |
|
2,372 |
1,937 |
$62K |
| 87591 |
|
2,356 |
1,925 |
$61K |
| 80076 |
|
9,018 |
7,581 |
$46K |
| 80053 |
|
6,222 |
4,923 |
$42K |
| 96375 |
|
1,199 |
898 |
$33K |
| 87086 |
|
5,689 |
4,640 |
$29K |
| 99282 |
|
166 |
151 |
$27K |
| 84484 |
|
3,495 |
2,767 |
$26K |
| 81025 |
|
4,249 |
3,628 |
$25K |
| 84443 |
|
1,854 |
1,625 |
$23K |
| 96365 |
|
419 |
271 |
$19K |
| 81001 |
|
9,901 |
8,411 |
$18K |
| 97597 |
|
149 |
87 |
$18K |
| 45385 |
|
13 |
13 |
$17K |
| 96360 |
|
408 |
353 |
$17K |
| 83690 |
|
4,475 |
3,732 |
$16K |
| 96367 |
|
338 |
151 |
$16K |
| 88305 |
|
279 |
231 |
$14K |
| 0241U |
|
119 |
102 |
$13K |
| 80061 |
|
1,227 |
1,125 |
$12K |
| 43239 |
|
20 |
12 |
$11K |
| 86803 |
|
993 |
752 |
$10K |
| 87635 |
|
253 |
209 |
$10K |
| 87502 |
|
228 |
177 |
$9K |
| 87389 |
|
499 |
401 |
$8K |
| 83605 |
|
1,118 |
886 |
$8K |
| 82728 |
|
831 |
753 |
$7K |
| 97530 |
|
265 |
116 |
$6K |
| 96372 |
|
119 |
73 |
$6K |
| 85027 |
|
1,072 |
950 |
$5K |
| 83550 |
|
824 |
750 |
$5K |
| 83036 |
|
547 |
493 |
$4K |
| 86762 |
|
415 |
315 |
$4K |
| 97140 |
|
283 |
107 |
$4K |
| 70450 |
|
41 |
36 |
$4K |
| 83540 |
|
824 |
751 |
$3K |
| 87340 |
|
492 |
379 |
$3K |
| 88175 |
|
184 |
161 |
$3K |
| 84439 |
|
376 |
344 |
$2K |
| 88142 |
|
251 |
194 |
$2K |
| 83880 |
|
90 |
77 |
$2K |
| 86850 |
|
493 |
388 |
$2K |
| 86592 |
|
603 |
470 |
$2K |
| 81003 |
|
1,306 |
1,106 |
$2K |
| 83655 |
|
120 |
113 |
$1K |
| 83970 |
|
58 |
54 |
$1K |
| 85379 |
|
195 |
158 |
$1K |
| 73630 |
|
28 |
25 |
$1K |
| 82607 |
|
122 |
110 |
$1K |
| 73564 |
|
22 |
13 |
$959.52 |
| 86900 |
|
416 |
323 |
$859.48 |
| 86901 |
|
416 |
323 |
$856.58 |
| 87624 |
|
31 |
26 |
$701.80 |
| 83735 |
|
160 |
138 |
$694.44 |
| G0480 |
Drug test def 1-7 classes |
886 |
539 |
$635.75 |
| J7050 |
Normal saline solution infus |
318 |
235 |
$516.24 |
| 82306 |
|
39 |
26 |
$468.25 |
| 83615 |
|
105 |
97 |
$367.39 |
| 87660 |
|
30 |
24 |
$365.60 |
| 87480 |
|
30 |
24 |
$345.55 |
| 87510 |
|
30 |
24 |
$345.55 |
| 80069 |
|
45 |
42 |
$223.67 |
| 87880 |
|
14 |
12 |
$198.15 |
| 82565 |
|
68 |
56 |
$179.50 |
| 82746 |
|
17 |
15 |
$171.18 |
| 84460 |
|
67 |
56 |
$167.45 |
| 84450 |
|
67 |
56 |
$163.70 |
| J2469 |
Palonosetron hcl |
25 |
12 |
$137.20 |
| 82570 |
|
40 |
40 |
$130.99 |
| 83883 |
|
28 |
13 |
$122.40 |
| 84156 |
|
40 |
40 |
$91.07 |
| 85046 |
|
15 |
13 |
$53.69 |
| 84165 |
|
19 |
14 |
$52.70 |
| 84155 |
|
19 |
14 |
$22.02 |
| J1885 |
Ketorolac tromethamine inj |
1,055 |
773 |
$0.00 |
| 87205 |
|
18 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
182 |
120 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
165 |
120 |
$0.00 |
| G0475 |
Hiv combination assay |
54 |
42 |
$0.00 |
| 87077 |
|
17 |
12 |
$0.00 |
| 87070 |
|
18 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
289 |
209 |
$0.00 |