| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
19,040 |
15,357 |
$6.97M |
| 74176 |
|
4,898 |
4,309 |
$2.97M |
| G0378 |
Hospital observation per hr |
6,571 |
3,509 |
$1.81M |
| 99285 |
|
4,477 |
2,952 |
$1.68M |
| 99283 |
|
16,638 |
14,591 |
$1.68M |
| 93306 |
|
3,266 |
2,757 |
$1.21M |
| 74177 |
|
1,712 |
1,418 |
$1.20M |
| 70450 |
|
4,404 |
3,618 |
$1.04M |
| 72148 |
|
1,630 |
1,406 |
$774K |
| 80053 |
|
36,673 |
25,964 |
$755K |
| 96361 |
|
7,335 |
4,650 |
$577K |
| 43239 |
|
1,767 |
1,064 |
$569K |
| 93005 |
|
12,268 |
9,379 |
$513K |
| 99291 |
|
1,203 |
717 |
$498K |
| 85025 |
|
39,396 |
29,080 |
$450K |
| 97110 |
|
6,828 |
1,629 |
$440K |
| G0463 |
Hospital outpt clinic visit |
32,979 |
26,860 |
$427K |
| 96365 |
|
7,976 |
4,083 |
$375K |
| 71045 |
|
8,929 |
7,359 |
$339K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,880 |
3,410 |
$324K |
| 96374 |
|
8,756 |
5,857 |
$309K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,596 |
7,478 |
$268K |
| 99282 |
|
3,793 |
3,466 |
$259K |
| 80307 |
|
7,956 |
6,591 |
$257K |
| 84484 |
|
8,438 |
6,419 |
$249K |
| 72125 |
|
734 |
640 |
$238K |
| 87631 |
|
2,722 |
2,561 |
$224K |
| 96372 |
|
14,730 |
8,516 |
$223K |
| 0241U |
|
3,812 |
3,526 |
$215K |
| 36415 |
|
82,285 |
36,758 |
$204K |
| 84443 |
|
7,995 |
7,378 |
$198K |
| 72131 |
|
567 |
518 |
$193K |
| 87040 |
|
4,502 |
3,454 |
$188K |
| 96366 |
|
2,313 |
1,319 |
$182K |
| 71250 |
|
662 |
556 |
$160K |
| 81001 |
|
18,970 |
15,533 |
$152K |
| 45378 |
|
328 |
263 |
$149K |
| 73562 |
|
1,764 |
1,586 |
$144K |
| 71260 |
|
503 |
356 |
$137K |
| 78452 |
|
884 |
399 |
$137K |
| 80048 |
|
21,449 |
7,577 |
$129K |
| 96375 |
|
5,712 |
4,569 |
$125K |
| 71046 |
|
3,550 |
2,514 |
$123K |
| 81025 |
|
5,989 |
5,156 |
$123K |
| 82607 |
|
4,075 |
3,776 |
$123K |
| 94640 |
|
2,918 |
1,610 |
$119K |
| 80061 |
|
6,495 |
5,598 |
$112K |
| G0480 |
Drug test def 1-7 classes |
2,976 |
2,170 |
$103K |
| 93971 |
|
950 |
800 |
$97K |
| 83735 |
|
11,875 |
9,460 |
$96K |
| 83690 |
|
5,374 |
4,679 |
$92K |
| 76705 |
|
901 |
830 |
$90K |
| 87651 |
|
3,478 |
3,284 |
$89K |
| 96376 |
|
2,782 |
1,641 |
$82K |
| 83880 |
|
2,380 |
1,986 |
$80K |
| 74022 |
|
926 |
792 |
$80K |
| 72141 |
|
179 |
140 |
$79K |
| 87502 |
|
1,503 |
1,394 |
$78K |
| 87086 |
|
4,865 |
4,061 |
$78K |
| C9803 |
Hopd covid-19 spec collect |
10,963 |
8,648 |
$76K |
| 73610 |
|
1,485 |
1,343 |
$76K |
| G0379 |
Direct refer hospital observ |
1,448 |
972 |
$75K |
| 73630 |
|
1,479 |
1,337 |
$72K |
| 87633 |
|
273 |
255 |
$70K |
| 96360 |
|
1,449 |
1,224 |
$67K |
| 92507 |
|
2,349 |
826 |
$66K |
| 88305 |
|
2,526 |
2,241 |
$66K |
| 73030 |
|
1,488 |
1,284 |
$62K |
| 93041 |
|
3,246 |
2,667 |
$61K |
| 82553 |
|
2,721 |
2,172 |
$59K |
| 73130 |
|
1,150 |
1,033 |
$57K |
| 82306 |
|
2,831 |
2,633 |
$56K |
| U0005 |
Infec agen detec ampli probe |
6,787 |
5,753 |
$56K |
| 83036 |
|
4,816 |
4,519 |
$54K |
| 71275 |
|
134 |
109 |
$54K |
| 74246 |
|
350 |
305 |
$52K |
| 72110 |
|
697 |
593 |
$51K |
| 93017 |
|
644 |
543 |
$50K |
| 97530 |
|
517 |
200 |
$50K |
| 84145 |
|
946 |
792 |
$50K |
| 82550 |
|
3,991 |
3,116 |
$50K |
| 49320 |
|
40 |
40 |
$45K |
| 73110 |
|
799 |
707 |
$44K |
| U0002 |
Covid-19 lab test non-cdc |
1,909 |
1,625 |
$43K |
| 73721 |
|
81 |
72 |
$41K |
| 82728 |
|
1,220 |
1,083 |
$36K |
| 84703 |
|
2,267 |
2,034 |
$35K |
| 87077 |
|
2,784 |
2,114 |
$35K |
| G0283 |
Elec stim other than wound |
1,041 |
273 |
$34K |
| 83605 |
|
3,461 |
2,925 |
$34K |
| 85730 |
|
2,567 |
2,196 |
$33K |
| 74018 |
|
723 |
631 |
$33K |
| 83540 |
|
2,058 |
1,864 |
$31K |
| 82746 |
|
784 |
734 |
$31K |
| 82150 |
|
2,047 |
1,772 |
$31K |
| 87186 |
|
1,725 |
1,516 |
$31K |
| 86850 |
|
3,002 |
2,500 |
$29K |
| G2023 |
Specimen collect covid-19 |
1,362 |
1,145 |
$28K |
| 85610 |
|
4,199 |
3,194 |
$27K |
| 99281 |
|
922 |
869 |
$27K |
| 86901 |
|
3,175 |
2,640 |
$26K |
| 86900 |
|
3,252 |
2,642 |
$25K |
| M0243 |
Casirivi and imdevi inj |
202 |
173 |
$23K |
| 99213 |
|
400 |
293 |
$22K |
| 84439 |
|
870 |
807 |
$21K |
| 70486 |
|
81 |
79 |
$21K |
| 70553 |
|
29 |
24 |
$20K |
| 80076 |
|
1,148 |
936 |
$19K |
| 87798 |
|
277 |
253 |
$18K |
| 83550 |
|
964 |
911 |
$18K |
| 58558 |
|
16 |
15 |
$17K |
| 94761 |
|
306 |
126 |
$17K |
| 84100 |
|
1,727 |
1,506 |
$17K |
| 93270 |
|
543 |
499 |
$16K |
| J2710 |
Neostigmine methylslfte inj |
639 |
522 |
$16K |
| 88342 |
|
221 |
196 |
$16K |
| 87804 |
|
1,340 |
1,196 |
$15K |
| J2785 |
Regadenoson injection |
81 |
78 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
8,287 |
6,670 |
$14K |
| 87486 |
|
294 |
266 |
$14K |
| 87581 |
|
273 |
254 |
$13K |
| A9500 |
Tc99m sestamibi |
108 |
105 |
$13K |
| 90471 |
|
997 |
913 |
$13K |
| 97035 |
|
339 |
89 |
$13K |
| 86140 |
|
2,176 |
1,728 |
$13K |
| 77067 |
|
406 |
385 |
$12K |
| 85652 |
|
1,488 |
1,249 |
$12K |
| 87070 |
|
787 |
520 |
$12K |
| 0100U |
|
215 |
184 |
$12K |
| 87076 |
|
1,733 |
873 |
$11K |
| 96367 |
|
200 |
169 |
$11K |
| 45380 |
|
52 |
28 |
$11K |
| 85014 |
|
1,417 |
1,085 |
$11K |
| J2930 |
Methylprednisolone injection |
1,467 |
1,173 |
$11K |
| 85018 |
|
1,421 |
1,088 |
$11K |
| 97014 |
|
186 |
54 |
$10K |
| 82803 |
|
398 |
319 |
$9K |
| 87389 |
|
275 |
240 |
$9K |
| 97162 |
|
158 |
151 |
$9K |
| 70551 |
|
12 |
12 |
$9K |
| 87880 |
|
1,422 |
1,352 |
$8K |
| 72100 |
|
164 |
141 |
$8K |
| 73090 |
|
206 |
177 |
$8K |
| 93925 |
|
59 |
53 |
$8K |
| 97161 |
|
187 |
159 |
$8K |
| 36600 |
|
475 |
385 |
$7K |
| 72050 |
|
118 |
108 |
$7K |
| 85378 |
|
579 |
508 |
$7K |
| 93880 |
|
67 |
56 |
$6K |
| 80074 |
|
126 |
113 |
$6K |
| 82570 |
|
438 |
409 |
$6K |
| 73080 |
|
116 |
99 |
$6K |
| 76700 |
|
35 |
26 |
$6K |
| 84702 |
|
198 |
178 |
$6K |
| 20610 |
|
172 |
120 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
1,881 |
1,248 |
$5K |
| 82652 |
|
207 |
197 |
$5K |
| 80069 |
|
193 |
158 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
174 |
153 |
$5K |
| 76536 |
|
46 |
40 |
$5K |
| 85027 |
|
415 |
390 |
$4K |
| 85379 |
|
226 |
191 |
$4K |
| 97140 |
|
87 |
25 |
$4K |
| 72128 |
|
12 |
12 |
$4K |
| 99214 |
|
473 |
402 |
$4K |
| 12001 |
|
66 |
63 |
$4K |
| M0245 |
Bamlan and etesev infusion |
38 |
31 |
$4K |
| 73502 |
|
111 |
95 |
$4K |
| M0239 |
Bamlanivimab-xxxx infusion |
32 |
30 |
$4K |
| 90714 |
|
206 |
187 |
$4K |
| 59025 |
|
81 |
53 |
$4K |
| J3490 |
Drugs unclassified injection |
1,327 |
848 |
$3K |
| 0012A |
|
258 |
252 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
91 |
81 |
$3K |
| 93225 |
|
47 |
40 |
$3K |
| J0690 |
Cefazolin sodium injection |
912 |
596 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,031 |
1,581 |
$3K |
| J2920 |
Methylprednisolone injection |
488 |
235 |
$3K |
| 84436 |
|
100 |
97 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
340 |
214 |
$3K |
| 88304 |
|
148 |
129 |
$3K |
| 87634 |
|
87 |
78 |
$2K |
| 90715 |
|
70 |
63 |
$2K |
| 74019 |
|
29 |
29 |
$2K |
| 93970 |
|
13 |
13 |
$2K |
| J1170 |
Hydromorphone injection |
712 |
532 |
$2K |
| 0001A |
|
267 |
236 |
$2K |
| 86038 |
|
102 |
99 |
$2K |
| 0011A |
|
301 |
286 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,235 |
1,030 |
$2K |
| 73590 |
|
47 |
42 |
$2K |
| J1100 |
Dexamethasone sodium phos |
858 |
743 |
$2K |
| 84550 |
|
193 |
167 |
$2K |
| 0002A |
|
133 |
125 |
$2K |
| Q3014 |
Telehealth facility fee |
343 |
290 |
$2K |
| 81002 |
|
303 |
239 |
$2K |
| J2270 |
Morphine sulfate injection |
710 |
535 |
$2K |
| 82248 |
|
88 |
72 |
$1K |
| 70220 |
|
21 |
16 |
$1K |
| 96368 |
|
34 |
28 |
$1K |
| 93226 |
|
16 |
15 |
$1K |
| 82977 |
|
89 |
77 |
$1K |
| 76775 |
|
15 |
14 |
$1K |
| J1650 |
Inj enoxaparin sodium |
30 |
14 |
$1K |
| 82043 |
|
56 |
56 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,266 |
1,072 |
$1K |
| J0561 |
Penicillin g benzathine inj |
18 |
13 |
$1K |
| 84481 |
|
27 |
27 |
$992.68 |
| 82140 |
|
59 |
37 |
$936.52 |
| 72070 |
|
15 |
13 |
$915.10 |
| 72040 |
|
14 |
14 |
$911.93 |
| 83615 |
|
90 |
61 |
$909.73 |
| J0780 |
Prochlorperazine injection |
192 |
158 |
$906.69 |
| 76641 |
|
12 |
12 |
$856.32 |
| 86200 |
|
66 |
64 |
$808.07 |
| 80299 |
|
19 |
17 |
$776.97 |
| 72170 |
|
16 |
14 |
$725.23 |
| 80143 |
|
73 |
67 |
$721.18 |
| 83970 |
|
12 |
12 |
$714.40 |
| 84156 |
|
35 |
26 |
$541.86 |
| A9537 |
Tc99m mebrofenin |
26 |
24 |
$535.68 |
| 94760 |
|
51 |
39 |
$530.99 |
| J2360 |
Orphenadrine injection |
31 |
28 |
$487.77 |
| 84112 |
|
17 |
13 |
$462.62 |
| 82247 |
|
17 |
13 |
$425.31 |
| J1040 |
Methylprednisolone 80 mg inj |
57 |
52 |
$413.78 |
| 84146 |
|
13 |
12 |
$403.18 |
| Q0244 |
Casirivi and imdevi 1200 mg |
178 |
152 |
$381.96 |
| 86803 |
|
36 |
35 |
$360.31 |
| 99212 |
|
32 |
25 |
$311.22 |
| 90686 |
|
26 |
26 |
$306.88 |
| 86756 |
|
54 |
52 |
$303.47 |
| 85384 |
|
30 |
15 |
$281.88 |
| 80164 |
|
31 |
25 |
$267.09 |
| 90662 |
|
14 |
14 |
$236.64 |
| 84132 |
|
56 |
41 |
$235.62 |
| J1940 |
Furosemide injection |
39 |
25 |
$205.49 |
| 99406 |
|
31 |
30 |
$203.00 |
| 87491 |
|
12 |
12 |
$192.87 |
| 87591 |
|
12 |
12 |
$192.87 |
| 87205 |
|
15 |
14 |
$188.56 |
| 86431 |
|
26 |
24 |
$169.99 |
| 87661 |
|
12 |
12 |
$157.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
106 |
88 |
$154.07 |
| Q9969 |
Non-heu tc-99m add-on/dose |
138 |
125 |
$151.43 |
| 99499 |
|
13 |
13 |
$150.52 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
138 |
126 |
$128.01 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
28 |
19 |
$113.17 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
27 |
24 |
$112.44 |
| 36416 |
|
33 |
28 |
$97.74 |
| J3475 |
Inj magnesium sulfate |
17 |
13 |
$88.16 |
| J1644 |
Inj heparin sodium per 1000u |
26 |
13 |
$81.52 |
| A9270 |
Non-covered item or service |
156 |
58 |
$79.30 |
| G0328 |
Fecal blood scrn immunoassay |
13 |
13 |
$78.56 |
| 81003 |
|
17 |
14 |
$72.30 |
| J2550 |
Promethazine hcl injection |
115 |
100 |
$66.50 |
| 80305 |
|
21 |
14 |
$56.53 |
| J2470 |
Inj pantoprazole sodium 40mg |
21 |
12 |
$39.40 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$14.99 |
| Q0245 |
Bamlanivimab and etesevima |
31 |
28 |
$0.03 |
| Q0239 |
Bamlanivimab-xxxx |
39 |
33 |
$0.00 |