| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,198 |
19,890 |
$10.19M |
| 99285 |
|
10,456 |
7,290 |
$4.93M |
| 74176 |
|
7,176 |
6,029 |
$4.74M |
| G0378 |
Hospital observation per hr |
12,369 |
7,136 |
$4.66M |
| 99283 |
|
18,651 |
15,598 |
$1.89M |
| 70450 |
|
4,939 |
4,107 |
$1.37M |
| 80053 |
|
52,773 |
38,315 |
$1.22M |
| 74177 |
|
1,309 |
1,079 |
$1.05M |
| 96361 |
|
13,670 |
6,182 |
$1.04M |
| 85025 |
|
68,994 |
51,225 |
$853K |
| 97110 |
|
15,289 |
3,771 |
$830K |
| 71045 |
|
16,355 |
12,585 |
$740K |
| 43239 |
|
1,741 |
1,036 |
$734K |
| 93005 |
|
18,417 |
13,101 |
$701K |
| 99291 |
|
1,248 |
814 |
$670K |
| 93306 |
|
1,888 |
1,642 |
$637K |
| 96365 |
|
11,362 |
6,143 |
$623K |
| 94640 |
|
8,357 |
4,190 |
$600K |
| 83735 |
|
8,928 |
7,642 |
$598K |
| 92507 |
|
10,671 |
3,781 |
$583K |
| 80307 |
|
14,022 |
11,951 |
$535K |
| 97530 |
|
7,587 |
2,447 |
$534K |
| 36415 |
|
153,206 |
64,913 |
$486K |
| 84443 |
|
16,103 |
15,113 |
$461K |
| 80061 |
|
13,362 |
12,434 |
$459K |
| 80048 |
|
23,140 |
17,051 |
$447K |
| 71250 |
|
1,343 |
1,104 |
$414K |
| 84484 |
|
13,243 |
9,567 |
$408K |
| 96374 |
|
10,954 |
6,531 |
$400K |
| 96372 |
|
17,545 |
11,194 |
$384K |
| G0480 |
Drug test def 1-7 classes |
9,951 |
7,016 |
$365K |
| 87040 |
|
8,160 |
6,135 |
$363K |
| 99282 |
|
4,893 |
4,287 |
$349K |
| 72125 |
|
829 |
747 |
$337K |
| 71046 |
|
6,100 |
5,167 |
$326K |
| 81025 |
|
11,173 |
9,206 |
$317K |
| 0241U |
|
6,331 |
5,707 |
$299K |
| 82607 |
|
8,143 |
7,661 |
$296K |
| 97140 |
|
5,471 |
1,708 |
$296K |
| 96366 |
|
4,765 |
2,796 |
$267K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,964 |
8,075 |
$265K |
| 82306 |
|
6,936 |
6,534 |
$263K |
| 72131 |
|
643 |
564 |
$259K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,072 |
2,250 |
$231K |
| G0463 |
Hospital outpt clinic visit |
3,450 |
1,953 |
$226K |
| 81001 |
|
23,453 |
19,900 |
$207K |
| 74022 |
|
1,595 |
1,443 |
$203K |
| 88305 |
|
1,942 |
1,672 |
$202K |
| 76705 |
|
1,625 |
1,509 |
$202K |
| 96375 |
|
8,290 |
6,031 |
$194K |
| 96376 |
|
5,332 |
2,846 |
$184K |
| 83690 |
|
6,973 |
5,933 |
$177K |
| G0283 |
Elec stim other than wound |
5,806 |
1,323 |
$176K |
| 87631 |
|
2,188 |
2,062 |
$172K |
| 72148 |
|
299 |
272 |
$158K |
| 87086 |
|
8,360 |
7,052 |
$150K |
| 83036 |
|
11,709 |
11,128 |
$146K |
| 87502 |
|
3,183 |
2,902 |
$144K |
| 82150 |
|
3,398 |
2,856 |
$138K |
| 97597 |
|
2,893 |
1,137 |
$130K |
| C9803 |
Hopd covid-19 spec collect |
17,237 |
12,436 |
$129K |
| 80076 |
|
4,315 |
3,758 |
$123K |
| 73630 |
|
1,804 |
1,644 |
$121K |
| 82728 |
|
3,025 |
2,796 |
$120K |
| 96360 |
|
4,318 |
1,950 |
$120K |
| 87651 |
|
6,046 |
5,602 |
$117K |
| 72100 |
|
1,712 |
1,479 |
$112K |
| 74018 |
|
1,828 |
1,414 |
$111K |
| 87186 |
|
3,806 |
3,272 |
$102K |
| 73030 |
|
1,837 |
1,532 |
$100K |
| 85730 |
|
3,085 |
2,628 |
$97K |
| 73610 |
|
1,573 |
1,351 |
$96K |
| 96367 |
|
2,892 |
1,594 |
$89K |
| 76830 |
|
421 |
396 |
$87K |
| 70486 |
|
270 |
235 |
$86K |
| G0379 |
Direct refer hospital observ |
1,824 |
1,285 |
$85K |
| 83880 |
|
2,432 |
2,076 |
$82K |
| 77067 |
|
1,844 |
1,790 |
$80K |
| 83970 |
|
1,250 |
1,166 |
$80K |
| 82570 |
|
2,666 |
2,371 |
$80K |
| 84439 |
|
2,620 |
2,486 |
$79K |
| 93041 |
|
4,176 |
3,547 |
$77K |
| 85610 |
|
5,300 |
4,169 |
$75K |
| 87070 |
|
3,360 |
2,598 |
$74K |
| 80074 |
|
1,285 |
1,165 |
$74K |
| 82550 |
|
5,291 |
4,244 |
$72K |
| 76700 |
|
386 |
310 |
$66K |
| 83540 |
|
2,928 |
2,725 |
$62K |
| U0002 |
Covid-19 lab test non-cdc |
2,673 |
2,325 |
$61K |
| 87077 |
|
4,390 |
3,178 |
$60K |
| U0005 |
Infec agen detec ampli probe |
7,395 |
6,508 |
$60K |
| 82553 |
|
2,424 |
1,706 |
$59K |
| 73130 |
|
958 |
868 |
$59K |
| 83605 |
|
5,234 |
4,196 |
$55K |
| 86140 |
|
3,439 |
2,752 |
$54K |
| 82803 |
|
1,714 |
1,376 |
$51K |
| 80069 |
|
2,654 |
1,605 |
$51K |
| 11042 |
|
228 |
143 |
$50K |
| 97162 |
|
1,058 |
910 |
$49K |
| 84702 |
|
1,424 |
1,197 |
$45K |
| 86038 |
|
1,283 |
1,193 |
$45K |
| 73110 |
|
635 |
559 |
$42K |
| 73560 |
|
759 |
648 |
$41K |
| 85652 |
|
3,670 |
3,039 |
$40K |
| G2023 |
Specimen collect covid-19 |
2,048 |
1,639 |
$40K |
| 71271 |
|
91 |
83 |
$38K |
| 96368 |
|
747 |
520 |
$38K |
| 87491 |
|
1,728 |
1,614 |
$38K |
| 73562 |
|
493 |
462 |
$37K |
| 78452 |
|
192 |
92 |
$35K |
| 76805 |
|
161 |
146 |
$33K |
| 87389 |
|
963 |
885 |
$31K |
| 84156 |
|
2,184 |
1,958 |
$31K |
| 85027 |
|
2,926 |
2,762 |
$31K |
| 76536 |
|
196 |
184 |
$31K |
| 87076 |
|
2,948 |
1,800 |
$30K |
| 97161 |
|
832 |
625 |
$28K |
| 72110 |
|
330 |
274 |
$28K |
| 99213 |
|
270 |
215 |
$25K |
| 84703 |
|
1,171 |
1,094 |
$25K |
| 87591 |
|
1,203 |
1,144 |
$24K |
| 93017 |
|
148 |
135 |
$24K |
| 87522 |
Neg quan hep c or qual rna |
769 |
695 |
$23K |
| 87507 |
|
103 |
94 |
$23K |
| J2930 |
Methylprednisolone injection |
2,565 |
1,461 |
$23K |
| 83550 |
|
1,193 |
1,106 |
$23K |
| 93971 |
|
183 |
170 |
$23K |
| 84550 |
|
1,876 |
1,689 |
$22K |
| 83655 |
|
828 |
791 |
$22K |
| 73090 |
|
380 |
327 |
$22K |
| 73590 |
|
347 |
313 |
$21K |
| 97014 |
|
439 |
125 |
$21K |
| 94060 |
|
372 |
208 |
$19K |
| 78454 |
|
99 |
50 |
$19K |
| 73502 |
|
375 |
335 |
$18K |
| 87661 |
|
1,124 |
1,060 |
$18K |
| 72040 |
|
271 |
233 |
$17K |
| 47562 |
|
12 |
12 |
$17K |
| 90471 |
|
1,200 |
1,133 |
$17K |
| 99281 |
|
550 |
494 |
$16K |
| 82043 |
|
1,322 |
1,196 |
$16K |
| 86431 |
|
646 |
621 |
$16K |
| 36600 |
|
1,699 |
1,360 |
$15K |
| 87634 |
|
413 |
390 |
$15K |
| 86850 |
|
1,036 |
877 |
$14K |
| 73620 |
|
240 |
213 |
$14K |
| 81003 |
|
1,801 |
1,626 |
$14K |
| 84153 |
|
553 |
511 |
$14K |
| 86901 |
|
1,252 |
1,058 |
$14K |
| 87804 |
|
1,247 |
1,119 |
$12K |
| J1956 |
Levofloxacin injection |
1,760 |
1,001 |
$12K |
| 82542 |
|
163 |
154 |
$12K |
| 96413 |
|
115 |
50 |
$12K |
| 86200 |
|
632 |
594 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
6,648 |
4,804 |
$11K |
| 71260 |
|
42 |
26 |
$11K |
| 66984 |
|
119 |
13 |
$11K |
| 86900 |
|
1,267 |
1,060 |
$11K |
| J2710 |
Neostigmine methylslfte inj |
286 |
258 |
$11K |
| 90715 |
|
331 |
315 |
$11K |
| 12001 |
|
137 |
132 |
$10K |
| 45378 |
|
37 |
17 |
$10K |
| 88304 |
|
501 |
453 |
$9K |
| 82103 |
|
263 |
178 |
$9K |
| 76000 |
|
153 |
110 |
$9K |
| 0012A |
|
679 |
662 |
$9K |
| 84100 |
|
754 |
639 |
$9K |
| 76641 |
|
68 |
66 |
$9K |
| 76770 |
|
101 |
79 |
$8K |
| 81002 |
|
1,145 |
980 |
$8K |
| 45380 |
|
13 |
12 |
$8K |
| 87590 |
|
491 |
460 |
$8K |
| 80171 |
|
138 |
128 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
1,951 |
1,308 |
$8K |
| 85378 |
|
613 |
562 |
$8K |
| 70551 |
|
18 |
12 |
$7K |
| J2543 |
Piperacillin/tazobactam |
122 |
63 |
$7K |
| 94618 |
|
136 |
123 |
$7K |
| J2270 |
Morphine sulfate injection |
3,070 |
2,000 |
$7K |
| 0097U |
|
107 |
82 |
$6K |
| M0243 |
Casirivi and imdevi inj |
43 |
42 |
$6K |
| 76856 |
|
58 |
56 |
$6K |
| 72050 |
|
65 |
57 |
$5K |
| 0011A |
|
698 |
672 |
$5K |
| J0690 |
Cefazolin sodium injection |
792 |
618 |
$5K |
| 93226 |
|
41 |
38 |
$5K |
| 87880 |
|
978 |
910 |
$5K |
| 73120 |
|
92 |
83 |
$4K |
| 73600 |
|
84 |
72 |
$4K |
| 87480 |
|
388 |
327 |
$4K |
| J3490 |
Drugs unclassified injection |
942 |
748 |
$4K |
| 78227 |
|
13 |
12 |
$4K |
| 93225 |
|
66 |
53 |
$4K |
| 88142 |
|
152 |
149 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,456 |
1,261 |
$4K |
| 94729 |
|
125 |
106 |
$4K |
| 73564 |
|
56 |
53 |
$4K |
| J2405 |
Ondansetron hcl injection |
3,103 |
2,354 |
$3K |
| 94727 |
|
126 |
107 |
$3K |
| 87510 |
|
301 |
292 |
$3K |
| 97035 |
|
156 |
44 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
306 |
181 |
$3K |
| 0100U |
|
60 |
59 |
$3K |
| 84481 |
|
53 |
50 |
$3K |
| 80081 |
|
12 |
12 |
$3K |
| 97166 |
|
77 |
54 |
$3K |
| A9502 |
Tc99m tetrofosmin |
26 |
25 |
$3K |
| 92523 |
|
31 |
30 |
$3K |
| 88175 |
|
218 |
205 |
$3K |
| J2920 |
Methylprednisolone injection |
320 |
137 |
$3K |
| 72128 |
|
14 |
12 |
$3K |
| 90714 |
|
121 |
118 |
$3K |
| 86803 |
|
99 |
94 |
$3K |
| 73100 |
|
48 |
41 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,354 |
1,148 |
$2K |
| M0245 |
Bamlan and etesev infusion |
19 |
14 |
$2K |
| 97112 |
|
32 |
12 |
$2K |
| 83001 |
|
45 |
43 |
$2K |
| 87660 |
|
301 |
292 |
$2K |
| 12002 |
|
28 |
26 |
$2K |
| 84436 |
|
67 |
67 |
$2K |
| 95831 |
|
95 |
30 |
$2K |
| 73140 |
|
25 |
25 |
$2K |
| 73070 |
|
34 |
29 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,069 |
907 |
$2K |
| 84145 |
|
32 |
30 |
$2K |
| 36430 |
|
15 |
12 |
$2K |
| 82140 |
|
68 |
51 |
$1K |
| 99499 |
|
46 |
44 |
$1K |
| J2805 |
Sincalide injection |
13 |
12 |
$1K |
| G0476 |
Hpv combo assay ca screen |
52 |
45 |
$1K |
| G0103 |
Psa screening |
244 |
64 |
$1K |
| J3370 |
Vancomycin hcl injection |
46 |
12 |
$1K |
| 36416 |
|
384 |
342 |
$1K |
| 84146 |
|
26 |
25 |
$1K |
| 86787 |
|
18 |
14 |
$1K |
| 82746 |
|
30 |
26 |
$1K |
| 59025 |
|
20 |
13 |
$998.93 |
| 82565 |
|
84 |
70 |
$996.46 |
| 84134 |
|
48 |
40 |
$983.82 |
| 74019 |
|
14 |
12 |
$974.50 |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
12 |
$933.72 |
| 82652 |
|
34 |
32 |
$901.93 |
| 77063 |
|
52 |
44 |
$884.51 |
| 87807 |
|
175 |
160 |
$864.02 |
| J0131 |
Inj, acetaminophen (nos) |
71 |
43 |
$855.91 |
| A9537 |
Tc99m mebrofenin |
25 |
24 |
$779.24 |
| 87075 |
|
32 |
24 |
$763.16 |
| 83002 |
|
19 |
17 |
$739.07 |
| 85007 |
|
70 |
66 |
$734.45 |
| 87338 |
|
14 |
14 |
$701.96 |
| 80143 |
|
77 |
70 |
$675.09 |
| 0064A |
|
102 |
86 |
$663.76 |
| 86706 |
|
28 |
24 |
$622.79 |
| J2175 |
Meperidine hydrochl /100 mg |
152 |
122 |
$620.70 |
| Q9969 |
Non-heu tc-99m add-on/dose |
277 |
265 |
$589.58 |
| 84112 |
|
19 |
16 |
$582.33 |
| 76775 |
|
14 |
12 |
$579.03 |
| 80164 |
|
39 |
39 |
$561.42 |
| 94761 |
|
25 |
12 |
$557.55 |
| J2765 |
Metoclopramide hcl injection |
422 |
268 |
$554.43 |
| J1650 |
Inj enoxaparin sodium |
14 |
12 |
$546.17 |
| 82105 |
|
13 |
12 |
$540.26 |
| 80185 |
|
23 |
12 |
$536.20 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
18 |
12 |
$532.74 |
| 82274 |
|
57 |
56 |
$513.37 |
| 87340 |
|
24 |
24 |
$504.64 |
| 82104 |
|
70 |
67 |
$460.45 |
| 83516 |
|
15 |
13 |
$447.92 |
| 82670 |
|
14 |
12 |
$402.60 |
| 84520 |
|
26 |
24 |
$400.92 |
| 86703 |
|
31 |
25 |
$374.05 |
| 86804 |
|
13 |
12 |
$364.76 |
| 84403 |
|
25 |
25 |
$359.36 |
| J1170 |
Hydromorphone injection |
124 |
109 |
$312.62 |
| 86592 |
|
28 |
28 |
$306.94 |
| 87205 |
|
29 |
29 |
$304.61 |
| 0002A |
|
17 |
17 |
$294.20 |
| 85379 |
|
14 |
13 |
$277.54 |
| 84270 |
|
12 |
12 |
$276.95 |
| J0736 |
Inj, clindamycin phosp 300mg |
29 |
15 |
$249.05 |
| J2470 |
Inj pantoprazole sodium 40mg |
75 |
48 |
$239.82 |
| J2550 |
Promethazine hcl injection |
325 |
242 |
$207.10 |
| J0330 |
Succinycholine chloride inj |
27 |
24 |
$190.39 |
| 0001A |
|
13 |
13 |
$185.64 |
| 82947 |
|
17 |
12 |
$173.58 |
| 84402 |
|
12 |
12 |
$162.78 |
| 85018 |
|
13 |
13 |
$144.64 |
| 85014 |
|
12 |
12 |
$139.28 |
| J7510 |
Prednisolone oral per 5 mg |
93 |
78 |
$136.53 |
| 84560 |
|
16 |
12 |
$129.50 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
79 |
73 |
$108.00 |
| J1200 |
Diphenhydramine hcl injectio |
119 |
101 |
$104.10 |
| 86430 |
|
15 |
14 |
$95.20 |
| A9270 |
Non-covered item or service |
1,571 |
227 |
$88.20 |
| J3475 |
Inj magnesium sulfate |
16 |
13 |
$50.63 |
| J1644 |
Inj heparin sodium per 1000u |
40 |
12 |
$29.52 |
| J2060 |
Lorazepam injection |
15 |
13 |
$19.09 |
| Q0244 |
Casirivi and imdevi 1200 mg |
41 |
41 |
$0.07 |
| Q0245 |
Bamlanivimab and etesevima |
19 |
14 |
$0.01 |
| Q0239 |
Bamlanivimab-xxxx |
13 |
12 |
$0.00 |