| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
23,912 |
22,566 |
$5.92M |
| 99283 |
|
23,659 |
22,484 |
$3.74M |
| 99285 |
|
9,626 |
9,100 |
$3.56M |
| 96374 |
|
14,394 |
12,960 |
$1.76M |
| 74177 |
|
5,129 |
4,970 |
$938K |
| 97110 |
|
26,873 |
8,308 |
$801K |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,756 |
7,527 |
$530K |
| 99282 |
|
5,540 |
5,429 |
$509K |
| 87637 |
|
3,909 |
3,863 |
$424K |
| 96361 |
|
10,762 |
9,521 |
$407K |
| 59025 |
|
3,024 |
1,515 |
$388K |
| 71046 |
|
7,299 |
7,055 |
$354K |
| 96365 |
|
2,899 |
2,521 |
$320K |
| 96413 |
|
1,679 |
1,150 |
$313K |
| 96375 |
|
12,118 |
10,308 |
$298K |
| 97140 |
|
16,234 |
5,720 |
$280K |
| 96360 |
|
2,150 |
2,050 |
$271K |
| G0463 |
Hospital outpt clinic visit |
3,875 |
3,253 |
$265K |
| 92507 |
|
4,420 |
1,477 |
$227K |
| 45380 |
|
374 |
361 |
$222K |
| 76705 |
|
2,854 |
2,815 |
$214K |
| 93975 |
|
1,385 |
1,349 |
$213K |
| 87633 |
|
770 |
764 |
$200K |
| 71260 |
|
860 |
852 |
$197K |
| U0002 |
Covid-19 lab test non-cdc |
5,306 |
5,141 |
$181K |
| 76830 |
|
2,169 |
2,120 |
$163K |
| 77067 |
|
2,512 |
2,509 |
$152K |
| 70450 |
|
2,459 |
2,398 |
$134K |
| 97112 |
|
3,608 |
1,733 |
$129K |
| 71275 |
|
1,325 |
1,293 |
$123K |
| 74176 |
|
900 |
890 |
$122K |
| 93306 |
|
411 |
411 |
$117K |
| 86900 |
|
2,684 |
2,556 |
$116K |
| G0378 |
Hospital observation per hr |
784 |
599 |
$111K |
| 97162 |
|
1,931 |
1,922 |
$110K |
| 36415 |
|
49,522 |
41,592 |
$106K |
| 71045 |
|
2,020 |
1,936 |
$106K |
| U0005 |
Infec agen detec ampli probe |
5,193 |
5,052 |
$103K |
| 87491 |
|
5,537 |
5,451 |
$103K |
| 87591 |
|
5,527 |
5,441 |
$102K |
| 76816 |
|
1,498 |
1,451 |
$95K |
| 99281 |
|
1,530 |
1,515 |
$85K |
| G0472 |
Hep c screen high risk/other |
2,478 |
2,474 |
$85K |
| 76856 |
|
1,279 |
1,262 |
$81K |
| 43239 |
|
188 |
188 |
$80K |
| 82947 |
|
4,498 |
3,611 |
$77K |
| 80061 |
|
5,942 |
5,919 |
$77K |
| 97161 |
|
1,255 |
1,239 |
$73K |
| C9803 |
Hopd covid-19 spec collect |
8,893 |
8,580 |
$66K |
| 80053 |
|
31,771 |
28,145 |
$64K |
| 97530 |
|
2,066 |
1,375 |
$64K |
| 80307 |
|
3,357 |
3,221 |
$63K |
| 80050 |
|
2,111 |
2,091 |
$59K |
| 73562 |
|
2,319 |
2,215 |
$58K |
| 84443 |
|
7,476 |
7,335 |
$56K |
| 78452 |
|
86 |
83 |
$56K |
| 76805 |
|
703 |
702 |
$56K |
| 45385 |
|
80 |
80 |
$49K |
| 72148 |
|
351 |
350 |
$48K |
| 72100 |
|
1,089 |
1,085 |
$45K |
| 73721 |
|
265 |
259 |
$45K |
| 87661 |
|
1,913 |
1,903 |
$44K |
| 96372 |
|
7,186 |
6,126 |
$42K |
| 73630 |
|
2,503 |
2,395 |
$42K |
| 85025 |
|
31,307 |
27,333 |
$41K |
| 73030 |
|
1,659 |
1,599 |
$39K |
| 73130 |
|
2,026 |
1,929 |
$34K |
| 70553 |
|
113 |
113 |
$33K |
| 71250 |
|
480 |
479 |
$33K |
| 73110 |
|
1,699 |
1,585 |
$33K |
| 73610 |
|
2,057 |
1,938 |
$32K |
| 93971 |
|
465 |
458 |
$31K |
| 87624 |
|
1,365 |
1,360 |
$30K |
| G0432 |
Eia hiv-1/hiv-2 screen |
2,255 |
2,249 |
$30K |
| 76642 |
|
491 |
488 |
$27K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,387 |
1,387 |
$27K |
| 86780 |
|
2,796 |
2,787 |
$27K |
| 88305 |
|
3,377 |
3,100 |
$25K |
| 70498 |
|
103 |
102 |
$24K |
| 83036 |
|
4,994 |
4,971 |
$24K |
| 87086 |
|
8,059 |
7,665 |
$22K |
| 82306 |
|
1,410 |
1,401 |
$21K |
| 84702 |
|
3,378 |
2,353 |
$20K |
| 77063 |
|
1,306 |
1,306 |
$20K |
| G0482 |
Drug test def 15-21 classes |
229 |
215 |
$20K |
| 82728 |
|
2,337 |
2,276 |
$20K |
| C8929 |
Tte w or wo fol wcon,doppler |
50 |
50 |
$20K |
| 85027 |
|
7,592 |
7,069 |
$19K |
| 87502 |
|
1,327 |
1,312 |
$17K |
| 80048 |
|
6,077 |
5,569 |
$17K |
| 96366 |
|
587 |
487 |
$15K |
| 93005 |
|
11,108 |
10,173 |
$15K |
| C9399 |
Unclassified drugs or biolog |
263 |
259 |
$15K |
| 76801 |
|
219 |
210 |
$15K |
| 87653 |
|
886 |
881 |
$15K |
| 72125 |
|
174 |
171 |
$15K |
| G0481 |
Drug test def 8-14 classes |
260 |
257 |
$14K |
| 99291 |
|
31 |
28 |
$14K |
| 72141 |
|
65 |
65 |
$13K |
| G0480 |
Drug test def 1-7 classes |
964 |
894 |
$12K |
| 73502 |
|
405 |
401 |
$12K |
| 74018 |
|
359 |
349 |
$12K |
| 87077 |
|
3,393 |
3,281 |
$10K |
| G0475 |
Hiv combination assay |
585 |
584 |
$10K |
| 87205 |
|
5,425 |
5,160 |
$10K |
| 83550 |
|
1,816 |
1,783 |
$10K |
| 71271 |
|
153 |
153 |
$9K |
| 96415 |
|
173 |
151 |
$8K |
| 84439 |
|
1,757 |
1,718 |
$8K |
| 73080 |
|
455 |
431 |
$8K |
| 87186 |
|
2,515 |
2,455 |
$8K |
| 96376 |
|
2,761 |
2,186 |
$8K |
| 97163 |
|
127 |
127 |
$8K |
| 73221 |
|
43 |
41 |
$7K |
| 83540 |
|
1,853 |
1,819 |
$7K |
| 87081 |
|
3,299 |
3,267 |
$7K |
| G0279 |
Tomosynthesis, mammo |
490 |
490 |
$7K |
| 82607 |
|
901 |
898 |
$7K |
| 76817 |
|
741 |
645 |
$7K |
| Q3014 |
Telehealth facility fee |
315 |
293 |
$7K |
| 76536 |
|
97 |
97 |
$7K |
| 87340 |
|
2,158 |
2,154 |
$7K |
| 87635 |
|
182 |
176 |
$6K |
| 85610 |
|
4,283 |
3,232 |
$6K |
| 83880 |
|
2,083 |
1,977 |
$6K |
| 76770 |
|
82 |
81 |
$6K |
| 90471 |
|
618 |
588 |
$6K |
| 83735 |
|
6,409 |
5,629 |
$5K |
| 73140 |
|
366 |
349 |
$5K |
| 77065 |
Tomosynthesis, mammo |
96 |
90 |
$5K |
| 81001 |
|
19,303 |
17,559 |
$5K |
| 82570 |
|
2,013 |
1,860 |
$4K |
| 86140 |
|
2,323 |
2,167 |
$4K |
| 87070 |
|
1,163 |
1,114 |
$4K |
| G0103 |
Psa screening |
312 |
312 |
$4K |
| 93246 |
|
170 |
170 |
$4K |
| 84146 |
|
279 |
270 |
$4K |
| 82950 |
|
970 |
968 |
$3K |
| 83655 |
|
322 |
320 |
$3K |
| 88175 |
|
186 |
182 |
$3K |
| 70551 |
|
12 |
12 |
$3K |
| 96367 |
|
51 |
40 |
$3K |
| 70486 |
|
48 |
48 |
$3K |
| 80076 |
|
460 |
417 |
$2K |
| J7050 |
Normal saline solution infus |
13,916 |
10,335 |
$2K |
| 82043 |
|
545 |
543 |
$2K |
| 70491 |
|
13 |
13 |
$2K |
| 82784 |
|
300 |
295 |
$2K |
| 85652 |
|
1,966 |
1,881 |
$2K |
| 84100 |
|
1,261 |
1,053 |
$2K |
| 73090 |
|
170 |
160 |
$2K |
| 0002A |
|
57 |
57 |
$2K |
| 83690 |
|
7,596 |
7,053 |
$2K |
| 86038 |
|
230 |
228 |
$2K |
| 82746 |
|
174 |
174 |
$2K |
| 82565 |
|
2,657 |
2,573 |
$2K |
| 72040 |
|
59 |
59 |
$2K |
| 0012A |
|
40 |
40 |
$1K |
| G0108 |
Diab manage trn per indiv |
26 |
24 |
$1K |
| 80074 |
|
53 |
53 |
$1K |
| 87147 |
|
608 |
601 |
$1K |
| 87808 |
|
1,232 |
1,214 |
$1K |
| 0011A |
|
40 |
40 |
$1K |
| 81025 |
|
9,496 |
9,014 |
$1K |
| 84156 |
|
1,035 |
918 |
$1K |
| 85007 |
|
1,039 |
877 |
$1K |
| 0001A |
|
52 |
52 |
$1K |
| 93017 |
|
164 |
161 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$978.29 |
| 82248 |
|
336 |
286 |
$951.91 |
| 85730 |
|
1,350 |
1,282 |
$885.92 |
| 73590 |
|
115 |
114 |
$875.45 |
| 84403 |
|
50 |
50 |
$869.48 |
| 88304 |
|
117 |
117 |
$587.88 |
| 93242 |
|
39 |
39 |
$572.94 |
| 86769 |
|
25 |
24 |
$545.08 |
| 85055 |
|
41 |
25 |
$533.84 |
| 86762 |
|
1,096 |
1,095 |
$465.17 |
| 70496 |
|
75 |
75 |
$416.26 |
| 88342 |
|
12 |
12 |
$407.96 |
| 83605 |
|
3,924 |
3,239 |
$403.83 |
| 84484 |
|
7,004 |
4,745 |
$376.84 |
| 83516 |
|
46 |
41 |
$358.71 |
| 86200 |
|
40 |
40 |
$341.44 |
| 85379 |
|
1,153 |
1,132 |
$314.65 |
| 76815 |
|
15 |
14 |
$262.83 |
| 87880 |
|
2,132 |
2,115 |
$262.34 |
| 83970 |
|
14 |
14 |
$247.85 |
| 83615 |
|
84 |
74 |
$212.12 |
| 86431 |
|
57 |
57 |
$203.48 |
| 82247 |
|
52 |
36 |
$179.74 |
| 73564 |
|
12 |
12 |
$175.22 |
| 94640 |
|
2,372 |
2,092 |
$173.44 |
| 84425 |
|
12 |
12 |
$163.63 |
| 84481 |
|
12 |
12 |
$150.00 |
| 83001 |
|
13 |
13 |
$140.79 |
| 12001 |
|
180 |
179 |
$140.77 |
| 82105 |
|
13 |
13 |
$123.80 |
| J2704 |
Inj, propofol, 10 mg |
4,483 |
4,398 |
$123.46 |
| 87040 |
|
399 |
263 |
$118.50 |
| 74019 |
|
16 |
14 |
$116.52 |
| 87109 |
|
13 |
13 |
$111.33 |
| 87088 |
|
32 |
32 |
$109.33 |
| J7120 |
Ringers lactate infusion |
4,398 |
4,070 |
$98.40 |
| 82550 |
|
60 |
58 |
$91.72 |
| 86850 |
|
2,467 |
2,391 |
$83.35 |
| A9577 |
Inj multihance |
818 |
806 |
$77.00 |
| 0296T |
|
15 |
15 |
$66.47 |
| 80143 |
|
283 |
272 |
$58.84 |
| 85018 |
|
75 |
64 |
$57.48 |
| 82077 |
|
673 |
641 |
$55.74 |
| J7030 |
Normal saline solution infus |
14,570 |
12,748 |
$48.59 |
| 84145 |
|
129 |
126 |
$42.40 |
| 86677 |
|
13 |
13 |
$36.78 |
| 85014 |
|
30 |
24 |
$26.69 |
| J7040 |
Normal saline solution infus |
2,301 |
1,539 |
$23.00 |
| A9270 |
Non-covered item or service |
2,222 |
1,747 |
$22.66 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,216 |
7,886 |
$18.08 |
| J2250 |
Inj midazolam hydrochloride |
2,641 |
2,478 |
$16.37 |
| J3010 |
Fentanyl citrate injection |
3,689 |
3,317 |
$15.26 |
| 80179 |
|
209 |
201 |
$14.91 |
| 87807 |
|
148 |
148 |
$10.53 |
| J1885 |
Ketorolac tromethamine inj |
10,856 |
10,055 |
$10.45 |
| 86308 |
|
12 |
12 |
$8.20 |
| J2360 |
Orphenadrine injection |
1,151 |
1,074 |
$6.54 |
| J0690 |
Cefazolin sodium injection |
1,436 |
1,347 |
$6.40 |
| J1642 |
Inj heparin sodium per 10 u |
1,492 |
854 |
$6.09 |
| J1100 |
Dexamethasone sodium phos |
3,324 |
2,833 |
$5.98 |
| J2405 |
Ondansetron hcl injection |
9,477 |
8,148 |
$5.60 |
| J1200 |
Diphenhydramine hcl injectio |
4,501 |
3,974 |
$5.48 |
| J2765 |
Metoclopramide hcl injection |
1,855 |
1,738 |
$4.92 |
| G1004 |
Cdsm ndsc |
10,404 |
9,688 |
$0.03 |
| J1170 |
Hydromorphone injection |
2,032 |
1,600 |
$0.00 |
| C1889 |
Implant/insert device, noc |
193 |
191 |
$0.00 |
| J2060 |
Lorazepam injection |
527 |
472 |
$0.00 |
| J1630 |
Haloperidol injection |
461 |
414 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,413 |
1,265 |
$0.00 |
| J8540 |
Oral dexamethasone |
175 |
172 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
232 |
223 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
94 |
93 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
112 |
99 |
$0.00 |
| J2785 |
Regadenoson injection |
17 |
16 |
$0.00 |
| 87503 |
|
93 |
92 |
$0.00 |
| J1790 |
Droperidol injection |
386 |
360 |
$0.00 |
| 86901 |
|
134 |
130 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
64 |
63 |
$0.00 |
| 76377 |
|
136 |
135 |
$0.00 |
| 91301 |
|
85 |
85 |
$0.00 |
| 0241U |
|
13 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
24 |
24 |
$0.00 |
| J3480 |
Inj potassium chloride |
35 |
27 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
30 |
25 |
$0.00 |
| 12002 |
|
14 |
14 |
$0.00 |
| J8501 |
Oral aprepitant |
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
25 |
25 |
$0.00 |
| J2550 |
Promethazine hcl injection |
91 |
87 |
$0.00 |
| J2930 |
Methylprednisolone injection |
491 |
448 |
$0.00 |
| 90715 |
|
471 |
471 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,593 |
1,472 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,558 |
2,299 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
63 |
60 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
238 |
202 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
231 |
229 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
87 |
84 |
$0.00 |
| 29125 |
|
80 |
80 |
$0.00 |
| 87804 |
|
115 |
100 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
28 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
27 |
25 |
$0.00 |
| 76942 |
|
26 |
25 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
83 |
66 |
$0.00 |
| 91300 |
|
111 |
98 |
$0.00 |
| 82800 |
|
14 |
14 |
$0.00 |
| 82010 |
|
28 |
24 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
33 |
$0.00 |