| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
16,086 |
12,617 |
$2.89M |
| 99284 |
|
19,447 |
16,446 |
$2.69M |
| 87635 |
|
15,796 |
14,426 |
$2.54M |
| 80053 |
|
32,907 |
27,146 |
$1.52M |
| 74177 |
|
2,875 |
2,573 |
$1.45M |
| 99283 |
|
14,077 |
12,532 |
$1.26M |
| 85025 |
|
33,217 |
25,305 |
$914K |
| 43239 |
|
1,533 |
1,164 |
$905K |
| 87631 |
|
9,488 |
8,616 |
$889K |
| 74176 |
|
2,047 |
1,836 |
$805K |
| 87633 |
|
3,328 |
2,965 |
$802K |
| 70450 |
|
3,658 |
3,246 |
$765K |
| 84484 |
|
13,787 |
6,721 |
$606K |
| 36415 |
|
46,152 |
35,162 |
$511K |
| 96365 |
|
7,716 |
6,478 |
$506K |
| 78452 |
|
898 |
649 |
$467K |
| 93005 |
|
9,825 |
7,882 |
$428K |
| 93306 |
|
1,491 |
1,246 |
$423K |
| 88305 |
|
4,157 |
2,131 |
$368K |
| 81000 |
|
20,113 |
17,315 |
$361K |
| 97110 |
|
5,166 |
1,090 |
$331K |
| 80050 |
|
3,961 |
3,501 |
$317K |
| 71275 |
|
968 |
867 |
$305K |
| 96375 |
|
8,197 |
7,090 |
$296K |
| 83605 |
|
12,905 |
9,962 |
$293K |
| 94760 |
|
8,018 |
6,970 |
$292K |
| 96361 |
|
5,169 |
4,513 |
$264K |
| 71045 |
|
6,873 |
5,727 |
$239K |
| 71046 |
|
4,162 |
3,666 |
$237K |
| 80061 |
|
6,547 |
6,142 |
$235K |
| 83880 |
|
4,836 |
4,059 |
$230K |
| 87040 |
|
6,852 |
3,649 |
$230K |
| 82550 |
|
8,317 |
6,869 |
$220K |
| 82150 |
|
7,455 |
6,450 |
$218K |
| 72125 |
|
742 |
674 |
$217K |
| 83690 |
|
7,940 |
6,815 |
$216K |
| 96374 |
|
4,115 |
3,649 |
$210K |
| 84443 |
|
4,734 |
4,339 |
$205K |
| U0004 |
Cov-19 test non-cdc hgh thru |
531 |
463 |
$202K |
| 97014 |
|
4,397 |
860 |
$186K |
| 87086 |
|
5,450 |
4,771 |
$185K |
| 45380 |
|
292 |
199 |
$184K |
| 80305 |
|
3,979 |
3,381 |
$179K |
| 82553 |
|
6,550 |
5,478 |
$171K |
| 80048 |
|
3,828 |
2,696 |
$168K |
| 87798 |
|
2,754 |
1,356 |
$160K |
| 71250 |
|
766 |
705 |
$155K |
| 87426 |
|
2,420 |
2,164 |
$152K |
| 93017 |
|
771 |
687 |
$141K |
| 82306 |
|
2,517 |
2,354 |
$133K |
| 85610 |
|
8,946 |
7,464 |
$131K |
| 85651 |
|
9,259 |
8,044 |
$128K |
| 85730 |
|
8,552 |
7,183 |
$122K |
| 83036 |
|
5,097 |
4,791 |
$115K |
| 73564 |
|
1,064 |
856 |
$111K |
| 96366 |
|
1,905 |
1,704 |
$110K |
| 87430 |
|
6,044 |
5,282 |
$109K |
| 74021 |
|
1,530 |
1,406 |
$106K |
| 87581 |
|
2,613 |
2,340 |
$102K |
| 87486 |
|
2,611 |
2,338 |
$102K |
| 81025 |
|
2,521 |
2,170 |
$101K |
| 80307 |
|
2,409 |
885 |
$89K |
| 72131 |
|
270 |
244 |
$88K |
| 82803 |
|
2,817 |
2,052 |
$87K |
| 83735 |
|
4,990 |
3,503 |
$85K |
| 82962 |
|
5,350 |
1,558 |
$82K |
| 87880 |
|
2,034 |
1,843 |
$82K |
| 85379 |
|
2,656 |
2,321 |
$82K |
| 82607 |
|
1,739 |
1,624 |
$80K |
| 87081 |
|
2,157 |
1,947 |
$79K |
| T1015 |
Clinic service |
1,034 |
799 |
$77K |
| 76705 |
|
607 |
562 |
$74K |
| U0003 |
Cov-19 amp prb hgh thruput |
733 |
615 |
$73K |
| 84439 |
|
2,348 |
2,134 |
$72K |
| G0378 |
Hospital observation per hr |
610 |
472 |
$71K |
| 99282 |
|
1,931 |
1,692 |
$71K |
| A9500 |
Tc99m sestamibi |
730 |
649 |
$68K |
| M0243 |
Casirivi and imdevi inj |
226 |
191 |
$67K |
| 43450 |
|
233 |
152 |
$64K |
| 0202U |
|
277 |
258 |
$61K |
| 93041 |
|
2,852 |
2,541 |
$48K |
| 74019 |
|
489 |
446 |
$47K |
| 96360 |
|
590 |
510 |
$47K |
| 94640 |
|
2,272 |
1,511 |
$45K |
| 93971 |
|
146 |
136 |
$41K |
| 73630 |
|
915 |
802 |
$40K |
| 99214 |
|
2,048 |
1,622 |
$39K |
| 86140 |
|
1,061 |
868 |
$38K |
| 36600 |
|
2,846 |
2,043 |
$38K |
| U0002 |
Covid-19 lab test non-cdc |
353 |
346 |
$37K |
| 73030 |
|
810 |
653 |
$36K |
| 0097U |
|
193 |
184 |
$36K |
| 71260 |
|
103 |
93 |
$36K |
| 88342 |
|
751 |
592 |
$35K |
| 99213 |
|
1,210 |
1,047 |
$34K |
| 84703 |
|
880 |
779 |
$33K |
| 97161 |
|
586 |
538 |
$29K |
| 87070 |
|
876 |
742 |
$29K |
| G0480 |
Drug test def 1-7 classes |
539 |
370 |
$28K |
| 77067 |
|
319 |
286 |
$27K |
| 73610 |
|
491 |
440 |
$27K |
| 87075 |
|
533 |
455 |
$26K |
| C9803 |
Hopd covid-19 spec collect |
1,622 |
1,364 |
$26K |
| 73130 |
|
628 |
541 |
$26K |
| 97530 |
|
1,048 |
654 |
$26K |
| 92507 |
|
431 |
92 |
$25K |
| 87205 |
|
1,111 |
743 |
$24K |
| G2023 |
Specimen collect covid-19 |
776 |
706 |
$22K |
| 84480 |
|
543 |
491 |
$22K |
| 87804 |
|
763 |
446 |
$22K |
| 87186 |
|
1,166 |
1,014 |
$22K |
| 72100 |
|
219 |
202 |
$21K |
| 96367 |
|
853 |
721 |
$19K |
| 82140 |
|
782 |
623 |
$18K |
| 80074 |
|
581 |
492 |
$18K |
| 72148 |
|
31 |
28 |
$17K |
| 45385 |
|
33 |
26 |
$16K |
| 99203 |
|
642 |
485 |
$16K |
| 84100 |
|
1,238 |
804 |
$16K |
| 82728 |
|
387 |
349 |
$15K |
| 96376 |
|
652 |
569 |
$14K |
| 72110 |
|
192 |
172 |
$14K |
| 99281 |
|
427 |
381 |
$14K |
| 73110 |
|
201 |
182 |
$12K |
| 36000 |
|
1,198 |
1,057 |
$12K |
| 96368 |
|
246 |
197 |
$11K |
| 86677 |
|
159 |
128 |
$11K |
| 87591 |
|
270 |
222 |
$11K |
| J2785 |
Regadenoson injection |
81 |
64 |
$10K |
| 99204 |
|
612 |
539 |
$10K |
| J2550 |
Promethazine hcl injection |
231 |
160 |
$9K |
| 73503 |
|
131 |
122 |
$9K |
| 87491 |
|
225 |
181 |
$9K |
| M0245 |
Bamlan and etesev infusion |
24 |
24 |
$8K |
| 70486 |
|
33 |
30 |
$8K |
| 93225 |
|
31 |
27 |
$8K |
| G0283 |
Elec stim other than wound |
113 |
27 |
$8K |
| 94729 |
|
161 |
145 |
$8K |
| 94727 |
|
160 |
144 |
$8K |
| 86481 |
|
106 |
82 |
$7K |
| 84145 |
|
739 |
648 |
$7K |
| M0239 |
Bamlanivimab-xxxx infusion |
26 |
26 |
$7K |
| 87389 |
|
243 |
190 |
$7K |
| 87632 |
|
192 |
180 |
$6K |
| 96372 |
|
768 |
678 |
$6K |
| 93880 |
|
29 |
26 |
$6K |
| 82043 |
|
167 |
154 |
$5K |
| 87507 |
|
31 |
25 |
$5K |
| 94060 |
|
160 |
144 |
$5K |
| 86780 |
|
131 |
111 |
$5K |
| 93970 |
|
13 |
12 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
79 |
67 |
$4K |
| 83540 |
|
295 |
266 |
$4K |
| 80320 |
|
251 |
206 |
$4K |
| 97035 |
|
149 |
36 |
$4K |
| 84153 |
|
87 |
84 |
$4K |
| 87077 |
|
456 |
367 |
$3K |
| 51702 |
|
66 |
53 |
$3K |
| 82746 |
|
79 |
69 |
$3K |
| 84550 |
|
126 |
122 |
$3K |
| 82272 |
|
61 |
55 |
$3K |
| 86308 |
|
111 |
100 |
$3K |
| 80355 |
|
116 |
88 |
$3K |
| 74022 |
|
59 |
56 |
$3K |
| 85027 |
|
125 |
105 |
$3K |
| 73090 |
|
39 |
39 |
$3K |
| 86592 |
|
41 |
20 |
$2K |
| 90715 |
|
71 |
58 |
$2K |
| 90471 |
|
82 |
72 |
$2K |
| 76536 |
|
13 |
13 |
$2K |
| 73590 |
|
30 |
27 |
$2K |
| 97140 |
|
32 |
12 |
$2K |
| 80359 |
|
116 |
88 |
$2K |
| 80356 |
|
116 |
88 |
$2K |
| 80362 |
|
116 |
88 |
$2K |
| 80354 |
|
116 |
88 |
$2K |
| 84466 |
|
13 |
13 |
$1K |
| 76641 |
|
17 |
13 |
$1K |
| 80324 |
|
124 |
88 |
$1K |
| 72170 |
|
15 |
13 |
$1K |
| 86038 |
|
25 |
24 |
$1K |
| 86430 |
|
17 |
17 |
$1K |
| 12001 |
|
13 |
12 |
$1K |
| 72072 |
|
15 |
14 |
$988.99 |
| 83550 |
|
40 |
36 |
$980.30 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$968.02 |
| 29125 |
|
26 |
25 |
$821.02 |
| 99212 |
|
39 |
39 |
$794.90 |
| 82565 |
|
58 |
50 |
$672.35 |
| 74018 |
|
15 |
12 |
$662.48 |
| 81002 |
|
114 |
107 |
$611.32 |
| 11102 |
|
31 |
27 |
$587.98 |
| 85007 |
|
17 |
12 |
$539.99 |
| 97150 |
|
95 |
24 |
$506.42 |
| 82009 |
|
53 |
46 |
$433.24 |
| G0659 |
Drug test def simple all cl |
135 |
87 |
$349.14 |
| 99225 |
|
15 |
13 |
$290.87 |
| 86769 |
|
13 |
13 |
$278.90 |
| J1100 |
Dexamethasone sodium phos |
98 |
88 |
$183.46 |
| 82570 |
|
15 |
14 |
$160.56 |
| J1885 |
Ketorolac tromethamine inj |
104 |
89 |
$154.91 |
| J0696 |
Ceftriaxone sodium injection |
67 |
51 |
$128.56 |
| G2025 |
Dis site tele svcs rhc/fqhc |
12 |
12 |
$112.00 |
| J2405 |
Ondansetron hcl injection |
57 |
48 |
$58.14 |
| J2001 |
Lidocaine injection |
28 |
25 |
$52.33 |
| J2543 |
Piperacillin/tazobactam |
15 |
12 |
$44.86 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$21.01 |
| J2270 |
Morphine sulfate injection |
21 |
15 |
$13.13 |
| J2919 |
Inj, methylpred sod succ 5mg |
24 |
15 |
$6.17 |
| 90792 |
|
20 |
16 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
46 |
42 |
$0.00 |
| 99309 |
|
48 |
40 |
$0.00 |