| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,534 |
10,145 |
$1.74M |
| 99285 |
|
6,613 |
5,904 |
$1.49M |
| 99283 |
|
9,821 |
9,113 |
$1.04M |
| G0463 |
Hospital outpt clinic visit |
13,943 |
10,682 |
$714K |
| 96361 |
|
8,244 |
6,070 |
$460K |
| 96365 |
|
5,464 |
2,966 |
$414K |
| 96374 |
|
5,938 |
5,152 |
$394K |
| 74177 |
|
2,802 |
2,562 |
$334K |
| 97110 |
|
12,582 |
3,500 |
$283K |
| 87637 |
|
3,037 |
2,831 |
$239K |
| 96360 |
|
2,778 |
1,950 |
$177K |
| 70450 |
|
1,981 |
1,797 |
$145K |
| 93306 |
|
715 |
686 |
$138K |
| 59025 |
|
1,575 |
692 |
$133K |
| 71046 |
|
4,364 |
4,023 |
$126K |
| 96375 |
|
6,015 |
4,581 |
$121K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,564 |
2,357 |
$112K |
| 97530 |
|
4,561 |
1,960 |
$100K |
| 80053 |
|
26,131 |
21,663 |
$90K |
| 43239 |
|
295 |
275 |
$90K |
| 97140 |
|
5,782 |
1,859 |
$87K |
| 80061 |
|
5,508 |
5,376 |
$78K |
| 99282 |
|
1,124 |
1,093 |
$71K |
| 85025 |
|
27,735 |
22,786 |
$67K |
| 97112 |
|
3,530 |
1,211 |
$66K |
| 84443 |
|
8,322 |
7,882 |
$61K |
| 87491 |
|
2,807 |
2,719 |
$58K |
| 87591 |
|
2,806 |
2,719 |
$58K |
| 71045 |
|
2,105 |
1,810 |
$49K |
| 20610 |
|
388 |
354 |
$45K |
| 77067 |
|
1,093 |
1,074 |
$44K |
| 87635 |
|
1,572 |
1,492 |
$44K |
| 96366 |
|
810 |
464 |
$43K |
| 97161 |
|
1,036 |
906 |
$42K |
| 71260 |
|
450 |
404 |
$41K |
| 76830 |
|
695 |
664 |
$36K |
| G0480 |
Drug test def 1-7 classes |
2,835 |
2,298 |
$36K |
| 88175 |
|
2,048 |
1,995 |
$33K |
| 36415 |
|
32,225 |
25,574 |
$29K |
| 95810 |
|
67 |
66 |
$29K |
| 76705 |
|
563 |
539 |
$27K |
| 86850 |
|
1,801 |
1,682 |
$24K |
| 87624 |
|
1,125 |
1,100 |
$24K |
| C9803 |
Hopd covid-19 spec collect |
1,760 |
1,588 |
$22K |
| 82306 |
|
1,507 |
1,472 |
$22K |
| 87088 |
|
6,497 |
5,876 |
$21K |
| 83036 |
|
3,941 |
3,816 |
$21K |
| 94060 |
|
210 |
195 |
$21K |
| 72148 |
|
226 |
212 |
$21K |
| 80306 |
|
3,915 |
3,460 |
$21K |
| 88142 |
|
1,451 |
1,426 |
$20K |
| 80055 |
|
797 |
782 |
$19K |
| 92507 |
|
557 |
174 |
$19K |
| 99281 |
|
446 |
427 |
$18K |
| 96367 |
|
330 |
206 |
$18K |
| 80307 |
|
780 |
713 |
$17K |
| 73630 |
|
1,345 |
1,182 |
$16K |
| 74176 |
|
160 |
152 |
$16K |
| 70553 |
|
79 |
75 |
$16K |
| 94640 |
|
1,749 |
1,285 |
$16K |
| 97597 |
|
329 |
145 |
$15K |
| 93005 |
|
6,962 |
5,924 |
$15K |
| 96413 |
|
139 |
88 |
$15K |
| 81001 |
|
15,270 |
13,269 |
$14K |
| 72100 |
|
487 |
479 |
$14K |
| 88305 |
|
2,419 |
2,239 |
$14K |
| 84439 |
|
2,889 |
2,781 |
$13K |
| 73610 |
|
891 |
791 |
$12K |
| 86703 |
|
1,515 |
1,479 |
$12K |
| 77063 |
|
1,012 |
998 |
$11K |
| 71275 |
|
135 |
125 |
$10K |
| 80048 |
|
3,308 |
2,826 |
$10K |
| 82728 |
|
1,635 |
1,534 |
$10K |
| 84484 |
|
4,544 |
3,456 |
$10K |
| 87186 |
|
2,640 |
2,375 |
$9K |
| 87636 |
|
162 |
151 |
$9K |
| 87081 |
|
2,464 |
2,380 |
$9K |
| 82607 |
|
1,228 |
1,184 |
$8K |
| 83880 |
|
974 |
818 |
$8K |
| 86618 |
|
1,096 |
537 |
$8K |
| 83735 |
|
5,347 |
4,255 |
$8K |
| 87077 |
|
2,252 |
2,035 |
$8K |
| 96372 |
|
5,047 |
4,210 |
$8K |
| 83605 |
|
3,197 |
2,605 |
$7K |
| 11042 |
|
76 |
39 |
$7K |
| 83690 |
|
4,270 |
3,754 |
$7K |
| 93976 |
|
137 |
123 |
$7K |
| 82803 |
|
1,513 |
1,211 |
$7K |
| 73562 |
|
517 |
441 |
$6K |
| 99214 |
|
543 |
453 |
$6K |
| 87651 |
|
554 |
538 |
$6K |
| 73110 |
|
438 |
378 |
$6K |
| 73130 |
|
544 |
479 |
$6K |
| 81025 |
|
3,109 |
2,893 |
$6K |
| 73030 |
|
536 |
463 |
$6K |
| 84703 |
|
2,046 |
1,928 |
$5K |
| 86140 |
|
3,588 |
3,086 |
$5K |
| 87400 |
|
582 |
556 |
$5K |
| 84702 |
|
811 |
550 |
$5K |
| 85027 |
|
2,279 |
1,931 |
$5K |
| 87653 |
|
326 |
318 |
$5K |
| 87798 |
|
141 |
119 |
$5K |
| 74019 |
|
574 |
550 |
$5K |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$4K |
| M0245 |
Bamlan and etesev infusion |
18 |
16 |
$4K |
| 71271 |
|
80 |
78 |
$4K |
| 87070 |
|
1,207 |
1,083 |
$4K |
| 85610 |
|
3,005 |
2,433 |
$4K |
| 82570 |
|
1,333 |
1,227 |
$4K |
| 87040 |
|
1,678 |
1,012 |
$4K |
| 73721 |
|
30 |
28 |
$4K |
| 87205 |
|
1,911 |
1,739 |
$4K |
| 87147 |
|
1,550 |
1,435 |
$3K |
| 84481 |
|
332 |
324 |
$3K |
| 88342 |
|
329 |
312 |
$3K |
| 93971 |
|
60 |
55 |
$3K |
| 85730 |
|
1,838 |
1,643 |
$2K |
| 85651 |
|
1,524 |
1,395 |
$2K |
| 76775 |
|
75 |
63 |
$2K |
| 86803 |
|
267 |
261 |
$2K |
| 83540 |
|
723 |
680 |
$2K |
| 97113 |
|
35 |
12 |
$2K |
| 82950 |
|
731 |
714 |
$2K |
| 99213 |
|
152 |
114 |
$2K |
| 81220 |
|
12 |
12 |
$2K |
| 97162 |
|
49 |
43 |
$2K |
| 85007 |
|
1,847 |
1,528 |
$2K |
| 83550 |
|
452 |
420 |
$2K |
| 85379 |
|
857 |
788 |
$2K |
| 87420 |
|
293 |
283 |
$2K |
| 72125 |
|
141 |
129 |
$2K |
| 76856 |
|
26 |
26 |
$2K |
| 95886 |
|
167 |
159 |
$1K |
| 87880 |
|
249 |
240 |
$1K |
| 74018 |
|
113 |
100 |
$1K |
| 84156 |
|
673 |
571 |
$1K |
| 94664 |
|
247 |
128 |
$1K |
| 76817 |
|
78 |
64 |
$1K |
| 86900 |
|
111 |
102 |
$999.78 |
| 87210 |
|
369 |
348 |
$973.16 |
| 0241U |
|
109 |
90 |
$911.59 |
| Q9969 |
Non-heu tc-99m add-on/dose |
158 |
145 |
$824.83 |
| 82746 |
|
130 |
124 |
$796.66 |
| 85652 |
|
805 |
709 |
$787.55 |
| G0297 |
Ldct for lung ca screen |
20 |
20 |
$766.34 |
| 86677 |
|
247 |
237 |
$704.21 |
| 73502 |
|
89 |
80 |
$698.16 |
| 87468 |
|
44 |
43 |
$621.91 |
| 87469 |
|
44 |
43 |
$617.58 |
| 87484 |
|
44 |
43 |
$615.41 |
| G0378 |
Hospital observation per hr |
238 |
186 |
$588.62 |
| 93017 |
|
18 |
13 |
$534.60 |
| 82043 |
|
140 |
138 |
$532.72 |
| 84550 |
|
309 |
247 |
$504.63 |
| 87501 |
|
27 |
26 |
$454.18 |
| 87340 |
|
78 |
76 |
$394.97 |
| 82150 |
|
172 |
161 |
$366.10 |
| 11721 |
|
28 |
26 |
$334.18 |
| 87478 |
|
28 |
27 |
$324.99 |
| 82550 |
|
128 |
103 |
$296.15 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,152 |
4,625 |
$280.83 |
| 82784 |
|
26 |
25 |
$275.61 |
| 90471 |
|
46 |
36 |
$274.38 |
| 76377 |
|
4,292 |
3,709 |
$226.69 |
| 84153 |
|
13 |
12 |
$212.96 |
| G0103 |
Psa screening |
12 |
12 |
$146.12 |
| 86706 |
|
25 |
25 |
$138.60 |
| 86901 |
|
227 |
200 |
$132.86 |
| 80076 |
|
27 |
26 |
$124.61 |
| 86038 |
|
13 |
12 |
$114.22 |
| 84145 |
|
29 |
28 |
$112.52 |
| J0136 |
Inj, acetaminophen (b braun) |
145 |
128 |
$103.55 |
| 86704 |
|
13 |
13 |
$79.65 |
| J2704 |
Inj, propofol, 10 mg |
2,411 |
2,133 |
$74.33 |
| 84100 |
|
41 |
37 |
$70.66 |
| 86708 |
|
12 |
12 |
$69.10 |
| 84436 |
|
25 |
25 |
$65.58 |
| 36591 |
|
28 |
16 |
$64.79 |
| 84450 |
|
15 |
13 |
$60.14 |
| 74022 |
|
53 |
51 |
$58.26 |
| J0690 |
Cefazolin sodium injection |
807 |
671 |
$58.10 |
| 86592 |
|
19 |
19 |
$46.53 |
| J2405 |
Ondansetron hcl injection |
5,811 |
4,836 |
$46.11 |
| 94726 |
|
26 |
25 |
$40.96 |
| 81003 |
|
500 |
451 |
$39.80 |
| J3010 |
Fentanyl citrate injection |
2,840 |
2,539 |
$28.30 |
| 88304 |
|
41 |
41 |
$27.98 |
| J1170 |
Hydromorphone injection |
1,658 |
1,313 |
$27.20 |
| J0696 |
Ceftriaxone sodium injection |
1,047 |
577 |
$26.48 |
| J1100 |
Dexamethasone sodium phos |
3,259 |
2,702 |
$22.50 |
| J2001 |
Lidocaine injection |
1,926 |
1,721 |
$21.40 |
| 94729 |
|
26 |
25 |
$20.48 |
| J2250 |
Inj midazolam hydrochloride |
2,786 |
2,525 |
$18.58 |
| 94727 |
|
25 |
24 |
$15.36 |
| 96376 |
|
974 |
648 |
$10.50 |
| 82962 |
|
15 |
13 |
$10.05 |
| J1885 |
Ketorolac tromethamine inj |
6,170 |
5,292 |
$7.80 |
| 99153 |
Mod sedat endo service >5yrs |
204 |
190 |
$3.71 |
| J1200 |
Diphenhydramine hcl injectio |
1,624 |
1,371 |
$3.31 |
| J0131 |
Inj, acetaminophen (nos) |
614 |
524 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,777 |
1,573 |
$0.00 |
| J8540 |
Oral dexamethasone |
232 |
189 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,179 |
719 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,390 |
801 |
$0.00 |
| J2360 |
Orphenadrine injection |
125 |
114 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
41 |
41 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
230 |
208 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
249 |
65 |
$0.00 |
| J2060 |
Lorazepam injection |
521 |
447 |
$0.00 |
| J1790 |
Droperidol injection |
51 |
44 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
75 |
68 |
$0.00 |
| 99156 |
|
13 |
12 |
$0.00 |
| 94760 |
|
24 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
286 |
219 |
$0.00 |
| J2270 |
Morphine sulfate injection |
909 |
720 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
1,184 |
1,162 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
483 |
445 |
$0.00 |
| A9577 |
Inj multihance |
394 |
369 |
$0.00 |
| J2550 |
Promethazine hcl injection |
44 |
39 |
$0.00 |
| J0780 |
Prochlorperazine injection |
325 |
299 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
21 |
17 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
102 |
91 |
$0.00 |
| J2930 |
Methylprednisolone injection |
180 |
150 |
$0.00 |
| 99152 |
|
94 |
81 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
70 |
58 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
30 |
24 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
16 |
16 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
28 |
26 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
17 |
15 |
$0.00 |