| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
17,880 |
15,384 |
$680K |
| 99212 |
|
12,583 |
10,802 |
$369K |
| 66984 |
|
1,461 |
973 |
$338K |
| 87428 |
|
3,515 |
3,095 |
$234K |
| 99213 |
|
5,465 |
4,712 |
$200K |
| 96372 |
|
6,026 |
5,017 |
$166K |
| 81025 |
|
11,212 |
9,671 |
$95K |
| 0241U |
|
471 |
438 |
$68K |
| 71046 |
|
1,370 |
1,164 |
$67K |
| 87880 |
|
3,558 |
3,186 |
$57K |
| 99214 |
|
1,191 |
1,027 |
$51K |
| 41899 |
|
31 |
26 |
$32K |
| V2632 |
Post chmbr intraocular lens |
1,352 |
882 |
$31K |
| 84443 |
|
2,353 |
1,353 |
$27K |
| 87491 |
|
1,065 |
903 |
$26K |
| 87591 |
|
1,065 |
903 |
$26K |
| 81002 |
|
7,152 |
5,976 |
$25K |
| 87070 |
|
2,324 |
2,041 |
$22K |
| 87804 |
|
1,400 |
1,337 |
$18K |
| 84439 |
|
2,296 |
1,326 |
$15K |
| 87651 |
|
381 |
356 |
$13K |
| J3490 |
Drugs unclassified injection |
4,185 |
2,324 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
2,854 |
2,249 |
$10K |
| 80053 |
|
1,293 |
1,053 |
$9K |
| 87426 |
|
256 |
202 |
$9K |
| 93005 |
|
359 |
282 |
$8K |
| 94640 |
|
144 |
141 |
$8K |
| 36415 |
|
4,234 |
2,709 |
$7K |
| 0353U |
|
269 |
244 |
$6K |
| 85027 |
|
1,113 |
911 |
$5K |
| 11042 |
|
54 |
30 |
$5K |
| A9270 |
Non-covered item or service |
1,622 |
655 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,033 |
826 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
393 |
327 |
$5K |
| 87088 |
|
472 |
409 |
$4K |
| Q0162 |
Ondansetron oral |
119 |
117 |
$4K |
| 87086 |
|
483 |
385 |
$4K |
| 86376 |
|
355 |
218 |
$4K |
| 87210 |
|
873 |
748 |
$4K |
| 87635 |
|
69 |
61 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
1,693 |
1,061 |
$3K |
| 11043 |
|
24 |
13 |
$3K |
| J3370 |
Vancomycin hcl injection |
1,587 |
1,038 |
$2K |
| 81003 |
|
627 |
550 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,407 |
867 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
19 |
17 |
$2K |
| 73130 |
|
15 |
12 |
$2K |
| 77072 |
|
36 |
28 |
$1K |
| 84146 |
|
77 |
55 |
$1K |
| 73562 |
|
14 |
12 |
$1K |
| 80061 |
|
130 |
68 |
$1K |
| 85025 |
|
116 |
97 |
$855.32 |
| 83690 |
|
127 |
115 |
$821.59 |
| 86255 |
|
86 |
52 |
$780.52 |
| J1580 |
Garamycin gentamicin inj |
1,381 |
862 |
$601.59 |
| 82043 |
|
151 |
79 |
$569.59 |
| 83516 |
|
67 |
39 |
$556.92 |
| U0005 |
Infec agen detec ampli probe |
19 |
17 |
$518.66 |
| 82570 |
|
155 |
81 |
$516.00 |
| 87807 |
|
31 |
30 |
$503.40 |
| 82784 |
|
65 |
39 |
$451.62 |
| 84484 |
|
63 |
56 |
$445.35 |
| J7120 |
Ringers lactate infusion |
37 |
26 |
$363.18 |
| 82670 |
|
18 |
12 |
$356.04 |
| 87077 |
|
59 |
37 |
$349.20 |
| 82947 |
|
290 |
167 |
$332.61 |
| 83001 |
|
18 |
13 |
$301.08 |
| 83002 |
|
18 |
13 |
$300.04 |
| 86800 |
|
25 |
14 |
$277.48 |
| J3010 |
Fentanyl citrate injection |
48 |
40 |
$249.26 |
| J2704 |
Inj, propofol, 10 mg |
32 |
27 |
$238.37 |
| 82550 |
|
44 |
42 |
$236.95 |
| 83519 |
|
19 |
12 |
$202.08 |
| J2405 |
Ondansetron hcl injection |
47 |
39 |
$186.35 |
| 82565 |
|
52 |
28 |
$185.92 |
| 87186 |
|
15 |
14 |
$128.38 |
| 82150 |
|
15 |
15 |
$114.43 |
| 80048 |
|
18 |
15 |
$99.90 |
| 82552 |
|
18 |
13 |
$72.07 |
| 87205 |
|
16 |
13 |
$47.79 |