| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
10,058 |
9,414 |
$3.51M |
| 99284 |
|
15,838 |
14,769 |
$3.39M |
| 99283 |
|
21,042 |
20,130 |
$2.61M |
| 96374 |
|
14,519 |
13,026 |
$1.42M |
| 99282 |
|
12,617 |
12,118 |
$883K |
| 74177 |
|
4,980 |
4,787 |
$702K |
| 96375 |
|
11,418 |
9,457 |
$364K |
| 70450 |
|
3,126 |
3,024 |
$313K |
| 71046 |
|
8,096 |
7,777 |
$310K |
| 96361 |
|
10,120 |
8,884 |
$308K |
| 96365 |
|
3,368 |
2,816 |
$304K |
| 96360 |
|
2,957 |
2,801 |
$288K |
| 87637 |
|
3,547 |
3,471 |
$272K |
| G0463 |
Hospital outpt clinic visit |
3,507 |
3,013 |
$207K |
| 99291 |
|
396 |
371 |
$177K |
| 93306 |
|
774 |
771 |
$173K |
| 74176 |
|
1,424 |
1,368 |
$158K |
| 96413 |
|
1,089 |
647 |
$158K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,617 |
2,515 |
$151K |
| 93975 |
|
1,123 |
1,084 |
$138K |
| 71045 |
|
3,543 |
3,385 |
$136K |
| 71275 |
|
1,155 |
1,137 |
$118K |
| 76705 |
|
1,958 |
1,931 |
$114K |
| 71260 |
|
857 |
845 |
$107K |
| 77067 |
|
2,092 |
2,091 |
$101K |
| 80061 |
|
9,206 |
9,162 |
$101K |
| 84443 |
|
12,746 |
12,437 |
$99K |
| 76830 |
|
1,655 |
1,610 |
$96K |
| U0002 |
Covid-19 lab test non-cdc |
3,559 |
3,400 |
$82K |
| 80053 |
|
30,536 |
27,366 |
$80K |
| G0480 |
Drug test def 1-7 classes |
4,551 |
4,136 |
$73K |
| G0378 |
Hospital observation per hr |
1,680 |
1,570 |
$68K |
| 82306 |
|
3,566 |
3,549 |
$62K |
| G0472 |
Hep c screen high risk/other |
1,883 |
1,882 |
$62K |
| 99281 |
|
1,404 |
1,381 |
$60K |
| 96366 |
|
1,749 |
1,259 |
$59K |
| 76856 |
|
1,075 |
1,051 |
$56K |
| 80307 |
|
5,284 |
4,842 |
$54K |
| 43239 |
|
129 |
129 |
$54K |
| 85025 |
|
31,861 |
27,754 |
$51K |
| 70553 |
|
226 |
225 |
$46K |
| G0475 |
Hiv combination assay |
2,449 |
2,444 |
$40K |
| 83036 |
|
5,224 |
5,203 |
$30K |
| 70496 |
|
163 |
160 |
$27K |
| 82728 |
|
3,113 |
3,070 |
$26K |
| 87635 |
|
1,038 |
981 |
$26K |
| 93971 |
|
465 |
453 |
$25K |
| 45385 |
|
52 |
52 |
$25K |
| U0005 |
Infec agen detec ampli probe |
1,303 |
1,256 |
$24K |
| 85027 |
|
9,656 |
9,033 |
$24K |
| 80048 |
|
9,354 |
8,539 |
$23K |
| 82607 |
|
2,458 |
2,448 |
$22K |
| 72100 |
|
980 |
971 |
$20K |
| 86900 |
|
1,729 |
1,637 |
$19K |
| 84466 |
|
2,272 |
2,243 |
$17K |
| 84439 |
|
4,008 |
3,940 |
$17K |
| 87491 |
|
1,376 |
1,365 |
$17K |
| 87591 |
|
1,359 |
1,348 |
$17K |
| 76770 |
|
281 |
275 |
$16K |
| 76700 |
|
223 |
223 |
$15K |
| 36415 |
|
32,261 |
29,084 |
$14K |
| 86780 |
|
1,536 |
1,527 |
$12K |
| 73630 |
|
1,748 |
1,712 |
$12K |
| 93005 |
|
11,383 |
9,514 |
$12K |
| 77063 |
|
865 |
864 |
$11K |
| 83540 |
|
2,503 |
2,471 |
$10K |
| 90471 |
|
1,099 |
1,021 |
$10K |
| 87340 |
|
1,620 |
1,616 |
$9K |
| 73721 |
|
74 |
73 |
$9K |
| 73130 |
|
1,589 |
1,563 |
$9K |
| 73030 |
|
930 |
900 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,777 |
5,530 |
$8K |
| 73610 |
|
1,313 |
1,290 |
$8K |
| 84702 |
|
4,169 |
3,758 |
$8K |
| 83735 |
|
13,476 |
11,674 |
$7K |
| 72125 |
|
965 |
944 |
$7K |
| 87086 |
|
3,099 |
2,996 |
$7K |
| 88305 |
|
708 |
703 |
$6K |
| 72148 |
|
54 |
54 |
$6K |
| 86850 |
|
1,693 |
1,613 |
$6K |
| 85610 |
|
6,866 |
5,598 |
$5K |
| 74018 |
|
318 |
299 |
$5K |
| 83880 |
|
1,824 |
1,731 |
$5K |
| 71250 |
|
91 |
90 |
$5K |
| 84481 |
|
469 |
458 |
$5K |
| 45380 |
|
12 |
12 |
$5K |
| 73110 |
|
1,025 |
1,011 |
$5K |
| 87428 |
|
129 |
127 |
$5K |
| 96372 |
|
4,219 |
3,629 |
$5K |
| 73564 |
|
157 |
156 |
$4K |
| 80159 |
|
350 |
251 |
$4K |
| 86140 |
|
1,757 |
1,662 |
$4K |
| 82746 |
|
412 |
410 |
$4K |
| 76536 |
|
61 |
61 |
$3K |
| L4350 |
Ankle control ortho pre ots |
75 |
75 |
$3K |
| 87389 |
|
561 |
560 |
$3K |
| 95806 |
|
40 |
40 |
$3K |
| G0103 |
Psa screening |
212 |
212 |
$3K |
| 84403 |
|
189 |
186 |
$3K |
| 73562 |
|
524 |
519 |
$3K |
| 70491 |
|
27 |
27 |
$3K |
| 81001 |
|
8,397 |
7,932 |
$2K |
| 86762 |
|
297 |
296 |
$2K |
| G0279 |
Tomosynthesis, mammo |
188 |
188 |
$2K |
| 85652 |
|
2,079 |
1,988 |
$2K |
| 80076 |
|
2,297 |
2,211 |
$2K |
| 86803 |
|
286 |
286 |
$2K |
| 82570 |
|
660 |
638 |
$2K |
| 71271 |
|
38 |
38 |
$2K |
| 93017 |
|
64 |
64 |
$2K |
| 82043 |
|
598 |
593 |
$2K |
| 83690 |
|
7,488 |
6,845 |
$2K |
| 86901 |
|
1,906 |
1,806 |
$2K |
| 76642 |
|
51 |
51 |
$2K |
| 77066 |
Tomosynthesis, mammo |
38 |
38 |
$2K |
| 85730 |
|
4,449 |
4,217 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
878 |
864 |
$2K |
| 96376 |
|
2,851 |
2,204 |
$2K |
| 82950 |
|
546 |
545 |
$1K |
| 73502 |
|
135 |
133 |
$1K |
| 70486 |
|
52 |
52 |
$1K |
| 84703 |
|
6,388 |
6,087 |
$1K |
| 0241U |
|
468 |
453 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
941 |
892 |
$1K |
| 82248 |
|
1,275 |
1,223 |
$1K |
| 87798 |
|
70 |
38 |
$1K |
| 87502 |
|
653 |
648 |
$1K |
| 87081 |
|
1,169 |
1,167 |
$1K |
| 82784 |
|
123 |
120 |
$994.60 |
| 86039 |
|
126 |
126 |
$902.98 |
| 84146 |
|
66 |
66 |
$877.74 |
| 86364 |
|
72 |
57 |
$876.92 |
| 87186 |
|
500 |
491 |
$851.28 |
| 96367 |
|
21 |
12 |
$778.26 |
| 87077 |
|
411 |
403 |
$741.98 |
| 82670 |
|
38 |
38 |
$732.21 |
| 85379 |
|
2,772 |
2,701 |
$731.02 |
| 84100 |
|
618 |
526 |
$719.66 |
| 86592 |
|
253 |
253 |
$718.67 |
| 73080 |
|
138 |
135 |
$713.48 |
| 86258 |
|
40 |
40 |
$664.78 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$611.69 |
| 86038 |
|
69 |
68 |
$574.64 |
| 81003 |
|
5,439 |
5,229 |
$572.03 |
| 82565 |
|
258 |
233 |
$517.94 |
| 84484 |
|
6,800 |
5,750 |
$470.39 |
| 82550 |
|
351 |
332 |
$469.54 |
| 76870 |
|
15 |
14 |
$461.85 |
| 84460 |
|
154 |
152 |
$361.35 |
| 0012A |
|
13 |
13 |
$351.20 |
| 73140 |
|
107 |
103 |
$346.97 |
| 85007 |
|
421 |
387 |
$308.35 |
| 73090 |
|
55 |
51 |
$244.51 |
| 84450 |
|
106 |
102 |
$243.23 |
| 0011A |
|
14 |
14 |
$225.86 |
| 87147 |
|
186 |
171 |
$223.75 |
| Q3014 |
Telehealth facility fee |
15 |
15 |
$218.56 |
| 83605 |
|
3,733 |
3,403 |
$208.91 |
| 83001 |
|
15 |
15 |
$208.02 |
| 86431 |
|
53 |
53 |
$206.30 |
| 74022 |
|
266 |
257 |
$197.75 |
| 80055 |
|
51 |
51 |
$161.04 |
| 73590 |
|
86 |
83 |
$147.90 |
| 87088 |
|
38 |
37 |
$134.53 |
| 86200 |
|
12 |
12 |
$106.26 |
| 87040 |
|
445 |
376 |
$102.45 |
| 84630 |
|
13 |
12 |
$102.28 |
| 70498 |
|
133 |
133 |
$100.63 |
| 73552 |
|
12 |
12 |
$98.90 |
| 85651 |
|
55 |
52 |
$75.62 |
| J2272 |
Inj, morphine (fresenius) |
16 |
14 |
$64.64 |
| 82040 |
|
51 |
48 |
$63.39 |
| 90715 |
|
698 |
695 |
$56.20 |
| 87070 |
|
41 |
40 |
$54.22 |
| 83615 |
|
13 |
12 |
$47.58 |
| 82803 |
|
422 |
381 |
$39.78 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
251 |
208 |
$38.42 |
| 87880 |
|
1,464 |
1,452 |
$37.41 |
| 84156 |
|
13 |
12 |
$32.89 |
| 82947 |
|
13 |
13 |
$27.96 |
| J1170 |
Hydromorphone injection |
2,864 |
2,334 |
$22.09 |
| J2765 |
Metoclopramide hcl injection |
1,252 |
1,136 |
$13.84 |
| 87205 |
|
70 |
68 |
$12.71 |
| J1200 |
Diphenhydramine hcl injectio |
2,983 |
2,587 |
$12.47 |
| J2405 |
Ondansetron hcl injection |
8,431 |
7,433 |
$12.40 |
| J2704 |
Inj, propofol, 10 mg |
3,274 |
3,179 |
$10.06 |
| J1885 |
Ketorolac tromethamine inj |
7,583 |
6,938 |
$9.43 |
| 86308 |
|
12 |
12 |
$8.24 |
| J0690 |
Cefazolin sodium injection |
732 |
696 |
$7.54 |
| 84155 |
|
13 |
12 |
$7.31 |
| J1100 |
Dexamethasone sodium phos |
2,989 |
2,581 |
$6.11 |
| J7120 |
Ringers lactate infusion |
2,033 |
1,782 |
$3.21 |
| J2250 |
Inj midazolam hydrochloride |
2,965 |
2,843 |
$3.00 |
| J7030 |
Normal saline solution infus |
15,560 |
13,306 |
$1.38 |
| J2930 |
Methylprednisolone injection |
526 |
467 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,621 |
1,374 |
$0.00 |
| J2270 |
Morphine sulfate injection |
3,046 |
2,638 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,060 |
631 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
49 |
24 |
$0.00 |
| 29125 |
|
72 |
72 |
$0.00 |
| J0780 |
Prochlorperazine injection |
310 |
274 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
74 |
70 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
16 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
42 |
41 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
13 |
13 |
$0.00 |
| 12011 |
|
13 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
14 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
116 |
92 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,198 |
3,040 |
$0.00 |
| J2060 |
Lorazepam injection |
1,267 |
1,061 |
$0.00 |
| 94640 |
|
1,585 |
1,359 |
$0.00 |
| J3360 |
Diazepam injection |
17 |
15 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,580 |
1,459 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,827 |
1,398 |
$0.00 |
| 83520 |
|
965 |
851 |
$0.00 |
| 12001 |
|
149 |
148 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
83 |
83 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,031 |
824 |
$0.00 |
| J1630 |
Haloperidol injection |
377 |
320 |
$0.00 |
| J3480 |
Inj potassium chloride |
225 |
151 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
83 |
69 |
$0.00 |
| Q0162 |
Ondansetron oral |
85 |
81 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
183 |
110 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
87 |
87 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
24 |
24 |
$0.00 |
| 87808 |
|
38 |
38 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
320 |
218 |
$0.00 |
| 99156 |
|
15 |
12 |
$0.00 |
| 94760 |
|
16 |
12 |
$0.00 |