| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
13,832 |
9,439 |
$1.94M |
| 99283 |
|
18,683 |
12,279 |
$1.68M |
| 99285 |
|
3,515 |
2,887 |
$827K |
| 99282 |
|
8,214 |
6,120 |
$615K |
| 96374 |
|
4,172 |
3,661 |
$423K |
| 74177 |
|
3,428 |
1,846 |
$409K |
| 87637 |
|
2,990 |
2,815 |
$306K |
| 97110 |
|
8,198 |
3,080 |
$229K |
| 70450 |
|
3,524 |
1,878 |
$225K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,019 |
2,836 |
$201K |
| 96365 |
|
1,918 |
1,350 |
$198K |
| 96361 |
|
3,361 |
2,933 |
$181K |
| 71046 |
|
6,365 |
3,342 |
$148K |
| 96375 |
|
3,302 |
2,773 |
$110K |
| 71045 |
|
4,214 |
2,167 |
$87K |
| 84443 |
|
8,870 |
8,278 |
$86K |
| 80053 |
|
20,774 |
17,754 |
$85K |
| 97112 |
|
3,302 |
1,402 |
$78K |
| 82306 |
|
3,831 |
3,741 |
$74K |
| 77067 |
|
1,908 |
1,027 |
$72K |
| 73564 |
|
2,633 |
1,360 |
$60K |
| 80061 |
|
5,528 |
5,383 |
$60K |
| 85025 |
|
20,515 |
17,124 |
$59K |
| 87635 |
|
1,544 |
1,434 |
$56K |
| 97140 |
|
2,816 |
1,159 |
$51K |
| 87591 |
|
2,028 |
1,953 |
$49K |
| 87491 |
|
2,029 |
1,954 |
$49K |
| 96360 |
|
440 |
416 |
$46K |
| 88305 |
|
2,048 |
1,132 |
$44K |
| 93306 |
|
145 |
142 |
$37K |
| U0005 |
Infec agen detec ampli probe |
1,996 |
1,860 |
$35K |
| 74176 |
|
347 |
191 |
$33K |
| 36415 |
|
22,903 |
18,881 |
$32K |
| 87636 |
|
335 |
324 |
$32K |
| G0480 |
Drug test def 1-7 classes |
2,218 |
1,848 |
$31K |
| 73030 |
|
2,026 |
1,047 |
$31K |
| 83036 |
|
4,859 |
4,765 |
$31K |
| 73630 |
|
2,218 |
1,090 |
$30K |
| 87880 |
|
3,250 |
3,102 |
$25K |
| 97162 |
|
392 |
383 |
$25K |
| 77063 |
|
1,483 |
790 |
$24K |
| 80048 |
|
4,461 |
3,956 |
$21K |
| 80306 |
|
3,253 |
2,833 |
$19K |
| 87070 |
|
4,368 |
4,149 |
$19K |
| 82607 |
|
2,011 |
1,966 |
$19K |
| 87804 |
|
2,893 |
1,387 |
$17K |
| 73110 |
|
1,061 |
528 |
$16K |
| 76705 |
|
356 |
196 |
$16K |
| 73610 |
|
1,350 |
700 |
$16K |
| 86900 |
|
358 |
329 |
$14K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
807 |
760 |
$14K |
| 71275 |
|
173 |
96 |
$14K |
| 87624 |
|
565 |
526 |
$13K |
| 73130 |
|
1,029 |
493 |
$13K |
| 85027 |
|
3,359 |
3,070 |
$13K |
| 96372 |
|
3,349 |
2,817 |
$12K |
| 87389 |
|
677 |
664 |
$11K |
| 97161 |
|
218 |
213 |
$11K |
| 93005 |
|
4,321 |
3,842 |
$10K |
| 81001 |
|
8,844 |
7,863 |
$10K |
| 83735 |
|
4,813 |
4,091 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
2,451 |
2,310 |
$10K |
| G0463 |
Hospital outpt clinic visit |
124 |
74 |
$10K |
| 82728 |
|
1,203 |
1,133 |
$10K |
| 84439 |
|
1,591 |
1,516 |
$9K |
| 87086 |
|
2,192 |
2,080 |
$9K |
| 82746 |
|
820 |
804 |
$8K |
| 85610 |
|
4,215 |
3,006 |
$7K |
| 83880 |
|
800 |
738 |
$7K |
| 84484 |
|
3,569 |
2,342 |
$6K |
| 83550 |
|
1,099 |
1,047 |
$6K |
| 76642 |
|
134 |
70 |
$5K |
| 87088 |
|
1,210 |
1,142 |
$5K |
| 81514 |
|
27 |
27 |
$5K |
| 86140 |
|
3,013 |
2,712 |
$5K |
| 72125 |
|
242 |
134 |
$5K |
| 71260 |
|
134 |
73 |
$5K |
| 80074 |
|
157 |
145 |
$5K |
| 83540 |
|
1,160 |
1,103 |
$4K |
| 83690 |
|
2,896 |
2,556 |
$4K |
| 83605 |
|
2,373 |
2,016 |
$4K |
| 87077 |
|
1,123 |
990 |
$4K |
| 87426 |
|
158 |
152 |
$4K |
| 73502 |
|
281 |
139 |
$4K |
| 84702 |
|
385 |
317 |
$3K |
| 86803 |
|
348 |
348 |
$3K |
| 82043 |
|
801 |
790 |
$3K |
| G0483 |
Drug test def 22+ classes |
26 |
25 |
$3K |
| 87186 |
|
775 |
687 |
$3K |
| 81025 |
|
2,071 |
1,910 |
$3K |
| 82150 |
|
1,844 |
1,623 |
$3K |
| 97530 |
|
119 |
82 |
$3K |
| 87806 |
|
164 |
158 |
$3K |
| 96366 |
|
41 |
38 |
$3K |
| 85730 |
|
1,945 |
1,760 |
$2K |
| 88175 |
|
138 |
121 |
$2K |
| 76830 |
|
66 |
37 |
$2K |
| 85651 |
|
1,075 |
975 |
$2K |
| 94640 |
|
718 |
480 |
$2K |
| 85379 |
|
1,127 |
1,067 |
$2K |
| 76856 |
|
52 |
28 |
$2K |
| 82550 |
|
1,114 |
1,029 |
$2K |
| 76811 |
|
24 |
13 |
$2K |
| 92507 |
|
27 |
12 |
$2K |
| 74018 |
|
206 |
118 |
$2K |
| 87040 |
|
875 |
435 |
$1K |
| 87811 |
|
54 |
53 |
$1K |
| 74019 |
|
268 |
137 |
$1K |
| 72148 |
|
24 |
13 |
$1K |
| 86592 |
|
402 |
395 |
$1K |
| 72110 |
|
71 |
37 |
$1K |
| 86769 |
|
36 |
36 |
$1K |
| 84481 |
|
102 |
99 |
$1K |
| 97035 |
|
147 |
56 |
$981.65 |
| 80307 |
|
26 |
25 |
$940.84 |
| 94762 |
|
98 |
85 |
$631.35 |
| 90471 |
|
52 |
49 |
$590.62 |
| 96367 |
|
14 |
12 |
$575.42 |
| 87634 |
|
12 |
12 |
$527.90 |
| 80305 |
|
46 |
39 |
$439.91 |
| 84145 |
|
92 |
83 |
$418.38 |
| 82553 |
|
391 |
352 |
$400.50 |
| 72100 |
|
22 |
12 |
$370.23 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,959 |
2,855 |
$346.40 |
| G0279 |
Tomosynthesis, mammo |
26 |
14 |
$340.03 |
| 82948 |
|
405 |
251 |
$339.01 |
| 87210 |
|
100 |
91 |
$334.19 |
| 82570 |
|
93 |
90 |
$322.50 |
| 73140 |
|
21 |
13 |
$313.87 |
| 84703 |
|
195 |
187 |
$301.30 |
| 86850 |
|
342 |
315 |
$257.12 |
| 87340 |
|
34 |
34 |
$231.22 |
| 87480 |
|
17 |
14 |
$213.62 |
| 87510 |
|
17 |
14 |
$212.33 |
| 87660 |
|
17 |
14 |
$211.69 |
| Q3014 |
Telehealth facility fee |
28 |
15 |
$183.54 |
| 84153 |
|
15 |
15 |
$155.71 |
| 73080 |
|
22 |
13 |
$142.33 |
| 92015 |
|
108 |
99 |
$133.79 |
| 82962 |
|
445 |
252 |
$133.00 |
| 86039 |
|
25 |
25 |
$130.24 |
| 87807 |
|
25 |
25 |
$126.37 |
| 87205 |
|
70 |
65 |
$120.10 |
| 86762 |
|
12 |
12 |
$118.86 |
| 80076 |
|
16 |
16 |
$106.99 |
| 86901 |
|
358 |
329 |
$106.74 |
| 85007 |
|
87 |
83 |
$102.15 |
| 85652 |
|
44 |
40 |
$70.10 |
| 96376 |
|
275 |
244 |
$49.82 |
| J2405 |
Ondansetron hcl injection |
3,806 |
3,150 |
$43.74 |
| J1885 |
Ketorolac tromethamine inj |
3,313 |
2,799 |
$24.91 |
| A9270 |
Non-covered item or service |
49 |
14 |
$22.02 |
| 36416 |
|
409 |
218 |
$18.74 |
| 90715 |
|
14 |
14 |
$17.44 |
| G2211 |
Complex e/m visit add on |
20 |
18 |
$16.40 |
| 85018 |
|
12 |
12 |
$15.54 |
| J3010 |
Fentanyl citrate injection |
1,343 |
1,132 |
$15.24 |
| 99213 |
|
23 |
12 |
$12.88 |
| J2704 |
Inj, propofol, 10 mg |
1,268 |
1,132 |
$11.60 |
| J1100 |
Dexamethasone sodium phos |
994 |
680 |
$6.17 |
| A9577 |
Inj multihance |
364 |
260 |
$5.75 |
| J2060 |
Lorazepam injection |
64 |
51 |
$5.41 |
| J1170 |
Hydromorphone injection |
892 |
695 |
$4.48 |
| 81003 |
|
13 |
12 |
$1.78 |
| C1751 |
Cath, inf, per/cent/midline |
477 |
454 |
$0.07 |
| J2250 |
Inj midazolam hydrochloride |
671 |
482 |
$0.01 |
| J2270 |
Morphine sulfate injection |
149 |
129 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
210 |
187 |
$0.00 |
| J2930 |
Methylprednisolone injection |
69 |
61 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
294 |
244 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
47 |
39 |
$0.00 |
| 36000 |
|
54 |
52 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
66 |
66 |
$0.00 |
| J2360 |
Orphenadrine injection |
48 |
46 |
$0.00 |
| J7060 |
5% dextrose/water |
96 |
50 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
284 |
184 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
44 |
38 |
$0.00 |
| J2001 |
Lidocaine injection |
70 |
69 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
47 |
44 |
$0.00 |