| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,411 |
10,762 |
$2.31M |
| 99285 |
|
4,412 |
4,214 |
$1.45M |
| 99283 |
|
10,519 |
10,082 |
$1.35M |
| 96374 |
|
8,798 |
7,928 |
$871K |
| U0004 |
Cov-19 test non-cdc hgh thru |
8,488 |
8,209 |
$567K |
| 74177 |
|
2,885 |
2,804 |
$458K |
| 99282 |
|
5,402 |
5,263 |
$401K |
| 87637 |
|
2,184 |
2,157 |
$226K |
| 96361 |
|
6,405 |
5,400 |
$181K |
| 71046 |
|
3,683 |
3,591 |
$153K |
| 96375 |
|
7,133 |
6,046 |
$146K |
| 96365 |
|
1,438 |
1,098 |
$136K |
| 96360 |
|
1,173 |
1,084 |
$123K |
| 97110 |
|
4,105 |
1,519 |
$116K |
| U0005 |
Infec agen detec ampli probe |
5,641 |
5,474 |
$108K |
| U0002 |
Covid-19 lab test non-cdc |
2,485 |
2,412 |
$81K |
| 76705 |
|
1,117 |
1,095 |
$70K |
| 99281 |
|
1,516 |
1,489 |
$64K |
| 95810 |
|
114 |
114 |
$58K |
| C9803 |
Hopd covid-19 spec collect |
6,912 |
6,664 |
$57K |
| 82947 |
|
2,493 |
1,755 |
$55K |
| 77067 |
|
1,134 |
1,134 |
$53K |
| 93975 |
|
430 |
424 |
$53K |
| 43239 |
|
131 |
131 |
$50K |
| 80061 |
|
2,322 |
2,303 |
$47K |
| 76830 |
|
776 |
765 |
$45K |
| 70450 |
|
1,064 |
1,038 |
$45K |
| 86900 |
|
1,157 |
1,110 |
$41K |
| 71045 |
|
940 |
908 |
$38K |
| 36415 |
|
18,632 |
16,347 |
$38K |
| 80050 |
|
1,329 |
1,314 |
$37K |
| 74176 |
|
306 |
301 |
$35K |
| 87491 |
|
2,373 |
2,349 |
$34K |
| G0463 |
Hospital outpt clinic visit |
459 |
370 |
$34K |
| 87591 |
|
2,358 |
2,335 |
$34K |
| C9399 |
Unclassified drugs or biolog |
376 |
372 |
$28K |
| G0472 |
Hep c screen high risk/other |
1,047 |
1,046 |
$26K |
| 76856 |
|
441 |
434 |
$22K |
| 41899 |
|
200 |
197 |
$21K |
| 80307 |
|
1,498 |
1,447 |
$20K |
| 80053 |
|
16,162 |
14,571 |
$20K |
| 92526 |
|
471 |
171 |
$19K |
| 74230 |
|
177 |
177 |
$17K |
| 92507 |
|
504 |
171 |
$17K |
| 84443 |
|
2,494 |
2,467 |
$15K |
| 97112 |
|
529 |
169 |
$14K |
| 97140 |
|
886 |
373 |
$13K |
| G0378 |
Hospital observation per hr |
188 |
177 |
$12K |
| 71275 |
|
168 |
165 |
$12K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
741 |
741 |
$11K |
| 0012A |
|
338 |
338 |
$11K |
| 85025 |
|
15,183 |
13,652 |
$11K |
| 71260 |
|
63 |
63 |
$10K |
| 76642 |
|
237 |
234 |
$10K |
| 92611 |
|
188 |
188 |
$9K |
| 82306 |
|
885 |
879 |
$9K |
| 77063 |
|
744 |
744 |
$9K |
| 84702 |
|
1,600 |
1,137 |
$8K |
| 73610 |
|
479 |
472 |
$8K |
| 82728 |
|
1,240 |
1,223 |
$8K |
| 87086 |
|
3,803 |
3,673 |
$8K |
| G0432 |
Eia hiv-1/hiv-2 screen |
718 |
716 |
$8K |
| 76816 |
|
152 |
150 |
$8K |
| 85027 |
|
3,876 |
3,588 |
$7K |
| 0011A |
|
325 |
325 |
$7K |
| 73630 |
|
475 |
461 |
$7K |
| 70553 |
|
38 |
37 |
$6K |
| 87653 |
|
351 |
350 |
$6K |
| 86780 |
|
821 |
819 |
$6K |
| 87502 |
|
674 |
668 |
$6K |
| 83036 |
|
1,734 |
1,726 |
$6K |
| 96372 |
|
3,398 |
2,908 |
$6K |
| 87081 |
|
2,335 |
2,317 |
$5K |
| 87661 |
|
260 |
256 |
$5K |
| 93005 |
|
5,406 |
5,021 |
$5K |
| 88305 |
|
1,754 |
1,591 |
$5K |
| 83655 |
|
664 |
658 |
$5K |
| 83550 |
|
1,042 |
1,025 |
$4K |
| 80048 |
|
2,104 |
1,872 |
$4K |
| 72148 |
|
32 |
32 |
$4K |
| G0475 |
Hiv combination assay |
317 |
316 |
$4K |
| 96376 |
|
1,626 |
1,174 |
$4K |
| 87077 |
|
1,457 |
1,399 |
$3K |
| 83540 |
|
1,053 |
1,036 |
$3K |
| 73110 |
|
190 |
187 |
$3K |
| 82607 |
|
516 |
513 |
$3K |
| 93971 |
|
54 |
54 |
$3K |
| 96413 |
|
15 |
13 |
$3K |
| 73130 |
|
161 |
159 |
$2K |
| 87186 |
|
926 |
900 |
$2K |
| 76801 |
|
41 |
39 |
$2K |
| 87205 |
|
1,604 |
1,561 |
$2K |
| 83735 |
|
3,122 |
2,723 |
$2K |
| 87635 |
|
67 |
67 |
$2K |
| 72100 |
|
71 |
71 |
$2K |
| 97162 |
|
38 |
38 |
$2K |
| 76805 |
|
25 |
25 |
$2K |
| 81001 |
|
10,327 |
9,506 |
$2K |
| 84439 |
|
391 |
380 |
$1K |
| 73562 |
|
77 |
75 |
$1K |
| 73030 |
|
95 |
94 |
$1K |
| 82570 |
|
745 |
707 |
$1K |
| 83880 |
|
493 |
479 |
$1K |
| 85610 |
|
1,007 |
867 |
$1K |
| 86140 |
|
751 |
677 |
$926.71 |
| 0031A |
|
24 |
24 |
$908.40 |
| 87340 |
|
486 |
486 |
$865.39 |
| G0279 |
Tomosynthesis, mammo |
84 |
83 |
$848.23 |
| 82746 |
|
118 |
118 |
$832.73 |
| 76817 |
|
126 |
119 |
$778.50 |
| 87070 |
|
249 |
246 |
$752.21 |
| 0001A |
|
20 |
20 |
$742.95 |
| 86850 |
|
999 |
966 |
$734.51 |
| 83690 |
|
4,852 |
4,427 |
$725.97 |
| 97802 |
|
12 |
12 |
$717.40 |
| G0481 |
Drug test def 8-14 classes |
14 |
13 |
$711.09 |
| 71250 |
|
13 |
13 |
$696.14 |
| 84425 |
|
64 |
63 |
$693.57 |
| 85652 |
|
716 |
696 |
$636.29 |
| 74018 |
|
24 |
24 |
$632.24 |
| 81025 |
|
6,554 |
6,242 |
$607.02 |
| 84100 |
|
491 |
402 |
$561.72 |
| 0002A |
|
14 |
14 |
$529.90 |
| 96415 |
|
14 |
12 |
$511.11 |
| 87808 |
|
309 |
305 |
$364.32 |
| 82565 |
|
2,806 |
2,738 |
$355.44 |
| 87147 |
|
208 |
205 |
$325.74 |
| 96366 |
|
14 |
12 |
$212.76 |
| 85007 |
|
260 |
238 |
$210.50 |
| G0480 |
Drug test def 1-7 classes |
57 |
54 |
$202.00 |
| 87880 |
|
907 |
902 |
$185.20 |
| 84156 |
|
188 |
176 |
$178.40 |
| 85730 |
|
198 |
186 |
$166.64 |
| 87804 |
|
75 |
52 |
$151.13 |
| 85379 |
|
342 |
333 |
$104.30 |
| 82950 |
|
39 |
39 |
$104.12 |
| 87807 |
|
86 |
85 |
$101.14 |
| 84484 |
|
2,891 |
2,066 |
$64.73 |
| 81000 |
|
309 |
286 |
$59.44 |
| 80076 |
|
14 |
12 |
$53.64 |
| 82247 |
|
16 |
12 |
$44.85 |
| 80069 |
|
15 |
12 |
$43.56 |
| 83605 |
|
763 |
629 |
$40.85 |
| 82043 |
|
12 |
12 |
$35.68 |
| 86762 |
|
91 |
91 |
$33.50 |
| 87040 |
|
20 |
12 |
$24.34 |
| 82248 |
|
14 |
13 |
$23.52 |
| 86308 |
|
15 |
15 |
$20.93 |
| J1885 |
Ketorolac tromethamine inj |
7,372 |
6,786 |
$1.40 |
| J7050 |
Normal saline solution infus |
6,431 |
5,428 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,629 |
1,318 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
151 |
150 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
991 |
912 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
4,236 |
3,802 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,514 |
1,473 |
$0.00 |
| 94640 |
|
578 |
510 |
$0.00 |
| J2060 |
Lorazepam injection |
102 |
88 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,577 |
2,463 |
$0.00 |
| J2360 |
Orphenadrine injection |
609 |
587 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,843 |
2,401 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
193 |
185 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
378 |
348 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
94 |
83 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
264 |
221 |
$0.00 |
| J1630 |
Haloperidol injection |
305 |
278 |
$0.00 |
| C1889 |
Implant/insert device, noc |
121 |
115 |
$0.00 |
| A9270 |
Non-covered item or service |
76 |
39 |
$0.00 |
| 91301 |
|
665 |
654 |
$0.00 |
| 82077 |
|
41 |
39 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
28 |
27 |
$0.00 |
| 91303 |
|
23 |
23 |
$0.00 |
| 87503 |
|
13 |
13 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
17 |
17 |
$0.00 |
| J7120 |
Ringers lactate infusion |
4,086 |
3,639 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
2,229 |
2,038 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,429 |
1,258 |
$0.00 |
| J2550 |
Promethazine hcl injection |
57 |
52 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
6,947 |
5,963 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,459 |
4,311 |
$0.00 |
| J0780 |
Prochlorperazine injection |
615 |
580 |
$0.00 |
| J7030 |
Normal saline solution infus |
9,693 |
8,258 |
$0.00 |
| G1004 |
Cdsm ndsc |
6,108 |
5,699 |
$0.00 |
| J7040 |
Normal saline solution infus |
624 |
539 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
31 |
$0.00 |
| A9577 |
Inj multihance |
360 |
357 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
117 |
90 |
$0.00 |
| 91300 |
|
31 |
31 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
18 |
13 |
$0.00 |