| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
14,271 |
12,367 |
$5.95M |
| 99284 |
|
7,420 |
6,777 |
$1.85M |
| 93306 |
|
1,892 |
1,729 |
$790K |
| 99283 |
|
4,322 |
4,089 |
$629K |
| G0378 |
Hospital observation per hr |
5,618 |
2,598 |
$484K |
| 86832 |
|
3,267 |
2,899 |
$443K |
| 50200 |
|
677 |
616 |
$323K |
| 77301 |
|
43 |
38 |
$302K |
| 87497 |
|
3,715 |
2,402 |
$289K |
| 77523 |
|
781 |
62 |
$268K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,599 |
2,975 |
$216K |
| 87522 |
Neg quan hep c or qual rna |
260 |
217 |
$180K |
| 80053 |
|
13,561 |
10,759 |
$112K |
| 85610 |
|
11,912 |
8,869 |
$105K |
| 93505 |
|
24 |
12 |
$79K |
| 80307 |
|
2,501 |
2,266 |
$58K |
| 99282 |
|
824 |
787 |
$52K |
| 74177 |
|
3,046 |
2,795 |
$48K |
| 93308 |
|
201 |
176 |
$40K |
| 96365 |
|
4,494 |
2,834 |
$32K |
| 81370 |
|
12 |
12 |
$32K |
| 86850 |
|
2,969 |
2,021 |
$21K |
| 70553 |
|
189 |
179 |
$20K |
| 86833 |
|
3,244 |
2,883 |
$18K |
| 36430 |
|
109 |
37 |
$18K |
| 74176 |
|
1,390 |
1,261 |
$14K |
| 96374 |
|
8,038 |
6,579 |
$12K |
| 84702 |
|
1,062 |
960 |
$11K |
| 86900 |
|
3,492 |
2,298 |
$10K |
| 85025 |
|
24,596 |
18,071 |
$10K |
| 84484 |
|
5,718 |
4,683 |
$10K |
| 81001 |
|
17,668 |
12,660 |
$10K |
| 87636 |
|
5,497 |
4,897 |
$9K |
| 74183 |
|
67 |
66 |
$9K |
| 96360 |
|
2,174 |
1,879 |
$8K |
| 77334 |
|
53 |
48 |
$6K |
| 43239 |
|
13 |
12 |
$5K |
| 96375 |
|
6,463 |
5,317 |
$5K |
| 80048 |
|
8,604 |
6,682 |
$5K |
| 70450 |
|
2,293 |
2,088 |
$4K |
| G0463 |
Hospital outpt clinic visit |
455 |
401 |
$4K |
| 71275 |
|
823 |
756 |
$4K |
| 87086 |
|
5,361 |
4,665 |
$3K |
| 93971 |
|
231 |
220 |
$3K |
| 99214 |
|
170 |
165 |
$2K |
| 71046 |
|
3,463 |
3,165 |
$2K |
| 96361 |
|
6,775 |
5,808 |
$2K |
| 76776 |
|
1,113 |
968 |
$2K |
| 93005 |
|
8,953 |
7,531 |
$2K |
| 87186 |
|
1,001 |
904 |
$2K |
| 71045 |
|
4,583 |
4,061 |
$2K |
| 83880 |
|
2,041 |
1,840 |
$2K |
| 87799 |
|
421 |
339 |
$2K |
| 99211 |
|
284 |
262 |
$1K |
| 86830 |
|
25 |
24 |
$1K |
| 96372 |
|
2,341 |
1,855 |
$1K |
| 82728 |
|
479 |
460 |
$1K |
| 87040 |
|
3,456 |
1,549 |
$1K |
| 96366 |
|
738 |
428 |
$1K |
| 80051 |
|
729 |
612 |
$1K |
| 36415 |
|
17,495 |
12,466 |
$1K |
| 88305 |
|
2,281 |
1,882 |
$1K |
| 96376 |
|
1,865 |
1,590 |
$937.99 |
| 83690 |
|
7,217 |
6,140 |
$923.65 |
| 80197 |
|
1,601 |
971 |
$915.67 |
| 87103 |
|
1,730 |
1,402 |
$885.01 |
| 84443 |
|
1,713 |
1,579 |
$862.40 |
| 93325 |
|
492 |
430 |
$832.01 |
| 82570 |
|
2,168 |
1,831 |
$793.28 |
| 82077 |
|
445 |
417 |
$765.12 |
| 87633 |
|
114 |
81 |
$735.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,952 |
5,136 |
$705.18 |
| 86923 |
|
12 |
12 |
$681.73 |
| 86901 |
|
3,553 |
2,353 |
$677.76 |
| 83735 |
|
4,858 |
3,504 |
$677.22 |
| 94640 |
|
384 |
282 |
$657.00 |
| 85027 |
|
2,947 |
2,050 |
$656.89 |
| 87635 |
|
89 |
83 |
$650.75 |
| 85730 |
|
2,181 |
1,956 |
$595.79 |
| 83970 |
|
92 |
82 |
$587.12 |
| 84156 |
|
2,021 |
1,718 |
$570.34 |
| 93321 |
|
322 |
277 |
$566.25 |
| A9270 |
Non-covered item or service |
3,972 |
2,089 |
$541.50 |
| G0480 |
Drug test def 1-7 classes |
631 |
576 |
$536.50 |
| 82248 |
|
8,466 |
7,179 |
$502.41 |
| 83605 |
|
3,604 |
3,090 |
$412.43 |
| 87077 |
|
946 |
860 |
$354.40 |
| 80076 |
|
899 |
815 |
$347.73 |
| 84100 |
|
2,281 |
1,550 |
$338.31 |
| 82947 |
|
3,199 |
1,921 |
$291.68 |
| 87070 |
|
1,022 |
769 |
$290.35 |
| 71260 |
|
12 |
12 |
$271.43 |
| J1644 |
Inj heparin sodium per 1000u |
3,661 |
1,430 |
$253.38 |
| J3010 |
Fentanyl citrate injection |
1,904 |
1,343 |
$253.00 |
| J7120 |
Ringers lactate infusion |
1,670 |
1,439 |
$216.83 |
| 76700 |
|
75 |
67 |
$216.44 |
| J2250 |
Inj midazolam hydrochloride |
2,143 |
1,800 |
$213.90 |
| 80320 |
|
26 |
25 |
$183.08 |
| 80047 |
|
2,070 |
1,874 |
$182.18 |
| J2704 |
Inj, propofol, 10 mg |
9,867 |
2,636 |
$169.63 |
| 86140 |
|
1,302 |
1,160 |
$161.57 |
| J1170 |
Hydromorphone injection |
2,789 |
1,937 |
$160.67 |
| C1769 |
Guide wire |
490 |
439 |
$160.65 |
| A9552 |
F18 fdg |
45 |
36 |
$157.67 |
| 81025 |
|
3,480 |
3,189 |
$147.83 |
| 0241U |
|
313 |
303 |
$145.77 |
| 84450 |
|
847 |
677 |
$136.66 |
| 85379 |
|
1,819 |
1,661 |
$132.63 |
| U0005 |
Infec agen detec ampli probe |
1,878 |
1,574 |
$122.87 |
| 87507 |
|
12 |
12 |
$119.58 |
| C9803 |
Hopd covid-19 spec collect |
5,033 |
4,393 |
$116.95 |
| 82565 |
|
1,571 |
1,172 |
$104.50 |
| J0696 |
Ceftriaxone sodium injection |
1,201 |
940 |
$98.78 |
| J7050 |
Normal saline solution infus |
1,317 |
584 |
$97.12 |
| 87075 |
|
251 |
165 |
$95.09 |
| 82948 |
|
3,579 |
1,445 |
$94.18 |
| 87205 |
|
1,157 |
914 |
$89.67 |
| 88307 |
|
80 |
56 |
$87.69 |
| J1885 |
Ketorolac tromethamine inj |
4,700 |
3,428 |
$87.18 |
| 83036 |
|
487 |
430 |
$86.75 |
| J7030 |
Normal saline solution infus |
1,841 |
1,300 |
$84.43 |
| A9585 |
Gadobutrol injection |
2,276 |
1,353 |
$83.69 |
| 84520 |
|
1,135 |
837 |
$82.40 |
| 0353U |
|
49 |
46 |
$79.37 |
| 84460 |
|
837 |
668 |
$78.28 |
| J2270 |
Morphine sulfate injection |
2,638 |
2,054 |
$77.62 |
| J2405 |
Ondansetron hcl injection |
9,345 |
5,457 |
$66.87 |
| J3475 |
Inj magnesium sulfate |
473 |
336 |
$64.65 |
| 87631 |
|
69 |
62 |
$64.34 |
| 99001 |
|
27 |
26 |
$54.93 |
| 87491 |
|
15 |
14 |
$50.73 |
| 86635 |
|
259 |
115 |
$50.70 |
| 84132 |
|
507 |
327 |
$50.12 |
| J0780 |
Prochlorperazine injection |
106 |
86 |
$44.40 |
| 88313 |
|
1,168 |
833 |
$40.20 |
| 85652 |
|
179 |
172 |
$39.53 |
| 82247 |
|
767 |
613 |
$39.20 |
| 82374 |
|
411 |
246 |
$36.82 |
| J1200 |
Diphenhydramine hcl injectio |
1,405 |
1,027 |
$36.75 |
| 70498 |
|
41 |
39 |
$36.56 |
| 84295 |
|
444 |
275 |
$35.02 |
| 87389 |
|
16 |
14 |
$34.14 |
| 82435 |
|
438 |
271 |
$34.12 |
| 82310 |
|
393 |
264 |
$33.30 |
| 84075 |
|
798 |
640 |
$30.60 |
| 84703 |
|
473 |
424 |
$22.90 |
| 80061 |
|
274 |
257 |
$19.92 |
| 88342 |
|
1,331 |
1,179 |
$16.70 |
| 83615 |
|
147 |
73 |
$12.02 |
| J3490 |
Drugs unclassified injection |
1,191 |
823 |
$11.47 |
| 85651 |
|
45 |
43 |
$9.59 |
| J0131 |
Inj, acetaminophen (nos) |
496 |
426 |
$8.99 |
| 82550 |
|
61 |
53 |
$6.44 |
| J1940 |
Furosemide injection |
36 |
26 |
$5.84 |
| 97161 |
|
52 |
50 |
$4.88 |
| 85014 |
|
1,654 |
1,475 |
$3.63 |
| J1100 |
Dexamethasone sodium phos |
1,769 |
1,320 |
$2.19 |
| 83550 |
|
29 |
26 |
$0.80 |
| 83540 |
|
29 |
26 |
$0.60 |
| J2370 |
Phenylephrine hcl injection |
33 |
29 |
$0.46 |
| 87046 |
|
12 |
12 |
$0.18 |
| G1004 |
Cdsm ndsc |
1,489 |
1,160 |
$0.02 |
| 76376 |
|
125 |
115 |
$0.00 |
| 77336 |
|
810 |
310 |
$0.00 |
| 72125 |
|
103 |
100 |
$0.00 |
| 84155 |
|
451 |
357 |
$0.00 |
| 76942 |
|
78 |
71 |
$0.00 |
| J7040 |
Normal saline solution infus |
278 |
171 |
$0.00 |
| 77387 |
|
3,062 |
248 |
$0.00 |
| 76856 |
|
109 |
97 |
$0.00 |
| 0757T |
|
14 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
64 |
49 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
175 |
163 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
68 |
66 |
$0.00 |
| 87798 |
|
151 |
108 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
122 |
79 |
$0.00 |
| 0760T |
|
25 |
24 |
$0.00 |
| 0753T |
|
50 |
49 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
38 |
38 |
$0.00 |
| 73030 |
|
13 |
12 |
$0.00 |
| 89051 |
|
44 |
36 |
$0.00 |
| 97530 |
|
17 |
12 |
$0.00 |
| 73630 |
|
32 |
28 |
$0.00 |
| 87880 |
|
32 |
32 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
69 |
33 |
$0.00 |
| 93976 |
|
30 |
26 |
$0.00 |
| 76705 |
|
14 |
13 |
$0.00 |
| 77338 |
|
46 |
38 |
$0.00 |
| 76937 |
|
17 |
13 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
14 |
13 |
$0.00 |
| 93970 |
|
14 |
14 |
$0.00 |
| 71250 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
22 |
13 |
$0.00 |
| 81376 |
|
13 |
13 |
$0.00 |
| 88341 |
|
577 |
502 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
727 |
602 |
$0.00 |
| 87581 |
|
114 |
81 |
$0.00 |
| 86831 |
|
25 |
24 |
$0.00 |
| 82040 |
|
551 |
430 |
$0.00 |
| J2060 |
Lorazepam injection |
647 |
474 |
$0.00 |
| 94761 |
|
25 |
25 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
78 |
71 |
$0.00 |
| 77300 |
|
62 |
54 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
178 |
111 |
$0.00 |
| 87081 |
|
34 |
34 |
$0.00 |
| 84560 |
|
85 |
73 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
12 |
$0.00 |
| 87486 |
|
114 |
81 |
$0.00 |
| 87015 |
|
16 |
12 |
$0.00 |
| 76830 |
|
88 |
81 |
$0.00 |
| 87591 |
|
15 |
14 |
$0.00 |
| 90471 |
|
26 |
26 |
$0.00 |
| 82330 |
|
35 |
30 |
$0.00 |
| 0099U |
|
21 |
19 |
$0.00 |
| 70496 |
|
54 |
52 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
23 |
14 |
$0.00 |