| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
50,973 |
10,288 |
$4.61M |
| 87591 |
|
27,677 |
23,651 |
$424K |
| 87491 |
|
27,729 |
23,694 |
$421K |
| 87389 |
|
15,237 |
13,243 |
$339K |
| 97161 |
|
4,352 |
2,802 |
$319K |
| 87633 |
|
2,145 |
1,735 |
$313K |
| 84443 |
|
43,332 |
38,335 |
$271K |
| 92507 |
|
9,257 |
2,228 |
$235K |
| 80053 |
|
63,588 |
55,099 |
$199K |
| 87799 |
|
5,323 |
3,165 |
$189K |
| 87481 |
|
6,313 |
3,841 |
$131K |
| 85025 |
|
74,637 |
64,044 |
$112K |
| U0002 |
Covid-19 lab test non-cdc |
2,886 |
2,481 |
$110K |
| 87661 |
|
9,052 |
7,637 |
$108K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,425 |
982 |
$105K |
| 88175 |
|
17,500 |
15,542 |
$103K |
| 87798 |
|
3,803 |
2,612 |
$99K |
| 87624 |
|
9,793 |
8,546 |
$98K |
| 0202U |
|
411 |
383 |
$93K |
| 82306 |
|
29,262 |
25,865 |
$83K |
| 88305 |
|
3,580 |
2,718 |
$83K |
| 86480 |
|
3,575 |
3,107 |
$82K |
| 81513 |
|
911 |
854 |
$77K |
| 97162 |
|
1,098 |
672 |
$75K |
| 77067 |
|
1,319 |
1,074 |
$74K |
| 87086 |
|
20,700 |
17,925 |
$69K |
| 80061 |
|
36,653 |
33,012 |
$58K |
| 87631 |
|
1,115 |
945 |
$55K |
| 80307 |
|
2,856 |
2,466 |
$49K |
| 86803 |
|
8,306 |
7,263 |
$48K |
| 36415 |
|
40,938 |
34,743 |
$46K |
| 83036 |
|
27,807 |
25,354 |
$44K |
| 86769 |
|
1,084 |
543 |
$41K |
| 87536 |
|
1,045 |
894 |
$39K |
| 83655 |
|
7,531 |
6,476 |
$39K |
| 81511 |
|
863 |
774 |
$38K |
| 87510 |
|
5,017 |
4,477 |
$38K |
| 87480 |
|
5,022 |
4,481 |
$37K |
| 87512 |
|
3,909 |
3,039 |
$33K |
| 84439 |
|
15,799 |
13,899 |
$32K |
| 86235 |
|
1,981 |
977 |
$32K |
| 71046 |
|
2,702 |
1,752 |
$31K |
| 82607 |
|
9,189 |
8,262 |
$31K |
| 87502 |
|
1,114 |
924 |
$30K |
| 81220 |
|
1,022 |
726 |
$30K |
| 87081 |
|
14,128 |
12,613 |
$29K |
| 83970 |
|
2,026 |
1,810 |
$28K |
| 86003 |
|
13,218 |
1,946 |
$28K |
| 84403 |
|
2,628 |
2,274 |
$27K |
| 87522 |
Neg quan hep c or qual rna |
1,041 |
960 |
$27K |
| 87660 |
|
4,994 |
4,448 |
$26K |
| 94010 |
|
797 |
568 |
$23K |
| 86038 |
|
4,138 |
3,234 |
$21K |
| 87581 |
|
2,154 |
1,739 |
$21K |
| 87486 |
|
2,143 |
1,735 |
$20K |
| 80081 |
|
658 |
513 |
$20K |
| 80048 |
|
6,015 |
5,027 |
$19K |
| 87186 |
|
4,689 |
3,833 |
$17K |
| 81001 |
|
23,910 |
20,829 |
$17K |
| 97165 |
|
1,345 |
720 |
$16K |
| 87340 |
|
6,951 |
5,862 |
$16K |
| 84481 |
|
5,927 |
5,172 |
$15K |
| 94640 |
|
1,019 |
586 |
$15K |
| 83001 |
|
2,460 |
2,110 |
$14K |
| 86696 |
|
1,665 |
1,221 |
$14K |
| 80074 |
|
1,209 |
1,038 |
$14K |
| 86146 |
|
560 |
288 |
$13K |
| 86592 |
|
15,843 |
13,996 |
$13K |
| 86787 |
|
2,490 |
1,991 |
$12K |
| 82746 |
|
4,363 |
3,942 |
$12K |
| G0480 |
Drug test def 1-7 classes |
696 |
562 |
$12K |
| 83516 |
|
2,511 |
1,662 |
$12K |
| 87880 |
|
2,885 |
2,499 |
$12K |
| 93005 |
|
1,274 |
1,140 |
$12K |
| 87077 |
|
4,775 |
3,417 |
$11K |
| 84466 |
|
4,884 |
4,315 |
$11K |
| 87070 |
|
5,051 |
4,269 |
$11K |
| 82728 |
|
5,352 |
4,722 |
$10K |
| 87088 |
|
2,921 |
2,575 |
$10K |
| 85027 |
|
6,841 |
5,931 |
$10K |
| 84702 |
|
3,572 |
2,775 |
$9K |
| 84153 |
|
2,200 |
1,972 |
$9K |
| 84402 |
|
1,858 |
1,619 |
$9K |
| 86695 |
|
1,612 |
1,184 |
$8K |
| 82784 |
|
1,758 |
1,175 |
$8K |
| 86140 |
|
6,668 |
5,287 |
$8K |
| 82105 |
|
1,362 |
1,261 |
$8K |
| 82570 |
|
6,582 |
5,858 |
$8K |
| 87511 |
|
541 |
315 |
$8K |
| 77063 |
|
712 |
566 |
$8K |
| 86850 |
|
6,522 |
5,348 |
$8K |
| 84146 |
|
2,029 |
1,747 |
$8K |
| 83540 |
|
5,272 |
4,655 |
$7K |
| 83735 |
|
4,453 |
3,712 |
$7K |
| 82951 |
|
1,294 |
1,176 |
$7K |
| 99213 |
|
249 |
127 |
$7K |
| 86431 |
|
3,228 |
2,532 |
$7K |
| G0483 |
Drug test def 22+ classes |
209 |
203 |
$6K |
| 86800 |
|
1,906 |
1,638 |
$6K |
| 86160 |
|
1,224 |
794 |
$6K |
| 73610 |
|
357 |
189 |
$6K |
| 86200 |
|
2,033 |
1,540 |
$6K |
| 96413 |
|
346 |
158 |
$6K |
| 86762 |
|
4,813 |
4,127 |
$6K |
| 86665 |
|
461 |
354 |
$6K |
| G0103 |
Psa screening |
863 |
797 |
$6K |
| 81420 |
|
286 |
259 |
$6K |
| 83520 |
|
1,054 |
635 |
$6K |
| 82950 |
|
4,844 |
4,369 |
$6K |
| 86376 |
|
2,329 |
1,999 |
$6K |
| 85652 |
|
8,203 |
6,652 |
$6K |
| 86706 |
|
1,380 |
1,112 |
$5K |
| 86901 |
|
6,283 |
5,183 |
$5K |
| 82043 |
|
5,502 |
5,010 |
$5K |
| 86147 |
|
694 |
381 |
$5K |
| 96372 |
|
632 |
338 |
$5K |
| 83525 |
|
1,931 |
1,622 |
$5K |
| 99212 |
|
194 |
104 |
$5K |
| 73630 |
|
410 |
246 |
$5K |
| 86225 |
|
1,430 |
1,014 |
$5K |
| 82785 |
|
2,037 |
1,537 |
$5K |
| 82670 |
|
1,700 |
1,416 |
$4K |
| 86780 |
|
735 |
625 |
$4K |
| 90686 |
|
244 |
127 |
$4K |
| 88184 |
|
288 |
184 |
$4K |
| 84550 |
|
3,581 |
3,085 |
$4K |
| 92610 |
|
229 |
145 |
$4K |
| 80076 |
|
1,587 |
1,394 |
$4K |
| 82550 |
|
2,385 |
1,828 |
$4K |
| 85610 |
|
3,302 |
2,311 |
$4K |
| 86008 |
|
89 |
66 |
$4K |
| 84480 |
|
1,115 |
980 |
$4K |
| 86900 |
|
6,120 |
4,990 |
$4K |
| 87209 |
|
659 |
479 |
$4K |
| 83002 |
|
1,789 |
1,535 |
$4K |
| 84144 |
|
1,309 |
1,057 |
$4K |
| 86141 |
|
559 |
503 |
$3K |
| 87338 |
|
377 |
340 |
$3K |
| 83013 |
|
923 |
863 |
$3K |
| 83021 |
|
906 |
823 |
$3K |
| 80069 |
|
1,456 |
1,300 |
$3K |
| 86304 |
|
306 |
265 |
$3K |
| 87205 |
|
3,014 |
2,432 |
$3K |
| 84305 |
|
737 |
624 |
$3K |
| 86704 |
|
691 |
558 |
$3K |
| 84460 |
|
1,744 |
1,470 |
$3K |
| 73110 |
|
225 |
129 |
$3K |
| 87045 |
|
733 |
534 |
$3K |
| 86361 |
|
885 |
767 |
$2K |
| 84100 |
|
2,141 |
1,806 |
$2K |
| G0481 |
Drug test def 8-14 classes |
18 |
18 |
$2K |
| 88142 |
|
1,124 |
1,017 |
$2K |
| 84450 |
|
1,614 |
1,358 |
$2K |
| 82533 |
|
639 |
543 |
$2K |
| 99214 |
|
53 |
31 |
$2K |
| 86039 |
|
772 |
548 |
$2K |
| 86359 |
|
918 |
788 |
$2K |
| 92523 |
|
92 |
43 |
$2K |
| 83690 |
|
1,153 |
991 |
$2K |
| 84681 |
|
523 |
464 |
$2K |
| 88341 |
|
36 |
36 |
$2K |
| 94664 |
|
128 |
68 |
$2K |
| 74018 |
|
175 |
130 |
$2K |
| 86735 |
|
608 |
542 |
$2K |
| 88304 |
|
87 |
83 |
$2K |
| 84156 |
|
3,004 |
2,525 |
$2K |
| 85730 |
|
1,210 |
1,041 |
$2K |
| 73560 |
|
143 |
75 |
$2K |
| 82542 |
|
305 |
238 |
$2K |
| 88342 |
|
431 |
361 |
$2K |
| 97166 |
|
60 |
37 |
$2K |
| 82947 |
|
1,699 |
1,470 |
$2K |
| 86765 |
|
868 |
764 |
$1K |
| 73130 |
|
159 |
79 |
$1K |
| 82627 |
|
856 |
732 |
$1K |
| 80197 |
|
331 |
173 |
$1K |
| 81374 |
|
88 |
73 |
$1K |
| 84163 |
|
404 |
381 |
$1K |
| 84703 |
|
617 |
545 |
$1K |
| 85007 |
|
1,540 |
1,245 |
$1K |
| 86334 |
|
104 |
93 |
$1K |
| 87177 |
|
646 |
470 |
$1K |
| 83704 |
|
131 |
120 |
$1K |
| 83880 |
|
207 |
174 |
$1K |
| 72082 |
|
47 |
28 |
$1K |
| 84165 |
|
457 |
388 |
$1K |
| 83615 |
|
848 |
655 |
$1K |
| 84436 |
|
842 |
771 |
$1K |
| 87075 |
|
192 |
153 |
$1K |
| 36416 |
|
500 |
437 |
$993.72 |
| 86060 |
|
383 |
325 |
$966.09 |
| 82150 |
|
637 |
554 |
$955.02 |
| 87563 |
|
120 |
88 |
$914.29 |
| 73140 |
|
168 |
116 |
$910.79 |
| 96040 |
|
14 |
14 |
$882.81 |
| 83090 |
|
325 |
293 |
$880.51 |
| 87046 |
|
846 |
536 |
$878.16 |
| 82652 |
|
228 |
188 |
$870.64 |
| 87906 |
|
13 |
12 |
$858.67 |
| 73030 |
|
65 |
32 |
$857.34 |
| 87521 |
Neg quan hep c or qual rna |
61 |
56 |
$851.68 |
| 85018 |
|
2,169 |
1,930 |
$842.81 |
| 82274 |
|
183 |
171 |
$832.42 |
| 73564 |
|
41 |
16 |
$811.95 |
| 82565 |
|
796 |
667 |
$794.00 |
| 86747 |
|
74 |
70 |
$791.59 |
| 82952 |
|
1,014 |
946 |
$766.39 |
| 85660 |
|
739 |
601 |
$765.01 |
| 86677 |
|
133 |
99 |
$754.48 |
| G0008 |
Admin influenza virus vac |
173 |
109 |
$753.19 |
| 82378 |
|
147 |
134 |
$744.99 |
| 86708 |
|
300 |
246 |
$729.92 |
| 87493 |
|
43 |
29 |
$728.64 |
| 73502 |
|
46 |
26 |
$719.58 |
| 86255 |
|
274 |
251 |
$673.77 |
| 85045 |
|
861 |
682 |
$629.72 |
| 86618 |
|
76 |
68 |
$626.96 |
| 84154 |
|
137 |
129 |
$602.96 |
| 87255 |
|
69 |
54 |
$573.03 |
| 80164 |
|
236 |
216 |
$566.77 |
| 87210 |
|
471 |
371 |
$560.66 |
| 84445 |
|
46 |
40 |
$547.43 |
| U0001 |
2019-ncov diagnostic p |
27 |
23 |
$538.31 |
| 88185 |
|
341 |
172 |
$519.16 |
| 87625 |
|
67 |
60 |
$464.55 |
| 82977 |
|
425 |
361 |
$458.62 |
| 86148 |
|
146 |
94 |
$455.24 |
| 99211 |
|
36 |
28 |
$433.99 |
| 86308 |
|
413 |
346 |
$403.84 |
| 82248 |
|
250 |
196 |
$392.84 |
| 95012 |
|
77 |
68 |
$365.64 |
| 85014 |
|
979 |
831 |
$364.31 |
| 86593 |
|
388 |
349 |
$348.78 |
| 87184 |
|
150 |
112 |
$329.36 |
| 82672 |
|
42 |
41 |
$324.64 |
| 81025 |
|
499 |
394 |
$306.75 |
| 84446 |
|
25 |
25 |
$293.48 |
| 84238 |
|
38 |
38 |
$291.80 |
| 72100 |
|
25 |
13 |
$288.98 |
| 82575 |
|
82 |
71 |
$273.33 |
| 80051 |
|
263 |
211 |
$266.58 |
| 84520 |
|
411 |
340 |
$255.13 |
| 85732 |
|
111 |
85 |
$245.00 |
| 84590 |
|
25 |
25 |
$240.35 |
| 87801 |
|
22 |
21 |
$238.42 |
| J0696 |
Ceftriaxone sodium injection |
147 |
44 |
$238.08 |
| 85613 |
|
107 |
81 |
$223.42 |
| 82024 |
|
47 |
41 |
$223.14 |
| 81003 |
|
322 |
269 |
$214.60 |
| 83519 |
|
49 |
44 |
$208.29 |
| 86617 |
|
13 |
12 |
$201.30 |
| 86777 |
|
100 |
95 |
$198.27 |
| 71045 |
|
29 |
14 |
$192.78 |
| 82164 |
|
61 |
43 |
$189.75 |
| 83498 |
|
75 |
61 |
$184.14 |
| 88312 |
|
59 |
44 |
$181.57 |
| 86645 |
|
42 |
29 |
$165.14 |
| 87635 |
|
15 |
12 |
$165.00 |
| 86021 |
|
111 |
95 |
$152.84 |
| 87040 |
|
22 |
19 |
$145.28 |
| 86644 |
|
42 |
29 |
$143.47 |
| 86705 |
|
33 |
26 |
$135.88 |
| 69209 |
|
19 |
14 |
$122.45 |
| 82310 |
|
120 |
102 |
$121.73 |
| 86870 |
|
20 |
12 |
$114.40 |
| 82040 |
|
67 |
55 |
$105.80 |
| 83921 |
|
12 |
12 |
$105.57 |
| 82465 |
|
106 |
103 |
$104.89 |
| 86256 |
|
16 |
13 |
$104.88 |
| 82390 |
|
47 |
42 |
$99.51 |
| 82272 |
|
104 |
100 |
$95.40 |
| 84432 |
|
16 |
12 |
$90.50 |
| 82397 |
|
24 |
16 |
$81.18 |
| 80177 |
|
22 |
14 |
$79.70 |
| J1885 |
Ketorolac tromethamine inj |
80 |
29 |
$79.36 |
| 85379 |
|
40 |
40 |
$77.41 |
| 82955 |
|
37 |
27 |
$77.31 |
| 86664 |
|
24 |
16 |
$76.45 |
| 81050 |
|
88 |
85 |
$70.72 |
| 86880 |
|
32 |
25 |
$66.18 |
| 82247 |
|
48 |
40 |
$65.18 |
| 82166 |
|
16 |
15 |
$63.39 |
| 84482 |
|
16 |
12 |
$63.04 |
| 83993 |
|
15 |
12 |
$60.78 |
| 80178 |
|
33 |
30 |
$57.69 |
| 82679 |
|
31 |
26 |
$54.41 |
| 82962 |
|
222 |
165 |
$53.90 |
| 84630 |
|
15 |
12 |
$44.26 |
| 80183 |
|
12 |
12 |
$38.83 |
| 84425 |
|
12 |
12 |
$38.48 |
| 83721 |
|
17 |
16 |
$36.74 |
| 81596 |
|
13 |
12 |
$34.64 |
| 84134 |
|
15 |
14 |
$32.60 |
| 82103 |
|
14 |
14 |
$26.34 |
| 84270 |
|
12 |
12 |
$23.91 |
| J1100 |
Dexamethasone sodium phos |
25 |
12 |
$22.20 |
| 82140 |
|
12 |
12 |
$17.71 |
| 84155 |
|
13 |
12 |
$8.95 |
| 82270 |
|
12 |
12 |
$7.34 |
| J1642 |
Inj heparin sodium per 10 u |
49 |
40 |
$0.93 |
| 90460 |
|
15 |
15 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$0.00 |