| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
15,442 |
14,707 |
$1.98M |
| 99284 |
|
13,453 |
12,948 |
$1.36M |
| 0202U |
|
4,973 |
4,784 |
$968K |
| 99283 |
|
11,628 |
11,296 |
$849K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,938 |
3,825 |
$333K |
| 80053 |
|
29,245 |
27,113 |
$304K |
| 74177 |
|
1,383 |
1,348 |
$236K |
| G0378 |
Hospital observation per hr |
322 |
234 |
$218K |
| 96374 |
|
7,098 |
6,845 |
$191K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,084 |
2,021 |
$165K |
| 85025 |
|
30,623 |
28,340 |
$161K |
| 80307 |
|
2,083 |
1,866 |
$129K |
| 87631 |
|
857 |
834 |
$121K |
| 84443 |
|
5,392 |
5,241 |
$113K |
| G0480 |
Drug test def 1-7 classes |
1,509 |
1,361 |
$91K |
| 93005 |
|
9,662 |
9,163 |
$85K |
| 96361 |
|
6,189 |
5,950 |
$81K |
| 0100U |
|
204 |
191 |
$78K |
| 96375 |
|
4,403 |
4,226 |
$77K |
| 80061 |
|
5,739 |
5,651 |
$73K |
| 84484 |
|
8,111 |
6,804 |
$72K |
| 96365 |
|
2,071 |
1,470 |
$62K |
| 87481 |
|
853 |
829 |
$62K |
| 70450 |
|
986 |
953 |
$60K |
| 84702 |
|
3,574 |
3,338 |
$57K |
| 71275 |
|
286 |
276 |
$57K |
| 71046 |
|
3,409 |
3,313 |
$55K |
| 71045 |
|
5,752 |
5,544 |
$50K |
| 87491 |
|
1,926 |
1,888 |
$48K |
| 87086 |
|
5,757 |
5,483 |
$42K |
| 74176 |
|
440 |
430 |
$42K |
| 99282 |
|
1,218 |
1,200 |
$40K |
| 0002A |
|
1,095 |
1,095 |
$40K |
| 87591 |
|
1,653 |
1,621 |
$40K |
| 80048 |
|
5,402 |
4,735 |
$39K |
| 95810 |
|
136 |
134 |
$37K |
| 87661 |
|
929 |
907 |
$37K |
| 93306 |
|
443 |
441 |
$35K |
| 0001A |
|
1,122 |
1,120 |
$35K |
| 72148 |
|
178 |
177 |
$33K |
| 70553 |
|
145 |
144 |
$33K |
| 62323 |
|
61 |
61 |
$33K |
| 76705 |
|
704 |
694 |
$31K |
| 77067 |
|
334 |
334 |
$30K |
| 82306 |
|
872 |
849 |
$29K |
| 83036 |
|
4,802 |
4,709 |
$29K |
| 83690 |
|
5,824 |
5,553 |
$27K |
| 87150 |
|
305 |
299 |
$26K |
| 96413 |
|
290 |
203 |
$26K |
| 87637 |
|
199 |
182 |
$26K |
| 300 |
Patient transfer system <300 |
182 |
43 |
$24K |
| 82607 |
|
2,050 |
2,019 |
$24K |
| 73721 |
|
84 |
82 |
$24K |
| 83605 |
|
3,351 |
3,113 |
$23K |
| 85027 |
|
4,201 |
3,555 |
$22K |
| 80050 |
|
493 |
484 |
$21K |
| 76830 |
|
374 |
363 |
$21K |
| 72125 |
|
287 |
282 |
$19K |
| 87389 |
|
688 |
682 |
$19K |
| 71250 |
|
276 |
274 |
$18K |
| 83880 |
|
682 |
655 |
$18K |
| 36415 |
|
9,834 |
7,937 |
$18K |
| 96372 |
|
1,517 |
1,404 |
$17K |
| 87624 |
|
400 |
397 |
$16K |
| 76642 |
|
331 |
286 |
$16K |
| 88305 |
|
827 |
707 |
$16K |
| 88175 |
|
512 |
509 |
$16K |
| 81001 |
|
5,630 |
5,392 |
$15K |
| 82728 |
|
1,404 |
1,365 |
$15K |
| 83735 |
|
2,591 |
2,300 |
$14K |
| 86803 |
|
765 |
755 |
$14K |
| 71260 |
|
186 |
180 |
$14K |
| 87430 |
|
2,038 |
1,988 |
$13K |
| 76770 |
|
225 |
223 |
$12K |
| Q9957 |
Inj perflutren lip micros,ml |
163 |
152 |
$12K |
| 82805 |
|
406 |
381 |
$11K |
| X0621 |
|
53 |
38 |
$11K |
| U0005 |
Infec agen detec ampli probe |
1,067 |
1,025 |
$11K |
| 83540 |
|
1,298 |
1,268 |
$10K |
| T1015 |
Clinic service |
301 |
192 |
$9K |
| 77063 |
|
287 |
287 |
$9K |
| 0004A |
|
210 |
209 |
$9K |
| 85379 |
|
992 |
925 |
$9K |
| 84439 |
|
1,145 |
1,098 |
$9K |
| 96360 |
|
331 |
313 |
$8K |
| 88342 |
|
190 |
177 |
$8K |
| 87040 |
|
516 |
441 |
$8K |
| 87522 |
Neg quan hep c or qual rna |
199 |
198 |
$8K |
| 93971 |
|
113 |
111 |
$7K |
| 82570 |
|
1,058 |
1,002 |
$7K |
| A9585 |
Gadobutrol injection |
946 |
918 |
$7K |
| 73610 |
|
359 |
327 |
$7K |
| 74183 |
|
13 |
13 |
$7K |
| 81003 |
|
2,374 |
2,265 |
$7K |
| 73564 |
|
278 |
250 |
$6K |
| 0241U |
|
73 |
70 |
$6K |
| 85610 |
|
2,318 |
1,849 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,746 |
3,525 |
$6K |
| 73630 |
|
439 |
395 |
$6K |
| 82043 |
|
802 |
781 |
$6K |
| 87186 |
|
765 |
709 |
$5K |
| 70551 |
|
27 |
27 |
$5K |
| 82248 |
|
926 |
866 |
$5K |
| 83550 |
|
1,238 |
1,211 |
$5K |
| 86618 |
|
220 |
216 |
$5K |
| 81025 |
|
1,314 |
1,262 |
$5K |
| 74018 |
|
339 |
319 |
$5K |
| 80076 |
|
668 |
606 |
$5K |
| 82746 |
|
458 |
448 |
$5K |
| J1756 |
Iron sucrose injection |
584 |
317 |
$4K |
| 83655 |
|
394 |
389 |
$4K |
| 94640 |
|
120 |
85 |
$4K |
| 72100 |
|
175 |
170 |
$4K |
| 84145 |
|
248 |
241 |
$4K |
| 84153 |
|
171 |
171 |
$4K |
| 86850 |
|
546 |
510 |
$4K |
| 73030 |
|
236 |
227 |
$4K |
| 84146 |
|
152 |
148 |
$4K |
| 94060 |
|
410 |
406 |
$4K |
| 86780 |
|
253 |
247 |
$4K |
| 0012A |
|
129 |
129 |
$4K |
| 83615 |
|
702 |
545 |
$4K |
| 87077 |
|
530 |
479 |
$3K |
| 0064A |
|
80 |
80 |
$3K |
| 72141 |
|
13 |
13 |
$3K |
| 76536 |
|
56 |
56 |
$3K |
| 77065 |
Tomosynthesis, mammo |
53 |
53 |
$3K |
| 86140 |
|
1,138 |
1,055 |
$3K |
| Q3014 |
Telehealth facility fee |
230 |
220 |
$3K |
| 86900 |
|
686 |
595 |
$3K |
| 83970 |
|
81 |
78 |
$3K |
| 86901 |
|
683 |
592 |
$3K |
| 87340 |
|
215 |
213 |
$3K |
| G0279 |
Tomosynthesis, mammo |
181 |
181 |
$3K |
| 73130 |
|
221 |
207 |
$3K |
| 96376 |
|
112 |
97 |
$3K |
| 84100 |
|
622 |
524 |
$3K |
| J7030 |
Normal saline solution infus |
6,707 |
5,525 |
$3K |
| 0072A |
|
63 |
63 |
$3K |
| 93226 |
|
73 |
71 |
$3K |
| 86003 |
|
26 |
26 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
80 |
79 |
$2K |
| 87088 |
|
310 |
297 |
$2K |
| 96366 |
|
191 |
159 |
$2K |
| 82962 |
|
1,528 |
1,033 |
$2K |
| 80081 |
|
25 |
25 |
$2K |
| 73502 |
|
107 |
103 |
$2K |
| 88341 |
|
29 |
25 |
$2K |
| 72110 |
|
79 |
79 |
$2K |
| 73110 |
|
153 |
144 |
$2K |
| 0071A |
|
47 |
47 |
$2K |
| 90715 |
|
418 |
414 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
173 |
170 |
$2K |
| 94729 |
|
65 |
65 |
$2K |
| 0011A |
|
108 |
107 |
$2K |
| 82950 |
|
250 |
248 |
$2K |
| 86038 |
|
115 |
114 |
$2K |
| 93017 |
|
45 |
45 |
$2K |
| 70486 |
|
24 |
24 |
$2K |
| 82375 |
|
408 |
383 |
$2K |
| 84481 |
|
74 |
70 |
$2K |
| G0108 |
Diab manage trn per indiv |
55 |
52 |
$2K |
| 12001 |
|
65 |
64 |
$2K |
| 86592 |
|
388 |
384 |
$2K |
| 82550 |
|
263 |
237 |
$2K |
| 82565 |
|
267 |
262 |
$2K |
| 86762 |
|
78 |
76 |
$2K |
| 83525 |
|
139 |
135 |
$2K |
| J2270 |
Morphine sulfate injection |
1,468 |
1,252 |
$1K |
| 85652 |
|
501 |
485 |
$1K |
| 94726 |
|
52 |
52 |
$1K |
| 82150 |
|
320 |
316 |
$1K |
| 85046 |
|
251 |
241 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$1K |
| 82977 |
|
201 |
141 |
$1K |
| 87070 |
|
193 |
185 |
$1K |
| 86431 |
|
157 |
154 |
$1K |
| 82784 |
|
54 |
52 |
$1K |
| 84156 |
|
272 |
230 |
$1K |
| 80164 |
|
70 |
66 |
$1K |
| 73590 |
|
55 |
50 |
$1K |
| 0003A |
|
23 |
23 |
$950.20 |
| 93320 |
|
24 |
24 |
$934.46 |
| 85730 |
|
157 |
154 |
$901.47 |
| 84550 |
|
163 |
153 |
$899.47 |
| 83050 |
|
406 |
381 |
$861.60 |
| 93225 |
|
51 |
50 |
$844.44 |
| 86317 |
|
41 |
41 |
$828.34 |
| 99281 |
|
38 |
38 |
$779.42 |
| 73080 |
|
63 |
62 |
$778.77 |
| 11721 |
|
59 |
57 |
$756.00 |
| 94664 |
|
96 |
93 |
$746.64 |
| 85018 |
|
241 |
239 |
$739.22 |
| 80179 |
|
13 |
12 |
$733.26 |
| 84403 |
|
25 |
25 |
$731.16 |
| J1170 |
Hydromorphone injection |
646 |
533 |
$668.84 |
| 82947 |
|
169 |
168 |
$664.30 |
| 11042 |
|
31 |
25 |
$645.45 |
| J0780 |
Prochlorperazine injection |
947 |
885 |
$645.37 |
| 80074 |
|
13 |
13 |
$627.74 |
| J1885 |
Ketorolac tromethamine inj |
5,409 |
4,921 |
$605.31 |
| 74022 |
|
32 |
30 |
$602.21 |
| 20552 |
|
28 |
27 |
$599.96 |
| 85007 |
|
146 |
135 |
$583.39 |
| 87511 |
|
26 |
26 |
$578.60 |
| J7040 |
Normal saline solution infus |
3,586 |
2,542 |
$549.10 |
| 93296 |
|
74 |
74 |
$529.48 |
| 94618 |
|
41 |
40 |
$523.09 |
| 87641 |
|
14 |
12 |
$513.91 |
| 84460 |
|
78 |
75 |
$493.33 |
| 83001 |
|
27 |
27 |
$489.69 |
| 82785 |
|
26 |
26 |
$479.93 |
| J2405 |
Ondansetron hcl injection |
7,468 |
6,456 |
$447.80 |
| 87880 |
|
73 |
71 |
$433.52 |
| 87635 |
|
12 |
12 |
$415.19 |
| J0696 |
Ceftriaxone sodium injection |
1,053 |
913 |
$391.83 |
| J1100 |
Dexamethasone sodium phos |
3,012 |
2,849 |
$357.28 |
| J3010 |
Fentanyl citrate injection |
3,262 |
2,772 |
$352.50 |
| J2704 |
Inj, propofol, 10 mg |
1,433 |
1,140 |
$347.85 |
| 86705 |
|
25 |
24 |
$341.78 |
| J2930 |
Methylprednisolone injection |
209 |
202 |
$309.20 |
| 90686 |
|
49 |
47 |
$291.44 |
| 87205 |
|
70 |
60 |
$271.79 |
| G0008 |
Admin influenza virus vac |
64 |
64 |
$271.20 |
| J7050 |
Normal saline solution infus |
3,440 |
2,322 |
$260.22 |
| 82103 |
|
14 |
14 |
$259.42 |
| 71101 |
|
12 |
12 |
$251.02 |
| J3301 |
Triamcinolone acet inj nos |
339 |
334 |
$237.30 |
| J1200 |
Diphenhydramine hcl injectio |
1,670 |
1,503 |
$208.74 |
| 90471 |
|
29 |
27 |
$205.00 |
| 86200 |
|
13 |
13 |
$204.72 |
| 86800 |
|
12 |
12 |
$201.12 |
| 86039 |
|
12 |
12 |
$179.85 |
| J0690 |
Cefazolin sodium injection |
1,021 |
878 |
$160.68 |
| 82077 |
|
19 |
18 |
$152.90 |
| 87046 |
|
68 |
67 |
$150.75 |
| 73140 |
|
13 |
13 |
$150.63 |
| 88304 |
|
27 |
26 |
$147.19 |
| 83721 |
|
16 |
16 |
$136.97 |
| J7060 |
5% dextrose/water |
281 |
187 |
$128.99 |
| 80069 |
|
16 |
16 |
$125.45 |
| 80178 |
|
14 |
13 |
$103.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,103 |
1,043 |
$98.40 |
| 72170 |
|
13 |
13 |
$85.43 |
| J2920 |
Methylprednisolone injection |
12 |
12 |
$49.90 |
| J2060 |
Lorazepam injection |
103 |
94 |
$44.79 |
| 84520 |
|
12 |
12 |
$41.98 |
| J2250 |
Inj midazolam hydrochloride |
2,123 |
1,999 |
$34.27 |
| G0463 |
Hospital outpt clinic visit |
132 |
103 |
$24.14 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
157 |
156 |
$19.03 |
| J3370 |
Vancomycin hcl injection |
68 |
53 |
$10.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
549 |
509 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
392 |
368 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
49 |
48 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
266 |
266 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
46 |
44 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
34 |
$0.00 |
| J1750 |
Inj iron dextran |
14 |
13 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
26 |
25 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
246 |
161 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
60 |
59 |
$0.00 |
| J3420 |
Vitamin b12 injection |
20 |
13 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
30 |
30 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
13 |
12 |
$0.00 |
| 90656 |
|
56 |
56 |
$0.00 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
56 |
56 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
76 |
68 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$0.00 |
| J1815 |
Insulin injection |
41 |
13 |
$0.00 |