| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
372 |
357 |
$61K |
| 99284 |
|
370 |
351 |
$44K |
| 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 |
415 |
403 |
$36K |
| 99283 |
|
306 |
300 |
$25K |
| 74177 |
|
100 |
99 |
$18K |
| T1015 |
Clinic visit/encounter, all-inclusive |
381 |
121 |
$18K |
| 87428 |
|
181 |
177 |
$10K |
| 80050 |
|
158 |
157 |
$8K |
| 96374 |
|
217 |
203 |
$7K |
| 80053 |
|
579 |
547 |
$6K |
| 80061 |
|
331 |
329 |
$5K |
| 80048 |
|
602 |
540 |
$5K |
| 85025 |
|
978 |
889 |
$5K |
| 80307 |
|
83 |
79 |
$5K |
| 84443 |
|
311 |
310 |
$5K |
| 82306 |
|
127 |
127 |
$4K |
| 77067 |
|
46 |
46 |
$4K |
| 71260 |
|
45 |
43 |
$4K |
| 88175 |
|
110 |
110 |
$4K |
| 87591 |
|
138 |
137 |
$4K |
| 87491 |
|
138 |
137 |
$4K |
| 96375 |
|
181 |
157 |
$3K |
| 87624 |
|
75 |
75 |
$3K |
| 97161 |
|
50 |
50 |
$3K |
| 70450 |
|
39 |
39 |
$3K |
| 71271 |
|
28 |
28 |
$2K |
| 43239 |
|
16 |
16 |
$2K |
| 93005 |
|
225 |
216 |
$2K |
| 87797 |
|
78 |
77 |
$2K |
| 87480 |
|
78 |
77 |
$2K |
| 87660 |
|
78 |
77 |
$2K |
| 80076 |
|
214 |
204 |
$2K |
| 84466 |
|
99 |
99 |
$2K |
| 96365 |
|
65 |
63 |
$2K |
| 71046 |
|
127 |
125 |
$2K |
| 83036 |
|
221 |
221 |
$2K |
| 76642 |
|
33 |
33 |
$2K |
| 99282 |
|
41 |
41 |
$2K |
| 82728 |
|
109 |
109 |
$1K |
| 71045 |
|
178 |
174 |
$1K |
| 76830 |
|
30 |
30 |
$1K |
| 76856 |
|
25 |
25 |
$1K |
| 87086 |
|
154 |
146 |
$1K |
| 86618 |
|
50 |
25 |
$1K |
| 82607 |
|
89 |
87 |
$1K |
| 76705 |
|
28 |
28 |
$1K |
| 84484 |
|
123 |
120 |
$1K |
| 71250 |
|
14 |
14 |
$1K |
| 77063 |
|
46 |
46 |
$1K |
| 88342 |
|
18 |
18 |
$960.96 |
| 84153 |
|
35 |
35 |
$944.18 |
| 86803 |
|
42 |
41 |
$909.72 |
| 83540 |
|
96 |
95 |
$888.01 |
| 83690 |
|
174 |
158 |
$855.00 |
| 81001 |
|
282 |
264 |
$831.06 |
| 88305 |
|
62 |
62 |
$810.54 |
| 83735 |
|
119 |
105 |
$810.46 |
| 96372 |
|
46 |
42 |
$767.44 |
| 84439 |
|
76 |
76 |
$656.64 |
| 82570 |
|
82 |
82 |
$644.64 |
| 85027 |
|
92 |
90 |
$642.75 |
| 84702 |
|
34 |
29 |
$636.48 |
| 87389 |
|
29 |
29 |
$591.28 |
| 87081 |
|
105 |
104 |
$569.28 |
| 82043 |
|
63 |
63 |
$565.44 |
| 82784 |
|
27 |
26 |
$498.10 |
| 87426 |
|
13 |
13 |
$438.13 |
| 85610 |
|
112 |
87 |
$411.23 |
| 74018 |
|
35 |
33 |
$392.50 |
| 73630 |
|
32 |
31 |
$390.03 |
| 73130 |
|
29 |
29 |
$386.75 |
| 87186 |
|
35 |
34 |
$337.44 |
| 73030 |
|
17 |
17 |
$324.47 |
| 96361 |
|
34 |
30 |
$318.06 |
| 86038 |
|
18 |
18 |
$307.80 |
| 85379 |
|
27 |
27 |
$302.00 |
| 73610 |
|
16 |
16 |
$289.36 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$285.35 |
| 85652 |
|
92 |
79 |
$273.60 |
| 87040 |
|
25 |
13 |
$271.32 |
| 83615 |
|
34 |
33 |
$270.60 |
| 82746 |
|
20 |
20 |
$259.92 |
| 86140 |
|
78 |
65 |
$232.56 |
| 85730 |
|
25 |
25 |
$222.30 |
| 73110 |
|
13 |
13 |
$173.71 |
| 82565 |
|
22 |
22 |
$160.82 |
| 83655 |
|
13 |
13 |
$148.20 |
| 84703 |
|
13 |
13 |
$140.40 |
| 86431 |
|
14 |
14 |
$123.34 |
| 84520 |
|
19 |
19 |
$117.80 |
| 87077 |
|
14 |
14 |
$113.26 |
| 87070 |
|
15 |
15 |
$110.18 |
| 84550 |
|
15 |
15 |
$106.65 |
| 81025 |
|
37 |
37 |
$86.64 |
| 82948 |
|
83 |
45 |
$63.84 |
| 86592 |
|
13 |
13 |
$50.16 |
| J2704 |
Injection, propofol, 10 mg |
899 |
875 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
452 |
437 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
909 |
806 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
603 |
439 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
406 |
392 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
13 |
13 |
$0.00 |
| 0011A |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
213 |
181 |
$0.00 |
| 36415 |
|
1,267 |
1,115 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
142 |
141 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
465 |
349 |
$0.00 |
| J3490 |
Unclassified drugs |
245 |
210 |
$0.00 |
| 94640 |
|
28 |
28 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
38 |
38 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
85 |
79 |
$0.00 |
| A9270 |
Non-covered item or service |
39 |
25 |
$0.00 |
| 96376 |
|
41 |
28 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,230 |
1,035 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
634 |
609 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
129 |
111 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
497 |
478 |
$0.00 |
| 83516 |
|
12 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
57 |
57 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
85 |
82 |
$0.00 |