| Code | Description | Claims | Beneficiaries | Total Paid |
| 0241U |
|
6,403 |
5,576 |
$568K |
| 74177 |
|
4,311 |
3,668 |
$482K |
| 70450 |
|
5,087 |
4,222 |
$409K |
| 93306 |
|
4,519 |
3,640 |
$363K |
| 80048 |
|
20,277 |
14,649 |
$243K |
| 87631 |
|
3,044 |
2,780 |
$233K |
| 97110 |
|
9,315 |
2,227 |
$227K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,290 |
3,462 |
$221K |
| 71260 |
|
1,931 |
1,617 |
$214K |
| 85025 |
|
37,885 |
26,832 |
$210K |
| 72125 |
|
1,809 |
1,531 |
$196K |
| 80307 |
|
2,385 |
1,908 |
$163K |
| 78452 |
|
2,148 |
1,747 |
$158K |
| 72148 |
|
732 |
619 |
$146K |
| 87651 |
|
3,225 |
2,976 |
$144K |
| 99283 |
|
3,197 |
2,481 |
$137K |
| 73721 |
|
591 |
473 |
$135K |
| 80053 |
|
10,947 |
8,724 |
$128K |
| 74176 |
|
2,073 |
1,751 |
$121K |
| 93005 |
|
13,473 |
10,262 |
$107K |
| 99284 |
|
4,232 |
3,413 |
$88K |
| 70553 |
|
449 |
366 |
$85K |
| 99285 |
|
3,316 |
2,739 |
$83K |
| 77067 |
|
2,022 |
1,512 |
$71K |
| 71045 |
|
10,424 |
8,148 |
$61K |
| 84484 |
|
9,420 |
6,728 |
$58K |
| 83690 |
|
7,428 |
6,033 |
$52K |
| 80076 |
|
6,714 |
5,539 |
$44K |
| 36415 |
|
12,029 |
8,050 |
$43K |
| A9500 |
Tc99m sestamibi |
2,140 |
1,745 |
$43K |
| 81025 |
|
6,163 |
5,107 |
$43K |
| 86901 |
|
2,222 |
1,710 |
$41K |
| 96374 |
|
3,025 |
2,521 |
$40K |
| 85730 |
|
9,648 |
7,476 |
$40K |
| 87086 |
|
5,552 |
4,648 |
$37K |
| 97161 |
|
859 |
707 |
$36K |
| 81002 |
|
13,795 |
11,386 |
$35K |
| 83880 |
|
2,327 |
1,806 |
$35K |
| 80047 |
|
1,887 |
1,649 |
$33K |
| 82150 |
|
5,722 |
4,682 |
$31K |
| 93017 |
|
2,589 |
2,097 |
$30K |
| 85610 |
|
11,001 |
8,314 |
$30K |
| 96372 |
|
1,966 |
1,560 |
$27K |
| 71046 |
|
2,053 |
1,762 |
$25K |
| 76856 |
|
874 |
767 |
$23K |
| 82803 |
|
1,644 |
1,346 |
$21K |
| 87040 |
|
1,813 |
1,520 |
$20K |
| 82962 |
|
5,054 |
3,156 |
$18K |
| 84443 |
|
2,184 |
1,757 |
$18K |
| 72141 |
|
98 |
89 |
$18K |
| 80320 |
|
1,518 |
1,306 |
$18K |
| 73630 |
|
773 |
649 |
$17K |
| 86850 |
|
1,721 |
1,301 |
$16K |
| 69436 |
|
77 |
74 |
$16K |
| 87077 |
|
2,413 |
1,975 |
$16K |
| 83605 |
|
2,304 |
1,779 |
$15K |
| 80061 |
|
2,217 |
1,696 |
$14K |
| 96375 |
|
1,467 |
1,170 |
$14K |
| 73030 |
|
1,119 |
809 |
$14K |
| J1650 |
Inj enoxaparin sodium |
501 |
287 |
$14K |
| 81000 |
|
5,039 |
4,091 |
$14K |
| 73610 |
|
842 |
721 |
$13K |
| M0243 |
Casirivi and imdevi inj |
81 |
75 |
$13K |
| 82607 |
|
636 |
509 |
$13K |
| J2405 |
Ondansetron hcl injection |
1,780 |
1,472 |
$12K |
| 82746 |
|
621 |
497 |
$12K |
| 88720 |
|
1,921 |
1,284 |
$12K |
| 73221 |
|
45 |
36 |
$12K |
| 76705 |
|
886 |
770 |
$12K |
| 80050 |
|
232 |
223 |
$11K |
| 73502 |
|
961 |
538 |
$11K |
| J2785 |
Regadenoson injection |
218 |
180 |
$10K |
| 77063 |
|
1,093 |
827 |
$10K |
| 94640 |
|
2,782 |
2,232 |
$10K |
| 76830 |
|
212 |
185 |
$10K |
| 93971 |
|
394 |
320 |
$10K |
| 82550 |
|
1,633 |
1,160 |
$9K |
| 82553 |
|
1,505 |
1,053 |
$9K |
| 87591 |
|
228 |
203 |
$9K |
| 73130 |
|
482 |
418 |
$9K |
| 87186 |
|
2,197 |
1,732 |
$9K |
| 93226 |
|
364 |
301 |
$8K |
| 87491 |
|
199 |
176 |
$8K |
| A9577 |
Inj multihance |
374 |
319 |
$7K |
| 73562 |
|
395 |
240 |
$7K |
| 84145 |
|
668 |
510 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
6,208 |
5,283 |
$7K |
| 72100 |
|
403 |
348 |
$7K |
| 74018 |
|
380 |
327 |
$6K |
| 73560 |
|
466 |
300 |
$6K |
| 36600 |
|
579 |
481 |
$6K |
| 80329 |
|
392 |
339 |
$6K |
| M0245 |
Bamlan and etesev infusion |
17 |
13 |
$6K |
| 84703 |
|
676 |
599 |
$6K |
| 93458 |
|
164 |
115 |
$6K |
| 93225 |
|
364 |
301 |
$6K |
| 87502 |
|
74 |
69 |
$6K |
| 94060 |
|
563 |
490 |
$5K |
| 83735 |
|
1,692 |
1,153 |
$5K |
| 84702 |
|
599 |
495 |
$5K |
| 86900 |
|
2,267 |
1,736 |
$5K |
| 73110 |
|
224 |
205 |
$4K |
| 42820 |
|
12 |
12 |
$4K |
| 87070 |
|
539 |
447 |
$4K |
| 85379 |
|
596 |
477 |
$4K |
| 96361 |
|
716 |
563 |
$4K |
| 76770 |
|
158 |
128 |
$4K |
| 86592 |
|
601 |
479 |
$4K |
| 41899 |
|
470 |
383 |
$4K |
| 90715 |
|
194 |
185 |
$3K |
| 70551 |
|
14 |
12 |
$3K |
| 95811 |
|
33 |
27 |
$3K |
| 96365 |
|
103 |
83 |
$3K |
| 95810 |
|
30 |
25 |
$3K |
| 82565 |
|
576 |
449 |
$3K |
| 43239 |
|
30 |
26 |
$3K |
| 70486 |
|
34 |
27 |
$3K |
| 72040 |
|
157 |
129 |
$2K |
| 70498 |
|
30 |
25 |
$2K |
| 87880 |
|
210 |
188 |
$2K |
| 94727 |
|
286 |
242 |
$2K |
| J0153 |
Adenosine inj 1mg |
245 |
214 |
$2K |
| 90471 |
|
297 |
253 |
$2K |
| 71250 |
|
31 |
25 |
$2K |
| 99282 |
|
78 |
73 |
$2K |
| 83036 |
|
355 |
299 |
$2K |
| 76536 |
|
41 |
38 |
$1K |
| 94664 |
|
307 |
256 |
$1K |
| 70496 |
|
18 |
14 |
$1K |
| 72070 |
|
93 |
80 |
$1K |
| 71271 |
|
29 |
26 |
$1K |
| 76700 |
|
30 |
26 |
$1K |
| 45385 |
|
16 |
12 |
$1K |
| G0283 |
Elec stim other than wound |
337 |
99 |
$1K |
| J3490 |
Drugs unclassified injection |
1,594 |
1,380 |
$943.21 |
| 72131 |
|
31 |
25 |
$860.00 |
| 97165 |
|
16 |
13 |
$833.89 |
| 72110 |
|
63 |
51 |
$830.50 |
| 82728 |
|
174 |
146 |
$677.48 |
| U0005 |
Infec agen detec ampli probe |
1,946 |
1,667 |
$664.27 |
| 86140 |
|
148 |
117 |
$642.44 |
| 96376 |
|
173 |
138 |
$618.72 |
| 84439 |
|
42 |
28 |
$575.15 |
| C1894 |
Intro/sheath, non-laser |
189 |
132 |
$532.98 |
| 93970 |
|
31 |
24 |
$515.77 |
| 99281 |
|
20 |
15 |
$480.45 |
| J2270 |
Morphine sulfate injection |
945 |
743 |
$474.67 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$453.84 |
| 74022 |
|
19 |
16 |
$424.64 |
| 73090 |
|
28 |
25 |
$415.29 |
| U0002 |
Covid-19 lab test non-cdc |
26 |
18 |
$373.17 |
| 71020 |
|
137 |
119 |
$301.00 |
| 83615 |
|
160 |
144 |
$298.57 |
| 87210 |
|
59 |
50 |
$282.25 |
| 81001 |
|
114 |
105 |
$281.87 |
| 76642 |
|
15 |
13 |
$274.94 |
| 82570 |
|
65 |
58 |
$265.49 |
| A9270 |
Non-covered item or service |
4,679 |
3,391 |
$262.19 |
| 84156 |
|
66 |
59 |
$199.10 |
| 76815 |
|
16 |
12 |
$189.02 |
| 73070 |
|
14 |
12 |
$162.00 |
| 93242 |
|
31 |
26 |
$151.89 |
| 72050 |
|
17 |
14 |
$144.52 |
| G0480 |
Drug test def 1-7 classes |
67 |
48 |
$138.87 |
| G0378 |
Hospital observation per hr |
154 |
123 |
$138.37 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
14 |
$95.34 |
| 85651 |
|
43 |
38 |
$86.19 |
| 71010 |
|
307 |
255 |
$85.01 |
| 82272 |
|
34 |
26 |
$84.47 |
| 97014 |
|
288 |
110 |
$80.68 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$77.63 |
| 85347 |
|
44 |
12 |
$45.68 |
| 84132 |
|
46 |
38 |
$34.69 |
| A9579 |
Gad-base mr contrast nos,1ml |
36 |
26 |
$22.95 |
| J1170 |
Hydromorphone injection |
136 |
93 |
$22.09 |
| 84100 |
|
20 |
12 |
$13.56 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
15 |
$4.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,803 |
3,360 |
$0.00 |
| D2929 |
|
64 |
64 |
$0.00 |
| C1887 |
Catheter, guiding |
163 |
120 |
$0.00 |
| 99152 |
|
180 |
134 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
12 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
133 |
123 |
$0.00 |
| D3220 |
|
81 |
71 |
$0.00 |
| D7140 |
|
13 |
13 |
$0.00 |
| 97140 |
|
87 |
25 |
$0.00 |
| G0379 |
Direct refer hospital observ |
13 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
69 |
55 |
$0.00 |
| 97035 |
|
35 |
12 |
$0.00 |