| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,308 |
8,918 |
$1.09M |
| 99285 |
|
5,438 |
5,199 |
$864K |
| 99283 |
|
10,648 |
10,252 |
$856K |
| 0202U |
|
3,405 |
3,289 |
$764K |
| 99282 |
|
2,263 |
2,217 |
$86K |
| 80053 |
|
8,128 |
7,739 |
$81K |
| 77067 |
|
721 |
717 |
$69K |
| 74177 |
|
356 |
350 |
$68K |
| U0004 |
Cov-19 test non-cdc hgh thru |
690 |
684 |
$57K |
| 85025 |
|
11,267 |
10,670 |
$56K |
| 96374 |
|
1,850 |
1,782 |
$52K |
| U0003 |
Cov-19 amp prb hgh thruput |
398 |
394 |
$30K |
| 84443 |
|
1,310 |
1,285 |
$27K |
| 87631 |
|
250 |
242 |
$26K |
| T1015 |
Clinic service |
537 |
371 |
$26K |
| 96372 |
|
2,432 |
2,346 |
$26K |
| 0100U |
|
57 |
55 |
$25K |
| 71046 |
|
1,359 |
1,292 |
$22K |
| 84702 |
|
1,481 |
1,350 |
$21K |
| 76830 |
|
315 |
309 |
$21K |
| 80061 |
|
1,357 |
1,351 |
$18K |
| 93005 |
|
2,017 |
1,927 |
$16K |
| 76705 |
|
319 |
315 |
$16K |
| 70450 |
|
205 |
197 |
$15K |
| 80048 |
|
2,127 |
1,967 |
$15K |
| 80307 |
|
304 |
295 |
$15K |
| 82306 |
|
395 |
393 |
$14K |
| 84484 |
|
1,605 |
1,388 |
$13K |
| 96361 |
|
1,104 |
1,066 |
$13K |
| 90670 |
|
190 |
189 |
$12K |
| U0005 |
Infec agen detec ampli probe |
831 |
818 |
$10K |
| G0480 |
Drug test def 1-7 classes |
208 |
198 |
$10K |
| 0241U |
|
92 |
92 |
$9K |
| 36415 |
|
5,841 |
5,258 |
$8K |
| 76770 |
|
118 |
118 |
$8K |
| 96375 |
|
456 |
441 |
$7K |
| 83690 |
|
1,702 |
1,624 |
$7K |
| 83036 |
|
954 |
949 |
$6K |
| 76536 |
|
85 |
85 |
$6K |
| 83605 |
|
843 |
784 |
$5K |
| 94640 |
|
150 |
98 |
$5K |
| 71045 |
|
496 |
474 |
$5K |
| 90723 |
|
98 |
98 |
$5K |
| 87491 |
|
256 |
252 |
$5K |
| 87591 |
|
254 |
250 |
$5K |
| 87086 |
|
675 |
654 |
$4K |
| 85027 |
|
782 |
741 |
$4K |
| 76642 |
|
95 |
84 |
$4K |
| 83880 |
|
174 |
165 |
$4K |
| 82805 |
|
160 |
142 |
$4K |
| 81001 |
|
1,531 |
1,481 |
$4K |
| 87481 |
|
54 |
53 |
$4K |
| Q3014 |
Telehealth facility fee |
318 |
294 |
$3K |
| 90715 |
|
507 |
498 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
208 |
208 |
$3K |
| 72148 |
|
14 |
14 |
$3K |
| 74176 |
|
25 |
25 |
$3K |
| 90471 |
|
305 |
292 |
$3K |
| 90680 |
|
81 |
81 |
$3K |
| 90686 |
|
215 |
215 |
$3K |
| 90472 |
|
201 |
201 |
$3K |
| 73564 |
|
214 |
200 |
$3K |
| 72100 |
|
141 |
138 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,950 |
1,878 |
$2K |
| 93306 |
|
25 |
25 |
$2K |
| 73630 |
|
369 |
342 |
$2K |
| 73030 |
|
222 |
207 |
$2K |
| 87661 |
|
65 |
63 |
$2K |
| 73610 |
|
231 |
222 |
$2K |
| 82607 |
|
188 |
187 |
$2K |
| 85610 |
|
692 |
530 |
$2K |
| 87389 |
|
111 |
111 |
$2K |
| 82728 |
|
185 |
176 |
$2K |
| 87637 |
|
17 |
17 |
$2K |
| 70553 |
|
12 |
12 |
$2K |
| 90647 |
|
108 |
108 |
$2K |
| 96365 |
|
50 |
25 |
$2K |
| G0008 |
Admin influenza virus vac |
165 |
165 |
$2K |
| 83540 |
|
208 |
199 |
$2K |
| G0108 |
Diab manage trn per indiv |
70 |
70 |
$2K |
| 43239 |
|
12 |
12 |
$2K |
| 85379 |
|
206 |
204 |
$2K |
| 83735 |
|
316 |
280 |
$1K |
| 96360 |
|
54 |
53 |
$1K |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| 99281 |
|
57 |
54 |
$1K |
| 81003 |
|
592 |
573 |
$1K |
| 86803 |
|
99 |
99 |
$1K |
| 87430 |
|
217 |
215 |
$1K |
| 73110 |
|
176 |
169 |
$1K |
| 84439 |
|
137 |
133 |
$1K |
| 73130 |
|
204 |
184 |
$1K |
| 86140 |
|
467 |
449 |
$1K |
| 88175 |
|
40 |
40 |
$1K |
| 87511 |
|
52 |
51 |
$946.73 |
| 88305 |
|
106 |
71 |
$923.82 |
| 81025 |
|
349 |
342 |
$886.80 |
| 86900 |
|
216 |
198 |
$836.37 |
| 20610 |
|
62 |
56 |
$827.86 |
| 90633 |
|
13 |
13 |
$810.55 |
| 83655 |
|
77 |
77 |
$788.60 |
| 83550 |
|
169 |
164 |
$780.44 |
| 86850 |
|
197 |
194 |
$744.96 |
| 82375 |
|
162 |
144 |
$714.64 |
| 87186 |
|
117 |
111 |
$653.83 |
| 82570 |
|
97 |
95 |
$617.01 |
| 82248 |
|
108 |
105 |
$604.80 |
| 71250 |
|
13 |
13 |
$601.18 |
| 72125 |
|
14 |
12 |
$562.44 |
| 86901 |
|
216 |
198 |
$546.07 |
| 82962 |
|
425 |
318 |
$535.59 |
| 87150 |
|
12 |
12 |
$460.55 |
| 90473 |
|
45 |
45 |
$460.20 |
| 83050 |
|
160 |
142 |
$445.80 |
| J1885 |
Ketorolac tromethamine inj |
4,719 |
4,415 |
$419.34 |
| 87635 |
|
13 |
12 |
$404.91 |
| 85652 |
|
133 |
130 |
$321.09 |
| 86618 |
|
14 |
14 |
$303.68 |
| 74018 |
|
30 |
30 |
$301.37 |
| 72040 |
|
15 |
14 |
$299.56 |
| 80076 |
|
49 |
48 |
$289.41 |
| 84100 |
|
68 |
54 |
$274.66 |
| 73080 |
|
44 |
42 |
$274.51 |
| 87340 |
|
39 |
39 |
$228.77 |
| 73502 |
|
12 |
12 |
$226.61 |
| 86780 |
|
13 |
13 |
$208.78 |
| A9585 |
Gadobutrol injection |
276 |
258 |
$206.14 |
| 82565 |
|
44 |
42 |
$199.95 |
| J2704 |
Inj, propofol, 10 mg |
1,384 |
1,112 |
$181.24 |
| 85007 |
|
42 |
42 |
$154.42 |
| 90474 |
|
13 |
13 |
$131.50 |
| 83525 |
|
14 |
14 |
$131.23 |
| 87077 |
|
30 |
29 |
$125.28 |
| J2405 |
Ondansetron hcl injection |
2,505 |
2,338 |
$108.40 |
| J2270 |
Morphine sulfate injection |
47 |
40 |
$108.08 |
| 82043 |
|
13 |
13 |
$101.76 |
| J3010 |
Fentanyl citrate injection |
1,124 |
1,024 |
$97.12 |
| 86762 |
|
12 |
12 |
$90.36 |
| 73090 |
|
13 |
13 |
$89.95 |
| J1790 |
Droperidol injection |
98 |
76 |
$85.42 |
| J1100 |
Dexamethasone sodium phos |
1,418 |
1,376 |
$84.69 |
| 94664 |
|
13 |
13 |
$67.95 |
| J0690 |
Cefazolin sodium injection |
260 |
224 |
$59.10 |
| 84460 |
|
13 |
12 |
$50.66 |
| 86592 |
|
12 |
12 |
$50.40 |
| 84450 |
|
13 |
12 |
$50.13 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,082 |
975 |
$50.03 |
| 87880 |
|
13 |
13 |
$47.71 |
| J1170 |
Hydromorphone injection |
73 |
59 |
$45.86 |
| J2250 |
Inj midazolam hydrochloride |
933 |
909 |
$10.96 |
| J3475 |
Inj magnesium sulfate |
25 |
25 |
$10.37 |
| C9290 |
Inj, bupivacaine liposome |
13 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$0.00 |
| J7050 |
Normal saline solution infus |
209 |
156 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
51 |
46 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
73 |
67 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
27 |
26 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
148 |
134 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
152 |
144 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
36 |
$0.00 |
| J0780 |
Prochlorperazine injection |
91 |
88 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
38 |
38 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
58 |
55 |
$0.00 |