| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
59,980 |
52,772 |
$2.46M |
| 99284 |
|
12,778 |
11,082 |
$2.25M |
| X4011 |
|
10,227 |
8,244 |
$2.21M |
| 99285 |
|
10,818 |
8,761 |
$2.00M |
| 99283 |
|
10,052 |
9,451 |
$1.44M |
| 85025 |
|
36,026 |
29,474 |
$1.42M |
| 80053 |
|
30,375 |
24,654 |
$1.10M |
| 87070 |
|
14,959 |
12,712 |
$834K |
| Y7506 |
|
5,307 |
3,350 |
$731K |
| Y7507 |
|
3,491 |
2,463 |
$681K |
| 81015 |
|
15,583 |
12,850 |
$596K |
| 87502 |
|
10,127 |
9,563 |
$566K |
| 93005 |
|
11,623 |
8,965 |
$539K |
| 87635 |
|
20,568 |
18,729 |
$453K |
| X4003 |
|
9,245 |
6,899 |
$450K |
| 80307 |
|
6,244 |
4,824 |
$400K |
| 71045 |
|
7,335 |
5,929 |
$378K |
| 81003 |
|
2,088 |
1,902 |
$368K |
| 96374 |
|
3,261 |
2,827 |
$288K |
| 94760 |
|
3,109 |
2,863 |
$252K |
| 20553 |
|
3,037 |
2,806 |
$187K |
| 71046 |
|
1,768 |
1,559 |
$163K |
| 87804 |
|
1,719 |
1,462 |
$158K |
| 20610 |
|
1,167 |
1,092 |
$119K |
| 84484 |
|
7,623 |
5,612 |
$118K |
| 70450 |
|
2,292 |
1,760 |
$105K |
| 87651 |
|
4,551 |
4,424 |
$102K |
| 96365 |
|
1,246 |
936 |
$102K |
| 82550 |
|
6,559 |
4,741 |
$98K |
| 66984 |
|
234 |
174 |
$96K |
| 74176 |
|
1,281 |
968 |
$93K |
| 59025 |
|
623 |
458 |
$87K |
| 96361 |
|
2,215 |
1,869 |
$76K |
| 84702 |
|
1,532 |
1,325 |
$74K |
| 81002 |
|
17,569 |
12,407 |
$54K |
| 36415 |
|
2,140 |
1,920 |
$52K |
| 83690 |
|
2,477 |
1,888 |
$52K |
| 86592 |
|
1,164 |
1,117 |
$45K |
| 99291 |
|
181 |
127 |
$45K |
| 96375 |
|
1,820 |
1,463 |
$44K |
| 87340 |
|
794 |
759 |
$43K |
| 82553 |
|
3,207 |
2,388 |
$42K |
| 86701 |
|
419 |
388 |
$41K |
| 84443 |
|
3,728 |
3,367 |
$41K |
| 86762 |
|
754 |
717 |
$39K |
| 73630 |
|
1,044 |
840 |
$39K |
| 86803 |
|
755 |
724 |
$39K |
| 94640 |
|
451 |
303 |
$38K |
| 87634 |
|
1,262 |
1,113 |
$37K |
| 82947 |
|
549 |
516 |
$34K |
| 94060 |
|
356 |
330 |
$31K |
| 76816 |
|
717 |
661 |
$31K |
| 99213 |
|
481 |
363 |
$31K |
| 94761 |
|
645 |
579 |
$30K |
| 71250 |
|
1,042 |
758 |
$29K |
| 99282 |
|
280 |
256 |
$27K |
| 86141 |
|
1,662 |
1,245 |
$27K |
| 74177 |
|
242 |
175 |
$27K |
| 80061 |
|
2,252 |
2,119 |
$27K |
| 86900 |
|
443 |
434 |
$26K |
| 76805 |
|
281 |
274 |
$26K |
| 86885 |
|
458 |
448 |
$25K |
| 83880 |
|
2,296 |
1,589 |
$24K |
| 87633 |
|
180 |
149 |
$23K |
| 36600 |
|
642 |
355 |
$22K |
| 86756 |
|
83 |
68 |
$22K |
| 95117 |
|
991 |
352 |
$21K |
| 88305 |
|
426 |
354 |
$21K |
| 96372 |
|
529 |
471 |
$20K |
| 87880 |
|
639 |
623 |
$20K |
| 87186 |
|
1,039 |
780 |
$20K |
| 87077 |
|
1,040 |
782 |
$20K |
| 11042 |
|
168 |
96 |
$20K |
| 82805 |
|
801 |
459 |
$19K |
| 87653 |
|
357 |
340 |
$19K |
| 76815 |
|
230 |
205 |
$17K |
| 76801 |
|
270 |
259 |
$15K |
| 94726 |
|
225 |
216 |
$15K |
| 83605 |
|
2,192 |
1,533 |
$14K |
| 83036 |
|
2,115 |
2,017 |
$14K |
| 84439 |
|
1,620 |
1,481 |
$12K |
| 80048 |
|
503 |
472 |
$12K |
| 96360 |
|
142 |
126 |
$12K |
| G0480 |
Drug test def 1-7 classes |
168 |
140 |
$12K |
| 80050 |
|
152 |
131 |
$12K |
| 74022 |
|
42 |
39 |
$11K |
| 17110 |
|
150 |
137 |
$11K |
| 99212 |
|
170 |
132 |
$11K |
| 11043 |
|
33 |
13 |
$11K |
| 69436 |
|
25 |
12 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
743 |
721 |
$10K |
| 93041 |
|
49 |
48 |
$10K |
| 83735 |
|
2,374 |
1,781 |
$10K |
| 95165 |
|
26 |
25 |
$8K |
| 92557 |
|
185 |
183 |
$8K |
| 85610 |
|
1,510 |
1,139 |
$8K |
| 86901 |
|
443 |
434 |
$8K |
| 82962 |
|
1,095 |
729 |
$8K |
| 84145 |
|
717 |
499 |
$7K |
| 87040 |
|
898 |
628 |
$7K |
| 97110 |
|
727 |
152 |
$7K |
| 85651 |
|
527 |
431 |
$7K |
| X4006 |
|
19 |
12 |
$7K |
| 97597 |
|
149 |
107 |
$7K |
| 84703 |
|
1,863 |
1,563 |
$7K |
| 87389 |
|
496 |
483 |
$6K |
| 73562 |
|
190 |
169 |
$6K |
| J3490 |
Drugs unclassified injection |
1,594 |
899 |
$6K |
| 82306 |
|
192 |
178 |
$6K |
| 82950 |
|
457 |
411 |
$6K |
| 72125 |
|
164 |
129 |
$6K |
| 71275 |
|
95 |
72 |
$5K |
| 52000 |
|
47 |
46 |
$5K |
| 87801 |
|
135 |
131 |
$5K |
| 82607 |
|
195 |
180 |
$4K |
| 62323 |
|
14 |
13 |
$4K |
| 85730 |
|
1,194 |
901 |
$3K |
| J7040 |
Normal saline solution infus |
771 |
564 |
$3K |
| 87798 |
|
245 |
188 |
$3K |
| 73130 |
|
82 |
76 |
$2K |
| 85027 |
|
14 |
14 |
$2K |
| 85007 |
|
14 |
14 |
$2K |
| 64405 |
|
108 |
104 |
$2K |
| 87591 |
|
67 |
64 |
$2K |
| 87491 |
|
64 |
63 |
$2K |
| 96366 |
|
37 |
28 |
$2K |
| 87426 |
|
277 |
260 |
$2K |
| 87220 |
|
274 |
265 |
$2K |
| 94729 |
|
200 |
192 |
$1K |
| 86235 |
|
25 |
25 |
$1K |
| 99281 |
|
13 |
13 |
$974.76 |
| 86580 |
|
78 |
75 |
$962.01 |
| 87807 |
|
35 |
32 |
$866.94 |
| 11056 |
|
19 |
15 |
$865.38 |
| 74018 |
|
32 |
29 |
$860.99 |
| 82150 |
|
333 |
252 |
$853.18 |
| 82105 |
|
14 |
12 |
$785.85 |
| 86003 |
|
24 |
12 |
$752.01 |
| 71271 |
|
12 |
12 |
$746.07 |
| GO463 |
|
74 |
59 |
$712.39 |
| 69210 |
|
41 |
37 |
$668.17 |
| 82043 |
|
156 |
149 |
$667.28 |
| 85379 |
|
124 |
94 |
$580.40 |
| 92588 |
|
13 |
13 |
$571.87 |
| 87210 |
|
144 |
141 |
$557.57 |
| 80069 |
|
166 |
157 |
$469.24 |
| 84207 |
|
14 |
12 |
$397.28 |
| 20552 |
|
13 |
12 |
$352.80 |
| 84153 |
|
24 |
24 |
$327.41 |
| 27096 |
|
26 |
25 |
$286.35 |
| 92567 |
|
12 |
12 |
$228.27 |
| 88738 |
|
13 |
12 |
$216.66 |
| 86038 |
|
28 |
28 |
$201.11 |
| J1885 |
Ketorolac tromethamine inj |
607 |
587 |
$193.32 |
| 86200 |
|
25 |
25 |
$180.29 |
| 82785 |
|
14 |
13 |
$109.59 |
| 86431 |
|
26 |
26 |
$89.37 |
| J2704 |
Inj, propofol, 10 mg |
149 |
132 |
$83.66 |
| 83721 |
|
12 |
12 |
$78.43 |
| 82728 |
|
14 |
14 |
$74.23 |
| 82784 |
|
14 |
13 |
$61.95 |
| 82570 |
|
29 |
25 |
$53.15 |
| 83540 |
|
14 |
14 |
$35.21 |
| 84156 |
|
13 |
13 |
$18.10 |
| 85018 |
|
20 |
16 |
$14.70 |
| 85014 |
|
20 |
16 |
$14.70 |
| 84479 |
|
113 |
88 |
$6.38 |
| 84436 |
|
44 |
42 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
65 |
59 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
16 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
35 |
26 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
16 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
356 |
341 |
$0.00 |
| J7120 |
Ringers lactate infusion |
15 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
77 |
77 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
16 |
13 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
16 |
13 |
$0.00 |