| Code | Description | Claims | Beneficiaries | Total Paid |
| U0002 |
Covid-19 lab test non-cdc |
10,021 |
8,896 |
$560K |
| 80053 |
|
41,729 |
35,058 |
$501K |
| 99284 |
|
7,438 |
6,185 |
$449K |
| 85025 |
|
49,069 |
40,581 |
$417K |
| 74177 |
|
2,218 |
2,045 |
$360K |
| 59025 |
|
2,111 |
1,337 |
$346K |
| 70450 |
|
2,950 |
2,686 |
$333K |
| 99283 |
|
4,189 |
3,365 |
$306K |
| 72148 |
|
795 |
772 |
$236K |
| 99285 |
|
5,617 |
4,637 |
$229K |
| 80306 |
|
9,711 |
8,252 |
$199K |
| 80050 |
|
3,929 |
3,839 |
$190K |
| 97110 |
|
5,430 |
1,536 |
$188K |
| 84443 |
|
12,318 |
11,229 |
$176K |
| 71046 |
|
8,394 |
7,734 |
$163K |
| 83880 |
|
5,293 |
4,586 |
$148K |
| 0240U |
|
1,102 |
995 |
$140K |
| 93005 |
|
10,244 |
8,693 |
$116K |
| 87086 |
|
10,725 |
9,489 |
$109K |
| 43239 |
|
497 |
469 |
$109K |
| 80061 |
|
7,549 |
7,066 |
$109K |
| 36415 |
|
19,446 |
14,648 |
$98K |
| 87081 |
|
9,859 |
9,211 |
$92K |
| 87591 |
|
1,276 |
1,177 |
$88K |
| 80074 |
|
1,461 |
1,398 |
$88K |
| 72125 |
|
632 |
590 |
$87K |
| 87491 |
|
1,273 |
1,176 |
$86K |
| 82306 |
|
2,624 |
2,485 |
$84K |
| 88305 |
|
2,402 |
2,239 |
$82K |
| 87275 |
|
6,136 |
5,735 |
$80K |
| 87276 |
|
6,133 |
5,731 |
$79K |
| 51702 |
|
447 |
418 |
$77K |
| 71045 |
|
7,884 |
6,845 |
$73K |
| 74176 |
|
891 |
834 |
$71K |
| 80048 |
|
8,468 |
7,321 |
$71K |
| 96372 |
|
2,453 |
1,982 |
$71K |
| 73630 |
|
2,241 |
2,054 |
$65K |
| 83036 |
|
6,382 |
5,981 |
$64K |
| 84703 |
|
5,284 |
4,682 |
$64K |
| 84484 |
|
5,993 |
4,918 |
$63K |
| 81001 |
|
15,338 |
13,233 |
$60K |
| 84439 |
|
5,160 |
4,840 |
$58K |
| 74018 |
|
2,492 |
2,339 |
$55K |
| 87430 |
|
4,132 |
3,910 |
$54K |
| 82550 |
|
6,207 |
5,280 |
$53K |
| 86703 |
|
2,896 |
2,773 |
$53K |
| 71260 |
|
389 |
349 |
$52K |
| 87040 |
|
4,183 |
3,831 |
$51K |
| 73721 |
|
174 |
167 |
$51K |
| 83735 |
|
7,112 |
6,011 |
$49K |
| 80320 |
|
2,605 |
2,167 |
$49K |
| 73130 |
|
1,716 |
1,560 |
$45K |
| 83690 |
|
4,890 |
4,347 |
$45K |
| 77067 |
|
792 |
776 |
$45K |
| G0463 |
Hospital outpt clinic visit |
2,529 |
2,063 |
$44K |
| 85027 |
|
5,909 |
5,210 |
$44K |
| 82553 |
|
3,657 |
3,125 |
$43K |
| 86901 |
|
3,094 |
2,782 |
$43K |
| 80055 |
|
1,090 |
1,082 |
$40K |
| M0243 |
Casirivi and imdevi inj |
143 |
140 |
$39K |
| 73560 |
|
1,672 |
1,475 |
$39K |
| 93306 |
|
272 |
252 |
$38K |
| 73610 |
|
1,939 |
1,744 |
$38K |
| 74019 |
|
1,536 |
1,431 |
$38K |
| 96365 |
|
895 |
526 |
$37K |
| 86803 |
|
1,910 |
1,813 |
$37K |
| 84146 |
|
1,178 |
1,038 |
$36K |
| 82803 |
|
1,901 |
1,652 |
$35K |
| 80329 |
|
2,450 |
1,880 |
$35K |
| 83605 |
|
3,078 |
2,273 |
$34K |
| 73030 |
|
1,601 |
1,446 |
$32K |
| 88142 |
|
1,977 |
1,882 |
$32K |
| 73110 |
|
1,308 |
1,146 |
$32K |
| 85730 |
|
5,603 |
4,922 |
$32K |
| 96361 |
|
939 |
724 |
$31K |
| 76700 |
|
635 |
609 |
$30K |
| 82607 |
|
1,770 |
1,660 |
$29K |
| 84702 |
|
2,356 |
1,670 |
$28K |
| 97161 |
|
455 |
426 |
$28K |
| 87088 |
|
3,161 |
2,882 |
$27K |
| 87186 |
|
3,874 |
3,547 |
$25K |
| 85610 |
|
6,821 |
5,814 |
$25K |
| 86756 |
|
1,381 |
1,323 |
$24K |
| 76705 |
|
1,226 |
1,162 |
$24K |
| 96374 |
|
1,819 |
1,493 |
$23K |
| 72100 |
|
937 |
888 |
$22K |
| 86762 |
|
2,333 |
2,221 |
$22K |
| 42820 |
|
50 |
48 |
$21K |
| 87205 |
|
3,329 |
3,122 |
$20K |
| 82565 |
|
2,342 |
2,123 |
$20K |
| 72141 |
|
60 |
59 |
$20K |
| 81025 |
|
2,028 |
1,876 |
$19K |
| 87493 |
|
421 |
404 |
$19K |
| 82248 |
|
2,846 |
1,872 |
$18K |
| 85007 |
|
4,850 |
4,271 |
$18K |
| 72131 |
|
146 |
142 |
$17K |
| 73502 |
|
783 |
736 |
$17K |
| 83540 |
|
2,312 |
2,152 |
$17K |
| 81003 |
|
5,606 |
5,036 |
$16K |
| 87070 |
|
1,489 |
1,401 |
$16K |
| 82150 |
|
1,883 |
1,720 |
$16K |
| 82728 |
|
1,071 |
978 |
$16K |
| 51701 |
|
115 |
106 |
$15K |
| 82140 |
|
1,408 |
1,222 |
$14K |
| 86592 |
|
3,675 |
3,500 |
$14K |
| 87210 |
|
2,112 |
1,951 |
$13K |
| 82962 |
|
2,646 |
1,906 |
$13K |
| 12001 |
|
47 |
40 |
$13K |
| 82746 |
|
748 |
698 |
$12K |
| 73562 |
|
361 |
313 |
$12K |
| 88304 |
|
483 |
458 |
$12K |
| 71020 |
|
850 |
807 |
$11K |
| 88342 |
|
194 |
183 |
$11K |
| 70486 |
|
80 |
79 |
$11K |
| 86738 |
|
674 |
637 |
$10K |
| 82950 |
|
1,499 |
1,433 |
$10K |
| 83550 |
|
1,134 |
1,053 |
$10K |
| 84520 |
|
1,774 |
1,606 |
$10K |
| 86308 |
|
1,212 |
1,155 |
$9K |
| 86850 |
|
2,563 |
2,379 |
$9K |
| 86140 |
|
1,474 |
1,324 |
$9K |
| 78227 |
|
24 |
24 |
$9K |
| 82247 |
|
1,178 |
639 |
$8K |
| X4011 |
|
57 |
53 |
$8K |
| 87077 |
|
742 |
701 |
$8K |
| 96375 |
|
594 |
487 |
$7K |
| 82947 |
|
1,039 |
864 |
$7K |
| 87045 |
|
554 |
527 |
$7K |
| 93971 |
|
134 |
123 |
$7K |
| 77063 |
|
395 |
386 |
$6K |
| 36600 |
|
323 |
274 |
$6K |
| 87340 |
|
1,602 |
1,530 |
$6K |
| 83615 |
|
1,070 |
855 |
$6K |
| 86900 |
|
2,744 |
2,535 |
$6K |
| 74022 |
|
196 |
173 |
$5K |
| 84145 |
|
284 |
242 |
$5K |
| 96360 |
|
133 |
83 |
$5K |
| 85652 |
|
1,569 |
1,448 |
$5K |
| 73090 |
|
241 |
208 |
$5K |
| 72110 |
|
132 |
129 |
$5K |
| Y7506 |
|
42 |
40 |
$5K |
| J2405 |
Ondansetron hcl injection |
1,949 |
1,634 |
$4K |
| 84460 |
|
468 |
438 |
$4K |
| 80076 |
|
353 |
319 |
$4K |
| 69436 |
|
16 |
15 |
$4K |
| 84450 |
|
431 |
402 |
$4K |
| 87635 |
|
3,464 |
1,908 |
$4K |
| 12011 |
|
13 |
13 |
$4K |
| 87046 |
|
555 |
528 |
$3K |
| 47562 |
|
12 |
12 |
$3K |
| 87209 |
|
132 |
126 |
$3K |
| 97001 |
|
54 |
54 |
$3K |
| 95886 |
|
55 |
54 |
$3K |
| 72040 |
|
139 |
129 |
$3K |
| 94640 |
|
534 |
308 |
$2K |
| 72128 |
|
13 |
12 |
$2K |
| 99281 |
|
31 |
26 |
$2K |
| 84112 |
|
29 |
26 |
$2K |
| 74020 |
|
122 |
116 |
$2K |
| 76856 |
|
67 |
65 |
$2K |
| 95810 |
|
16 |
16 |
$2K |
| 84550 |
|
375 |
308 |
$2K |
| 71010 |
|
302 |
287 |
$2K |
| 76536 |
|
39 |
39 |
$2K |
| 74000 |
|
103 |
96 |
$2K |
| 83525 |
|
65 |
60 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
808 |
738 |
$2K |
| 99282 |
|
14 |
13 |
$2K |
| 73070 |
|
75 |
67 |
$1K |
| 73590 |
|
61 |
52 |
$1K |
| 82272 |
|
270 |
254 |
$1K |
| G0480 |
Drug test def 1-7 classes |
172 |
102 |
$1K |
| 86759 |
|
58 |
56 |
$1K |
| 76830 |
|
13 |
13 |
$1K |
| 94644 |
|
18 |
13 |
$979.60 |
| 72072 |
|
40 |
40 |
$978.15 |
| 93226 |
|
13 |
12 |
$948.38 |
| 82570 |
|
232 |
204 |
$945.05 |
| G0202 |
Scr mammo bi incl cad |
18 |
17 |
$901.12 |
| 87329 |
|
61 |
58 |
$815.92 |
| 87328 |
|
61 |
58 |
$812.73 |
| 84153 |
|
70 |
67 |
$802.57 |
| 80164 |
|
28 |
25 |
$776.06 |
| 95912 |
|
14 |
13 |
$722.05 |
| 82009 |
|
114 |
103 |
$684.89 |
| 85018 |
|
310 |
282 |
$518.91 |
| J3010 |
Fentanyl citrate injection |
279 |
249 |
$515.07 |
| 71101 |
|
15 |
12 |
$510.47 |
| 84156 |
|
117 |
91 |
$481.63 |
| 72050 |
|
13 |
13 |
$459.61 |
| J0696 |
Ceftriaxone sodium injection |
54 |
37 |
$419.29 |
| 94060 |
|
12 |
12 |
$381.04 |
| 73080 |
|
14 |
12 |
$366.13 |
| 85014 |
|
222 |
203 |
$355.99 |
| 73565 |
|
46 |
44 |
$346.82 |
| 76805 |
|
12 |
12 |
$336.00 |
| 85651 |
|
97 |
91 |
$324.48 |
| 76819 |
|
17 |
14 |
$315.05 |
| 82105 |
|
12 |
12 |
$287.39 |
| 82951 |
|
14 |
13 |
$271.56 |
| 77080 |
|
12 |
12 |
$266.61 |
| G0378 |
Hospital observation per hr |
168 |
145 |
$234.50 |
| 84100 |
|
202 |
188 |
$225.36 |
| 86430 |
|
30 |
27 |
$224.92 |
| 84478 |
|
32 |
26 |
$199.48 |
| 86038 |
|
12 |
12 |
$189.32 |
| J2704 |
Inj, propofol, 10 mg |
115 |
102 |
$130.50 |
| 82952 |
|
14 |
13 |
$93.90 |
| 88300 |
|
12 |
12 |
$81.00 |
| G0500 |
Mod sedat endo service >5yrs |
73 |
72 |
$11.62 |
| Q0244 |
Casirivi and imdevi 1200 mg |
28 |
27 |
$0.04 |
| 82040 |
|
30 |
28 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
18 |
14 |
$0.00 |
| 88141 |
|
21 |
21 |
$0.00 |
| 99152 |
|
17 |
13 |
$0.00 |