| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,587 |
6,286 |
$861K |
| 99284 |
|
3,653 |
3,493 |
$447K |
| 99282 |
|
3,385 |
3,277 |
$443K |
| 97110 |
|
5,194 |
1,725 |
$359K |
| 96361 |
|
1,602 |
1,529 |
$340K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
3,592 |
3,127 |
$290K |
| 70450 |
|
860 |
842 |
$245K |
| 99285 |
|
1,673 |
1,575 |
$196K |
| 80053 |
|
10,841 |
9,969 |
$183K |
| 74177 |
|
580 |
558 |
$164K |
| 36415 |
|
19,331 |
7,875 |
$146K |
| 99281 |
|
933 |
901 |
$131K |
| 74176 |
|
397 |
391 |
$112K |
| 96365 |
|
955 |
744 |
$104K |
| 87635 |
|
2,678 |
2,556 |
$87K |
| 87502 |
|
1,368 |
1,353 |
$67K |
| 82306 |
|
1,470 |
1,464 |
$43K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,648 |
1,545 |
$40K |
| 87651 |
|
923 |
916 |
$34K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,462 |
1,304 |
$33K |
| 77067 |
|
517 |
516 |
$29K |
| 84443 |
|
4,105 |
4,025 |
$26K |
| 80061 |
|
4,158 |
4,144 |
$25K |
| 80048 |
|
2,103 |
1,983 |
$24K |
| 97140 |
|
553 |
240 |
$20K |
| 85025 |
|
11,440 |
10,301 |
$20K |
| 83036 |
|
1,936 |
1,932 |
$18K |
| 80307 |
|
578 |
534 |
$18K |
| 96372 |
|
1,424 |
1,289 |
$14K |
| 84439 |
|
1,477 |
1,463 |
$12K |
| 82607 |
|
966 |
957 |
$12K |
| 87491 |
|
432 |
427 |
$11K |
| 87631 |
|
113 |
113 |
$11K |
| 99213 |
|
80 |
78 |
$9K |
| 87591 |
|
431 |
425 |
$9K |
| 99214 |
|
71 |
69 |
$9K |
| 83880 |
|
278 |
261 |
$8K |
| 96360 |
|
40 |
38 |
$7K |
| 71275 |
|
27 |
25 |
$7K |
| 97112 |
|
181 |
99 |
$6K |
| 87086 |
|
1,316 |
1,258 |
$5K |
| 87634 |
|
251 |
246 |
$4K |
| 81025 |
|
1,355 |
1,296 |
$4K |
| 82746 |
|
346 |
342 |
$4K |
| 82728 |
|
304 |
300 |
$4K |
| 71046 |
|
1,332 |
1,303 |
$4K |
| 87637 |
|
40 |
40 |
$3K |
| 85610 |
|
1,017 |
906 |
$3K |
| 83735 |
|
2,461 |
2,214 |
$3K |
| 77063 |
|
519 |
518 |
$3K |
| 90715 |
|
94 |
94 |
$3K |
| 83540 |
|
502 |
496 |
$2K |
| 87077 |
|
587 |
574 |
$2K |
| 83550 |
|
412 |
407 |
$2K |
| 87186 |
|
530 |
518 |
$1K |
| 82570 |
|
303 |
303 |
$1K |
| 82043 |
|
271 |
271 |
$1K |
| 84460 |
|
252 |
252 |
$1K |
| 85651 |
|
933 |
871 |
$1K |
| 84450 |
|
238 |
238 |
$1K |
| 93005 |
|
2,609 |
2,397 |
$1K |
| 81001 |
|
2,225 |
2,115 |
$1K |
| 83690 |
|
1,604 |
1,512 |
$1K |
| 87389 |
|
54 |
54 |
$989.51 |
| 97161 |
|
12 |
12 |
$942.57 |
| 87070 |
|
28 |
28 |
$862.53 |
| 96374 |
|
2,499 |
2,361 |
$634.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,210 |
1,163 |
$570.15 |
| 81003 |
|
2,206 |
2,117 |
$503.35 |
| 96375 |
|
1,919 |
1,781 |
$491.54 |
| 76705 |
|
28 |
27 |
$482.40 |
| 80306 |
|
1,659 |
1,550 |
$452.05 |
| 84153 |
|
28 |
28 |
$426.70 |
| 86618 |
|
55 |
55 |
$426.21 |
| 73630 |
|
144 |
138 |
$423.36 |
| 86592 |
|
294 |
280 |
$391.86 |
| 82150 |
|
359 |
338 |
$370.67 |
| 84484 |
|
1,758 |
1,576 |
$369.63 |
| 86803 |
|
38 |
38 |
$343.40 |
| 87340 |
|
36 |
36 |
$330.56 |
| 86140 |
|
137 |
127 |
$240.61 |
| 73562 |
|
64 |
64 |
$232.53 |
| 71045 |
|
1,506 |
1,468 |
$222.29 |
| 85730 |
|
547 |
519 |
$212.55 |
| 83655 |
|
13 |
13 |
$157.43 |
| 73030 |
|
37 |
36 |
$154.53 |
| 85379 |
|
322 |
309 |
$147.04 |
| 73130 |
|
44 |
41 |
$135.40 |
| 73610 |
|
55 |
52 |
$105.88 |
| 84702 |
|
14 |
13 |
$74.94 |
| 84436 |
|
13 |
13 |
$74.10 |
| 84703 |
|
60 |
58 |
$44.14 |
| 83605 |
|
846 |
795 |
$37.08 |
| 74018 |
|
13 |
13 |
$18.00 |
| 87040 |
|
78 |
74 |
$16.30 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,517 |
1,413 |
$5.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,583 |
1,522 |
$3.55 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
143 |
137 |
$1.26 |
| 80179 |
|
376 |
348 |
$0.00 |
| 80143 |
|
471 |
434 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
94 |
93 |
$0.00 |
| 94664 |
|
16 |
16 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
24 |
24 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
135 |
124 |
$0.00 |
| 82077 |
|
906 |
835 |
$0.00 |
| A9270 |
Non-covered item or service |
7,090 |
6,692 |
$0.00 |
| 90471 |
|
30 |
27 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
38 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
12 |
12 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
12 |
12 |
$0.00 |
| 96376 |
|
28 |
26 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
12 |
$0.00 |