| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
7,633 |
7,399 |
$1.15M |
| 99284 |
|
6,719 |
6,492 |
$713K |
| 99283 |
|
5,409 |
5,297 |
$388K |
| G0378 |
Hospital observation per hr |
344 |
326 |
$275K |
| 74177 |
|
783 |
765 |
$121K |
| 96374 |
|
3,874 |
3,684 |
$100K |
| T1015 |
Clinic service |
2,587 |
760 |
$93K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,207 |
1,142 |
$90K |
| 80048 |
|
11,367 |
10,459 |
$90K |
| 85025 |
|
16,916 |
15,524 |
$81K |
| 80053 |
|
8,282 |
7,447 |
$76K |
| 78815 |
|
92 |
89 |
$75K |
| 87491 |
|
2,892 |
2,862 |
$72K |
| 87591 |
|
2,903 |
2,874 |
$69K |
| 71271 |
|
806 |
804 |
$61K |
| 88175 |
|
1,706 |
1,702 |
$55K |
| 80061 |
|
3,898 |
3,848 |
$51K |
| 80050 |
|
1,034 |
1,024 |
$49K |
| 84443 |
|
3,035 |
2,971 |
$45K |
| 96375 |
|
2,418 |
2,157 |
$41K |
| 80307 |
|
795 |
732 |
$41K |
| 82306 |
|
1,355 |
1,336 |
$40K |
| 93005 |
|
4,396 |
4,156 |
$38K |
| 70450 |
|
614 |
591 |
$36K |
| 77067 |
|
421 |
419 |
$33K |
| 87624 |
|
768 |
766 |
$32K |
| 80076 |
|
3,817 |
3,650 |
$31K |
| 90834 |
|
304 |
218 |
$27K |
| 62323 |
|
40 |
40 |
$26K |
| 43239 |
|
299 |
286 |
$26K |
| 87426 |
|
742 |
722 |
$25K |
| 71260 |
|
332 |
327 |
$22K |
| 71250 |
|
372 |
362 |
$21K |
| 72148 |
|
114 |
113 |
$19K |
| 71046 |
|
1,387 |
1,325 |
$18K |
| 87480 |
|
766 |
752 |
$18K |
| 87660 |
|
751 |
738 |
$17K |
| 90832 |
|
307 |
222 |
$16K |
| 81001 |
|
5,552 |
5,361 |
$14K |
| U0004 |
Cov-19 test non-cdc hgh thru |
323 |
271 |
$14K |
| 83036 |
|
2,224 |
2,189 |
$14K |
| 97161 |
|
404 |
389 |
$14K |
| 93306 |
|
230 |
225 |
$14K |
| 87797 |
|
549 |
540 |
$14K |
| 71045 |
|
1,831 |
1,760 |
$13K |
| 84484 |
|
1,614 |
1,507 |
$13K |
| 83690 |
|
2,897 |
2,752 |
$13K |
| 77066 |
Tomosynthesis, mammo |
163 |
162 |
$12K |
| 76830 |
|
281 |
275 |
$12K |
| 84466 |
|
779 |
751 |
$12K |
| 86618 |
|
516 |
252 |
$12K |
| 76642 |
|
298 |
295 |
$11K |
| 99282 |
|
340 |
325 |
$11K |
| 70553 |
|
48 |
47 |
$11K |
| 96365 |
|
477 |
439 |
$11K |
| 87086 |
|
1,539 |
1,456 |
$11K |
| 74176 |
|
140 |
138 |
$11K |
| 88305 |
|
826 |
768 |
$11K |
| 76705 |
|
313 |
304 |
$10K |
| 88342 |
|
291 |
279 |
$10K |
| 82607 |
|
816 |
799 |
$10K |
| 76856 |
|
206 |
202 |
$9K |
| 87428 |
|
490 |
487 |
$9K |
| 77063 |
|
420 |
418 |
$9K |
| 77065 |
Tomosynthesis, mammo |
183 |
173 |
$9K |
| 97110 |
|
831 |
277 |
$9K |
| 82728 |
|
768 |
739 |
$8K |
| 72125 |
|
143 |
137 |
$8K |
| 87661 |
|
212 |
200 |
$8K |
| 45380 |
|
47 |
46 |
$7K |
| 0012A |
|
180 |
180 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,083 |
2,777 |
$7K |
| 87389 |
|
313 |
307 |
$7K |
| 93971 |
|
118 |
117 |
$7K |
| 90785 |
|
155 |
102 |
$7K |
| 76536 |
|
143 |
142 |
$7K |
| 83735 |
|
1,145 |
1,010 |
$7K |
| 83540 |
|
835 |
802 |
$6K |
| 85027 |
|
1,069 |
984 |
$6K |
| 86803 |
|
334 |
326 |
$6K |
| 84153 |
|
247 |
245 |
$6K |
| 87635 |
|
168 |
167 |
$6K |
| 45385 |
|
27 |
26 |
$6K |
| 87481 |
|
210 |
198 |
$6K |
| 84702 |
|
322 |
297 |
$5K |
| G0279 |
Tomosynthesis, mammo |
292 |
287 |
$5K |
| P9604 |
One-way allow prorated trip |
967 |
531 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
332 |
332 |
$5K |
| 85730 |
|
907 |
859 |
$5K |
| 85610 |
|
1,769 |
1,400 |
$5K |
| 87150 |
|
114 |
114 |
$5K |
| 96372 |
|
509 |
376 |
$5K |
| 36415 |
|
16,915 |
14,709 |
$5K |
| 84439 |
|
613 |
605 |
$5K |
| 82043 |
|
616 |
611 |
$5K |
| 87081 |
|
853 |
818 |
$5K |
| 82570 |
|
676 |
670 |
$4K |
| 93017 |
|
146 |
143 |
$4K |
| 73564 |
|
224 |
224 |
$4K |
| 86038 |
|
282 |
276 |
$4K |
| 83615 |
|
665 |
562 |
$4K |
| 73610 |
|
246 |
240 |
$4K |
| G0476 |
Hpv combo assay ca screen |
137 |
137 |
$4K |
| 78452 |
|
31 |
29 |
$4K |
| 97162 |
|
92 |
90 |
$4K |
| 82746 |
|
303 |
300 |
$3K |
| 87186 |
|
482 |
463 |
$3K |
| 97010 |
|
425 |
146 |
$3K |
| 86617 |
|
76 |
76 |
$3K |
| 70551 |
|
16 |
16 |
$3K |
| 74019 |
|
237 |
232 |
$3K |
| 74018 |
|
251 |
242 |
$3K |
| 0011A |
|
172 |
171 |
$3K |
| 73630 |
|
333 |
321 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
1,679 |
1,488 |
$3K |
| 86255 |
|
136 |
131 |
$3K |
| 72110 |
|
136 |
136 |
$3K |
| 87040 |
|
337 |
177 |
$3K |
| 45378 |
|
13 |
13 |
$3K |
| 84146 |
|
112 |
110 |
$3K |
| 73030 |
|
196 |
194 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
64 |
58 |
$2K |
| 73130 |
|
223 |
216 |
$2K |
| 82784 |
|
146 |
146 |
$2K |
| 85652 |
|
902 |
764 |
$2K |
| 96361 |
|
309 |
272 |
$2K |
| 73502 |
|
115 |
113 |
$2K |
| 84403 |
|
90 |
90 |
$2K |
| 97164 |
|
59 |
58 |
$2K |
| 82105 |
|
118 |
114 |
$2K |
| 87625 |
|
58 |
58 |
$2K |
| 94640 |
|
240 |
208 |
$2K |
| 93296 |
|
162 |
161 |
$2K |
| 0002A |
|
69 |
69 |
$2K |
| 87340 |
|
142 |
139 |
$2K |
| 76775 |
|
54 |
54 |
$2K |
| 72100 |
|
106 |
105 |
$2K |
| 87077 |
|
316 |
303 |
$2K |
| 86140 |
|
754 |
615 |
$2K |
| 86787 |
|
98 |
98 |
$2K |
| 85379 |
|
194 |
191 |
$2K |
| 76816 |
|
40 |
38 |
$2K |
| 96376 |
|
556 |
331 |
$2K |
| 83880 |
|
81 |
80 |
$2K |
| 87510 |
|
156 |
152 |
$2K |
| 82565 |
|
271 |
261 |
$2K |
| 76815 |
|
26 |
25 |
$1K |
| 87070 |
|
254 |
247 |
$1K |
| 87502 |
|
12 |
12 |
$1K |
| 86706 |
|
90 |
90 |
$1K |
| 84520 |
|
234 |
231 |
$1K |
| 0001A |
|
73 |
73 |
$1K |
| 73110 |
|
117 |
110 |
$1K |
| 86762 |
|
81 |
80 |
$1K |
| 83970 |
|
28 |
27 |
$1K |
| 93970 |
|
15 |
14 |
$1K |
| 84550 |
|
187 |
178 |
$1K |
| 94729 |
|
50 |
49 |
$1K |
| 86850 |
|
187 |
168 |
$982.82 |
| 84436 |
|
126 |
123 |
$969.64 |
| 84703 |
|
91 |
88 |
$959.63 |
| 97165 |
|
73 |
71 |
$933.02 |
| 87088 |
|
137 |
137 |
$919.24 |
| 81025 |
|
384 |
362 |
$914.96 |
| 86431 |
|
120 |
119 |
$914.18 |
| 84100 |
|
192 |
172 |
$909.43 |
| 94726 |
|
48 |
47 |
$908.36 |
| 84481 |
|
40 |
39 |
$871.44 |
| 76817 |
|
14 |
14 |
$813.44 |
| 86592 |
|
192 |
189 |
$780.08 |
| 83655 |
|
69 |
69 |
$773.60 |
| 82378 |
|
59 |
50 |
$766.27 |
| 70486 |
|
16 |
13 |
$746.87 |
| 82550 |
|
119 |
111 |
$714.71 |
| 82950 |
|
101 |
101 |
$674.43 |
| 87147 |
|
190 |
189 |
$657.85 |
| 76805 |
|
14 |
14 |
$655.12 |
| 83605 |
|
140 |
135 |
$653.28 |
| 83516 |
|
131 |
129 |
$608.72 |
| 82140 |
|
132 |
98 |
$605.80 |
| 83001 |
|
31 |
31 |
$589.40 |
| 82248 |
|
93 |
92 |
$567.87 |
| 72050 |
|
24 |
24 |
$545.98 |
| 82948 |
|
908 |
468 |
$533.57 |
| J3490 |
Drugs unclassified injection |
1,180 |
825 |
$528.66 |
| 96366 |
|
55 |
37 |
$503.90 |
| 85018 |
|
172 |
150 |
$489.80 |
| 86235 |
|
13 |
13 |
$469.08 |
| 86901 |
|
183 |
165 |
$462.17 |
| 86900 |
|
184 |
166 |
$455.69 |
| 90715 |
|
25 |
25 |
$446.24 |
| 85014 |
|
159 |
137 |
$443.69 |
| 80055 |
|
63 |
63 |
$391.20 |
| 94060 |
|
50 |
49 |
$361.44 |
| 81513 |
|
207 |
195 |
$356.60 |
| 73562 |
|
26 |
26 |
$345.99 |
| J2704 |
Inj, propofol, 10 mg |
2,047 |
1,967 |
$342.78 |
| 84402 |
|
12 |
12 |
$314.42 |
| J1170 |
Hydromorphone injection |
1,328 |
972 |
$313.54 |
| 87804 |
|
17 |
15 |
$281.34 |
| 82947 |
|
72 |
72 |
$264.37 |
| G2066 |
Inter devc remote 30d |
16 |
15 |
$262.15 |
| 82977 |
|
26 |
25 |
$223.75 |
| 96367 |
|
17 |
15 |
$214.68 |
| 96360 |
|
12 |
12 |
$213.82 |
| A9270 |
Non-covered item or service |
821 |
427 |
$211.55 |
| 86800 |
|
12 |
12 |
$208.18 |
| A9552 |
F18 fdg |
74 |
71 |
$206.25 |
| A9500 |
Tc99m sestamibi |
31 |
29 |
$204.00 |
| 71101 |
|
12 |
12 |
$201.67 |
| 80164 |
|
14 |
14 |
$190.56 |
| 73590 |
|
12 |
12 |
$188.18 |
| 86225 |
|
14 |
14 |
$178.12 |
| J1885 |
Ketorolac tromethamine inj |
3,092 |
2,650 |
$164.73 |
| 73080 |
|
14 |
14 |
$140.25 |
| J2270 |
Morphine sulfate injection |
149 |
116 |
$132.64 |
| A9576 |
Inj prohance multipack |
189 |
127 |
$125.57 |
| 87205 |
|
59 |
54 |
$122.91 |
| J2405 |
Ondansetron hcl injection |
4,057 |
3,417 |
$120.67 |
| 90471 |
|
13 |
13 |
$110.00 |
| 84480 |
|
15 |
15 |
$107.84 |
| J0780 |
Prochlorperazine injection |
185 |
155 |
$100.04 |
| 86376 |
|
13 |
13 |
$98.26 |
| 87505 |
|
14 |
12 |
$80.64 |
| 88304 |
|
103 |
102 |
$80.47 |
| 84425 |
|
12 |
12 |
$78.96 |
| J0696 |
Ceftriaxone sodium injection |
121 |
108 |
$78.05 |
| J0690 |
Cefazolin sodium injection |
515 |
397 |
$52.68 |
| J2930 |
Methylprednisolone injection |
102 |
99 |
$47.10 |
| 84156 |
|
12 |
12 |
$45.81 |
| J1040 |
Methylprednisolone 80 mg inj |
56 |
53 |
$40.19 |
| J7030 |
Normal saline solution infus |
273 |
250 |
$37.35 |
| J7120 |
Ringers lactate infusion |
1,245 |
1,107 |
$33.97 |
| J1200 |
Diphenhydramine hcl injectio |
615 |
551 |
$32.35 |
| J2360 |
Orphenadrine injection |
46 |
42 |
$30.97 |
| 97530 |
|
37 |
12 |
$28.60 |
| J1100 |
Dexamethasone sodium phos |
1,223 |
1,155 |
$24.50 |
| 87075 |
|
17 |
14 |
$24.01 |
| C9113 |
Inj pantoprazole sodium, via |
70 |
42 |
$20.89 |
| J2060 |
Lorazepam injection |
177 |
144 |
$17.04 |
| J2710 |
Neostigmine methylslfte inj |
98 |
89 |
$14.63 |
| J2765 |
Metoclopramide hcl injection |
144 |
135 |
$10.37 |
| J3010 |
Fentanyl citrate injection |
1,224 |
968 |
$8.15 |
| J2250 |
Inj midazolam hydrochloride |
1,029 |
954 |
$5.21 |
| J2001 |
Lidocaine injection |
597 |
590 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
99 |
98 |
$0.00 |
| 3044F |
|
345 |
340 |
$0.00 |
| 3052F |
|
43 |
41 |
$0.00 |
| J7040 |
Normal saline solution infus |
348 |
348 |
$0.00 |
| 3051F |
|
55 |
55 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
39 |
$0.00 |
| 3046F |
|
49 |
49 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
41 |
41 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
115 |
97 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
163 |
148 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
14 |
$0.00 |