| Code | Description | Claims | Beneficiaries | Total Paid |
| Y7506 |
|
29,825 |
23,874 |
$8.89M |
| 99285 |
|
16,406 |
15,757 |
$5.33M |
| X4011 |
|
10,945 |
10,308 |
$3.84M |
| 85025 |
|
40,226 |
36,367 |
$3.69M |
| 99283 |
|
14,985 |
14,656 |
$3.58M |
| 80053 |
|
44,958 |
38,715 |
$3.17M |
| 99284 |
|
8,970 |
8,724 |
$2.76M |
| X4006 |
|
2,808 |
1,790 |
$1.91M |
| 93005 |
|
13,919 |
13,048 |
$1.31M |
| 81001 |
|
7,910 |
7,606 |
$1.23M |
| 43239 |
|
3,780 |
3,626 |
$1.03M |
| 71045 |
|
9,015 |
8,588 |
$763K |
| 96374 |
|
6,000 |
5,743 |
$743K |
| 87804 |
|
1,626 |
1,495 |
$643K |
| 88305 |
|
5,326 |
5,096 |
$565K |
| 11042 |
|
4,901 |
2,408 |
$563K |
| 99213 |
|
1,419 |
1,026 |
$513K |
| 45380 |
|
1,303 |
1,263 |
$494K |
| 36415 |
|
5,488 |
4,677 |
$395K |
| 71046 |
|
1,067 |
1,023 |
$378K |
| G0463 |
Hospital outpt clinic visit |
4,766 |
3,549 |
$323K |
| 88312 |
|
3,442 |
3,323 |
$321K |
| 81002 |
|
1,664 |
1,384 |
$261K |
| 83690 |
|
1,664 |
1,592 |
$224K |
| 96413 |
|
1,253 |
819 |
$191K |
| 87880 |
|
1,671 |
1,623 |
$178K |
| 87081 |
|
1,085 |
1,072 |
$174K |
| X4003 |
|
1,184 |
683 |
$173K |
| 45385 |
|
349 |
339 |
$166K |
| 80306 |
|
2,011 |
1,938 |
$158K |
| 43249 |
|
401 |
389 |
$146K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,548 |
2,948 |
$146K |
| 87086 |
|
1,111 |
1,073 |
$133K |
| G0378 |
Hospital observation per hr |
257 |
233 |
$128K |
| 74177 |
|
487 |
470 |
$117K |
| 84484 |
|
2,907 |
2,268 |
$117K |
| 70450 |
|
733 |
692 |
$114K |
| 96375 |
|
2,773 |
2,459 |
$103K |
| 85027 |
|
228 |
223 |
$98K |
| 76816 |
|
1,364 |
1,289 |
$98K |
| 87636 |
|
860 |
829 |
$88K |
| 85610 |
|
619 |
589 |
$86K |
| 81025 |
|
674 |
654 |
$84K |
| 86140 |
|
1,514 |
1,438 |
$73K |
| 84145 |
|
495 |
483 |
$65K |
| 80048 |
|
1,632 |
1,329 |
$64K |
| J3490 |
Drugs unclassified injection |
7,997 |
5,290 |
$64K |
| 59025 |
|
451 |
199 |
$63K |
| 76805 |
|
765 |
747 |
$59K |
| 93306 |
|
242 |
237 |
$54K |
| 69436 |
|
15 |
13 |
$50K |
| 87591 |
|
847 |
822 |
$49K |
| 87491 |
|
847 |
822 |
$49K |
| 80081 |
|
653 |
636 |
$49K |
| 0241U |
|
325 |
319 |
$48K |
| 87807 |
|
75 |
74 |
$47K |
| 74022 |
|
66 |
65 |
$39K |
| 81003 |
|
1,708 |
1,648 |
$38K |
| 87653 |
|
653 |
648 |
$38K |
| 82962 |
|
372 |
326 |
$32K |
| 99282 |
|
102 |
102 |
$28K |
| 86803 |
|
520 |
505 |
$24K |
| 84443 |
|
765 |
736 |
$19K |
| 96365 |
|
131 |
87 |
$17K |
| 83605 |
|
80 |
73 |
$16K |
| 85652 |
|
708 |
662 |
$15K |
| 93880 |
|
227 |
223 |
$15K |
| 80143 |
|
707 |
671 |
$12K |
| 80179 |
|
707 |
670 |
$12K |
| 45378 |
|
16 |
16 |
$11K |
| 87633 |
|
12 |
12 |
$11K |
| 85018 |
|
57 |
56 |
$11K |
| 85014 |
|
56 |
55 |
$11K |
| Y7507 |
|
104 |
49 |
$11K |
| 82077 |
|
755 |
713 |
$11K |
| 87428 |
|
342 |
339 |
$11K |
| 96367 |
|
283 |
164 |
$11K |
| 71260 |
|
112 |
106 |
$11K |
| 87798 |
|
26 |
26 |
$11K |
| 87486 |
|
26 |
26 |
$11K |
| 87581 |
|
26 |
26 |
$11K |
| 84702 |
|
80 |
78 |
$8K |
| 91010 |
|
43 |
41 |
$8K |
| 76815 |
|
112 |
65 |
$8K |
| 82950 |
|
437 |
432 |
$7K |
| 80307 |
|
116 |
112 |
$6K |
| 82947 |
|
392 |
359 |
$6K |
| 77336 |
|
162 |
49 |
$5K |
| 83735 |
|
1,253 |
1,153 |
$5K |
| 83880 |
|
172 |
159 |
$5K |
| 87070 |
|
407 |
399 |
$4K |
| 78452 |
|
16 |
16 |
$4K |
| 94761 |
|
27 |
24 |
$3K |
| 80061 |
|
269 |
266 |
$3K |
| 76819 |
|
27 |
12 |
$3K |
| 82306 |
|
88 |
86 |
$3K |
| 87400 |
|
89 |
89 |
$2K |
| 96417 |
|
38 |
26 |
$2K |
| 94729 |
|
26 |
24 |
$2K |
| 83036 |
|
183 |
179 |
$2K |
| 85730 |
|
71 |
70 |
$2K |
| 74018 |
|
52 |
49 |
$2K |
| 87660 |
|
48 |
46 |
$2K |
| 87480 |
|
44 |
42 |
$2K |
| 87510 |
|
30 |
28 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,845 |
1,894 |
$1K |
| 96361 |
|
27 |
26 |
$1K |
| 94618 |
|
26 |
24 |
$1K |
| 76705 |
|
13 |
13 |
$1K |
| 76856 |
|
12 |
12 |
$1K |
| 88304 |
|
25 |
25 |
$930.19 |
| 80076 |
|
42 |
38 |
$840.12 |
| 99460 |
|
12 |
12 |
$793.44 |
| 86705 |
|
12 |
12 |
$752.57 |
| 86317 |
|
12 |
12 |
$746.95 |
| 87340 |
|
12 |
12 |
$735.91 |
| 84439 |
|
18 |
14 |
$712.04 |
| C9803 |
Hopd covid-19 spec collect |
268 |
253 |
$669.14 |
| 86900 |
|
16 |
14 |
$532.10 |
| 86850 |
|
16 |
14 |
$521.46 |
| 93017 |
|
12 |
12 |
$506.02 |
| 88175 |
|
12 |
12 |
$500.25 |
| 87426 |
|
14 |
14 |
$443.07 |
| J7120 |
Ringers lactate infusion |
2,216 |
2,088 |
$407.74 |
| 97110 |
|
58 |
12 |
$369.08 |
| 87147 |
|
13 |
13 |
$342.99 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
67 |
55 |
$284.72 |
| 87641 |
|
12 |
12 |
$268.43 |
| 86901 |
|
16 |
14 |
$262.20 |
| 87420 |
|
19 |
18 |
$202.84 |
| 82043 |
|
13 |
12 |
$195.52 |
| 82570 |
|
13 |
12 |
$191.67 |
| 82565 |
|
12 |
12 |
$185.85 |
| J7030 |
Normal saline solution infus |
114 |
94 |
$168.71 |
| 96372 |
|
19 |
13 |
$147.69 |
| J3010 |
Fentanyl citrate injection |
55 |
44 |
$63.35 |
| J7050 |
Normal saline solution infus |
129 |
76 |
$55.61 |
| J1642 |
Inj heparin sodium per 10 u |
62 |
38 |
$51.00 |
| 0641T |
|
40 |
38 |
$50.41 |
| J2405 |
Ondansetron hcl injection |
71 |
53 |
$50.14 |
| 80069 |
|
12 |
12 |
$45.42 |
| J1100 |
Dexamethasone sodium phos |
18 |
12 |
$18.97 |
| 0640T |
|
14 |
13 |
$17.98 |
| J7040 |
Normal saline solution infus |
14 |
12 |
$4.86 |
| C1726 |
Cath, bal dil, non-vascular |
88 |
86 |
$0.00 |
| A9270 |
Non-covered item or service |
236 |
128 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
12 |
12 |
$0.00 |