| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
4,065 |
3,584 |
$649K |
| 80053 |
|
14,336 |
11,696 |
$535K |
| 99283 |
|
4,834 |
4,280 |
$402K |
| 74176 |
|
758 |
634 |
$392K |
| 85025 |
|
16,325 |
12,781 |
$356K |
| 99285 |
|
1,767 |
1,457 |
$307K |
| 93005 |
|
4,479 |
3,122 |
$213K |
| 70450 |
|
777 |
650 |
$197K |
| 84443 |
|
4,826 |
4,438 |
$196K |
| 80061 |
|
3,693 |
3,392 |
$191K |
| 36415 |
|
13,189 |
9,402 |
$185K |
| 84484 |
|
3,806 |
2,547 |
$130K |
| 82306 |
|
2,030 |
1,888 |
$118K |
| 71046 |
|
2,158 |
1,783 |
$116K |
| 97110 |
|
2,054 |
587 |
$115K |
| 71045 |
|
2,527 |
2,084 |
$93K |
| 81001 |
|
4,236 |
3,528 |
$92K |
| 96361 |
|
1,109 |
647 |
$89K |
| 83735 |
|
3,130 |
2,490 |
$85K |
| 99282 |
|
1,238 |
1,121 |
$83K |
| 82150 |
|
1,065 |
837 |
$80K |
| 96365 |
|
1,278 |
1,024 |
$80K |
| 80048 |
|
2,474 |
1,890 |
$78K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,841 |
2,523 |
$73K |
| 83036 |
|
3,350 |
3,103 |
$72K |
| 82553 |
|
1,927 |
1,329 |
$70K |
| G0378 |
Hospital observation per hr |
443 |
172 |
$60K |
| 87040 |
|
861 |
592 |
$55K |
| 97035 |
|
1,245 |
378 |
$53K |
| 83690 |
|
1,170 |
930 |
$51K |
| 96372 |
|
1,864 |
1,493 |
$50K |
| 80307 |
|
1,198 |
983 |
$49K |
| 83880 |
|
1,346 |
978 |
$48K |
| 87086 |
|
1,700 |
1,468 |
$47K |
| 93306 |
|
123 |
94 |
$46K |
| 0241U |
|
1,485 |
1,332 |
$42K |
| 96375 |
|
1,083 |
813 |
$41K |
| 82550 |
|
1,656 |
1,100 |
$41K |
| 94640 |
|
605 |
231 |
$41K |
| 96374 |
|
966 |
823 |
$39K |
| 72100 |
|
574 |
512 |
$39K |
| 83605 |
|
907 |
755 |
$35K |
| 85730 |
|
560 |
451 |
$30K |
| 85610 |
|
930 |
704 |
$26K |
| 74177 |
|
28 |
25 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
264 |
238 |
$23K |
| 97140 |
|
392 |
127 |
$23K |
| C9803 |
Hopd covid-19 spec collect |
3,957 |
3,538 |
$21K |
| 82607 |
|
364 |
326 |
$18K |
| 84703 |
|
384 |
308 |
$17K |
| 93041 |
|
870 |
769 |
$17K |
| 87502 |
|
522 |
407 |
$17K |
| 73030 |
|
229 |
196 |
$16K |
| 99218 |
|
32 |
30 |
$16K |
| 73564 |
|
167 |
146 |
$15K |
| 87186 |
|
255 |
216 |
$13K |
| G0480 |
Drug test def 1-7 classes |
404 |
316 |
$13K |
| 78452 |
|
19 |
12 |
$12K |
| 84439 |
|
261 |
249 |
$11K |
| 73630 |
|
150 |
131 |
$9K |
| 81025 |
|
233 |
212 |
$9K |
| 87651 |
|
444 |
364 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
567 |
450 |
$8K |
| 87804 |
|
291 |
189 |
$8K |
| 87077 |
|
169 |
146 |
$8K |
| 97162 |
|
150 |
122 |
$8K |
| U0005 |
Infec agen detec ampli probe |
1,517 |
1,387 |
$7K |
| 93017 |
|
19 |
12 |
$6K |
| 97014 |
|
129 |
40 |
$5K |
| 74018 |
|
93 |
78 |
$5K |
| 87076 |
|
190 |
167 |
$5K |
| 96366 |
|
112 |
75 |
$4K |
| 82803 |
|
73 |
39 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
439 |
269 |
$4K |
| 87880 |
|
152 |
124 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
177 |
166 |
$3K |
| 81002 |
|
176 |
156 |
$3K |
| A9500 |
Tc99m sestamibi |
19 |
12 |
$3K |
| 82565 |
|
152 |
109 |
$3K |
| A9270 |
Non-covered item or service |
763 |
338 |
$3K |
| 84145 |
|
100 |
70 |
$3K |
| 36600 |
|
90 |
51 |
$3K |
| 73610 |
|
44 |
39 |
$2K |
| 85378 |
|
157 |
135 |
$2K |
| 99281 |
|
77 |
67 |
$2K |
| 96376 |
|
79 |
25 |
$2K |
| J2405 |
Ondansetron hcl injection |
109 |
50 |
$2K |
| 80051 |
|
61 |
38 |
$2K |
| 85652 |
|
61 |
55 |
$2K |
| 73130 |
|
31 |
29 |
$2K |
| 82746 |
|
24 |
24 |
$2K |
| 84520 |
|
83 |
57 |
$1K |
| 94760 |
|
79 |
29 |
$1K |
| 85379 |
|
17 |
12 |
$1K |
| 87449 |
|
16 |
16 |
$1K |
| 86038 |
|
14 |
13 |
$1K |
| 84481 |
|
12 |
12 |
$1K |
| 88305 |
|
14 |
12 |
$915.50 |
| 84550 |
|
13 |
13 |
$806.57 |
| 87631 |
|
12 |
12 |
$754.77 |
| 87070 |
|
16 |
14 |
$732.80 |
| 86200 |
|
14 |
13 |
$495.18 |
| G2023 |
Specimen collect covid-19 |
35 |
32 |
$371.53 |
| 84153 |
|
14 |
12 |
$335.36 |