| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
1,485 |
1,377 |
$2.10M |
| 99281 |
|
18,324 |
15,524 |
$1.55M |
| 99284 |
|
2,641 |
2,376 |
$1.33M |
| 96374 |
|
5,417 |
5,060 |
$833K |
| 74177 |
|
1,837 |
1,793 |
$786K |
| 70450 |
|
2,804 |
2,676 |
$701K |
| 99283 |
|
3,975 |
3,424 |
$675K |
| 99202 |
|
2,844 |
2,100 |
$620K |
| 80307 |
|
5,516 |
5,092 |
$611K |
| 0450 |
|
7,212 |
6,333 |
$570K |
| 92507 |
|
4,940 |
1,800 |
$465K |
| 78815 |
|
173 |
170 |
$426K |
| 96375 |
|
4,457 |
3,729 |
$425K |
| 99199 |
|
3,459 |
2,925 |
$422K |
| 93005 |
|
9,493 |
8,555 |
$420K |
| 80053 |
|
21,822 |
18,921 |
$396K |
| 87636 |
|
1,322 |
1,278 |
$385K |
| T1999 |
Noc retail items andsupplies |
11,192 |
5,926 |
$367K |
| 87637 |
|
1,209 |
1,184 |
$359K |
| 87635 |
|
3,686 |
3,528 |
$353K |
| 93306 |
|
600 |
572 |
$351K |
| 96365 |
|
1,716 |
1,632 |
$323K |
| 99201 |
|
2,375 |
1,998 |
$311K |
| 85025 |
|
24,103 |
20,147 |
$281K |
| 71045 |
|
5,633 |
5,262 |
$255K |
| 96361 |
|
3,051 |
2,744 |
$239K |
| Q3014 |
Telehealth facility fee |
6,009 |
5,312 |
$224K |
| 97110 |
|
3,934 |
1,081 |
$202K |
| 71046 |
|
3,326 |
3,174 |
$161K |
| 96413 |
|
1,058 |
637 |
$159K |
| 82077 |
|
2,988 |
2,810 |
$152K |
| J3490 |
Drugs unclassified injection |
5,500 |
3,122 |
$140K |
| 97039 |
|
3,072 |
649 |
$134K |
| 96360 |
|
1,114 |
1,083 |
$130K |
| 92012 |
|
944 |
732 |
$120K |
| 84484 |
|
7,141 |
5,061 |
$113K |
| 83880 |
|
2,058 |
1,902 |
$110K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,158 |
1,105 |
$103K |
| 96372 |
|
1,563 |
1,387 |
$102K |
| 72125 |
|
452 |
443 |
$101K |
| 76700 |
|
500 |
490 |
$87K |
| 71275 |
|
169 |
169 |
$85K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,683 |
3,865 |
$78K |
| 0510 |
|
1,865 |
1,725 |
$75K |
| J7030 |
Normal saline solution infus |
4,780 |
4,314 |
$70K |
| 92523 |
|
955 |
413 |
$69K |
| 74176 |
|
186 |
184 |
$67K |
| 84443 |
|
2,468 |
2,394 |
$64K |
| 71260 |
|
120 |
116 |
$63K |
| 71250 |
|
112 |
110 |
$58K |
| 87491 |
|
1,081 |
1,047 |
$56K |
| 87591 |
|
1,075 |
1,043 |
$56K |
| 87040 |
|
2,958 |
1,882 |
$54K |
| G0463 |
Hospital outpt clinic visit |
740 |
638 |
$53K |
| 0270 |
|
1,510 |
757 |
$46K |
| 77067 |
|
300 |
284 |
$46K |
| 83690 |
|
4,239 |
3,996 |
$45K |
| J2405 |
Ondansetron hcl injection |
4,353 |
3,731 |
$43K |
| 83605 |
|
2,380 |
1,808 |
$39K |
| 80061 |
|
2,126 |
2,073 |
$39K |
| 92134 |
|
411 |
358 |
$37K |
| 92526 |
|
393 |
216 |
$36K |
| 80048 |
|
2,859 |
2,427 |
$35K |
| 83735 |
|
3,791 |
2,911 |
$35K |
| 85610 |
|
5,039 |
4,480 |
$33K |
| 70551 |
|
38 |
37 |
$33K |
| 80143 |
|
467 |
447 |
$32K |
| 97530 |
|
536 |
211 |
$32K |
| 81001 |
|
6,196 |
5,890 |
$31K |
| 83036 |
|
2,023 |
1,984 |
$31K |
| 87389 |
|
1,109 |
1,077 |
$30K |
| 87086 |
|
2,663 |
2,528 |
$29K |
| 0250 |
|
942 |
632 |
$29K |
| J7120 |
Ringers lactate infusion |
2,341 |
2,146 |
$27K |
| 88305 |
|
1,023 |
975 |
$25K |
| 86481 |
|
256 |
248 |
$23K |
| 76705 |
|
108 |
106 |
$23K |
| 78452 |
|
12 |
12 |
$22K |
| 85730 |
|
2,472 |
2,335 |
$22K |
| 80197 |
|
1,348 |
844 |
$22K |
| 99070 |
|
1,317 |
756 |
$20K |
| 82306 |
|
528 |
523 |
$20K |
| 93971 |
|
67 |
66 |
$18K |
| 80179 |
|
381 |
368 |
$18K |
| J1100 |
Dexamethasone sodium phos |
1,731 |
1,388 |
$18K |
| 81003 |
|
3,377 |
3,222 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
2,024 |
1,415 |
$17K |
| 96366 |
|
124 |
114 |
$16K |
| 87633 |
|
30 |
29 |
$16K |
| 76856 |
|
106 |
105 |
$16K |
| 70496 |
|
32 |
32 |
$15K |
| 0760 |
|
290 |
252 |
$15K |
| 82947 |
|
1,274 |
1,094 |
$15K |
| J1170 |
Hydromorphone injection |
886 |
748 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
1,060 |
1,005 |
$13K |
| 87186 |
|
840 |
754 |
$13K |
| 84702 |
|
1,446 |
1,363 |
$13K |
| 94640 |
|
466 |
394 |
$12K |
| 86803 |
|
671 |
650 |
$12K |
| A9552 |
F18 fdg |
40 |
40 |
$12K |
| A9585 |
Gadobutrol injection |
188 |
165 |
$12K |
| 81025 |
|
1,817 |
1,752 |
$12K |
| 86900 |
|
1,993 |
1,520 |
$12K |
| J0131 |
Inj, acetaminophen (nos) |
375 |
189 |
$12K |
| 87651 |
|
195 |
188 |
$11K |
| 76830 |
|
80 |
79 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
663 |
616 |
$11K |
| 87502 |
|
76 |
73 |
$10K |
| 86850 |
|
1,175 |
1,085 |
$10K |
| J2060 |
Lorazepam injection |
782 |
701 |
$10K |
| 96367 |
|
78 |
66 |
$9K |
| 86901 |
|
1,891 |
1,492 |
$9K |
| 77063 |
|
144 |
144 |
$9K |
| 76770 |
|
100 |
99 |
$8K |
| J2270 |
Morphine sulfate injection |
559 |
479 |
$8K |
| 85379 |
|
397 |
388 |
$8K |
| 0750 |
|
40 |
40 |
$7K |
| 87624 |
|
368 |
353 |
$7K |
| 88342 |
|
235 |
229 |
$7K |
| 86140 |
|
788 |
751 |
$7K |
| 74183 |
|
12 |
12 |
$7K |
| 74174 |
|
12 |
12 |
$7K |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$6K |
| G0279 |
Tomosynthesis, mammo |
119 |
118 |
$6K |
| 82728 |
|
295 |
290 |
$6K |
| 87340 |
|
395 |
380 |
$6K |
| 70498 |
|
16 |
16 |
$6K |
| J3010 |
Fentanyl citrate injection |
988 |
880 |
$6K |
| 92014 |
|
91 |
80 |
$6K |
| 86480 |
|
69 |
69 |
$5K |
| 87077 |
|
261 |
241 |
$5K |
| 97139 |
|
144 |
54 |
$5K |
| 77080 |
|
15 |
15 |
$5K |
| 82805 |
|
85 |
71 |
$5K |
| 87400 |
|
779 |
746 |
$5K |
| 84439 |
|
294 |
284 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
632 |
584 |
$4K |
| 83789 |
|
161 |
144 |
$4K |
| 99211 |
|
194 |
166 |
$4K |
| 86592 |
|
659 |
642 |
$4K |
| 82607 |
|
133 |
133 |
$4K |
| 73630 |
|
70 |
68 |
$4K |
| 84145 |
|
118 |
114 |
$4K |
| 87581 |
|
71 |
69 |
$4K |
| 92133 |
|
44 |
42 |
$3K |
| 87486 |
|
71 |
69 |
$3K |
| 82570 |
|
335 |
318 |
$3K |
| 88142 |
|
497 |
492 |
$3K |
| 99282 |
|
12 |
12 |
$3K |
| 85652 |
|
713 |
688 |
$3K |
| 83540 |
|
251 |
246 |
$3K |
| 83550 |
|
196 |
193 |
$3K |
| U0005 |
Infec agen detec ampli probe |
219 |
212 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
278 |
227 |
$3K |
| 0160 |
|
21 |
13 |
$3K |
| J7040 |
Normal saline solution infus |
285 |
211 |
$3K |
| 82043 |
|
209 |
209 |
$2K |
| 76642 |
|
15 |
15 |
$2K |
| 88341 |
|
16 |
16 |
$2K |
| 87081 |
|
380 |
374 |
$2K |
| 97750 |
|
28 |
26 |
$2K |
| 99213 |
|
31 |
24 |
$2K |
| 82550 |
|
212 |
199 |
$2K |
| 87420 |
|
235 |
227 |
$2K |
| J2001 |
Lidocaine injection |
398 |
289 |
$2K |
| 0762 |
|
20 |
12 |
$2K |
| 93017 |
|
29 |
28 |
$2K |
| 84100 |
|
288 |
192 |
$2K |
| 86644 |
|
110 |
103 |
$2K |
| 82105 |
|
59 |
56 |
$2K |
| 82977 |
|
145 |
90 |
$2K |
| 36415 |
|
904 |
793 |
$1K |
| 86704 |
|
88 |
82 |
$1K |
| 84153 |
|
55 |
54 |
$1K |
| 87070 |
|
94 |
86 |
$1K |
| 87430 |
|
106 |
102 |
$1K |
| J0137 |
Inj, acetaminophen (hikma) |
34 |
18 |
$1K |
| 86706 |
|
64 |
59 |
$1K |
| 88313 |
|
54 |
53 |
$1K |
| 92083 |
|
18 |
18 |
$807.64 |
| 86665 |
|
40 |
25 |
$774.71 |
| 83615 |
|
52 |
43 |
$613.14 |
| 76817 |
|
15 |
14 |
$601.97 |
| 92250 |
|
13 |
13 |
$523.21 |
| 73562 |
|
12 |
12 |
$519.98 |
| 88312 |
|
37 |
37 |
$504.10 |
| 84550 |
|
28 |
27 |
$499.19 |
| J2765 |
Metoclopramide hcl injection |
53 |
52 |
$493.84 |
| 71020 |
|
26 |
24 |
$474.97 |
| 99231 |
|
12 |
12 |
$371.05 |
| 84132 |
|
43 |
41 |
$354.26 |
| 86664 |
|
27 |
25 |
$340.17 |
| 85027 |
|
52 |
49 |
$308.48 |
| 71010 |
|
20 |
19 |
$290.60 |
| 73610 |
|
13 |
12 |
$252.56 |
| 88307 |
|
13 |
12 |
$252.16 |
| J3370 |
Vancomycin hcl injection |
16 |
14 |
$247.43 |
| J7050 |
Normal saline solution infus |
44 |
29 |
$215.14 |
| 88363 |
|
14 |
14 |
$205.11 |
| 86663 |
|
13 |
13 |
$191.89 |
| J1940 |
Furosemide injection |
14 |
13 |
$185.26 |
| 84156 |
|
38 |
37 |
$160.01 |
| 87088 |
|
12 |
12 |
$91.46 |
| 87205 |
|
14 |
13 |
$72.70 |
| 0272R |
|
16 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
15 |
12 |
$0.00 |
| 0370R |
|
16 |
12 |
$0.00 |
| 0250R |
|
16 |
12 |
$0.00 |