| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
|
17,979 |
16,483 |
$7.22M |
| 99284 |
|
15,576 |
14,140 |
$3.04M |
| G0463 |
Hospital outpt clinic visit |
19,867 |
17,548 |
$1.30M |
| 85025 |
|
49,131 |
40,053 |
$1.17M |
| 99285 |
|
3,779 |
3,304 |
$1.10M |
| 80053 |
|
42,194 |
34,614 |
$946K |
| 99283 |
|
4,840 |
4,424 |
$743K |
| X4014 |
|
1,485 |
1,432 |
$725K |
| 93005 |
|
11,167 |
9,954 |
$548K |
| 96374 |
|
3,411 |
3,028 |
$364K |
| X4006 |
|
1,055 |
945 |
$342K |
| 80307 |
|
5,902 |
5,004 |
$266K |
| 66984 |
|
418 |
265 |
$240K |
| X4003 |
|
3,442 |
2,666 |
$212K |
| 71046 |
|
3,795 |
3,424 |
$190K |
| 81001 |
|
4,444 |
3,940 |
$180K |
| 97110 |
|
2,797 |
380 |
$160K |
| 20610 |
|
3,371 |
2,006 |
$149K |
| G0378 |
Hospital observation per hr |
390 |
320 |
$148K |
| 84484 |
|
7,178 |
5,862 |
$145K |
| Y7506 |
|
694 |
616 |
$144K |
| 99281 |
|
2,514 |
2,331 |
$127K |
| 70450 |
|
1,873 |
1,660 |
$114K |
| 81025 |
|
844 |
817 |
$91K |
| 99282 |
|
974 |
863 |
$87K |
| 96413 |
|
1,420 |
571 |
$86K |
| J3490 |
Drugs unclassified injection |
3,587 |
1,899 |
$67K |
| 71045 |
|
1,557 |
1,401 |
$63K |
| 80048 |
|
1,276 |
1,023 |
$56K |
| 85610 |
|
1,996 |
1,680 |
$30K |
| 83690 |
|
1,218 |
1,132 |
$28K |
| 0240U |
|
308 |
279 |
$27K |
| 73610 |
|
708 |
582 |
$27K |
| 87502 |
|
425 |
376 |
$26K |
| C9803 |
Hopd covid-19 spec collect |
1,359 |
1,221 |
$25K |
| 84702 |
|
2,130 |
2,021 |
$25K |
| 74177 |
|
181 |
164 |
$24K |
| 73630 |
|
583 |
454 |
$22K |
| G0480 |
Drug test def 1-7 classes |
217 |
190 |
$21K |
| 96375 |
|
768 |
569 |
$20K |
| 96372 |
|
417 |
369 |
$20K |
| 80050 |
|
44 |
36 |
$18K |
| 96361 |
|
302 |
242 |
$15K |
| 87635 |
|
466 |
412 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
159 |
101 |
$11K |
| 73564 |
|
381 |
302 |
$11K |
| 84443 |
|
1,790 |
1,053 |
$11K |
| 92134 |
|
396 |
350 |
$11K |
| 73560 |
|
163 |
140 |
$11K |
| 97162 |
|
83 |
38 |
$10K |
| 73130 |
|
707 |
508 |
$10K |
| 20611 |
|
101 |
65 |
$9K |
| 92083 |
|
240 |
223 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
255 |
235 |
$9K |
| 72100 |
|
382 |
346 |
$8K |
| 88305 |
|
205 |
168 |
$8K |
| 72125 |
|
194 |
159 |
$7K |
| 90792 |
|
68 |
65 |
$7K |
| 72040 |
|
365 |
317 |
$7K |
| 83735 |
|
2,543 |
1,521 |
$6K |
| 83880 |
|
245 |
216 |
$6K |
| 92014 |
|
82 |
79 |
$5K |
| 87636 |
|
65 |
60 |
$5K |
| 73521 |
|
91 |
90 |
$5K |
| 82550 |
|
297 |
203 |
$5K |
| 96365 |
|
34 |
27 |
$5K |
| 82553 |
|
41 |
37 |
$5K |
| 82962 |
|
431 |
311 |
$4K |
| 99211 |
|
357 |
245 |
$4K |
| 73502 |
|
173 |
149 |
$4K |
| 0241U |
|
42 |
40 |
$4K |
| 81003 |
|
232 |
180 |
$4K |
| 86235 |
|
1,238 |
215 |
$3K |
| 73030 |
|
182 |
151 |
$3K |
| 91010 |
|
13 |
12 |
$3K |
| 72082 |
|
117 |
106 |
$3K |
| 74176 |
|
27 |
26 |
$3K |
| 71260 |
|
47 |
40 |
$3K |
| 73110 |
|
198 |
156 |
$3K |
| 0001A |
|
160 |
156 |
$3K |
| 82805 |
|
33 |
28 |
$2K |
| 0002A |
|
145 |
145 |
$2K |
| 77336 |
|
47 |
24 |
$2K |
| 94726 |
|
15 |
13 |
$2K |
| 92202 |
|
158 |
152 |
$2K |
| 73562 |
|
154 |
130 |
$2K |
| 86038 |
|
585 |
346 |
$2K |
| 86832 |
|
19 |
12 |
$2K |
| 92004 |
|
14 |
14 |
$2K |
| 94060 |
|
15 |
13 |
$2K |
| 91200 |
|
42 |
39 |
$2K |
| 86833 |
|
19 |
12 |
$2K |
| 87389 |
|
93 |
72 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
100 |
88 |
$2K |
| 83605 |
|
164 |
150 |
$1K |
| 77334 |
|
18 |
12 |
$1K |
| 73523 |
|
17 |
16 |
$1K |
| 87591 |
|
66 |
61 |
$1K |
| 72110 |
|
47 |
42 |
$1K |
| 87086 |
|
397 |
331 |
$1K |
| 87491 |
|
53 |
49 |
$1K |
| 86256 |
|
182 |
94 |
$1K |
| 92012 |
|
29 |
26 |
$859.44 |
| 84100 |
|
768 |
364 |
$852.37 |
| 99202 |
|
32 |
32 |
$838.43 |
| 94640 |
|
35 |
30 |
$815.76 |
| 92133 |
|
29 |
26 |
$741.73 |
| J3301 |
Triamcinolone acet inj nos |
346 |
249 |
$732.49 |
| 72050 |
|
27 |
27 |
$691.21 |
| 86140 |
|
1,174 |
810 |
$633.54 |
| 86803 |
|
210 |
156 |
$606.51 |
| 86480 |
|
24 |
12 |
$605.38 |
| 83970 |
|
42 |
26 |
$571.96 |
| 86900 |
|
98 |
74 |
$548.31 |
| 82607 |
|
302 |
217 |
$529.04 |
| 82306 |
|
702 |
507 |
$505.40 |
| 83516 |
|
352 |
161 |
$484.49 |
| 83615 |
|
696 |
409 |
$460.50 |
| 99212 |
|
12 |
12 |
$440.60 |
| 85652 |
|
1,214 |
839 |
$396.66 |
| 85027 |
|
284 |
240 |
$341.01 |
| 86850 |
|
98 |
74 |
$335.91 |
| U0005 |
Infec agen detec ampli probe |
29 |
28 |
$275.00 |
| 84439 |
|
585 |
408 |
$273.59 |
| 86160 |
|
206 |
76 |
$268.43 |
| 87340 |
|
284 |
184 |
$261.64 |
| 80061 |
|
304 |
230 |
$245.30 |
| 92025 |
|
13 |
12 |
$220.32 |
| 51798 |
|
14 |
14 |
$201.60 |
| 82728 |
|
432 |
329 |
$186.67 |
| 83036 |
|
330 |
253 |
$185.53 |
| 87880 |
|
14 |
14 |
$181.10 |
| 86901 |
|
81 |
61 |
$179.94 |
| 84466 |
|
205 |
165 |
$172.68 |
| 87661 |
|
27 |
25 |
$171.68 |
| 86200 |
|
77 |
51 |
$162.25 |
| 82784 |
|
127 |
39 |
$152.82 |
| 82746 |
|
142 |
103 |
$149.97 |
| 36415 |
|
2,027 |
1,509 |
$119.39 |
| 83540 |
|
271 |
210 |
$116.33 |
| 82570 |
|
317 |
237 |
$114.67 |
| 86704 |
|
100 |
69 |
$112.63 |
| 72170 |
|
44 |
39 |
$101.19 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
12 |
$89.04 |
| 85730 |
|
112 |
97 |
$74.46 |
| 82085 |
|
123 |
74 |
$60.26 |
| 86706 |
|
46 |
29 |
$58.65 |
| J7050 |
Normal saline solution infus |
335 |
140 |
$56.36 |
| 86431 |
|
138 |
82 |
$40.54 |
| J2795 |
Ropivacaine hcl injection |
75 |
55 |
$27.55 |
| 84550 |
|
160 |
106 |
$17.34 |
| 84165 |
|
26 |
15 |
$15.78 |
| 86225 |
|
18 |
13 |
$12.98 |
| V2632 |
Post chmbr intraocular lens |
285 |
173 |
$10.32 |
| 82043 |
|
54 |
51 |
$6.05 |
| 84156 |
|
42 |
28 |
$1.15 |
| J3010 |
Fentanyl citrate injection |
78 |
66 |
$0.55 |
| G1004 |
Cdsm ndsc |
52 |
37 |
$0.02 |
| A9270 |
Non-covered item or service |
304 |
242 |
$0.00 |
| 99070 |
|
237 |
69 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
13 |
$0.00 |
| J7030 |
Normal saline solution infus |
47 |
44 |
$0.00 |
| J7120 |
Ringers lactate infusion |
33 |
25 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
55 |
46 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
50 |
25 |
$0.00 |