| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
29,913 |
25,395 |
$10.80M |
| 99284 |
|
19,989 |
17,193 |
$4.74M |
| U0003 |
Cov-19 amp prb hgh thruput |
43,613 |
41,128 |
$3.14M |
| 99283 |
|
16,933 |
15,731 |
$2.99M |
| G0463 |
Hospital outpt clinic visit |
30,556 |
28,407 |
$2.59M |
| 96374 |
|
6,094 |
5,703 |
$839K |
| U0005 |
Infec agen detec ampli probe |
30,102 |
28,291 |
$652K |
| 41899 |
|
664 |
631 |
$446K |
| 69436 |
|
244 |
218 |
$197K |
| 36415 |
|
35,500 |
32,249 |
$192K |
| 0241U |
|
1,447 |
1,414 |
$183K |
| 93005 |
|
6,726 |
6,163 |
$147K |
| 96361 |
|
2,785 |
2,523 |
$145K |
| 88305 |
|
2,105 |
1,953 |
$139K |
| 85025 |
|
30,139 |
27,642 |
$105K |
| 71045 |
|
2,212 |
1,916 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
1,279 |
318 |
$81K |
| 42820 |
|
32 |
28 |
$81K |
| 96375 |
|
1,241 |
1,146 |
$67K |
| C9803 |
Hopd covid-19 spec collect |
4,115 |
3,966 |
$67K |
| 80053 |
|
10,832 |
10,204 |
$64K |
| 87636 |
|
444 |
436 |
$58K |
| 99232 |
|
1,223 |
302 |
$54K |
| 71046 |
|
1,151 |
1,092 |
$42K |
| 45380 |
|
61 |
53 |
$37K |
| 99282 |
|
337 |
327 |
$36K |
| 99291 |
|
289 |
144 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
282 |
197 |
$35K |
| 80048 |
|
7,168 |
6,693 |
$28K |
| 70450 |
|
533 |
480 |
$24K |
| 87631 |
|
317 |
305 |
$23K |
| 93296 |
|
738 |
721 |
$23K |
| 70310 |
|
400 |
378 |
$21K |
| 74177 |
|
254 |
246 |
$20K |
| 93306 |
|
263 |
256 |
$18K |
| 99239 |
|
263 |
245 |
$17K |
| 83036 |
|
2,171 |
2,141 |
$17K |
| 87651 |
|
222 |
216 |
$14K |
| M0243 |
Casirivi and imdevi inj |
51 |
51 |
$14K |
| M0245 |
Bamlan and etesev infusion |
44 |
44 |
$12K |
| 99222 |
|
170 |
133 |
$12K |
| 00170 |
|
95 |
46 |
$12K |
| M0247 |
Sotrovimab infusion |
40 |
40 |
$11K |
| 94060 |
|
90 |
78 |
$9K |
| 80061 |
|
792 |
774 |
$8K |
| 84443 |
|
404 |
386 |
$8K |
| 99214 |
|
122 |
96 |
$7K |
| 71275 |
|
136 |
126 |
$7K |
| 87591 |
|
189 |
189 |
$7K |
| 87491 |
|
189 |
189 |
$7K |
| 43239 |
|
14 |
14 |
$6K |
| 96372 |
|
140 |
136 |
$6K |
| 81001 |
|
2,808 |
2,680 |
$6K |
| 84484 |
|
600 |
540 |
$6K |
| 94010 |
|
107 |
95 |
$6K |
| 31575 |
|
39 |
39 |
$6K |
| 99220 |
|
47 |
47 |
$5K |
| 85610 |
|
1,304 |
699 |
$5K |
| 74176 |
|
90 |
87 |
$5K |
| 87070 |
|
423 |
417 |
$4K |
| 88142 |
|
233 |
233 |
$4K |
| 99231 |
|
208 |
93 |
$4K |
| 80306 |
|
104 |
92 |
$4K |
| M0239 |
Bamlanivimab-xxxx infusion |
16 |
15 |
$3K |
| M0222 |
Bebtelovimab injection |
15 |
15 |
$3K |
| 76801 |
|
28 |
28 |
$3K |
| 87086 |
|
242 |
230 |
$3K |
| 83690 |
|
540 |
498 |
$2K |
| 88307 |
|
24 |
24 |
$2K |
| 73630 |
|
136 |
109 |
$2K |
| 87635 |
|
49 |
47 |
$2K |
| 99238 |
|
43 |
41 |
$2K |
| 96360 |
|
14 |
13 |
$2K |
| 73610 |
|
57 |
52 |
$2K |
| 00811 |
|
14 |
13 |
$2K |
| 99221 |
|
30 |
27 |
$2K |
| J7030 |
Normal saline solution infus |
2,460 |
2,232 |
$2K |
| 00731 |
|
14 |
12 |
$1K |
| 99217 |
|
30 |
27 |
$1K |
| 99219 |
|
17 |
17 |
$1K |
| 99213 |
|
32 |
27 |
$1K |
| 82306 |
|
25 |
25 |
$1K |
| G0476 |
Hpv combo assay ca screen |
39 |
39 |
$1K |
| 94726 |
|
90 |
81 |
$1K |
| 72125 |
|
44 |
41 |
$1K |
| 11721 |
|
44 |
43 |
$1K |
| 85027 |
|
300 |
283 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 83605 |
|
202 |
183 |
$1K |
| 73130 |
|
36 |
26 |
$1K |
| 81003 |
|
374 |
358 |
$1K |
| 95249 |
|
30 |
30 |
$1K |
| 86780 |
|
77 |
76 |
$1K |
| 86769 |
|
27 |
26 |
$998.32 |
| 81025 |
|
226 |
215 |
$965.72 |
| 84439 |
|
75 |
73 |
$960.71 |
| 87801 |
|
12 |
12 |
$942.75 |
| G0472 |
Hep c screen high risk/other |
14 |
14 |
$661.79 |
| 93970 |
|
29 |
27 |
$659.38 |
| 87624 |
|
14 |
14 |
$651.31 |
| 82077 |
|
33 |
28 |
$636.48 |
| 76816 |
|
24 |
24 |
$619.92 |
| 86850 |
|
66 |
63 |
$605.96 |
| 93971 |
|
43 |
42 |
$553.38 |
| 86140 |
|
162 |
150 |
$512.65 |
| 76705 |
|
30 |
28 |
$499.47 |
| 80179 |
|
17 |
13 |
$488.40 |
| 80143 |
|
17 |
13 |
$488.40 |
| 74018 |
|
93 |
68 |
$487.09 |
| 99152 |
|
62 |
58 |
$467.84 |
| 99406 |
|
26 |
25 |
$460.95 |
| J1885 |
Ketorolac tromethamine inj |
2,488 |
1,778 |
$453.76 |
| 80307 |
|
14 |
14 |
$449.18 |
| 0764T |
|
14 |
12 |
$449.10 |
| 0002A |
|
33 |
32 |
$431.66 |
| 95886 |
|
212 |
209 |
$402.00 |
| 82728 |
|
26 |
25 |
$390.01 |
| 88141 |
|
13 |
13 |
$356.07 |
| 73564 |
|
50 |
42 |
$321.25 |
| 94729 |
|
96 |
85 |
$313.92 |
| 87880 |
|
13 |
12 |
$270.90 |
| 88300 |
|
13 |
13 |
$270.72 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,031 |
588 |
$253.12 |
| 87340 |
|
26 |
26 |
$252.29 |
| 87389 |
|
14 |
14 |
$247.56 |
| 86787 |
|
14 |
14 |
$246.72 |
| 76856 |
|
12 |
12 |
$241.10 |
| 73030 |
|
48 |
42 |
$239.82 |
| 90471 |
|
16 |
16 |
$219.22 |
| 82248 |
|
126 |
118 |
$208.91 |
| 88304 |
|
15 |
14 |
$198.78 |
| 82607 |
|
12 |
12 |
$186.87 |
| 87077 |
|
14 |
14 |
$185.14 |
| J2405 |
Ondansetron hcl injection |
2,419 |
1,365 |
$181.73 |
| 86762 |
|
14 |
14 |
$177.87 |
| 0001A |
|
21 |
20 |
$177.10 |
| J7120 |
Ringers lactate infusion |
502 |
461 |
$177.04 |
| 87660 |
|
12 |
12 |
$160.60 |
| 87510 |
|
12 |
12 |
$154.24 |
| 87480 |
|
12 |
12 |
$152.64 |
| 82043 |
|
25 |
25 |
$134.35 |
| 87186 |
|
14 |
14 |
$126.58 |
| 86900 |
|
39 |
39 |
$118.89 |
| 86901 |
|
39 |
39 |
$118.89 |
| J1100 |
Dexamethasone sodium phos |
1,384 |
1,113 |
$105.85 |
| 84450 |
|
40 |
40 |
$97.44 |
| 82570 |
|
14 |
14 |
$97.15 |
| J2704 |
Inj, propofol, 10 mg |
1,265 |
590 |
$82.28 |
| 92567 |
|
13 |
13 |
$81.70 |
| 85652 |
|
117 |
110 |
$73.96 |
| 73110 |
|
16 |
12 |
$72.77 |
| 82565 |
|
31 |
27 |
$62.00 |
| A9270 |
Non-covered item or service |
55 |
40 |
$58.75 |
| 84460 |
|
25 |
25 |
$57.87 |
| 83735 |
|
96 |
90 |
$44.88 |
| 86200 |
|
12 |
12 |
$44.07 |
| 86039 |
|
42 |
37 |
$12.33 |
| J2274 |
Inj morphine pf epid ithc |
16 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
78 |
63 |
$0.00 |
| 91300 |
|
54 |
49 |
$0.00 |
| J2270 |
Morphine sulfate injection |
42 |
39 |
$0.00 |
| 92504 |
|
13 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
13 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
51 |
24 |
$0.00 |
| 84702 |
|
14 |
13 |
$0.00 |
| 90691 |
|
16 |
16 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
64 |
61 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
211 |
185 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
56 |
55 |
$0.00 |
| J2001 |
Lidocaine injection |
178 |
112 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
28 |
24 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
24 |
24 |
$0.00 |
| J3490 |
Drugs unclassified injection |
18 |
12 |
$0.00 |