| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
75,554 |
63,648 |
$5.04M |
| 99283 |
|
10,987 |
9,546 |
$2.45M |
| 93306 |
|
2,021 |
2,009 |
$1.02M |
| 96365 |
|
2,645 |
1,881 |
$897K |
| J1561 |
Gamunex-c/gammaked |
369 |
89 |
$697K |
| 78815 |
|
328 |
325 |
$672K |
| 71260 |
|
2,012 |
1,989 |
$631K |
| 70553 |
|
1,418 |
1,402 |
$578K |
| Q3014 |
Telehealth facility fee |
22,139 |
18,993 |
$545K |
| 99284 |
|
1,232 |
1,167 |
$537K |
| 96413 |
|
2,542 |
1,880 |
$488K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,069 |
2,745 |
$381K |
| 36415 |
|
2,648 |
2,086 |
$344K |
| 92014 |
|
2,841 |
2,785 |
$291K |
| 78452 |
|
114 |
112 |
$283K |
| 77080 |
|
1,033 |
1,033 |
$272K |
| 74177 |
|
1,385 |
1,365 |
$249K |
| 71250 |
|
1,496 |
1,493 |
$228K |
| 99285 |
|
1,157 |
1,078 |
$218K |
| 77067 |
|
1,073 |
1,073 |
$213K |
| 97110 |
|
5,240 |
3,431 |
$204K |
| 96375 |
|
2,162 |
1,674 |
$196K |
| 80053 |
|
5,796 |
4,464 |
$185K |
| 78812 |
|
66 |
66 |
$175K |
| 96372 |
|
1,670 |
1,419 |
$166K |
| 80048 |
|
3,202 |
2,422 |
$152K |
| 87635 |
|
1,811 |
1,615 |
$148K |
| 71046 |
|
3,007 |
2,908 |
$144K |
| 99231 |
|
4,941 |
4,326 |
$137K |
| J0485 |
Belatacept injection |
131 |
73 |
$111K |
| 74183 |
|
211 |
211 |
$104K |
| 90677 |
|
238 |
237 |
$103K |
| 93296 |
|
2,831 |
2,826 |
$103K |
| 78431 |
|
27 |
27 |
$98K |
| 76700 |
|
722 |
719 |
$97K |
| 92012 |
|
1,440 |
1,365 |
$94K |
| 96374 |
|
965 |
863 |
$91K |
| 77386 |
|
98 |
14 |
$88K |
| 72197 |
|
104 |
103 |
$83K |
| 67028 |
|
637 |
622 |
$80K |
| 77300 |
|
143 |
129 |
$78K |
| 77373 |
|
46 |
13 |
$78K |
| 85025 |
|
8,982 |
6,881 |
$73K |
| 72148 |
|
174 |
174 |
$72K |
| 93005 |
|
4,142 |
3,881 |
$67K |
| 92557 |
|
246 |
246 |
$51K |
| 77336 |
|
289 |
175 |
$50K |
| 99282 |
|
138 |
93 |
$49K |
| 90471 |
|
487 |
482 |
$48K |
| 77301 |
|
30 |
30 |
$48K |
| 76770 |
|
258 |
257 |
$48K |
| 96366 |
|
515 |
319 |
$47K |
| 97140 |
|
1,853 |
1,224 |
$46K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,886 |
1,840 |
$45K |
| 90662 |
|
1,745 |
1,744 |
$44K |
| 70450 |
|
351 |
331 |
$44K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,427 |
3,102 |
$44K |
| 0760 |
|
550 |
503 |
$42K |
| J0178 |
Aflibercept injection |
105 |
103 |
$42K |
| 93975 |
|
141 |
140 |
$41K |
| J8499 |
Oral prescrip drug non chemo |
4,236 |
1,520 |
$39K |
| 83735 |
|
3,290 |
2,174 |
$38K |
| 82565 |
|
2,785 |
2,606 |
$37K |
| 88305 |
|
401 |
380 |
$37K |
| 93925 |
|
86 |
86 |
$35K |
| 72141 |
|
63 |
63 |
$35K |
| 71045 |
|
519 |
455 |
$34K |
| 94010 |
|
399 |
396 |
$32K |
| 92083 |
|
578 |
569 |
$32K |
| 91320 |
|
477 |
477 |
$32K |
| 76705 |
|
144 |
144 |
$31K |
| 83880 |
|
453 |
389 |
$30K |
| 76536 |
|
168 |
168 |
$28K |
| 84443 |
|
1,533 |
1,466 |
$27K |
| 77334 |
|
29 |
26 |
$27K |
| 97535 |
|
497 |
413 |
$26K |
| 82947 |
|
2,469 |
2,230 |
$26K |
| 96361 |
|
459 |
379 |
$26K |
| 77063 |
|
366 |
366 |
$23K |
| 92004 |
|
123 |
120 |
$22K |
| 96415 |
|
309 |
269 |
$20K |
| 96402 |
|
226 |
223 |
$19K |
| 70551 |
|
51 |
51 |
$19K |
| 93971 |
|
87 |
86 |
$18K |
| 86900 |
|
1,348 |
1,215 |
$16K |
| A9552 |
F18 fdg |
522 |
519 |
$15K |
| 93880 |
|
42 |
42 |
$15K |
| 82306 |
|
520 |
516 |
$14K |
| 85027 |
|
1,964 |
1,592 |
$14K |
| 97530 |
|
422 |
312 |
$14K |
| 76856 |
|
64 |
64 |
$14K |
| 77338 |
|
31 |
30 |
$14K |
| 93970 |
|
40 |
40 |
$13K |
| 84100 |
|
2,369 |
1,711 |
$13K |
| 82728 |
|
222 |
207 |
$12K |
| J3490 |
Drugs unclassified injection |
1,287 |
571 |
$12K |
| 80051 |
|
1,094 |
936 |
$12K |
| 83036 |
|
1,102 |
1,081 |
$11K |
| 84466 |
|
136 |
135 |
$11K |
| 93280 |
|
158 |
157 |
$11K |
| 84460 |
|
1,617 |
1,421 |
$10K |
| 84450 |
|
1,540 |
1,350 |
$10K |
| 80061 |
|
663 |
655 |
$10K |
| J9217 |
Leuprolide acetate suspnsion |
13 |
13 |
$10K |
| 80197 |
|
330 |
197 |
$10K |
| 81001 |
|
2,095 |
1,976 |
$9K |
| 80307 |
|
540 |
507 |
$9K |
| 97112 |
|
498 |
363 |
$9K |
| 82247 |
|
1,356 |
1,177 |
$9K |
| 72082 |
|
219 |
218 |
$9K |
| 86901 |
|
1,266 |
1,136 |
$9K |
| 77066 |
Tomosynthesis, mammo |
37 |
37 |
$8K |
| 0510 |
|
301 |
251 |
$8K |
| 87389 |
|
405 |
392 |
$8K |
| 87340 |
|
628 |
607 |
$8K |
| 84439 |
|
618 |
582 |
$8K |
| 85610 |
|
2,341 |
1,895 |
$8K |
| 84075 |
|
1,272 |
1,096 |
$8K |
| 72100 |
|
79 |
79 |
$7K |
| 87088 |
|
827 |
786 |
$7K |
| J7030 |
Normal saline solution infus |
5,912 |
3,140 |
$7K |
| 82803 |
|
762 |
642 |
$7K |
| 82040 |
|
1,140 |
1,086 |
$7K |
| 82570 |
|
973 |
901 |
$7K |
| 96360 |
|
96 |
64 |
$6K |
| 0272 |
|
89 |
81 |
$6K |
| 86803 |
|
494 |
477 |
$6K |
| 70491 |
|
13 |
13 |
$6K |
| 76830 |
|
28 |
28 |
$6K |
| 83540 |
|
157 |
151 |
$6K |
| 0450 |
|
82 |
73 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
224 |
221 |
$6K |
| 86317 |
|
551 |
525 |
$6K |
| 73502 |
|
93 |
90 |
$5K |
| 86850 |
|
495 |
465 |
$5K |
| G0279 |
Tomosynthesis, mammo |
141 |
141 |
$5K |
| 82962 |
|
721 |
536 |
$5K |
| 86704 |
|
434 |
422 |
$5K |
| 99215 |
Prolong outpt/office vis |
27 |
24 |
$5K |
| 92134 |
|
1,574 |
1,532 |
$5K |
| 84295 |
|
328 |
302 |
$5K |
| 87077 |
|
245 |
243 |
$5K |
| 86665 |
|
129 |
122 |
$5K |
| 76882 |
|
25 |
25 |
$4K |
| 71275 |
|
12 |
12 |
$4K |
| U0005 |
Infec agen detec ampli probe |
593 |
542 |
$4K |
| A4216 |
Sterile water/saline, 10 ml |
99 |
65 |
$4K |
| 84520 |
|
539 |
470 |
$4K |
| 87186 |
|
180 |
180 |
$4K |
| 90686 |
|
489 |
485 |
$4K |
| 84156 |
|
467 |
426 |
$3K |
| 92133 |
|
383 |
376 |
$3K |
| 81003 |
|
1,147 |
1,059 |
$3K |
| 82274 |
|
235 |
235 |
$3K |
| 73564 |
|
26 |
26 |
$3K |
| 74230 |
|
14 |
13 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
79 |
52 |
$3K |
| 86592 |
|
415 |
408 |
$3K |
| 74176 |
|
27 |
27 |
$3K |
| 86140 |
|
670 |
613 |
$3K |
| 84132 |
|
315 |
290 |
$3K |
| 73630 |
|
53 |
53 |
$3K |
| 97116 |
|
65 |
50 |
$3K |
| 96417 |
|
18 |
13 |
$2K |
| 73130 |
|
51 |
50 |
$2K |
| 83605 |
|
731 |
627 |
$2K |
| 86644 |
|
168 |
163 |
$2K |
| 86664 |
|
125 |
122 |
$2K |
| 83615 |
|
439 |
290 |
$2K |
| 90732 |
|
40 |
40 |
$2K |
| 87799 |
|
44 |
25 |
$2K |
| 87633 |
|
15 |
15 |
$2K |
| 82784 |
|
176 |
161 |
$2K |
| 73562 |
|
41 |
39 |
$2K |
| 87811 |
|
27 |
27 |
$2K |
| 73030 |
|
25 |
25 |
$2K |
| 82607 |
|
62 |
62 |
$2K |
| A9585 |
Gadobutrol injection |
146 |
143 |
$1K |
| J2405 |
Ondansetron hcl injection |
845 |
675 |
$1K |
| 85651 |
|
553 |
519 |
$1K |
| 77073 |
|
88 |
88 |
$1K |
| 82310 |
|
183 |
154 |
$1K |
| 84484 |
|
708 |
595 |
$1K |
| 93922 |
|
12 |
12 |
$1K |
| 0761 |
|
29 |
29 |
$1K |
| 93246 |
|
13 |
13 |
$1K |
| 97750 |
|
13 |
12 |
$1K |
| 90656 |
|
102 |
102 |
$997.70 |
| 99001 |
|
14 |
14 |
$985.88 |
| 86777 |
|
68 |
66 |
$977.18 |
| 82043 |
|
101 |
101 |
$947.22 |
| 87631 |
|
14 |
13 |
$889.93 |
| 87070 |
|
53 |
50 |
$867.57 |
| 99211 |
|
45 |
40 |
$865.28 |
| 86780 |
|
106 |
99 |
$847.31 |
| 92507 |
|
17 |
12 |
$816.86 |
| J2704 |
Inj, propofol, 10 mg |
75 |
70 |
$766.03 |
| 93325 |
|
14 |
14 |
$716.26 |
| 85730 |
|
130 |
109 |
$709.00 |
| 87497 |
|
56 |
39 |
$689.14 |
| 84600 |
|
87 |
86 |
$684.23 |
| 83690 |
|
461 |
421 |
$665.61 |
| 73610 |
|
12 |
12 |
$642.94 |
| J1100 |
Dexamethasone sodium phos |
110 |
92 |
$596.84 |
| 20610 |
|
13 |
13 |
$563.29 |
| 87491 |
|
39 |
39 |
$557.06 |
| 85018 |
|
907 |
791 |
$522.49 |
| 92250 |
|
28 |
28 |
$507.27 |
| 87591 |
|
39 |
39 |
$480.82 |
| 82746 |
|
12 |
12 |
$412.71 |
| 86787 |
|
27 |
24 |
$371.05 |
| G0008 |
Admin influenza virus vac |
153 |
153 |
$347.43 |
| J3010 |
Fentanyl citrate injection |
181 |
144 |
$327.86 |
| 88112 |
|
107 |
83 |
$254.86 |
| G2212 |
Prolong outpt/office vis |
168 |
167 |
$227.73 |
| 93299 |
|
12 |
12 |
$226.25 |
| 82435 |
|
21 |
15 |
$199.28 |
| 82374 |
|
19 |
13 |
$197.04 |
| 94760 |
|
39 |
39 |
$144.83 |
| 87205 |
|
53 |
50 |
$141.75 |
| 99221 |
|
49 |
45 |
$135.04 |
| A6250 |
Skin seal protect moisturizr |
195 |
138 |
$107.38 |
| J1644 |
Inj heparin sodium per 1000u |
36 |
13 |
$107.01 |
| 87081 |
|
12 |
12 |
$105.32 |
| 94729 |
|
12 |
12 |
$96.46 |
| J2250 |
Inj midazolam hydrochloride |
44 |
38 |
$92.19 |
| 17311 |
|
16 |
15 |
$69.68 |
| 84481 |
|
15 |
13 |
$66.03 |
| A9698 |
Non-rad contrast materialnoc |
59 |
58 |
$53.81 |
| 99281 |
|
31 |
27 |
$48.41 |
| 87040 |
|
32 |
27 |
$47.11 |
| Q0163 |
Diphenhydramine hcl 50mg |
33 |
27 |
$46.15 |
| J7060 |
5% dextrose/water |
233 |
144 |
$45.37 |
| 51798 |
|
12 |
12 |
$20.11 |
| T1014 |
Telehealth transmit, per min |
19 |
16 |
$16.20 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
14 |
$15.05 |
| 81002 |
|
12 |
12 |
$10.60 |
| 82977 |
|
20 |
14 |
$6.46 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$0.05 |
| J2001 |
Lidocaine injection |
48 |
40 |
$0.04 |
| A9502 |
Tc99m tetrofosmin |
14 |
13 |
$0.00 |
| 99199 |
|
16 |
13 |
$0.00 |
| 36416 |
|
60 |
54 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |