| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,481 |
12,428 |
$2.64M |
| 99285 |
|
6,365 |
5,906 |
$2.22M |
| 99283 |
|
11,757 |
10,870 |
$1.44M |
| 97110 |
|
26,888 |
7,828 |
$962K |
| G0463 |
Hospital outpt clinic visit |
11,624 |
10,696 |
$725K |
| 96374 |
|
9,126 |
8,169 |
$641K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,079 |
8,572 |
$408K |
| 97530 |
|
9,091 |
4,787 |
$331K |
| 74177 |
|
2,051 |
1,975 |
$309K |
| 92507 |
|
7,376 |
2,281 |
$302K |
| 43239 |
|
915 |
899 |
$298K |
| 99282 |
|
4,192 |
3,997 |
$289K |
| 93306 |
|
1,169 |
1,164 |
$270K |
| 96365 |
|
2,705 |
2,374 |
$252K |
| 70553 |
|
895 |
886 |
$225K |
| 96361 |
|
5,980 |
5,211 |
$214K |
| 11042 |
|
1,028 |
622 |
$204K |
| 70450 |
|
2,192 |
2,090 |
$190K |
| 80061 |
|
10,413 |
10,357 |
$189K |
| 96375 |
|
6,553 |
5,395 |
$183K |
| 96360 |
|
1,696 |
1,599 |
$164K |
| 97161 |
|
3,005 |
2,967 |
$156K |
| 97140 |
|
10,039 |
3,785 |
$148K |
| 71045 |
|
3,525 |
3,328 |
$144K |
| 93303 |
|
527 |
520 |
$137K |
| 71046 |
|
3,485 |
3,381 |
$129K |
| 80053 |
|
33,494 |
30,741 |
$125K |
| 87491 |
|
6,557 |
6,437 |
$122K |
| 77067 |
|
2,350 |
2,349 |
$114K |
| 84443 |
|
15,086 |
14,716 |
$113K |
| U0005 |
Infec agen detec ampli probe |
7,871 |
7,401 |
$111K |
| 87591 |
|
5,978 |
5,862 |
$110K |
| 87635 |
|
3,908 |
3,745 |
$101K |
| 92523 |
|
780 |
777 |
$88K |
| 97112 |
|
2,140 |
956 |
$78K |
| 36415 |
|
40,250 |
36,655 |
$77K |
| 96413 |
|
403 |
245 |
$72K |
| 72148 |
|
598 |
593 |
$69K |
| 85025 |
|
30,641 |
27,070 |
$68K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,223 |
4,215 |
$65K |
| 78452 |
|
144 |
141 |
$65K |
| 82306 |
|
4,201 |
4,175 |
$64K |
| 86900 |
|
2,386 |
2,290 |
$57K |
| 76705 |
|
945 |
934 |
$54K |
| 87426 |
|
2,753 |
2,651 |
$53K |
| 87624 |
|
2,462 |
2,456 |
$48K |
| 74176 |
|
459 |
449 |
$47K |
| 45385 |
|
88 |
85 |
$44K |
| 87633 |
|
382 |
378 |
$42K |
| 83036 |
|
8,941 |
8,849 |
$42K |
| 72100 |
|
1,130 |
1,123 |
$42K |
| 45380 |
|
80 |
79 |
$38K |
| 99281 |
|
1,041 |
1,005 |
$38K |
| 87389 |
|
3,072 |
3,048 |
$37K |
| 76830 |
|
607 |
595 |
$35K |
| 87480 |
|
3,225 |
3,125 |
$29K |
| 87510 |
|
3,223 |
3,123 |
$29K |
| 87660 |
|
3,225 |
3,125 |
$29K |
| 97535 |
|
1,135 |
595 |
$27K |
| 80307 |
|
4,331 |
3,771 |
$26K |
| 97014 |
|
3,303 |
1,140 |
$26K |
| 85027 |
|
12,226 |
11,533 |
$25K |
| 86803 |
|
3,339 |
3,302 |
$24K |
| 88305 |
|
4,174 |
3,625 |
$24K |
| 93005 |
|
10,590 |
9,610 |
$23K |
| 84439 |
|
5,485 |
5,363 |
$23K |
| 82728 |
|
3,270 |
3,235 |
$22K |
| 77063 |
|
1,746 |
1,745 |
$22K |
| 82607 |
|
2,753 |
2,739 |
$21K |
| 87804 |
|
5,378 |
2,746 |
$21K |
| 62323 |
|
61 |
61 |
$20K |
| 73721 |
|
155 |
155 |
$20K |
| 96367 |
|
273 |
185 |
$18K |
| 87086 |
|
5,970 |
5,609 |
$18K |
| 87088 |
|
5,825 |
5,475 |
$18K |
| 87522 |
Neg quan hep c or qual rna |
756 |
739 |
$18K |
| C9803 |
Hopd covid-19 spec collect |
5,013 |
4,806 |
$17K |
| 80048 |
|
10,854 |
9,668 |
$17K |
| 87636 |
|
204 |
201 |
$16K |
| 87077 |
|
3,942 |
3,612 |
$16K |
| 71275 |
|
170 |
165 |
$14K |
| 82746 |
|
1,925 |
1,912 |
$14K |
| 84481 |
|
1,766 |
1,705 |
$14K |
| G0480 |
Drug test def 1-7 classes |
3,866 |
3,362 |
$14K |
| 64483 |
|
25 |
24 |
$13K |
| 76805 |
|
189 |
189 |
$11K |
| 76536 |
|
205 |
205 |
$11K |
| 97162 |
|
213 |
211 |
$11K |
| 81513 |
|
163 |
159 |
$11K |
| 87340 |
|
2,188 |
2,172 |
$11K |
| 81001 |
|
14,861 |
13,700 |
$11K |
| 87186 |
|
2,937 |
2,770 |
$11K |
| 87653 |
|
584 |
576 |
$10K |
| 73562 |
|
520 |
515 |
$10K |
| 83970 |
|
491 |
489 |
$10K |
| G0108 |
Diab manage trn per indiv |
194 |
176 |
$10K |
| 97165 |
|
195 |
195 |
$10K |
| 86706 |
|
1,697 |
1,680 |
$9K |
| 86704 |
|
1,445 |
1,432 |
$9K |
| 88342 |
|
483 |
457 |
$9K |
| 78815 |
|
12 |
12 |
$8K |
| 73630 |
|
771 |
757 |
$8K |
| 80081 |
|
200 |
198 |
$8K |
| 93225 |
|
234 |
233 |
$8K |
| 72040 |
|
162 |
161 |
$8K |
| 84403 |
|
590 |
577 |
$8K |
| 64493 |
|
18 |
15 |
$8K |
| 97166 |
|
143 |
141 |
$8K |
| M0243 |
Casirivi and imdevi inj |
30 |
30 |
$8K |
| 87081 |
|
2,799 |
2,753 |
$7K |
| 83735 |
|
8,280 |
7,230 |
$7K |
| 82570 |
|
2,653 |
2,595 |
$7K |
| 87070 |
|
1,963 |
1,860 |
$7K |
| 76642 |
|
184 |
184 |
$6K |
| 86708 |
|
950 |
942 |
$6K |
| 82043 |
|
2,009 |
1,996 |
$6K |
| 86140 |
|
3,409 |
3,288 |
$6K |
| 86038 |
|
1,027 |
1,005 |
$6K |
| 74018 |
|
307 |
291 |
$6K |
| 86850 |
|
2,329 |
2,251 |
$5K |
| 87798 |
|
513 |
499 |
$5K |
| G0378 |
Hospital observation per hr |
569 |
551 |
$5K |
| 93017 |
|
263 |
260 |
$5K |
| 85610 |
|
5,308 |
4,603 |
$5K |
| 84466 |
|
758 |
745 |
$5K |
| 73130 |
|
526 |
512 |
$5K |
| 72141 |
|
41 |
41 |
$5K |
| 83540 |
|
1,408 |
1,377 |
$5K |
| 80076 |
|
3,232 |
3,034 |
$4K |
| 96366 |
|
121 |
103 |
$4K |
| 72125 |
|
325 |
315 |
$4K |
| 73030 |
|
317 |
297 |
$4K |
| 73610 |
|
419 |
411 |
$4K |
| 96372 |
|
3,767 |
3,323 |
$4K |
| 83880 |
|
628 |
601 |
$4K |
| 84702 |
|
797 |
621 |
$4K |
| 87880 |
|
1,311 |
1,290 |
$4K |
| 82784 |
|
710 |
514 |
$4K |
| 87641 |
|
657 |
647 |
$4K |
| 76816 |
|
202 |
189 |
$4K |
| 84480 |
|
473 |
461 |
$3K |
| 87640 |
|
657 |
647 |
$3K |
| 97035 |
|
589 |
207 |
$3K |
| 87807 |
|
1,236 |
1,212 |
$3K |
| 85652 |
|
2,826 |
2,715 |
$3K |
| 81025 |
|
6,628 |
6,241 |
$3K |
| 83690 |
|
5,210 |
4,717 |
$3K |
| 83516 |
|
416 |
282 |
$3K |
| 87902 |
|
31 |
30 |
$3K |
| 87661 |
|
162 |
158 |
$3K |
| 87481 |
|
161 |
157 |
$3K |
| 73110 |
|
182 |
175 |
$3K |
| 86593 |
|
1,031 |
1,023 |
$3K |
| 73502 |
|
126 |
125 |
$2K |
| Q3014 |
Telehealth facility fee |
173 |
169 |
$2K |
| 87205 |
|
1,452 |
1,357 |
$2K |
| 86376 |
|
277 |
271 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
70 |
70 |
$2K |
| 97163 |
|
41 |
41 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| 93307 |
|
14 |
14 |
$2K |
| 71271 |
|
27 |
27 |
$2K |
| 93971 |
|
27 |
26 |
$2K |
| 82565 |
|
1,062 |
1,039 |
$2K |
| 76811 |
|
13 |
13 |
$2K |
| 87498 |
|
84 |
84 |
$2K |
| 76775 |
|
53 |
53 |
$2K |
| 0002A |
|
59 |
57 |
$1K |
| 83525 |
|
214 |
213 |
$1K |
| 85730 |
|
1,787 |
1,700 |
$1K |
| 86431 |
|
463 |
461 |
$1K |
| 71260 |
|
13 |
13 |
$1K |
| 93296 |
|
83 |
83 |
$1K |
| 84484 |
|
4,772 |
3,689 |
$1K |
| G0103 |
Psa screening |
86 |
86 |
$942.32 |
| 97116 |
|
121 |
87 |
$938.73 |
| 82550 |
|
438 |
411 |
$871.10 |
| 74019 |
|
102 |
100 |
$869.02 |
| 84146 |
|
93 |
90 |
$840.38 |
| 86800 |
|
95 |
95 |
$760.88 |
| 84703 |
|
2,304 |
2,217 |
$759.38 |
| 87046 |
|
168 |
82 |
$746.02 |
| G0123 |
Screen cerv/vag thin layer |
64 |
64 |
$743.02 |
| U0001 |
2019-ncov diagnostic p |
43 |
43 |
$725.60 |
| 85379 |
|
1,494 |
1,454 |
$694.11 |
| 87493 |
|
50 |
50 |
$623.16 |
| 87427 |
|
136 |
67 |
$603.88 |
| 86592 |
|
239 |
236 |
$595.16 |
| 0001A |
|
39 |
37 |
$586.06 |
| 86787 |
|
94 |
87 |
$565.31 |
| 0012A |
|
23 |
21 |
$507.87 |
| 82962 |
|
4,577 |
3,344 |
$491.85 |
| 82670 |
|
36 |
36 |
$491.54 |
| 71250 |
|
13 |
13 |
$458.40 |
| 86200 |
|
75 |
75 |
$410.13 |
| 76817 |
|
15 |
13 |
$407.82 |
| 82950 |
|
147 |
147 |
$400.74 |
| 90471 |
|
26 |
26 |
$387.12 |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$379.08 |
| 87045 |
|
84 |
82 |
$373.01 |
| 86141 |
|
65 |
63 |
$361.92 |
| 85007 |
|
421 |
384 |
$357.76 |
| 83001 |
|
38 |
38 |
$354.89 |
| 83605 |
|
1,591 |
1,365 |
$338.36 |
| 0011A |
|
19 |
19 |
$303.05 |
| 84156 |
|
176 |
161 |
$282.40 |
| 87040 |
|
995 |
584 |
$281.26 |
| 85651 |
|
172 |
168 |
$273.78 |
| 83655 |
|
40 |
40 |
$273.38 |
| J2250 |
Inj midazolam hydrochloride |
5,831 |
4,861 |
$266.33 |
| 88304 |
|
96 |
92 |
$259.73 |
| 84550 |
|
156 |
147 |
$247.50 |
| 84153 |
|
25 |
25 |
$232.03 |
| 87185 |
|
110 |
109 |
$225.07 |
| 83615 |
|
196 |
184 |
$222.41 |
| 94640 |
|
565 |
532 |
$211.82 |
| 86618 |
|
24 |
24 |
$210.90 |
| 82150 |
|
69 |
64 |
$208.30 |
| 97033 |
|
21 |
12 |
$167.85 |
| 94690 |
|
12 |
12 |
$162.80 |
| 82310 |
|
66 |
66 |
$135.41 |
| 87015 |
|
151 |
130 |
$126.93 |
| 82274 |
|
13 |
12 |
$120.00 |
| 86780 |
|
12 |
12 |
$94.56 |
| 82947 |
|
38 |
38 |
$94.22 |
| 82105 |
|
12 |
12 |
$92.84 |
| 87177 |
|
14 |
13 |
$61.49 |
| J1100 |
Dexamethasone sodium phos |
1,459 |
1,109 |
$55.44 |
| 82390 |
|
12 |
12 |
$54.00 |
| 80069 |
|
12 |
12 |
$53.79 |
| 86225 |
|
12 |
12 |
$42.82 |
| 82040 |
|
14 |
14 |
$37.32 |
| 93325 |
|
1,176 |
1,160 |
$35.63 |
| 86901 |
|
2,387 |
2,290 |
$30.28 |
| 86308 |
|
12 |
12 |
$29.25 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,124 |
4,822 |
$16.87 |
| 84100 |
|
14 |
12 |
$14.27 |
| 82077 |
|
122 |
108 |
$9.45 |
| J1200 |
Diphenhydramine hcl injectio |
2,149 |
1,788 |
$5.49 |
| J1885 |
Ketorolac tromethamine inj |
1,383 |
1,200 |
$2.14 |
| J7040 |
Normal saline solution infus |
717 |
595 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
697 |
687 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
9,044 |
7,414 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,220 |
1,466 |
$0.00 |
| 93226 |
|
184 |
183 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
175 |
145 |
$0.00 |
| J7120 |
Ringers lactate infusion |
7,112 |
6,327 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
70 |
51 |
$0.00 |
| J3250 |
Trimethobenzamide hcl inj |
60 |
54 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
295 |
220 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
12 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
189 |
186 |
$0.00 |
| J0780 |
Prochlorperazine injection |
31 |
29 |
$0.00 |
| J2930 |
Methylprednisolone injection |
14 |
13 |
$0.00 |
| 76000 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
18 |
13 |
$0.00 |
| 80179 |
|
13 |
12 |
$0.00 |
| 80143 |
|
13 |
12 |
$0.00 |
| A9552 |
F18 fdg |
13 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
14 |
12 |
$0.00 |
| J7030 |
Normal saline solution infus |
21 |
19 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,779 |
1,735 |
$0.00 |
| J2060 |
Lorazepam injection |
1,564 |
1,165 |
$0.00 |
| J1170 |
Hydromorphone injection |
7,898 |
3,816 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,537 |
2,302 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
288 |
246 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
7,265 |
6,630 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
714 |
686 |
$0.00 |
| 96376 |
|
2,327 |
1,983 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,541 |
1,079 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
6,763 |
5,630 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
845 |
797 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
454 |
407 |
$0.00 |
| C1769 |
Guide wire |
413 |
315 |
$0.00 |
| 93320 |
|
649 |
641 |
$0.00 |
| A9500 |
Tc99m sestamibi |
187 |
184 |
$0.00 |
| A9270 |
Non-covered item or service |
943 |
790 |
$0.00 |
| 80050 |
|
16 |
14 |
$0.00 |
| 94761 |
|
85 |
77 |
$0.00 |
| J1790 |
Droperidol injection |
26 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
32 |
28 |
$0.00 |
| J1630 |
Haloperidol injection |
29 |
26 |
$0.00 |
| 83520 |
|
76 |
53 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
199 |
189 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 83883 |
|
13 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
28 |
27 |
$0.00 |
| J3490 |
Drugs unclassified injection |
29 |
28 |
$0.00 |
| 12001 |
|
15 |
13 |
$0.00 |