| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
55,913 |
52,898 |
$3.95M |
| 99283 |
|
82,116 |
78,791 |
$3.52M |
| G0463 |
Hospital outpt clinic visit |
60,501 |
54,570 |
$1.71M |
| 99282 |
|
23,856 |
22,551 |
$929K |
| 87633 |
|
2,851 |
2,779 |
$624K |
| 85025 |
|
70,611 |
64,198 |
$618K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,979 |
10,484 |
$575K |
| 99285 |
|
1,858 |
1,759 |
$490K |
| 43239 |
|
1,180 |
1,060 |
$298K |
| 80053 |
|
21,221 |
18,896 |
$272K |
| 64493 |
|
3,261 |
2,065 |
$253K |
| 87635 |
|
5,050 |
4,945 |
$249K |
| 87804 |
|
17,867 |
15,868 |
$231K |
| 86780 |
|
12,536 |
11,642 |
$212K |
| 80307 |
|
4,602 |
4,226 |
$195K |
| 87801 |
|
8,492 |
7,931 |
$191K |
| 87389 |
|
7,752 |
7,247 |
$179K |
| 80048 |
|
21,817 |
20,103 |
$174K |
| U0005 |
Infec agen detec ampli probe |
9,556 |
9,250 |
$160K |
| G0480 |
Drug test def 1-7 classes |
3,394 |
3,215 |
$155K |
| 87086 |
|
12,877 |
11,893 |
$140K |
| 71046 |
|
11,081 |
10,740 |
$136K |
| 88142 |
|
6,138 |
5,449 |
$135K |
| 87798 |
|
3,651 |
2,819 |
$129K |
| 11042 |
|
627 |
305 |
$108K |
| 87880 |
|
6,334 |
6,167 |
$106K |
| 87581 |
|
2,851 |
2,778 |
$105K |
| 87486 |
|
2,851 |
2,778 |
$105K |
| 64483 |
|
1,122 |
1,007 |
$93K |
| 81003 |
|
30,816 |
29,044 |
$90K |
| 86762 |
|
4,659 |
4,392 |
$90K |
| 87070 |
|
6,957 |
6,769 |
$85K |
| 87340 |
|
6,297 |
5,829 |
$80K |
| 70553 |
|
160 |
156 |
$72K |
| 81025 |
|
16,524 |
15,528 |
$54K |
| 93005 |
|
3,849 |
3,373 |
$51K |
| 86803 |
|
3,307 |
3,041 |
$49K |
| 74018 |
|
4,358 |
4,190 |
$49K |
| 84443 |
|
2,822 |
2,656 |
$48K |
| 62323 |
|
733 |
710 |
$45K |
| 87081 |
|
4,455 |
4,191 |
$40K |
| 83036 |
|
2,956 |
2,736 |
$39K |
| 86850 |
|
5,996 |
5,561 |
$37K |
| 76770 |
|
1,032 |
990 |
$34K |
| 97110 |
|
1,679 |
347 |
$31K |
| 82950 |
|
4,594 |
4,439 |
$30K |
| 85045 |
|
5,061 |
4,299 |
$30K |
| 94640 |
|
2,148 |
1,973 |
$29K |
| 0002A |
|
777 |
762 |
$27K |
| 82803 |
|
838 |
798 |
$27K |
| 27096 |
|
177 |
94 |
$27K |
| G0378 |
Hospital observation per hr |
367 |
328 |
$27K |
| 70450 |
|
264 |
257 |
$26K |
| 0001A |
|
1,018 |
857 |
$26K |
| 86696 |
|
1,434 |
1,329 |
$23K |
| 86695 |
|
1,431 |
1,326 |
$22K |
| 95816 |
|
650 |
613 |
$21K |
| 76815 |
|
695 |
657 |
$20K |
| 99281 |
|
494 |
470 |
$20K |
| 83020 |
|
1,175 |
997 |
$18K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,885 |
8,367 |
$17K |
| 42820 |
|
43 |
40 |
$17K |
| 86900 |
|
5,919 |
5,460 |
$17K |
| 86901 |
|
5,919 |
5,460 |
$17K |
| 92507 |
|
1,003 |
389 |
$16K |
| 87400 |
|
2,680 |
2,230 |
$15K |
| 82728 |
|
1,146 |
1,043 |
$14K |
| 87077 |
|
1,706 |
1,488 |
$13K |
| 83615 |
|
2,097 |
1,796 |
$13K |
| 87420 |
|
807 |
795 |
$13K |
| 76817 |
|
329 |
299 |
$11K |
| 83605 |
|
889 |
837 |
$11K |
| 84439 |
|
1,071 |
1,020 |
$10K |
| 76805 |
|
391 |
371 |
$10K |
| 80061 |
|
551 |
534 |
$10K |
| 83550 |
|
747 |
694 |
$10K |
| 93296 |
|
962 |
940 |
$9K |
| 87088 |
|
851 |
783 |
$9K |
| 80076 |
|
1,464 |
1,369 |
$9K |
| 83655 |
|
516 |
496 |
$8K |
| 87210 |
|
1,360 |
1,288 |
$8K |
| 86140 |
|
3,295 |
3,184 |
$8K |
| 83735 |
|
835 |
661 |
$8K |
| 85014 |
|
2,453 |
2,299 |
$7K |
| 82330 |
|
820 |
789 |
$7K |
| 85018 |
|
2,202 |
2,105 |
$7K |
| 83540 |
|
784 |
729 |
$7K |
| 86694 |
|
429 |
402 |
$7K |
| 82731 |
|
84 |
79 |
$6K |
| 82306 |
|
587 |
572 |
$6K |
| 84100 |
|
1,134 |
896 |
$6K |
| 76705 |
|
142 |
139 |
$5K |
| 82553 |
|
497 |
392 |
$5K |
| 69436 |
|
27 |
24 |
$5K |
| 83690 |
|
872 |
820 |
$5K |
| 85610 |
|
1,139 |
853 |
$5K |
| 84484 |
|
781 |
534 |
$5K |
| 62264 |
|
70 |
70 |
$5K |
| 82607 |
|
234 |
230 |
$5K |
| 97530 |
|
168 |
76 |
$5K |
| 0071A |
|
130 |
128 |
$5K |
| 82947 |
|
1,261 |
1,204 |
$5K |
| 84702 |
|
362 |
328 |
$4K |
| 87426 |
|
230 |
145 |
$4K |
| 0072A |
|
140 |
126 |
$4K |
| J1100 |
Dexamethasone sodium phos |
5,373 |
5,158 |
$4K |
| 64490 |
|
52 |
36 |
$4K |
| 0004A |
|
97 |
96 |
$4K |
| 82550 |
|
532 |
418 |
$3K |
| 85027 |
|
606 |
575 |
$3K |
| 59025 |
|
631 |
582 |
$3K |
| 84481 |
|
165 |
161 |
$3K |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$3K |
| 87040 |
|
210 |
205 |
$2K |
| 93880 |
|
50 |
37 |
$2K |
| 84550 |
|
306 |
282 |
$2K |
| 62370 |
|
28 |
24 |
$2K |
| 96413 |
|
16 |
12 |
$2K |
| 83021 |
|
107 |
92 |
$2K |
| 84144 |
|
93 |
90 |
$1K |
| A9576 |
Inj prohance multipack |
245 |
237 |
$1K |
| 87186 |
|
126 |
110 |
$1K |
| 86738 |
|
61 |
58 |
$1K |
| 87624 |
|
84 |
70 |
$1K |
| 62321 |
|
12 |
12 |
$976.71 |
| 76801 |
|
39 |
36 |
$943.60 |
| 62369 |
|
12 |
12 |
$871.56 |
| 71045 |
|
323 |
292 |
$865.39 |
| J7030 |
Normal saline solution infus |
1,093 |
981 |
$846.82 |
| 83516 |
|
188 |
145 |
$844.24 |
| 82670 |
|
27 |
26 |
$834.73 |
| 85660 |
|
172 |
159 |
$803.82 |
| 82570 |
|
131 |
123 |
$786.24 |
| 85730 |
|
433 |
392 |
$752.74 |
| G0481 |
Drug test def 8-14 classes |
13 |
13 |
$688.72 |
| 84295 |
|
230 |
208 |
$661.78 |
| 84132 |
|
228 |
208 |
$661.78 |
| 96374 |
|
822 |
755 |
$644.97 |
| 90686 |
|
46 |
39 |
$608.96 |
| 82784 |
|
151 |
145 |
$589.56 |
| J7120 |
Ringers lactate infusion |
6,079 |
5,705 |
$579.92 |
| 84681 |
|
44 |
39 |
$579.80 |
| 88305 |
|
3,738 |
1,247 |
$573.18 |
| 84156 |
|
131 |
123 |
$525.33 |
| 84466 |
|
16 |
16 |
$372.60 |
| J2704 |
Inj, propofol, 10 mg |
10,753 |
9,928 |
$272.58 |
| 85652 |
|
69 |
61 |
$251.21 |
| J1030 |
Methylprednisolone 40 mg inj |
6,346 |
5,916 |
$206.74 |
| 74019 |
|
12 |
12 |
$197.23 |
| C9803 |
Hopd covid-19 spec collect |
365 |
337 |
$183.77 |
| J7040 |
Normal saline solution infus |
210 |
164 |
$138.68 |
| 82248 |
|
29 |
26 |
$133.90 |
| 82247 |
|
29 |
26 |
$126.10 |
| 80069 |
|
15 |
13 |
$115.57 |
| J2405 |
Ondansetron hcl injection |
391 |
344 |
$109.68 |
| G2066 |
Inter devc remote 30d |
85 |
82 |
$96.93 |
| J1040 |
Methylprednisolone 80 mg inj |
792 |
776 |
$92.05 |
| 82565 |
|
39 |
39 |
$75.31 |
| J1644 |
Inj heparin sodium per 1000u |
468 |
228 |
$73.20 |
| 96361 |
|
580 |
483 |
$71.93 |
| 96375 |
|
121 |
79 |
$68.00 |
| 36415 |
|
2,114 |
1,805 |
$65.24 |
| 96360 |
|
67 |
66 |
$50.00 |
| J1885 |
Ketorolac tromethamine inj |
146 |
136 |
$49.90 |
| J2270 |
Morphine sulfate injection |
1,366 |
1,278 |
$43.32 |
| J3010 |
Fentanyl citrate injection |
3,495 |
3,292 |
$37.09 |
| J2250 |
Inj midazolam hydrochloride |
11,678 |
10,960 |
$36.83 |
| 82962 |
|
1,077 |
991 |
$34.67 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$24.00 |
| 96372 |
|
508 |
417 |
$20.30 |
| 82435 |
|
14 |
14 |
$16.77 |
| J2930 |
Methylprednisolone injection |
510 |
495 |
$11.21 |
| P9612 |
Catheterize for urine spec |
1,097 |
1,022 |
$10.59 |
| 88304 |
|
98 |
87 |
$8.53 |
| J0690 |
Cefazolin sodium injection |
65 |
64 |
$0.77 |
| S0020 |
Injection, bupivicaine hydro |
105 |
94 |
$0.06 |
| 64491 |
|
52 |
36 |
$0.00 |
| 64495 |
|
2,465 |
1,637 |
$0.00 |
| 82948 |
|
101 |
26 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
18 |
14 |
$0.00 |
| 69210 |
|
18 |
14 |
$0.00 |
| G0260 |
Inj for sacroiliac jt anesth |
13 |
13 |
$0.00 |
| 90471 |
|
59 |
40 |
$0.00 |
| 64494 |
|
2,789 |
1,890 |
$0.00 |
| J2001 |
Lidocaine injection |
296 |
283 |
$0.00 |
| 81511 |
|
1,067 |
1,020 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
186 |
184 |
$0.00 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
12 |
12 |
$0.00 |
| 88342 |
|
35 |
33 |
$0.00 |
| 64492 |
|
17 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
29 |
14 |
$0.00 |