| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
34,395 |
31,588 |
$9.36M |
| 99285 |
|
16,079 |
14,605 |
$6.15M |
| 99283 |
|
24,742 |
23,040 |
$3.91M |
| 96374 |
|
17,740 |
16,048 |
$575K |
| 80307 |
|
18,089 |
16,452 |
$567K |
| 85025 |
|
82,030 |
74,392 |
$412K |
| 99282 |
|
4,402 |
4,146 |
$378K |
| 96413 |
|
3,470 |
1,674 |
$312K |
| 93306 |
|
11,364 |
9,328 |
$293K |
| 80053 |
|
56,830 |
49,982 |
$272K |
| 87426 |
|
12,048 |
11,070 |
$270K |
| 82306 |
|
14,242 |
13,401 |
$268K |
| 86850 |
|
13,793 |
12,988 |
$207K |
| 84484 |
|
15,130 |
13,036 |
$192K |
| 71045 |
|
16,158 |
14,711 |
$184K |
| 87389 |
|
13,173 |
12,451 |
$175K |
| 96375 |
|
11,822 |
9,720 |
$174K |
| 96361 |
|
12,561 |
11,656 |
$161K |
| 93010 |
|
51,005 |
44,712 |
$156K |
| 87086 |
|
26,447 |
24,440 |
$148K |
| 59025 |
|
1,914 |
1,591 |
$147K |
| G0378 |
Hospital observation per hr |
371 |
236 |
$124K |
| 84702 |
|
8,168 |
7,262 |
$121K |
| 70450 |
|
4,141 |
3,836 |
$112K |
| 86787 |
|
5,822 |
5,449 |
$106K |
| 86780 |
|
13,268 |
12,522 |
$104K |
| 86900 |
|
6,524 |
6,084 |
$103K |
| 74177 |
|
1,244 |
1,159 |
$99K |
| 84144 |
|
5,355 |
4,931 |
$83K |
| 74176 |
|
1,347 |
1,229 |
$78K |
| 83036 |
|
9,941 |
9,377 |
$77K |
| 11042 |
|
1,823 |
1,068 |
$74K |
| 83880 |
|
2,793 |
2,314 |
$68K |
| 43235 |
|
100 |
91 |
$67K |
| 82728 |
|
6,653 |
6,357 |
$65K |
| 86803 |
|
5,673 |
5,327 |
$65K |
| 83690 |
|
17,687 |
16,312 |
$65K |
| 80048 |
|
9,943 |
8,840 |
$58K |
| J2405 |
Ondansetron hcl injection |
8,714 |
7,895 |
$51K |
| 84443 |
|
4,082 |
3,819 |
$47K |
| 82951 |
|
4,292 |
4,085 |
$43K |
| 87276 |
|
8,550 |
7,975 |
$41K |
| 93005 |
|
19,716 |
17,809 |
$40K |
| 86762 |
|
5,430 |
5,080 |
$37K |
| 86901 |
|
6,566 |
6,122 |
$37K |
| 87340 |
|
5,321 |
4,994 |
$36K |
| J2469 |
Palonosetron hcl |
280 |
150 |
$34K |
| 77336 |
|
863 |
359 |
$34K |
| 36415 |
|
15,485 |
12,544 |
$32K |
| 81025 |
|
10,170 |
9,522 |
$32K |
| 87275 |
|
8,550 |
7,975 |
$29K |
| J1439 |
Inj ferric carboxymaltos 1mg |
66 |
37 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
389 |
317 |
$26K |
| 77334 |
|
152 |
103 |
$24K |
| 96365 |
|
550 |
459 |
$24K |
| 83605 |
|
4,001 |
3,629 |
$22K |
| 11043 |
|
297 |
186 |
$19K |
| 96360 |
|
692 |
638 |
$19K |
| 87081 |
|
4,253 |
4,099 |
$18K |
| G0463 |
Hospital outpt clinic visit |
2,114 |
1,414 |
$17K |
| 71046 |
|
1,442 |
1,338 |
$17K |
| 81001 |
|
20,601 |
19,085 |
$16K |
| 84703 |
|
3,882 |
3,692 |
$13K |
| 83615 |
|
2,628 |
2,148 |
$12K |
| 84460 |
|
2,724 |
2,307 |
$12K |
| 87186 |
|
1,681 |
1,540 |
$12K |
| 84450 |
|
2,721 |
2,305 |
$12K |
| 87147 |
|
1,070 |
941 |
$12K |
| 84520 |
|
2,219 |
1,845 |
$10K |
| 84550 |
|
2,663 |
2,174 |
$9K |
| 82565 |
|
1,425 |
1,196 |
$9K |
| 85610 |
|
4,670 |
4,298 |
$8K |
| 85027 |
|
1,874 |
1,747 |
$8K |
| J1756 |
Iron sucrose injection |
543 |
192 |
$7K |
| 71260 |
|
170 |
152 |
$7K |
| U0004 |
Cov-19 test non-cdc hgh thru |
126 |
110 |
$6K |
| 81003 |
|
8,489 |
7,915 |
$6K |
| 96372 |
|
1,574 |
1,326 |
$6K |
| 84134 |
|
1,315 |
1,227 |
$6K |
| 82077 |
|
2,164 |
1,930 |
$6K |
| 96417 |
|
120 |
62 |
$5K |
| 77300 |
|
48 |
42 |
$5K |
| 82947 |
|
960 |
914 |
$5K |
| 80061 |
|
1,201 |
1,120 |
$5K |
| 87491 |
|
195 |
187 |
$4K |
| 87591 |
|
195 |
187 |
$4K |
| 82570 |
|
776 |
650 |
$4K |
| 76700 |
|
84 |
83 |
$4K |
| 84466 |
|
968 |
903 |
$4K |
| 82607 |
|
605 |
582 |
$4K |
| 84156 |
|
1,864 |
1,548 |
$4K |
| G0480 |
Drug test def 1-7 classes |
54 |
50 |
$3K |
| 83540 |
|
1,228 |
1,157 |
$3K |
| 84439 |
|
446 |
421 |
$3K |
| 85730 |
|
602 |
568 |
$3K |
| J1453 |
Fosaprepitant injection |
21 |
12 |
$3K |
| 74246 |
|
70 |
70 |
$2K |
| 84425 |
|
245 |
230 |
$2K |
| 82575 |
|
285 |
274 |
$2K |
| 97110 |
|
64 |
12 |
$2K |
| 83735 |
|
701 |
645 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,470 |
917 |
$2K |
| 82746 |
|
454 |
440 |
$2K |
| 77280 |
|
16 |
12 |
$2K |
| 87077 |
|
348 |
319 |
$2K |
| 82731 |
|
53 |
49 |
$2K |
| 77290 |
|
16 |
14 |
$1K |
| 87040 |
|
147 |
129 |
$1K |
| 85014 |
|
945 |
841 |
$1K |
| 99213 |
|
125 |
93 |
$1K |
| 80076 |
|
437 |
390 |
$1K |
| 87880 |
|
246 |
240 |
$1K |
| 96367 |
|
58 |
39 |
$1K |
| 84481 |
|
67 |
62 |
$993.18 |
| 82550 |
|
314 |
287 |
$969.25 |
| 83970 |
|
70 |
65 |
$866.31 |
| 96415 |
|
20 |
12 |
$857.07 |
| 74240 |
|
30 |
26 |
$798.55 |
| 72125 |
|
29 |
25 |
$781.90 |
| 87522 |
Neg quan hep c or qual rna |
29 |
25 |
$579.75 |
| 87205 |
|
320 |
257 |
$572.85 |
| 87210 |
|
182 |
178 |
$538.12 |
| 87088 |
|
82 |
80 |
$522.19 |
| 94640 |
|
162 |
145 |
$497.63 |
| A9577 |
Inj multihance |
29 |
25 |
$439.95 |
| 82553 |
|
242 |
223 |
$396.45 |
| 85379 |
|
56 |
52 |
$383.78 |
| 87070 |
|
294 |
242 |
$375.53 |
| 87635 |
|
14 |
13 |
$307.88 |
| 87075 |
|
120 |
92 |
$131.84 |
| 84145 |
|
14 |
13 |
$81.21 |
| 80177 |
|
16 |
15 |
$61.74 |
| J2930 |
Methylprednisolone injection |
14 |
13 |
$58.95 |
| 73562 |
|
13 |
12 |
$58.68 |
| J2765 |
Metoclopramide hcl injection |
25 |
25 |
$13.74 |
| J1885 |
Ketorolac tromethamine inj |
5,597 |
5,202 |
$8.44 |
| 84100 |
|
12 |
12 |
$3.25 |
| A9270 |
Non-covered item or service |
3,816 |
3,181 |
$0.77 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,419 |
1,352 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
292 |
270 |
$0.00 |
| 74022 |
|
19 |
15 |
$0.00 |