| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,305 |
8,590 |
$4.87M |
| 74176 |
|
3,063 |
2,707 |
$2.17M |
| 99283 |
|
16,013 |
14,093 |
$1.80M |
| G0480 |
Drug test def 1-7 classes |
25,797 |
16,211 |
$1.79M |
| 99285 |
|
3,249 |
2,338 |
$1.72M |
| G0378 |
Hospital observation per hr |
3,012 |
1,444 |
$1.36M |
| 80307 |
|
22,274 |
17,689 |
$1.14M |
| 97110 |
|
7,442 |
1,957 |
$789K |
| 80053 |
|
31,123 |
21,633 |
$743K |
| 99291 |
|
1,022 |
694 |
$618K |
| G0463 |
Hospital outpt clinic visit |
31,151 |
23,792 |
$615K |
| 70450 |
|
1,996 |
1,735 |
$605K |
| 99282 |
|
5,233 |
4,752 |
$388K |
| 85025 |
|
29,202 |
23,234 |
$379K |
| 96372 |
|
14,448 |
7,316 |
$361K |
| 93005 |
|
6,038 |
3,869 |
$338K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,079 |
5,565 |
$330K |
| 36415 |
|
59,137 |
27,379 |
$328K |
| 96361 |
|
2,543 |
1,690 |
$311K |
| 87631 |
|
2,964 |
2,749 |
$302K |
| 0241U |
|
5,020 |
4,603 |
$287K |
| 71045 |
|
5,809 |
4,950 |
$278K |
| 96374 |
|
6,132 |
3,135 |
$272K |
| 94640 |
|
2,491 |
1,306 |
$215K |
| 80061 |
|
10,595 |
9,643 |
$205K |
| 84484 |
|
5,656 |
4,408 |
$202K |
| 84443 |
|
12,010 |
10,985 |
$197K |
| 96365 |
|
3,195 |
1,733 |
$194K |
| 82306 |
|
6,888 |
6,156 |
$192K |
| 92507 |
|
2,808 |
1,014 |
$182K |
| 71046 |
|
2,951 |
2,350 |
$177K |
| 87040 |
|
2,578 |
1,885 |
$142K |
| 82607 |
|
6,409 |
5,886 |
$141K |
| 80048 |
|
5,625 |
4,307 |
$119K |
| 87651 |
|
3,890 |
3,634 |
$113K |
| 81001 |
|
12,333 |
10,632 |
$113K |
| 83036 |
|
9,995 |
9,194 |
$107K |
| C9803 |
Hopd covid-19 spec collect |
8,492 |
6,810 |
$103K |
| 83880 |
|
2,389 |
1,871 |
$101K |
| 87086 |
|
4,829 |
4,106 |
$98K |
| 97530 |
|
1,053 |
393 |
$98K |
| 80074 |
|
1,378 |
1,238 |
$98K |
| 87502 |
|
1,604 |
1,369 |
$92K |
| U0005 |
Infec agen detec ampli probe |
5,212 |
4,777 |
$87K |
| 72100 |
|
954 |
829 |
$84K |
| 96375 |
|
3,099 |
2,519 |
$79K |
| 83690 |
|
3,079 |
2,683 |
$61K |
| 81025 |
|
2,035 |
1,807 |
$60K |
| 83735 |
|
6,985 |
6,088 |
$59K |
| 72125 |
|
105 |
93 |
$54K |
| 83605 |
|
1,744 |
1,385 |
$51K |
| M0243 |
Casirivi and imdevi inj |
228 |
205 |
$51K |
| 96366 |
|
756 |
417 |
$49K |
| 82746 |
|
1,973 |
1,785 |
$49K |
| 87880 |
|
3,323 |
2,965 |
$45K |
| 76705 |
|
309 |
269 |
$45K |
| 72131 |
|
101 |
90 |
$45K |
| 87804 |
|
2,733 |
2,263 |
$42K |
| M0245 |
Bamlan and etesev infusion |
164 |
154 |
$41K |
| 87186 |
|
1,803 |
1,582 |
$41K |
| 96376 |
|
1,077 |
575 |
$39K |
| 82728 |
|
1,824 |
1,661 |
$38K |
| 73630 |
|
481 |
432 |
$38K |
| 77067 |
|
704 |
663 |
$38K |
| 87389 |
|
1,042 |
947 |
$37K |
| 82150 |
|
2,374 |
2,100 |
$36K |
| 82553 |
|
1,312 |
1,114 |
$36K |
| 82550 |
|
2,234 |
1,871 |
$34K |
| 83540 |
|
2,916 |
2,693 |
$32K |
| 71250 |
|
90 |
80 |
$31K |
| 82043 |
|
3,121 |
2,863 |
$31K |
| G2023 |
Specimen collect covid-19 |
1,575 |
1,401 |
$30K |
| 87633 |
|
83 |
75 |
$29K |
| 83550 |
|
2,181 |
2,033 |
$29K |
| 73564 |
|
339 |
276 |
$29K |
| U0002 |
Covid-19 lab test non-cdc |
854 |
738 |
$29K |
| 84439 |
|
1,790 |
1,701 |
$28K |
| 73030 |
|
432 |
364 |
$26K |
| 87077 |
|
1,287 |
958 |
$26K |
| 97162 |
|
376 |
345 |
$25K |
| 82652 |
|
815 |
728 |
$25K |
| 73610 |
|
283 |
254 |
$24K |
| J2930 |
Methylprednisolone injection |
2,475 |
1,917 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
249 |
201 |
$23K |
| 93041 |
|
878 |
749 |
$19K |
| 73562 |
|
263 |
222 |
$19K |
| 72148 |
|
31 |
25 |
$19K |
| 0100U |
|
144 |
136 |
$18K |
| 83525 |
|
1,074 |
1,008 |
$18K |
| 97140 |
|
225 |
79 |
$18K |
| 99214 |
|
624 |
543 |
$17K |
| 87522 |
Neg quan hep c or qual rna |
412 |
368 |
$17K |
| 87076 |
|
1,181 |
838 |
$17K |
| 74177 |
|
15 |
14 |
$13K |
| 90471 |
|
775 |
700 |
$13K |
| 85378 |
|
623 |
505 |
$13K |
| 85610 |
|
1,339 |
1,101 |
$12K |
| 84703 |
|
493 |
466 |
$11K |
| 74022 |
|
84 |
72 |
$11K |
| 85730 |
|
647 |
526 |
$10K |
| 82803 |
|
135 |
111 |
$10K |
| 86038 |
|
719 |
661 |
$10K |
| 82570 |
|
1,096 |
1,054 |
$10K |
| G0103 |
Psa screening |
1,202 |
356 |
$10K |
| 86200 |
|
637 |
591 |
$9K |
| 96360 |
|
105 |
62 |
$8K |
| 87070 |
|
336 |
272 |
$8K |
| 87798 |
|
182 |
134 |
$8K |
| 74018 |
|
106 |
102 |
$8K |
| 73130 |
|
104 |
98 |
$8K |
| 84481 |
|
231 |
209 |
$7K |
| 84100 |
|
825 |
784 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
3,225 |
2,679 |
$7K |
| 36600 |
|
183 |
135 |
$6K |
| 85652 |
|
758 |
669 |
$6K |
| 99406 |
|
607 |
551 |
$6K |
| 72040 |
|
70 |
65 |
$5K |
| 0002A |
|
425 |
406 |
$5K |
| 84145 |
|
70 |
60 |
$5K |
| 90686 |
|
249 |
215 |
$5K |
| 0001A |
|
495 |
466 |
$5K |
| 73110 |
|
55 |
51 |
$4K |
| 86140 |
|
259 |
195 |
$4K |
| J2919 |
Inj, methylpred sod succ 5mg |
300 |
241 |
$4K |
| 87491 |
|
131 |
127 |
$4K |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$4K |
| 87581 |
|
83 |
75 |
$4K |
| 87486 |
|
83 |
75 |
$4K |
| 80076 |
|
230 |
200 |
$3K |
| M0247 |
Sotrovimab infusion |
13 |
13 |
$3K |
| 87661 |
|
104 |
100 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,178 |
760 |
$3K |
| 97533 |
|
52 |
24 |
$3K |
| 84550 |
|
302 |
284 |
$2K |
| 84436 |
|
122 |
119 |
$2K |
| 84403 |
|
106 |
92 |
$2K |
| 99281 |
|
57 |
56 |
$2K |
| 87591 |
|
78 |
74 |
$2K |
| 81002 |
|
363 |
279 |
$2K |
| 92523 |
|
13 |
13 |
$2K |
| 73080 |
|
17 |
16 |
$2K |
| 84480 |
|
63 |
63 |
$2K |
| 83615 |
|
81 |
55 |
$2K |
| 86431 |
|
210 |
194 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
71 |
69 |
$1K |
| 84153 |
|
53 |
51 |
$1K |
| J2405 |
Ondansetron hcl injection |
694 |
578 |
$1K |
| 87590 |
|
53 |
53 |
$1K |
| 85384 |
|
55 |
35 |
$1K |
| 86677 |
|
46 |
41 |
$1K |
| 80069 |
|
203 |
115 |
$983.87 |
| 90674 |
|
48 |
43 |
$967.81 |
| 73502 |
|
14 |
12 |
$958.07 |
| 90715 |
|
13 |
13 |
$811.09 |
| 84270 |
|
43 |
39 |
$800.67 |
| J1170 |
Hydromorphone injection |
124 |
91 |
$696.66 |
| 86696 |
|
39 |
35 |
$679.07 |
| 86702 |
|
62 |
60 |
$595.42 |
| 90656 |
|
29 |
26 |
$595.31 |
| J2270 |
Morphine sulfate injection |
198 |
166 |
$563.72 |
| 86756 |
|
24 |
22 |
$528.29 |
| 87634 |
|
19 |
16 |
$432.18 |
| 84146 |
|
25 |
24 |
$427.38 |
| 99213 |
|
24 |
24 |
$426.89 |
| 86701 |
|
62 |
60 |
$412.61 |
| 87807 |
|
33 |
32 |
$407.89 |
| 0012A |
|
54 |
46 |
$400.19 |
| 86695 |
|
39 |
35 |
$378.01 |
| 85379 |
|
34 |
28 |
$368.95 |
| 99212 |
|
18 |
15 |
$308.22 |
| 84402 |
|
15 |
13 |
$302.40 |
| 99497 |
|
15 |
13 |
$295.86 |
| 88175 |
|
13 |
13 |
$285.52 |
| 0011A |
|
45 |
38 |
$269.29 |
| 88142 |
|
12 |
12 |
$252.60 |
| 0003A |
|
23 |
22 |
$252.12 |
| 86803 |
|
19 |
18 |
$228.93 |
| J0780 |
Prochlorperazine injection |
37 |
31 |
$210.96 |
| J3475 |
Inj magnesium sulfate |
15 |
12 |
$171.61 |
| 82140 |
|
57 |
16 |
$157.13 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
13 |
12 |
$138.40 |
| 80143 |
|
15 |
13 |
$125.61 |
| J2920 |
Methylprednisolone injection |
24 |
14 |
$108.35 |
| J3420 |
Vitamin b12 injection |
14 |
12 |
$95.08 |
| 82248 |
|
18 |
13 |
$60.79 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$14.35 |
| A9270 |
Non-covered item or service |
186 |
59 |
$11.62 |
| Q0244 |
Casirivi and imdevi 1200 mg |
225 |
201 |
$0.22 |
| Q0245 |
Bamlanivimab and etesevima |
181 |
172 |
$0.09 |
| Q0247 |
Sotrovimab |
13 |
13 |
$0.03 |
| Q0222 |
Bebtelovimab 175 mg |
12 |
12 |
$0.00 |