| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
17,302 |
14,532 |
$7.37M |
| 74176 |
|
3,586 |
3,030 |
$2.22M |
| 99285 |
|
4,356 |
3,202 |
$2.09M |
| 74177 |
|
2,266 |
1,894 |
$1.81M |
| 99283 |
|
17,034 |
14,840 |
$1.60M |
| G0378 |
Hospital observation per hr |
4,682 |
2,461 |
$1.54M |
| 80053 |
|
71,723 |
43,921 |
$1.40M |
| 70450 |
|
3,642 |
2,843 |
$869K |
| 85025 |
|
55,090 |
44,391 |
$691K |
| 99291 |
|
1,617 |
966 |
$675K |
| 96361 |
|
11,400 |
4,845 |
$628K |
| 80061 |
|
17,619 |
16,264 |
$589K |
| 43239 |
|
1,896 |
997 |
$581K |
| 97110 |
|
9,406 |
2,169 |
$579K |
| 80307 |
|
11,687 |
9,161 |
$524K |
| 93306 |
|
1,456 |
1,280 |
$510K |
| 84443 |
|
17,860 |
16,940 |
$486K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,028 |
3,590 |
$400K |
| 82306 |
|
10,393 |
9,889 |
$395K |
| 96365 |
|
7,935 |
3,641 |
$377K |
| 71045 |
|
10,187 |
7,257 |
$376K |
| 87631 |
|
4,516 |
4,216 |
$371K |
| 99282 |
|
5,578 |
4,950 |
$369K |
| G0463 |
Hospital outpt clinic visit |
30,073 |
23,075 |
$358K |
| 96374 |
|
11,855 |
6,203 |
$353K |
| 93005 |
|
8,081 |
6,442 |
$340K |
| 36415 |
|
111,287 |
41,044 |
$299K |
| 83735 |
|
9,969 |
8,629 |
$287K |
| 76830 |
|
1,710 |
1,604 |
$275K |
| 82607 |
|
9,095 |
8,535 |
$270K |
| 82728 |
|
7,772 |
7,219 |
$260K |
| 71046 |
|
6,266 |
4,718 |
$247K |
| 84439 |
|
9,405 |
8,960 |
$247K |
| 84484 |
|
8,204 |
6,343 |
$243K |
| 97530 |
|
5,149 |
1,723 |
$241K |
| 0241U |
|
4,146 |
3,713 |
$239K |
| 94640 |
|
2,951 |
1,818 |
$238K |
| 76700 |
|
1,740 |
1,458 |
$226K |
| D7210 |
|
217 |
204 |
$211K |
| 81001 |
|
21,340 |
18,189 |
$205K |
| 80074 |
|
3,524 |
3,200 |
$191K |
| 96372 |
|
11,977 |
7,364 |
$187K |
| 87040 |
|
4,124 |
2,878 |
$185K |
| 88305 |
|
2,330 |
1,916 |
$179K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,282 |
4,707 |
$177K |
| 83036 |
|
14,557 |
13,901 |
$176K |
| 82150 |
|
3,694 |
3,246 |
$171K |
| 83690 |
|
6,133 |
5,271 |
$164K |
| 92507 |
|
4,237 |
1,431 |
$163K |
| 96375 |
|
5,845 |
4,175 |
$153K |
| 72148 |
|
321 |
284 |
$149K |
| 59025 |
|
2,793 |
1,139 |
$146K |
| 83540 |
|
7,295 |
6,918 |
$144K |
| 87086 |
|
9,042 |
7,401 |
$137K |
| 96360 |
|
3,734 |
1,806 |
$136K |
| 74022 |
|
1,307 |
1,109 |
$131K |
| 80048 |
|
7,018 |
4,851 |
$126K |
| 81025 |
|
5,366 |
4,732 |
$120K |
| 83550 |
|
6,555 |
6,216 |
$118K |
| 82746 |
|
2,946 |
2,743 |
$112K |
| 77067 |
|
2,177 |
2,117 |
$110K |
| 96366 |
|
1,841 |
1,153 |
$110K |
| 87389 |
|
2,889 |
2,723 |
$109K |
| G0480 |
Drug test def 1-7 classes |
3,717 |
2,086 |
$102K |
| 83880 |
|
2,794 |
2,259 |
$97K |
| 87502 |
|
1,935 |
1,737 |
$95K |
| 72100 |
|
2,255 |
1,777 |
$94K |
| 85730 |
|
3,075 |
2,646 |
$91K |
| 87633 |
|
344 |
320 |
$88K |
| 73630 |
|
1,757 |
1,512 |
$87K |
| 73030 |
|
2,075 |
1,615 |
$81K |
| 87651 |
|
3,828 |
3,607 |
$81K |
| C9803 |
Hopd covid-19 spec collect |
10,601 |
7,394 |
$78K |
| 73610 |
|
1,580 |
1,231 |
$77K |
| 84702 |
|
2,646 |
2,047 |
$77K |
| 87491 |
|
3,450 |
3,200 |
$76K |
| 86038 |
|
2,151 |
2,007 |
$75K |
| 85610 |
|
5,357 |
4,057 |
$74K |
| 87798 |
|
363 |
314 |
$73K |
| 96376 |
|
1,866 |
1,120 |
$71K |
| 73130 |
|
1,474 |
1,188 |
$70K |
| 82553 |
|
2,732 |
2,177 |
$66K |
| 73110 |
|
1,271 |
938 |
$65K |
| 87186 |
|
2,381 |
2,063 |
$63K |
| 97140 |
|
1,697 |
581 |
$61K |
| 83605 |
|
2,816 |
2,399 |
$60K |
| 99281 |
|
1,685 |
1,558 |
$53K |
| 20610 |
|
2,878 |
1,840 |
$52K |
| 84403 |
|
1,641 |
1,567 |
$50K |
| 82570 |
|
1,493 |
1,365 |
$49K |
| 96367 |
|
836 |
441 |
$49K |
| 71250 |
|
209 |
154 |
$46K |
| 82550 |
|
3,481 |
2,835 |
$44K |
| 87077 |
|
3,660 |
2,489 |
$43K |
| G0482 |
Drug test def 15-21 classes |
863 |
682 |
$43K |
| 93041 |
|
1,969 |
1,624 |
$42K |
| 87522 |
Neg quan hep c or qual rna |
1,179 |
1,098 |
$42K |
| 72125 |
|
146 |
119 |
$41K |
| 74018 |
|
817 |
726 |
$41K |
| D7140 |
|
81 |
72 |
$41K |
| 87591 |
|
1,928 |
1,844 |
$40K |
| 76817 |
|
249 |
208 |
$40K |
| 83001 |
|
902 |
862 |
$40K |
| U0005 |
Infec agen detec ampli probe |
3,971 |
3,585 |
$39K |
| 83525 |
|
1,466 |
1,428 |
$37K |
| 82803 |
|
1,114 |
878 |
$37K |
| 73562 |
|
755 |
578 |
$36K |
| 78452 |
|
464 |
175 |
$36K |
| 85378 |
|
1,764 |
1,624 |
$35K |
| 84703 |
|
2,028 |
1,811 |
$35K |
| 86140 |
|
2,370 |
2,118 |
$34K |
| 87070 |
|
1,723 |
1,272 |
$34K |
| U0002 |
Covid-19 lab test non-cdc |
1,420 |
1,198 |
$33K |
| 93225 |
|
700 |
557 |
$32K |
| 73564 |
|
626 |
499 |
$32K |
| 82043 |
|
3,085 |
2,684 |
$32K |
| 86787 |
|
668 |
622 |
$32K |
| 83002 |
|
709 |
670 |
$31K |
| 87804 |
|
1,440 |
1,258 |
$30K |
| 41899 |
|
23 |
20 |
$29K |
| 97162 |
|
759 |
702 |
$29K |
| G0283 |
Elec stim other than wound |
1,146 |
261 |
$28K |
| 86431 |
|
1,112 |
1,049 |
$27K |
| 87581 |
|
327 |
304 |
$27K |
| 71275 |
|
53 |
39 |
$27K |
| 77063 |
|
3,074 |
2,514 |
$26K |
| G2023 |
Specimen collect covid-19 |
1,212 |
988 |
$26K |
| 93226 |
|
358 |
338 |
$26K |
| 0100U |
|
388 |
352 |
$25K |
| G0103 |
Psa screening |
2,049 |
808 |
$24K |
| 76536 |
|
269 |
220 |
$24K |
| 87590 |
|
1,462 |
1,362 |
$24K |
| 87480 |
|
2,211 |
1,905 |
$23K |
| 86901 |
|
1,574 |
1,361 |
$23K |
| 93017 |
|
268 |
244 |
$23K |
| 80076 |
|
873 |
808 |
$22K |
| 70551 |
|
43 |
40 |
$22K |
| 72141 |
|
44 |
40 |
$21K |
| 99213 |
|
555 |
433 |
$20K |
| 87510 |
|
1,966 |
1,865 |
$20K |
| 87076 |
|
2,430 |
1,259 |
$19K |
| 72084 |
|
155 |
134 |
$19K |
| 74178 |
|
14 |
14 |
$19K |
| 87660 |
|
1,966 |
1,865 |
$19K |
| J3301 |
Triamcinolone acet inj nos |
1,212 |
1,061 |
$18K |
| 45380 |
|
40 |
26 |
$17K |
| 87486 |
|
343 |
307 |
$17K |
| 72040 |
|
388 |
297 |
$17K |
| 76705 |
|
162 |
150 |
$16K |
| J2930 |
Methylprednisolone injection |
1,686 |
1,298 |
$16K |
| 84550 |
|
1,693 |
1,541 |
$15K |
| G0379 |
Direct refer hospital observ |
223 |
190 |
$15K |
| 73502 |
|
391 |
321 |
$15K |
| 84270 |
|
757 |
713 |
$15K |
| 86592 |
|
1,451 |
1,371 |
$15K |
| 86200 |
|
784 |
761 |
$15K |
| 84481 |
|
282 |
260 |
$14K |
| 81420 |
|
33 |
28 |
$14K |
| 73560 |
|
364 |
256 |
$14K |
| 86900 |
|
1,814 |
1,394 |
$14K |
| 83516 |
|
267 |
228 |
$13K |
| 73721 |
|
25 |
25 |
$13K |
| 82565 |
|
1,045 |
801 |
$13K |
| 88175 |
|
1,081 |
1,022 |
$12K |
| 82947 |
|
802 |
730 |
$12K |
| 87880 |
|
921 |
846 |
$12K |
| 36600 |
|
1,187 |
831 |
$11K |
| 83655 |
|
380 |
371 |
$11K |
| 86850 |
|
1,230 |
1,075 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
4,691 |
3,912 |
$10K |
| 96413 |
|
116 |
50 |
$10K |
| 84402 |
|
724 |
691 |
$10K |
| 86762 |
|
551 |
511 |
$10K |
| 97597 |
|
212 |
77 |
$9K |
| 70553 |
|
15 |
12 |
$9K |
| 72110 |
|
176 |
125 |
$9K |
| 81002 |
|
1,479 |
1,153 |
$8K |
| 87661 |
|
460 |
445 |
$8K |
| 82670 |
|
228 |
215 |
$8K |
| 93971 |
|
79 |
70 |
$8K |
| 97014 |
|
215 |
57 |
$7K |
| 82105 |
|
284 |
256 |
$7K |
| 76819 |
|
221 |
101 |
$7K |
| 84144 |
|
194 |
185 |
$7K |
| 82652 |
|
262 |
246 |
$7K |
| 80081 |
|
77 |
72 |
$7K |
| 73221 |
|
16 |
14 |
$6K |
| J3490 |
Drugs unclassified injection |
2,014 |
1,110 |
$6K |
| 84436 |
|
166 |
155 |
$6K |
| 0012A |
|
591 |
586 |
$6K |
| 82626 |
|
151 |
149 |
$6K |
| 72050 |
|
86 |
65 |
$6K |
| J2710 |
Neostigmine methylslfte inj |
89 |
55 |
$5K |
| 84520 |
|
491 |
436 |
$5K |
| 90715 |
|
171 |
159 |
$5K |
| 90471 |
|
457 |
423 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,695 |
1,464 |
$5K |
| 86756 |
|
187 |
171 |
$5K |
| 88142 |
|
242 |
221 |
$5K |
| 76642 |
|
106 |
100 |
$5K |
| 77080 |
|
106 |
82 |
$5K |
| 82962 |
|
1,955 |
1,332 |
$5K |
| 76775 |
|
44 |
40 |
$4K |
| 85379 |
|
183 |
164 |
$4K |
| 0011A |
|
594 |
585 |
$4K |
| 83921 |
|
74 |
70 |
$4K |
| M0243 |
Casirivi and imdevi inj |
18 |
18 |
$4K |
| 86696 |
|
153 |
151 |
$4K |
| 71260 |
|
14 |
12 |
$4K |
| 99214 |
|
188 |
171 |
$4K |
| 84146 |
|
100 |
95 |
$4K |
| 17110 |
|
129 |
115 |
$4K |
| A9500 |
Tc99m sestamibi |
42 |
41 |
$4K |
| 87449 |
|
80 |
68 |
$4K |
| 86376 |
|
234 |
225 |
$4K |
| 86695 |
|
129 |
127 |
$4K |
| 85027 |
|
322 |
308 |
$3K |
| 85652 |
|
2,278 |
2,059 |
$3K |
| 85651 |
|
358 |
328 |
$3K |
| 78227 |
|
14 |
13 |
$3K |
| 81003 |
|
1,087 |
772 |
$3K |
| 87653 |
|
165 |
159 |
$3K |
| 82247 |
|
202 |
151 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,036 |
1,594 |
$3K |
| 82977 |
|
201 |
192 |
$3K |
| 99499 |
|
65 |
44 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,258 |
934 |
$3K |
| J0290 |
Ampicillin 500 mg inj |
219 |
182 |
$3K |
| 73080 |
|
64 |
51 |
$3K |
| 0001A |
|
144 |
144 |
$2K |
| 74019 |
|
28 |
26 |
$2K |
| 76805 |
|
12 |
12 |
$2K |
| 88185 |
|
37 |
31 |
$2K |
| 84153 |
|
72 |
70 |
$2K |
| 0002A |
|
128 |
128 |
$2K |
| 85018 |
|
223 |
191 |
$2K |
| 85014 |
|
217 |
185 |
$2K |
| 80299 |
|
15 |
14 |
$2K |
| 36416 |
|
566 |
452 |
$2K |
| J0690 |
Cefazolin sodium injection |
483 |
373 |
$2K |
| 84630 |
|
70 |
69 |
$2K |
| 73090 |
|
37 |
36 |
$2K |
| 86703 |
|
120 |
111 |
$2K |
| 87634 |
|
42 |
42 |
$2K |
| 99212 |
|
114 |
94 |
$2K |
| 76856 |
|
13 |
12 |
$2K |
| J2270 |
Morphine sulfate injection |
833 |
522 |
$1K |
| 86235 |
|
13 |
12 |
$1K |
| 93880 |
|
18 |
15 |
$1K |
| J0780 |
Prochlorperazine injection |
272 |
216 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,645 |
1,281 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
133 |
99 |
$1K |
| 51798 |
|
173 |
142 |
$1K |
| 86706 |
|
38 |
37 |
$1K |
| 94060 |
|
14 |
12 |
$1K |
| 93224 |
|
29 |
16 |
$1K |
| 87081 |
|
59 |
54 |
$1K |
| 99203 |
|
81 |
76 |
$1K |
| 76770 |
|
15 |
12 |
$1K |
| J1756 |
Iron sucrose injection |
30 |
13 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,084 |
916 |
$995.67 |
| 71101 |
|
14 |
14 |
$891.98 |
| 73590 |
|
16 |
16 |
$888.75 |
| 82248 |
|
62 |
40 |
$881.68 |
| 83883 |
|
14 |
13 |
$871.75 |
| 0064A |
|
123 |
106 |
$871.53 |
| 0097U |
|
18 |
12 |
$865.86 |
| 12001 |
|
12 |
12 |
$861.92 |
| 86225 |
|
27 |
26 |
$817.11 |
| 82140 |
|
29 |
27 |
$774.06 |
| J1170 |
Hydromorphone injection |
371 |
278 |
$766.19 |
| 96368 |
|
18 |
12 |
$754.59 |
| G0279 |
Tomosynthesis, mammo |
147 |
93 |
$700.25 |
| 88304 |
|
32 |
27 |
$612.24 |
| 82103 |
|
15 |
12 |
$592.06 |
| J0330 |
Succinycholine chloride inj |
33 |
28 |
$583.13 |
| 87507 |
|
13 |
13 |
$491.40 |
| 82272 |
|
147 |
96 |
$470.97 |
| 85660 |
|
37 |
31 |
$447.15 |
| 87340 |
|
13 |
12 |
$424.07 |
| 51702 |
|
14 |
12 |
$414.27 |
| 99202 |
|
48 |
45 |
$385.24 |
| 90714 |
|
13 |
12 |
$354.74 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$322.56 |
| 73565 |
|
14 |
12 |
$302.02 |
| 87624 |
|
17 |
15 |
$300.02 |
| 82677 |
|
12 |
12 |
$297.06 |
| G0476 |
Hpv combo assay ca screen |
17 |
13 |
$291.14 |
| 90662 |
|
17 |
16 |
$286.97 |
| A9270 |
Non-covered item or service |
1,352 |
264 |
$264.33 |
| J0131 |
Inj, acetaminophen (nos) |
17 |
12 |
$261.84 |
| 86803 |
|
13 |
12 |
$258.72 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
86 |
79 |
$217.91 |
| 99406 |
|
13 |
13 |
$214.76 |
| 0031A |
|
13 |
13 |
$203.92 |
| 84156 |
|
13 |
12 |
$203.87 |
| 80143 |
|
14 |
12 |
$157.68 |
| J3475 |
Inj magnesium sulfate |
18 |
13 |
$149.47 |
| 80050 |
|
13 |
13 |
$133.38 |
| 87802 |
|
16 |
12 |
$122.76 |
| 84100 |
|
15 |
12 |
$118.33 |
| J1200 |
Diphenhydramine hcl injectio |
105 |
88 |
$106.38 |
| J2550 |
Promethazine hcl injection |
127 |
94 |
$88.88 |
| 86336 |
|
12 |
12 |
$60.47 |
| G0328 |
Fecal blood scrn immunoassay |
22 |
17 |
$41.99 |
| J2765 |
Metoclopramide hcl injection |
37 |
25 |
$37.01 |
| Q9969 |
Non-heu tc-99m add-on/dose |
29 |
27 |
$31.98 |
| J1644 |
Inj heparin sodium per 1000u |
15 |
12 |
$15.72 |
| J7510 |
Prednisolone oral per 5 mg |
17 |
13 |
$14.88 |
| J2060 |
Lorazepam injection |
14 |
12 |
$13.58 |
| 84479 |
|
30 |
30 |
$7.18 |
| Q0244 |
Casirivi and imdevi 1200 mg |
21 |
13 |
$0.02 |
| Q0239 |
Bamlanivimab-xxxx |
70 |
16 |
$0.00 |