| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
8,340 |
7,490 |
$729K |
| 97110 |
|
16,537 |
4,565 |
$659K |
| 80053 |
|
39,149 |
31,274 |
$486K |
| 74177 |
|
3,550 |
3,275 |
$464K |
| 70450 |
|
3,905 |
3,576 |
$378K |
| 80050 |
|
7,782 |
7,382 |
$367K |
| 80307 |
|
5,018 |
4,388 |
$328K |
| 69436 |
|
1,052 |
1,041 |
$258K |
| 96365 |
|
3,478 |
2,603 |
$245K |
| 96374 |
|
3,410 |
2,894 |
$207K |
| 87651 |
|
6,338 |
4,897 |
$204K |
| 82306 |
|
8,279 |
6,436 |
$202K |
| 85025 |
|
33,789 |
26,893 |
$200K |
| G0463 |
Hospital outpt clinic visit |
11,260 |
9,749 |
$198K |
| 72148 |
|
690 |
667 |
$185K |
| 86008 |
|
789 |
607 |
$182K |
| 80061 |
|
14,992 |
11,997 |
$163K |
| 88305 |
|
2,947 |
2,700 |
$158K |
| 43239 |
|
1,006 |
933 |
$154K |
| U0002 |
Covid-19 lab test non-cdc |
5,032 |
4,003 |
$151K |
| 84443 |
|
15,853 |
12,287 |
$149K |
| 93306 |
|
1,316 |
1,230 |
$144K |
| 87491 |
|
3,385 |
2,866 |
$135K |
| 11042 |
|
1,032 |
479 |
$134K |
| 87591 |
|
3,380 |
2,861 |
$134K |
| 72125 |
|
948 |
847 |
$107K |
| 93005 |
|
10,902 |
9,709 |
$106K |
| 73721 |
|
336 |
312 |
$102K |
| 87633 |
|
580 |
421 |
$94K |
| 97530 |
|
3,546 |
1,075 |
$92K |
| 77067 |
|
2,487 |
2,396 |
$91K |
| 74176 |
|
1,338 |
1,254 |
$90K |
| 71046 |
|
5,198 |
4,820 |
$90K |
| 80048 |
|
8,721 |
6,555 |
$89K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
662 |
538 |
$83K |
| 87086 |
|
10,670 |
8,576 |
$81K |
| 59025 |
|
396 |
322 |
$77K |
| 81025 |
|
8,710 |
7,863 |
$74K |
| 86901 |
|
3,245 |
2,905 |
$71K |
| 70553 |
|
183 |
169 |
$66K |
| 97162 |
|
578 |
536 |
$64K |
| 83036 |
|
7,880 |
6,273 |
$63K |
| 85027 |
|
11,126 |
8,770 |
$63K |
| 87070 |
|
7,201 |
5,078 |
$62K |
| 97161 |
|
1,019 |
890 |
$55K |
| 83690 |
|
7,818 |
6,795 |
$54K |
| 81001 |
|
16,151 |
13,851 |
$52K |
| 87804 |
|
2,732 |
2,284 |
$51K |
| 82150 |
|
7,759 |
6,872 |
$50K |
| 84439 |
|
6,168 |
4,950 |
$49K |
| 76700 |
|
1,252 |
1,195 |
$49K |
| 71045 |
|
5,830 |
5,241 |
$48K |
| 87661 |
|
1,118 |
1,013 |
$42K |
| 82607 |
|
3,299 |
2,656 |
$39K |
| 96372 |
|
2,419 |
1,544 |
$38K |
| 82553 |
|
4,284 |
3,655 |
$38K |
| 86141 |
|
3,404 |
2,702 |
$36K |
| 84484 |
|
4,925 |
3,959 |
$36K |
| 70551 |
|
164 |
151 |
$36K |
| 85730 |
|
6,597 |
5,906 |
$35K |
| 72110 |
|
1,085 |
1,044 |
$35K |
| 96361 |
|
712 |
567 |
$35K |
| 82728 |
|
3,218 |
2,512 |
$34K |
| 96375 |
|
2,501 |
2,104 |
$32K |
| 83880 |
|
1,444 |
1,274 |
$31K |
| 87635 |
|
2,004 |
1,821 |
$31K |
| 87186 |
|
4,938 |
4,051 |
$29K |
| 82565 |
|
2,537 |
2,118 |
$28K |
| 80320 |
|
1,614 |
1,458 |
$28K |
| 74018 |
|
1,403 |
1,300 |
$28K |
| 85610 |
|
7,701 |
6,613 |
$27K |
| 84145 |
|
1,448 |
1,326 |
$27K |
| 82948 |
|
4,067 |
2,625 |
$27K |
| 99283 |
|
2,027 |
1,790 |
$26K |
| 82550 |
|
5,089 |
4,256 |
$26K |
| 99284 |
|
5,171 |
4,422 |
$26K |
| 73630 |
|
1,012 |
937 |
$26K |
| 87040 |
|
1,722 |
1,567 |
$25K |
| 97001 |
|
569 |
528 |
$24K |
| 87077 |
|
2,773 |
2,368 |
$23K |
| 87806 |
|
932 |
828 |
$22K |
| 76642 |
|
801 |
770 |
$21K |
| 70486 |
|
165 |
161 |
$21K |
| 83540 |
|
3,932 |
3,116 |
$21K |
| 82746 |
|
1,970 |
1,574 |
$20K |
| 83735 |
|
4,508 |
3,291 |
$20K |
| 86003 |
|
334 |
176 |
$19K |
| 80347 |
|
959 |
796 |
$19K |
| 49452 |
|
226 |
177 |
$19K |
| 77066 |
Tomosynthesis, mammo |
275 |
265 |
$18K |
| 84702 |
|
1,817 |
1,427 |
$18K |
| 80329 |
|
1,079 |
946 |
$18K |
| 77063 |
|
1,987 |
1,903 |
$18K |
| 86803 |
|
1,299 |
1,124 |
$18K |
| J2405 |
Ondansetron hcl injection |
11,036 |
8,459 |
$17K |
| 83605 |
|
1,815 |
1,631 |
$17K |
| 86850 |
|
2,671 |
2,384 |
$17K |
| 97165 |
|
305 |
265 |
$17K |
| 83550 |
|
2,325 |
1,868 |
$16K |
| 73610 |
|
861 |
805 |
$16K |
| 87389 |
|
609 |
561 |
$16K |
| 73564 |
|
481 |
458 |
$15K |
| 73030 |
|
735 |
685 |
$15K |
| 84153 |
|
975 |
809 |
$14K |
| 82785 |
|
825 |
644 |
$14K |
| 80074 |
|
295 |
262 |
$14K |
| 80047 |
|
509 |
440 |
$13K |
| 82570 |
|
2,914 |
2,364 |
$13K |
| 80326 |
|
671 |
607 |
$12K |
| 80349 |
|
631 |
589 |
$12K |
| 84403 |
|
424 |
377 |
$11K |
| 86225 |
|
1,008 |
791 |
$11K |
| 87636 |
|
88 |
77 |
$11K |
| 87088 |
|
1,420 |
1,155 |
$11K |
| 87340 |
|
1,117 |
988 |
$11K |
| 82947 |
|
1,401 |
1,230 |
$10K |
| G0480 |
Drug test def 1-7 classes |
559 |
503 |
$10K |
| J1100 |
Dexamethasone sodium phos |
3,367 |
3,142 |
$10K |
| 87015 |
|
1,497 |
1,173 |
$10K |
| 88312 |
|
1,067 |
989 |
$10K |
| 72050 |
|
427 |
408 |
$10K |
| 76705 |
|
492 |
464 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
5,654 |
4,939 |
$10K |
| 71260 |
|
111 |
106 |
$10K |
| 85007 |
|
2,835 |
2,384 |
$9K |
| 86706 |
|
923 |
812 |
$9K |
| 86900 |
|
3,247 |
2,907 |
$9K |
| 83516 |
|
414 |
333 |
$9K |
| 86039 |
|
970 |
782 |
$9K |
| 87205 |
|
2,394 |
1,966 |
$9K |
| 84132 |
|
1,094 |
964 |
$9K |
| 42820 |
|
25 |
24 |
$9K |
| 72141 |
|
40 |
39 |
$9K |
| 87899 |
|
1,287 |
374 |
$9K |
| 87801 |
|
179 |
171 |
$9K |
| 87507 |
|
12 |
12 |
$8K |
| 81003 |
|
4,127 |
3,667 |
$8K |
| 82435 |
|
877 |
811 |
$8K |
| 88304 |
|
345 |
322 |
$8K |
| 87426 |
|
297 |
238 |
$8K |
| 85379 |
|
833 |
780 |
$8K |
| 86780 |
|
443 |
418 |
$8K |
| 82247 |
|
1,466 |
914 |
$7K |
| 95957 |
|
340 |
311 |
$7K |
| C1769 |
Guide wire |
763 |
595 |
$7K |
| 74019 |
|
353 |
322 |
$7K |
| J3010 |
Fentanyl citrate injection |
4,967 |
3,895 |
$7K |
| 82043 |
|
1,410 |
1,201 |
$7K |
| U0001 |
2019-ncov diagnostic p |
398 |
345 |
$7K |
| 66984 |
|
33 |
29 |
$7K |
| 71275 |
|
42 |
39 |
$7K |
| 84480 |
|
571 |
505 |
$7K |
| 80364 |
|
595 |
396 |
$7K |
| 95819 |
|
143 |
132 |
$6K |
| 87880 |
|
455 |
419 |
$6K |
| 84295 |
|
959 |
872 |
$6K |
| 99285 |
|
854 |
699 |
$6K |
| J2785 |
Regadenoson injection |
28 |
28 |
$6K |
| 86708 |
|
505 |
438 |
$6K |
| 87798 |
|
154 |
124 |
$6K |
| 80051 |
|
1,279 |
1,153 |
$6K |
| 80076 |
|
767 |
629 |
$6K |
| 73110 |
|
250 |
238 |
$5K |
| 84520 |
|
1,240 |
1,055 |
$5K |
| 71020 |
|
407 |
395 |
$5K |
| M0245 |
Bamlan and etesev infusion |
25 |
22 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
1,869 |
1,589 |
$5K |
| 85652 |
|
1,931 |
1,712 |
$5K |
| 62323 |
|
26 |
25 |
$5K |
| 86704 |
|
472 |
408 |
$5K |
| 88175 |
|
365 |
340 |
$5K |
| 82248 |
|
1,012 |
668 |
$5K |
| Q3014 |
Telehealth facility fee |
742 |
691 |
$5K |
| 87420 |
|
408 |
371 |
$5K |
| 87430 |
|
363 |
350 |
$5K |
| 84100 |
|
1,971 |
1,348 |
$4K |
| 73130 |
|
201 |
186 |
$4K |
| M0243 |
Casirivi and imdevi inj |
29 |
29 |
$4K |
| 72070 |
|
204 |
200 |
$4K |
| 76830 |
|
108 |
100 |
$4K |
| 0241U |
|
123 |
106 |
$4K |
| 76856 |
|
115 |
112 |
$4K |
| 85014 |
|
1,630 |
1,317 |
$4K |
| 86592 |
|
922 |
823 |
$4K |
| 96360 |
|
47 |
42 |
$4K |
| 84156 |
|
859 |
676 |
$4K |
| 87624 |
|
95 |
92 |
$4K |
| 83525 |
|
460 |
273 |
$4K |
| 84146 |
|
134 |
122 |
$4K |
| 93971 |
|
100 |
88 |
$3K |
| 87045 |
|
357 |
272 |
$3K |
| 0002A |
|
215 |
209 |
$3K |
| 83970 |
|
127 |
111 |
$3K |
| 85651 |
|
1,556 |
980 |
$3K |
| 76775 |
|
167 |
161 |
$3K |
| 86480 |
|
44 |
42 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
5,957 |
5,451 |
$3K |
| 84238 |
|
278 |
188 |
$3K |
| 86431 |
|
561 |
483 |
$3K |
| 82105 |
|
165 |
151 |
$3K |
| 82805 |
|
116 |
109 |
$3K |
| 84550 |
|
841 |
694 |
$3K |
| 64635 |
|
15 |
14 |
$2K |
| 82330 |
|
117 |
106 |
$2K |
| 49450 |
|
25 |
25 |
$2K |
| 36430 |
|
14 |
12 |
$2K |
| 64493 |
|
33 |
13 |
$2K |
| 76536 |
|
55 |
51 |
$2K |
| 85018 |
|
824 |
628 |
$2K |
| J0330 |
Succinycholine chloride inj |
968 |
829 |
$2K |
| 87210 |
|
391 |
374 |
$2K |
| 0001A |
|
189 |
182 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
381 |
333 |
$2K |
| J0690 |
Cefazolin sodium injection |
2,692 |
2,211 |
$2K |
| 83615 |
|
607 |
341 |
$2K |
| 73502 |
|
58 |
57 |
$2K |
| 74000 |
|
107 |
99 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
4,562 |
3,937 |
$2K |
| 87634 |
|
23 |
22 |
$2K |
| 77065 |
Tomosynthesis, mammo |
30 |
25 |
$2K |
| 82784 |
|
214 |
189 |
$1K |
| 86376 |
|
90 |
79 |
$1K |
| 77080 |
|
59 |
52 |
$1K |
| 45385 |
|
12 |
12 |
$1K |
| 71010 |
|
159 |
153 |
$1K |
| 82670 |
|
45 |
41 |
$1K |
| 97112 |
|
309 |
106 |
$1K |
| 87653 |
|
25 |
25 |
$1K |
| 84481 |
|
176 |
128 |
$1K |
| 96376 |
|
215 |
172 |
$1K |
| 86757 |
|
37 |
26 |
$1K |
| 84144 |
|
42 |
26 |
$1K |
| 87046 |
|
559 |
375 |
$1K |
| 80165 |
|
101 |
87 |
$1K |
| 87493 |
|
83 |
40 |
$987.05 |
| 90714 |
|
114 |
103 |
$972.81 |
| 94640 |
|
553 |
388 |
$931.08 |
| 77062 |
|
12 |
12 |
$901.17 |
| 86256 |
|
56 |
55 |
$775.17 |
| 83655 |
|
44 |
44 |
$725.76 |
| 80164 |
|
81 |
62 |
$709.41 |
| 86920 |
|
16 |
14 |
$680.00 |
| 84450 |
|
206 |
148 |
$677.52 |
| 73080 |
|
26 |
26 |
$654.71 |
| 72170 |
|
44 |
42 |
$642.14 |
| 90471 |
|
103 |
92 |
$616.85 |
| 99152 |
|
293 |
229 |
$601.13 |
| 88307 |
|
26 |
24 |
$583.00 |
| 86666 |
|
45 |
36 |
$581.20 |
| 83001 |
|
24 |
24 |
$566.53 |
| 75984 |
|
385 |
309 |
$560.02 |
| J2270 |
Morphine sulfate injection |
3,386 |
2,516 |
$524.86 |
| 72100 |
|
28 |
28 |
$518.70 |
| 84436 |
|
177 |
133 |
$495.25 |
| 86200 |
|
34 |
33 |
$472.30 |
| 72120 |
|
17 |
16 |
$465.81 |
| 73120 |
|
35 |
25 |
$464.15 |
| 86618 |
|
33 |
24 |
$442.08 |
| 88342 |
|
30 |
29 |
$435.60 |
| G0378 |
Hospital observation per hr |
231 |
187 |
$421.60 |
| 85049 |
|
257 |
229 |
$418.47 |
| 87081 |
|
55 |
52 |
$385.77 |
| 86235 |
|
14 |
12 |
$384.15 |
| 36000 |
|
176 |
173 |
$381.31 |
| 84703 |
|
49 |
45 |
$364.33 |
| 85045 |
|
246 |
174 |
$361.90 |
| 83721 |
|
98 |
92 |
$353.78 |
| J2710 |
Neostigmine methylslfte inj |
165 |
143 |
$338.03 |
| 86709 |
|
26 |
26 |
$321.40 |
| 73590 |
|
16 |
14 |
$304.63 |
| 87631 |
|
21 |
16 |
$303.84 |
| J1200 |
Diphenhydramine hcl injectio |
932 |
806 |
$289.73 |
| 82310 |
|
27 |
24 |
$286.58 |
| 78452 |
|
30 |
29 |
$266.71 |
| 82950 |
|
45 |
42 |
$252.22 |
| 86762 |
|
12 |
12 |
$246.60 |
| 84460 |
|
78 |
45 |
$237.22 |
| 73560 |
|
13 |
12 |
$229.74 |
| J2930 |
Methylprednisolone injection |
236 |
211 |
$206.73 |
| J1642 |
Inj heparin sodium per 10 u |
548 |
344 |
$187.43 |
| 73140 |
|
12 |
12 |
$176.00 |
| J2175 |
Meperidine hydrochl /100 mg |
478 |
419 |
$172.32 |
| 76882 |
|
13 |
12 |
$172.29 |
| 84075 |
|
48 |
29 |
$165.36 |
| J2060 |
Lorazepam injection |
311 |
260 |
$164.45 |
| G0283 |
Elec stim other than wound |
39 |
13 |
$158.14 |
| 86800 |
|
14 |
12 |
$136.26 |
| 97140 |
|
267 |
81 |
$134.94 |
| 87324 |
|
13 |
13 |
$132.17 |
| 76937 |
|
39 |
29 |
$128.17 |
| 86677 |
|
20 |
13 |
$124.32 |
| 94150 |
|
129 |
101 |
$117.49 |
| 93017 |
|
30 |
29 |
$111.80 |
| J0780 |
Prochlorperazine injection |
285 |
246 |
$102.33 |
| 83986 |
|
14 |
13 |
$90.48 |
| 84155 |
|
34 |
27 |
$74.63 |
| A9500 |
Tc99m sestamibi |
30 |
29 |
$70.66 |
| 93296 |
|
13 |
12 |
$59.45 |
| J1644 |
Inj heparin sodium per 1000u |
409 |
245 |
$51.59 |
| 89051 |
|
18 |
12 |
$47.16 |
| J1815 |
Insulin injection |
119 |
75 |
$36.88 |
| 97116 |
|
21 |
12 |
$20.09 |
| J0360 |
Hydralazine hcl injection |
156 |
110 |
$16.40 |
| 82040 |
|
17 |
13 |
$14.16 |
| J1170 |
Hydromorphone injection |
96 |
69 |
$6.65 |
| 94664 |
|
71 |
64 |
$6.00 |
| G8979 |
Mobility goal status |
33 |
27 |
$0.11 |
| G8978 |
Mobility current status |
13 |
13 |
$0.06 |
| Q0245 |
Bamlanivimab and etesevima |
31 |
22 |
$0.01 |
| A9270 |
Non-covered item or service |
174 |
83 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
70 |
55 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
2,559 |
2,330 |
$0.00 |
| 94760 |
|
22 |
14 |
$0.00 |
| 41899 |
|
32 |
29 |
$0.00 |
| 97802 |
|
13 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
16 |
14 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
1,339 |
1,095 |
$0.00 |
| 0202U |
|
122 |
118 |
$0.00 |
| 99001 |
|
1,078 |
706 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
16 |
16 |
$0.00 |
| 93356 |
|
31 |
25 |
$0.00 |