| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,796 |
7,137 |
$4.19M |
| 74176 |
|
2,249 |
1,938 |
$1.53M |
| 99285 |
|
2,739 |
2,070 |
$1.51M |
| 99283 |
|
12,761 |
11,263 |
$1.30M |
| 80053 |
|
27,144 |
18,745 |
$666K |
| 36415 |
|
78,598 |
27,274 |
$463K |
| 99291 |
|
664 |
428 |
$406K |
| 93005 |
|
8,317 |
5,986 |
$404K |
| 70450 |
|
1,396 |
1,116 |
$363K |
| 87631 |
|
3,546 |
3,254 |
$357K |
| 85025 |
|
24,130 |
19,047 |
$311K |
| 99282 |
|
4,131 |
3,717 |
$296K |
| 96374 |
|
6,920 |
3,423 |
$291K |
| G0378 |
Hospital observation per hr |
1,002 |
464 |
$271K |
| 96361 |
|
4,185 |
2,976 |
$254K |
| 96365 |
|
4,500 |
2,182 |
$246K |
| 0241U |
|
3,661 |
3,407 |
$231K |
| 71045 |
|
4,661 |
3,910 |
$205K |
| 84484 |
|
4,953 |
3,758 |
$202K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,793 |
3,348 |
$198K |
| 74177 |
|
227 |
194 |
$189K |
| 71046 |
|
3,544 |
2,787 |
$185K |
| 80307 |
|
4,541 |
4,000 |
$183K |
| 97110 |
|
3,189 |
860 |
$164K |
| 84443 |
|
8,513 |
7,751 |
$159K |
| 92507 |
|
3,584 |
1,329 |
$155K |
| 96372 |
|
4,965 |
3,116 |
$148K |
| 87040 |
|
2,771 |
1,997 |
$145K |
| 82607 |
|
5,379 |
5,048 |
$129K |
| 80061 |
|
6,659 |
6,247 |
$127K |
| 81001 |
|
10,197 |
8,468 |
$116K |
| 94640 |
|
1,710 |
1,015 |
$115K |
| 84145 |
|
1,618 |
1,276 |
$115K |
| 97530 |
|
2,459 |
916 |
$95K |
| 96375 |
|
3,609 |
2,854 |
$89K |
| 87651 |
|
3,081 |
2,915 |
$86K |
| 87502 |
|
1,340 |
1,247 |
$83K |
| 87086 |
|
4,368 |
3,576 |
$83K |
| 82306 |
|
2,715 |
2,483 |
$76K |
| 83735 |
|
8,476 |
7,136 |
$72K |
| 83605 |
|
2,544 |
2,066 |
$70K |
| C9803 |
Hopd covid-19 spec collect |
6,058 |
4,536 |
$69K |
| 82553 |
|
2,218 |
1,927 |
$66K |
| 81025 |
|
1,825 |
1,672 |
$65K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
675 |
552 |
$60K |
| 76705 |
|
457 |
383 |
$59K |
| G0480 |
Drug test def 1-7 classes |
1,208 |
731 |
$57K |
| 83690 |
|
2,656 |
2,261 |
$53K |
| 83036 |
|
4,667 |
4,418 |
$50K |
| 73630 |
|
645 |
583 |
$50K |
| 72110 |
|
436 |
361 |
$50K |
| 93306 |
|
116 |
90 |
$49K |
| U0005 |
Infec agen detec ampli probe |
2,989 |
2,644 |
$48K |
| 93041 |
|
2,173 |
1,818 |
$46K |
| 73030 |
|
604 |
470 |
$45K |
| 82550 |
|
2,807 |
2,419 |
$42K |
| 83880 |
|
1,115 |
895 |
$42K |
| 80048 |
|
2,589 |
1,764 |
$41K |
| 73610 |
|
488 |
430 |
$38K |
| 73564 |
|
417 |
333 |
$37K |
| 96376 |
|
1,247 |
773 |
$34K |
| 96366 |
|
747 |
367 |
$31K |
| 87186 |
|
1,450 |
1,244 |
$31K |
| 73130 |
|
332 |
289 |
$25K |
| 96360 |
|
437 |
361 |
$24K |
| 84703 |
|
1,091 |
999 |
$23K |
| 82652 |
|
781 |
641 |
$23K |
| 74018 |
|
303 |
270 |
$22K |
| 82746 |
|
757 |
731 |
$22K |
| 82803 |
|
508 |
359 |
$21K |
| 80074 |
|
275 |
257 |
$20K |
| G2023 |
Specimen collect covid-19 |
1,287 |
1,092 |
$19K |
| 84439 |
|
1,094 |
1,051 |
$18K |
| 84100 |
|
2,183 |
2,023 |
$17K |
| 87077 |
|
1,883 |
967 |
$17K |
| 82150 |
|
951 |
825 |
$15K |
| 71250 |
|
38 |
26 |
$13K |
| 85610 |
|
1,837 |
1,345 |
$13K |
| 87076 |
|
1,837 |
859 |
$13K |
| 87389 |
|
291 |
270 |
$12K |
| 85730 |
|
688 |
610 |
$11K |
| G0103 |
Psa screening |
1,302 |
384 |
$11K |
| M0245 |
Bamlan and etesev infusion |
51 |
46 |
$10K |
| 87804 |
|
826 |
651 |
$10K |
| J2930 |
Methylprednisolone injection |
1,207 |
857 |
$10K |
| 94760 |
|
735 |
478 |
$10K |
| 99281 |
|
264 |
244 |
$9K |
| 77067 |
|
170 |
166 |
$9K |
| 82043 |
|
880 |
819 |
$8K |
| 85378 |
|
357 |
317 |
$8K |
| 83540 |
|
625 |
607 |
$7K |
| M0243 |
Casirivi and imdevi inj |
43 |
39 |
$7K |
| 73110 |
|
90 |
81 |
$7K |
| 36600 |
|
517 |
362 |
$7K |
| 85652 |
|
813 |
707 |
$7K |
| 84481 |
|
174 |
168 |
$6K |
| 87634 |
|
144 |
135 |
$6K |
| 82728 |
|
297 |
273 |
$6K |
| 86140 |
|
427 |
373 |
$5K |
| 85379 |
|
171 |
153 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
154 |
137 |
$4K |
| 83550 |
|
308 |
299 |
$4K |
| 74022 |
|
31 |
26 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,133 |
1,769 |
$4K |
| 82570 |
|
441 |
413 |
$4K |
| 84550 |
|
353 |
343 |
$3K |
| 84207 |
|
104 |
103 |
$3K |
| 87880 |
|
394 |
371 |
$3K |
| G0283 |
Elec stim other than wound |
93 |
14 |
$2K |
| 73502 |
|
37 |
26 |
$2K |
| 97161 |
|
53 |
50 |
$2K |
| 81002 |
|
132 |
106 |
$2K |
| 0002A |
|
195 |
185 |
$2K |
| 96367 |
|
33 |
24 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
40 |
30 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
487 |
362 |
$1K |
| 72100 |
|
13 |
13 |
$1K |
| 97165 |
|
28 |
27 |
$1K |
| 80076 |
|
53 |
51 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
104 |
81 |
$1K |
| 93225 |
|
29 |
26 |
$1K |
| 87070 |
|
60 |
39 |
$1K |
| J2270 |
Morphine sulfate injection |
558 |
393 |
$1K |
| 73562 |
|
19 |
13 |
$1K |
| 0001A |
|
198 |
191 |
$1K |
| 86038 |
|
69 |
69 |
$971.05 |
| 97014 |
|
64 |
13 |
$953.15 |
| J2405 |
Ondansetron hcl injection |
750 |
596 |
$704.20 |
| 90471 |
|
37 |
36 |
$685.77 |
| 97140 |
|
26 |
13 |
$666.87 |
| 86308 |
|
43 |
41 |
$666.10 |
| 84436 |
|
64 |
59 |
$655.72 |
| 86803 |
|
46 |
46 |
$610.20 |
| J3475 |
Inj magnesium sulfate |
74 |
52 |
$458.96 |
| 84702 |
|
14 |
12 |
$375.10 |
| 86200 |
|
25 |
25 |
$363.17 |
| J2360 |
Orphenadrine injection |
41 |
39 |
$326.22 |
| J0780 |
Prochlorperazine injection |
29 |
27 |
$317.47 |
| 86431 |
|
33 |
33 |
$241.13 |
| 84479 |
|
28 |
26 |
$212.31 |
| 86756 |
|
13 |
12 |
$196.88 |
| 0012A |
|
25 |
23 |
$139.09 |
| J1956 |
Levofloxacin injection |
16 |
12 |
$95.11 |
| 80143 |
|
12 |
12 |
$85.65 |
| 0011A |
|
19 |
19 |
$85.45 |
| 99406 |
|
18 |
14 |
$65.68 |
| J2550 |
Promethazine hcl injection |
78 |
67 |
$62.50 |
| J1100 |
Dexamethasone sodium phos |
17 |
17 |
$5.01 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
12 |
$2.02 |
| A9270 |
Non-covered item or service |
100 |
54 |
$0.97 |
| Q0245 |
Bamlanivimab and etesevima |
57 |
49 |
$0.04 |
| Q0244 |
Casirivi and imdevi 1200 mg |
23 |
23 |
$0.02 |