| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,043 |
17,988 |
$3.75M |
| 99285 |
|
9,462 |
8,867 |
$2.80M |
| 99283 |
|
20,972 |
20,022 |
$2.66M |
| 96374 |
|
12,888 |
11,837 |
$1.30M |
| U0004 |
Cov-19 test non-cdc hgh thru |
11,267 |
10,829 |
$674K |
| 74177 |
|
4,271 |
4,150 |
$646K |
| 97110 |
|
21,558 |
6,702 |
$610K |
| 99282 |
|
8,132 |
7,890 |
$586K |
| 87637 |
|
4,652 |
4,575 |
$458K |
| 87633 |
|
1,799 |
1,766 |
$291K |
| 71046 |
|
7,540 |
7,297 |
$285K |
| 96361 |
|
8,806 |
7,937 |
$245K |
| 96375 |
|
9,820 |
8,592 |
$209K |
| 59025 |
|
2,026 |
976 |
$197K |
| G0378 |
Hospital observation per hr |
1,377 |
959 |
$193K |
| 96360 |
|
1,896 |
1,858 |
$190K |
| 96365 |
|
1,834 |
1,708 |
$172K |
| U0005 |
Infec agen detec ampli probe |
8,169 |
7,888 |
$142K |
| 36415 |
|
44,290 |
38,330 |
$133K |
| 99281 |
|
3,100 |
3,054 |
$129K |
| 76705 |
|
2,058 |
2,027 |
$126K |
| G0463 |
Hospital outpt clinic visit |
1,756 |
1,396 |
$115K |
| 87491 |
|
6,965 |
6,897 |
$114K |
| 93975 |
|
913 |
898 |
$111K |
| 87591 |
|
6,652 |
6,591 |
$108K |
| 70450 |
|
2,284 |
2,226 |
$107K |
| 80061 |
|
9,076 |
9,025 |
$106K |
| 76830 |
|
1,802 |
1,777 |
$106K |
| 86900 |
|
3,099 |
2,997 |
$102K |
| U0002 |
Covid-19 lab test non-cdc |
3,298 |
3,181 |
$100K |
| 71045 |
|
2,369 |
2,289 |
$97K |
| 92507 |
|
2,340 |
960 |
$94K |
| 71260 |
|
591 |
588 |
$93K |
| 77067 |
|
1,948 |
1,946 |
$89K |
| 76816 |
|
1,682 |
1,639 |
$89K |
| C9803 |
Hopd covid-19 spec collect |
9,979 |
9,511 |
$85K |
| 74176 |
|
786 |
763 |
$84K |
| 97140 |
|
5,581 |
2,085 |
$79K |
| 76856 |
|
1,453 |
1,438 |
$76K |
| 80050 |
|
2,704 |
2,669 |
$75K |
| 82947 |
|
3,700 |
2,653 |
$74K |
| 78452 |
|
127 |
124 |
$69K |
| G0472 |
Hep c screen high risk/other |
2,589 |
2,581 |
$66K |
| 80307 |
|
4,228 |
4,028 |
$66K |
| 97162 |
|
1,422 |
1,413 |
$65K |
| 80053 |
|
32,404 |
29,389 |
$64K |
| 72148 |
|
569 |
568 |
$59K |
| 71275 |
|
749 |
742 |
$57K |
| 84443 |
|
8,353 |
8,189 |
$53K |
| 76805 |
|
854 |
854 |
$52K |
| 87661 |
|
2,791 |
2,781 |
$49K |
| 96372 |
|
4,940 |
4,282 |
$45K |
| 97530 |
|
1,351 |
654 |
$43K |
| 85025 |
|
31,450 |
28,275 |
$40K |
| 82306 |
|
3,247 |
3,224 |
$37K |
| G0482 |
Drug test def 15-21 classes |
600 |
576 |
$37K |
| 97112 |
|
1,814 |
728 |
$34K |
| 72100 |
|
913 |
904 |
$28K |
| 76801 |
|
470 |
460 |
$28K |
| 83036 |
|
6,630 |
6,598 |
$27K |
| G0432 |
Eia hiv-1/hiv-2 screen |
2,541 |
2,533 |
$27K |
| 87502 |
|
1,429 |
1,418 |
$26K |
| 72141 |
|
193 |
193 |
$26K |
| 87624 |
|
1,350 |
1,350 |
$24K |
| 76642 |
|
534 |
533 |
$23K |
| 86780 |
|
3,048 |
3,039 |
$23K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,497 |
1,496 |
$23K |
| 93306 |
|
97 |
97 |
$21K |
| 87086 |
|
9,696 |
9,225 |
$21K |
| 94060 |
|
142 |
142 |
$19K |
| 97161 |
|
401 |
395 |
$19K |
| 87653 |
|
1,291 |
1,286 |
$17K |
| 70553 |
|
84 |
84 |
$16K |
| 82728 |
|
2,366 |
2,328 |
$15K |
| 73721 |
|
115 |
111 |
$15K |
| 93005 |
|
9,138 |
8,316 |
$15K |
| 76817 |
|
701 |
623 |
$15K |
| 77063 |
|
1,260 |
1,259 |
$15K |
| 84702 |
|
2,971 |
2,150 |
$14K |
| G0480 |
Drug test def 1-7 classes |
1,145 |
1,023 |
$14K |
| 73562 |
|
1,182 |
1,126 |
$14K |
| 73630 |
|
1,758 |
1,701 |
$14K |
| 88305 |
|
1,399 |
1,351 |
$14K |
| 93971 |
|
247 |
245 |
$13K |
| 87808 |
|
2,678 |
2,653 |
$13K |
| 74018 |
|
502 |
494 |
$13K |
| 85027 |
|
7,460 |
6,955 |
$13K |
| 84439 |
|
2,983 |
2,931 |
$12K |
| 71250 |
|
205 |
205 |
$12K |
| 82607 |
|
1,857 |
1,851 |
$11K |
| 73030 |
|
963 |
922 |
$11K |
| 73610 |
|
1,270 |
1,238 |
$11K |
| 80048 |
|
5,163 |
4,534 |
$11K |
| 87205 |
|
6,586 |
6,388 |
$10K |
| 99291 |
|
25 |
24 |
$10K |
| 87077 |
|
3,528 |
3,413 |
$10K |
| G0475 |
Hiv combination assay |
745 |
744 |
$10K |
| 73130 |
|
1,128 |
1,099 |
$9K |
| 0002A |
|
287 |
287 |
$9K |
| 97014 |
|
1,357 |
503 |
$9K |
| 87506 |
|
76 |
76 |
$8K |
| 76536 |
|
164 |
163 |
$8K |
| 87081 |
|
4,491 |
4,443 |
$8K |
| 83550 |
|
1,946 |
1,922 |
$8K |
| 97535 |
|
551 |
470 |
$8K |
| 87070 |
|
2,329 |
2,251 |
$8K |
| 82746 |
|
1,026 |
1,025 |
$7K |
| 81001 |
|
21,910 |
19,817 |
$7K |
| 0001A |
|
306 |
306 |
$7K |
| 83655 |
|
986 |
965 |
$7K |
| 87186 |
|
2,354 |
2,286 |
$7K |
| C9399 |
Unclassified drugs or biolog |
137 |
137 |
$6K |
| 83735 |
|
6,775 |
6,073 |
$6K |
| 93017 |
|
291 |
288 |
$6K |
| 83540 |
|
2,043 |
2,018 |
$6K |
| 73110 |
|
733 |
708 |
$6K |
| 76770 |
|
102 |
102 |
$6K |
| 87563 |
|
318 |
316 |
$6K |
| 87340 |
|
2,582 |
2,575 |
$5K |
| 70551 |
|
45 |
45 |
$5K |
| 72125 |
|
115 |
113 |
$5K |
| 96376 |
|
2,638 |
1,989 |
$5K |
| G0279 |
Tomosynthesis, mammo |
466 |
457 |
$5K |
| G0103 |
Psa screening |
534 |
530 |
$5K |
| 83880 |
|
1,940 |
1,864 |
$5K |
| 97116 |
|
347 |
169 |
$5K |
| 82570 |
|
2,694 |
2,535 |
$5K |
| 85610 |
|
4,178 |
3,177 |
$5K |
| 90471 |
|
432 |
424 |
$4K |
| 84403 |
|
293 |
291 |
$4K |
| 80074 |
|
190 |
190 |
$4K |
| 82950 |
|
1,396 |
1,391 |
$4K |
| 83970 |
|
202 |
201 |
$4K |
| 82043 |
|
1,234 |
1,230 |
$3K |
| 88175 |
|
223 |
221 |
$3K |
| 94640 |
|
2,275 |
2,006 |
$3K |
| 96366 |
|
198 |
166 |
$3K |
| 86038 |
|
544 |
540 |
$3K |
| 86140 |
|
2,036 |
1,939 |
$3K |
| 76819 |
|
42 |
26 |
$3K |
| 87147 |
|
1,241 |
1,226 |
$3K |
| 97163 |
|
53 |
53 |
$3K |
| 81025 |
|
8,852 |
8,434 |
$2K |
| 77066 |
Tomosynthesis, mammo |
36 |
36 |
$2K |
| 77065 |
Tomosynthesis, mammo |
55 |
49 |
$2K |
| J7050 |
Normal saline solution infus |
8,502 |
7,436 |
$2K |
| 85652 |
|
2,219 |
2,157 |
$2K |
| 87635 |
|
65 |
65 |
$2K |
| 80076 |
|
468 |
444 |
$2K |
| 73502 |
|
142 |
139 |
$2K |
| 85007 |
|
1,725 |
1,589 |
$2K |
| 73140 |
|
162 |
159 |
$1K |
| 84100 |
|
1,260 |
1,088 |
$1K |
| 84156 |
|
1,426 |
1,274 |
$1K |
| 83690 |
|
7,401 |
6,934 |
$1K |
| 82565 |
|
1,792 |
1,734 |
$932.71 |
| 71271 |
|
24 |
24 |
$859.50 |
| 85730 |
|
1,661 |
1,561 |
$768.30 |
| 84146 |
|
80 |
78 |
$767.69 |
| 86376 |
|
109 |
108 |
$758.96 |
| 87184 |
|
187 |
187 |
$733.33 |
| 84550 |
|
820 |
797 |
$667.92 |
| 97166 |
|
13 |
13 |
$584.21 |
| 87807 |
|
255 |
253 |
$564.86 |
| 86431 |
|
213 |
213 |
$549.95 |
| 82248 |
|
233 |
198 |
$544.19 |
| 84145 |
|
361 |
350 |
$540.89 |
| 73080 |
|
84 |
84 |
$497.64 |
| 86480 |
|
15 |
15 |
$440.70 |
| 87328 |
|
66 |
66 |
$410.91 |
| 86762 |
|
1,288 |
1,285 |
$382.68 |
| 82670 |
|
26 |
26 |
$382.00 |
| 87804 |
|
60 |
60 |
$371.15 |
| 86308 |
|
229 |
227 |
$348.47 |
| 80069 |
|
87 |
81 |
$332.64 |
| 87329 |
|
66 |
66 |
$323.01 |
| 83605 |
|
4,384 |
3,677 |
$303.81 |
| 84425 |
|
36 |
36 |
$299.76 |
| 85379 |
|
1,208 |
1,185 |
$299.27 |
| 74019 |
|
38 |
37 |
$267.62 |
| 76815 |
|
13 |
13 |
$260.20 |
| 87420 |
|
81 |
79 |
$248.51 |
| 84112 |
|
27 |
25 |
$230.55 |
| 83001 |
|
26 |
26 |
$223.26 |
| 88304 |
|
90 |
90 |
$192.92 |
| 83516 |
|
27 |
24 |
$185.25 |
| 86850 |
|
2,875 |
2,792 |
$176.37 |
| 86665 |
|
26 |
25 |
$175.47 |
| 97022 |
|
34 |
14 |
$171.27 |
| 86738 |
|
59 |
59 |
$170.39 |
| 84402 |
|
12 |
12 |
$163.90 |
| 86200 |
|
25 |
25 |
$159.18 |
| 87880 |
|
2,486 |
2,464 |
$153.38 |
| 82784 |
|
24 |
24 |
$149.57 |
| 93246 |
|
12 |
12 |
$146.30 |
| 82550 |
|
92 |
87 |
$141.58 |
| G0328 |
Fecal blood scrn immunoassay |
13 |
13 |
$137.28 |
| 83993 |
|
12 |
12 |
$128.88 |
| 84484 |
|
6,187 |
4,086 |
$125.19 |
| 82247 |
|
48 |
37 |
$119.82 |
| 87040 |
|
444 |
300 |
$110.20 |
| 73090 |
|
12 |
12 |
$104.18 |
| 87338 |
|
14 |
14 |
$100.92 |
| 84481 |
|
12 |
12 |
$94.50 |
| 82077 |
|
934 |
871 |
$89.96 |
| 83615 |
|
30 |
26 |
$74.13 |
| 73590 |
|
14 |
13 |
$48.33 |
| 87503 |
|
54 |
53 |
$44.61 |
| 82805 |
|
81 |
69 |
$43.95 |
| 87088 |
|
28 |
28 |
$41.30 |
| 80143 |
|
209 |
201 |
$11.09 |
| 80179 |
|
166 |
161 |
$11.09 |
| J2250 |
Inj midazolam hydrochloride |
2,739 |
2,585 |
$0.08 |
| G1004 |
Cdsm ndsc |
9,576 |
8,897 |
$0.02 |
| J2765 |
Metoclopramide hcl injection |
1,296 |
1,218 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
9,191 |
8,520 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,122 |
1,071 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,866 |
2,680 |
$0.00 |
| J2360 |
Orphenadrine injection |
1,062 |
1,031 |
$0.00 |
| A9270 |
Non-covered item or service |
841 |
569 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,391 |
1,274 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,386 |
2,263 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,448 |
1,971 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
282 |
275 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
235 |
232 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,279 |
2,771 |
$0.00 |
| 12001 |
|
126 |
125 |
$0.00 |
| 71101 |
|
13 |
12 |
$0.00 |
| 86901 |
|
202 |
194 |
$0.00 |
| J2060 |
Lorazepam injection |
352 |
297 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
31 |
26 |
$0.00 |
| J8540 |
Oral dexamethasone |
148 |
143 |
$0.00 |
| J2785 |
Regadenoson injection |
54 |
53 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
103 |
90 |
$0.00 |
| J1630 |
Haloperidol injection |
267 |
237 |
$0.00 |
| J1790 |
Droperidol injection |
88 |
82 |
$0.00 |
| G0283 |
Elec stim other than wound |
274 |
101 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
17 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
122 |
119 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,268 |
2,977 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
7,626 |
6,909 |
$0.00 |
| J7030 |
Normal saline solution infus |
12,517 |
11,164 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,089 |
6,790 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,610 |
1,472 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,758 |
1,546 |
$0.00 |
| J7120 |
Ringers lactate infusion |
3,254 |
2,909 |
$0.00 |
| J2930 |
Methylprednisolone injection |
582 |
544 |
$0.00 |
| 91300 |
|
585 |
561 |
$0.00 |
| 94729 |
|
100 |
100 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
630 |
564 |
$0.00 |
| 90715 |
|
252 |
252 |
$0.00 |
| A9577 |
Inj multihance |
777 |
767 |
$0.00 |
| A9576 |
Inj prohance multipack |
60 |
60 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
127 |
123 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
33 |
$0.00 |
| J7040 |
Normal saline solution infus |
99 |
97 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
47 |
43 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
16 |
$0.00 |
| J2550 |
Promethazine hcl injection |
31 |
27 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
14 |
$0.00 |
| 29125 |
|
13 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
15 |
13 |
$0.00 |