| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
3,809 |
3,232 |
$3.35M |
| 93306 |
|
3,575 |
3,073 |
$2.35M |
| 74176 |
|
2,094 |
1,801 |
$1.74M |
| 99283 |
|
12,433 |
10,791 |
$1.66M |
| 99212 |
|
28,582 |
25,669 |
$1.46M |
| 99284 |
|
7,682 |
6,354 |
$1.38M |
| 99285 |
|
6,143 |
4,309 |
$1.37M |
| 70450 |
|
3,650 |
2,866 |
$1.04M |
| 87632 |
|
5,159 |
4,764 |
$927K |
| 96365 |
|
11,027 |
6,729 |
$924K |
| 97110 |
|
16,452 |
4,516 |
$907K |
| U0003 |
Cov-19 amp prb hgh thruput |
14,049 |
12,025 |
$846K |
| 78452 |
|
1,011 |
852 |
$754K |
| 99282 |
|
6,960 |
6,210 |
$683K |
| 87633 |
|
1,634 |
1,453 |
$600K |
| G0378 |
Hospital observation per hr |
4,828 |
1,786 |
$580K |
| 93005 |
|
8,884 |
7,482 |
$498K |
| 99211 |
|
9,974 |
8,864 |
$487K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,393 |
6,244 |
$458K |
| 97140 |
|
9,750 |
2,590 |
$437K |
| 93458 |
|
292 |
184 |
$412K |
| 80053 |
|
34,105 |
24,605 |
$397K |
| 93017 |
|
1,272 |
1,212 |
$369K |
| 96375 |
|
8,136 |
6,974 |
$353K |
| 72125 |
|
1,026 |
917 |
$343K |
| 71046 |
|
9,084 |
7,594 |
$335K |
| 97014 |
|
9,381 |
2,869 |
$305K |
| 99213 |
|
3,677 |
3,425 |
$286K |
| 76830 |
|
1,243 |
1,175 |
$285K |
| 85025 |
|
37,708 |
30,186 |
$278K |
| 87798 |
|
5,203 |
4,835 |
$273K |
| 96374 |
|
8,104 |
6,676 |
$238K |
| 96372 |
|
7,115 |
5,697 |
$232K |
| 97163 |
|
3,249 |
2,604 |
$228K |
| 59025 |
|
1,158 |
785 |
$222K |
| 87880 |
|
13,980 |
12,854 |
$212K |
| U0005 |
Infec agen detec ampli probe |
10,250 |
8,977 |
$199K |
| 71275 |
|
1,130 |
987 |
$191K |
| 87636 |
|
1,799 |
1,628 |
$185K |
| 76705 |
|
1,145 |
1,062 |
$175K |
| 87581 |
|
5,624 |
5,060 |
$171K |
| 71045 |
|
5,758 |
4,045 |
$165K |
| 73630 |
|
4,276 |
3,151 |
$163K |
| 36415 |
|
41,973 |
21,941 |
$163K |
| 97530 |
|
3,879 |
1,253 |
$162K |
| 84443 |
|
10,389 |
9,770 |
$150K |
| 72148 |
|
777 |
605 |
$141K |
| 84484 |
|
9,982 |
5,849 |
$137K |
| 80305 |
|
11,576 |
9,051 |
$136K |
| 71250 |
|
503 |
430 |
$133K |
| 87635 |
|
2,796 |
2,545 |
$125K |
| 99281 |
|
2,310 |
2,093 |
$121K |
| 73610 |
|
3,135 |
2,386 |
$119K |
| 77067 |
|
1,665 |
1,612 |
$119K |
| 92507 |
|
2,381 |
593 |
$112K |
| 80061 |
|
8,602 |
8,024 |
$111K |
| 80048 |
|
10,624 |
7,930 |
$108K |
| 94060 |
|
683 |
576 |
$106K |
| C1725 |
Cath, translumin non-laser |
677 |
508 |
$97K |
| 97010 |
|
8,559 |
2,589 |
$95K |
| 87507 |
|
301 |
269 |
$91K |
| 73130 |
|
2,290 |
1,896 |
$90K |
| G0463 |
Hospital outpt clinic visit |
3,131 |
1,999 |
$88K |
| 87804 |
|
6,575 |
5,938 |
$87K |
| 73502 |
|
1,435 |
1,043 |
$85K |
| 73562 |
|
2,363 |
1,845 |
$85K |
| 82306 |
|
3,549 |
3,385 |
$76K |
| 73110 |
|
2,007 |
1,537 |
$76K |
| 99152 |
|
643 |
582 |
$74K |
| G0480 |
Drug test def 1-7 classes |
1,260 |
918 |
$74K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,074 |
992 |
$74K |
| 73030 |
|
2,016 |
1,607 |
$71K |
| 87086 |
|
9,670 |
7,623 |
$70K |
| 96360 |
|
1,152 |
746 |
$70K |
| 82652 |
|
1,894 |
1,831 |
$69K |
| 96361 |
|
2,898 |
2,093 |
$67K |
| 99291 |
|
259 |
169 |
$65K |
| C9803 |
Hopd covid-19 spec collect |
11,055 |
9,170 |
$62K |
| 87430 |
|
3,799 |
3,469 |
$60K |
| 76816 |
|
295 |
267 |
$60K |
| 76811 |
|
313 |
295 |
$59K |
| 97035 |
|
2,009 |
781 |
$58K |
| C1769 |
Guide wire |
587 |
525 |
$57K |
| 76536 |
|
392 |
352 |
$53K |
| 83690 |
|
6,160 |
5,341 |
$50K |
| 97164 |
|
2,213 |
1,333 |
$47K |
| 96366 |
|
957 |
724 |
$47K |
| 87040 |
|
2,706 |
2,210 |
$47K |
| 81025 |
|
5,182 |
4,613 |
$46K |
| 76641 |
|
452 |
347 |
$44K |
| 77063 |
|
1,449 |
1,261 |
$42K |
| 83880 |
|
1,474 |
1,291 |
$42K |
| 83036 |
|
5,119 |
4,851 |
$41K |
| 86328 |
|
1,313 |
1,104 |
$41K |
| 87486 |
|
1,149 |
1,080 |
$40K |
| 81001 |
|
13,244 |
11,376 |
$38K |
| 84702 |
|
2,741 |
1,982 |
$37K |
| J2785 |
Regadenoson injection |
402 |
386 |
$37K |
| A9502 |
Tc99m tetrofosmin |
836 |
798 |
$36K |
| 82607 |
|
2,747 |
2,253 |
$36K |
| J0131 |
Inj, acetaminophen (nos) |
918 |
824 |
$35K |
| 83605 |
|
3,155 |
2,725 |
$35K |
| 87491 |
|
1,073 |
1,016 |
$35K |
| 96367 |
|
1,091 |
860 |
$34K |
| 87591 |
|
1,074 |
1,022 |
$33K |
| 87186 |
|
3,896 |
3,504 |
$33K |
| 84145 |
|
1,556 |
1,403 |
$33K |
| 80050 |
|
814 |
689 |
$31K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
525 |
456 |
$31K |
| 93225 |
|
115 |
102 |
$29K |
| 93880 |
|
114 |
110 |
$27K |
| 94640 |
|
1,102 |
615 |
$27K |
| 82150 |
|
2,977 |
2,644 |
$27K |
| 76010 |
|
325 |
299 |
$27K |
| 84439 |
|
3,237 |
3,089 |
$27K |
| 87070 |
|
3,800 |
2,952 |
$26K |
| 76376 |
|
1,190 |
1,047 |
$26K |
| 80074 |
|
589 |
550 |
$25K |
| J2405 |
Ondansetron hcl injection |
9,177 |
6,944 |
$25K |
| 86140 |
|
4,802 |
4,177 |
$24K |
| 76819 |
|
119 |
93 |
$24K |
| 73721 |
|
135 |
99 |
$24K |
| 84436 |
|
3,728 |
3,498 |
$22K |
| 76817 |
|
125 |
104 |
$22K |
| 70486 |
|
53 |
50 |
$22K |
| 86703 |
|
1,628 |
1,540 |
$21K |
| 97033 |
|
534 |
205 |
$21K |
| 93971 |
|
123 |
116 |
$20K |
| 43239 |
|
47 |
38 |
$20K |
| 75574 |
|
79 |
67 |
$20K |
| 84703 |
|
2,686 |
2,461 |
$20K |
| 85651 |
|
4,760 |
4,211 |
$20K |
| 87088 |
|
2,423 |
2,207 |
$20K |
| 62323 |
|
53 |
50 |
$20K |
| 83735 |
|
3,157 |
2,538 |
$19K |
| 80307 |
|
431 |
341 |
$19K |
| 87276 |
|
1,369 |
1,276 |
$19K |
| 72110 |
|
105 |
91 |
$18K |
| 80076 |
|
2,088 |
1,888 |
$18K |
| 72170 |
|
334 |
303 |
$18K |
| A9576 |
Inj prohance multipack |
268 |
235 |
$18K |
| 87275 |
|
1,466 |
1,307 |
$17K |
| 73564 |
|
272 |
194 |
$16K |
| 12001 |
|
188 |
173 |
$16K |
| 93270 |
|
222 |
219 |
$16K |
| 72131 |
|
41 |
38 |
$16K |
| 87380 |
|
959 |
916 |
$15K |
| 73590 |
|
406 |
341 |
$15K |
| 87077 |
|
1,538 |
1,372 |
$15K |
| J0561 |
Penicillin g benzathine inj |
117 |
103 |
$14K |
| 85610 |
|
3,299 |
2,422 |
$14K |
| 73090 |
|
368 |
315 |
$14K |
| 99201 |
|
586 |
560 |
$13K |
| 82803 |
|
609 |
511 |
$13K |
| 82962 |
|
3,218 |
1,925 |
$12K |
| J7120 |
Ringers lactate infusion |
1,056 |
700 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
1,052 |
511 |
$12K |
| 86850 |
|
1,350 |
1,202 |
$12K |
| 99202 |
|
428 |
415 |
$11K |
| 97112 |
|
279 |
104 |
$11K |
| 45385 |
|
13 |
12 |
$11K |
| J1040 |
Methylprednisolone 80 mg inj |
956 |
885 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
3,301 |
794 |
$11K |
| 90471 |
|
326 |
297 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
534 |
183 |
$10K |
| 94729 |
|
271 |
261 |
$10K |
| 87340 |
|
1,088 |
1,026 |
$10K |
| 82728 |
|
826 |
774 |
$10K |
| 70551 |
|
43 |
43 |
$10K |
| 85378 |
|
1,214 |
1,083 |
$10K |
| 74018 |
|
153 |
133 |
$9K |
| 73080 |
|
209 |
180 |
$9K |
| 29125 |
|
150 |
127 |
$8K |
| 96376 |
|
318 |
279 |
$8K |
| 86762 |
|
637 |
603 |
$8K |
| 87205 |
|
1,875 |
1,621 |
$8K |
| 72128 |
|
27 |
26 |
$8K |
| 74174 |
|
29 |
24 |
$8K |
| 90715 |
|
219 |
209 |
$7K |
| 76801 |
|
100 |
94 |
$7K |
| 95886 |
|
68 |
58 |
$7K |
| 87389 |
|
356 |
331 |
$7K |
| 86235 |
|
105 |
52 |
$6K |
| 84144 |
|
334 |
303 |
$6K |
| 76805 |
|
43 |
41 |
$6K |
| 70498 |
|
32 |
28 |
$6K |
| 94726 |
|
47 |
43 |
$6K |
| G0482 |
Drug test def 15-21 classes |
46 |
43 |
$6K |
| G0399 |
Home sleep test/type 3 porta |
55 |
54 |
$6K |
| 71271 |
|
133 |
120 |
$6K |
| 70496 |
|
30 |
26 |
$6K |
| G0381 |
Lev 2 hosp type b ed visit |
100 |
99 |
$5K |
| 82746 |
|
459 |
429 |
$5K |
| 93923 |
|
41 |
39 |
$5K |
| 95806 |
|
42 |
40 |
$5K |
| 85007 |
|
4,184 |
3,420 |
$5K |
| 94618 |
|
73 |
68 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
118 |
105 |
$5K |
| G0103 |
Psa screening |
437 |
347 |
$5K |
| 70553 |
|
12 |
12 |
$5K |
| 82553 |
|
459 |
392 |
$5K |
| 83550 |
|
661 |
632 |
$5K |
| 82951 |
|
369 |
302 |
$4K |
| 85018 |
|
666 |
573 |
$4K |
| 86803 |
|
328 |
311 |
$4K |
| 83540 |
|
742 |
702 |
$4K |
| 76770 |
|
42 |
26 |
$4K |
| 86592 |
|
807 |
764 |
$4K |
| 82043 |
|
761 |
691 |
$4K |
| 81003 |
|
2,318 |
2,134 |
$4K |
| 82550 |
|
587 |
503 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
698 |
586 |
$3K |
| 87902 |
|
14 |
12 |
$3K |
| 84479 |
|
573 |
544 |
$3K |
| 72100 |
|
44 |
33 |
$3K |
| 97165 |
|
63 |
49 |
$3K |
| 85730 |
|
500 |
441 |
$3K |
| 86403 |
|
276 |
267 |
$3K |
| 82570 |
|
772 |
726 |
$3K |
| 86003 |
|
14 |
13 |
$3K |
| 29515 |
|
55 |
52 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
155 |
134 |
$2K |
| 87265 |
|
226 |
221 |
$2K |
| J7030 |
Normal saline solution infus |
140 |
84 |
$2K |
| 93226 |
|
13 |
13 |
$2K |
| J2270 |
Morphine sulfate injection |
291 |
155 |
$2K |
| 80361 |
|
69 |
66 |
$2K |
| 72072 |
|
18 |
12 |
$2K |
| 73560 |
|
34 |
32 |
$2K |
| 86593 |
|
402 |
391 |
$2K |
| 71101 |
|
19 |
13 |
$1K |
| 85014 |
|
687 |
578 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
102 |
101 |
$1K |
| 85027 |
|
221 |
195 |
$1K |
| 84403 |
|
55 |
52 |
$1K |
| 97166 |
|
16 |
15 |
$1K |
| J1100 |
Dexamethasone sodium phos |
268 |
253 |
$1K |
| 73600 |
|
36 |
26 |
$1K |
| 82565 |
|
151 |
119 |
$995.58 |
| 85049 |
|
289 |
271 |
$995.07 |
| J2919 |
Inj, methylpred sod succ 5mg |
182 |
86 |
$970.46 |
| 76820 |
|
15 |
12 |
$907.36 |
| 29505 |
|
15 |
14 |
$846.69 |
| J3010 |
Fentanyl citrate injection |
265 |
198 |
$834.27 |
| 80365 |
|
34 |
33 |
$825.08 |
| 77065 |
Tomosynthesis, mammo |
19 |
16 |
$795.99 |
| 94727 |
|
13 |
12 |
$786.65 |
| 93041 |
|
117 |
95 |
$771.80 |
| J3475 |
Inj magnesium sulfate |
60 |
52 |
$718.12 |
| J2704 |
Inj, propofol, 10 mg |
25 |
25 |
$695.39 |
| 84550 |
|
152 |
125 |
$671.45 |
| 99203 |
|
14 |
14 |
$645.60 |
| 73100 |
|
17 |
15 |
$634.30 |
| 85048 |
|
280 |
266 |
$598.94 |
| 73060 |
|
12 |
12 |
$550.24 |
| 80346 |
|
45 |
45 |
$549.70 |
| 86225 |
|
44 |
41 |
$483.63 |
| 83001 |
|
25 |
25 |
$466.27 |
| J1170 |
Hydromorphone injection |
40 |
24 |
$450.64 |
| 84520 |
|
82 |
77 |
$421.87 |
| 86790 |
|
35 |
32 |
$357.49 |
| 86695 |
|
35 |
32 |
$352.89 |
| 84100 |
|
87 |
66 |
$341.30 |
| J1200 |
Diphenhydramine hcl injectio |
113 |
105 |
$255.11 |
| 90686 |
|
13 |
13 |
$243.37 |
| 86706 |
|
18 |
14 |
$216.94 |
| J1956 |
Levofloxacin injection |
18 |
14 |
$215.27 |
| J2550 |
Promethazine hcl injection |
102 |
27 |
$189.79 |
| 86431 |
|
41 |
36 |
$186.49 |
| S0077 |
Injection, clindamycin phosp |
37 |
27 |
$137.19 |
| 86038 |
|
13 |
12 |
$129.35 |
| 84155 |
|
60 |
55 |
$123.10 |
| 86704 |
|
25 |
12 |
$115.77 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
12 |
$112.09 |
| J0690 |
Cefazolin sodium injection |
37 |
27 |
$103.76 |
| J7613 |
Albuterol non-comp unit |
24 |
24 |
$88.05 |
| 86708 |
|
17 |
13 |
$86.73 |
| 87210 |
|
14 |
12 |
$64.02 |
| J2060 |
Lorazepam injection |
33 |
12 |
$32.08 |
| Q0162 |
Ondansetron oral |
95 |
93 |
$27.51 |
| 75571 |
|
14 |
14 |
$0.00 |
| 93010 |
|
22 |
12 |
$0.00 |