| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
31,220 |
21,827 |
$4.83M |
| 99283 |
|
29,784 |
19,370 |
$3.37M |
| 99285 |
|
9,207 |
6,434 |
$1.97M |
| 99211 |
|
42,522 |
40,310 |
$469K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,059 |
2,965 |
$248K |
| 96374 |
|
1,599 |
1,490 |
$214K |
| 87880 |
|
11,264 |
10,989 |
$145K |
| G0463 |
Hospital outpt clinic visit |
1,235 |
1,101 |
$101K |
| 0241U |
|
972 |
927 |
$99K |
| 87491 |
|
2,552 |
2,428 |
$85K |
| 96361 |
|
1,399 |
1,314 |
$82K |
| 87591 |
|
2,551 |
2,427 |
$82K |
| 36415 |
|
25,814 |
22,454 |
$64K |
| 0202U |
|
188 |
179 |
$61K |
| 90834 |
|
524 |
232 |
$53K |
| 90853 |
|
833 |
202 |
$52K |
| 59025 |
|
402 |
254 |
$50K |
| 87428 |
|
1,889 |
1,829 |
$50K |
| 93010 |
|
6,817 |
6,063 |
$49K |
| D2930 |
|
90 |
90 |
$47K |
| 96375 |
|
1,024 |
958 |
$44K |
| 71046 |
|
515 |
494 |
$31K |
| U0005 |
Infec agen detec ampli probe |
1,732 |
1,681 |
$29K |
| 99282 |
|
288 |
266 |
$28K |
| 87081 |
|
4,561 |
4,399 |
$28K |
| 80053 |
|
12,142 |
11,418 |
$23K |
| 87636 |
|
169 |
166 |
$22K |
| 69436 |
|
27 |
25 |
$22K |
| 99281 |
|
2,535 |
2,472 |
$18K |
| 84443 |
|
1,570 |
1,498 |
$17K |
| 80061 |
|
1,491 |
1,452 |
$16K |
| 87804 |
|
2,440 |
1,725 |
$16K |
| 90791 |
|
131 |
121 |
$16K |
| 71045 |
|
280 |
266 |
$16K |
| 96365 |
|
108 |
80 |
$15K |
| 87426 |
|
378 |
370 |
$13K |
| 88175 |
|
576 |
548 |
$13K |
| 99213 |
|
701 |
680 |
$13K |
| 82306 |
|
659 |
641 |
$12K |
| 85025 |
|
15,445 |
14,375 |
$12K |
| 87624 |
|
305 |
283 |
$9K |
| 86900 |
|
144 |
133 |
$9K |
| 45385 |
|
23 |
12 |
$6K |
| 87480 |
|
296 |
279 |
$6K |
| 87510 |
|
296 |
279 |
$6K |
| 87660 |
|
296 |
279 |
$6K |
| 87635 |
|
172 |
169 |
$6K |
| 83655 |
|
550 |
529 |
$6K |
| D0190 |
|
334 |
332 |
$5K |
| 99232 |
|
234 |
102 |
$5K |
| D1351 |
|
250 |
65 |
$5K |
| D1206 |
|
346 |
343 |
$5K |
| 88142 |
|
231 |
208 |
$4K |
| 87807 |
|
410 |
377 |
$4K |
| 87210 |
|
573 |
532 |
$4K |
| 99214 |
|
164 |
157 |
$4K |
| 83036 |
|
705 |
664 |
$4K |
| 87449 |
|
840 |
375 |
$4K |
| 80307 |
|
280 |
258 |
$3K |
| 76805 |
|
29 |
26 |
$3K |
| 74177 |
|
14 |
13 |
$3K |
| 81002 |
|
1,054 |
1,015 |
$3K |
| 87088 |
|
552 |
473 |
$3K |
| 76830 |
|
25 |
24 |
$3K |
| 87086 |
|
433 |
407 |
$3K |
| 84439 |
|
389 |
374 |
$3K |
| 93005 |
|
2,172 |
1,924 |
$2K |
| 87389 |
|
122 |
115 |
$2K |
| 85027 |
|
508 |
484 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
59 |
26 |
$2K |
| 87340 |
|
192 |
177 |
$1K |
| 90832 |
|
57 |
36 |
$1K |
| 82607 |
|
126 |
125 |
$1K |
| 76816 |
|
15 |
12 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| 83735 |
|
1,060 |
994 |
$1K |
| 80048 |
|
1,100 |
981 |
$986.99 |
| 76815 |
|
12 |
12 |
$975.92 |
| 74018 |
|
13 |
13 |
$937.37 |
| 85018 |
|
390 |
376 |
$890.00 |
| 86762 |
|
92 |
84 |
$791.81 |
| 87653 |
|
32 |
26 |
$782.04 |
| 99222 |
|
12 |
12 |
$762.31 |
| 86593 |
|
159 |
151 |
$648.24 |
| J2704 |
Inj, propofol, 10 mg |
600 |
570 |
$644.18 |
| 82728 |
|
62 |
61 |
$629.11 |
| 86803 |
|
50 |
49 |
$603.63 |
| J7120 |
Ringers lactate infusion |
949 |
819 |
$585.29 |
| 0240U |
|
15 |
15 |
$570.52 |
| J2405 |
Ondansetron hcl injection |
650 |
609 |
$565.64 |
| 80306 |
|
527 |
364 |
$535.21 |
| D1330 |
|
31 |
31 |
$509.02 |
| 84702 |
|
49 |
43 |
$485.46 |
| 87651 |
|
279 |
262 |
$433.42 |
| 82746 |
|
42 |
41 |
$403.11 |
| 99239 |
|
12 |
12 |
$403.02 |
| J1885 |
Ketorolac tromethamine inj |
557 |
526 |
$399.27 |
| 86780 |
|
43 |
36 |
$376.26 |
| 88305 |
|
314 |
182 |
$362.07 |
| J3301 |
Triamcinolone acet inj nos |
172 |
155 |
$354.83 |
| 86703 |
|
42 |
36 |
$351.99 |
| 87102 |
|
26 |
25 |
$341.10 |
| J1100 |
Dexamethasone sodium phos |
251 |
231 |
$292.14 |
| J2270 |
Morphine sulfate injection |
140 |
135 |
$280.90 |
| D0602 |
|
206 |
205 |
$197.15 |
| 82950 |
|
44 |
41 |
$185.33 |
| 83550 |
|
26 |
26 |
$132.80 |
| 81001 |
|
1,710 |
1,614 |
$109.44 |
| 87147 |
|
24 |
24 |
$108.24 |
| 83540 |
|
26 |
26 |
$98.40 |
| 81025 |
|
14 |
14 |
$81.80 |
| 82565 |
|
16 |
14 |
$66.11 |
| D0603 |
|
45 |
45 |
$42.00 |
| 84703 |
|
864 |
809 |
$21.38 |
| 83690 |
|
1,464 |
1,377 |
$14.51 |
| 85730 |
|
79 |
71 |
$13.34 |
| 81003 |
|
874 |
813 |
$12.71 |
| 99153 |
Mod sedat endo service >5yrs |
121 |
108 |
$8.02 |
| 85610 |
|
137 |
122 |
$4.37 |
| 84484 |
|
824 |
585 |
$4.28 |
| J3010 |
Fentanyl citrate injection |
14 |
13 |
$1.98 |
| 82077 |
|
117 |
106 |
$0.00 |
| 86901 |
|
144 |
133 |
$0.00 |
| 83605 |
|
498 |
428 |
$0.00 |
| 96372 |
|
889 |
835 |
$0.00 |
| J1790 |
Droperidol injection |
40 |
36 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
28 |
26 |
$0.00 |
| 86850 |
|
144 |
133 |
$0.00 |
| 83880 |
|
16 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
94 |
90 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
16 |
14 |
$0.00 |
| 86140 |
|
51 |
48 |
$0.00 |
| 94640 |
|
22 |
18 |
$0.00 |
| 36416 |
|
24 |
24 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
109 |
97 |
$0.00 |
| 80179 |
|
16 |
14 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
158 |
147 |
$0.00 |
| 80143 |
|
17 |
14 |
$0.00 |
| 80076 |
|
28 |
27 |
$0.00 |