| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,574 |
21,670 |
$2.49M |
| 99283 |
|
17,044 |
15,039 |
$1.20M |
| 99285 |
|
9,330 |
8,390 |
$1.08M |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,178 |
6,798 |
$648K |
| T1015 |
Clinic service |
10,221 |
6,527 |
$378K |
| G0378 |
Hospital observation per hr |
1,493 |
657 |
$375K |
| 80053 |
|
25,515 |
23,541 |
$262K |
| 74177 |
|
1,160 |
1,133 |
$200K |
| 96374 |
|
6,499 |
6,187 |
$168K |
| D2930 |
|
171 |
149 |
$146K |
| 87502 |
|
1,467 |
1,448 |
$142K |
| 85025 |
|
26,065 |
23,493 |
$137K |
| 87635 |
|
3,743 |
3,652 |
$118K |
| 84443 |
|
4,117 |
3,978 |
$93K |
| 80061 |
|
6,309 |
6,186 |
$88K |
| 80050 |
|
1,606 |
1,586 |
$83K |
| 71046 |
|
5,595 |
5,422 |
$83K |
| 70450 |
|
1,418 |
1,354 |
$80K |
| 87491 |
|
2,980 |
2,893 |
$78K |
| 87591 |
|
2,955 |
2,868 |
$76K |
| 71275 |
|
403 |
395 |
$74K |
| U0005 |
Infec agen detec ampli probe |
5,719 |
5,388 |
$72K |
| 77067 |
|
828 |
810 |
$70K |
| 88175 |
|
1,712 |
1,689 |
$58K |
| 74176 |
|
736 |
705 |
$58K |
| 73721 |
|
208 |
202 |
$55K |
| 93005 |
|
6,634 |
6,211 |
$55K |
| 80307 |
|
1,164 |
1,067 |
$53K |
| 43239 |
|
228 |
224 |
$52K |
| 82306 |
|
1,749 |
1,715 |
$51K |
| 96375 |
|
2,923 |
2,752 |
$49K |
| 99282 |
|
1,157 |
1,116 |
$44K |
| 11042 |
|
1,060 |
655 |
$43K |
| 72148 |
|
242 |
238 |
$41K |
| 80048 |
|
4,995 |
3,901 |
$40K |
| X0621 |
|
443 |
289 |
$40K |
| 85027 |
|
5,865 |
4,825 |
$38K |
| 70553 |
|
151 |
149 |
$37K |
| C9803 |
Hopd covid-19 spec collect |
4,716 |
4,583 |
$35K |
| 70551 |
|
165 |
161 |
$33K |
| 72141 |
|
131 |
129 |
$31K |
| 87661 |
|
765 |
749 |
$29K |
| 73630 |
|
2,582 |
2,242 |
$29K |
| 93971 |
|
462 |
442 |
$28K |
| 83735 |
|
4,856 |
4,407 |
$27K |
| 87086 |
|
3,383 |
3,189 |
$26K |
| G0476 |
Hpv combo assay ca screen |
672 |
622 |
$26K |
| 84484 |
|
3,750 |
3,324 |
$26K |
| 83036 |
|
3,524 |
3,474 |
$25K |
| 84703 |
|
2,658 |
2,524 |
$25K |
| 73610 |
|
1,321 |
1,185 |
$25K |
| 72125 |
|
412 |
399 |
$24K |
| 76856 |
|
468 |
452 |
$23K |
| 87081 |
|
3,493 |
3,392 |
$23K |
| 76705 |
|
674 |
657 |
$23K |
| 71250 |
|
339 |
335 |
$21K |
| G0480 |
Drug test def 1-7 classes |
490 |
442 |
$21K |
| 81003 |
|
7,599 |
7,215 |
$21K |
| 76830 |
|
441 |
426 |
$19K |
| 77063 |
|
645 |
629 |
$19K |
| 71260 |
|
277 |
270 |
$18K |
| 87481 |
|
431 |
312 |
$18K |
| 76536 |
|
354 |
343 |
$18K |
| 84439 |
|
2,082 |
2,028 |
$17K |
| 83690 |
|
3,705 |
3,523 |
$17K |
| 80074 |
|
278 |
269 |
$16K |
| 45385 |
|
44 |
44 |
$16K |
| 86318 |
|
742 |
732 |
$15K |
| 87798 |
|
560 |
542 |
$15K |
| 96372 |
|
1,176 |
1,119 |
$15K |
| 70496 |
|
95 |
95 |
$14K |
| 71045 |
|
2,456 |
2,305 |
$14K |
| 83880 |
|
579 |
536 |
$13K |
| 82607 |
|
1,128 |
1,106 |
$13K |
| 86780 |
|
740 |
727 |
$13K |
| 97161 |
|
310 |
300 |
$12K |
| 76642 |
|
307 |
285 |
$12K |
| 93970 |
|
155 |
151 |
$11K |
| 86618 |
|
413 |
409 |
$11K |
| 76805 |
|
203 |
197 |
$11K |
| 84702 |
|
597 |
462 |
$10K |
| 83970 |
|
243 |
232 |
$10K |
| 86803 |
|
488 |
479 |
$10K |
| 93306 |
|
170 |
166 |
$10K |
| 76817 |
|
169 |
164 |
$10K |
| 82043 |
|
1,204 |
1,183 |
$10K |
| 85730 |
|
2,059 |
1,894 |
$10K |
| 76801 |
|
224 |
224 |
$10K |
| 85610 |
|
3,239 |
2,602 |
$10K |
| 76775 |
|
273 |
264 |
$9K |
| 36415 |
|
38,920 |
32,794 |
$9K |
| 70498 |
|
64 |
64 |
$9K |
| 87186 |
|
1,105 |
1,052 |
$9K |
| 86480 |
|
113 |
110 |
$9K |
| 87653 |
|
195 |
189 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,372 |
3,212 |
$9K |
| 84153 |
|
337 |
333 |
$9K |
| 83605 |
|
1,494 |
1,375 |
$9K |
| 72100 |
|
438 |
436 |
$9K |
| 80076 |
|
961 |
916 |
$9K |
| 96365 |
|
398 |
386 |
$8K |
| 82803 |
|
565 |
513 |
$8K |
| 74018 |
|
622 |
604 |
$8K |
| 87070 |
|
1,209 |
1,164 |
$8K |
| 70486 |
|
125 |
124 |
$8K |
| 82728 |
|
685 |
661 |
$8K |
| 86702 |
|
578 |
572 |
$8K |
| 87040 |
|
609 |
569 |
$8K |
| 73560 |
|
496 |
450 |
$8K |
| 86038 |
|
478 |
460 |
$7K |
| 73030 |
|
489 |
464 |
$7K |
| 86850 |
|
1,043 |
980 |
$7K |
| 45380 |
|
40 |
40 |
$7K |
| 82784 |
|
347 |
332 |
$7K |
| 86701 |
|
578 |
572 |
$7K |
| G0328 |
Fecal blood scrn immunoassay |
342 |
335 |
$7K |
| 73130 |
|
551 |
510 |
$7K |
| 82570 |
|
913 |
873 |
$7K |
| 87340 |
|
423 |
416 |
$7K |
| 77066 |
Tomosynthesis, mammo |
79 |
79 |
$7K |
| 99291 |
|
101 |
97 |
$6K |
| 0240U |
|
107 |
107 |
$6K |
| 87390 |
|
578 |
572 |
$6K |
| 84481 |
|
229 |
222 |
$6K |
| 86762 |
|
261 |
260 |
$6K |
| 87077 |
|
751 |
716 |
$6K |
| 96361 |
|
403 |
391 |
$5K |
| 82746 |
|
472 |
461 |
$5K |
| 84146 |
|
200 |
198 |
$5K |
| 86140 |
|
1,636 |
1,501 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
101 |
97 |
$5K |
| 12001 |
|
107 |
107 |
$5K |
| 84145 |
|
392 |
371 |
$5K |
| G0279 |
Tomosynthesis, mammo |
267 |
242 |
$5K |
| 93000 |
|
208 |
202 |
$5K |
| 73110 |
|
369 |
345 |
$4K |
| 73502 |
|
238 |
230 |
$4K |
| 86665 |
|
102 |
91 |
$4K |
| 86900 |
|
1,164 |
1,083 |
$4K |
| 85651 |
|
1,309 |
1,179 |
$4K |
| 36430 |
|
100 |
68 |
$4K |
| 86901 |
|
1,158 |
1,079 |
$4K |
| 88305 |
|
971 |
928 |
$4K |
| 90715 |
|
431 |
417 |
$4K |
| 85378 |
|
440 |
427 |
$4K |
| 73221 |
|
12 |
12 |
$3K |
| 76816 |
|
72 |
66 |
$3K |
| 76641 |
|
65 |
64 |
$3K |
| 82565 |
|
507 |
488 |
$3K |
| 84403 |
|
91 |
89 |
$3K |
| 83001 |
|
145 |
143 |
$3K |
| 86706 |
|
202 |
191 |
$3K |
| 74019 |
|
183 |
178 |
$3K |
| 80164 |
|
154 |
147 |
$3K |
| 84460 |
|
361 |
352 |
$3K |
| 71271 |
|
47 |
46 |
$3K |
| 96360 |
|
109 |
92 |
$2K |
| 82550 |
|
395 |
365 |
$2K |
| 84165 |
|
178 |
167 |
$2K |
| 83550 |
|
503 |
483 |
$2K |
| 73590 |
|
158 |
152 |
$2K |
| 86431 |
|
268 |
258 |
$2K |
| 86664 |
|
91 |
91 |
$2K |
| 84100 |
|
446 |
316 |
$2K |
| 80069 |
|
244 |
221 |
$2K |
| 72110 |
|
86 |
85 |
$2K |
| 84550 |
|
327 |
293 |
$2K |
| 83721 |
|
236 |
230 |
$2K |
| 72114 |
|
91 |
86 |
$2K |
| 86663 |
|
91 |
91 |
$2K |
| 84520 |
|
340 |
327 |
$2K |
| 82950 |
|
235 |
234 |
$2K |
| 84450 |
|
258 |
249 |
$2K |
| 73080 |
|
165 |
162 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
1,979 |
1,594 |
$2K |
| 83525 |
|
132 |
126 |
$2K |
| 87493 |
|
40 |
40 |
$2K |
| 83615 |
|
274 |
217 |
$2K |
| G2012 |
Brief check in by md/qhp |
63 |
59 |
$1K |
| 86235 |
|
14 |
12 |
$1K |
| 83655 |
|
118 |
117 |
$1K |
| 87205 |
|
362 |
344 |
$1K |
| D3220 |
|
29 |
25 |
$1K |
| 59025 |
|
482 |
288 |
$1K |
| 97165 |
|
90 |
87 |
$1K |
| 83002 |
|
66 |
66 |
$1K |
| 84681 |
|
39 |
38 |
$1K |
| 72040 |
|
83 |
81 |
$1K |
| 73090 |
|
113 |
111 |
$1K |
| 72070 |
|
60 |
58 |
$1K |
| 12011 |
|
26 |
25 |
$1K |
| 82947 |
|
268 |
263 |
$1K |
| 76815 |
|
25 |
25 |
$1K |
| 84402 |
|
39 |
39 |
$1K |
| 84270 |
|
40 |
40 |
$1K |
| 84155 |
|
283 |
264 |
$1K |
| 10060 |
|
12 |
12 |
$1K |
| 96376 |
|
328 |
309 |
$944.68 |
| 82077 |
|
580 |
530 |
$922.05 |
| 85018 |
|
291 |
258 |
$920.88 |
| 29125 |
|
37 |
37 |
$903.50 |
| 83516 |
|
380 |
362 |
$871.61 |
| 82248 |
|
119 |
97 |
$853.40 |
| 86334 |
|
27 |
27 |
$845.98 |
| J2270 |
Morphine sulfate injection |
1,448 |
1,123 |
$842.28 |
| 86200 |
|
63 |
62 |
$825.17 |
| 72050 |
|
27 |
27 |
$820.50 |
| 86376 |
|
65 |
52 |
$817.53 |
| 82977 |
|
101 |
75 |
$805.30 |
| 86160 |
|
29 |
29 |
$771.35 |
| J1885 |
Ketorolac tromethamine inj |
4,739 |
4,358 |
$741.93 |
| 85014 |
|
244 |
210 |
$739.53 |
| 86923 |
|
50 |
39 |
$738.20 |
| P9016 |
Rbc leukocytes reduced |
16 |
13 |
$728.37 |
| 84480 |
|
73 |
72 |
$652.02 |
| 83540 |
|
77 |
76 |
$649.87 |
| 82962 |
|
917 |
669 |
$642.89 |
| 82533 |
|
53 |
48 |
$639.60 |
| 71101 |
|
43 |
43 |
$605.85 |
| 76870 |
|
12 |
12 |
$598.40 |
| 77080 |
|
12 |
12 |
$590.11 |
| 86617 |
|
12 |
12 |
$535.93 |
| G2023 |
Specimen collect covid-19 |
53 |
49 |
$465.45 |
| 90686 |
|
149 |
146 |
$464.35 |
| J2704 |
Inj, propofol, 10 mg |
3,900 |
2,998 |
$462.10 |
| 87451 |
|
44 |
43 |
$453.77 |
| 86308 |
|
55 |
55 |
$416.72 |
| 86708 |
|
26 |
25 |
$394.50 |
| J0696 |
Ceftriaxone sodium injection |
704 |
612 |
$392.79 |
| 90471 |
|
223 |
215 |
$379.00 |
| 87045 |
|
57 |
56 |
$370.19 |
| 87046 |
|
57 |
56 |
$353.86 |
| J2930 |
Methylprednisolone injection |
164 |
148 |
$345.98 |
| 84436 |
|
32 |
31 |
$333.41 |
| J1100 |
Dexamethasone sodium phos |
2,559 |
2,196 |
$332.95 |
| 83921 |
|
15 |
14 |
$331.14 |
| J3490 |
Drugs unclassified injection |
228 |
174 |
$321.20 |
| 82627 |
|
13 |
13 |
$315.00 |
| 87529 |
|
89 |
84 |
$311.64 |
| 82105 |
|
15 |
13 |
$306.00 |
| J2405 |
Ondansetron hcl injection |
5,995 |
5,126 |
$299.34 |
| 93017 |
|
13 |
13 |
$292.95 |
| 93922 |
|
16 |
15 |
$291.49 |
| 82150 |
|
57 |
56 |
$285.21 |
| 73562 |
|
15 |
15 |
$257.31 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
361 |
343 |
$249.70 |
| 99281 |
|
12 |
12 |
$224.70 |
| 84156 |
|
72 |
66 |
$217.33 |
| 82140 |
|
62 |
57 |
$216.58 |
| J1200 |
Diphenhydramine hcl injectio |
1,042 |
960 |
$176.33 |
| J2765 |
Metoclopramide hcl injection |
758 |
685 |
$171.49 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
128 |
79 |
$165.57 |
| 76857 |
|
12 |
12 |
$152.48 |
| 73140 |
|
15 |
15 |
$147.50 |
| G0008 |
Admin influenza virus vac |
18 |
18 |
$138.27 |
| 88304 |
|
59 |
59 |
$127.93 |
| 80178 |
|
12 |
12 |
$115.20 |
| 81513 |
|
253 |
247 |
$113.10 |
| J0690 |
Cefazolin sodium injection |
672 |
456 |
$106.19 |
| J1170 |
Hydromorphone injection |
114 |
86 |
$104.51 |
| J1644 |
Inj heparin sodium per 1000u |
463 |
273 |
$91.50 |
| 88314 |
|
102 |
98 |
$85.06 |
| J3010 |
Fentanyl citrate injection |
3,295 |
2,505 |
$84.57 |
| J2060 |
Lorazepam injection |
259 |
235 |
$70.34 |
| 94010 |
|
13 |
13 |
$69.30 |
| 85045 |
|
14 |
13 |
$57.96 |
| J7040 |
Normal saline solution infus |
523 |
354 |
$55.25 |
| 82010 |
|
17 |
13 |
$53.50 |
| 80179 |
|
47 |
46 |
$51.72 |
| J1741 |
Ibuprofen injection |
148 |
105 |
$50.60 |
| 76882 |
|
13 |
13 |
$49.26 |
| J7512 |
Prednisone ir or dr oral 1mg |
299 |
291 |
$39.93 |
| 85049 |
|
43 |
41 |
$38.10 |
| 85660 |
|
14 |
13 |
$36.08 |
| J2250 |
Inj midazolam hydrochloride |
1,974 |
1,558 |
$18.69 |
| J1630 |
Haloperidol injection |
18 |
14 |
$13.41 |
| J7613 |
Albuterol non-comp unit |
52 |
51 |
$11.27 |
| 87324 |
|
25 |
24 |
$9.50 |
| 87449 |
|
54 |
52 |
$9.50 |
| J3475 |
Inj magnesium sulfate |
53 |
45 |
$8.60 |
| J1815 |
Insulin injection |
84 |
55 |
$7.86 |
| J7620 |
Albuterol ipratrop non-comp |
202 |
186 |
$6.80 |
| 88300 |
|
26 |
26 |
$3.75 |
| J2370 |
Phenylephrine hcl injection |
228 |
173 |
$3.74 |
| J2001 |
Lidocaine injection |
1,699 |
1,416 |
$1.47 |
| 3046F |
|
335 |
333 |
$0.00 |
| 3050F |
|
1,039 |
1,020 |
$0.00 |
| 3078F |
|
1,026 |
1,003 |
$0.00 |
| 3051F |
|
329 |
322 |
$0.00 |
| 3077F |
|
30 |
29 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
14 |
14 |
$0.00 |
| G0204 |
Dx mammo incl cad bi |
13 |
13 |
$0.00 |
| 3060F |
|
288 |
280 |
$0.00 |
| 3048F |
|
2,148 |
2,117 |
$0.00 |
| 3052F |
|
187 |
186 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
69 |
64 |
$0.00 |
| 3011F |
|
4,808 |
4,730 |
$0.00 |
| 3061F |
|
502 |
496 |
$0.00 |
| 3049F |
|
1,167 |
1,153 |
$0.00 |
| 3044F |
|
1,741 |
1,725 |
$0.00 |
| 3074F |
|
1,077 |
1,054 |
$0.00 |
| 3079F |
|
40 |
39 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
16 |
13 |
$0.00 |