| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,036 |
10,183 |
$2.84M |
| 99285 |
|
5,700 |
5,276 |
$2.31M |
| 99283 |
|
9,993 |
9,365 |
$1.54M |
| 74177 |
|
3,131 |
2,896 |
$592K |
| 96374 |
|
4,843 |
3,910 |
$560K |
| 99282 |
|
4,555 |
4,339 |
$452K |
| 97110 |
|
11,863 |
3,554 |
$401K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,214 |
5,056 |
$353K |
| 70450 |
|
2,698 |
2,474 |
$298K |
| 96365 |
|
2,394 |
1,791 |
$282K |
| 96360 |
|
1,798 |
1,641 |
$259K |
| 96375 |
|
4,586 |
3,800 |
$215K |
| 71045 |
|
3,944 |
3,629 |
$210K |
| 87635 |
|
5,310 |
5,136 |
$172K |
| 71046 |
|
3,646 |
3,253 |
$164K |
| 93306 |
|
456 |
455 |
$153K |
| 96361 |
|
3,355 |
2,872 |
$140K |
| 76816 |
|
2,075 |
1,699 |
$126K |
| 76830 |
|
1,792 |
1,612 |
$125K |
| 80307 |
|
8,721 |
7,888 |
$119K |
| 97161 |
|
1,866 |
1,842 |
$117K |
| 87651 |
|
6,727 |
6,602 |
$114K |
| 77067 |
|
1,935 |
1,835 |
$112K |
| 97530 |
|
2,509 |
1,070 |
$108K |
| 92507 |
|
2,134 |
729 |
$99K |
| 80053 |
|
29,295 |
25,382 |
$85K |
| 76857 |
|
1,084 |
1,070 |
$84K |
| 97140 |
|
4,481 |
1,554 |
$77K |
| 84443 |
|
11,329 |
10,877 |
$77K |
| 86900 |
|
2,195 |
2,066 |
$72K |
| 36415 |
|
43,234 |
35,103 |
$70K |
| 76705 |
|
1,027 |
918 |
$70K |
| 87502 |
|
988 |
971 |
$68K |
| 80061 |
|
5,954 |
5,936 |
$66K |
| 71260 |
|
459 |
442 |
$62K |
| 76801 |
|
836 |
812 |
$61K |
| 71275 |
|
418 |
410 |
$61K |
| 87491 |
|
2,848 |
2,812 |
$59K |
| 85025 |
|
30,970 |
26,023 |
$59K |
| 87591 |
|
2,811 |
2,775 |
$58K |
| U0005 |
Infec agen detec ampli probe |
2,844 |
2,772 |
$57K |
| 43239 |
|
114 |
114 |
$54K |
| 72148 |
|
359 |
336 |
$51K |
| 93005 |
|
7,298 |
6,683 |
$48K |
| G0480 |
Drug test def 1-7 classes |
915 |
798 |
$47K |
| 73630 |
|
1,848 |
1,632 |
$44K |
| 74176 |
|
317 |
304 |
$44K |
| 96413 |
|
180 |
130 |
$39K |
| 86780 |
|
3,715 |
2,037 |
$38K |
| 95810 |
|
51 |
50 |
$36K |
| 73610 |
|
1,388 |
1,232 |
$35K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,840 |
1,836 |
$34K |
| 82306 |
|
1,752 |
1,745 |
$32K |
| 73130 |
|
1,332 |
1,180 |
$32K |
| 77063 |
|
1,934 |
1,834 |
$30K |
| 87880 |
|
3,222 |
3,166 |
$28K |
| 73721 |
|
193 |
178 |
$28K |
| 76805 |
|
361 |
337 |
$27K |
| 76856 |
|
584 |
425 |
$26K |
| 95811 |
|
42 |
40 |
$26K |
| 83036 |
|
4,220 |
4,189 |
$25K |
| 87426 |
|
1,029 |
1,013 |
$24K |
| 73564 |
|
449 |
443 |
$23K |
| 96366 |
|
377 |
222 |
$23K |
| 76815 |
|
521 |
365 |
$23K |
| 87086 |
|
7,708 |
7,144 |
$22K |
| 87389 |
|
2,424 |
2,395 |
$22K |
| 99281 |
|
436 |
436 |
$22K |
| 73030 |
|
865 |
778 |
$21K |
| 73110 |
|
715 |
638 |
$21K |
| 88305 |
|
2,112 |
1,981 |
$20K |
| 45380 |
|
25 |
25 |
$19K |
| 87804 |
|
2,736 |
2,183 |
$18K |
| G0463 |
Hospital outpt clinic visit |
237 |
148 |
$18K |
| 70553 |
|
56 |
55 |
$17K |
| 72100 |
|
480 |
424 |
$17K |
| 84702 |
|
2,153 |
1,456 |
$15K |
| 45378 |
|
24 |
24 |
$14K |
| 93976 |
|
215 |
209 |
$14K |
| 72125 |
|
696 |
668 |
$13K |
| 82728 |
|
1,628 |
1,592 |
$12K |
| G0476 |
Hpv combo assay ca screen |
457 |
456 |
$12K |
| 81025 |
|
8,372 |
7,575 |
$11K |
| 73562 |
|
579 |
478 |
$11K |
| 87186 |
|
2,811 |
2,703 |
$11K |
| 82607 |
|
1,226 |
1,213 |
$11K |
| 80048 |
|
2,917 |
2,508 |
$11K |
| 87624 |
|
435 |
431 |
$10K |
| 76641 |
|
161 |
149 |
$9K |
| 84439 |
|
1,855 |
1,829 |
$9K |
| 85027 |
|
2,472 |
2,428 |
$9K |
| 93971 |
|
152 |
129 |
$8K |
| 87102 |
|
1,652 |
1,616 |
$8K |
| 96372 |
|
3,094 |
2,828 |
$8K |
| 94060 |
|
42 |
41 |
$8K |
| 87428 |
|
391 |
384 |
$8K |
| 87070 |
|
1,528 |
1,476 |
$6K |
| 70496 |
|
25 |
25 |
$6K |
| 87088 |
|
1,691 |
1,640 |
$6K |
| 74018 |
|
323 |
294 |
$6K |
| 83735 |
|
9,236 |
7,923 |
$5K |
| 71271 |
|
67 |
67 |
$5K |
| 73502 |
|
161 |
145 |
$5K |
| 81002 |
|
2,291 |
2,172 |
$5K |
| 86850 |
|
4,278 |
2,151 |
$5K |
| 85610 |
|
4,886 |
3,879 |
$5K |
| 87633 |
|
31 |
30 |
$5K |
| 83880 |
|
2,673 |
2,483 |
$5K |
| 87340 |
|
1,555 |
1,528 |
$5K |
| 87205 |
|
1,935 |
1,877 |
$4K |
| 87077 |
|
1,072 |
1,038 |
$4K |
| 86803 |
|
911 |
890 |
$4K |
| 93225 |
|
53 |
53 |
$4K |
| 82570 |
|
1,334 |
1,266 |
$4K |
| 86140 |
|
2,841 |
2,662 |
$4K |
| 87147 |
|
872 |
823 |
$4K |
| 87210 |
|
1,046 |
1,037 |
$4K |
| 81001 |
|
8,366 |
7,673 |
$3K |
| 59025 |
|
40 |
37 |
$3K |
| 81003 |
|
6,549 |
6,145 |
$3K |
| 82746 |
|
393 |
389 |
$3K |
| 84144 |
|
214 |
103 |
$3K |
| 82950 |
|
861 |
861 |
$3K |
| 82043 |
|
710 |
707 |
$3K |
| 87081 |
|
692 |
677 |
$3K |
| 94640 |
|
2,580 |
2,243 |
$3K |
| 70551 |
|
12 |
12 |
$2K |
| 74019 |
|
114 |
85 |
$2K |
| 87798 |
|
108 |
74 |
$2K |
| 83690 |
|
4,485 |
4,080 |
$2K |
| 80074 |
|
91 |
90 |
$2K |
| 83001 |
|
145 |
142 |
$2K |
| 87807 |
|
444 |
432 |
$2K |
| 71250 |
|
24 |
24 |
$2K |
| 82962 |
|
2,786 |
1,890 |
$2K |
| 70486 |
|
42 |
36 |
$2K |
| 82565 |
|
704 |
686 |
$2K |
| 85652 |
|
1,772 |
1,677 |
$2K |
| 84146 |
|
117 |
115 |
$2K |
| 76819 |
|
35 |
13 |
$2K |
| 87184 |
|
436 |
425 |
$1K |
| 83540 |
|
362 |
353 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
38 |
38 |
$1K |
| 85379 |
|
2,201 |
2,102 |
$1K |
| 94726 |
|
79 |
78 |
$1K |
| 36592 |
|
1,192 |
1,151 |
$889.95 |
| 84481 |
|
120 |
120 |
$873.50 |
| 82550 |
|
1,065 |
1,015 |
$862.27 |
| 90471 |
|
72 |
72 |
$844.48 |
| 82150 |
|
1,192 |
1,096 |
$819.40 |
| 84403 |
|
42 |
42 |
$800.10 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,215 |
4,914 |
$728.71 |
| 87040 |
|
2,827 |
2,469 |
$631.31 |
| 84466 |
|
80 |
79 |
$610.63 |
| 85730 |
|
1,358 |
1,272 |
$598.00 |
| 84484 |
|
5,232 |
4,521 |
$577.26 |
| 86762 |
|
481 |
469 |
$529.33 |
| 71101 |
|
30 |
25 |
$453.39 |
| G0279 |
Tomosynthesis, mammo |
36 |
36 |
$448.98 |
| 86787 |
|
434 |
421 |
$421.53 |
| 86769 |
|
12 |
12 |
$336.48 |
| 74022 |
|
58 |
51 |
$335.64 |
| 83605 |
|
3,428 |
3,079 |
$313.03 |
| 82077 |
|
1,835 |
1,554 |
$311.77 |
| 82670 |
|
14 |
14 |
$265.20 |
| 80076 |
|
54 |
52 |
$261.60 |
| 83655 |
|
28 |
28 |
$252.79 |
| 86308 |
|
126 |
124 |
$250.49 |
| 86038 |
|
43 |
43 |
$230.58 |
| J1885 |
Ketorolac tromethamine inj |
8,335 |
5,501 |
$217.30 |
| 73080 |
|
14 |
12 |
$212.44 |
| 93017 |
|
12 |
12 |
$211.17 |
| J2405 |
Ondansetron hcl injection |
5,706 |
4,812 |
$198.35 |
| 80179 |
|
1,130 |
1,024 |
$192.27 |
| 73590 |
|
17 |
12 |
$181.85 |
| 82248 |
|
56 |
43 |
$181.45 |
| 80143 |
|
1,144 |
1,027 |
$177.28 |
| 83002 |
|
13 |
13 |
$164.04 |
| 84145 |
|
461 |
440 |
$152.51 |
| 70498 |
|
12 |
12 |
$144.30 |
| 82785 |
|
13 |
13 |
$143.22 |
| G0103 |
Psa screening |
13 |
13 |
$138.28 |
| 82803 |
|
453 |
427 |
$74.84 |
| 0241U |
|
739 |
731 |
$71.82 |
| 82247 |
|
21 |
16 |
$69.66 |
| J7030 |
Normal saline solution infus |
8,935 |
6,918 |
$48.72 |
| 82274 |
|
12 |
12 |
$44.80 |
| 88304 |
|
25 |
24 |
$25.85 |
| J1170 |
Hydromorphone injection |
2,045 |
1,564 |
$18.53 |
| J2250 |
Inj midazolam hydrochloride |
2,020 |
1,790 |
$16.00 |
| J3010 |
Fentanyl citrate injection |
2,658 |
2,324 |
$15.86 |
| J2060 |
Lorazepam injection |
1,121 |
940 |
$12.42 |
| 86901 |
|
2,362 |
2,199 |
$12.36 |
| 84703 |
|
12 |
12 |
$7.77 |
| 85018 |
|
15 |
13 |
$7.48 |
| J3475 |
Inj magnesium sulfate |
82 |
53 |
$6.90 |
| J1200 |
Diphenhydramine hcl injectio |
1,675 |
1,359 |
$5.12 |
| 83615 |
|
13 |
13 |
$4.86 |
| J0690 |
Cefazolin sodium injection |
416 |
394 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
4,315 |
3,114 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,593 |
2,469 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
931 |
402 |
$0.00 |
| 96376 |
|
574 |
492 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
131 |
126 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
269 |
221 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,147 |
1,059 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,449 |
1,138 |
$0.00 |
| J7050 |
Normal saline solution infus |
584 |
427 |
$0.00 |
| 80349 |
|
349 |
314 |
$0.00 |
| A9270 |
Non-covered item or service |
389 |
126 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
29 |
28 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
202 |
200 |
$0.00 |
| 36416 |
|
70 |
38 |
$0.00 |
| J1630 |
Haloperidol injection |
12 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
68 |
58 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
49 |
39 |
$0.00 |
| 0099U |
|
15 |
15 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
55 |
47 |
$0.00 |
| J8540 |
Oral dexamethasone |
16 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
44 |
40 |
$0.00 |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
20 |
15 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
16 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,889 |
1,718 |
$0.00 |
| 80348 |
|
1,063 |
933 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
315 |
276 |
$0.00 |
| 99001 |
|
40 |
40 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,106 |
684 |
$0.00 |
| G1004 |
Cdsm ndsc |
427 |
384 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,383 |
1,272 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,485 |
1,250 |
$0.00 |
| 0202U |
|
2,251 |
2,205 |
$0.00 |
| 93226 |
|
54 |
53 |
$0.00 |
| J0780 |
Prochlorperazine injection |
44 |
39 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
51 |
48 |
$0.00 |
| A9576 |
Inj prohance multipack |
254 |
241 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
51 |
44 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$0.00 |
| 94729 |
|
78 |
77 |
$0.00 |
| 88312 |
|
91 |
89 |
$0.00 |
| 90715 |
|
56 |
56 |
$0.00 |
| 82009 |
|
13 |
12 |
$0.00 |
| 99152 |
|
25 |
25 |
$0.00 |