| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
12,438 |
11,509 |
$2.01M |
| 99283 |
|
15,307 |
14,595 |
$1.75M |
| 99285 |
|
6,239 |
5,785 |
$1.67M |
| 96374 |
|
7,593 |
6,875 |
$708K |
| 74177 |
|
2,167 |
2,063 |
$320K |
| 96375 |
|
5,943 |
5,143 |
$187K |
| 97110 |
|
7,483 |
1,987 |
$185K |
| 99282 |
|
2,714 |
2,683 |
$182K |
| 70450 |
|
1,884 |
1,799 |
$156K |
| 96361 |
|
4,935 |
4,315 |
$155K |
| 71045 |
|
4,201 |
3,944 |
$147K |
| 71046 |
|
3,312 |
3,176 |
$121K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,190 |
3,073 |
$115K |
| 74176 |
|
997 |
961 |
$105K |
| 96365 |
|
1,151 |
823 |
$98K |
| 77067 |
|
1,924 |
1,918 |
$92K |
| 99281 |
|
1,627 |
1,612 |
$68K |
| 99291 |
|
158 |
151 |
$61K |
| G0463 |
Hospital outpt clinic visit |
1,033 |
742 |
$58K |
| 96360 |
|
552 |
476 |
$52K |
| 80307 |
|
4,593 |
4,217 |
$50K |
| 80061 |
|
5,405 |
5,313 |
$48K |
| 73564 |
|
1,576 |
1,364 |
$46K |
| 93306 |
|
176 |
171 |
$37K |
| 87635 |
|
1,445 |
1,415 |
$34K |
| 84443 |
|
5,954 |
5,855 |
$33K |
| 80053 |
|
19,290 |
17,290 |
$31K |
| 82306 |
|
3,070 |
3,037 |
$30K |
| 76705 |
|
480 |
451 |
$26K |
| 85025 |
|
22,240 |
19,480 |
$26K |
| 72148 |
|
221 |
218 |
$24K |
| 72100 |
|
835 |
822 |
$24K |
| 76856 |
|
436 |
428 |
$23K |
| 86900 |
|
1,488 |
1,365 |
$23K |
| 87491 |
|
1,628 |
1,593 |
$22K |
| 97140 |
|
1,830 |
675 |
$21K |
| 73030 |
|
1,169 |
1,036 |
$20K |
| 76830 |
|
342 |
336 |
$20K |
| 93005 |
|
5,303 |
4,928 |
$17K |
| 87591 |
|
1,179 |
1,160 |
$15K |
| G0480 |
Drug test def 1-7 classes |
3,259 |
2,934 |
$14K |
| 73610 |
|
1,083 |
956 |
$14K |
| U0005 |
Infec agen detec ampli probe |
1,154 |
1,129 |
$14K |
| 73110 |
|
799 |
650 |
$13K |
| 76801 |
|
191 |
173 |
$11K |
| 94060 |
|
96 |
94 |
$11K |
| 83036 |
|
3,428 |
3,377 |
$11K |
| 73630 |
|
948 |
845 |
$11K |
| 36415 |
|
32,476 |
27,375 |
$11K |
| 73130 |
|
757 |
635 |
$10K |
| 76805 |
|
172 |
172 |
$10K |
| 97162 |
|
210 |
208 |
$10K |
| 72110 |
|
208 |
200 |
$7K |
| 59025 |
|
82 |
51 |
$7K |
| 87086 |
|
4,887 |
4,550 |
$6K |
| S4005 |
Interim labor facility globa |
65 |
53 |
$6K |
| 96372 |
|
6,315 |
5,793 |
$6K |
| 87070 |
|
1,812 |
1,767 |
$6K |
| 84702 |
|
1,411 |
1,018 |
$5K |
| 45378 |
|
15 |
14 |
$5K |
| G0378 |
Hospital observation per hr |
30 |
26 |
$5K |
| 95810 |
|
13 |
12 |
$5K |
| 90471 |
|
518 |
498 |
$5K |
| 96413 |
|
24 |
14 |
$4K |
| 80048 |
|
3,547 |
3,197 |
$4K |
| 87389 |
|
684 |
667 |
$4K |
| 88305 |
|
855 |
811 |
$4K |
| 82607 |
|
663 |
653 |
$3K |
| 71275 |
|
36 |
36 |
$3K |
| 84439 |
|
1,089 |
1,066 |
$3K |
| 74018 |
|
277 |
274 |
$3K |
| 97161 |
|
75 |
68 |
$3K |
| 97035 |
|
524 |
180 |
$3K |
| 77063 |
|
226 |
226 |
$3K |
| 86850 |
|
1,575 |
1,446 |
$3K |
| 87186 |
|
1,460 |
1,401 |
$2K |
| 72050 |
|
77 |
66 |
$2K |
| 73502 |
|
147 |
124 |
$2K |
| 72125 |
|
237 |
230 |
$2K |
| 85610 |
|
7,055 |
5,846 |
$2K |
| 83540 |
|
985 |
964 |
$2K |
| 87340 |
|
758 |
743 |
$2K |
| 87804 |
|
3,197 |
1,571 |
$2K |
| 73721 |
|
17 |
16 |
$2K |
| 83550 |
|
537 |
525 |
$2K |
| 85027 |
|
1,535 |
1,376 |
$2K |
| 87088 |
|
1,058 |
1,016 |
$2K |
| 86140 |
|
1,190 |
1,052 |
$2K |
| 76816 |
|
27 |
25 |
$1K |
| 81001 |
|
1,799 |
1,638 |
$1K |
| 86803 |
|
438 |
429 |
$1K |
| 71260 |
|
17 |
17 |
$1K |
| 82728 |
|
250 |
243 |
$1K |
| 80076 |
|
1,473 |
1,355 |
$1K |
| 83735 |
|
3,526 |
3,137 |
$1K |
| 82570 |
|
557 |
534 |
$976.16 |
| 86592 |
|
540 |
528 |
$950.43 |
| 82043 |
|
460 |
453 |
$910.90 |
| 83880 |
|
1,148 |
1,081 |
$891.04 |
| 86780 |
|
161 |
157 |
$815.83 |
| 81003 |
|
8,298 |
7,720 |
$802.07 |
| 84153 |
|
78 |
76 |
$678.00 |
| 71271 |
|
13 |
13 |
$656.04 |
| 82550 |
|
3,471 |
3,210 |
$635.87 |
| 83690 |
|
4,541 |
4,139 |
$635.24 |
| G0103 |
Psa screening |
117 |
113 |
$630.44 |
| 93971 |
|
12 |
12 |
$583.56 |
| 87081 |
|
233 |
229 |
$560.86 |
| 87077 |
|
219 |
214 |
$522.42 |
| 85652 |
|
633 |
580 |
$503.00 |
| U0002 |
Covid-19 lab test non-cdc |
22 |
22 |
$499.88 |
| 85730 |
|
4,977 |
4,411 |
$464.34 |
| 82150 |
|
2,414 |
2,234 |
$463.97 |
| 96366 |
|
14 |
12 |
$430.37 |
| 73080 |
|
37 |
36 |
$429.11 |
| 94640 |
|
1,448 |
1,108 |
$411.16 |
| 82746 |
|
62 |
62 |
$409.78 |
| 86901 |
|
1,463 |
1,340 |
$355.08 |
| 85007 |
|
804 |
708 |
$346.05 |
| 87420 |
|
611 |
602 |
$322.02 |
| 82951 |
|
56 |
51 |
$288.64 |
| 86762 |
|
89 |
87 |
$279.01 |
| 72170 |
|
27 |
26 |
$260.20 |
| 74022 |
|
102 |
96 |
$257.24 |
| 81025 |
|
3,611 |
3,451 |
$250.62 |
| 87205 |
|
201 |
187 |
$204.69 |
| 73562 |
|
12 |
12 |
$196.89 |
| 86317 |
|
42 |
40 |
$163.00 |
| 93017 |
|
41 |
28 |
$157.35 |
| 87880 |
|
1,242 |
1,230 |
$145.81 |
| 84144 |
|
22 |
12 |
$140.97 |
| 87800 |
|
12 |
12 |
$139.40 |
| 87502 |
|
399 |
391 |
$119.66 |
| 85379 |
|
446 |
422 |
$114.79 |
| 84703 |
|
419 |
406 |
$101.17 |
| 73140 |
|
27 |
26 |
$92.56 |
| 84484 |
|
4,080 |
3,674 |
$90.19 |
| 83605 |
|
2,332 |
2,144 |
$80.32 |
| 86038 |
|
12 |
12 |
$65.73 |
| 87040 |
|
898 |
836 |
$53.05 |
| 83874 |
|
1,264 |
1,139 |
$52.94 |
| 82962 |
|
1,056 |
796 |
$42.30 |
| 82553 |
|
3,032 |
2,815 |
$40.60 |
| 87634 |
|
109 |
106 |
$39.17 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,073 |
2,875 |
$27.00 |
| 87150 |
|
31 |
30 |
$25.68 |
| 88304 |
|
13 |
12 |
$25.54 |
| 90715 |
|
505 |
496 |
$23.93 |
| 82565 |
|
13 |
12 |
$19.09 |
| 84156 |
|
12 |
12 |
$9.05 |
| J7030 |
Normal saline solution infus |
5,939 |
5,142 |
$5.79 |
| J1100 |
Dexamethasone sodium phos |
3,431 |
3,192 |
$4.08 |
| J2405 |
Ondansetron hcl injection |
5,709 |
4,988 |
$0.72 |
| J1200 |
Diphenhydramine hcl injectio |
397 |
325 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,604 |
1,461 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,085 |
1,007 |
$0.00 |
| 94729 |
|
53 |
51 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
24 |
24 |
$0.00 |
| J2270 |
Morphine sulfate injection |
807 |
664 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
12 |
12 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
28 |
28 |
$0.00 |
| 94726 |
|
53 |
51 |
$0.00 |
| J2550 |
Promethazine hcl injection |
66 |
50 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,107 |
999 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
791 |
719 |
$0.00 |
| 96376 |
|
761 |
625 |
$0.00 |
| J2060 |
Lorazepam injection |
398 |
363 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,010 |
1,909 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,266 |
1,148 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
50 |
39 |
$0.00 |
| A9270 |
Non-covered item or service |
5,998 |
5,322 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,498 |
1,178 |
$0.00 |
| A9585 |
Gadobutrol injection |
25 |
24 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
7,519 |
6,908 |
$0.00 |
| J7060 |
5% dextrose/water |
36 |
28 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
100 |
95 |
$0.00 |
| 12001 |
|
51 |
50 |
$0.00 |
| 88141 |
|
15 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
20 |
12 |
$0.00 |