| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
17,460 |
15,998 |
$3.17M |
| 99283 |
|
22,284 |
20,933 |
$2.60M |
| 99285 |
|
7,057 |
6,547 |
$2.17M |
| 96374 |
|
10,675 |
9,703 |
$1.03M |
| 74177 |
|
3,178 |
3,032 |
$477K |
| 99282 |
|
5,088 |
4,881 |
$349K |
| G0463 |
Hospital outpt clinic visit |
8,242 |
6,080 |
$341K |
| 96365 |
|
3,751 |
3,130 |
$326K |
| 96361 |
|
10,829 |
9,273 |
$303K |
| 96375 |
|
9,506 |
8,143 |
$301K |
| 87637 |
|
4,003 |
3,932 |
$275K |
| 70450 |
|
3,322 |
3,152 |
$272K |
| 96360 |
|
2,532 |
2,403 |
$241K |
| 59025 |
|
2,806 |
1,577 |
$235K |
| 93306 |
|
1,004 |
987 |
$215K |
| 71046 |
|
5,872 |
5,591 |
$205K |
| 71045 |
|
5,185 |
4,919 |
$200K |
| 97110 |
|
7,185 |
1,849 |
$178K |
| 74176 |
|
1,472 |
1,400 |
$162K |
| 87635 |
|
4,386 |
4,274 |
$106K |
| 93005 |
|
10,202 |
9,388 |
$99K |
| 76830 |
|
1,744 |
1,705 |
$99K |
| 92507 |
|
2,468 |
860 |
$99K |
| 77067 |
|
1,926 |
1,921 |
$92K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,912 |
1,877 |
$67K |
| 76856 |
|
1,177 |
1,167 |
$66K |
| 76816 |
|
1,149 |
1,099 |
$60K |
| 76705 |
|
998 |
968 |
$55K |
| 73630 |
|
2,651 |
2,240 |
$51K |
| 80061 |
|
8,542 |
8,452 |
$46K |
| 72148 |
|
383 |
373 |
$44K |
| 82947 |
|
2,062 |
1,636 |
$42K |
| 71275 |
|
407 |
395 |
$37K |
| 84443 |
|
12,229 |
11,950 |
$36K |
| 80053 |
|
30,440 |
27,456 |
$36K |
| G0378 |
Hospital observation per hr |
635 |
528 |
$35K |
| 85025 |
|
37,512 |
32,951 |
$32K |
| 82306 |
|
4,548 |
4,502 |
$27K |
| 73610 |
|
1,700 |
1,472 |
$27K |
| 76805 |
|
431 |
427 |
$25K |
| 73721 |
|
189 |
184 |
$23K |
| 73030 |
|
1,407 |
1,277 |
$21K |
| 73564 |
|
745 |
663 |
$20K |
| 86900 |
|
1,761 |
1,663 |
$20K |
| 97112 |
|
955 |
357 |
$20K |
| 97140 |
|
1,519 |
532 |
$19K |
| 93971 |
|
341 |
318 |
$18K |
| 77063 |
|
1,400 |
1,400 |
$17K |
| 87491 |
|
2,086 |
2,048 |
$17K |
| 83036 |
|
8,187 |
8,088 |
$17K |
| 87591 |
|
2,078 |
2,038 |
$17K |
| 36415 |
|
25,475 |
22,526 |
$16K |
| 73130 |
|
1,269 |
1,140 |
$15K |
| 97161 |
|
286 |
278 |
$14K |
| 87502 |
|
3,207 |
3,096 |
$12K |
| 73110 |
|
732 |
611 |
$11K |
| 87390 |
|
1,750 |
1,746 |
$11K |
| 96366 |
|
431 |
303 |
$11K |
| 80307 |
|
3,896 |
3,580 |
$11K |
| 72100 |
|
296 |
291 |
$11K |
| 72125 |
|
874 |
841 |
$10K |
| 84439 |
|
5,068 |
4,970 |
$10K |
| 80055 |
|
587 |
586 |
$10K |
| 73502 |
|
412 |
368 |
$9K |
| 87086 |
|
9,388 |
8,759 |
$8K |
| 97530 |
|
406 |
162 |
$8K |
| 96372 |
|
8,054 |
7,339 |
$8K |
| 82607 |
|
2,685 |
2,656 |
$8K |
| 94060 |
|
65 |
63 |
$8K |
| 93017 |
|
238 |
230 |
$8K |
| 73562 |
|
431 |
352 |
$7K |
| U0005 |
Infec agen detec ampli probe |
645 |
640 |
$7K |
| 74018 |
|
392 |
389 |
$7K |
| 82728 |
|
2,111 |
2,071 |
$7K |
| 86702 |
|
1,758 |
1,750 |
$6K |
| 90471 |
|
704 |
686 |
$6K |
| 45380 |
|
14 |
13 |
$6K |
| 71271 |
|
101 |
101 |
$6K |
| 78452 |
|
12 |
12 |
$6K |
| 87636 |
|
326 |
322 |
$6K |
| 87634 |
|
887 |
845 |
$5K |
| 88305 |
|
1,796 |
1,712 |
$5K |
| 84702 |
|
1,856 |
1,366 |
$5K |
| 80048 |
|
5,986 |
5,554 |
$4K |
| 88175 |
|
587 |
587 |
$4K |
| 87070 |
|
2,581 |
2,478 |
$4K |
| 86701 |
|
1,752 |
1,747 |
$4K |
| 86803 |
|
955 |
954 |
$4K |
| 94640 |
|
3,057 |
2,486 |
$4K |
| 83550 |
|
1,564 |
1,534 |
$4K |
| 83540 |
|
2,236 |
2,185 |
$3K |
| 74022 |
|
2,158 |
2,039 |
$3K |
| 87186 |
|
2,702 |
2,598 |
$3K |
| G0480 |
Drug test def 1-7 classes |
2,220 |
1,841 |
$3K |
| 81001 |
|
12,461 |
11,422 |
$3K |
| 74019 |
|
109 |
108 |
$3K |
| 72110 |
|
186 |
180 |
$3K |
| 87077 |
|
2,763 |
2,650 |
$3K |
| J3490 |
Drugs unclassified injection |
13,733 |
6,962 |
$3K |
| 83735 |
|
7,547 |
6,767 |
$3K |
| 71260 |
|
13 |
13 |
$3K |
| 82746 |
|
952 |
942 |
$3K |
| 85027 |
|
2,024 |
1,931 |
$3K |
| 87880 |
|
2,819 |
2,757 |
$3K |
| 87480 |
|
945 |
928 |
$2K |
| 87660 |
|
945 |
928 |
$2K |
| G0103 |
Psa screening |
634 |
634 |
$2K |
| 87624 |
|
319 |
319 |
$2K |
| 87510 |
|
942 |
925 |
$2K |
| 81003 |
|
10,041 |
9,576 |
$2K |
| 76700 |
|
40 |
40 |
$2K |
| 86140 |
|
4,187 |
3,883 |
$2K |
| 76815 |
|
132 |
120 |
$2K |
| 87081 |
|
2,581 |
2,517 |
$2K |
| 76817 |
|
409 |
351 |
$2K |
| 80074 |
|
195 |
195 |
$2K |
| 86850 |
|
1,561 |
1,475 |
$2K |
| 83880 |
|
2,264 |
2,110 |
$2K |
| 76801 |
|
29 |
29 |
$2K |
| 82570 |
|
1,684 |
1,591 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 81025 |
|
7,548 |
7,052 |
$1K |
| 82043 |
|
1,374 |
1,367 |
$1K |
| 85610 |
|
6,315 |
5,491 |
$1K |
| 82950 |
|
730 |
726 |
$1K |
| 76770 |
|
24 |
24 |
$1K |
| 73100 |
|
31 |
26 |
$1K |
| 73560 |
|
47 |
39 |
$1K |
| 76642 |
|
29 |
28 |
$1K |
| 99281 |
|
31 |
30 |
$1K |
| 86038 |
|
393 |
389 |
$999.91 |
| 83690 |
|
6,859 |
6,194 |
$992.07 |
| 85652 |
|
2,370 |
2,239 |
$973.48 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
69 |
68 |
$971.92 |
| 72131 |
|
28 |
24 |
$941.43 |
| G0481 |
Drug test def 8-14 classes |
95 |
91 |
$787.76 |
| 83516 |
|
154 |
137 |
$760.88 |
| 87651 |
|
1,491 |
1,473 |
$729.39 |
| 73140 |
|
29 |
26 |
$727.20 |
| 76536 |
|
13 |
13 |
$715.55 |
| 82248 |
|
328 |
223 |
$689.03 |
| 76775 |
|
13 |
13 |
$668.00 |
| 85730 |
|
3,888 |
3,531 |
$658.53 |
| G0482 |
Drug test def 15-21 classes |
73 |
73 |
$641.34 |
| 80076 |
|
560 |
536 |
$613.39 |
| 84703 |
|
978 |
934 |
$607.63 |
| 86787 |
|
121 |
121 |
$564.04 |
| 84403 |
|
104 |
102 |
$539.08 |
| 72050 |
|
28 |
28 |
$525.72 |
| 83655 |
|
137 |
135 |
$492.82 |
| 72040 |
|
24 |
24 |
$476.52 |
| 94726 |
|
13 |
13 |
$474.36 |
| 86901 |
|
1,885 |
1,768 |
$471.02 |
| 82247 |
|
214 |
129 |
$458.19 |
| 84146 |
|
86 |
84 |
$424.25 |
| 82150 |
|
727 |
698 |
$388.51 |
| 87340 |
|
222 |
222 |
$374.82 |
| 83001 |
|
81 |
81 |
$374.08 |
| C9803 |
Hopd covid-19 spec collect |
41 |
41 |
$362.53 |
| 87205 |
|
619 |
584 |
$335.96 |
| 86780 |
|
77 |
77 |
$320.06 |
| 87147 |
|
356 |
338 |
$304.49 |
| 84550 |
|
573 |
531 |
$300.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,746 |
4,477 |
$300.00 |
| 73590 |
|
12 |
12 |
$290.88 |
| 93296 |
|
12 |
12 |
$247.55 |
| 83020 |
|
69 |
69 |
$243.82 |
| 96367 |
|
13 |
13 |
$225.90 |
| J7030 |
Normal saline solution infus |
6,956 |
6,062 |
$213.20 |
| 85007 |
|
205 |
190 |
$209.17 |
| 84484 |
|
5,964 |
4,060 |
$176.49 |
| 83721 |
|
57 |
57 |
$169.84 |
| 86308 |
|
866 |
835 |
$169.27 |
| 85379 |
|
1,990 |
1,927 |
$165.82 |
| 87522 |
Neg quan hep c or qual rna |
13 |
12 |
$164.71 |
| 85018 |
|
196 |
176 |
$162.34 |
| Q3014 |
Telehealth facility fee |
27 |
26 |
$146.94 |
| 82565 |
|
114 |
92 |
$136.76 |
| 93225 |
|
13 |
13 |
$133.22 |
| 87801 |
|
166 |
159 |
$132.33 |
| 84481 |
|
58 |
58 |
$130.06 |
| Q9969 |
Non-heu tc-99m add-on/dose |
16 |
15 |
$128.34 |
| 84156 |
|
182 |
164 |
$125.49 |
| 82951 |
|
29 |
27 |
$116.37 |
| 85014 |
|
150 |
140 |
$116.26 |
| 86431 |
|
89 |
89 |
$112.40 |
| J2405 |
Ondansetron hcl injection |
10,195 |
8,849 |
$106.87 |
| 84460 |
|
129 |
115 |
$102.94 |
| 87046 |
|
29 |
26 |
$98.80 |
| 86677 |
|
165 |
151 |
$95.84 |
| 87040 |
|
1,372 |
818 |
$86.91 |
| 82550 |
|
211 |
187 |
$82.91 |
| 87804 |
|
66 |
53 |
$81.43 |
| A9270 |
Non-covered item or service |
22,550 |
12,309 |
$81.41 |
| 86364 |
|
15 |
15 |
$80.98 |
| 86592 |
|
41 |
41 |
$77.55 |
| 82077 |
|
1,784 |
1,606 |
$71.56 |
| 87807 |
|
62 |
58 |
$67.10 |
| 83605 |
|
2,265 |
1,903 |
$65.50 |
| 82977 |
|
58 |
56 |
$59.54 |
| 72072 |
|
15 |
14 |
$57.04 |
| 87045 |
|
29 |
26 |
$49.40 |
| J1100 |
Dexamethasone sodium phos |
3,292 |
3,037 |
$46.71 |
| G0008 |
Admin influenza virus vac |
45 |
28 |
$46.33 |
| J0696 |
Ceftriaxone sodium injection |
1,666 |
1,497 |
$40.58 |
| 84450 |
|
42 |
37 |
$40.19 |
| 84480 |
|
15 |
13 |
$36.74 |
| 84520 |
|
35 |
26 |
$33.10 |
| 85651 |
|
14 |
14 |
$29.96 |
| J7040 |
Normal saline solution infus |
966 |
896 |
$27.45 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
161 |
144 |
$26.19 |
| J1885 |
Ketorolac tromethamine inj |
11,042 |
9,876 |
$23.03 |
| 87427 |
|
12 |
12 |
$20.25 |
| 86762 |
|
30 |
30 |
$18.94 |
| 87075 |
|
42 |
42 |
$18.92 |
| 80179 |
|
732 |
701 |
$14.91 |
| 80143 |
|
772 |
733 |
$14.91 |
| 84100 |
|
63 |
56 |
$8.94 |
| 36416 |
|
254 |
210 |
$0.01 |
| J2765 |
Metoclopramide hcl injection |
870 |
802 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,493 |
3,380 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
3,385 |
2,989 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,656 |
1,356 |
$0.00 |
| A9585 |
Gadobutrol injection |
290 |
285 |
$0.00 |
| J2360 |
Orphenadrine injection |
1,265 |
1,210 |
$0.00 |
| J0500 |
Dicyclomine injection |
674 |
628 |
$0.00 |
| J2060 |
Lorazepam injection |
798 |
707 |
$0.00 |
| 96376 |
|
1,905 |
1,473 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,256 |
1,953 |
$0.00 |
| J2001 |
Lidocaine injection |
1,282 |
1,174 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,882 |
1,565 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
214 |
211 |
$0.00 |
| J7050 |
Normal saline solution infus |
568 |
371 |
$0.00 |
| J8540 |
Oral dexamethasone |
108 |
105 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
26 |
26 |
$0.00 |
| J3360 |
Diazepam injection |
40 |
34 |
$0.00 |
| J1630 |
Haloperidol injection |
55 |
50 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
41 |
39 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
26 |
25 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
27 |
27 |
$0.00 |
| J3480 |
Inj potassium chloride |
18 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
2,902 |
2,694 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
41 |
41 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
2,709 |
2,395 |
$0.00 |
| 90715 |
|
661 |
657 |
$0.00 |
| J7120 |
Ringers lactate infusion |
2,828 |
2,447 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,021 |
1,769 |
$0.00 |
| J0780 |
Prochlorperazine injection |
27 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
288 |
279 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
266 |
262 |
$0.00 |
| S5000 |
Prescription drug, generic |
1,464 |
849 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
541 |
533 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
226 |
206 |
$0.00 |
| 94729 |
|
68 |
68 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
48 |
47 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
27 |
25 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
52 |
27 |
$0.00 |
| 82010 |
|
12 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
27 |
25 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
33 |
33 |
$0.00 |
| G1004 |
Cdsm ndsc |
78 |
75 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$0.00 |
| 82800 |
|
23 |
13 |
$0.00 |