| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,898 |
9,511 |
$868K |
| 99283 |
|
5,985 |
5,829 |
$393K |
| 96374 |
|
4,607 |
4,383 |
$123K |
| 80050 |
|
2,425 |
2,381 |
$109K |
| 99285 |
|
892 |
845 |
$100K |
| 80053 |
|
9,548 |
9,057 |
$100K |
| 80061 |
|
4,679 |
4,600 |
$66K |
| 74177 |
|
347 |
344 |
$60K |
| 85025 |
|
11,406 |
10,783 |
$59K |
| U0003 |
Cov-19 amp prb hgh thruput |
637 |
579 |
$57K |
| 82306 |
|
1,360 |
1,327 |
$50K |
| 99282 |
|
1,084 |
1,066 |
$39K |
| U0002 |
Covid-19 lab test non-cdc |
1,100 |
1,068 |
$36K |
| 77067 |
|
368 |
357 |
$32K |
| 96375 |
|
1,670 |
1,518 |
$30K |
| 93005 |
|
2,617 |
2,501 |
$26K |
| 71046 |
|
1,503 |
1,452 |
$22K |
| 83036 |
|
3,325 |
3,261 |
$22K |
| 70450 |
|
312 |
301 |
$19K |
| 82607 |
|
1,702 |
1,673 |
$18K |
| 74176 |
|
193 |
190 |
$16K |
| 84443 |
|
678 |
653 |
$16K |
| 80048 |
|
2,005 |
1,888 |
$16K |
| 0241U |
|
262 |
260 |
$16K |
| 80307 |
|
202 |
183 |
$11K |
| 81001 |
|
4,036 |
3,866 |
$10K |
| 84702 |
|
600 |
443 |
$10K |
| 96361 |
|
1,021 |
912 |
$10K |
| 87389 |
|
331 |
324 |
$10K |
| 82728 |
|
745 |
727 |
$9K |
| 77063 |
|
367 |
356 |
$8K |
| 87491 |
|
288 |
279 |
$7K |
| 71275 |
|
34 |
34 |
$7K |
| 96372 |
|
570 |
511 |
$7K |
| 87591 |
|
273 |
264 |
$7K |
| 84484 |
|
698 |
650 |
$6K |
| 84439 |
|
714 |
698 |
$6K |
| 83540 |
|
649 |
632 |
$5K |
| 87086 |
|
651 |
622 |
$5K |
| 86803 |
|
256 |
250 |
$5K |
| 85027 |
|
698 |
625 |
$5K |
| 96360 |
|
190 |
181 |
$4K |
| 76830 |
|
75 |
73 |
$4K |
| 99281 |
|
175 |
169 |
$4K |
| 83690 |
|
799 |
764 |
$4K |
| 76642 |
|
83 |
80 |
$4K |
| 83735 |
|
539 |
493 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,596 |
1,472 |
$3K |
| 83550 |
|
611 |
599 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
353 |
344 |
$3K |
| 76817 |
|
46 |
42 |
$3K |
| 82570 |
|
315 |
299 |
$2K |
| 71045 |
|
325 |
314 |
$2K |
| 84703 |
|
202 |
199 |
$2K |
| 88305 |
|
211 |
204 |
$2K |
| 81025 |
|
563 |
531 |
$2K |
| 82043 |
|
216 |
210 |
$2K |
| 93971 |
|
31 |
31 |
$2K |
| G0480 |
Drug test def 1-7 classes |
26 |
26 |
$2K |
| 94726 |
|
54 |
51 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 76705 |
|
31 |
28 |
$1K |
| 94729 |
|
40 |
37 |
$1K |
| 97597 |
|
58 |
30 |
$1K |
| 80081 |
|
14 |
13 |
$1K |
| G0279 |
Tomosynthesis, mammo |
52 |
51 |
$997.82 |
| 87340 |
|
64 |
61 |
$910.37 |
| 82746 |
|
109 |
104 |
$901.88 |
| 76857 |
|
43 |
43 |
$854.90 |
| 85652 |
|
262 |
247 |
$828.16 |
| T1015 |
Clinic service |
16 |
15 |
$819.26 |
| 73630 |
|
84 |
75 |
$806.21 |
| 85610 |
|
240 |
215 |
$793.41 |
| 86850 |
|
106 |
102 |
$735.14 |
| 86140 |
|
214 |
199 |
$678.24 |
| 86901 |
|
161 |
154 |
$617.80 |
| 86900 |
|
162 |
155 |
$610.30 |
| 87150 |
|
13 |
13 |
$573.10 |
| 86592 |
|
132 |
127 |
$561.97 |
| 87186 |
|
75 |
71 |
$552.59 |
| 87077 |
|
77 |
75 |
$537.98 |
| J1885 |
Ketorolac tromethamine inj |
3,813 |
3,457 |
$536.40 |
| 85379 |
|
43 |
40 |
$455.98 |
| J3490 |
Drugs unclassified injection |
518 |
412 |
$436.69 |
| 87522 |
Neg quan hep c or qual rna |
13 |
12 |
$404.45 |
| 94060 |
|
40 |
37 |
$352.26 |
| 83605 |
|
52 |
49 |
$346.52 |
| 96365 |
|
13 |
12 |
$309.00 |
| J2704 |
Inj, propofol, 10 mg |
510 |
398 |
$300.50 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
27 |
26 |
$296.80 |
| J2270 |
Morphine sulfate injection |
261 |
238 |
$273.02 |
| 85730 |
|
30 |
30 |
$189.01 |
| 87081 |
|
30 |
30 |
$183.09 |
| J2405 |
Ondansetron hcl injection |
2,384 |
2,100 |
$182.62 |
| 74018 |
|
12 |
12 |
$151.15 |
| 81003 |
|
46 |
45 |
$140.07 |
| 80076 |
|
13 |
12 |
$136.02 |
| J1100 |
Dexamethasone sodium phos |
528 |
469 |
$115.45 |
| 84156 |
|
35 |
27 |
$114.40 |
| J3010 |
Fentanyl citrate injection |
321 |
246 |
$97.14 |
| 99000 |
|
16 |
16 |
$96.00 |
| 82565 |
|
12 |
12 |
$90.13 |
| J1200 |
Diphenhydramine hcl injectio |
789 |
708 |
$79.35 |
| J2765 |
Metoclopramide hcl injection |
419 |
386 |
$77.32 |
| 84520 |
|
12 |
12 |
$76.50 |
| J0780 |
Prochlorperazine injection |
17 |
14 |
$75.45 |
| J0690 |
Cefazolin sodium injection |
38 |
26 |
$17.82 |
| J2250 |
Inj midazolam hydrochloride |
296 |
254 |
$10.15 |
| Q0162 |
Ondansetron oral |
693 |
665 |
$4.80 |
| A9585 |
Gadobutrol injection |
13 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
39 |
37 |
$0.00 |
| J2060 |
Lorazepam injection |
82 |
65 |
$0.00 |
| J1170 |
Hydromorphone injection |
94 |
79 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
34 |
33 |
$0.00 |
| 36415 |
|
17 |
12 |
$0.00 |