| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,011 |
15,913 |
$2.14M |
| 99284 |
|
9,866 |
9,167 |
$1.95M |
| 99285 |
|
4,328 |
4,163 |
$1.25M |
| 96374 |
|
6,288 |
5,510 |
$655K |
| 74177 |
|
2,019 |
1,988 |
$355K |
| 97110 |
|
13,426 |
4,165 |
$340K |
| 96365 |
|
2,702 |
1,788 |
$294K |
| 99282 |
|
3,003 |
2,959 |
$218K |
| 96361 |
|
4,807 |
3,668 |
$191K |
| 87636 |
|
2,195 |
2,166 |
$180K |
| 96375 |
|
4,856 |
4,195 |
$163K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,817 |
2,762 |
$145K |
| 97112 |
|
5,035 |
2,149 |
$141K |
| 71046 |
|
3,351 |
3,264 |
$137K |
| 92507 |
|
2,980 |
949 |
$125K |
| 97140 |
|
6,498 |
2,556 |
$110K |
| 73630 |
|
2,531 |
2,412 |
$70K |
| 70450 |
|
581 |
572 |
$69K |
| 71045 |
|
1,595 |
1,540 |
$68K |
| 97530 |
|
2,411 |
1,468 |
$68K |
| 80053 |
|
21,429 |
20,051 |
$64K |
| 84443 |
|
7,952 |
7,901 |
$64K |
| 73564 |
|
1,592 |
1,570 |
$63K |
| 80061 |
|
8,133 |
8,091 |
$62K |
| 87633 |
|
505 |
499 |
$54K |
| 99281 |
|
1,270 |
1,256 |
$52K |
| 82306 |
|
3,258 |
3,248 |
$46K |
| 27687 |
|
76 |
75 |
$41K |
| 96360 |
|
370 |
320 |
$39K |
| 73610 |
|
1,472 |
1,429 |
$39K |
| 85025 |
|
18,877 |
17,426 |
$38K |
| 87591 |
|
2,604 |
2,569 |
$37K |
| 87491 |
|
2,607 |
2,570 |
$37K |
| 97162 |
|
657 |
653 |
$34K |
| 87637 |
|
388 |
388 |
$32K |
| 77067 |
|
650 |
649 |
$32K |
| U0005 |
Infec agen detec ampli probe |
1,993 |
1,968 |
$31K |
| 83036 |
|
5,926 |
5,908 |
$30K |
| 36415 |
|
24,230 |
21,546 |
$24K |
| 73030 |
|
928 |
903 |
$22K |
| 73110 |
|
787 |
713 |
$22K |
| 87635 |
|
642 |
635 |
$18K |
| 73130 |
|
794 |
759 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
4,251 |
4,149 |
$16K |
| 87651 |
|
1,724 |
1,706 |
$13K |
| 76705 |
|
174 |
173 |
$11K |
| 74176 |
|
87 |
86 |
$11K |
| 83655 |
|
1,595 |
1,578 |
$11K |
| G0480 |
Drug test def 1-7 classes |
742 |
676 |
$11K |
| 93005 |
|
4,860 |
4,436 |
$10K |
| 84439 |
|
2,338 |
2,317 |
$10K |
| 85027 |
|
2,986 |
2,962 |
$10K |
| 87502 |
|
327 |
325 |
$10K |
| 87088 |
|
3,472 |
3,386 |
$8K |
| 80307 |
|
1,032 |
807 |
$7K |
| 80048 |
|
2,104 |
1,996 |
$7K |
| 87086 |
|
2,929 |
2,870 |
$7K |
| 82728 |
|
888 |
881 |
$6K |
| 87808 |
|
1,440 |
1,422 |
$6K |
| 73140 |
|
214 |
203 |
$6K |
| 96372 |
|
5,230 |
4,708 |
$5K |
| 64450 |
|
158 |
153 |
$5K |
| 87905 |
|
1,515 |
1,494 |
$5K |
| 64447 |
|
169 |
166 |
$5K |
| 82043 |
|
1,736 |
1,734 |
$5K |
| M0243 |
Casirivi and imdevi inj |
18 |
18 |
$5K |
| 71260 |
|
25 |
25 |
$5K |
| 87186 |
|
1,473 |
1,445 |
$4K |
| 76856 |
|
81 |
81 |
$4K |
| 82607 |
|
594 |
593 |
$4K |
| 97163 |
|
78 |
78 |
$4K |
| 84153 |
|
412 |
412 |
$4K |
| 87389 |
|
284 |
283 |
$3K |
| 83735 |
|
3,148 |
2,741 |
$3K |
| 87077 |
|
1,055 |
1,029 |
$3K |
| 93975 |
|
27 |
27 |
$3K |
| 84702 |
|
2,103 |
1,938 |
$3K |
| 71275 |
|
24 |
24 |
$3K |
| 85610 |
|
2,085 |
1,606 |
$3K |
| 83550 |
|
606 |
605 |
$3K |
| 86140 |
|
1,271 |
1,180 |
$3K |
| 76830 |
|
43 |
43 |
$3K |
| 83540 |
|
760 |
754 |
$2K |
| 72110 |
|
67 |
67 |
$2K |
| 86803 |
|
303 |
303 |
$2K |
| 73502 |
|
91 |
90 |
$2K |
| 86480 |
|
63 |
62 |
$2K |
| 85652 |
|
1,434 |
1,363 |
$2K |
| J7050 |
Normal saline solution infus |
4,339 |
3,364 |
$2K |
| 80306 |
|
425 |
403 |
$2K |
| 81001 |
|
8,895 |
8,494 |
$1K |
| 96366 |
|
27 |
26 |
$1K |
| 83690 |
|
4,734 |
4,469 |
$1K |
| 90471 |
|
95 |
84 |
$1K |
| 87390 |
|
86 |
85 |
$969.38 |
| 87631 |
|
32 |
32 |
$937.18 |
| 73080 |
|
44 |
42 |
$858.78 |
| 76801 |
|
13 |
12 |
$781.28 |
| 86702 |
|
86 |
85 |
$671.28 |
| 71271 |
|
12 |
12 |
$662.00 |
| 80076 |
|
145 |
135 |
$628.22 |
| 94640 |
|
1,834 |
1,735 |
$583.46 |
| 82746 |
|
80 |
80 |
$523.40 |
| 86038 |
|
79 |
78 |
$517.60 |
| 87081 |
|
222 |
221 |
$515.40 |
| 83880 |
|
142 |
129 |
$493.54 |
| 86376 |
|
73 |
71 |
$485.78 |
| 87206 |
|
159 |
158 |
$475.55 |
| 85730 |
|
567 |
560 |
$471.50 |
| 86701 |
|
86 |
85 |
$440.88 |
| 86780 |
|
49 |
49 |
$381.54 |
| 81025 |
|
4,190 |
4,076 |
$330.96 |
| 97535 |
|
22 |
12 |
$300.95 |
| 80050 |
|
12 |
12 |
$289.00 |
| 82947 |
|
93 |
85 |
$237.71 |
| 86665 |
|
12 |
12 |
$204.40 |
| 82570 |
|
72 |
72 |
$175.46 |
| 87102 |
|
37 |
37 |
$173.85 |
| 83605 |
|
1,296 |
1,183 |
$151.46 |
| 84207 |
|
12 |
12 |
$147.42 |
| G0103 |
Psa screening |
12 |
12 |
$129.24 |
| 84484 |
|
2,719 |
2,224 |
$123.62 |
| 82247 |
|
37 |
28 |
$105.30 |
| 84481 |
|
13 |
13 |
$99.10 |
| J2405 |
Ondansetron hcl injection |
5,549 |
4,304 |
$89.04 |
| 86664 |
|
12 |
12 |
$86.10 |
| 85379 |
|
436 |
420 |
$78.28 |
| 87040 |
|
359 |
261 |
$67.50 |
| 86308 |
|
13 |
13 |
$21.21 |
| 96376 |
|
933 |
652 |
$18.59 |
| J1200 |
Diphenhydramine hcl injectio |
953 |
763 |
$11.54 |
| J2250 |
Inj midazolam hydrochloride |
1,513 |
1,478 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
814 |
757 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
1,416 |
1,365 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,833 |
2,758 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
7,442 |
7,067 |
$0.00 |
| J2360 |
Orphenadrine injection |
647 |
633 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
916 |
843 |
$0.00 |
| J2001 |
Lidocaine injection |
465 |
444 |
$0.00 |
| J2060 |
Lorazepam injection |
41 |
39 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
167 |
144 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
601 |
593 |
$0.00 |
| A9270 |
Non-covered item or service |
351 |
258 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
328 |
312 |
$0.00 |
| J8540 |
Oral dexamethasone |
524 |
515 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
211 |
207 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
506 |
488 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,092 |
1,041 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
51 |
48 |
$0.00 |
| J1790 |
Droperidol injection |
47 |
44 |
$0.00 |
| Q0162 |
Ondansetron oral |
103 |
103 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
56 |
55 |
$0.00 |
| J1170 |
Hydromorphone injection |
36 |
13 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,650 |
1,543 |
$0.00 |
| 90715 |
|
54 |
54 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,996 |
1,960 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
79 |
79 |
$0.00 |
| J2550 |
Promethazine hcl injection |
228 |
177 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
60 |
59 |
$0.00 |
| J7040 |
Normal saline solution infus |
148 |
146 |
$0.00 |
| 94664 |
|
433 |
398 |
$0.00 |
| J7120 |
Ringers lactate infusion |
969 |
756 |
$0.00 |
| J0780 |
Prochlorperazine injection |
26 |
26 |
$0.00 |
| 76942 |
|
366 |
362 |
$0.00 |
| G1004 |
Cdsm ndsc |
470 |
465 |
$0.00 |
| J2270 |
Morphine sulfate injection |
183 |
167 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
26 |
17 |
$0.00 |