| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
40,820 |
37,285 |
$13.75M |
| 99284 |
|
43,746 |
39,595 |
$11.13M |
| 99283 |
|
40,114 |
37,740 |
$7.16M |
| G0463 |
Hospital outpt clinic visit |
46,908 |
41,957 |
$3.89M |
| 71045 |
|
20,491 |
18,591 |
$893K |
| 96374 |
|
7,633 |
6,989 |
$844K |
| 99282 |
|
6,011 |
5,725 |
$593K |
| 97110 |
|
10,843 |
4,253 |
$388K |
| 43239 |
|
914 |
838 |
$302K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,366 |
5,054 |
$286K |
| 45380 |
|
504 |
466 |
$238K |
| 70450 |
|
2,597 |
2,278 |
$204K |
| 87635 |
|
5,657 |
5,291 |
$175K |
| 97530 |
|
4,606 |
2,059 |
$168K |
| 11042 |
|
1,394 |
553 |
$161K |
| 29581 |
|
1,614 |
603 |
$128K |
| 20610 |
|
418 |
367 |
$118K |
| 71046 |
|
3,105 |
2,840 |
$118K |
| 80053 |
|
91,243 |
83,466 |
$102K |
| 96375 |
|
2,603 |
2,382 |
$92K |
| U0005 |
Infec agen detec ampli probe |
3,495 |
3,302 |
$82K |
| 97597 |
|
1,089 |
573 |
$76K |
| 96365 |
|
804 |
657 |
$69K |
| 96413 |
|
275 |
253 |
$63K |
| 85025 |
|
90,831 |
82,731 |
$50K |
| 80061 |
|
8,010 |
7,638 |
$46K |
| 45385 |
|
101 |
90 |
$44K |
| J1745 |
Infliximab not biosimil 10mg |
34 |
26 |
$41K |
| 36415 |
|
85,398 |
77,310 |
$40K |
| 84443 |
|
4,929 |
4,693 |
$37K |
| 96361 |
|
1,270 |
1,129 |
$32K |
| 74177 |
|
131 |
125 |
$28K |
| Q5103 |
Injection, inflectra |
63 |
55 |
$28K |
| 99281 |
|
401 |
396 |
$27K |
| 97140 |
|
1,332 |
571 |
$22K |
| 87502 |
|
3,809 |
3,628 |
$22K |
| 82306 |
|
1,740 |
1,657 |
$21K |
| 74176 |
|
119 |
117 |
$20K |
| 73110 |
|
419 |
350 |
$18K |
| 95811 |
|
39 |
37 |
$18K |
| 83036 |
|
6,495 |
6,240 |
$16K |
| 96415 |
|
273 |
251 |
$14K |
| G0480 |
Drug test def 1-7 classes |
5,097 |
3,667 |
$14K |
| 80307 |
|
5,080 |
4,437 |
$12K |
| 73564 |
|
187 |
174 |
$10K |
| G0399 |
Home sleep test/type 3 porta |
96 |
94 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
675 |
625 |
$10K |
| 96360 |
|
167 |
103 |
$10K |
| 93005 |
|
43,757 |
37,773 |
$9K |
| 93296 |
|
654 |
621 |
$9K |
| 73030 |
|
139 |
119 |
$6K |
| 87086 |
|
3,260 |
3,083 |
$6K |
| G0008 |
Admin influenza virus vac |
303 |
299 |
$6K |
| 84484 |
|
27,754 |
22,559 |
$6K |
| 87591 |
|
277 |
263 |
$6K |
| 73721 |
|
29 |
26 |
$5K |
| 87491 |
|
237 |
227 |
$5K |
| 86900 |
|
48 |
48 |
$5K |
| 83605 |
|
19,952 |
16,571 |
$4K |
| 73130 |
|
110 |
100 |
$4K |
| 97112 |
|
80 |
52 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
84 |
74 |
$4K |
| 70553 |
|
13 |
13 |
$4K |
| 86803 |
|
744 |
708 |
$4K |
| 84439 |
|
690 |
657 |
$3K |
| 96110 |
|
71 |
71 |
$3K |
| 73610 |
|
82 |
74 |
$3K |
| 85027 |
|
1,590 |
1,531 |
$3K |
| 81025 |
|
10,022 |
9,203 |
$3K |
| 81001 |
|
36,010 |
32,724 |
$3K |
| 87340 |
|
779 |
740 |
$3K |
| 87798 |
|
117 |
112 |
$3K |
| 84481 |
|
266 |
251 |
$2K |
| 86704 |
|
511 |
487 |
$2K |
| 83880 |
|
4,743 |
4,276 |
$2K |
| 86235 |
|
98 |
77 |
$2K |
| 87070 |
|
392 |
367 |
$2K |
| 96372 |
|
4,867 |
4,278 |
$2K |
| 86140 |
|
1,344 |
1,261 |
$2K |
| 86706 |
|
522 |
498 |
$2K |
| 72020 |
|
84 |
78 |
$2K |
| 86200 |
|
441 |
422 |
$2K |
| 86160 |
|
224 |
199 |
$2K |
| 80048 |
|
1,483 |
1,346 |
$2K |
| 86780 |
|
183 |
180 |
$2K |
| 83690 |
|
14,028 |
12,898 |
$2K |
| 88305 |
|
2,432 |
2,218 |
$2K |
| 82728 |
|
298 |
284 |
$2K |
| 82043 |
|
684 |
638 |
$1K |
| 84466 |
|
294 |
281 |
$1K |
| 97162 |
|
26 |
24 |
$1K |
| 90686 |
|
87 |
87 |
$1K |
| 87634 |
|
1,282 |
1,258 |
$1K |
| 97165 |
|
16 |
15 |
$1K |
| 83735 |
|
11,162 |
9,820 |
$1K |
| 85652 |
|
1,373 |
1,283 |
$1K |
| 87631 |
|
772 |
719 |
$1K |
| 93798 |
|
35 |
24 |
$1K |
| 88142 |
|
74 |
73 |
$926.97 |
| 82550 |
|
1,093 |
791 |
$908.25 |
| 90662 |
|
99 |
96 |
$803.11 |
| 84305 |
|
127 |
118 |
$762.34 |
| 83540 |
|
294 |
281 |
$730.33 |
| 82607 |
|
103 |
99 |
$714.40 |
| 87389 |
|
73 |
72 |
$633.98 |
| G0123 |
Screen cerv/vag thin layer |
41 |
39 |
$631.36 |
| J3490 |
Drugs unclassified injection |
844 |
376 |
$618.68 |
| 99393 |
|
17 |
16 |
$578.00 |
| 99394 |
|
12 |
12 |
$489.00 |
| 94761 |
|
28,872 |
27,674 |
$487.31 |
| 95249 |
|
103 |
97 |
$447.17 |
| 73630 |
|
13 |
12 |
$444.84 |
| 87081 |
|
102 |
95 |
$421.11 |
| 86431 |
|
230 |
217 |
$414.73 |
| 82746 |
|
54 |
53 |
$384.65 |
| 90656 |
|
16 |
16 |
$383.36 |
| 95250 |
|
12 |
12 |
$380.59 |
| 87150 |
|
14 |
14 |
$346.67 |
| 87624 |
|
14 |
14 |
$335.27 |
| 87186 |
|
109 |
99 |
$324.99 |
| 87077 |
|
96 |
88 |
$310.00 |
| J7030 |
Normal saline solution infus |
6,258 |
5,198 |
$203.72 |
| 94760 |
|
10,144 |
9,848 |
$196.21 |
| 86850 |
|
51 |
50 |
$181.05 |
| 87808 |
|
13 |
13 |
$152.27 |
| 88312 |
|
97 |
86 |
$140.98 |
| 82570 |
|
248 |
239 |
$134.04 |
| G0103 |
Psa screening |
13 |
13 |
$123.60 |
| 87210 |
|
25 |
25 |
$113.93 |
| 84480 |
|
12 |
12 |
$113.40 |
| 87040 |
|
739 |
291 |
$102.12 |
| 88313 |
|
72 |
60 |
$101.88 |
| 77067 |
|
125 |
124 |
$86.28 |
| 77063 |
|
83 |
82 |
$86.28 |
| 85610 |
|
683 |
610 |
$82.00 |
| 88342 |
|
507 |
455 |
$75.02 |
| J0690 |
Cefazolin sodium injection |
826 |
704 |
$62.86 |
| 86039 |
|
16 |
14 |
$62.51 |
| 82805 |
|
15 |
13 |
$55.00 |
| 80069 |
|
14 |
12 |
$44.40 |
| 97116 |
|
16 |
15 |
$42.75 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
13 |
$32.22 |
| 86038 |
|
13 |
12 |
$30.84 |
| J2704 |
Inj, propofol, 10 mg |
2,084 |
1,600 |
$25.23 |
| 72125 |
|
227 |
155 |
$25.06 |
| 90715 |
|
42 |
39 |
$21.96 |
| 82040 |
|
20 |
15 |
$21.10 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,862 |
2,561 |
$18.60 |
| J1100 |
Dexamethasone sodium phos |
400 |
368 |
$18.18 |
| 84156 |
|
89 |
88 |
$17.64 |
| J7120 |
Ringers lactate infusion |
1,826 |
1,636 |
$17.04 |
| J1885 |
Ketorolac tromethamine inj |
4,244 |
3,500 |
$14.71 |
| J2405 |
Ondansetron hcl injection |
847 |
775 |
$13.30 |
| J3010 |
Fentanyl citrate injection |
1,639 |
1,261 |
$12.29 |
| 87880 |
|
118 |
105 |
$12.00 |
| 82553 |
|
72 |
12 |
$10.00 |
| J3475 |
Inj magnesium sulfate |
243 |
163 |
$9.32 |
| 87807 |
|
12 |
12 |
$9.00 |
| 84703 |
|
270 |
257 |
$6.39 |
| 80179 |
|
121 |
114 |
$4.29 |
| 80143 |
|
149 |
138 |
$4.29 |
| J0689 |
Inj cefazolin sodium, baxter |
88 |
76 |
$4.03 |
| J2250 |
Inj midazolam hydrochloride |
958 |
867 |
$3.71 |
| G1004 |
Cdsm ndsc |
3,687 |
2,771 |
$2.13 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
43 |
40 |
$1.76 |
| G0500 |
Mod sedat endo service >5yrs |
84 |
79 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,442 |
1,324 |
$0.00 |
| J0780 |
Prochlorperazine injection |
37 |
36 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
133 |
55 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
101 |
65 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
12 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
12 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
47 |
42 |
$0.00 |
| 87481 |
|
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
15 |
$0.00 |
| 81513 |
|
12 |
12 |
$0.00 |
| 82948 |
|
15 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
12 |
12 |
$0.00 |
| 36416 |
|
565 |
543 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
59 |
54 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
615 |
473 |
$0.00 |
| J7050 |
Normal saline solution infus |
32 |
26 |
$0.00 |
| 82077 |
|
705 |
681 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
27 |
26 |
$0.00 |
| 97535 |
|
16 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
53 |
38 |
$0.00 |
| 94640 |
|
574 |
473 |
$0.00 |
| 86901 |
|
48 |
48 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
283 |
247 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
159 |
138 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
45 |
42 |
$0.00 |
| 85730 |
|
18 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
92 |
89 |
$0.00 |
| 88311 |
|
12 |
12 |
$0.00 |
| 90471 |
|
42 |
39 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
16 |
16 |
$0.00 |
| J2060 |
Lorazepam injection |
17 |
14 |
$0.00 |
| 87661 |
|
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
24 |
15 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
25 |
25 |
$0.00 |