| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
9,115 |
8,239 |
$2.60M |
| 99284 |
|
13,315 |
11,338 |
$2.09M |
| 99283 |
|
16,548 |
14,081 |
$1.79M |
| 96374 |
|
7,949 |
7,326 |
$774K |
| 74177 |
|
3,570 |
3,462 |
$498K |
| 59025 |
|
4,037 |
1,848 |
$369K |
| 96365 |
|
4,017 |
3,208 |
$362K |
| 97110 |
|
13,411 |
3,821 |
$303K |
| 92507 |
|
6,998 |
2,558 |
$284K |
| 97530 |
|
9,447 |
3,006 |
$269K |
| 96375 |
|
7,945 |
6,846 |
$260K |
| 96361 |
|
7,097 |
6,333 |
$238K |
| 99282 |
|
3,567 |
3,073 |
$224K |
| 70450 |
|
2,364 |
2,287 |
$221K |
| 93306 |
|
848 |
845 |
$201K |
| 97112 |
|
7,099 |
2,341 |
$182K |
| 71045 |
|
4,581 |
4,342 |
$176K |
| 71046 |
|
4,682 |
4,542 |
$174K |
| 96360 |
|
1,432 |
1,394 |
$145K |
| 77067 |
|
2,604 |
2,601 |
$117K |
| 76830 |
|
1,979 |
1,966 |
$117K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,813 |
2,738 |
$102K |
| 87651 |
|
8,776 |
8,611 |
$100K |
| U0002 |
Covid-19 lab test non-cdc |
3,677 |
3,554 |
$94K |
| 74176 |
|
765 |
749 |
$84K |
| 80061 |
|
8,334 |
8,296 |
$84K |
| 99281 |
|
2,011 |
1,781 |
$81K |
| G0480 |
Drug test def 1-7 classes |
5,780 |
5,486 |
$80K |
| 97140 |
|
5,615 |
2,037 |
$79K |
| 76805 |
|
1,321 |
1,315 |
$79K |
| 97162 |
|
1,337 |
1,315 |
$75K |
| 76705 |
|
1,339 |
1,327 |
$75K |
| 76816 |
|
1,386 |
1,338 |
$73K |
| 71260 |
|
567 |
556 |
$68K |
| 43239 |
|
224 |
220 |
$67K |
| 99291 |
|
160 |
156 |
$63K |
| 87635 |
|
2,482 |
2,423 |
$61K |
| 84443 |
|
12,163 |
11,890 |
$60K |
| 87591 |
|
4,504 |
4,439 |
$59K |
| 72148 |
|
540 |
536 |
$57K |
| 87491 |
|
4,318 |
4,253 |
$56K |
| 85025 |
|
36,529 |
32,444 |
$53K |
| 80053 |
|
24,307 |
22,137 |
$52K |
| 74018 |
|
1,687 |
1,591 |
$52K |
| 73564 |
|
1,352 |
1,311 |
$48K |
| G0378 |
Hospital observation per hr |
538 |
500 |
$47K |
| 82306 |
|
3,986 |
3,974 |
$42K |
| 93005 |
|
7,535 |
7,061 |
$41K |
| 76856 |
|
710 |
708 |
$40K |
| G0482 |
Drug test def 15-21 classes |
731 |
727 |
$39K |
| 73630 |
|
2,015 |
1,959 |
$39K |
| 86900 |
|
3,148 |
2,993 |
$37K |
| 73610 |
|
1,614 |
1,563 |
$33K |
| 96366 |
|
1,078 |
883 |
$32K |
| 72110 |
|
821 |
810 |
$31K |
| 73130 |
|
1,691 |
1,638 |
$30K |
| 76801 |
|
523 |
472 |
$30K |
| 76642 |
|
710 |
699 |
$28K |
| 96372 |
|
4,944 |
4,447 |
$28K |
| 73030 |
|
1,241 |
1,201 |
$25K |
| 83036 |
|
7,849 |
7,808 |
$25K |
| 71275 |
|
234 |
229 |
$23K |
| U0005 |
Infec agen detec ampli probe |
1,754 |
1,718 |
$20K |
| 73110 |
|
941 |
921 |
$20K |
| 76536 |
|
363 |
361 |
$19K |
| 82607 |
|
3,595 |
3,576 |
$19K |
| 87637 |
|
246 |
238 |
$19K |
| 73721 |
|
161 |
158 |
$18K |
| 96413 |
|
105 |
66 |
$18K |
| 87661 |
|
1,424 |
1,414 |
$17K |
| 70553 |
|
92 |
92 |
$16K |
| 87086 |
|
7,514 |
7,230 |
$16K |
| 36415 |
|
49,722 |
43,225 |
$16K |
| 86850 |
|
3,864 |
3,761 |
$15K |
| 82728 |
|
2,716 |
2,671 |
$14K |
| 87653 |
|
964 |
957 |
$14K |
| 87426 |
|
1,182 |
1,162 |
$14K |
| 87389 |
|
1,829 |
1,829 |
$13K |
| 87502 |
|
1,986 |
1,952 |
$13K |
| 80048 |
|
11,104 |
10,385 |
$13K |
| 77063 |
|
964 |
964 |
$11K |
| 82746 |
|
1,984 |
1,974 |
$11K |
| 97166 |
|
219 |
217 |
$11K |
| 87804 |
|
2,008 |
1,445 |
$11K |
| 86780 |
|
1,746 |
1,743 |
$10K |
| 80307 |
|
415 |
413 |
$10K |
| 87880 |
|
1,938 |
1,895 |
$10K |
| 74019 |
|
232 |
229 |
$10K |
| 96367 |
|
321 |
221 |
$10K |
| 84439 |
|
3,055 |
3,010 |
$9K |
| 73502 |
|
466 |
450 |
$8K |
| 83735 |
|
7,715 |
6,697 |
$8K |
| 72100 |
|
175 |
174 |
$8K |
| 84702 |
|
1,957 |
1,517 |
$8K |
| 77065 |
Tomosynthesis, mammo |
193 |
180 |
$7K |
| 97535 |
|
350 |
269 |
$7K |
| 87077 |
|
2,699 |
2,636 |
$7K |
| 87186 |
|
2,588 |
2,518 |
$7K |
| 83540 |
|
2,598 |
2,554 |
$6K |
| 87340 |
|
1,746 |
1,739 |
$6K |
| G0279 |
Tomosynthesis, mammo |
502 |
472 |
$5K |
| 45385 |
|
12 |
12 |
$5K |
| 72125 |
|
414 |
407 |
$5K |
| 83550 |
|
1,386 |
1,349 |
$4K |
| 86762 |
|
1,124 |
1,123 |
$4K |
| 73560 |
|
175 |
165 |
$4K |
| G0103 |
Psa screening |
648 |
645 |
$4K |
| 97161 |
|
97 |
97 |
$4K |
| 93017 |
|
66 |
66 |
$4K |
| 81003 |
|
13,196 |
12,114 |
$4K |
| 92523 |
|
27 |
27 |
$4K |
| 81025 |
|
6,854 |
6,453 |
$3K |
| 86803 |
|
708 |
703 |
$3K |
| 93971 |
|
63 |
63 |
$3K |
| 87631 |
|
627 |
610 |
$3K |
| 93975 |
|
26 |
26 |
$3K |
| 87070 |
|
1,140 |
1,105 |
$3K |
| 83880 |
|
1,125 |
1,078 |
$3K |
| 71271 |
|
53 |
53 |
$3K |
| 87015 |
|
990 |
983 |
$3K |
| 80076 |
|
2,793 |
2,665 |
$3K |
| 86140 |
|
2,346 |
2,190 |
$3K |
| 85027 |
|
1,129 |
1,100 |
$2K |
| 77066 |
Tomosynthesis, mammo |
40 |
38 |
$2K |
| 85610 |
|
5,200 |
4,599 |
$2K |
| 82570 |
|
1,299 |
1,280 |
$2K |
| 90471 |
|
181 |
175 |
$2K |
| 87210 |
|
1,157 |
1,147 |
$2K |
| 87480 |
|
260 |
257 |
$2K |
| 87510 |
|
260 |
257 |
$2K |
| 87088 |
|
787 |
771 |
$2K |
| 82043 |
|
1,108 |
1,104 |
$2K |
| 87660 |
|
259 |
256 |
$2K |
| 87634 |
|
124 |
124 |
$2K |
| 72141 |
|
13 |
13 |
$2K |
| 97016 |
|
363 |
131 |
$2K |
| 86901 |
|
3,146 |
2,991 |
$2K |
| 93010 |
|
330 |
317 |
$2K |
| 76700 |
|
27 |
27 |
$2K |
| 82950 |
|
780 |
778 |
$2K |
| 74022 |
|
116 |
116 |
$2K |
| 00790 |
|
13 |
13 |
$2K |
| 85652 |
|
2,373 |
2,267 |
$1K |
| 84481 |
|
185 |
184 |
$1K |
| 73221 |
|
14 |
14 |
$1K |
| 87205 |
|
954 |
928 |
$1K |
| 76770 |
|
24 |
24 |
$1K |
| 81001 |
|
3,490 |
3,203 |
$1K |
| 83690 |
|
5,236 |
4,840 |
$1K |
| 97165 |
|
31 |
31 |
$1K |
| 84460 |
|
504 |
494 |
$1K |
| 84450 |
|
489 |
480 |
$968.99 |
| 85730 |
|
3,876 |
3,680 |
$919.98 |
| 00731 |
|
12 |
12 |
$751.92 |
| 86481 |
|
12 |
12 |
$726.87 |
| 12001 |
|
62 |
41 |
$711.41 |
| G0108 |
Diab manage trn per indiv |
14 |
14 |
$708.03 |
| 86039 |
|
162 |
162 |
$662.40 |
| 73080 |
|
57 |
54 |
$644.76 |
| 01967 |
|
12 |
12 |
$627.56 |
| 73140 |
|
29 |
29 |
$600.42 |
| 83001 |
|
81 |
81 |
$583.87 |
| C9803 |
Hopd covid-19 spec collect |
170 |
167 |
$565.59 |
| 86038 |
|
122 |
121 |
$553.40 |
| 86787 |
|
160 |
159 |
$530.67 |
| 84153 |
|
94 |
92 |
$505.45 |
| 88305 |
|
1,797 |
1,765 |
$457.87 |
| 72040 |
|
12 |
12 |
$433.26 |
| 82670 |
|
40 |
40 |
$418.89 |
| 72072 |
|
12 |
12 |
$407.82 |
| 76942 |
|
46 |
41 |
$392.26 |
| 86430 |
|
156 |
156 |
$355.79 |
| 82150 |
|
368 |
362 |
$343.21 |
| 94640 |
|
517 |
456 |
$306.12 |
| 81002 |
|
237 |
233 |
$301.51 |
| 87522 |
Neg quan hep c or qual rna |
16 |
15 |
$294.63 |
| 73590 |
|
15 |
15 |
$289.98 |
| 73090 |
|
13 |
13 |
$288.84 |
| 84146 |
|
39 |
39 |
$268.22 |
| 85379 |
|
1,154 |
1,128 |
$260.86 |
| 87807 |
|
111 |
109 |
$244.49 |
| 87040 |
|
1,480 |
1,404 |
$228.81 |
| 84484 |
|
3,351 |
3,140 |
$178.89 |
| 84703 |
|
857 |
829 |
$178.13 |
| 99406 |
|
13 |
13 |
$176.40 |
| 83615 |
|
98 |
91 |
$160.50 |
| 0240U |
|
327 |
314 |
$142.63 |
| 0241U |
|
51 |
50 |
$142.63 |
| 84403 |
|
20 |
20 |
$132.36 |
| 82784 |
|
40 |
37 |
$128.90 |
| 82565 |
|
86 |
82 |
$115.80 |
| 84402 |
|
18 |
18 |
$113.90 |
| 83002 |
|
14 |
14 |
$103.88 |
| 83605 |
|
1,669 |
1,579 |
$96.28 |
| 86709 |
|
12 |
12 |
$90.94 |
| 83516 |
|
13 |
13 |
$80.15 |
| 84100 |
|
132 |
112 |
$79.95 |
| 83655 |
|
14 |
14 |
$66.26 |
| 86706 |
|
12 |
12 |
$51.69 |
| 87045 |
|
12 |
12 |
$36.18 |
| 85007 |
|
27 |
24 |
$31.49 |
| J2405 |
Ondansetron hcl injection |
2,016 |
1,780 |
$31.35 |
| 82962 |
|
115 |
111 |
$28.13 |
| 82550 |
|
40 |
37 |
$21.79 |
| 82947 |
|
12 |
12 |
$18.18 |
| 88304 |
|
184 |
181 |
$13.86 |
| 82272 |
|
26 |
25 |
$11.40 |
| 85014 |
|
12 |
12 |
$9.21 |
| 85018 |
|
12 |
12 |
$9.21 |
| 82140 |
|
13 |
12 |
$8.52 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,527 |
1,486 |
$1.44 |
| J7120 |
Ringers lactate infusion |
2,473 |
2,152 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
51 |
42 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
853 |
763 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
411 |
345 |
$0.00 |
| 84145 |
|
223 |
218 |
$0.00 |
| 97150 |
|
301 |
174 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
13 |
13 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| 82542 |
|
41 |
38 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 87530 |
|
21 |
21 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
17 |
17 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,725 |
1,483 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,020 |
973 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
803 |
751 |
$0.00 |
| 94761 |
|
3,947 |
3,706 |
$0.00 |
| 96376 |
|
2,103 |
1,740 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,710 |
1,599 |
$0.00 |
| A9270 |
Non-covered item or service |
47 |
36 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
239 |
179 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
165 |
160 |
$0.00 |
| A9585 |
Gadobutrol injection |
69 |
64 |
$0.00 |
| 96368 |
|
15 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
14 |
13 |
$0.00 |