| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,227 |
7,069 |
$1.43M |
| 99283 |
|
10,692 |
6,872 |
$1.07M |
| 80053 |
|
3,322 |
2,905 |
$185K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,181 |
1,751 |
$136K |
| 87635 |
|
2,010 |
1,883 |
$132K |
| 36415 |
|
8,557 |
7,377 |
$129K |
| 99285 |
|
455 |
347 |
$105K |
| 99282 |
|
2,940 |
2,434 |
$104K |
| 85025 |
|
3,453 |
3,009 |
$89K |
| 0241U |
|
427 |
411 |
$89K |
| 80048 |
|
1,084 |
994 |
$43K |
| 85027 |
|
2,094 |
1,888 |
$42K |
| 99211 |
|
2,135 |
1,650 |
$26K |
| 81001 |
|
972 |
852 |
$19K |
| 11042 |
|
169 |
38 |
$17K |
| 99214 |
|
1,190 |
914 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,972 |
1,226 |
$13K |
| 87811 |
|
265 |
255 |
$10K |
| 86710 |
|
298 |
266 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
709 |
677 |
$9K |
| 93005 |
|
166 |
131 |
$9K |
| 84443 |
|
274 |
250 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
306 |
244 |
$9K |
| 96372 |
|
552 |
334 |
$8K |
| 99213 |
|
1,044 |
909 |
$6K |
| 87502 |
|
103 |
94 |
$5K |
| G0378 |
Hospital observation service, per hour |
17 |
12 |
$5K |
| 87880 |
|
270 |
236 |
$5K |
| 80076 |
|
118 |
103 |
$5K |
| 96374 |
|
255 |
212 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
76 |
64 |
$3K |
| 71046 |
|
35 |
31 |
$2K |
| 82306 |
|
57 |
53 |
$2K |
| 96361 |
|
116 |
102 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
141 |
125 |
$1K |
| 87651 |
|
30 |
29 |
$1K |
| 80306 |
|
13 |
12 |
$1K |
| 96375 |
|
47 |
38 |
$1K |
| 82728 |
|
25 |
24 |
$1K |
| 90471 |
|
91 |
87 |
$970.55 |
| 81025 |
|
40 |
39 |
$845.08 |
| 90686 |
|
116 |
106 |
$844.11 |
| 85652 |
|
13 |
12 |
$626.60 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
35 |
26 |
$585.36 |
| 82607 |
|
12 |
12 |
$553.21 |
| 84484 |
|
20 |
16 |
$551.58 |
| 86140 |
|
31 |
26 |
$545.71 |
| 80061 |
|
12 |
12 |
$500.95 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
45 |
38 |
$495.59 |
| 83605 |
|
13 |
13 |
$406.53 |
| 81003 |
|
27 |
24 |
$179.07 |
| 83735 |
|
13 |
13 |
$140.87 |
| J3490 |
Unclassified drugs |
18 |
13 |
$121.74 |
| 99072 |
|
190 |
167 |
$32.37 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
24 |
13 |
$7.73 |