| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
48,878 |
41,822 |
$15.85M |
| 99284 |
|
47,597 |
39,759 |
$12.44M |
| 99283 |
|
43,342 |
36,372 |
$7.17M |
| U0003 |
Cov-19 amp prb hgh thruput |
60,185 |
53,087 |
$2.91M |
| S9480 |
Intensive outpatient psychia |
11,073 |
2,357 |
$2.32M |
| G0463 |
Hospital outpt clinic visit |
30,818 |
23,288 |
$1.95M |
| 96374 |
|
14,373 |
12,867 |
$1.43M |
| 90853 |
|
12,395 |
2,951 |
$465K |
| 90834 |
|
5,011 |
1,983 |
$459K |
| H0035 |
Mh partial hosp tx under 24h |
1,525 |
277 |
$363K |
| H0005 |
Alcohol and/or drug services |
4,927 |
979 |
$351K |
| 87636 |
|
4,477 |
4,258 |
$332K |
| U0005 |
Infec agen detec ampli probe |
33,729 |
29,785 |
$327K |
| 96413 |
|
1,730 |
1,034 |
$291K |
| 90791 |
|
2,460 |
2,185 |
$228K |
| 11042 |
|
1,471 |
498 |
$188K |
| 96375 |
|
3,898 |
3,544 |
$126K |
| 80053 |
|
95,797 |
81,575 |
$122K |
| 71046 |
|
3,903 |
3,619 |
$119K |
| 88305 |
|
3,058 |
2,825 |
$112K |
| 11043 |
|
439 |
195 |
$112K |
| 71045 |
|
2,261 |
2,113 |
$102K |
| 96361 |
|
3,885 |
3,243 |
$96K |
| 80307 |
|
2,332 |
1,677 |
$79K |
| 85025 |
|
107,126 |
87,738 |
$76K |
| 97110 |
|
2,322 |
1,327 |
$71K |
| 82306 |
|
3,806 |
3,636 |
$66K |
| 36415 |
|
36,993 |
29,326 |
$64K |
| 80061 |
|
9,728 |
9,157 |
$62K |
| 93306 |
|
793 |
755 |
$62K |
| 84443 |
|
6,100 |
5,701 |
$58K |
| H0004 |
Alcohol and/or drug services |
1,677 |
1,093 |
$55K |
| G0480 |
Drug test def 1-7 classes |
988 |
695 |
$53K |
| 83036 |
|
9,504 |
8,830 |
$46K |
| J1745 |
Infliximab not biosimil 10mg |
31 |
24 |
$36K |
| 87591 |
|
1,707 |
1,642 |
$32K |
| 90832 |
|
726 |
406 |
$32K |
| 93010 |
|
4,340 |
4,040 |
$30K |
| 87491 |
|
1,723 |
1,657 |
$29K |
| 88342 |
|
563 |
534 |
$28K |
| 99282 |
|
185 |
177 |
$20K |
| 43239 |
|
40 |
38 |
$17K |
| 74177 |
|
65 |
62 |
$17K |
| 87522 |
Neg quan hep c or qual rna |
539 |
512 |
$14K |
| 84439 |
|
2,066 |
1,965 |
$13K |
| Q5104 |
Injection, renflexis |
12 |
12 |
$12K |
| 93005 |
|
27,234 |
24,062 |
$12K |
| 87633 |
|
57 |
38 |
$12K |
| 85027 |
|
3,116 |
2,878 |
$10K |
| 70450 |
|
147 |
136 |
$9K |
| H0048 |
Spec coll non-blood:a/d test |
451 |
276 |
$9K |
| 82105 |
|
1,061 |
1,005 |
$9K |
| H0001 |
Alcohol and/or drug assess |
75 |
66 |
$9K |
| C7901 |
Hopd mntl hlt, 30-60 min |
298 |
73 |
$8K |
| 87070 |
|
1,296 |
1,264 |
$8K |
| 99213 |
|
231 |
179 |
$8K |
| 80048 |
|
2,074 |
1,698 |
$7K |
| G0378 |
Hospital observation per hr |
57 |
28 |
$7K |
| M0243 |
Casirivi and imdevi inj |
36 |
27 |
$7K |
| 88142 |
|
387 |
382 |
$6K |
| 82728 |
|
757 |
733 |
$6K |
| G0498 |
Chemo extend iv infus w/pump |
27 |
13 |
$5K |
| 87635 |
|
213 |
199 |
$5K |
| 87086 |
|
1,233 |
1,171 |
$5K |
| 96360 |
|
52 |
49 |
$4K |
| 86803 |
|
683 |
682 |
$4K |
| 96415 |
|
103 |
92 |
$4K |
| 87510 |
|
475 |
453 |
$4K |
| 88141 |
|
170 |
168 |
$4K |
| 82570 |
|
773 |
407 |
$4K |
| 80076 |
|
1,431 |
1,287 |
$3K |
| 87624 |
|
213 |
212 |
$3K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$3K |
| 87660 |
|
475 |
453 |
$3K |
| 96365 |
|
26 |
25 |
$3K |
| 82565 |
|
1,819 |
1,597 |
$3K |
| Q3014 |
Telehealth facility fee |
229 |
208 |
$3K |
| 97140 |
|
116 |
79 |
$3K |
| 87798 |
|
104 |
38 |
$3K |
| 80050 |
|
402 |
400 |
$3K |
| 82247 |
|
1,114 |
1,004 |
$3K |
| 84484 |
|
10,296 |
8,338 |
$3K |
| 86003 |
|
43 |
28 |
$3K |
| 87480 |
|
475 |
453 |
$3K |
| 87389 |
|
260 |
256 |
$2K |
| 73564 |
|
37 |
36 |
$2K |
| 97112 |
|
81 |
61 |
$2K |
| 74176 |
|
12 |
12 |
$2K |
| 87517 |
|
74 |
70 |
$2K |
| 82607 |
|
162 |
153 |
$2K |
| 87502 |
|
85 |
80 |
$1K |
| 85610 |
|
1,053 |
788 |
$1K |
| 81001 |
|
5,223 |
4,949 |
$1K |
| 83516 |
|
185 |
163 |
$1K |
| 83690 |
|
3,169 |
2,925 |
$1K |
| 88360 |
|
51 |
42 |
$971.26 |
| 82172 |
|
60 |
59 |
$850.76 |
| 84134 |
|
2,529 |
2,254 |
$803.07 |
| 83550 |
|
172 |
168 |
$671.79 |
| 77067 |
|
12 |
12 |
$651.72 |
| 88312 |
|
28 |
26 |
$650.78 |
| 86706 |
|
94 |
89 |
$637.45 |
| 83735 |
|
2,849 |
2,509 |
$618.80 |
| J1885 |
Ketorolac tromethamine inj |
3,283 |
2,968 |
$575.73 |
| 73502 |
|
12 |
12 |
$562.04 |
| 87340 |
|
85 |
80 |
$557.82 |
| 83540 |
|
185 |
181 |
$546.59 |
| 86704 |
|
61 |
59 |
$532.60 |
| 83883 |
|
57 |
54 |
$439.97 |
| 84153 |
|
68 |
65 |
$416.48 |
| 84460 |
|
177 |
171 |
$397.93 |
| 96372 |
|
66 |
65 |
$368.00 |
| 84450 |
|
163 |
157 |
$358.28 |
| 82670 |
|
12 |
12 |
$314.64 |
| 82785 |
|
43 |
28 |
$314.43 |
| J2405 |
Ondansetron hcl injection |
1,808 |
1,510 |
$297.72 |
| 86140 |
|
149 |
137 |
$295.98 |
| 84100 |
|
2,687 |
2,384 |
$274.69 |
| 77063 |
|
12 |
12 |
$260.04 |
| 85652 |
|
212 |
196 |
$252.99 |
| 81025 |
|
854 |
756 |
$248.00 |
| 84165 |
|
80 |
74 |
$247.46 |
| 77077 |
|
15 |
14 |
$243.26 |
| 82977 |
|
60 |
56 |
$227.66 |
| 87205 |
|
111 |
105 |
$219.60 |
| 86038 |
|
28 |
26 |
$216.18 |
| 80305 |
|
376 |
341 |
$205.25 |
| 88304 |
|
13 |
12 |
$203.28 |
| G0123 |
Screen cerv/vag thin layer |
12 |
12 |
$162.10 |
| 82043 |
|
63 |
62 |
$161.90 |
| 80159 |
|
37 |
26 |
$128.96 |
| 84520 |
|
57 |
54 |
$126.59 |
| 87081 |
|
27 |
25 |
$123.63 |
| J7030 |
Normal saline solution infus |
7,175 |
5,575 |
$116.00 |
| 86708 |
|
13 |
13 |
$99.28 |
| 86705 |
|
12 |
12 |
$96.64 |
| 87186 |
|
15 |
15 |
$77.93 |
| 80069 |
|
89 |
57 |
$76.34 |
| 82378 |
|
17 |
14 |
$64.48 |
| 83970 |
|
28 |
26 |
$63.74 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,368 |
1,298 |
$63.09 |
| 86431 |
|
12 |
12 |
$53.13 |
| 83615 |
|
57 |
50 |
$48.00 |
| 83605 |
|
243 |
223 |
$41.50 |
| 84156 |
|
43 |
41 |
$29.04 |
| 83880 |
|
172 |
159 |
$27.00 |
| 64483 |
|
14 |
13 |
$17.63 |
| J1170 |
Hydromorphone injection |
423 |
352 |
$3.26 |
| G1004 |
Cdsm ndsc |
7,087 |
5,952 |
$0.02 |
| J7050 |
Normal saline solution infus |
1,912 |
1,003 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
72 |
65 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
197 |
75 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
53 |
27 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
110 |
94 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
76 |
68 |
$0.00 |
| Q0162 |
Ondansetron oral |
53 |
24 |
$0.00 |
| C7902 |
Hopd mntl hlt, ea addl |
239 |
61 |
$0.00 |
| 96376 |
|
29 |
27 |
$0.00 |
| 84703 |
|
40 |
39 |
$0.00 |
| 88341 |
|
12 |
12 |
$0.00 |
| 83521 |
|
17 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
23 |
14 |
$0.00 |
| 87486 |
|
12 |
12 |
$0.00 |
| 71260 |
|
13 |
13 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
987 |
760 |
$0.00 |
| J2270 |
Morphine sulfate injection |
42 |
25 |
$0.00 |
| 84145 |
|
29 |
26 |
$0.00 |
| J7040 |
Normal saline solution infus |
75 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
15 |
$0.00 |
| J9190 |
Fluorouracil injection |
47 |
13 |
$0.00 |