| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
|
29,477 |
27,588 |
$7.59M |
| G0463 |
Hospital outpt clinic visit |
66,199 |
60,808 |
$5.50M |
| X4003 |
|
25,248 |
17,137 |
$3.54M |
| 85025 |
|
70,365 |
60,451 |
$3.21M |
| 99284 |
|
15,686 |
14,567 |
$2.80M |
| 99283 |
|
19,713 |
18,646 |
$2.66M |
| 80053 |
|
50,018 |
45,605 |
$2.14M |
| 76816 |
|
10,355 |
9,497 |
$1.63M |
| 80307 |
|
8,679 |
5,099 |
$1.62M |
| 59025 |
|
4,384 |
3,747 |
$1.59M |
| 99285 |
|
5,282 |
4,815 |
$1.45M |
| 87086 |
|
4,837 |
4,504 |
$978K |
| 99213 |
|
8,796 |
7,734 |
$955K |
| 76815 |
|
4,371 |
3,626 |
$950K |
| 81001 |
|
10,134 |
9,526 |
$905K |
| 96374 |
|
8,249 |
7,638 |
$841K |
| X4006 |
|
1,984 |
1,579 |
$822K |
| 93005 |
|
15,093 |
13,696 |
$705K |
| 87808 |
|
4,235 |
4,020 |
$671K |
| 87591 |
|
3,750 |
3,548 |
$617K |
| 87389 |
|
4,168 |
3,983 |
$614K |
| 87491 |
|
3,754 |
3,549 |
$611K |
| G0480 |
Drug test def 1-7 classes |
1,314 |
828 |
$528K |
| G0378 |
Hospital observation per hr |
953 |
811 |
$412K |
| 99212 |
|
3,721 |
3,230 |
$365K |
| 76817 |
|
2,172 |
1,930 |
$348K |
| 45380 |
|
836 |
778 |
$337K |
| 71046 |
|
5,261 |
4,968 |
$337K |
| 99214 |
|
1,590 |
1,263 |
$320K |
| 84702 |
|
7,349 |
6,999 |
$306K |
| 76818 |
|
2,943 |
2,046 |
$299K |
| 0241U |
|
3,454 |
3,344 |
$298K |
| 84484 |
|
12,475 |
9,107 |
$274K |
| 90853 |
|
18,035 |
1,452 |
$245K |
| 36415 |
|
3,409 |
2,766 |
$241K |
| 99282 |
|
3,114 |
2,918 |
$236K |
| 86780 |
|
2,860 |
2,732 |
$205K |
| 81025 |
|
3,199 |
3,079 |
$182K |
| 74177 |
|
804 |
756 |
$152K |
| 88305 |
|
2,814 |
2,055 |
$148K |
| 86900 |
|
848 |
789 |
$137K |
| 43239 |
|
438 |
375 |
$125K |
| 86901 |
|
843 |
789 |
$118K |
| 71045 |
|
3,325 |
2,995 |
$117K |
| 86850 |
|
853 |
802 |
$114K |
| 96413 |
|
1,276 |
519 |
$107K |
| 76811 |
|
619 |
603 |
$101K |
| 96372 |
|
2,287 |
2,082 |
$101K |
| 87651 |
|
3,316 |
3,284 |
$95K |
| 96375 |
|
2,617 |
2,130 |
$87K |
| 76805 |
|
404 |
391 |
$76K |
| J3490 |
Drugs unclassified injection |
6,508 |
3,865 |
$69K |
| 86592 |
|
181 |
168 |
$69K |
| 86803 |
|
453 |
430 |
$60K |
| 90471 |
|
257 |
243 |
$58K |
| 81003 |
|
12,147 |
10,364 |
$56K |
| Y7506 |
|
380 |
328 |
$52K |
| 87340 |
|
672 |
632 |
$48K |
| 99203 |
|
4,767 |
4,728 |
$47K |
| 36902 |
|
81 |
78 |
$45K |
| 70450 |
|
815 |
742 |
$45K |
| C9803 |
Hopd covid-19 spec collect |
3,107 |
2,947 |
$41K |
| 86762 |
|
317 |
303 |
$36K |
| 87804 |
|
301 |
154 |
$35K |
| 87635 |
|
990 |
935 |
$35K |
| 45385 |
|
78 |
75 |
$34K |
| 82962 |
|
2,778 |
2,367 |
$33K |
| 88142 |
|
167 |
156 |
$32K |
| 82947 |
|
95 |
89 |
$26K |
| 73630 |
|
118 |
103 |
$26K |
| 76820 |
|
258 |
199 |
$26K |
| 87428 |
|
985 |
982 |
$26K |
| 87880 |
|
1,490 |
1,458 |
$26K |
| 96361 |
|
526 |
487 |
$25K |
| 87081 |
|
480 |
438 |
$25K |
| 80055 |
|
63 |
58 |
$24K |
| 80048 |
|
644 |
577 |
$22K |
| 83690 |
|
3,516 |
3,268 |
$20K |
| 90832 |
|
711 |
621 |
$19K |
| 76801 |
|
133 |
117 |
$18K |
| 45378 |
|
39 |
37 |
$17K |
| 87426 |
|
1,630 |
1,609 |
$15K |
| 83735 |
|
1,834 |
1,637 |
$14K |
| 83020 |
|
60 |
60 |
$10K |
| 73564 |
|
254 |
193 |
$10K |
| 75710 |
|
64 |
50 |
$8K |
| 87400 |
|
174 |
166 |
$8K |
| 11042 |
|
343 |
182 |
$7K |
| 95911 |
|
24 |
24 |
$7K |
| 99291 |
|
16 |
12 |
$7K |
| 62323 |
|
16 |
13 |
$6K |
| 87536 |
|
145 |
134 |
$6K |
| 83036 |
|
1,121 |
1,092 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
253 |
234 |
$6K |
| 76819 |
|
82 |
70 |
$6K |
| 0240U |
|
45 |
45 |
$5K |
| 76821 |
|
79 |
63 |
$5K |
| 88175 |
|
272 |
258 |
$4K |
| 99211 |
|
69 |
65 |
$3K |
| 94726 |
|
12 |
12 |
$2K |
| 95886 |
|
42 |
39 |
$2K |
| 94060 |
|
13 |
13 |
$2K |
| Y7507 |
|
20 |
12 |
$2K |
| 99204 |
|
109 |
109 |
$2K |
| 66984 |
|
14 |
12 |
$1K |
| 83880 |
|
75 |
65 |
$1K |
| 87637 |
|
29 |
26 |
$1K |
| 93976 |
|
27 |
24 |
$1K |
| 71260 |
|
15 |
13 |
$1K |
| 77336 |
|
31 |
12 |
$1K |
| U0005 |
Infec agen detec ampli probe |
223 |
220 |
$1K |
| 88307 |
|
14 |
14 |
$991.90 |
| 83605 |
|
55 |
43 |
$869.97 |
| 80061 |
|
160 |
146 |
$859.12 |
| 99238 |
|
12 |
12 |
$741.96 |
| 94640 |
|
15 |
15 |
$692.76 |
| 87661 |
|
29 |
28 |
$623.12 |
| 73502 |
|
12 |
12 |
$585.71 |
| C1894 |
Intro/sheath, non-laser |
894 |
723 |
$577.50 |
| 86361 |
|
38 |
36 |
$470.42 |
| 87430 |
|
26 |
26 |
$402.86 |
| 81002 |
|
155 |
149 |
$370.55 |
| 87624 |
|
26 |
25 |
$342.68 |
| C1725 |
Cath, translumin non-laser |
630 |
513 |
$341.25 |
| 64483 |
|
16 |
13 |
$325.71 |
| 90480 |
|
34 |
33 |
$285.40 |
| 82657 |
|
14 |
14 |
$264.52 |
| 0124A |
|
13 |
13 |
$243.37 |
| 87899 |
|
14 |
14 |
$191.73 |
| 51798 |
|
13 |
12 |
$144.00 |
| G0008 |
Admin influenza virus vac |
47 |
17 |
$143.57 |
| C1887 |
Catheter, guiding |
235 |
196 |
$139.50 |
| 85379 |
|
28 |
27 |
$131.07 |
| C1769 |
Guide wire |
1,323 |
1,080 |
$122.25 |
| J7050 |
Normal saline solution infus |
932 |
347 |
$114.22 |
| 85027 |
|
25 |
25 |
$84.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
820 |
744 |
$66.97 |
| J1644 |
Inj heparin sodium per 1000u |
1,553 |
1,165 |
$62.89 |
| J2704 |
Inj, propofol, 10 mg |
344 |
323 |
$62.12 |
| 87205 |
|
13 |
12 |
$59.83 |
| 76937 |
|
40 |
25 |
$49.13 |
| J7030 |
Normal saline solution infus |
342 |
307 |
$48.73 |
| 80069 |
|
15 |
13 |
$41.25 |
| J1100 |
Dexamethasone sodium phos |
359 |
337 |
$7.39 |
| J3010 |
Fentanyl citrate injection |
756 |
677 |
$2.52 |
| J2250 |
Inj midazolam hydrochloride |
332 |
295 |
$2.51 |
| G1004 |
Cdsm ndsc |
186 |
137 |
$0.16 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
71 |
67 |
$0.00 |
| 36215 |
|
40 |
37 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
12 |
12 |
$0.00 |
| 36416 |
|
80 |
80 |
$0.00 |
| 87807 |
|
57 |
57 |
$0.00 |
| 36591 |
|
255 |
126 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
335 |
141 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
12 |
12 |
$0.00 |
| 99070 |
|
134 |
39 |
$0.00 |
| 99202 |
|
42 |
42 |
$0.00 |
| A9270 |
Non-covered item or service |
16 |
13 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
13 |
12 |
$0.00 |