| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,279 |
6,613 |
$2.31M |
| 99283 |
|
10,771 |
7,476 |
$1.04M |
| 99285 |
|
4,368 |
1,914 |
$966K |
| 74176 |
|
3,309 |
2,496 |
$791K |
| 66984 |
|
1,446 |
336 |
$427K |
| G0463 |
Hospital outpt clinic visit |
6,745 |
2,810 |
$375K |
| 70450 |
|
2,467 |
1,691 |
$295K |
| 96374 |
|
3,765 |
2,455 |
$283K |
| 96365 |
|
3,848 |
1,943 |
$252K |
| 71045 |
|
6,067 |
3,867 |
$224K |
| 43239 |
|
915 |
443 |
$210K |
| 80053 |
|
21,669 |
15,004 |
$145K |
| 11042 |
|
999 |
442 |
$132K |
| 74177 |
|
313 |
279 |
$128K |
| 99282 |
|
1,738 |
1,476 |
$119K |
| 72125 |
|
818 |
693 |
$115K |
| 97110 |
|
2,997 |
780 |
$113K |
| 96361 |
|
3,290 |
1,447 |
$110K |
| 82306 |
|
4,737 |
4,119 |
$106K |
| U0002 |
Covid-19 lab test non-cdc |
2,772 |
2,083 |
$100K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,040 |
1,509 |
$100K |
| 36415 |
|
22,039 |
11,367 |
$98K |
| 71250 |
|
727 |
564 |
$93K |
| 99291 |
|
299 |
119 |
$90K |
| 96375 |
|
2,435 |
2,047 |
$85K |
| 72131 |
|
710 |
532 |
$83K |
| 84443 |
|
6,636 |
5,819 |
$82K |
| 93306 |
|
264 |
244 |
$79K |
| 93005 |
|
5,669 |
4,441 |
$78K |
| 80307 |
|
3,111 |
2,630 |
$77K |
| 71046 |
|
1,765 |
1,320 |
$77K |
| 85025 |
|
18,481 |
14,824 |
$70K |
| 80061 |
|
6,155 |
5,205 |
$69K |
| 96366 |
|
837 |
658 |
$51K |
| 72128 |
|
283 |
253 |
$48K |
| 82607 |
|
3,915 |
3,448 |
$45K |
| G0480 |
Drug test def 1-7 classes |
1,110 |
784 |
$39K |
| 97161 |
|
573 |
470 |
$35K |
| 96372 |
|
5,390 |
3,621 |
$34K |
| 96360 |
|
557 |
248 |
$34K |
| 92507 |
|
737 |
228 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,036 |
671 |
$30K |
| G0378 |
Hospital observation per hr |
407 |
301 |
$29K |
| 77067 |
|
531 |
457 |
$29K |
| 83036 |
|
3,925 |
3,471 |
$28K |
| 45378 |
|
56 |
40 |
$28K |
| 84484 |
|
4,307 |
3,445 |
$27K |
| 76705 |
|
328 |
280 |
$26K |
| 72100 |
|
615 |
515 |
$26K |
| 94640 |
|
887 |
591 |
$26K |
| 82652 |
|
809 |
740 |
$25K |
| 87804 |
|
2,453 |
2,114 |
$22K |
| 83880 |
|
1,365 |
1,098 |
$21K |
| 87651 |
|
1,626 |
1,525 |
$20K |
| 84681 |
|
1,308 |
1,111 |
$20K |
| 87040 |
|
2,679 |
2,312 |
$15K |
| 87631 |
|
123 |
121 |
$15K |
| 87086 |
|
3,325 |
2,703 |
$15K |
| 71275 |
|
39 |
39 |
$15K |
| 73030 |
|
585 |
483 |
$15K |
| 82746 |
|
1,066 |
635 |
$14K |
| 73630 |
|
595 |
519 |
$14K |
| 99281 |
|
387 |
342 |
$14K |
| 83735 |
|
3,992 |
3,081 |
$13K |
| 73610 |
|
461 |
415 |
$11K |
| 84403 |
|
576 |
503 |
$11K |
| 83525 |
|
1,310 |
1,105 |
$11K |
| U0005 |
Infec agen detec ampli probe |
576 |
470 |
$11K |
| 84439 |
|
1,566 |
1,362 |
$11K |
| 78452 |
|
17 |
12 |
$10K |
| 73130 |
|
399 |
336 |
$9K |
| 80074 |
|
213 |
163 |
$8K |
| 87070 |
|
1,712 |
1,276 |
$8K |
| 84550 |
|
2,360 |
2,081 |
$8K |
| 83690 |
|
2,948 |
2,537 |
$8K |
| 81001 |
|
5,396 |
4,796 |
$7K |
| 83605 |
|
1,743 |
1,518 |
$7K |
| 73562 |
|
227 |
196 |
$6K |
| 80048 |
|
1,430 |
1,125 |
$6K |
| 82728 |
|
508 |
438 |
$6K |
| 86140 |
|
1,592 |
1,329 |
$5K |
| 83540 |
|
1,126 |
1,011 |
$5K |
| 83550 |
|
898 |
801 |
$5K |
| 82150 |
|
1,711 |
1,502 |
$5K |
| 80143 |
|
597 |
539 |
$5K |
| V2632 |
Post chmbr intraocular lens |
175 |
162 |
$5K |
| 82803 |
|
562 |
457 |
$5K |
| 87186 |
|
1,042 |
912 |
$4K |
| 84703 |
|
1,479 |
1,234 |
$4K |
| 83527 |
|
392 |
380 |
$4K |
| 87077 |
|
1,343 |
1,018 |
$4K |
| 81025 |
|
1,511 |
1,374 |
$4K |
| G2023 |
Specimen collect covid-19 |
328 |
239 |
$4K |
| 93017 |
|
55 |
52 |
$4K |
| 95913 |
|
14 |
14 |
$4K |
| 82043 |
|
892 |
771 |
$4K |
| 73590 |
|
188 |
155 |
$4K |
| 86038 |
|
380 |
358 |
$4K |
| 84402 |
|
165 |
160 |
$3K |
| 87430 |
|
694 |
519 |
$3K |
| G0103 |
Psa screening |
379 |
182 |
$3K |
| 73090 |
|
182 |
162 |
$3K |
| 36600 |
|
665 |
464 |
$3K |
| 84270 |
|
165 |
161 |
$3K |
| 72110 |
|
71 |
42 |
$3K |
| 74022 |
|
52 |
51 |
$3K |
| 86200 |
|
273 |
264 |
$3K |
| 85610 |
|
1,775 |
1,405 |
$3K |
| 85730 |
|
1,522 |
1,206 |
$3K |
| 96376 |
|
378 |
306 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
764 |
542 |
$3K |
| 82550 |
|
733 |
643 |
$2K |
| 97597 |
|
19 |
12 |
$2K |
| 77063 |
|
110 |
107 |
$2K |
| 20610 |
|
17 |
13 |
$2K |
| 96367 |
|
50 |
39 |
$2K |
| 85651 |
|
721 |
546 |
$2K |
| 85378 |
|
620 |
546 |
$2K |
| 85652 |
|
865 |
800 |
$2K |
| 82570 |
|
373 |
368 |
$2K |
| 81003 |
|
2,287 |
1,702 |
$2K |
| 74018 |
|
42 |
38 |
$2K |
| 76536 |
|
17 |
16 |
$2K |
| 92523 |
|
13 |
12 |
$1K |
| 72072 |
|
25 |
24 |
$1K |
| 87075 |
|
420 |
357 |
$1K |
| 97035 |
|
110 |
27 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,469 |
2,178 |
$1K |
| 84145 |
|
158 |
152 |
$1K |
| 87076 |
|
286 |
169 |
$1K |
| 87880 |
|
177 |
163 |
$1K |
| 73110 |
|
61 |
57 |
$1K |
| 86431 |
|
267 |
245 |
$1K |
| 80299 |
|
155 |
126 |
$1K |
| 90471 |
|
139 |
129 |
$1K |
| 96368 |
|
56 |
50 |
$1K |
| J2930 |
Methylprednisolone injection |
422 |
374 |
$980.11 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
316 |
256 |
$907.63 |
| 90715 |
|
74 |
69 |
$895.81 |
| 87807 |
|
225 |
201 |
$867.42 |
| 72040 |
|
27 |
27 |
$841.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
97 |
90 |
$810.27 |
| 85027 |
|
185 |
170 |
$806.17 |
| 86738 |
|
169 |
137 |
$764.48 |
| 84153 |
|
38 |
38 |
$651.26 |
| 93246 |
|
27 |
25 |
$648.83 |
| 93041 |
|
152 |
112 |
$580.26 |
| 93242 |
|
34 |
33 |
$542.05 |
| 87081 |
|
323 |
238 |
$483.48 |
| 95885 |
|
44 |
37 |
$464.80 |
| 84480 |
|
46 |
40 |
$421.59 |
| J0131 |
Inj, acetaminophen (nos) |
113 |
109 |
$391.75 |
| 82962 |
|
418 |
247 |
$372.09 |
| 73120 |
|
12 |
12 |
$371.82 |
| 90714 |
|
50 |
49 |
$343.33 |
| J2919 |
Inj, methylpred sod succ 5mg |
116 |
97 |
$333.87 |
| J3010 |
Fentanyl citrate injection |
536 |
431 |
$323.67 |
| J3301 |
Triamcinolone acet inj nos |
194 |
162 |
$279.29 |
| C1889 |
Implant/insert device, noc |
236 |
215 |
$278.22 |
| 82140 |
|
48 |
43 |
$264.88 |
| 73080 |
|
22 |
13 |
$223.68 |
| 80320 |
|
224 |
176 |
$207.60 |
| 12001 |
|
12 |
12 |
$197.09 |
| 94760 |
|
134 |
91 |
$179.96 |
| 86308 |
|
90 |
89 |
$175.90 |
| 80076 |
|
32 |
25 |
$173.49 |
| 80324 |
|
51 |
40 |
$147.39 |
| 84702 |
|
21 |
12 |
$141.00 |
| 84146 |
|
12 |
12 |
$138.57 |
| 86376 |
|
12 |
12 |
$136.79 |
| 83695 |
|
12 |
12 |
$131.57 |
| 84466 |
|
21 |
12 |
$124.06 |
| 94664 |
|
38 |
25 |
$121.60 |
| 84436 |
|
12 |
12 |
$69.68 |
| 80361 |
|
28 |
23 |
$65.86 |
| J2470 |
Inj pantoprazole sodium 40mg |
69 |
66 |
$54.60 |
| J2405 |
Ondansetron hcl injection |
245 |
219 |
$42.66 |
| 87420 |
|
14 |
14 |
$41.73 |
| J0780 |
Prochlorperazine injection |
60 |
58 |
$40.77 |
| 84100 |
|
13 |
12 |
$35.06 |
| J1100 |
Dexamethasone sodium phos |
173 |
164 |
$31.56 |
| J0696 |
Ceftriaxone sodium injection |
143 |
127 |
$31.35 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
57 |
54 |
$28.71 |
| 82009 |
|
13 |
12 |
$22.01 |
| J3475 |
Inj magnesium sulfate |
13 |
13 |
$11.48 |
| J3490 |
Drugs unclassified injection |
92 |
64 |
$6.84 |
| G1004 |
Cdsm ndsc |
195 |
170 |
$0.01 |
| A9270 |
Non-covered item or service |
569 |
181 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
19 |
13 |
$0.00 |