| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,390 |
12,911 |
$998K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,444 |
6,242 |
$592K |
| 99283 |
|
5,788 |
5,646 |
$258K |
| 87631 |
|
1,333 |
1,315 |
$200K |
| T1015 |
Clinic service |
5,499 |
1,854 |
$169K |
| 74177 |
|
927 |
909 |
$161K |
| G0378 |
Hospital observation per hr |
177 |
173 |
$153K |
| 80053 |
|
12,657 |
11,768 |
$136K |
| 0202U |
|
636 |
613 |
$119K |
| X0621 |
|
372 |
233 |
$87K |
| 85025 |
|
14,753 |
13,328 |
$80K |
| 96374 |
|
2,550 |
2,457 |
$76K |
| 99285 |
|
1,566 |
1,510 |
$70K |
| 87426 |
|
1,523 |
1,490 |
$64K |
| 71275 |
|
306 |
300 |
$62K |
| 96365 |
|
1,764 |
1,603 |
$55K |
| C9803 |
Hopd covid-19 spec collect |
4,017 |
3,870 |
$50K |
| 450 |
Pov group 1 hd 301-450 lbs |
65 |
49 |
$48K |
| 93005 |
|
5,000 |
4,654 |
$46K |
| 70450 |
|
855 |
821 |
$44K |
| 77067 |
|
502 |
499 |
$44K |
| 96375 |
|
2,311 |
2,152 |
$41K |
| 84443 |
|
1,734 |
1,687 |
$38K |
| 80307 |
|
545 |
518 |
$33K |
| G0480 |
Drug test def 1-7 classes |
398 |
375 |
$31K |
| 93976 |
|
307 |
298 |
$27K |
| 99212 |
|
775 |
727 |
$26K |
| 74176 |
|
278 |
271 |
$23K |
| 81001 |
|
6,938 |
6,616 |
$21K |
| 72148 |
|
123 |
123 |
$20K |
| 93971 |
|
317 |
307 |
$20K |
| 71046 |
|
1,571 |
1,522 |
$19K |
| 84484 |
|
2,192 |
1,686 |
$19K |
| 87150 |
|
276 |
266 |
$19K |
| 87086 |
|
2,347 |
2,204 |
$18K |
| 76705 |
|
446 |
437 |
$17K |
| 93306 |
|
257 |
255 |
$17K |
| 87491 |
|
645 |
636 |
$17K |
| 87591 |
|
645 |
636 |
$17K |
| 96361 |
|
1,279 |
1,206 |
$17K |
| 80061 |
|
1,271 |
1,253 |
$16K |
| 88175 |
|
454 |
452 |
$16K |
| 84703 |
|
1,360 |
1,314 |
$15K |
| 82306 |
|
394 |
387 |
$14K |
| 99282 |
|
402 |
393 |
$13K |
| 97162 |
|
321 |
309 |
$13K |
| 76830 |
|
252 |
244 |
$12K |
| 76700 |
|
200 |
199 |
$12K |
| 80048 |
|
1,704 |
1,418 |
$12K |
| 77063 |
|
499 |
496 |
$12K |
| 73721 |
|
45 |
44 |
$11K |
| 76536 |
|
241 |
240 |
$11K |
| 97161 |
|
270 |
258 |
$11K |
| U0005 |
Infec agen detec ampli probe |
695 |
672 |
$9K |
| 84702 |
|
510 |
435 |
$9K |
| 76642 |
|
235 |
229 |
$9K |
| 99213 |
|
256 |
250 |
$9K |
| 87624 |
|
191 |
190 |
$9K |
| 76770 |
|
190 |
187 |
$8K |
| 72125 |
|
150 |
150 |
$8K |
| 87040 |
|
612 |
371 |
$7K |
| 76816 |
|
161 |
152 |
$7K |
| 80050 |
|
146 |
143 |
$6K |
| 86803 |
|
291 |
289 |
$6K |
| 71045 |
|
878 |
850 |
$6K |
| 85379 |
|
584 |
569 |
$6K |
| 83036 |
|
967 |
951 |
$6K |
| 96372 |
|
609 |
503 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,097 |
2,898 |
$6K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$6K |
| 83690 |
|
1,149 |
1,080 |
$5K |
| 83605 |
|
807 |
727 |
$5K |
| 87088 |
|
635 |
613 |
$5K |
| 96360 |
|
193 |
190 |
$5K |
| 73610 |
|
268 |
263 |
$5K |
| 86787 |
|
237 |
236 |
$5K |
| 76817 |
|
77 |
71 |
$5K |
| 36415 |
|
3,733 |
3,199 |
$4K |
| 78227 |
|
14 |
14 |
$4K |
| 86850 |
|
538 |
526 |
$4K |
| 87186 |
|
555 |
539 |
$4K |
| 76801 |
|
91 |
88 |
$4K |
| 73564 |
|
190 |
189 |
$4K |
| 99281 |
|
198 |
197 |
$4K |
| 86762 |
|
153 |
152 |
$3K |
| 99211 |
|
68 |
60 |
$3K |
| 72141 |
|
13 |
13 |
$3K |
| 83735 |
|
559 |
483 |
$3K |
| 73221 |
|
14 |
14 |
$3K |
| 82728 |
|
277 |
269 |
$3K |
| 83880 |
|
172 |
154 |
$3K |
| 96366 |
|
196 |
138 |
$3K |
| 320 |
|
18 |
15 |
$3K |
| 84439 |
|
346 |
338 |
$3K |
| 88305 |
|
303 |
237 |
$3K |
| 70486 |
|
40 |
40 |
$2K |
| 73030 |
|
196 |
189 |
$2K |
| 87071 |
|
417 |
412 |
$2K |
| 70496 |
|
12 |
12 |
$2K |
| 73630 |
|
211 |
208 |
$2K |
| 82607 |
|
219 |
219 |
$2K |
| 74018 |
|
191 |
189 |
$2K |
| 96367 |
|
120 |
113 |
$2K |
| 86900 |
|
575 |
561 |
$2K |
| 86901 |
|
570 |
556 |
$2K |
| 97110 |
|
335 |
95 |
$2K |
| 97597 |
|
145 |
93 |
$2K |
| 82950 |
|
269 |
269 |
$2K |
| 85610 |
|
794 |
632 |
$2K |
| A9270 |
Non-covered item or service |
195 |
188 |
$2K |
| 80076 |
|
191 |
185 |
$2K |
| 82570 |
|
254 |
241 |
$2K |
| 86038 |
|
109 |
109 |
$2K |
| 73130 |
|
158 |
153 |
$2K |
| 87340 |
|
120 |
119 |
$2K |
| 72100 |
|
89 |
87 |
$2K |
| 85730 |
|
311 |
300 |
$2K |
| 93017 |
|
67 |
66 |
$2K |
| 83540 |
|
191 |
189 |
$2K |
| 96376 |
|
55 |
47 |
$2K |
| 99214 |
|
27 |
24 |
$2K |
| G0279 |
Tomosynthesis, mammo |
90 |
89 |
$2K |
| 81025 |
|
227 |
219 |
$1K |
| 87077 |
|
142 |
141 |
$1K |
| 76856 |
|
25 |
25 |
$1K |
| 87389 |
|
43 |
43 |
$1K |
| 85652 |
|
409 |
396 |
$1K |
| 86140 |
|
429 |
398 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
14 |
$998.62 |
| 81003 |
|
334 |
329 |
$988.47 |
| 86592 |
|
225 |
222 |
$978.23 |
| 12001 |
|
14 |
14 |
$890.64 |
| J1885 |
Ketorolac tromethamine inj |
3,789 |
3,419 |
$801.59 |
| 300 |
Patient transfer system <300 |
101 |
27 |
$800.61 |
| 82948 |
|
309 |
253 |
$779.10 |
| 87880 |
|
106 |
106 |
$767.21 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$758.21 |
| 73110 |
|
64 |
63 |
$746.71 |
| 86318 |
|
32 |
32 |
$718.55 |
| 93970 |
|
13 |
12 |
$701.01 |
| 82010 |
|
173 |
155 |
$697.42 |
| 84145 |
|
64 |
52 |
$632.67 |
| 76805 |
|
12 |
12 |
$614.95 |
| 93925 |
|
14 |
14 |
$597.88 |
| 90715 |
|
50 |
50 |
$577.53 |
| 82043 |
|
73 |
72 |
$570.43 |
| 87081 |
|
94 |
93 |
$557.88 |
| 84100 |
|
130 |
101 |
$542.27 |
| 87641 |
|
15 |
15 |
$524.64 |
| J2270 |
Morphine sulfate injection |
378 |
312 |
$513.74 |
| 73502 |
|
28 |
28 |
$476.61 |
| 82550 |
|
73 |
67 |
$458.93 |
| 73562 |
|
30 |
27 |
$448.62 |
| 84466 |
|
25 |
25 |
$415.81 |
| 82803 |
|
17 |
15 |
$382.40 |
| 86618 |
|
13 |
13 |
$369.62 |
| 86431 |
|
42 |
42 |
$364.60 |
| 82947 |
|
78 |
77 |
$354.15 |
| 94640 |
|
13 |
12 |
$333.08 |
| 86922 |
|
12 |
12 |
$330.40 |
| 85018 |
|
121 |
108 |
$295.67 |
| 84146 |
|
12 |
12 |
$273.63 |
| 71250 |
|
12 |
12 |
$264.95 |
| J2405 |
Ondansetron hcl injection |
2,657 |
2,410 |
$236.67 |
| 90471 |
|
23 |
14 |
$236.54 |
| J1100 |
Dexamethasone sodium phos |
746 |
717 |
$225.93 |
| 87808 |
|
12 |
12 |
$169.91 |
| J0131 |
Inj, acetaminophen (nos) |
259 |
241 |
$164.53 |
| 73080 |
|
13 |
13 |
$154.96 |
| 83655 |
|
12 |
12 |
$146.00 |
| 84550 |
|
29 |
25 |
$144.85 |
| 83615 |
|
31 |
24 |
$126.35 |
| 84156 |
|
25 |
24 |
$117.97 |
| 85027 |
|
15 |
14 |
$113.56 |
| 87070 |
|
12 |
12 |
$104.16 |
| 82375 |
|
18 |
16 |
$80.11 |
| J7512 |
Prednisone ir or dr oral 1mg |
457 |
281 |
$63.59 |
| 83050 |
|
17 |
15 |
$42.89 |
| 86905 |
|
13 |
13 |
$36.26 |
| J3010 |
Fentanyl citrate injection |
213 |
193 |
$30.30 |
| J1200 |
Diphenhydramine hcl injectio |
121 |
110 |
$25.52 |
| J2704 |
Inj, propofol, 10 mg |
40 |
38 |
$20.80 |
| J7050 |
Normal saline solution infus |
56 |
39 |
$11.86 |
| J7060 |
5% dextrose/water |
20 |
12 |
$11.28 |
| J0696 |
Ceftriaxone sodium injection |
125 |
56 |
$11.04 |
| J2765 |
Metoclopramide hcl injection |
196 |
182 |
$10.04 |
| P9612 |
Catheterize for urine spec |
25 |
25 |
$9.81 |
| J2250 |
Inj midazolam hydrochloride |
53 |
51 |
$4.45 |
| Q9957 |
Inj perflutren lip micros,ml |
203 |
195 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
102 |
101 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
457 |
441 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
148 |
141 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
17 |
17 |
$0.00 |
| G1004 |
Cdsm ndsc |
17 |
15 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
203 |
158 |
$0.00 |