| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,751 |
7,412 |
$4.30M |
| 74176 |
|
2,170 |
1,867 |
$1.54M |
| 99285 |
|
2,931 |
1,837 |
$1.30M |
| 99283 |
|
9,298 |
8,029 |
$1.12M |
| 70450 |
|
1,435 |
1,229 |
$539K |
| 97110 |
|
6,222 |
1,768 |
$520K |
| 36415 |
|
80,986 |
22,731 |
$512K |
| 80053 |
|
21,600 |
14,196 |
$478K |
| 93005 |
|
5,761 |
4,220 |
$279K |
| 96365 |
|
5,007 |
1,865 |
$277K |
| 0241U |
|
3,910 |
3,553 |
$268K |
| 85025 |
|
21,351 |
16,506 |
$261K |
| 96374 |
|
5,791 |
2,358 |
$241K |
| 99282 |
|
2,745 |
2,452 |
$230K |
| 96361 |
|
3,800 |
1,771 |
$217K |
| 87631 |
|
1,937 |
1,740 |
$205K |
| 71045 |
|
4,304 |
3,554 |
$199K |
| 96372 |
|
6,315 |
3,328 |
$183K |
| 99291 |
|
253 |
209 |
$172K |
| 84484 |
|
4,674 |
3,722 |
$168K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,621 |
2,325 |
$151K |
| 84443 |
|
6,490 |
5,895 |
$137K |
| 71046 |
|
2,579 |
1,955 |
$129K |
| 80061 |
|
5,085 |
4,634 |
$129K |
| 87040 |
|
1,929 |
1,482 |
$120K |
| 80307 |
|
2,687 |
2,166 |
$119K |
| G0378 |
Hospital observation per hr |
260 |
159 |
$118K |
| 96375 |
|
2,794 |
2,162 |
$114K |
| 92507 |
|
2,245 |
623 |
$112K |
| 83735 |
|
4,490 |
3,954 |
$111K |
| 80048 |
|
9,024 |
4,849 |
$105K |
| 83690 |
|
2,890 |
2,503 |
$99K |
| 87502 |
|
1,633 |
1,411 |
$93K |
| 82306 |
|
3,074 |
2,704 |
$92K |
| 82150 |
|
1,425 |
1,285 |
$90K |
| 76705 |
|
648 |
504 |
$82K |
| C9803 |
Hopd covid-19 spec collect |
5,545 |
4,037 |
$80K |
| 83880 |
|
1,929 |
1,520 |
$75K |
| 82607 |
|
3,570 |
3,328 |
$74K |
| 81001 |
|
7,309 |
6,042 |
$70K |
| 87651 |
|
3,018 |
2,807 |
$65K |
| 87086 |
|
2,856 |
2,383 |
$53K |
| 94640 |
|
1,001 |
584 |
$53K |
| 83605 |
|
1,245 |
1,025 |
$52K |
| 72100 |
|
728 |
510 |
$44K |
| 93041 |
|
1,962 |
1,585 |
$42K |
| U0005 |
Infec agen detec ampli probe |
2,163 |
1,947 |
$41K |
| 83036 |
|
4,045 |
3,796 |
$41K |
| 81025 |
|
1,046 |
943 |
$36K |
| 87070 |
|
1,439 |
1,076 |
$34K |
| 87186 |
|
1,304 |
1,141 |
$32K |
| 84703 |
|
1,247 |
1,150 |
$32K |
| 74177 |
|
26 |
26 |
$32K |
| 87633 |
|
143 |
118 |
$30K |
| 85730 |
|
608 |
519 |
$26K |
| 97530 |
|
350 |
120 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
191 |
152 |
$22K |
| D7140 |
|
59 |
57 |
$20K |
| 85610 |
|
1,351 |
986 |
$20K |
| 97162 |
|
340 |
310 |
$18K |
| 74018 |
|
260 |
216 |
$18K |
| 84145 |
|
205 |
154 |
$17K |
| 73610 |
|
192 |
166 |
$15K |
| 73030 |
|
265 |
190 |
$15K |
| D2930 |
|
42 |
41 |
$15K |
| 73630 |
|
211 |
193 |
$14K |
| 82553 |
|
563 |
477 |
$14K |
| 96366 |
|
177 |
102 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
435 |
377 |
$13K |
| 80074 |
|
216 |
202 |
$13K |
| 87076 |
|
1,227 |
733 |
$13K |
| 82550 |
|
956 |
790 |
$12K |
| 87077 |
|
1,277 |
766 |
$12K |
| 72125 |
|
14 |
14 |
$12K |
| G2023 |
Specimen collect covid-19 |
679 |
538 |
$12K |
| 96376 |
|
321 |
209 |
$11K |
| 87798 |
|
162 |
118 |
$10K |
| 73130 |
|
149 |
131 |
$10K |
| 84439 |
|
615 |
568 |
$10K |
| J2930 |
Methylprednisolone injection |
1,077 |
773 |
$10K |
| 74022 |
|
43 |
42 |
$9K |
| 82728 |
|
362 |
328 |
$8K |
| 96360 |
|
186 |
50 |
$8K |
| 0002A |
|
522 |
513 |
$8K |
| 87804 |
|
601 |
465 |
$7K |
| 87581 |
|
143 |
118 |
$7K |
| 85652 |
|
1,046 |
913 |
$7K |
| 87389 |
|
162 |
143 |
$7K |
| 87486 |
|
143 |
118 |
$7K |
| 0001A |
|
621 |
596 |
$6K |
| 99281 |
|
116 |
107 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,647 |
2,165 |
$5K |
| 73562 |
|
75 |
64 |
$5K |
| 81002 |
|
587 |
471 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
100 |
93 |
$5K |
| 77067 |
|
113 |
106 |
$4K |
| M0243 |
Casirivi and imdevi inj |
23 |
23 |
$4K |
| 0100U |
|
64 |
59 |
$4K |
| 83970 |
|
62 |
58 |
$4K |
| 82803 |
|
62 |
50 |
$4K |
| 83540 |
|
302 |
287 |
$4K |
| 84550 |
|
514 |
466 |
$3K |
| 82746 |
|
120 |
106 |
$3K |
| 83550 |
|
197 |
189 |
$3K |
| 82043 |
|
286 |
269 |
$2K |
| G0103 |
Psa screening |
304 |
90 |
$2K |
| 36600 |
|
83 |
63 |
$2K |
| 72040 |
|
43 |
30 |
$2K |
| 87449 |
|
40 |
35 |
$2K |
| G0480 |
Drug test def 1-7 classes |
44 |
38 |
$2K |
| 87634 |
|
28 |
27 |
$2K |
| J2405 |
Ondansetron hcl injection |
482 |
390 |
$1K |
| 87880 |
|
283 |
265 |
$1K |
| 97166 |
|
14 |
13 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
310 |
198 |
$1K |
| 82570 |
|
87 |
74 |
$978.63 |
| 80305 |
|
54 |
42 |
$846.00 |
| 90471 |
|
56 |
53 |
$796.06 |
| J1100 |
Dexamethasone sodium phos |
315 |
275 |
$725.36 |
| 0011A |
|
51 |
51 |
$566.77 |
| 86038 |
|
28 |
25 |
$540.92 |
| 85378 |
|
35 |
24 |
$534.70 |
| 73110 |
|
15 |
12 |
$534.54 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
41 |
$499.09 |
| 84100 |
|
51 |
48 |
$497.55 |
| 0012A |
|
36 |
36 |
$456.92 |
| 84481 |
|
17 |
14 |
$265.58 |
| 86703 |
|
22 |
15 |
$246.08 |
| 36416 |
|
47 |
45 |
$202.62 |
| J0131 |
Inj, acetaminophen (nos) |
14 |
13 |
$201.61 |
| J3010 |
Fentanyl citrate injection |
118 |
104 |
$153.73 |
| 86200 |
|
14 |
12 |
$153.13 |
| 80076 |
|
15 |
14 |
$126.62 |
| J2270 |
Morphine sulfate injection |
17 |
13 |
$22.18 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
14 |
$4.67 |
| Q0244 |
Casirivi and imdevi 1200 mg |
29 |
25 |
$2.56 |
| A9270 |
Non-covered item or service |
17 |
12 |
$0.00 |