| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,607 |
6,978 |
$1.68M |
| 99285 |
|
4,682 |
2,672 |
$730K |
| 74177 |
|
1,740 |
1,445 |
$588K |
| 99283 |
|
6,596 |
4,697 |
$583K |
| 70450 |
|
1,656 |
1,267 |
$349K |
| 93005 |
|
5,158 |
3,743 |
$216K |
| 99282 |
|
3,392 |
2,710 |
$212K |
| G0378 |
Hospital observation per hr |
551 |
379 |
$165K |
| 76805 |
|
554 |
485 |
$145K |
| 71046 |
|
2,949 |
2,306 |
$140K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,632 |
2,136 |
$133K |
| 97110 |
|
4,140 |
1,358 |
$131K |
| 77067 |
|
496 |
461 |
$130K |
| 96375 |
|
3,306 |
2,309 |
$128K |
| 96361 |
|
3,542 |
2,587 |
$121K |
| 71275 |
|
156 |
126 |
$120K |
| 96365 |
|
2,521 |
1,553 |
$119K |
| 96374 |
|
3,876 |
2,754 |
$91K |
| 76830 |
|
380 |
328 |
$81K |
| 76819 |
|
373 |
211 |
$76K |
| 80053 |
|
14,580 |
10,242 |
$76K |
| 76856 |
|
382 |
343 |
$74K |
| 96360 |
|
1,164 |
849 |
$66K |
| 85025 |
|
16,515 |
11,433 |
$63K |
| 71045 |
|
2,075 |
1,535 |
$50K |
| 87636 |
|
681 |
615 |
$49K |
| 72125 |
|
141 |
108 |
$49K |
| 59025 |
|
506 |
271 |
$45K |
| 84443 |
|
4,081 |
3,497 |
$38K |
| 36415 |
|
17,636 |
12,662 |
$36K |
| 99214 |
|
3,081 |
1,998 |
$35K |
| 77063 |
|
494 |
460 |
$34K |
| 94640 |
|
1,406 |
771 |
$34K |
| 88305 |
|
589 |
468 |
$32K |
| G0480 |
Drug test def 1-7 classes |
974 |
716 |
$31K |
| 93306 |
|
214 |
111 |
$30K |
| 73630 |
|
441 |
326 |
$27K |
| 76801 |
|
91 |
68 |
$23K |
| 74176 |
|
110 |
92 |
$23K |
| 97140 |
|
891 |
297 |
$23K |
| G0463 |
Hospital outpt clinic visit |
3,980 |
2,764 |
$22K |
| U0005 |
Infec agen detec ampli probe |
1,297 |
1,087 |
$22K |
| 96372 |
|
1,523 |
1,019 |
$21K |
| 87591 |
|
950 |
834 |
$21K |
| 87491 |
|
953 |
836 |
$21K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,846 |
2,347 |
$20K |
| 99213 |
|
3,266 |
2,008 |
$18K |
| 82306 |
|
925 |
846 |
$18K |
| 80061 |
|
1,991 |
1,843 |
$17K |
| 80048 |
|
3,953 |
2,764 |
$16K |
| 71260 |
|
49 |
40 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
2,009 |
1,556 |
$15K |
| 87502 |
|
323 |
257 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
3,850 |
3,089 |
$14K |
| 87086 |
|
3,300 |
2,738 |
$14K |
| 87389 |
|
566 |
498 |
$13K |
| 84484 |
|
3,752 |
2,053 |
$13K |
| 76705 |
|
102 |
83 |
$12K |
| 80306 |
|
1,145 |
902 |
$9K |
| 87070 |
|
1,414 |
1,233 |
$9K |
| 87880 |
|
964 |
838 |
$9K |
| 76816 |
|
50 |
38 |
$9K |
| 83690 |
|
2,498 |
1,952 |
$9K |
| 99281 |
|
285 |
227 |
$9K |
| 85027 |
|
2,480 |
1,835 |
$9K |
| 83735 |
|
3,147 |
2,121 |
$8K |
| 84703 |
|
1,479 |
1,254 |
$8K |
| 87635 |
|
356 |
276 |
$8K |
| 97112 |
|
309 |
83 |
$7K |
| 76817 |
|
37 |
27 |
$7K |
| 99212 |
|
2,777 |
1,489 |
$7K |
| 86140 |
|
2,634 |
2,062 |
$7K |
| 71250 |
|
15 |
14 |
$7K |
| 96376 |
|
172 |
141 |
$7K |
| 97161 |
|
98 |
79 |
$6K |
| 81001 |
|
4,219 |
3,318 |
$6K |
| 73502 |
|
139 |
108 |
$6K |
| 94762 |
|
365 |
275 |
$6K |
| 93010 |
|
2,461 |
1,642 |
$6K |
| 87040 |
|
1,201 |
768 |
$6K |
| J7030 |
Normal saline solution infus |
348 |
251 |
$6K |
| 73560 |
|
109 |
87 |
$6K |
| 83036 |
|
1,199 |
1,045 |
$5K |
| 73030 |
|
104 |
80 |
$5K |
| 87077 |
|
1,226 |
1,019 |
$5K |
| 99203 |
|
321 |
236 |
$5K |
| 87661 |
|
214 |
163 |
$5K |
| 83880 |
|
532 |
353 |
$5K |
| 86850 |
|
720 |
598 |
$5K |
| 85610 |
|
2,978 |
1,737 |
$5K |
| 87804 |
|
563 |
281 |
$5K |
| 87481 |
|
309 |
124 |
$5K |
| 73610 |
|
75 |
65 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,207 |
858 |
$4K |
| 76811 |
|
14 |
12 |
$4K |
| 87186 |
|
871 |
709 |
$4K |
| 83605 |
|
1,127 |
778 |
$4K |
| 82728 |
|
410 |
344 |
$4K |
| 87624 |
|
187 |
156 |
$4K |
| M0247 |
Sotrovimab infusion |
23 |
15 |
$4K |
| 87511 |
|
210 |
163 |
$4K |
| 87400 |
|
381 |
304 |
$4K |
| 80307 |
|
65 |
58 |
$3K |
| 84702 |
|
260 |
200 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,857 |
2,102 |
$3K |
| 82607 |
|
364 |
313 |
$3K |
| 86803 |
|
287 |
257 |
$3K |
| 72100 |
|
40 |
37 |
$3K |
| J7120 |
Ringers lactate infusion |
119 |
88 |
$2K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$2K |
| 81003 |
|
1,918 |
1,564 |
$2K |
| 86780 |
|
209 |
170 |
$2K |
| 96413 |
|
21 |
12 |
$2K |
| 84439 |
|
295 |
264 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
128 |
100 |
$2K |
| J3490 |
Drugs unclassified injection |
569 |
284 |
$2K |
| 82746 |
|
128 |
110 |
$2K |
| 82948 |
|
1,565 |
463 |
$2K |
| 83550 |
|
287 |
229 |
$2K |
| 86901 |
|
723 |
584 |
$2K |
| 86900 |
|
704 |
570 |
$2K |
| J3010 |
Fentanyl citrate injection |
792 |
639 |
$1K |
| J1170 |
Hydromorphone injection |
220 |
131 |
$1K |
| 97530 |
|
78 |
42 |
$1K |
| 87340 |
|
160 |
141 |
$1K |
| J2270 |
Morphine sulfate injection |
245 |
174 |
$1K |
| 83540 |
|
308 |
246 |
$1K |
| 87081 |
|
262 |
236 |
$1K |
| 85651 |
|
557 |
430 |
$1K |
| J2001 |
Lidocaine injection |
294 |
232 |
$1K |
| 85380 |
|
134 |
112 |
$1K |
| 81025 |
|
261 |
190 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
351 |
207 |
$935.82 |
| J2704 |
Inj, propofol, 10 mg |
81 |
61 |
$934.26 |
| J2250 |
Inj midazolam hydrochloride |
808 |
655 |
$916.96 |
| 73130 |
|
17 |
13 |
$901.30 |
| 93000 |
|
15 |
12 |
$890.80 |
| 85730 |
|
376 |
279 |
$890.46 |
| 87653 |
|
34 |
27 |
$839.41 |
| J0690 |
Cefazolin sodium injection |
78 |
63 |
$810.60 |
| 83655 |
|
66 |
54 |
$726.28 |
| 73140 |
|
15 |
12 |
$679.49 |
| 86762 |
|
59 |
53 |
$671.61 |
| 86618 |
|
57 |
54 |
$667.77 |
| 87798 |
|
18 |
16 |
$616.36 |
| 90715 |
|
14 |
12 |
$603.97 |
| 11721 |
|
242 |
88 |
$549.76 |
| 73110 |
|
17 |
12 |
$535.26 |
| 87205 |
|
153 |
125 |
$417.39 |
| 82962 |
|
306 |
135 |
$391.35 |
| G0472 |
Hep c screen high risk/other |
110 |
99 |
$382.53 |
| J1642 |
Inj heparin sodium per 10 u |
307 |
120 |
$363.70 |
| 99202 |
|
17 |
12 |
$314.18 |
| 80320 |
|
16 |
13 |
$310.50 |
| J1650 |
Inj enoxaparin sodium |
33 |
14 |
$195.30 |
| 82950 |
|
45 |
39 |
$191.95 |
| 88142 |
|
12 |
12 |
$187.30 |
| J2060 |
Lorazepam injection |
70 |
51 |
$149.18 |
| 99215 |
Prolong outpt/office vis |
20 |
12 |
$134.05 |
| 81002 |
|
132 |
89 |
$123.90 |
| 90471 |
|
14 |
12 |
$97.21 |
| 80050 |
|
12 |
12 |
$92.76 |
| 11720 |
|
44 |
12 |
$82.55 |
| 85652 |
|
37 |
31 |
$80.40 |
| 99307 |
|
35 |
16 |
$77.25 |
| 84550 |
|
15 |
12 |
$50.24 |
| J1200 |
Diphenhydramine hcl injectio |
47 |
37 |
$49.73 |
| 84100 |
|
14 |
12 |
$36.38 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
37 |
35 |
$21.65 |
| A9270 |
Non-covered item or service |
16 |
13 |
$6.29 |
| Q0247 |
Sotrovimab |
23 |
15 |
$0.22 |
| G1004 |
Cdsm ndsc |
888 |
654 |
$0.03 |
| Q0244 |
Casirivi and imdevi 1200 mg |
12 |
12 |
$0.02 |