| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
23,811 |
20,833 |
$5.64M |
| 99285 |
|
5,308 |
4,190 |
$2.01M |
| 99283 |
|
23,357 |
20,682 |
$1.86M |
| G0378 |
Hospital observation per hr |
3,238 |
1,822 |
$1.10M |
| 74176 |
|
3,009 |
2,726 |
$1.02M |
| 74177 |
|
2,100 |
1,854 |
$972K |
| 97110 |
|
14,048 |
3,118 |
$792K |
| 80053 |
|
43,626 |
32,185 |
$647K |
| 70450 |
|
3,875 |
3,385 |
$489K |
| 93306 |
|
1,985 |
1,758 |
$483K |
| 85025 |
|
43,141 |
34,653 |
$436K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,618 |
6,756 |
$380K |
| 80307 |
|
7,887 |
6,976 |
$332K |
| 96365 |
|
7,488 |
5,621 |
$332K |
| 36415 |
|
54,570 |
32,316 |
$310K |
| 71045 |
|
12,268 |
10,414 |
$283K |
| 96372 |
|
16,230 |
11,882 |
$278K |
| 96361 |
|
6,158 |
4,539 |
$276K |
| 93005 |
|
11,964 |
8,196 |
$256K |
| 92507 |
|
5,537 |
1,461 |
$253K |
| 78452 |
|
849 |
694 |
$246K |
| 84484 |
|
10,388 |
7,193 |
$242K |
| 87651 |
|
8,493 |
7,828 |
$238K |
| 96374 |
|
10,032 |
7,425 |
$237K |
| 72125 |
|
952 |
854 |
$232K |
| 72131 |
|
1,047 |
945 |
$220K |
| 84443 |
|
11,018 |
10,369 |
$216K |
| 99291 |
|
494 |
436 |
$203K |
| 80061 |
|
9,165 |
8,430 |
$196K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,713 |
2,334 |
$193K |
| 0241U |
|
4,118 |
3,766 |
$189K |
| 96375 |
|
8,429 |
6,799 |
$183K |
| 87502 |
|
3,162 |
2,830 |
$181K |
| 94640 |
|
4,933 |
2,620 |
$180K |
| 71046 |
|
5,628 |
4,807 |
$169K |
| G0463 |
Hospital outpt clinic visit |
19,707 |
15,167 |
$165K |
| 99282 |
|
3,501 |
3,183 |
$160K |
| G0283 |
Elec stim other than wound |
4,428 |
1,027 |
$158K |
| 82306 |
|
5,436 |
5,075 |
$152K |
| G0480 |
Drug test def 1-7 classes |
2,434 |
2,022 |
$150K |
| 81001 |
|
18,281 |
15,808 |
$147K |
| 87631 |
|
1,465 |
1,353 |
$128K |
| 96366 |
|
2,985 |
2,073 |
$128K |
| 87040 |
|
5,570 |
4,320 |
$126K |
| U0002 |
Covid-19 lab test non-cdc |
4,067 |
3,672 |
$122K |
| 80048 |
|
10,028 |
7,407 |
$119K |
| 82607 |
|
5,216 |
4,865 |
$113K |
| A9502 |
Tc99m tetrofosmin |
847 |
732 |
$113K |
| 97035 |
|
3,295 |
743 |
$111K |
| 72148 |
|
233 |
200 |
$107K |
| 93017 |
|
954 |
837 |
$104K |
| U0005 |
Infec agen detec ampli probe |
5,939 |
5,456 |
$94K |
| C9803 |
Hopd covid-19 spec collect |
12,812 |
10,998 |
$92K |
| 83880 |
|
3,561 |
2,873 |
$91K |
| 73562 |
|
1,728 |
1,577 |
$87K |
| 83735 |
|
6,944 |
5,782 |
$86K |
| 96376 |
|
2,795 |
1,680 |
$84K |
| 82150 |
|
3,192 |
2,802 |
$82K |
| 73630 |
|
2,134 |
1,911 |
$79K |
| J2785 |
Regadenoson injection |
423 |
363 |
$79K |
| 87086 |
|
5,386 |
4,665 |
$78K |
| 82553 |
|
3,448 |
2,680 |
$77K |
| 76705 |
|
971 |
879 |
$76K |
| 76830 |
|
832 |
729 |
$76K |
| 77067 |
|
1,397 |
1,328 |
$74K |
| 83036 |
|
6,790 |
6,421 |
$67K |
| 97530 |
|
1,167 |
399 |
$67K |
| 82550 |
|
4,870 |
3,798 |
$63K |
| 73030 |
|
1,875 |
1,628 |
$59K |
| 82652 |
|
2,074 |
1,944 |
$56K |
| 73610 |
|
1,385 |
1,238 |
$56K |
| 83690 |
|
3,972 |
3,476 |
$53K |
| J1885 |
Ketorolac tromethamine inj |
5,780 |
5,005 |
$48K |
| 97014 |
|
1,739 |
409 |
$45K |
| 84439 |
|
2,542 |
2,369 |
$45K |
| 78454 |
|
76 |
61 |
$45K |
| 72110 |
|
707 |
635 |
$44K |
| J2405 |
Ondansetron hcl injection |
2,228 |
1,705 |
$44K |
| 85027 |
|
4,300 |
3,812 |
$43K |
| 76536 |
|
547 |
459 |
$42K |
| 43239 |
|
123 |
104 |
$42K |
| 99281 |
|
1,776 |
1,654 |
$41K |
| 85730 |
|
3,641 |
3,202 |
$39K |
| 96367 |
|
1,382 |
973 |
$35K |
| 88305 |
|
878 |
725 |
$35K |
| 72100 |
|
887 |
823 |
$34K |
| J2930 |
Methylprednisolone injection |
3,641 |
2,956 |
$34K |
| 87804 |
|
1,367 |
1,295 |
$33K |
| J2920 |
Methylprednisolone injection |
1,115 |
618 |
$33K |
| 97161 |
|
683 |
542 |
$32K |
| 85610 |
|
4,224 |
3,605 |
$32K |
| 73130 |
|
855 |
774 |
$32K |
| 74018 |
|
800 |
684 |
$31K |
| 84703 |
|
1,407 |
1,247 |
$31K |
| 84702 |
|
982 |
802 |
$31K |
| 76805 |
|
234 |
195 |
$30K |
| 80171 |
|
1,164 |
1,101 |
$29K |
| 81025 |
|
3,660 |
3,248 |
$27K |
| J0690 |
Cefazolin sodium injection |
188 |
156 |
$26K |
| 87186 |
|
1,912 |
1,686 |
$26K |
| G2023 |
Specimen collect covid-19 |
1,101 |
987 |
$25K |
| 73110 |
|
571 |
517 |
$23K |
| J3010 |
Fentanyl citrate injection |
1,103 |
916 |
$22K |
| 83540 |
|
2,119 |
1,911 |
$21K |
| 87389 |
|
685 |
645 |
$21K |
| 82728 |
|
1,089 |
972 |
$21K |
| 83550 |
|
1,515 |
1,387 |
$19K |
| 96360 |
|
755 |
605 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
3,440 |
2,422 |
$16K |
| 80076 |
|
1,184 |
1,083 |
$16K |
| 87076 |
|
1,210 |
944 |
$14K |
| 93971 |
|
191 |
183 |
$14K |
| 87880 |
|
870 |
777 |
$14K |
| 80074 |
|
310 |
280 |
$13K |
| 96368 |
|
578 |
409 |
$13K |
| 82746 |
|
578 |
536 |
$13K |
| 87077 |
|
994 |
855 |
$12K |
| 87633 |
|
42 |
38 |
$11K |
| 97140 |
|
286 |
113 |
$11K |
| 97112 |
|
327 |
78 |
$11K |
| M0243 |
Casirivi and imdevi inj |
44 |
40 |
$10K |
| 97162 |
|
207 |
178 |
$10K |
| J2270 |
Morphine sulfate injection |
612 |
428 |
$10K |
| 87634 |
|
200 |
189 |
$10K |
| 72050 |
|
168 |
150 |
$10K |
| J3490 |
Drugs unclassified injection |
881 |
694 |
$10K |
| 74022 |
|
157 |
135 |
$10K |
| 83605 |
|
1,130 |
992 |
$10K |
| 80299 |
|
190 |
163 |
$9K |
| 93041 |
|
529 |
446 |
$9K |
| 76856 |
|
105 |
91 |
$9K |
| 72128 |
|
33 |
28 |
$9K |
| J1100 |
Dexamethasone sodium phos |
610 |
546 |
$9K |
| 85378 |
|
1,001 |
898 |
$9K |
| 90471 |
|
789 |
723 |
$9K |
| 73502 |
|
344 |
316 |
$9K |
| 0100U |
|
255 |
222 |
$8K |
| 88175 |
|
449 |
420 |
$8K |
| 71275 |
|
27 |
25 |
$8K |
| 84550 |
|
916 |
845 |
$8K |
| 85379 |
|
240 |
205 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
176 |
156 |
$7K |
| 82043 |
|
624 |
571 |
$7K |
| 82803 |
|
235 |
203 |
$6K |
| 73090 |
|
256 |
236 |
$6K |
| 97116 |
|
290 |
77 |
$6K |
| 99213 |
|
563 |
471 |
$6K |
| 86677 |
|
171 |
166 |
$6K |
| 86803 |
|
412 |
392 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
239 |
202 |
$6K |
| 84100 |
|
211 |
190 |
$6K |
| 84436 |
|
242 |
234 |
$6K |
| 70486 |
|
27 |
25 |
$6K |
| 87070 |
|
370 |
268 |
$6K |
| 85652 |
|
857 |
743 |
$6K |
| 86756 |
|
214 |
180 |
$6K |
| A9270 |
Non-covered item or service |
1,056 |
566 |
$5K |
| 0012A |
|
369 |
327 |
$5K |
| 84481 |
|
203 |
185 |
$5K |
| 86900 |
|
499 |
432 |
$5K |
| 86901 |
|
469 |
419 |
$5K |
| J2360 |
Orphenadrine injection |
136 |
128 |
$5K |
| 87624 |
|
204 |
192 |
$5K |
| 86787 |
|
132 |
127 |
$4K |
| 88142 |
|
196 |
169 |
$4K |
| 36600 |
|
220 |
190 |
$4K |
| 0011A |
|
414 |
368 |
$4K |
| 73590 |
|
134 |
119 |
$4K |
| 88312 |
|
75 |
68 |
$4K |
| 86850 |
|
412 |
364 |
$4K |
| 93880 |
|
15 |
12 |
$4K |
| 73080 |
|
128 |
111 |
$4K |
| 99214 |
|
870 |
768 |
$3K |
| 12001 |
|
59 |
54 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
508 |
433 |
$3K |
| J1956 |
Levofloxacin injection |
232 |
134 |
$3K |
| 86376 |
|
253 |
229 |
$3K |
| 72070 |
|
54 |
52 |
$3K |
| 90715 |
|
100 |
98 |
$3K |
| 90714 |
|
114 |
107 |
$3K |
| 80143 |
|
208 |
194 |
$2K |
| 86140 |
|
264 |
229 |
$2K |
| 86038 |
|
187 |
172 |
$2K |
| 82565 |
|
75 |
67 |
$2K |
| 0002A |
|
139 |
132 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
70 |
62 |
$2K |
| 86800 |
|
54 |
53 |
$2K |
| 84480 |
|
70 |
67 |
$2K |
| 83013 |
|
24 |
24 |
$2K |
| M0245 |
Bamlan and etesev infusion |
12 |
12 |
$2K |
| 90662 |
|
73 |
70 |
$2K |
| 84146 |
|
77 |
71 |
$2K |
| 99406 |
|
385 |
315 |
$2K |
| 81002 |
|
699 |
485 |
$2K |
| 12002 |
|
24 |
24 |
$2K |
| 83001 |
|
78 |
69 |
$2K |
| 99218 |
|
307 |
288 |
$2K |
| 87798 |
|
42 |
38 |
$2K |
| 87581 |
|
42 |
38 |
$2K |
| 87486 |
|
42 |
38 |
$2K |
| 86592 |
|
248 |
240 |
$2K |
| 87491 |
|
68 |
53 |
$1K |
| 87340 |
|
133 |
131 |
$1K |
| 80179 |
|
90 |
87 |
$1K |
| 0001A |
|
143 |
136 |
$1K |
| 82947 |
|
158 |
150 |
$1K |
| 87807 |
|
136 |
125 |
$1K |
| 76642 |
|
41 |
41 |
$1K |
| 59025 |
|
67 |
37 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
27 |
24 |
$1K |
| 82105 |
|
42 |
39 |
$1K |
| 86762 |
|
64 |
63 |
$1K |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$1K |
| 77080 |
|
13 |
13 |
$1K |
| 87661 |
|
51 |
41 |
$1K |
| 83002 |
|
48 |
39 |
$1K |
| 71101 |
|
26 |
24 |
$936.49 |
| 73552 |
|
28 |
25 |
$892.82 |
| 97165 |
|
20 |
18 |
$857.87 |
| 82310 |
|
15 |
14 |
$799.68 |
| 86738 |
|
90 |
89 |
$769.20 |
| 82677 |
|
29 |
27 |
$706.94 |
| 86200 |
|
68 |
64 |
$701.32 |
| 80177 |
|
69 |
65 |
$696.93 |
| 76770 |
|
13 |
12 |
$667.71 |
| 87590 |
|
31 |
27 |
$603.88 |
| 84153 |
|
26 |
25 |
$555.64 |
| 73120 |
|
14 |
12 |
$553.86 |
| 10060 |
|
17 |
14 |
$541.66 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
43 |
40 |
$512.14 |
| 86336 |
|
29 |
27 |
$482.08 |
| 86431 |
|
95 |
88 |
$458.06 |
| 84403 |
|
32 |
30 |
$442.85 |
| 77063 |
|
29 |
27 |
$409.00 |
| J2550 |
Promethazine hcl injection |
54 |
46 |
$376.75 |
| 82670 |
|
13 |
12 |
$327.24 |
| 87591 |
|
20 |
14 |
$306.06 |
| 82009 |
|
48 |
39 |
$291.30 |
| 83615 |
|
25 |
15 |
$279.54 |
| G0008 |
Admin influenza virus vac |
15 |
12 |
$277.37 |
| 99211 |
|
81 |
39 |
$251.44 |
| 80184 |
|
28 |
28 |
$249.61 |
| 94760 |
|
28 |
24 |
$233.20 |
| 84402 |
|
18 |
16 |
$231.80 |
| 88304 |
|
13 |
12 |
$231.41 |
| 73060 |
|
12 |
12 |
$228.03 |
| 82140 |
|
18 |
14 |
$225.30 |
| 80050 |
|
14 |
13 |
$217.44 |
| 84270 |
|
16 |
14 |
$213.71 |
| 99499 |
|
15 |
13 |
$190.80 |
| 51702 |
|
16 |
13 |
$190.02 |
| G0476 |
Hpv combo assay ca screen |
12 |
12 |
$167.32 |
| 80161 |
|
15 |
13 |
$140.00 |
| 82248 |
|
15 |
12 |
$118.50 |
| 82570 |
|
29 |
28 |
$116.24 |
| 90686 |
|
33 |
32 |
$92.20 |
| 86308 |
|
14 |
12 |
$81.02 |
| J9219 |
Leuprolide acetate implant |
20 |
20 |
$79.07 |
| 81003 |
|
15 |
13 |
$52.80 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
46 |
40 |
$35.78 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
12 |
$26.60 |
| J2470 |
Inj pantoprazole sodium 40mg |
38 |
33 |
$25.40 |
| J3420 |
Vitamin b12 injection |
15 |
12 |
$21.63 |
| Q9969 |
Non-heu tc-99m add-on/dose |
29 |
26 |
$15.88 |
| 80346 |
|
14 |
14 |
$0.00 |
| 80345 |
|
14 |
14 |
$0.00 |
| 80320 |
|
14 |
14 |
$0.00 |
| 91301 |
|
52 |
50 |
$0.00 |