| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,356 |
9,260 |
$6.09M |
| 74176 |
|
2,622 |
2,244 |
$2.25M |
| 99283 |
|
17,423 |
15,202 |
$1.72M |
| 99285 |
|
3,474 |
2,054 |
$1.70M |
| 74177 |
|
1,103 |
1,003 |
$1.43M |
| 80053 |
|
22,729 |
17,087 |
$927K |
| 70450 |
|
1,930 |
1,580 |
$725K |
| G0378 |
Hospital observation per hr |
1,934 |
717 |
$541K |
| 93005 |
|
6,616 |
5,320 |
$447K |
| 85025 |
|
20,632 |
17,002 |
$421K |
| 99291 |
|
425 |
362 |
$406K |
| 99282 |
|
7,063 |
6,334 |
$366K |
| 71045 |
|
5,569 |
4,682 |
$355K |
| 36415 |
|
41,462 |
20,393 |
$341K |
| 0241U |
|
5,602 |
4,813 |
$333K |
| 96361 |
|
3,711 |
2,434 |
$326K |
| 96374 |
|
5,109 |
3,673 |
$297K |
| 71046 |
|
3,583 |
2,972 |
$264K |
| 87631 |
|
2,646 |
2,448 |
$259K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,369 |
1,483 |
$256K |
| 84484 |
|
4,841 |
3,909 |
$236K |
| 82607 |
|
4,177 |
3,795 |
$226K |
| 97110 |
|
3,181 |
861 |
$225K |
| 80307 |
|
4,680 |
4,163 |
$220K |
| 80061 |
|
6,130 |
5,709 |
$215K |
| 87040 |
|
2,589 |
1,989 |
$189K |
| 96372 |
|
7,854 |
5,981 |
$177K |
| 96365 |
|
2,228 |
1,583 |
$166K |
| 84443 |
|
7,455 |
6,967 |
$159K |
| 82306 |
|
4,013 |
3,789 |
$148K |
| 94640 |
|
1,470 |
920 |
$142K |
| 81001 |
|
9,364 |
8,197 |
$136K |
| 87651 |
|
4,496 |
4,242 |
$129K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,121 |
2,819 |
$121K |
| 83690 |
|
4,459 |
3,897 |
$118K |
| 96375 |
|
3,156 |
2,656 |
$113K |
| 81025 |
|
3,290 |
2,962 |
$105K |
| 83036 |
|
5,050 |
4,751 |
$102K |
| 74022 |
|
465 |
402 |
$101K |
| 87086 |
|
3,327 |
2,894 |
$100K |
| 80048 |
|
2,686 |
2,138 |
$95K |
| C9803 |
Hopd covid-19 spec collect |
6,437 |
4,908 |
$94K |
| 82746 |
|
1,375 |
1,233 |
$89K |
| 72100 |
|
904 |
776 |
$83K |
| 83735 |
|
6,594 |
5,707 |
$81K |
| 83605 |
|
2,279 |
1,953 |
$80K |
| G0480 |
Drug test def 1-7 classes |
1,685 |
1,046 |
$80K |
| 73630 |
|
853 |
776 |
$79K |
| 83880 |
|
1,178 |
1,023 |
$74K |
| 72131 |
|
102 |
96 |
$69K |
| 92507 |
|
736 |
261 |
$61K |
| 87633 |
|
212 |
189 |
$57K |
| 77067 |
|
950 |
908 |
$56K |
| 73610 |
|
546 |
486 |
$56K |
| 73030 |
|
666 |
538 |
$53K |
| 87186 |
|
1,239 |
1,118 |
$46K |
| 73562 |
|
536 |
426 |
$44K |
| 82150 |
|
1,964 |
1,709 |
$43K |
| 87502 |
|
799 |
705 |
$43K |
| 73130 |
|
427 |
403 |
$41K |
| 72125 |
|
51 |
51 |
$39K |
| 96360 |
|
373 |
224 |
$37K |
| 83540 |
|
1,247 |
1,176 |
$37K |
| G2023 |
Specimen collect covid-19 |
1,451 |
1,282 |
$30K |
| 82550 |
|
1,441 |
1,199 |
$30K |
| 93041 |
|
858 |
752 |
$26K |
| 74018 |
|
259 |
249 |
$26K |
| 85378 |
|
827 |
743 |
$26K |
| U0005 |
Infec agen detec ampli probe |
2,456 |
2,225 |
$25K |
| 87076 |
|
1,074 |
799 |
$25K |
| 82553 |
|
798 |
594 |
$24K |
| 84439 |
|
641 |
588 |
$22K |
| 85027 |
|
1,404 |
1,227 |
$21K |
| 0100U |
|
330 |
284 |
$20K |
| J2930 |
Methylprednisolone injection |
1,596 |
1,308 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
692 |
552 |
$18K |
| 87077 |
|
618 |
491 |
$17K |
| 85730 |
|
711 |
626 |
$17K |
| 85610 |
|
1,205 |
1,019 |
$16K |
| 85652 |
|
770 |
681 |
$15K |
| 74150 |
|
43 |
41 |
$15K |
| 76705 |
|
65 |
63 |
$14K |
| 87389 |
|
273 |
233 |
$13K |
| 87070 |
|
743 |
654 |
$13K |
| 97530 |
|
118 |
36 |
$12K |
| 87522 |
Neg quan hep c or qual rna |
250 |
219 |
$12K |
| 96376 |
|
364 |
246 |
$12K |
| 90853 |
|
644 |
117 |
$12K |
| 86140 |
|
428 |
378 |
$12K |
| 73564 |
|
96 |
95 |
$11K |
| 87798 |
|
249 |
189 |
$11K |
| 96366 |
|
210 |
146 |
$11K |
| 72040 |
|
173 |
121 |
$10K |
| 83550 |
|
291 |
276 |
$10K |
| 72148 |
|
13 |
12 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
3,477 |
3,005 |
$9K |
| 80074 |
|
100 |
91 |
$9K |
| 86403 |
|
319 |
308 |
$9K |
| 94761 |
|
103 |
68 |
$8K |
| J3490 |
Drugs unclassified injection |
193 |
158 |
$8K |
| 87400 |
|
421 |
398 |
$8K |
| 87581 |
|
212 |
189 |
$8K |
| 82652 |
|
193 |
178 |
$8K |
| 87486 |
|
254 |
194 |
$8K |
| 87804 |
|
435 |
337 |
$8K |
| 90715 |
|
155 |
145 |
$8K |
| 87880 |
|
605 |
563 |
$7K |
| 93306 |
|
18 |
15 |
$7K |
| 82043 |
|
346 |
317 |
$7K |
| 82803 |
|
64 |
51 |
$6K |
| 87430 |
|
453 |
350 |
$6K |
| 90471 |
|
271 |
263 |
$6K |
| 0002A |
|
303 |
293 |
$5K |
| 94664 |
|
231 |
198 |
$5K |
| 0001A |
|
355 |
340 |
$5K |
| 73110 |
|
40 |
40 |
$4K |
| 99281 |
|
233 |
215 |
$4K |
| 81002 |
|
567 |
461 |
$4K |
| 80076 |
|
74 |
68 |
$4K |
| 84436 |
|
79 |
70 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
97 |
63 |
$3K |
| 72072 |
|
31 |
28 |
$3K |
| 86038 |
|
126 |
119 |
$3K |
| 82728 |
|
53 |
52 |
$3K |
| 80047 |
|
62 |
55 |
$3K |
| 97161 |
|
70 |
56 |
$3K |
| 73590 |
|
33 |
30 |
$2K |
| 73090 |
|
26 |
26 |
$2K |
| 84425 |
|
29 |
28 |
$2K |
| 85379 |
|
52 |
46 |
$2K |
| 84153 |
|
41 |
39 |
$2K |
| 84403 |
|
52 |
49 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
83 |
71 |
$1K |
| 73502 |
|
13 |
13 |
$1K |
| 81003 |
|
166 |
154 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 12001 |
|
12 |
12 |
$1K |
| A9270 |
Non-covered item or service |
115 |
43 |
$1K |
| 84145 |
|
12 |
12 |
$1K |
| 84550 |
|
87 |
74 |
$999.46 |
| 88185 |
|
16 |
14 |
$976.02 |
| 88305 |
|
14 |
13 |
$954.07 |
| G0103 |
Psa screening |
102 |
40 |
$953.53 |
| 84480 |
|
17 |
15 |
$789.53 |
| 86308 |
|
41 |
41 |
$785.53 |
| 82962 |
|
54 |
33 |
$773.71 |
| 87280 |
|
23 |
23 |
$762.68 |
| 96368 |
|
14 |
12 |
$739.94 |
| 87491 |
|
20 |
17 |
$518.77 |
| J0696 |
Ceftriaxone sodium injection |
170 |
113 |
$507.26 |
| 84100 |
|
27 |
26 |
$468.98 |
| 82570 |
|
13 |
13 |
$446.84 |
| 87591 |
|
20 |
17 |
$444.67 |
| 0012A |
|
29 |
27 |
$437.20 |
| 87661 |
|
16 |
15 |
$404.86 |
| 85651 |
|
26 |
26 |
$351.71 |
| 90832 |
|
21 |
12 |
$334.02 |
| 84270 |
|
13 |
12 |
$329.93 |
| 84402 |
|
13 |
12 |
$283.34 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$255.80 |
| 80143 |
|
25 |
24 |
$241.60 |
| 0011A |
|
28 |
27 |
$227.78 |
| J2704 |
Inj, propofol, 10 mg |
16 |
14 |
$201.56 |
| J8597 |
Antiemetic drug oral nos |
193 |
169 |
$196.83 |
| J2405 |
Ondansetron hcl injection |
79 |
68 |
$80.63 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$21.80 |
| J2765 |
Metoclopramide hcl injection |
15 |
13 |
$1.34 |
| Q0244 |
Casirivi and imdevi 1200 mg |
21 |
16 |
$0.01 |