| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,020 |
18,875 |
$3.92M |
| 99285 |
|
12,213 |
11,449 |
$3.64M |
| 99283 |
|
18,906 |
18,137 |
$2.37M |
| 96374 |
|
14,051 |
12,780 |
$1.37M |
| 74177 |
|
4,953 |
4,816 |
$698K |
| 97110 |
|
28,668 |
8,142 |
$688K |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,921 |
7,605 |
$480K |
| G0463 |
Hospital outpt clinic visit |
8,172 |
7,114 |
$475K |
| 99282 |
|
5,405 |
5,286 |
$386K |
| 96413 |
|
1,959 |
1,309 |
$336K |
| 87637 |
|
3,009 |
2,946 |
$290K |
| 96361 |
|
9,970 |
8,786 |
$286K |
| 96360 |
|
2,774 |
2,453 |
$274K |
| 71046 |
|
7,130 |
6,856 |
$267K |
| 96365 |
|
2,789 |
2,357 |
$248K |
| 96375 |
|
10,768 |
9,234 |
$222K |
| 97112 |
|
10,472 |
3,877 |
$194K |
| 71260 |
|
1,135 |
1,133 |
$186K |
| 43239 |
|
711 |
706 |
$173K |
| G0378 |
Hospital observation per hr |
1,317 |
839 |
$170K |
| 76705 |
|
2,722 |
2,663 |
$161K |
| 93975 |
|
1,333 |
1,298 |
$160K |
| 76830 |
|
2,492 |
2,449 |
$144K |
| U0002 |
Covid-19 lab test non-cdc |
4,843 |
4,657 |
$143K |
| 86900 |
|
3,161 |
3,010 |
$127K |
| G0482 |
Drug test def 15-21 classes |
2,058 |
1,912 |
$120K |
| 76856 |
|
2,214 |
2,180 |
$117K |
| 71275 |
|
1,593 |
1,546 |
$113K |
| 70450 |
|
2,625 |
2,545 |
$109K |
| 97162 |
|
2,294 |
2,263 |
$107K |
| 97140 |
|
8,415 |
3,355 |
$100K |
| U0005 |
Infec agen detec ampli probe |
5,564 |
5,384 |
$99K |
| 87491 |
|
6,490 |
6,404 |
$98K |
| 87591 |
|
6,455 |
6,372 |
$98K |
| 74176 |
|
897 |
888 |
$97K |
| 80307 |
|
6,024 |
5,695 |
$97K |
| 82947 |
|
4,138 |
3,038 |
$96K |
| 36415 |
|
39,623 |
33,723 |
$94K |
| 77067 |
|
1,975 |
1,973 |
$90K |
| 71045 |
|
2,151 |
2,076 |
$87K |
| 80061 |
|
8,424 |
8,381 |
$80K |
| 80050 |
|
2,806 |
2,735 |
$78K |
| 76816 |
|
1,351 |
1,333 |
$75K |
| C9803 |
Hopd covid-19 spec collect |
9,627 |
9,231 |
$70K |
| 93306 |
|
308 |
306 |
$69K |
| 80053 |
|
34,063 |
30,224 |
$68K |
| 72148 |
|
627 |
624 |
$63K |
| 87661 |
|
3,464 |
3,452 |
$58K |
| 84443 |
|
8,610 |
8,434 |
$56K |
| 96372 |
|
7,376 |
6,246 |
$56K |
| 76805 |
|
903 |
898 |
$54K |
| G0472 |
Hep c screen high risk/other |
1,994 |
1,990 |
$50K |
| 70553 |
|
229 |
225 |
$45K |
| 85025 |
|
33,284 |
29,181 |
$42K |
| 97535 |
|
2,538 |
2,133 |
$40K |
| 99291 |
|
82 |
81 |
$37K |
| 99281 |
|
875 |
869 |
$35K |
| 72100 |
|
980 |
975 |
$31K |
| 76642 |
|
753 |
748 |
$30K |
| 71250 |
|
526 |
526 |
$30K |
| 82306 |
|
2,378 |
2,365 |
$29K |
| 72125 |
|
380 |
375 |
$27K |
| 93971 |
|
502 |
494 |
$27K |
| 96367 |
|
533 |
365 |
$26K |
| G0480 |
Drug test def 1-7 classes |
1,593 |
1,471 |
$26K |
| G0432 |
Eia hiv-1/hiv-2 screen |
2,294 |
2,287 |
$25K |
| 87624 |
|
1,319 |
1,314 |
$24K |
| 83036 |
|
6,010 |
5,988 |
$24K |
| C9399 |
Unclassified drugs or biolog |
411 |
405 |
$23K |
| C8929 |
Tte w or wo fol wcon,doppler |
74 |
73 |
$23K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,494 |
1,494 |
$22K |
| 70498 |
|
151 |
150 |
$21K |
| 87653 |
|
1,179 |
1,178 |
$21K |
| 86780 |
|
2,760 |
2,755 |
$20K |
| 78452 |
|
43 |
43 |
$19K |
| 73562 |
|
1,305 |
1,262 |
$18K |
| 76801 |
|
314 |
310 |
$18K |
| 87086 |
|
8,751 |
8,342 |
$17K |
| 82728 |
|
2,780 |
2,721 |
$17K |
| 77063 |
|
1,400 |
1,400 |
$17K |
| 88305 |
|
3,241 |
3,042 |
$17K |
| 73630 |
|
2,229 |
2,094 |
$17K |
| 85027 |
|
8,431 |
7,765 |
$16K |
| 73030 |
|
1,365 |
1,306 |
$16K |
| 96415 |
|
384 |
281 |
$14K |
| 80048 |
|
6,041 |
4,978 |
$13K |
| 84702 |
|
2,797 |
2,073 |
$13K |
| 76536 |
|
234 |
233 |
$12K |
| Q3014 |
Telehealth facility fee |
600 |
565 |
$11K |
| 84439 |
|
2,696 |
2,613 |
$11K |
| Q5104 |
Injection, renflexis |
13 |
12 |
$11K |
| 73610 |
|
1,616 |
1,548 |
$11K |
| 73130 |
|
1,425 |
1,388 |
$11K |
| 93005 |
|
11,943 |
10,818 |
$11K |
| 45385 |
|
26 |
26 |
$10K |
| 0002A |
|
289 |
289 |
$10K |
| G0475 |
Hiv combination assay |
751 |
750 |
$10K |
| 87633 |
|
53 |
53 |
$10K |
| 83550 |
|
2,413 |
2,378 |
$9K |
| 87081 |
|
4,168 |
4,129 |
$9K |
| 82607 |
|
1,599 |
1,593 |
$9K |
| 87077 |
|
3,564 |
3,410 |
$9K |
| 72141 |
|
62 |
62 |
$9K |
| 87502 |
|
979 |
968 |
$8K |
| 45380 |
|
25 |
25 |
$8K |
| 97530 |
|
519 |
263 |
$8K |
| 96376 |
|
2,514 |
1,960 |
$8K |
| 87186 |
|
2,710 |
2,608 |
$7K |
| 74018 |
|
293 |
283 |
$7K |
| 83880 |
|
2,130 |
1,940 |
$7K |
| 43249 |
|
12 |
12 |
$7K |
| 96366 |
|
344 |
308 |
$7K |
| 83540 |
|
2,486 |
2,448 |
$7K |
| 0001A |
|
291 |
291 |
$7K |
| 87205 |
|
4,890 |
4,667 |
$7K |
| 83655 |
|
959 |
940 |
$7K |
| G0279 |
Tomosynthesis, mammo |
578 |
571 |
$6K |
| 77066 |
Tomosynthesis, mammo |
109 |
108 |
$6K |
| 85610 |
|
4,401 |
3,200 |
$6K |
| 73110 |
|
879 |
848 |
$6K |
| 83735 |
|
5,839 |
4,987 |
$6K |
| 99213 |
|
224 |
211 |
$6K |
| 82746 |
|
854 |
850 |
$6K |
| 82570 |
|
2,736 |
2,635 |
$5K |
| 87340 |
|
2,516 |
2,506 |
$5K |
| 90471 |
|
499 |
465 |
$5K |
| 70551 |
|
43 |
43 |
$4K |
| 71271 |
|
86 |
86 |
$4K |
| 81001 |
|
19,236 |
17,305 |
$4K |
| 87635 |
|
151 |
146 |
$4K |
| 94640 |
|
1,975 |
1,649 |
$4K |
| 76770 |
|
68 |
67 |
$4K |
| 97163 |
|
86 |
86 |
$4K |
| 82950 |
|
1,396 |
1,393 |
$4K |
| 82043 |
|
1,291 |
1,285 |
$4K |
| 80074 |
|
172 |
172 |
$4K |
| 59025 |
|
39 |
28 |
$4K |
| G0103 |
Psa screening |
358 |
358 |
$3K |
| 86140 |
|
2,329 |
2,118 |
$3K |
| 88175 |
|
191 |
190 |
$3K |
| 84403 |
|
210 |
207 |
$3K |
| 73721 |
|
25 |
25 |
$3K |
| G0108 |
Diab manage trn per indiv |
63 |
63 |
$3K |
| 70491 |
|
25 |
24 |
$3K |
| 0012A |
|
84 |
84 |
$3K |
| 87070 |
|
1,001 |
949 |
$3K |
| 92507 |
|
62 |
26 |
$2K |
| 97161 |
|
60 |
60 |
$2K |
| 84484 |
|
7,636 |
4,868 |
$2K |
| 70496 |
|
238 |
237 |
$2K |
| 80076 |
|
541 |
513 |
$2K |
| 84100 |
|
1,569 |
1,245 |
$2K |
| 70486 |
|
38 |
38 |
$2K |
| 0011A |
|
87 |
87 |
$2K |
| 86038 |
|
330 |
327 |
$2K |
| 84146 |
|
174 |
169 |
$2K |
| 85652 |
|
2,235 |
2,115 |
$2K |
| 82565 |
|
3,602 |
3,488 |
$2K |
| 83970 |
|
83 |
83 |
$2K |
| 81025 |
|
10,598 |
9,981 |
$2K |
| 77065 |
Tomosynthesis, mammo |
38 |
36 |
$1K |
| 73502 |
|
109 |
109 |
$1K |
| 73221 |
|
12 |
12 |
$1K |
| 93017 |
|
86 |
86 |
$1K |
| 82533 |
|
204 |
162 |
$1K |
| 97116 |
|
96 |
49 |
$1K |
| 87147 |
|
742 |
725 |
$1K |
| 97597 |
|
16 |
14 |
$1K |
| 93246 |
|
80 |
80 |
$1K |
| 73140 |
|
91 |
90 |
$1K |
| 84425 |
|
101 |
101 |
$1K |
| 83690 |
|
6,679 |
6,165 |
$1K |
| 82784 |
|
179 |
170 |
$1K |
| 84156 |
|
1,082 |
1,012 |
$958.64 |
| 86905 |
|
13 |
13 |
$936.70 |
| G1004 |
Cdsm ndsc |
10,118 |
9,358 |
$787.01 |
| 76817 |
|
684 |
628 |
$782.24 |
| 85007 |
|
983 |
862 |
$720.83 |
| 85730 |
|
1,017 |
970 |
$696.74 |
| 87808 |
|
1,359 |
1,342 |
$657.96 |
| 72040 |
|
24 |
24 |
$580.56 |
| 73080 |
|
164 |
160 |
$568.40 |
| 83001 |
|
55 |
55 |
$518.49 |
| 86762 |
|
1,444 |
1,442 |
$443.65 |
| 87563 |
|
28 |
28 |
$441.36 |
| 83615 |
|
237 |
205 |
$426.75 |
| 80069 |
|
98 |
87 |
$382.55 |
| 84550 |
|
389 |
375 |
$366.80 |
| 73564 |
|
12 |
12 |
$364.62 |
| 84145 |
|
71 |
62 |
$347.96 |
| 86850 |
|
2,935 |
2,824 |
$296.25 |
| 84112 |
|
31 |
24 |
$286.95 |
| 76815 |
|
27 |
26 |
$259.78 |
| 85379 |
|
1,322 |
1,297 |
$259.46 |
| 73590 |
|
75 |
75 |
$254.71 |
| 82248 |
|
119 |
99 |
$233.44 |
| 82247 |
|
74 |
49 |
$196.15 |
| 82670 |
|
12 |
12 |
$171.49 |
| 87040 |
|
427 |
294 |
$171.42 |
| 12001 |
|
163 |
163 |
$160.61 |
| 83516 |
|
19 |
15 |
$157.78 |
| 87503 |
|
32 |
31 |
$148.28 |
| 86431 |
|
55 |
55 |
$144.16 |
| 85240 |
|
12 |
12 |
$125.64 |
| 83605 |
|
2,766 |
2,245 |
$125.05 |
| 85014 |
|
544 |
512 |
$119.72 |
| 87880 |
|
1,925 |
1,905 |
$115.59 |
| 85055 |
|
17 |
12 |
$97.75 |
| 87088 |
|
42 |
42 |
$83.28 |
| 82330 |
|
222 |
202 |
$53.63 |
| 84132 |
|
283 |
273 |
$43.19 |
| 82550 |
|
29 |
27 |
$32.04 |
| 88304 |
|
26 |
24 |
$22.75 |
| 82077 |
|
531 |
506 |
$19.55 |
| 85018 |
|
18 |
14 |
$7.92 |
| 87807 |
|
59 |
58 |
$7.79 |
| J2360 |
Orphenadrine injection |
1,257 |
1,210 |
$4.67 |
| 84295 |
|
157 |
151 |
$2.68 |
| A9577 |
Inj multihance |
1,089 |
1,074 |
$0.01 |
| J1100 |
Dexamethasone sodium phos |
3,633 |
3,123 |
$0.00 |
| A9270 |
Non-covered item or service |
1,109 |
750 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
237 |
227 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,153 |
2,938 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
6,438 |
4,413 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,088 |
1,045 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,637 |
2,035 |
$0.00 |
| J8540 |
Oral dexamethasone |
111 |
109 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
11,000 |
10,134 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,232 |
1,153 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,353 |
1,229 |
$0.00 |
| J1790 |
Droperidol injection |
265 |
237 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,386 |
1,296 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
5,199 |
3,805 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
1,536 |
1,514 |
$0.00 |
| J7050 |
Normal saline solution infus |
15,954 |
10,706 |
$0.00 |
| J1630 |
Haloperidol injection |
697 |
610 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
61 |
58 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
154 |
154 |
$0.00 |
| 76377 |
|
113 |
113 |
$0.00 |
| J2060 |
Lorazepam injection |
526 |
439 |
$0.00 |
| 91301 |
|
178 |
178 |
$0.00 |
| 86901 |
|
162 |
154 |
$0.00 |
| 82803 |
|
141 |
129 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
12 |
12 |
$0.00 |
| J7060 |
5% dextrose/water |
75 |
30 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
59 |
55 |
$0.00 |
| J2785 |
Regadenoson injection |
29 |
29 |
$0.00 |
| C1889 |
Implant/insert device, noc |
74 |
73 |
$0.00 |
| 73090 |
|
42 |
40 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,051 |
841 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,379 |
1,259 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,344 |
8,049 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,876 |
3,427 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
8,544 |
7,502 |
$0.00 |
| J7030 |
Normal saline solution infus |
13,256 |
11,476 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,458 |
2,162 |
$0.00 |
| 90715 |
|
320 |
317 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
14 |
12 |
$0.00 |
| 80143 |
|
254 |
246 |
$0.00 |
| J7120 |
Ringers lactate infusion |
3,380 |
3,093 |
$0.00 |
| J2930 |
Methylprednisolone injection |
615 |
562 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
341 |
339 |
$0.00 |
| 99152 |
|
322 |
319 |
$0.00 |
| 80179 |
|
178 |
173 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
39 |
31 |
$0.00 |
| 87804 |
|
95 |
68 |
$0.00 |
| J2550 |
Promethazine hcl injection |
72 |
64 |
$0.00 |
| 91300 |
|
577 |
505 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
130 |
125 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
15 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
42 |
42 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
21 |
12 |
$0.00 |