| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,913 |
9,699 |
$1.52M |
| 99283 |
|
7,622 |
6,915 |
$848K |
| 96361 |
|
1,383 |
1,219 |
$700K |
| 99285 |
|
2,496 |
2,293 |
$511K |
| 97110 |
|
8,905 |
3,282 |
$463K |
| 92507 |
|
2,959 |
1,016 |
$360K |
| 87637 |
|
3,136 |
2,833 |
$356K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,569 |
3,787 |
$330K |
| 96365 |
|
821 |
674 |
$214K |
| 99213 |
|
4,335 |
4,139 |
$147K |
| 97140 |
|
4,585 |
1,886 |
$101K |
| 99282 |
|
1,214 |
1,112 |
$94K |
| 99211 |
|
1,227 |
1,072 |
$88K |
| 99214 |
|
1,642 |
1,477 |
$85K |
| 96374 |
|
2,346 |
1,853 |
$69K |
| U0005 |
Infec agen detec ampli probe |
2,882 |
2,319 |
$54K |
| G2023 |
Specimen collect covid-19 |
1,801 |
1,600 |
$53K |
| 96372 |
|
616 |
435 |
$49K |
| 85025 |
|
10,100 |
8,358 |
$48K |
| 96375 |
|
1,497 |
1,237 |
$44K |
| 71046 |
|
1,871 |
1,782 |
$43K |
| 0002A |
|
1,261 |
936 |
$40K |
| 77063 |
|
566 |
557 |
$39K |
| 0001A |
|
1,300 |
947 |
$38K |
| 74177 |
|
289 |
285 |
$38K |
| 87591 |
|
1,518 |
1,472 |
$35K |
| 87491 |
|
1,518 |
1,472 |
$35K |
| 96360 |
|
118 |
104 |
$32K |
| 97161 |
|
429 |
419 |
$28K |
| 97112 |
|
699 |
365 |
$27K |
| 99212 |
|
1,602 |
1,572 |
$26K |
| 93005 |
|
3,820 |
3,413 |
$23K |
| 80053 |
|
6,656 |
5,809 |
$23K |
| ATP14 |
|
2,658 |
2,265 |
$21K |
| 84443 |
|
2,380 |
2,295 |
$20K |
| 76801 |
|
124 |
113 |
$20K |
| 80307 |
|
568 |
525 |
$19K |
| 76816 |
|
118 |
110 |
$18K |
| ATP15 |
|
1,945 |
1,592 |
$18K |
| ATP08 |
|
2,451 |
2,118 |
$17K |
| 70450 |
|
99 |
96 |
$16K |
| 87086 |
|
2,674 |
2,429 |
$16K |
| 97530 |
|
320 |
202 |
$14K |
| 84484 |
|
1,472 |
1,268 |
$14K |
| 90686 |
|
1,834 |
1,805 |
$13K |
| 97803 |
|
172 |
141 |
$13K |
| 85027 |
|
3,348 |
2,854 |
$13K |
| 81001 |
|
5,684 |
4,834 |
$12K |
| 80048 |
|
6,448 |
5,479 |
$11K |
| 77067 |
|
570 |
561 |
$10K |
| 87880 |
|
1,111 |
1,050 |
$10K |
| 83036 |
|
2,435 |
2,379 |
$10K |
| 97162 |
|
129 |
127 |
$9K |
| 87070 |
|
1,555 |
1,482 |
$9K |
| 81025 |
|
1,836 |
1,730 |
$9K |
| 87806 |
|
499 |
486 |
$9K |
| 86803 |
|
997 |
980 |
$8K |
| 83735 |
|
2,071 |
1,726 |
$8K |
| ATP17 |
|
943 |
853 |
$8K |
| 86618 |
|
715 |
699 |
$8K |
| 80050 |
|
607 |
605 |
$8K |
| G0480 |
Drug test def 1-7 classes |
332 |
278 |
$7K |
| G0378 |
Hospital observation per hr |
48 |
44 |
$7K |
| 83655 |
|
701 |
684 |
$7K |
| 0004A |
|
177 |
171 |
$7K |
| 83690 |
|
1,382 |
1,253 |
$6K |
| 90460 |
|
348 |
345 |
$6K |
| 99392 |
|
106 |
106 |
$6K |
| 71045 |
|
525 |
474 |
$6K |
| 76856 |
|
39 |
39 |
$6K |
| 99204 |
|
64 |
64 |
$6K |
| 87389 |
|
372 |
369 |
$6K |
| 0012A |
|
167 |
139 |
$5K |
| 87276 |
|
490 |
475 |
$5K |
| 94640 |
|
103 |
69 |
$4K |
| 0011A |
|
178 |
147 |
$4K |
| 99391 |
|
85 |
78 |
$4K |
| 87798 |
|
146 |
144 |
$4K |
| 93010 |
|
674 |
607 |
$4K |
| 81003 |
|
2,016 |
1,595 |
$4K |
| 85610 |
|
1,623 |
987 |
$3K |
| J3490 |
Drugs unclassified injection |
483 |
405 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
83 |
76 |
$3K |
| 87077 |
|
522 |
496 |
$3K |
| ATP03 |
|
594 |
538 |
$3K |
| 76830 |
|
38 |
38 |
$3K |
| 97802 |
|
38 |
38 |
$3K |
| 90471 |
|
2,726 |
2,640 |
$3K |
| 76700 |
|
14 |
14 |
$3K |
| 80306 |
|
247 |
214 |
$3K |
| 82728 |
|
327 |
317 |
$2K |
| 83605 |
|
276 |
249 |
$2K |
| 86850 |
|
288 |
267 |
$2K |
| 0124A |
|
44 |
44 |
$2K |
| 0071A |
|
52 |
42 |
$2K |
| 84702 |
|
164 |
114 |
$2K |
| 74176 |
|
12 |
12 |
$2K |
| 80061 |
|
3,969 |
3,878 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
734 |
697 |
$2K |
| 0064A |
|
45 |
44 |
$2K |
| 84439 |
|
271 |
262 |
$2K |
| 0072A |
|
35 |
35 |
$2K |
| 87186 |
|
253 |
243 |
$2K |
| 82306 |
|
77 |
76 |
$1K |
| 83550 |
|
292 |
283 |
$1K |
| 85651 |
|
525 |
497 |
$1K |
| 84153 |
|
102 |
101 |
$1K |
| 87210 |
|
290 |
278 |
$1K |
| J7050 |
Normal saline solution infus |
691 |
434 |
$1K |
| 90670 |
|
25 |
25 |
$1K |
| 86140 |
|
276 |
256 |
$989.31 |
| J2405 |
Ondansetron hcl injection |
1,007 |
872 |
$938.30 |
| 82570 |
|
339 |
312 |
$899.81 |
| 87340 |
|
110 |
109 |
$891.56 |
| 83540 |
|
284 |
275 |
$863.90 |
| 86900 |
|
346 |
320 |
$861.38 |
| 73564 |
|
56 |
52 |
$849.39 |
| G0463 |
Hospital outpt clinic visit |
34 |
26 |
$830.18 |
| 86901 |
|
330 |
305 |
$810.86 |
| J1885 |
Ketorolac tromethamine inj |
1,298 |
1,170 |
$726.42 |
| 99393 |
|
14 |
14 |
$705.74 |
| 73630 |
|
27 |
24 |
$694.05 |
| 85018 |
|
350 |
296 |
$683.15 |
| 0054A |
|
24 |
15 |
$642.18 |
| 87040 |
|
47 |
45 |
$623.34 |
| 90472 |
|
757 |
724 |
$546.48 |
| 82607 |
|
64 |
64 |
$502.45 |
| 85014 |
|
253 |
244 |
$488.59 |
| 86756 |
|
40 |
40 |
$470.40 |
| 73130 |
|
16 |
13 |
$408.34 |
| ATP16 |
|
39 |
37 |
$405.18 |
| 86617 |
|
43 |
42 |
$384.03 |
| 87205 |
|
132 |
122 |
$343.07 |
| 73030 |
|
14 |
13 |
$317.28 |
| 73610 |
|
14 |
12 |
$306.26 |
| 90682 |
|
18 |
18 |
$280.18 |
| J7030 |
Normal saline solution infus |
374 |
304 |
$242.28 |
| 84403 |
|
13 |
12 |
$227.60 |
| 86592 |
|
71 |
71 |
$225.19 |
| 85379 |
|
27 |
24 |
$202.60 |
| 86780 |
|
15 |
15 |
$181.05 |
| J2250 |
Inj midazolam hydrochloride |
39 |
39 |
$178.17 |
| 86762 |
|
13 |
13 |
$170.69 |
| 86787 |
|
13 |
13 |
$152.75 |
| 80076 |
|
2,685 |
2,395 |
$145.88 |
| J1100 |
Dexamethasone sodium phos |
142 |
137 |
$124.72 |
| J7120 |
Ringers lactate infusion |
43 |
40 |
$121.14 |
| 83615 |
|
319 |
283 |
$105.30 |
| 0241U |
|
308 |
292 |
$101.11 |
| 87081 |
|
12 |
12 |
$70.20 |
| 87184 |
|
12 |
12 |
$62.90 |
| 82043 |
|
12 |
12 |
$42.24 |
| 82947 |
|
14 |
14 |
$38.17 |
| 85007 |
|
15 |
13 |
$28.17 |
| 84100 |
|
157 |
126 |
$21.46 |
| 84550 |
|
13 |
12 |
$4.12 |
| 36415 |
|
2,377 |
1,888 |
$3.23 |
| J2060 |
Lorazepam injection |
18 |
12 |
$0.92 |
| 91300 |
|
2,586 |
1,713 |
$0.02 |
| 36416 |
|
554 |
477 |
$0.00 |
| 82962 |
|
440 |
368 |
$0.00 |
| J2001 |
Lidocaine injection |
659 |
627 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
41 |
37 |
$0.00 |
| 91301 |
|
280 |
214 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
15 |
13 |
$0.00 |
| 87468 |
|
28 |
27 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
710 |
669 |
$0.00 |
| 91312 |
|
44 |
44 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
187 |
159 |
$0.00 |
| 90633 |
|
31 |
26 |
$0.00 |
| J2270 |
Morphine sulfate injection |
15 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
45 |
37 |
$0.00 |
| 87469 |
|
14 |
14 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |