| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
9,652 |
8,831 |
$1.73M |
| 99283 |
|
8,240 |
7,847 |
$1.17M |
| 99284 |
|
6,370 |
5,910 |
$927K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,471 |
7,944 |
$737K |
| T1015 |
Clinic service |
5,973 |
1,961 |
$251K |
| 0202U |
|
1,321 |
1,284 |
$175K |
| 80053 |
|
14,534 |
13,521 |
$125K |
| G0378 |
Hospital observation per hr |
134 |
130 |
$109K |
| 87798 |
|
3,665 |
3,587 |
$104K |
| 74177 |
|
645 |
624 |
$90K |
| 96374 |
|
4,553 |
4,283 |
$90K |
| 80050 |
|
1,776 |
1,746 |
$87K |
| 77067 |
|
888 |
867 |
$77K |
| 36415 |
|
24,567 |
21,781 |
$76K |
| 85025 |
|
16,804 |
15,484 |
$73K |
| 80061 |
|
4,699 |
4,617 |
$68K |
| 99282 |
|
740 |
714 |
$65K |
| 82306 |
|
1,496 |
1,478 |
$59K |
| 81513 |
|
494 |
487 |
$56K |
| 84443 |
|
2,259 |
2,218 |
$52K |
| U0005 |
Infec agen detec ampli probe |
5,146 |
4,802 |
$52K |
| 70553 |
|
168 |
166 |
$43K |
| 76816 |
|
903 |
842 |
$42K |
| G0480 |
Drug test def 1-7 classes |
709 |
661 |
$37K |
| 87651 |
|
809 |
794 |
$34K |
| 92507 |
|
1,723 |
614 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
2,571 |
2,396 |
$31K |
| 96375 |
|
2,395 |
2,120 |
$31K |
| 80307 |
|
604 |
570 |
$29K |
| 93005 |
|
4,137 |
3,934 |
$29K |
| 72148 |
|
180 |
175 |
$28K |
| 84702 |
|
2,228 |
2,017 |
$27K |
| 71275 |
|
207 |
199 |
$27K |
| 96361 |
|
2,820 |
2,614 |
$26K |
| 96413 |
|
262 |
165 |
$25K |
| 83036 |
|
3,082 |
3,045 |
$22K |
| 0241U |
|
333 |
327 |
$22K |
| 96365 |
|
757 |
504 |
$21K |
| 76830 |
|
440 |
431 |
$21K |
| 93306 |
|
283 |
273 |
$20K |
| 87491 |
|
798 |
785 |
$20K |
| 77063 |
|
869 |
849 |
$20K |
| 97161 |
|
362 |
337 |
$20K |
| 76856 |
|
451 |
441 |
$20K |
| 76817 |
|
343 |
311 |
$19K |
| 87389 |
|
635 |
631 |
$19K |
| 84466 |
|
1,075 |
1,050 |
$18K |
| 70450 |
|
391 |
379 |
$17K |
| 74176 |
|
247 |
237 |
$17K |
| 87591 |
|
767 |
755 |
$17K |
| 76705 |
|
491 |
478 |
$16K |
| 80048 |
|
2,122 |
1,856 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,855 |
3,512 |
$14K |
| 87481 |
|
183 |
159 |
$14K |
| 87086 |
|
1,796 |
1,638 |
$14K |
| 76811 |
|
130 |
128 |
$13K |
| 81001 |
|
6,118 |
5,783 |
$13K |
| 82607 |
|
1,017 |
995 |
$13K |
| 97110 |
|
486 |
161 |
$12K |
| 73721 |
|
50 |
47 |
$12K |
| 95886 |
|
262 |
249 |
$12K |
| 94640 |
|
209 |
194 |
$12K |
| 78452 |
|
73 |
73 |
$12K |
| 83735 |
|
2,251 |
1,954 |
$12K |
| 71046 |
|
956 |
918 |
$11K |
| 86803 |
|
545 |
537 |
$11K |
| 83880 |
|
478 |
431 |
$11K |
| 84484 |
|
1,587 |
1,453 |
$11K |
| 93971 |
|
186 |
176 |
$11K |
| 76536 |
|
210 |
206 |
$10K |
| 97162 |
|
188 |
179 |
$10K |
| 84146 |
|
379 |
373 |
$10K |
| 80081 |
|
111 |
111 |
$10K |
| 84439 |
|
1,150 |
1,119 |
$10K |
| 83540 |
|
1,137 |
1,112 |
$9K |
| 76700 |
|
169 |
167 |
$9K |
| 82728 |
|
788 |
768 |
$9K |
| 71250 |
|
143 |
139 |
$9K |
| 76642 |
|
209 |
207 |
$9K |
| 76801 |
|
234 |
217 |
$9K |
| 72100 |
|
513 |
457 |
$9K |
| 76819 |
|
164 |
72 |
$8K |
| 85027 |
|
1,239 |
1,102 |
$8K |
| 93976 |
|
111 |
106 |
$8K |
| 87653 |
|
189 |
185 |
$8K |
| 86618 |
|
311 |
305 |
$8K |
| J1756 |
Iron sucrose injection |
154 |
65 |
$8K |
| 96360 |
|
382 |
364 |
$7K |
| 96376 |
|
268 |
193 |
$7K |
| 87633 |
|
12 |
12 |
$7K |
| 93017 |
|
191 |
190 |
$7K |
| 83690 |
|
1,845 |
1,718 |
$7K |
| 73564 |
|
314 |
276 |
$6K |
| 84403 |
|
209 |
206 |
$6K |
| 83516 |
|
279 |
276 |
$6K |
| 77066 |
Tomosynthesis, mammo |
74 |
73 |
$6K |
| 82570 |
|
823 |
800 |
$6K |
| A9577 |
Inj multihance |
676 |
640 |
$6K |
| 87661 |
|
176 |
168 |
$5K |
| 83970 |
|
138 |
133 |
$5K |
| 96372 |
|
715 |
576 |
$5K |
| 87799 |
|
60 |
58 |
$5K |
| 76805 |
|
95 |
91 |
$5K |
| 94729 |
|
174 |
169 |
$5K |
| 85610 |
|
1,510 |
1,159 |
$5K |
| 82043 |
|
555 |
547 |
$5K |
| 71260 |
|
57 |
56 |
$5K |
| 71045 |
|
783 |
751 |
$5K |
| 73030 |
|
307 |
273 |
$4K |
| 82784 |
|
231 |
229 |
$4K |
| 72110 |
|
203 |
197 |
$4K |
| 73221 |
|
14 |
14 |
$4K |
| 87493 |
|
101 |
100 |
$4K |
| 84402 |
|
138 |
136 |
$4K |
| 87077 |
|
588 |
563 |
$4K |
| 73610 |
|
235 |
208 |
$4K |
| 86038 |
|
246 |
239 |
$4K |
| 87340 |
|
263 |
256 |
$4K |
| 82105 |
|
185 |
180 |
$4K |
| 87186 |
|
495 |
472 |
$4K |
| 86850 |
|
480 |
452 |
$4K |
| 76770 |
|
82 |
82 |
$4K |
| 73630 |
|
327 |
275 |
$4K |
| 82746 |
|
317 |
309 |
$4K |
| 72141 |
|
12 |
12 |
$4K |
| 88305 |
|
364 |
347 |
$3K |
| 95910 |
|
59 |
55 |
$3K |
| 85379 |
|
493 |
472 |
$3K |
| 73502 |
|
183 |
164 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
71 |
70 |
$3K |
| 77065 |
Tomosynthesis, mammo |
44 |
42 |
$3K |
| 70496 |
|
27 |
25 |
$3K |
| 87040 |
|
222 |
205 |
$3K |
| 95800 |
|
24 |
24 |
$3K |
| 80076 |
|
296 |
277 |
$3K |
| 82248 |
|
458 |
420 |
$3K |
| 82550 |
|
465 |
428 |
$3K |
| 84100 |
|
449 |
315 |
$3K |
| 73130 |
|
238 |
180 |
$3K |
| 84153 |
|
112 |
112 |
$3K |
| 72050 |
|
104 |
104 |
$3K |
| G0472 |
Hep c screen high risk/other |
114 |
114 |
$2K |
| 85730 |
|
524 |
500 |
$2K |
| 83605 |
|
445 |
403 |
$2K |
| 85652 |
|
782 |
700 |
$2K |
| A9500 |
Tc99m sestamibi |
52 |
49 |
$2K |
| 72040 |
|
142 |
121 |
$2K |
| 87801 |
|
54 |
52 |
$2K |
| 94726 |
|
77 |
77 |
$2K |
| 86140 |
|
696 |
602 |
$2K |
| 87635 |
|
63 |
60 |
$2K |
| 86765 |
|
150 |
147 |
$2K |
| 70498 |
|
15 |
13 |
$2K |
| 74018 |
|
168 |
154 |
$2K |
| 82565 |
|
342 |
311 |
$2K |
| 94060 |
|
176 |
171 |
$2K |
| J2270 |
Morphine sulfate injection |
959 |
770 |
$2K |
| 87512 |
|
65 |
63 |
$2K |
| 82947 |
|
806 |
647 |
$2K |
| 73562 |
|
126 |
106 |
$2K |
| 86592 |
|
407 |
399 |
$2K |
| 83001 |
|
87 |
87 |
$2K |
| 83721 |
|
136 |
134 |
$2K |
| 77062 |
|
65 |
65 |
$1K |
| 76981 |
|
24 |
24 |
$1K |
| 82950 |
|
190 |
188 |
$1K |
| 87209 |
|
59 |
59 |
$1K |
| 86901 |
|
379 |
339 |
$1K |
| 86900 |
|
379 |
339 |
$1K |
| 84550 |
|
181 |
170 |
$1K |
| 72125 |
|
27 |
24 |
$1K |
| 82977 |
|
108 |
101 |
$1K |
| 84156 |
|
244 |
222 |
$1K |
| 87427 |
|
70 |
70 |
$945.46 |
| 96367 |
|
66 |
37 |
$910.92 |
| 97014 |
|
43 |
12 |
$881.94 |
| 83615 |
|
113 |
105 |
$840.24 |
| 82150 |
|
153 |
150 |
$823.03 |
| 93970 |
|
13 |
13 |
$816.53 |
| 95911 |
|
14 |
12 |
$811.22 |
| 84704 |
|
48 |
48 |
$809.37 |
| 84163 |
|
46 |
46 |
$772.87 |
| 86376 |
|
86 |
86 |
$751.23 |
| 80074 |
|
12 |
12 |
$726.74 |
| 83002 |
|
38 |
37 |
$722.63 |
| 87081 |
|
133 |
131 |
$712.92 |
| J1170 |
Hydromorphone injection |
440 |
315 |
$694.86 |
| 80069 |
|
76 |
65 |
$693.59 |
| 84481 |
|
27 |
27 |
$683.53 |
| 90715 |
|
44 |
38 |
$663.14 |
| J1100 |
Dexamethasone sodium phos |
2,289 |
1,891 |
$617.34 |
| 83993 |
|
27 |
27 |
$608.98 |
| 86431 |
|
76 |
73 |
$605.56 |
| J1885 |
Ketorolac tromethamine inj |
4,188 |
3,638 |
$603.47 |
| 87328 |
|
39 |
39 |
$576.40 |
| 83921 |
|
30 |
30 |
$556.30 |
| 87045 |
|
70 |
70 |
$535.74 |
| 97164 |
|
15 |
15 |
$528.38 |
| 87329 |
|
39 |
39 |
$515.30 |
| 87177 |
|
59 |
59 |
$484.01 |
| 81025 |
|
147 |
143 |
$459.60 |
| 83655 |
|
39 |
37 |
$458.50 |
| J2405 |
Ondansetron hcl injection |
4,498 |
3,678 |
$447.37 |
| 86706 |
|
36 |
36 |
$443.67 |
| J7030 |
Normal saline solution infus |
876 |
725 |
$428.93 |
| 82247 |
|
65 |
43 |
$395.90 |
| 81003 |
|
115 |
114 |
$380.85 |
| 87046 |
|
70 |
70 |
$362.71 |
| 84520 |
|
97 |
92 |
$339.78 |
| 94760 |
|
18 |
17 |
$324.51 |
| 82627 |
|
14 |
14 |
$322.56 |
| J2704 |
Inj, propofol, 10 mg |
964 |
777 |
$313.63 |
| 83525 |
|
29 |
28 |
$297.55 |
| J1200 |
Diphenhydramine hcl injectio |
1,251 |
1,044 |
$293.86 |
| G0471 |
Ven blood coll snf/hha |
101 |
70 |
$278.64 |
| 87015 |
|
39 |
39 |
$276.54 |
| 94727 |
|
14 |
13 |
$233.66 |
| 73590 |
|
12 |
12 |
$219.98 |
| J0780 |
Prochlorperazine injection |
335 |
304 |
$216.97 |
| 84460 |
|
27 |
27 |
$184.32 |
| 86039 |
|
12 |
12 |
$174.75 |
| 84450 |
|
27 |
27 |
$173.60 |
| 80055 |
|
13 |
13 |
$168.60 |
| 83520 |
|
12 |
12 |
$159.56 |
| 82533 |
|
13 |
12 |
$156.41 |
| 72072 |
|
13 |
13 |
$155.98 |
| 82951 |
|
12 |
12 |
$150.67 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
418 |
308 |
$140.97 |
| J3010 |
Fentanyl citrate injection |
1,086 |
854 |
$138.07 |
| J2765 |
Metoclopramide hcl injection |
815 |
735 |
$124.71 |
| 87205 |
|
29 |
29 |
$112.92 |
| 86308 |
|
15 |
15 |
$104.77 |
| 88304 |
|
27 |
27 |
$101.52 |
| 87070 |
|
12 |
12 |
$89.73 |
| 82040 |
|
27 |
26 |
$82.40 |
| 76882 |
|
14 |
13 |
$73.99 |
| J3475 |
Inj magnesium sulfate |
170 |
153 |
$67.11 |
| 80051 |
|
13 |
12 |
$66.51 |
| 82310 |
|
13 |
13 |
$61.00 |
| J2060 |
Lorazepam injection |
180 |
143 |
$48.39 |
| J0690 |
Cefazolin sodium injection |
105 |
65 |
$45.56 |
| 87147 |
|
14 |
14 |
$43.12 |
| J2250 |
Inj midazolam hydrochloride |
451 |
336 |
$37.14 |
| A9270 |
Non-covered item or service |
75 |
56 |
$35.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
148 |
122 |
$13.70 |
| J0696 |
Ceftriaxone sodium injection |
77 |
65 |
$11.38 |
| J8597 |
Antiemetic drug oral nos |
30 |
27 |
$5.91 |
| Q0162 |
Ondansetron oral |
20 |
17 |
$2.70 |
| G1010 |
Cdsm stanson |
305 |
278 |
$0.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
309 |
266 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
18 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
13 |
$0.00 |