| Code | Description | Claims | Beneficiaries | Total Paid |
| 87389 |
|
5,572 |
4,794 |
$130K |
| J7307 |
Etonogestrel implant system |
145 |
132 |
$129K |
| 77067 |
|
1,961 |
1,870 |
$102K |
| 87491 |
|
6,595 |
5,224 |
$96K |
| 87591 |
|
6,578 |
5,215 |
$93K |
| 80053 |
|
24,394 |
17,301 |
$72K |
| J7297 |
Liletta, 52 mg |
97 |
82 |
$71K |
| 99211 |
|
5,245 |
3,019 |
$58K |
| 87536 |
|
1,413 |
889 |
$57K |
| 84443 |
|
9,336 |
8,104 |
$54K |
| 99213 |
|
1,713 |
1,194 |
$53K |
| 85025 |
|
26,322 |
18,092 |
$35K |
| 87497 |
|
1,831 |
817 |
$32K |
| 99214 |
|
657 |
424 |
$32K |
| 88305 |
|
1,158 |
831 |
$28K |
| 99285 |
|
221 |
163 |
$27K |
| 86480 |
|
1,260 |
1,014 |
$26K |
| 86780 |
|
5,553 |
4,645 |
$23K |
| 87624 |
|
2,011 |
1,781 |
$21K |
| 83883 |
|
2,665 |
875 |
$21K |
| 99212 |
|
976 |
729 |
$21K |
| U0001 |
2019-ncov diagnostic p |
973 |
723 |
$21K |
| 80180 |
|
1,103 |
485 |
$20K |
| 87086 |
|
6,023 |
5,138 |
$19K |
| 82784 |
|
2,567 |
1,497 |
$18K |
| 36415 |
|
15,657 |
12,079 |
$16K |
| 86235 |
|
1,446 |
548 |
$16K |
| 86334 |
|
1,512 |
814 |
$16K |
| 87799 |
|
568 |
330 |
$16K |
| 71046 |
|
1,596 |
1,356 |
$15K |
| 80048 |
|
5,029 |
3,929 |
$14K |
| 83970 |
|
1,035 |
885 |
$14K |
| 82607 |
|
3,981 |
3,354 |
$14K |
| H0004 |
Alcohol and/or drug services |
399 |
139 |
$14K |
| 77063 |
|
1,962 |
1,858 |
$13K |
| 87798 |
|
562 |
408 |
$12K |
| 87522 |
Neg quan hep c or qual rna |
497 |
359 |
$11K |
| 86803 |
|
2,425 |
1,928 |
$11K |
| 82306 |
|
5,021 |
4,346 |
$11K |
| 88112 |
|
275 |
233 |
$10K |
| 87340 |
|
3,596 |
3,003 |
$10K |
| 80197 |
|
2,698 |
1,227 |
$9K |
| 87633 |
|
60 |
45 |
$9K |
| 84403 |
|
851 |
715 |
$9K |
| 85027 |
|
6,838 |
5,875 |
$8K |
| 86160 |
|
1,668 |
1,057 |
$8K |
| 90686 |
|
499 |
189 |
$8K |
| 80061 |
|
6,231 |
5,492 |
$8K |
| 83036 |
|
6,386 |
5,780 |
$7K |
| 83735 |
|
4,916 |
2,612 |
$7K |
| 87186 |
|
1,666 |
1,290 |
$7K |
| 80307 |
|
398 |
317 |
$7K |
| 86147 |
|
751 |
556 |
$7K |
| 83615 |
|
4,800 |
2,492 |
$6K |
| 83880 |
|
1,111 |
885 |
$6K |
| 86038 |
|
1,190 |
931 |
$6K |
| 82728 |
|
4,142 |
3,456 |
$6K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
2,961 |
2,594 |
$5K |
| 87529 |
|
198 |
128 |
$5K |
| 81001 |
|
6,949 |
5,428 |
$5K |
| 87081 |
|
2,165 |
1,949 |
$5K |
| 84153 |
|
932 |
823 |
$5K |
| 82105 |
|
871 |
707 |
$4K |
| 84165 |
|
1,660 |
944 |
$4K |
| 83516 |
|
853 |
512 |
$4K |
| 84466 |
|
1,933 |
1,574 |
$4K |
| 83540 |
|
3,463 |
2,897 |
$4K |
| 86850 |
|
2,986 |
2,350 |
$4K |
| 86704 |
|
1,166 |
897 |
$4K |
| G0480 |
Drug test def 1-7 classes |
181 |
140 |
$4K |
| 82746 |
|
1,658 |
1,402 |
$4K |
| 83001 |
|
589 |
507 |
$4K |
| 86225 |
|
1,226 |
977 |
$4K |
| 86706 |
|
1,181 |
931 |
$4K |
| 86140 |
|
3,369 |
2,333 |
$4K |
| 86360 |
|
1,231 |
794 |
$4K |
| 84439 |
|
2,596 |
2,278 |
$3K |
| 93005 |
|
446 |
391 |
$3K |
| G0103 |
Psa screening |
546 |
506 |
$3K |
| 87517 |
|
137 |
106 |
$3K |
| 86901 |
|
3,144 |
2,426 |
$3K |
| 99284 |
|
30 |
27 |
$3K |
| 87220 |
|
2,787 |
2,398 |
$3K |
| 80076 |
|
1,396 |
1,184 |
$3K |
| 84550 |
|
3,263 |
1,705 |
$3K |
| 87210 |
|
2,738 |
2,354 |
$3K |
| 84100 |
|
2,933 |
1,415 |
$3K |
| 99201 |
|
147 |
82 |
$3K |
| 80069 |
|
1,300 |
935 |
$3K |
| 86787 |
|
528 |
411 |
$3K |
| 86359 |
|
1,234 |
799 |
$3K |
| 87205 |
|
3,689 |
3,124 |
$3K |
| 85610 |
|
3,599 |
2,550 |
$3K |
| 84702 |
|
1,016 |
726 |
$3K |
| 83550 |
|
1,522 |
1,295 |
$3K |
| 82232 |
|
1,228 |
620 |
$2K |
| 86900 |
|
3,150 |
2,422 |
$2K |
| 82570 |
|
2,089 |
1,560 |
$2K |
| 95800 |
|
29 |
28 |
$2K |
| 86039 |
|
837 |
667 |
$2K |
| 87077 |
|
1,048 |
768 |
$2K |
| 86762 |
|
1,362 |
1,192 |
$2K |
| 84146 |
|
579 |
500 |
$2K |
| 87088 |
|
609 |
553 |
$2K |
| 83520 |
|
357 |
263 |
$2K |
| 86790 |
|
325 |
222 |
$2K |
| 82670 |
|
567 |
377 |
$2K |
| 87070 |
|
1,081 |
867 |
$2K |
| 86769 |
|
57 |
38 |
$2K |
| 81268 |
|
19 |
12 |
$2K |
| 82951 |
|
271 |
247 |
$1K |
| 87493 |
|
74 |
69 |
$1K |
| 83020 |
|
577 |
542 |
$1K |
| 85652 |
|
2,392 |
1,958 |
$1K |
| 85730 |
|
880 |
672 |
$1K |
| 82378 |
|
248 |
219 |
$1K |
| 87075 |
|
231 |
197 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
14 |
14 |
$1K |
| 82550 |
|
747 |
577 |
$1K |
| 82950 |
|
1,056 |
968 |
$1K |
| 81267 |
|
32 |
12 |
$1K |
| 84480 |
|
633 |
543 |
$1K |
| 82043 |
|
1,174 |
1,049 |
$1K |
| 84156 |
|
2,042 |
1,513 |
$993.72 |
| G0008 |
Admin influenza virus vac |
294 |
140 |
$984.63 |
| 83690 |
|
558 |
407 |
$922.23 |
| 86256 |
|
295 |
240 |
$846.24 |
| 87184 |
|
282 |
241 |
$804.64 |
| 84402 |
|
189 |
164 |
$779.40 |
| 83002 |
|
341 |
285 |
$778.47 |
| 86592 |
|
695 |
468 |
$773.33 |
| 86765 |
|
465 |
424 |
$763.74 |
| 86304 |
|
90 |
80 |
$745.58 |
| 84481 |
|
339 |
295 |
$718.15 |
| 82565 |
|
519 |
415 |
$712.72 |
| 86431 |
|
442 |
375 |
$704.70 |
| 73630 |
|
84 |
62 |
$670.68 |
| 86146 |
|
18 |
13 |
$659.94 |
| 86200 |
|
237 |
209 |
$657.14 |
| 84425 |
|
136 |
111 |
$647.99 |
| 86317 |
|
91 |
39 |
$589.00 |
| 96374 |
|
14 |
12 |
$535.12 |
| 87486 |
|
60 |
45 |
$512.45 |
| 87581 |
|
60 |
45 |
$490.16 |
| 86800 |
|
204 |
172 |
$448.23 |
| 96372 |
|
78 |
51 |
$440.60 |
| 87635 |
|
19 |
13 |
$435.01 |
| 85045 |
|
708 |
540 |
$404.79 |
| U0002 |
Covid-19 lab test non-cdc |
19 |
18 |
$402.96 |
| 82533 |
|
114 |
93 |
$402.65 |
| 86255 |
|
142 |
102 |
$357.50 |
| 77077 |
|
12 |
12 |
$344.06 |
| 88342 |
|
52 |
42 |
$296.01 |
| 86644 |
|
61 |
36 |
$292.04 |
| 84630 |
|
127 |
107 |
$282.10 |
| 82248 |
|
279 |
199 |
$275.96 |
| 82150 |
|
171 |
103 |
$268.31 |
| G0279 |
Tomosynthesis, mammo |
26 |
26 |
$221.20 |
| 87045 |
|
76 |
72 |
$193.58 |
| 72100 |
|
13 |
12 |
$169.09 |
| 85379 |
|
91 |
66 |
$165.89 |
| 87338 |
|
18 |
12 |
$164.09 |
| 73030 |
|
16 |
12 |
$141.62 |
| 81003 |
|
221 |
171 |
$140.28 |
| C9803 |
Hopd covid-19 spec collect |
18 |
12 |
$130.14 |
| 80177 |
|
57 |
54 |
$121.68 |
| 84154 |
|
20 |
12 |
$116.10 |
| 86665 |
|
13 |
12 |
$112.60 |
| 82952 |
|
150 |
143 |
$95.70 |
| 84681 |
|
19 |
13 |
$87.36 |
| 84703 |
|
51 |
42 |
$87.02 |
| 82040 |
|
63 |
50 |
$79.98 |
| 85007 |
|
112 |
72 |
$67.94 |
| 87177 |
|
52 |
50 |
$63.72 |
| 86677 |
|
15 |
14 |
$59.20 |
| 85651 |
|
35 |
27 |
$52.00 |
| 90471 |
|
76 |
36 |
$48.50 |
| 87102 |
|
17 |
13 |
$36.24 |
| 81025 |
|
17 |
12 |
$35.30 |
| 87046 |
|
76 |
72 |
$31.98 |
| 87206 |
|
40 |
30 |
$30.60 |
| 82390 |
|
15 |
12 |
$30.17 |
| 86709 |
|
13 |
12 |
$19.04 |
| G0476 |
Hpv combo assay ca screen |
159 |
133 |
$7.81 |