| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
21,009 |
19,104 |
$6.54M |
| 99284 |
|
19,149 |
17,799 |
$4.55M |
| 99283 |
|
18,429 |
16,946 |
$3.06M |
| 96374 |
|
7,699 |
7,144 |
$926K |
| 19318 |
|
152 |
146 |
$701K |
| 99213 |
|
11,602 |
10,727 |
$621K |
| G0463 |
Hospital outpt clinic visit |
9,315 |
7,898 |
$352K |
| 99203 |
|
3,131 |
2,992 |
$260K |
| 92134 |
|
8,879 |
8,011 |
$185K |
| 19303 |
|
39 |
39 |
$178K |
| 93306 |
|
2,890 |
2,407 |
$140K |
| 71046 |
|
2,252 |
2,076 |
$96K |
| 96375 |
|
1,720 |
1,584 |
$71K |
| 93010 |
|
14,443 |
10,936 |
$67K |
| 71271 |
|
1,261 |
1,205 |
$63K |
| 0241U |
|
645 |
597 |
$53K |
| 96361 |
|
1,463 |
1,321 |
$52K |
| 70450 |
|
394 |
368 |
$46K |
| 95811 |
|
77 |
74 |
$42K |
| 99214 |
|
825 |
510 |
$29K |
| U0003 |
Cov-19 amp prb hgh thruput |
466 |
433 |
$25K |
| 71045 |
|
500 |
463 |
$22K |
| 93005 |
|
19,095 |
17,358 |
$21K |
| 67028 |
|
1,164 |
934 |
$21K |
| 66984 |
|
40 |
36 |
$21K |
| 74177 |
|
104 |
99 |
$21K |
| G0297 |
Ldct for lung ca screen |
663 |
637 |
$16K |
| 99282 |
|
142 |
133 |
$15K |
| 95810 |
|
28 |
25 |
$15K |
| 92285 |
|
469 |
420 |
$15K |
| E0601 |
Cont airway pressure device |
210 |
192 |
$14K |
| 96360 |
|
105 |
97 |
$11K |
| 10061 |
|
59 |
50 |
$10K |
| 96365 |
|
73 |
67 |
$9K |
| 80053 |
|
21,817 |
19,992 |
$6K |
| 92083 |
|
119 |
105 |
$6K |
| 85025 |
|
40,219 |
36,465 |
$5K |
| 97542 |
|
229 |
186 |
$5K |
| G0399 |
Home sleep test/type 3 porta |
40 |
39 |
$4K |
| U0005 |
Infec agen detec ampli probe |
322 |
301 |
$3K |
| 96372 |
|
495 |
455 |
$3K |
| 94060 |
|
59 |
53 |
$3K |
| 97110 |
|
95 |
76 |
$3K |
| 73630 |
|
124 |
105 |
$3K |
| 97165 |
|
26 |
26 |
$2K |
| 80048 |
|
9,463 |
8,693 |
$2K |
| 99212 |
|
47 |
43 |
$2K |
| 99204 |
|
15 |
15 |
$1K |
| 97161 |
|
24 |
24 |
$1K |
| 97530 |
|
262 |
114 |
$1K |
| J3490 |
Drugs unclassified injection |
2,441 |
1,860 |
$1K |
| 80307 |
|
736 |
635 |
$931.03 |
| 88305 |
|
207 |
201 |
$869.19 |
| 84484 |
|
7,347 |
6,568 |
$856.98 |
| 94799 |
|
236 |
225 |
$805.00 |
| G0480 |
Drug test def 1-7 classes |
157 |
145 |
$801.22 |
| 73610 |
|
14 |
13 |
$784.89 |
| 87636 |
|
15 |
15 |
$617.85 |
| 92014 |
|
38 |
35 |
$548.23 |
| 87070 |
|
98 |
95 |
$505.14 |
| 99441 |
|
98 |
84 |
$468.44 |
| 92133 |
|
24 |
24 |
$425.52 |
| 97535 |
|
88 |
71 |
$375.60 |
| A4604 |
Tubing with heating element |
13 |
13 |
$351.08 |
| 84703 |
|
1,867 |
1,749 |
$335.94 |
| 81001 |
|
3,026 |
2,621 |
$307.21 |
| 36415 |
|
6,860 |
5,914 |
$257.73 |
| J2704 |
Inj, propofol, 10 mg |
2,289 |
1,312 |
$231.33 |
| 87631 |
|
28 |
24 |
$218.56 |
| 97162 |
|
13 |
12 |
$206.86 |
| A6212 |
Foam drg <=16 sq in w/border |
111 |
105 |
$192.40 |
| 83690 |
|
3,192 |
2,974 |
$182.02 |
| 87086 |
|
414 |
218 |
$162.02 |
| 94726 |
|
47 |
41 |
$160.28 |
| 83735 |
|
762 |
539 |
$155.61 |
| 94729 |
|
47 |
41 |
$119.08 |
| 93308 |
|
14 |
12 |
$117.87 |
| J2405 |
Ondansetron hcl injection |
1,692 |
1,398 |
$87.43 |
| 80197 |
|
223 |
108 |
$77.79 |
| 97116 |
|
149 |
75 |
$71.11 |
| 87799 |
|
19 |
14 |
$64.26 |
| 87205 |
|
24 |
24 |
$60.44 |
| 81003 |
|
947 |
901 |
$48.42 |
| J3010 |
Fentanyl citrate injection |
1,351 |
1,158 |
$41.86 |
| 93321 |
|
14 |
12 |
$34.12 |
| J1170 |
Hydromorphone injection |
569 |
446 |
$28.00 |
| 83880 |
|
190 |
168 |
$27.00 |
| J2250 |
Inj midazolam hydrochloride |
722 |
638 |
$18.64 |
| A9270 |
Non-covered item or service |
59 |
26 |
$15.54 |
| J9035 |
Bevacizumab injection |
28 |
24 |
$14.71 |
| J1100 |
Dexamethasone sodium phos |
869 |
733 |
$11.37 |
| 82570 |
|
15 |
12 |
$7.77 |
| J1885 |
Ketorolac tromethamine inj |
1,408 |
1,296 |
$7.20 |
| 80069 |
|
43 |
27 |
$6.94 |
| 81025 |
|
111 |
108 |
$6.89 |
| 84156 |
|
15 |
12 |
$5.50 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
100 |
62 |
$5.20 |
| J0690 |
Cefazolin sodium injection |
548 |
383 |
$4.80 |
| J0171 |
Adrenalin epinephrine inject |
98 |
89 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
856 |
756 |
$0.00 |
| 87641 |
|
77 |
73 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
31 |
31 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
29 |
26 |
$0.00 |
| C1776 |
Joint device (implantable) |
72 |
64 |
$0.00 |
| 80299 |
|
18 |
15 |
$0.00 |
| J2270 |
Morphine sulfate injection |
30 |
28 |
$0.00 |
| 36592 |
|
30 |
29 |
$0.00 |
| L8699 |
Prosthetic implant nos |
52 |
52 |
$0.00 |
| 82077 |
|
507 |
452 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
95 |
85 |
$0.00 |
| 36416 |
|
54 |
51 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
43 |
43 |
$0.00 |
| J7999 |
Compounded drug, noc |
137 |
113 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
29 |
25 |
$0.00 |
| 92567 |
|
75 |
69 |
$0.00 |
| 85027 |
|
36 |
27 |
$0.00 |