| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
28,955 |
27,392 |
$8.69M |
| 99284 |
|
36,460 |
34,998 |
$6.67M |
| 99283 |
|
49,204 |
46,342 |
$6.64M |
| 96374 |
|
21,881 |
20,580 |
$1.77M |
| 96361 |
|
15,966 |
14,887 |
$521K |
| 96360 |
|
5,191 |
5,045 |
$435K |
| 70450 |
|
5,773 |
5,647 |
$427K |
| 74177 |
|
3,257 |
3,183 |
$413K |
| 71045 |
|
12,321 |
11,740 |
$392K |
| G0378 |
Hospital observation per hr |
2,449 |
2,157 |
$370K |
| 74176 |
|
3,931 |
3,859 |
$355K |
| 96365 |
|
4,321 |
3,615 |
$347K |
| 96375 |
|
13,924 |
12,829 |
$345K |
| 87637 |
|
4,996 |
4,917 |
$321K |
| 71046 |
|
10,044 |
9,778 |
$305K |
| 99281 |
|
4,912 |
4,849 |
$288K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,604 |
6,389 |
$287K |
| 99282 |
|
3,353 |
3,312 |
$271K |
| 99291 |
|
543 |
532 |
$263K |
| 80061 |
|
2,904 |
2,870 |
$244K |
| 97110 |
|
6,387 |
1,486 |
$174K |
| 76801 |
|
2,635 |
2,407 |
$133K |
| G0463 |
Hospital outpt clinic visit |
2,094 |
1,555 |
$130K |
| 76856 |
|
2,211 |
2,172 |
$102K |
| 87428 |
|
5,141 |
4,989 |
$96K |
| 76830 |
|
1,896 |
1,864 |
$94K |
| 77067 |
|
1,609 |
1,608 |
$80K |
| 97140 |
|
4,919 |
1,274 |
$73K |
| 76705 |
|
1,257 |
1,243 |
$61K |
| 96366 |
|
1,667 |
1,464 |
$54K |
| 71260 |
|
555 |
544 |
$49K |
| U0005 |
Infec agen detec ampli probe |
3,420 |
3,302 |
$45K |
| 87491 |
|
5,483 |
5,378 |
$44K |
| C9803 |
Hopd covid-19 spec collect |
7,330 |
7,056 |
$44K |
| 43239 |
|
101 |
100 |
$38K |
| 97161 |
|
516 |
513 |
$35K |
| 93971 |
|
751 |
734 |
$35K |
| 87591 |
|
5,474 |
5,368 |
$28K |
| 86900 |
|
4,645 |
4,475 |
$27K |
| 58558 |
|
18 |
17 |
$26K |
| 93976 |
|
608 |
598 |
$26K |
| 10060 |
|
319 |
311 |
$25K |
| 71275 |
|
395 |
387 |
$23K |
| 84443 |
|
6,458 |
6,300 |
$23K |
| 0012A |
|
599 |
599 |
$22K |
| 82306 |
|
1,480 |
1,473 |
$21K |
| 85025 |
|
41,849 |
37,030 |
$21K |
| 90471 |
|
2,546 |
2,488 |
$19K |
| 59025 |
|
221 |
143 |
$18K |
| 87635 |
|
727 |
704 |
$17K |
| 80053 |
|
16,214 |
14,892 |
$16K |
| 72125 |
|
2,430 |
2,386 |
$16K |
| 87661 |
|
3,598 |
3,540 |
$15K |
| 0011A |
|
531 |
531 |
$15K |
| 97014 |
|
1,992 |
518 |
$14K |
| 82947 |
|
1,351 |
1,160 |
$14K |
| 86769 |
|
804 |
786 |
$13K |
| 97035 |
|
2,112 |
630 |
$12K |
| 84702 |
|
5,456 |
4,742 |
$9K |
| 96372 |
|
21,598 |
17,004 |
$9K |
| G0475 |
Hiv combination assay |
1,062 |
1,051 |
$8K |
| 73630 |
|
2,153 |
2,039 |
$8K |
| 72131 |
|
242 |
240 |
$8K |
| 80307 |
|
6,123 |
5,825 |
$8K |
| G0480 |
Drug test def 1-7 classes |
8,446 |
7,322 |
$8K |
| 76815 |
|
252 |
244 |
$7K |
| 93306 |
|
180 |
179 |
$7K |
| 0241U |
|
1,698 |
1,669 |
$7K |
| 70486 |
|
575 |
568 |
$7K |
| 83036 |
|
2,123 |
2,082 |
$6K |
| 36415 |
|
49,314 |
39,989 |
$6K |
| 80048 |
|
26,186 |
23,452 |
$6K |
| 93005 |
|
19,248 |
17,542 |
$6K |
| 72100 |
|
898 |
894 |
$6K |
| 84439 |
|
1,917 |
1,882 |
$5K |
| 76642 |
|
143 |
135 |
$5K |
| 88305 |
|
1,543 |
1,428 |
$4K |
| 29505 |
|
62 |
62 |
$4K |
| 74018 |
|
1,460 |
1,427 |
$4K |
| 29515 |
|
64 |
64 |
$4K |
| M0245 |
Bamlan and etesev infusion |
17 |
17 |
$4K |
| 85027 |
|
4,846 |
4,366 |
$4K |
| 87086 |
|
14,202 |
13,607 |
$4K |
| 73030 |
|
1,732 |
1,617 |
$4K |
| 73610 |
|
1,907 |
1,810 |
$3K |
| 83735 |
|
8,872 |
7,506 |
$3K |
| 87426 |
|
243 |
236 |
$3K |
| 73562 |
|
1,720 |
1,597 |
$3K |
| 87070 |
|
1,583 |
1,533 |
$3K |
| 87653 |
|
266 |
265 |
$3K |
| 72148 |
|
37 |
37 |
$3K |
| 73130 |
|
2,541 |
2,391 |
$3K |
| 82607 |
|
360 |
358 |
$2K |
| 93970 |
|
25 |
25 |
$2K |
| 87340 |
|
533 |
530 |
$2K |
| 85730 |
|
9,796 |
9,284 |
$2K |
| 76770 |
|
38 |
37 |
$2K |
| 80055 |
|
123 |
123 |
$2K |
| 86850 |
|
3,304 |
3,202 |
$2K |
| 80076 |
|
7,292 |
6,937 |
$2K |
| 76700 |
|
25 |
25 |
$2K |
| 86592 |
|
790 |
785 |
$2K |
| 83880 |
|
1,474 |
1,415 |
$1K |
| 87088 |
|
3,298 |
3,187 |
$1K |
| 87186 |
|
2,912 |
2,816 |
$1K |
| 84550 |
|
1,001 |
933 |
$1K |
| 87081 |
|
3,604 |
3,548 |
$1K |
| 86762 |
|
218 |
217 |
$1K |
| 83690 |
|
12,766 |
12,043 |
$1K |
| 83001 |
|
234 |
232 |
$1K |
| 85610 |
|
10,469 |
9,942 |
$1K |
| 94640 |
|
4,682 |
3,915 |
$1K |
| 83540 |
|
408 |
388 |
$1K |
| 83550 |
|
277 |
261 |
$1K |
| 73110 |
|
708 |
669 |
$1K |
| 86901 |
|
4,626 |
4,452 |
$1K |
| 73120 |
|
406 |
384 |
$996.01 |
| 84460 |
|
654 |
605 |
$979.40 |
| 87077 |
|
2,685 |
2,600 |
$975.46 |
| 93975 |
|
12 |
12 |
$974.17 |
| 97530 |
|
49 |
24 |
$973.54 |
| 81001 |
|
19,754 |
18,788 |
$956.25 |
| 84450 |
|
655 |
605 |
$955.52 |
| 83021 |
|
257 |
257 |
$936.99 |
| 76000 |
|
13 |
13 |
$935.12 |
| 74019 |
|
1,469 |
1,440 |
$928.24 |
| 70496 |
|
29 |
27 |
$928.04 |
| 82105 |
|
217 |
216 |
$873.10 |
| 83615 |
|
711 |
640 |
$832.71 |
| 82565 |
|
811 |
744 |
$769.10 |
| 0002A |
|
27 |
27 |
$698.99 |
| 82150 |
|
1,713 |
1,672 |
$688.79 |
| 72110 |
|
45 |
45 |
$666.31 |
| 72170 |
|
522 |
516 |
$661.99 |
| 84520 |
|
726 |
662 |
$600.70 |
| 82950 |
|
373 |
372 |
$597.59 |
| 82728 |
|
208 |
205 |
$591.71 |
| 73502 |
|
123 |
121 |
$530.25 |
| 86140 |
|
1,502 |
1,447 |
$509.06 |
| 12001 |
|
1,133 |
1,130 |
$503.75 |
| 82550 |
|
3,684 |
3,483 |
$500.28 |
| 0001A |
|
32 |
32 |
$494.45 |
| 85007 |
|
2,017 |
1,909 |
$452.56 |
| 86696 |
|
94 |
92 |
$451.92 |
| 84100 |
|
6,157 |
5,044 |
$438.05 |
| 87147 |
|
626 |
581 |
$435.62 |
| 94664 |
|
1,039 |
976 |
$411.58 |
| 81003 |
|
12,265 |
11,789 |
$404.67 |
| 97116 |
|
32 |
12 |
$401.31 |
| 86803 |
|
49 |
49 |
$359.88 |
| 73564 |
|
217 |
205 |
$357.84 |
| 77063 |
|
27 |
27 |
$355.08 |
| 84484 |
|
12,802 |
9,460 |
$354.33 |
| 86703 |
|
85 |
85 |
$342.69 |
| 96367 |
|
48 |
43 |
$338.85 |
| 86787 |
|
114 |
114 |
$336.17 |
| Q0162 |
Ondansetron oral |
5,208 |
5,059 |
$306.34 |
| 86695 |
|
93 |
91 |
$303.58 |
| 73590 |
|
233 |
214 |
$274.89 |
| 85652 |
|
962 |
921 |
$264.89 |
| 81025 |
|
22,550 |
21,227 |
$253.16 |
| 85660 |
|
249 |
249 |
$252.11 |
| 70498 |
|
13 |
13 |
$242.26 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,049 |
5,640 |
$238.40 |
| 82677 |
|
54 |
54 |
$232.20 |
| 84153 |
|
25 |
25 |
$206.68 |
| 74022 |
|
746 |
730 |
$202.53 |
| 82140 |
|
39 |
38 |
$198.00 |
| 80051 |
|
196 |
179 |
$194.51 |
| 83605 |
|
6,470 |
5,747 |
$194.46 |
| 73560 |
|
27 |
24 |
$192.94 |
| J7030 |
Normal saline solution infus |
23,131 |
20,838 |
$188.70 |
| 73620 |
|
226 |
215 |
$179.13 |
| 87804 |
|
6,002 |
3,049 |
$175.69 |
| 73090 |
|
475 |
433 |
$171.03 |
| 87040 |
|
2,803 |
1,716 |
$162.50 |
| 90715 |
|
2,295 |
2,281 |
$153.53 |
| 86336 |
|
54 |
54 |
$149.70 |
| 85379 |
|
2,020 |
1,967 |
$137.93 |
| G0472 |
Hep c screen high risk/other |
12 |
12 |
$131.65 |
| 82962 |
|
3,888 |
2,843 |
$131.01 |
| 96376 |
|
2,514 |
2,054 |
$115.63 |
| 86694 |
|
43 |
42 |
$106.17 |
| 88312 |
|
39 |
39 |
$93.10 |
| 83002 |
|
31 |
30 |
$92.80 |
| 84156 |
|
159 |
143 |
$88.10 |
| 82570 |
|
98 |
90 |
$79.38 |
| 87205 |
|
96 |
90 |
$77.38 |
| 71101 |
|
61 |
61 |
$59.64 |
| J2360 |
Orphenadrine injection |
1,593 |
1,556 |
$57.86 |
| J1815 |
Insulin injection |
461 |
225 |
$55.86 |
| J1100 |
Dexamethasone sodium phos |
7,773 |
7,024 |
$50.61 |
| 73070 |
|
156 |
146 |
$48.33 |
| 73100 |
|
13 |
13 |
$48.14 |
| J7120 |
Ringers lactate infusion |
3,103 |
2,768 |
$44.95 |
| 73080 |
|
28 |
27 |
$42.94 |
| 82043 |
|
12 |
12 |
$38.96 |
| 82977 |
|
13 |
13 |
$36.24 |
| J1885 |
Ketorolac tromethamine inj |
21,148 |
19,319 |
$33.91 |
| 73600 |
|
64 |
60 |
$31.62 |
| 87880 |
|
4,303 |
4,240 |
$25.53 |
| Q0245 |
Bamlanivimab and etesevima |
17 |
17 |
$20.09 |
| J1630 |
Haloperidol injection |
1,897 |
1,386 |
$17.68 |
| J2270 |
Morphine sulfate injection |
5,269 |
4,406 |
$16.13 |
| 84145 |
|
469 |
459 |
$13.33 |
| J2405 |
Ondansetron hcl injection |
10,986 |
10,021 |
$10.75 |
| J1170 |
Hydromorphone injection |
1,634 |
1,276 |
$10.46 |
| J3490 |
Drugs unclassified injection |
7,933 |
6,364 |
$10.05 |
| 87807 |
|
1,103 |
1,086 |
$10.00 |
| J7060 |
5% dextrose/water |
2,461 |
1,534 |
$9.43 |
| J2765 |
Metoclopramide hcl injection |
3,640 |
3,446 |
$7.63 |
| 94799 |
|
98 |
77 |
$6.56 |
| 82670 |
|
13 |
13 |
$5.08 |
| J3010 |
Fentanyl citrate injection |
1,648 |
1,590 |
$3.88 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,692 |
1,582 |
$3.75 |
| J1200 |
Diphenhydramine hcl injectio |
5,253 |
4,400 |
$3.35 |
| J0690 |
Cefazolin sodium injection |
849 |
679 |
$1.27 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
42 |
40 |
$0.38 |
| J1644 |
Inj heparin sodium per 1000u |
2,366 |
1,202 |
$0.30 |
| J2930 |
Methylprednisolone injection |
1,941 |
1,812 |
$0.25 |
| J0696 |
Ceftriaxone sodium injection |
3,834 |
3,282 |
$0.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
864 |
783 |
$0.02 |
| J0500 |
Dicyclomine injection |
279 |
272 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,984 |
2,968 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
3,238 |
2,917 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
59 |
38 |
$0.00 |
| 76817 |
|
1,960 |
1,809 |
$0.00 |
| J2060 |
Lorazepam injection |
1,986 |
1,362 |
$0.00 |
| J8540 |
Oral dexamethasone |
412 |
407 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,214 |
830 |
$0.00 |
| G0283 |
Elec stim other than wound |
633 |
154 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
62 |
55 |
$0.00 |
| 94760 |
|
115 |
113 |
$0.00 |
| 12002 |
|
130 |
130 |
$0.00 |
| 91301 |
|
1,136 |
1,076 |
$0.00 |
| 73552 |
|
13 |
12 |
$0.00 |
| 99156 |
|
51 |
49 |
$0.00 |
| J2001 |
Lidocaine injection |
73 |
56 |
$0.00 |
| J3360 |
Diazepam injection |
26 |
13 |
$0.00 |
| C1769 |
Guide wire |
116 |
109 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
13 |
13 |
$0.00 |
| 88304 |
|
13 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
13 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
14 |
13 |
$0.00 |
| 29125 |
|
622 |
612 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
453 |
279 |
$0.00 |
| J0780 |
Prochlorperazine injection |
705 |
666 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
180 |
164 |
$0.00 |
| 12011 |
|
139 |
139 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
13 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
232 |
186 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
258 |
190 |
$0.00 |
| J7040 |
Normal saline solution infus |
38 |
38 |
$0.00 |
| 99157 |
|
39 |
37 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
62 |
61 |
$0.00 |
| 82805 |
|
40 |
38 |
$0.00 |
| 82009 |
|
56 |
52 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
29 |
28 |
$0.00 |
| 91300 |
|
59 |
52 |
$0.00 |
| 76999 |
|
46 |
46 |
$0.00 |
| 70360 |
|
16 |
16 |
$0.00 |
| 76775 |
|
28 |
28 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
31 |
30 |
$0.00 |
| 81220 |
|
15 |
15 |
$0.00 |