| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
8,799 |
8,378 |
$2.98M |
| 99284 |
|
11,934 |
11,394 |
$2.19M |
| 99283 |
|
15,587 |
15,033 |
$2.01M |
| 97110 |
|
25,446 |
7,558 |
$703K |
| 96374 |
|
6,973 |
6,508 |
$689K |
| 74177 |
|
3,027 |
2,954 |
$479K |
| 43239 |
|
1,859 |
1,846 |
$475K |
| G0463 |
Hospital outpt clinic visit |
10,174 |
8,968 |
$429K |
| 45380 |
|
1,025 |
1,016 |
$421K |
| 92507 |
|
9,166 |
3,301 |
$366K |
| 42820 |
|
139 |
138 |
$361K |
| 99282 |
|
4,086 |
3,991 |
$299K |
| 87635 |
|
9,489 |
9,094 |
$253K |
| 71046 |
|
5,806 |
5,652 |
$226K |
| 97112 |
|
8,229 |
3,276 |
$194K |
| 96365 |
|
2,424 |
2,079 |
$188K |
| 96375 |
|
5,874 |
4,969 |
$170K |
| G0378 |
Hospital observation per hr |
2,739 |
1,729 |
$166K |
| 45385 |
|
362 |
360 |
$165K |
| 97140 |
|
10,761 |
3,898 |
$162K |
| 97161 |
|
3,184 |
3,146 |
$156K |
| 96361 |
|
5,482 |
4,439 |
$140K |
| 97530 |
|
5,140 |
2,258 |
$138K |
| 80061 |
|
9,316 |
9,236 |
$133K |
| 70450 |
|
1,535 |
1,508 |
$131K |
| 59025 |
|
1,382 |
994 |
$129K |
| 43248 |
|
575 |
571 |
$123K |
| 93306 |
|
506 |
502 |
$105K |
| 87491 |
|
5,970 |
5,851 |
$101K |
| 87591 |
|
5,971 |
5,852 |
$100K |
| 76856 |
|
1,701 |
1,689 |
$100K |
| 76801 |
|
1,660 |
1,596 |
$98K |
| 96360 |
|
953 |
929 |
$98K |
| 71260 |
|
981 |
951 |
$96K |
| 74176 |
|
837 |
825 |
$95K |
| 84443 |
|
12,060 |
11,814 |
$93K |
| 80053 |
|
30,084 |
27,601 |
$91K |
| 77067 |
|
1,711 |
1,708 |
$83K |
| 76705 |
|
1,397 |
1,376 |
$77K |
| 76805 |
|
1,252 |
1,249 |
$76K |
| 76816 |
|
1,333 |
1,272 |
$62K |
| 80081 |
|
1,680 |
1,656 |
$60K |
| 85025 |
|
31,938 |
27,988 |
$59K |
| 95810 |
|
110 |
110 |
$56K |
| 71045 |
|
1,407 |
1,366 |
$55K |
| 82306 |
|
3,223 |
3,197 |
$50K |
| 80307 |
|
3,381 |
3,232 |
$46K |
| 87624 |
|
2,164 |
2,149 |
$42K |
| 96366 |
|
989 |
577 |
$34K |
| 87631 |
|
4,917 |
4,825 |
$34K |
| 87653 |
|
1,629 |
1,614 |
$30K |
| 88142 |
|
2,717 |
2,704 |
$30K |
| 73630 |
|
1,730 |
1,574 |
$30K |
| 93976 |
|
546 |
542 |
$29K |
| 83036 |
|
5,346 |
5,280 |
$27K |
| 97162 |
|
544 |
541 |
$27K |
| 87086 |
|
9,276 |
8,751 |
$26K |
| 36415 |
|
37,838 |
32,694 |
$24K |
| 87480 |
|
2,091 |
2,067 |
$23K |
| 73130 |
|
1,568 |
1,287 |
$22K |
| 87510 |
|
2,044 |
2,023 |
$22K |
| 87660 |
|
1,954 |
1,932 |
$21K |
| 73721 |
|
155 |
150 |
$20K |
| 82607 |
|
2,491 |
2,473 |
$19K |
| 87661 |
|
1,059 |
1,048 |
$19K |
| M0245 |
Bamlan and etesev infusion |
78 |
78 |
$19K |
| 95811 |
|
36 |
36 |
$19K |
| 77063 |
|
1,395 |
1,394 |
$18K |
| 74018 |
|
753 |
731 |
$17K |
| 86803 |
|
2,331 |
2,310 |
$17K |
| 73610 |
|
1,279 |
1,213 |
$16K |
| 84702 |
|
2,891 |
2,133 |
$16K |
| 97165 |
|
264 |
264 |
$15K |
| 84439 |
|
3,301 |
3,228 |
$15K |
| 99281 |
|
394 |
392 |
$15K |
| 73030 |
|
801 |
732 |
$14K |
| 87633 |
|
289 |
285 |
$13K |
| 76830 |
|
211 |
210 |
$13K |
| 72100 |
|
377 |
376 |
$13K |
| 90471 |
|
1,185 |
1,114 |
$12K |
| 80048 |
|
6,192 |
5,320 |
$12K |
| 92523 |
|
98 |
98 |
$12K |
| 73560 |
|
821 |
691 |
$11K |
| 96372 |
|
4,628 |
3,964 |
$11K |
| M0243 |
Casirivi and imdevi inj |
39 |
39 |
$10K |
| 85027 |
|
3,340 |
3,253 |
$10K |
| 87077 |
|
2,978 |
2,865 |
$9K |
| 82728 |
|
1,221 |
1,191 |
$9K |
| 87186 |
|
2,758 |
2,667 |
$9K |
| 93005 |
|
7,548 |
6,953 |
$9K |
| 88305 |
|
1,626 |
1,603 |
$9K |
| 84481 |
|
937 |
913 |
$8K |
| G0499 |
Hepb screen high risk indiv |
513 |
504 |
$8K |
| 87798 |
|
436 |
433 |
$8K |
| 76642 |
|
188 |
188 |
$8K |
| 93971 |
|
140 |
137 |
$8K |
| 87563 |
|
397 |
388 |
$7K |
| 81514 |
|
68 |
68 |
$7K |
| 86140 |
|
3,256 |
3,073 |
$7K |
| 73110 |
|
463 |
431 |
$7K |
| 86703 |
|
930 |
913 |
$7K |
| 86900 |
|
709 |
681 |
$7K |
| 86780 |
|
766 |
754 |
$6K |
| 83880 |
|
893 |
803 |
$5K |
| 82043 |
|
1,645 |
1,636 |
$5K |
| 83540 |
|
1,440 |
1,408 |
$5K |
| G0480 |
Drug test def 1-7 classes |
1,615 |
1,534 |
$4K |
| 82950 |
|
1,638 |
1,617 |
$4K |
| 73562 |
|
225 |
199 |
$4K |
| 87481 |
|
93 |
89 |
$4K |
| 76536 |
|
69 |
68 |
$4K |
| M0247 |
Sotrovimab infusion |
18 |
18 |
$4K |
| 72110 |
|
81 |
80 |
$4K |
| 86038 |
|
616 |
608 |
$3K |
| 20610 |
|
24 |
24 |
$3K |
| 72148 |
|
24 |
24 |
$3K |
| 87651 |
|
1,084 |
1,070 |
$3K |
| 83550 |
|
648 |
630 |
$3K |
| 76700 |
|
53 |
53 |
$3K |
| 83735 |
|
2,343 |
1,878 |
$3K |
| 87801 |
|
89 |
89 |
$3K |
| 82570 |
|
1,003 |
934 |
$3K |
| 85652 |
|
2,272 |
2,156 |
$3K |
| 87070 |
|
908 |
886 |
$3K |
| 90472 |
|
82 |
82 |
$2K |
| 81001 |
|
12,488 |
11,703 |
$2K |
| 93017 |
|
86 |
86 |
$2K |
| 81015 |
|
1,572 |
1,540 |
$2K |
| 80076 |
|
555 |
535 |
$2K |
| 82746 |
|
279 |
275 |
$2K |
| 85610 |
|
2,350 |
1,946 |
$2K |
| 84403 |
|
140 |
136 |
$2K |
| 70486 |
|
39 |
39 |
$2K |
| 70360 |
|
66 |
66 |
$2K |
| 83001 |
|
197 |
193 |
$2K |
| 94060 |
|
12 |
12 |
$2K |
| 83690 |
|
6,267 |
5,801 |
$2K |
| 93975 |
|
12 |
12 |
$1K |
| 87486 |
|
284 |
280 |
$1K |
| 87581 |
|
284 |
280 |
$1K |
| 10060 |
|
13 |
13 |
$1K |
| 84703 |
|
8,471 |
8,057 |
$1K |
| 41899 |
|
12 |
12 |
$1K |
| 83020 |
|
199 |
193 |
$1K |
| G0108 |
Diab manage trn per indiv |
17 |
14 |
$1K |
| 86431 |
|
449 |
445 |
$1K |
| 83516 |
|
126 |
104 |
$993.93 |
| G0103 |
Psa screening |
91 |
90 |
$982.87 |
| 73502 |
|
52 |
52 |
$974.63 |
| 80074 |
|
41 |
41 |
$899.86 |
| 97535 |
|
39 |
25 |
$874.72 |
| 84146 |
|
86 |
84 |
$790.09 |
| 84156 |
|
459 |
396 |
$755.01 |
| 87804 |
|
2,223 |
1,140 |
$753.61 |
| 76817 |
|
68 |
65 |
$745.71 |
| 71271 |
|
12 |
12 |
$703.78 |
| 82670 |
|
41 |
41 |
$676.39 |
| 82565 |
|
254 |
251 |
$673.13 |
| 72125 |
|
106 |
106 |
$636.29 |
| 82247 |
|
248 |
132 |
$625.98 |
| 85730 |
|
1,210 |
1,106 |
$618.05 |
| 96367 |
|
36 |
28 |
$604.46 |
| 94640 |
|
1,435 |
1,230 |
$593.54 |
| 83655 |
|
76 |
76 |
$573.28 |
| 76815 |
|
13 |
12 |
$530.97 |
| 84550 |
|
285 |
271 |
$520.73 |
| 86850 |
|
629 |
604 |
$468.61 |
| 94726 |
|
26 |
26 |
$466.93 |
| 72070 |
|
12 |
12 |
$455.35 |
| 86200 |
|
84 |
84 |
$409.29 |
| 82550 |
|
232 |
222 |
$405.13 |
| 84484 |
|
5,314 |
4,385 |
$379.54 |
| 85379 |
|
1,162 |
1,136 |
$367.94 |
| 83721 |
|
68 |
67 |
$352.78 |
| 86901 |
|
1,012 |
963 |
$256.92 |
| 73140 |
|
13 |
13 |
$255.27 |
| 87880 |
|
621 |
616 |
$236.91 |
| 87205 |
|
165 |
158 |
$230.76 |
| 84460 |
|
67 |
65 |
$201.41 |
| 73090 |
|
13 |
13 |
$189.44 |
| 86160 |
|
18 |
13 |
$162.24 |
| 86696 |
|
14 |
13 |
$158.21 |
| 97014 |
|
20 |
12 |
$146.60 |
| 86162 |
|
13 |
13 |
$137.40 |
| 84450 |
|
44 |
42 |
$132.24 |
| 82785 |
|
12 |
12 |
$127.40 |
| 86225 |
|
25 |
24 |
$126.62 |
| 83002 |
|
12 |
12 |
$115.88 |
| 86141 |
|
15 |
15 |
$115.87 |
| 84402 |
|
12 |
12 |
$110.49 |
| 83605 |
|
1,760 |
1,488 |
$107.94 |
| 86695 |
|
14 |
13 |
$107.77 |
| 84100 |
|
57 |
52 |
$107.70 |
| 86706 |
|
15 |
14 |
$101.25 |
| 82784 |
|
12 |
12 |
$87.18 |
| 82951 |
|
12 |
12 |
$84.26 |
| 87340 |
|
12 |
12 |
$78.49 |
| 82962 |
|
2,929 |
1,984 |
$78.19 |
| 85018 |
|
86 |
79 |
$73.19 |
| 76820 |
|
19 |
12 |
$64.84 |
| 87040 |
|
786 |
473 |
$61.59 |
| 87502 |
|
14 |
14 |
$52.40 |
| 96376 |
|
1,630 |
1,078 |
$52.38 |
| J0689 |
Inj cefazolin sodium, baxter |
606 |
581 |
$46.43 |
| 87807 |
|
269 |
266 |
$44.14 |
| 81003 |
|
951 |
918 |
$37.92 |
| 96127 |
|
12 |
12 |
$37.90 |
| 86592 |
|
14 |
13 |
$34.84 |
| 87210 |
|
407 |
402 |
$19.91 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
181 |
115 |
$11.89 |
| J1885 |
Ketorolac tromethamine inj |
3,844 |
3,552 |
$9.36 |
| J1200 |
Diphenhydramine hcl injectio |
1,301 |
1,209 |
$8.83 |
| J0696 |
Ceftriaxone sodium injection |
947 |
793 |
$4.60 |
| J2405 |
Ondansetron hcl injection |
7,879 |
7,283 |
$2.42 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,314 |
5,135 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
163 |
158 |
$0.00 |
| 90715 |
|
217 |
217 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
694 |
686 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
542 |
532 |
$0.00 |
| A6254 |
Absorpt drg <=16 sq in w/bdr |
40 |
39 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
188 |
185 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
291 |
289 |
$0.00 |
| 94729 |
|
27 |
27 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
27 |
26 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
53 |
53 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
281 |
279 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,431 |
2,386 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
2,814 |
2,764 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
678 |
605 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
133 |
131 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
201 |
198 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
605 |
600 |
$0.00 |
| J2060 |
Lorazepam injection |
106 |
84 |
$0.00 |
| J8501 |
Oral aprepitant |
66 |
66 |
$0.00 |
| 12001 |
|
13 |
13 |
$0.00 |
| 73060 |
|
12 |
12 |
$0.00 |