| Code | Description | Claims | Beneficiaries | Total Paid |
| H0039 |
Asser com tx face-face/15min |
13,028 |
1,972 |
$3.65M |
| 99284 |
|
26,008 |
25,107 |
$3.41M |
| U0003 |
Cov-19 amp prb hgh thruput |
6,255 |
5,776 |
$495K |
| 99285 |
|
2,914 |
2,818 |
$402K |
| 99283 |
|
2,811 |
2,723 |
$290K |
| T1015 |
Clinic service |
10,327 |
9,076 |
$257K |
| 80053 |
|
23,459 |
21,650 |
$187K |
| G0378 |
Hospital observation per hr |
373 |
329 |
$140K |
| U0005 |
Infec agen detec ampli probe |
5,997 |
5,534 |
$113K |
| 96374 |
|
5,178 |
5,019 |
$99K |
| 85025 |
|
22,026 |
20,403 |
$87K |
| 87426 |
|
3,588 |
3,473 |
$82K |
| 70450 |
|
2,062 |
1,993 |
$82K |
| 71046 |
|
8,506 |
8,230 |
$82K |
| 87637 |
|
895 |
883 |
$75K |
| 74176 |
|
955 |
932 |
$45K |
| 0001A |
|
1,263 |
1,261 |
$45K |
| 87428 |
|
1,321 |
1,312 |
$45K |
| 93005 |
|
7,073 |
6,754 |
$44K |
| 74177 |
|
389 |
376 |
$34K |
| 80307 |
|
835 |
721 |
$33K |
| 87635 |
|
906 |
852 |
$32K |
| 80061 |
|
2,970 |
2,898 |
$32K |
| 0002A |
|
768 |
766 |
$31K |
| 80050 |
|
729 |
718 |
$27K |
| 84484 |
|
3,852 |
3,569 |
$27K |
| 84443 |
|
1,773 |
1,712 |
$26K |
| 87081 |
|
4,468 |
4,415 |
$24K |
| 96375 |
|
2,308 |
2,026 |
$23K |
| 93306 |
|
473 |
466 |
$19K |
| 77067 |
|
243 |
242 |
$19K |
| 82306 |
|
767 |
743 |
$18K |
| 88175 |
|
685 |
678 |
$18K |
| 99282 |
|
220 |
210 |
$17K |
| 81001 |
|
8,462 |
8,152 |
$17K |
| 83690 |
|
4,355 |
4,206 |
$14K |
| 87804 |
|
891 |
820 |
$13K |
| 80048 |
|
2,663 |
1,992 |
$12K |
| 88305 |
|
1,584 |
1,340 |
$12K |
| 96361 |
|
1,815 |
1,597 |
$10K |
| 0004A |
|
231 |
231 |
$9K |
| 99281 |
|
154 |
153 |
$9K |
| 86001 |
|
2,209 |
2,159 |
$9K |
| 71260 |
|
253 |
249 |
$9K |
| 95811 |
|
23 |
23 |
$9K |
| 81025 |
|
2,855 |
2,774 |
$8K |
| 87624 |
|
237 |
218 |
$8K |
| 73721 |
|
34 |
33 |
$8K |
| 87086 |
|
1,594 |
1,491 |
$8K |
| 85027 |
|
2,084 |
1,636 |
$8K |
| 87490 |
|
388 |
368 |
$7K |
| 87636 |
|
64 |
64 |
$7K |
| 83036 |
|
1,520 |
1,477 |
$7K |
| 82728 |
|
795 |
767 |
$7K |
| 87797 |
|
319 |
305 |
$7K |
| G0480 |
Drug test def 1-7 classes |
106 |
95 |
$6K |
| 82607 |
|
743 |
726 |
$6K |
| 72148 |
|
52 |
52 |
$6K |
| 77063 |
|
230 |
229 |
$6K |
| 83540 |
|
856 |
823 |
$5K |
| 72125 |
|
215 |
205 |
$5K |
| 78452 |
|
61 |
61 |
$5K |
| 86803 |
|
314 |
300 |
$5K |
| 93971 |
|
101 |
100 |
$4K |
| 11042 |
|
167 |
95 |
$4K |
| 36415 |
|
12,461 |
11,056 |
$4K |
| 0124A |
|
83 |
83 |
$3K |
| 0071A |
|
82 |
82 |
$3K |
| 84439 |
|
558 |
535 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
89 |
83 |
$3K |
| 86140 |
|
1,364 |
1,245 |
$3K |
| 96365 |
|
238 |
216 |
$3K |
| 93017 |
|
147 |
146 |
$3K |
| 0072A |
|
69 |
68 |
$3K |
| 64635 |
|
18 |
12 |
$3K |
| 82570 |
|
389 |
374 |
$3K |
| 80076 |
|
385 |
358 |
$3K |
| 71250 |
|
68 |
67 |
$3K |
| 83550 |
|
759 |
729 |
$3K |
| 86618 |
|
140 |
135 |
$3K |
| 43239 |
|
25 |
25 |
$3K |
| 83735 |
|
567 |
452 |
$3K |
| 96372 |
|
563 |
421 |
$2K |
| 95810 |
|
12 |
12 |
$2K |
| 93970 |
|
127 |
126 |
$2K |
| 84702 |
|
180 |
154 |
$2K |
| 87186 |
|
499 |
474 |
$2K |
| 85610 |
|
1,259 |
890 |
$2K |
| 88342 |
|
70 |
69 |
$2K |
| 83880 |
|
198 |
183 |
$2K |
| 76856 |
|
72 |
71 |
$2K |
| 83721 |
|
246 |
241 |
$2K |
| 76830 |
|
58 |
58 |
$2K |
| 85651 |
|
767 |
698 |
$2K |
| 76536 |
|
51 |
51 |
$2K |
| 87661 |
|
74 |
73 |
$2K |
| 82043 |
|
274 |
264 |
$2K |
| 76700 |
|
33 |
33 |
$2K |
| 87389 |
|
63 |
61 |
$2K |
| 0003A |
|
37 |
37 |
$2K |
| 73030 |
|
167 |
156 |
$1K |
| 76815 |
|
39 |
38 |
$1K |
| 85730 |
|
509 |
470 |
$1K |
| 76705 |
|
66 |
65 |
$1K |
| 76801 |
|
42 |
35 |
$1K |
| 86038 |
|
105 |
105 |
$1K |
| 72110 |
|
146 |
144 |
$1K |
| 87077 |
|
360 |
343 |
$1K |
| 85379 |
|
311 |
273 |
$1K |
| 76642 |
|
36 |
35 |
$1K |
| 82565 |
|
291 |
261 |
$1K |
| J2785 |
Regadenoson injection |
46 |
26 |
$1K |
| 87801 |
|
28 |
14 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,154 |
1,942 |
$1K |
| 86480 |
|
14 |
14 |
$1K |
| 73610 |
|
168 |
156 |
$1K |
| 84153 |
|
51 |
51 |
$1K |
| 96360 |
|
128 |
119 |
$1K |
| 82746 |
|
151 |
145 |
$1K |
| 83655 |
|
98 |
94 |
$1K |
| 84145 |
|
172 |
156 |
$977.95 |
| 87340 |
|
72 |
72 |
$930.54 |
| 88313 |
|
29 |
29 |
$899.34 |
| G0476 |
Hpv combo assay ca screen |
24 |
24 |
$888.36 |
| 86850 |
|
279 |
213 |
$858.66 |
| 73564 |
|
101 |
98 |
$857.31 |
| 87075 |
|
101 |
95 |
$841.96 |
| 76817 |
|
17 |
13 |
$816.62 |
| 73630 |
|
194 |
186 |
$787.39 |
| 82550 |
|
194 |
177 |
$781.41 |
| 76805 |
|
15 |
15 |
$761.22 |
| 73560 |
|
90 |
89 |
$737.16 |
| 84403 |
|
27 |
27 |
$735.56 |
| 97162 |
|
40 |
38 |
$734.71 |
| 87070 |
|
145 |
134 |
$717.49 |
| 84520 |
|
184 |
166 |
$711.82 |
| 82948 |
|
880 |
502 |
$696.76 |
| 73502 |
|
74 |
70 |
$659.80 |
| 84146 |
|
31 |
30 |
$651.36 |
| 73130 |
|
118 |
112 |
$645.03 |
| 84550 |
|
111 |
95 |
$631.13 |
| 84100 |
|
130 |
92 |
$627.41 |
| 95806 |
|
14 |
13 |
$603.02 |
| 83615 |
|
114 |
74 |
$594.75 |
| 87653 |
|
16 |
16 |
$589.59 |
| 93976 |
|
18 |
18 |
$548.29 |
| 87205 |
|
168 |
156 |
$536.34 |
| 87481 |
|
13 |
13 |
$530.96 |
| 0054A |
|
13 |
13 |
$528.80 |
| 87491 |
|
25 |
25 |
$509.49 |
| 86900 |
|
330 |
261 |
$485.07 |
| 80055 |
|
41 |
39 |
$477.00 |
| 87591 |
|
24 |
24 |
$467.30 |
| 94729 |
|
29 |
29 |
$401.72 |
| 96376 |
|
78 |
55 |
$380.55 |
| 72050 |
|
29 |
28 |
$375.14 |
| 94726 |
|
29 |
29 |
$369.21 |
| 86160 |
|
12 |
12 |
$363.51 |
| 82947 |
|
613 |
479 |
$358.35 |
| 73110 |
|
66 |
63 |
$338.75 |
| 83605 |
|
92 |
86 |
$328.00 |
| J3490 |
Drugs unclassified injection |
1,568 |
1,170 |
$313.21 |
| 71045 |
|
86 |
84 |
$311.26 |
| 99153 |
Mod sedat endo service >5yrs |
138 |
124 |
$302.94 |
| 80178 |
|
44 |
39 |
$289.94 |
| 87088 |
|
47 |
46 |
$289.02 |
| A9505 |
Tl201 thallium |
37 |
37 |
$279.36 |
| J1170 |
Hydromorphone injection |
665 |
462 |
$276.46 |
| 93880 |
|
15 |
15 |
$268.51 |
| 87880 |
|
49 |
49 |
$240.79 |
| 84460 |
|
40 |
40 |
$232.84 |
| J2704 |
Inj, propofol, 10 mg |
1,109 |
895 |
$229.85 |
| 84480 |
|
29 |
28 |
$228.83 |
| 82950 |
|
36 |
36 |
$224.70 |
| 86901 |
|
65 |
51 |
$220.86 |
| 93226 |
|
12 |
12 |
$219.09 |
| G0463 |
Hospital outpt clinic visit |
500 |
442 |
$211.84 |
| 96366 |
|
25 |
19 |
$207.43 |
| 83001 |
|
12 |
12 |
$207.04 |
| 88304 |
|
105 |
92 |
$200.72 |
| 94644 |
|
14 |
12 |
$197.89 |
| 99152 |
|
156 |
129 |
$195.92 |
| 82248 |
|
32 |
29 |
$192.13 |
| 84450 |
|
37 |
33 |
$184.04 |
| C9803 |
Hopd covid-19 spec collect |
153 |
147 |
$183.79 |
| J1885 |
Ketorolac tromethamine inj |
2,542 |
2,226 |
$169.74 |
| 94640 |
|
20 |
12 |
$155.41 |
| 74018 |
|
12 |
12 |
$149.02 |
| 84156 |
|
39 |
36 |
$148.54 |
| 73080 |
|
26 |
24 |
$141.87 |
| 82140 |
|
36 |
31 |
$137.75 |
| 82977 |
|
19 |
15 |
$132.20 |
| 86431 |
|
16 |
16 |
$124.05 |
| 87185 |
|
34 |
31 |
$120.14 |
| C1894 |
Intro/sheath, non-laser |
12 |
12 |
$119.88 |
| 84703 |
|
154 |
147 |
$118.91 |
| 93225 |
|
12 |
12 |
$100.58 |
| 80164 |
|
13 |
12 |
$94.69 |
| J0690 |
Cefazolin sodium injection |
765 |
536 |
$92.08 |
| 85045 |
|
20 |
14 |
$88.85 |
| 86592 |
|
27 |
27 |
$87.04 |
| J3010 |
Fentanyl citrate injection |
1,984 |
1,439 |
$84.55 |
| 87184 |
|
14 |
13 |
$76.88 |
| 85018 |
|
45 |
39 |
$75.72 |
| 84436 |
|
12 |
12 |
$66.43 |
| J2405 |
Ondansetron hcl injection |
2,707 |
2,162 |
$63.44 |
| J1100 |
Dexamethasone sodium phos |
893 |
760 |
$59.63 |
| J1644 |
Inj heparin sodium per 1000u |
196 |
107 |
$51.92 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
86 |
50 |
$51.74 |
| 87147 |
|
14 |
14 |
$42.63 |
| J0330 |
Succinycholine chloride inj |
76 |
58 |
$38.79 |
| A6021 |
Collagen dressing <=16 sq in |
29 |
14 |
$35.28 |
| J1200 |
Diphenhydramine hcl injectio |
212 |
182 |
$32.88 |
| 85014 |
|
14 |
14 |
$28.41 |
| J2250 |
Inj midazolam hydrochloride |
1,941 |
1,550 |
$25.29 |
| A6452 |
High compres band w>=3"<5"yd |
102 |
39 |
$21.00 |
| J2270 |
Morphine sulfate injection |
98 |
79 |
$19.00 |
| A9585 |
Gadobutrol injection |
118 |
97 |
$15.61 |
| J2370 |
Phenylephrine hcl injection |
49 |
38 |
$13.53 |
| 76937 |
|
15 |
13 |
$12.75 |
| 94060 |
|
17 |
17 |
$12.65 |
| J1650 |
Inj enoxaparin sodium |
66 |
39 |
$11.92 |
| J0780 |
Prochlorperazine injection |
15 |
12 |
$5.58 |
| Q0162 |
Ondansetron oral |
323 |
259 |
$3.82 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$2.28 |
| J7512 |
Prednisone ir or dr oral 1mg |
32 |
25 |
$0.66 |
| J2001 |
Lidocaine injection |
114 |
92 |
$0.20 |
| A6402 |
Sterile gauze <= 16 sq in |
27 |
12 |
$0.13 |
| 3044F |
|
13 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
22 |
17 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
30 |
13 |
$0.00 |
| 3051F |
|
38 |
37 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
44 |
42 |
$0.00 |
| 90715 |
|
27 |
26 |
$0.00 |