| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
10,616 |
10,200 |
$1.66M |
| 99284 |
|
4,897 |
4,634 |
$1.12M |
| 99285 |
|
2,586 |
2,469 |
$830K |
| 99282 |
|
5,816 |
5,658 |
$561K |
| 96374 |
|
3,880 |
3,397 |
$479K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,247 |
6,971 |
$460K |
| 87636 |
|
1,807 |
1,769 |
$249K |
| 74177 |
|
1,269 |
1,244 |
$238K |
| 71046 |
|
4,189 |
3,954 |
$186K |
| 87637 |
|
1,303 |
1,283 |
$149K |
| G0480 |
Drug test def 1-7 classes |
2,254 |
2,131 |
$130K |
| 80307 |
|
3,893 |
3,754 |
$123K |
| 77067 |
|
1,664 |
1,664 |
$104K |
| 96375 |
|
2,652 |
2,368 |
$103K |
| U0005 |
Infec agen detec ampli probe |
5,076 |
4,898 |
$102K |
| 99281 |
|
1,830 |
1,797 |
$92K |
| 70450 |
|
734 |
719 |
$87K |
| 87502 |
|
2,690 |
2,628 |
$85K |
| 84443 |
|
8,851 |
8,736 |
$85K |
| 80053 |
|
18,798 |
17,720 |
$83K |
| 80061 |
|
8,632 |
8,606 |
$80K |
| 87491 |
|
2,895 |
2,863 |
$62K |
| 87591 |
|
2,892 |
2,860 |
$62K |
| 87635 |
|
1,579 |
1,551 |
$57K |
| 85025 |
|
17,969 |
16,756 |
$55K |
| 96361 |
|
1,609 |
1,480 |
$54K |
| 71045 |
|
906 |
882 |
$50K |
| 82306 |
|
2,536 |
2,525 |
$39K |
| 36415 |
|
22,904 |
20,980 |
$37K |
| C9803 |
Hopd covid-19 spec collect |
2,516 |
2,449 |
$35K |
| 83036 |
|
4,829 |
4,802 |
$29K |
| 96365 |
|
269 |
218 |
$26K |
| 76705 |
|
328 |
328 |
$24K |
| 93306 |
|
73 |
73 |
$22K |
| 87480 |
|
1,865 |
1,839 |
$22K |
| 87660 |
|
1,862 |
1,836 |
$22K |
| 87510 |
|
1,806 |
1,781 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
607 |
578 |
$21K |
| 87070 |
|
3,917 |
3,848 |
$20K |
| 87086 |
|
4,539 |
4,356 |
$19K |
| G0472 |
Hep c screen high risk/other |
583 |
582 |
$19K |
| 74176 |
|
113 |
113 |
$17K |
| 87624 |
|
600 |
599 |
$15K |
| 93005 |
|
3,861 |
3,579 |
$13K |
| 94060 |
|
73 |
73 |
$13K |
| 88175 |
|
675 |
674 |
$13K |
| 94726 |
|
199 |
198 |
$11K |
| 82607 |
|
1,254 |
1,243 |
$11K |
| G0475 |
Hiv combination assay |
600 |
597 |
$10K |
| 77063 |
|
631 |
631 |
$10K |
| 73630 |
|
650 |
622 |
$9K |
| 82728 |
|
1,115 |
1,107 |
$9K |
| 80048 |
|
2,339 |
2,123 |
$9K |
| 87077 |
|
1,927 |
1,888 |
$9K |
| 87186 |
|
1,696 |
1,658 |
$8K |
| G0103 |
Psa screening |
600 |
599 |
$8K |
| 76856 |
|
120 |
118 |
$8K |
| 96372 |
|
2,590 |
2,391 |
$7K |
| 84439 |
|
1,320 |
1,311 |
$7K |
| 85027 |
|
2,071 |
1,972 |
$7K |
| 83540 |
|
1,498 |
1,489 |
$6K |
| 82043 |
|
1,467 |
1,463 |
$5K |
| 86803 |
|
544 |
543 |
$5K |
| 96360 |
|
36 |
36 |
$5K |
| 84466 |
|
590 |
585 |
$5K |
| 71271 |
|
73 |
73 |
$5K |
| 73564 |
|
163 |
158 |
$5K |
| 81001 |
|
5,029 |
4,779 |
$5K |
| 83880 |
|
568 |
522 |
$4K |
| 88305 |
|
334 |
330 |
$4K |
| 83735 |
|
3,024 |
2,716 |
$4K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
235 |
235 |
$4K |
| G0463 |
Hospital outpt clinic visit |
55 |
55 |
$4K |
| 87088 |
|
867 |
845 |
$3K |
| 82550 |
|
1,051 |
1,010 |
$3K |
| 82570 |
|
832 |
823 |
$3K |
| 87081 |
|
1,673 |
1,651 |
$3K |
| 81003 |
|
3,810 |
3,726 |
$3K |
| 87661 |
|
107 |
106 |
$3K |
| 87147 |
|
965 |
928 |
$3K |
| 85610 |
|
2,307 |
2,019 |
$3K |
| 86900 |
|
91 |
91 |
$2K |
| 72148 |
|
12 |
12 |
$2K |
| 86140 |
|
1,008 |
928 |
$2K |
| 87389 |
|
117 |
117 |
$2K |
| 83550 |
|
316 |
315 |
$2K |
| 83690 |
|
3,013 |
2,800 |
$2K |
| 73610 |
|
202 |
193 |
$2K |
| 94010 |
|
40 |
40 |
$2K |
| 71275 |
|
12 |
12 |
$2K |
| 71260 |
|
12 |
12 |
$2K |
| 0002A |
|
49 |
49 |
$1K |
| 76830 |
|
16 |
16 |
$1K |
| 0012A |
|
38 |
38 |
$1K |
| 73130 |
|
194 |
191 |
$1K |
| 0001A |
|
59 |
59 |
$1K |
| 73110 |
|
58 |
51 |
$1K |
| 85730 |
|
1,279 |
1,226 |
$963.93 |
| 85652 |
|
752 |
731 |
$961.08 |
| 73030 |
|
48 |
46 |
$885.48 |
| 84100 |
|
819 |
720 |
$850.58 |
| 0011A |
|
44 |
44 |
$773.72 |
| 84703 |
|
2,495 |
2,404 |
$664.49 |
| 87807 |
|
375 |
370 |
$620.37 |
| 86780 |
|
66 |
66 |
$615.03 |
| 72100 |
|
41 |
39 |
$595.23 |
| 72110 |
|
13 |
13 |
$375.78 |
| 84702 |
|
54 |
36 |
$316.83 |
| 85007 |
|
135 |
113 |
$302.26 |
| 83655 |
|
25 |
25 |
$261.89 |
| 82746 |
|
25 |
25 |
$252.40 |
| 84484 |
|
2,267 |
2,086 |
$216.51 |
| 87880 |
|
982 |
973 |
$198.14 |
| 85379 |
|
490 |
487 |
$196.47 |
| 84403 |
|
12 |
12 |
$164.61 |
| 82248 |
|
83 |
70 |
$158.68 |
| 86038 |
|
14 |
14 |
$97.06 |
| 85651 |
|
63 |
63 |
$87.55 |
| 83605 |
|
1,332 |
1,194 |
$84.48 |
| 86039 |
|
12 |
12 |
$78.92 |
| 86850 |
|
28 |
28 |
$70.68 |
| 86901 |
|
91 |
91 |
$49.48 |
| 86592 |
|
13 |
13 |
$43.11 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,423 |
1,247 |
$35.27 |
| 87205 |
|
13 |
13 |
$25.64 |
| 84550 |
|
12 |
12 |
$22.41 |
| 87040 |
|
90 |
62 |
$16.60 |
| J7030 |
Normal saline solution infus |
3,494 |
3,120 |
$14.90 |
| 82553 |
|
105 |
103 |
$7.26 |
| J2405 |
Ondansetron hcl injection |
2,362 |
2,090 |
$6.49 |
| J1170 |
Hydromorphone injection |
362 |
277 |
$2.86 |
| J1885 |
Ketorolac tromethamine inj |
3,785 |
2,846 |
$2.05 |
| J7120 |
Ringers lactate infusion |
944 |
804 |
$1.10 |
| J1200 |
Diphenhydramine hcl injectio |
519 |
458 |
$0.91 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
83 |
54 |
$0.00 |
| 94729 |
|
198 |
197 |
$0.00 |
| 94664 |
|
57 |
56 |
$0.00 |
| J2270 |
Morphine sulfate injection |
35 |
32 |
$0.00 |
| 76376 |
|
65 |
65 |
$0.00 |
| 94640 |
|
269 |
259 |
$0.00 |
| J3490 |
Drugs unclassified injection |
128 |
87 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
410 |
270 |
$0.00 |
| J2360 |
Orphenadrine injection |
112 |
107 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
126 |
108 |
$0.00 |
| 96376 |
|
73 |
63 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
253 |
196 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
26 |
24 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
28 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
47 |
41 |
$0.00 |
| Q0162 |
Ondansetron oral |
64 |
57 |
$0.00 |
| A9270 |
Non-covered item or service |
174 |
81 |
$0.00 |