| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
2,155 |
1,944 |
$2.75M |
| 99283 |
|
20,222 |
18,178 |
$2.28M |
| 99284 |
|
14,201 |
12,397 |
$2.17M |
| 99285 |
|
8,666 |
7,320 |
$1.78M |
| 74176 |
|
1,570 |
1,405 |
$1.57M |
| 70450 |
|
2,181 |
1,938 |
$887K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,388 |
8,460 |
$557K |
| 41899 |
|
636 |
576 |
$550K |
| 80053 |
|
36,571 |
26,912 |
$536K |
| 96375 |
|
5,603 |
4,905 |
$534K |
| 0241U |
|
4,204 |
3,596 |
$434K |
| 71045 |
|
5,588 |
5,044 |
$376K |
| 94640 |
|
1,971 |
1,686 |
$365K |
| 99282 |
|
5,086 |
4,603 |
$351K |
| 96374 |
|
5,713 |
4,740 |
$326K |
| 96365 |
|
4,014 |
3,228 |
$310K |
| 93005 |
|
5,330 |
4,771 |
$279K |
| 97110 |
|
2,316 |
602 |
$269K |
| 36415 |
|
41,277 |
19,180 |
$250K |
| 71046 |
|
3,719 |
3,180 |
$247K |
| 87631 |
|
1,848 |
1,705 |
$219K |
| 85025 |
|
24,059 |
21,410 |
$218K |
| 82306 |
|
9,041 |
4,498 |
$194K |
| 84443 |
|
10,548 |
9,931 |
$183K |
| 80061 |
|
9,768 |
9,158 |
$182K |
| 93306 |
|
292 |
254 |
$181K |
| G0480 |
Drug test def 1-7 classes |
3,418 |
2,328 |
$175K |
| 87651 |
|
4,527 |
4,251 |
$153K |
| U0005 |
Infec agen detec ampli probe |
8,263 |
7,703 |
$151K |
| 87635 |
|
3,040 |
2,895 |
$134K |
| 80307 |
|
2,419 |
1,865 |
$122K |
| 96361 |
|
3,004 |
2,323 |
$110K |
| 99211 |
|
2,125 |
1,580 |
$107K |
| 80306 |
|
3,141 |
2,719 |
$106K |
| 96372 |
|
5,407 |
4,552 |
$97K |
| 87502 |
|
1,161 |
1,008 |
$85K |
| G0330 |
Facility svs dental rehab |
85 |
84 |
$82K |
| 73630 |
|
1,182 |
1,065 |
$82K |
| 84484 |
|
4,028 |
3,166 |
$79K |
| 87086 |
|
6,284 |
5,512 |
$78K |
| 81001 |
|
13,118 |
11,014 |
$76K |
| 82607 |
|
3,900 |
3,531 |
$75K |
| C9803 |
Hopd covid-19 spec collect |
11,695 |
9,543 |
$74K |
| 83036 |
|
6,419 |
6,033 |
$74K |
| 77067 |
|
625 |
592 |
$71K |
| 73610 |
|
1,051 |
964 |
$69K |
| 80048 |
|
5,662 |
4,128 |
$69K |
| 73130 |
|
924 |
815 |
$65K |
| 83690 |
|
5,329 |
4,847 |
$63K |
| 87077 |
|
6,225 |
3,569 |
$62K |
| 84439 |
|
4,129 |
3,860 |
$54K |
| 87491 |
|
1,335 |
1,192 |
$50K |
| 84703 |
|
4,086 |
3,760 |
$48K |
| 85027 |
|
6,223 |
5,643 |
$43K |
| 87591 |
|
1,197 |
1,129 |
$42K |
| 87798 |
|
1,556 |
778 |
$42K |
| 80074 |
|
634 |
510 |
$40K |
| 73560 |
|
597 |
515 |
$38K |
| 87661 |
|
1,102 |
1,038 |
$36K |
| 87186 |
|
3,083 |
2,863 |
$35K |
| 76705 |
|
153 |
135 |
$33K |
| 59025 |
|
697 |
382 |
$31K |
| 83605 |
|
1,771 |
1,593 |
$29K |
| 87486 |
|
1,238 |
821 |
$29K |
| 87633 |
|
85 |
84 |
$27K |
| 73110 |
|
395 |
373 |
$27K |
| 83880 |
|
718 |
648 |
$27K |
| 96360 |
|
593 |
316 |
$26K |
| 87070 |
|
1,709 |
1,294 |
$26K |
| 84153 |
|
1,183 |
1,128 |
$25K |
| 87581 |
|
843 |
777 |
$24K |
| 84702 |
|
1,234 |
1,050 |
$24K |
| 74018 |
|
393 |
372 |
$24K |
| 73030 |
|
320 |
278 |
$23K |
| 84145 |
|
860 |
738 |
$22K |
| 85610 |
|
3,102 |
2,152 |
$20K |
| 87804 |
|
765 |
654 |
$19K |
| G0378 |
Hospital observation per hr |
159 |
51 |
$19K |
| 96366 |
|
472 |
369 |
$19K |
| 12001 |
|
124 |
116 |
$18K |
| 82728 |
|
1,083 |
954 |
$18K |
| 86140 |
|
1,878 |
1,639 |
$18K |
| 77063 |
|
898 |
763 |
$18K |
| 72125 |
|
47 |
37 |
$18K |
| 83921 |
|
746 |
715 |
$17K |
| J0131 |
Inj, acetaminophen (nos) |
1,029 |
905 |
$17K |
| 82043 |
|
2,690 |
1,179 |
$15K |
| 99281 |
|
402 |
338 |
$15K |
| 83735 |
|
1,301 |
1,171 |
$14K |
| 71275 |
|
26 |
25 |
$13K |
| 85379 |
|
793 |
744 |
$12K |
| 83540 |
|
1,252 |
1,164 |
$9K |
| 83550 |
|
1,022 |
966 |
$9K |
| 85730 |
|
1,133 |
1,030 |
$9K |
| 72100 |
|
133 |
107 |
$9K |
| 80050 |
|
353 |
268 |
$9K |
| 87430 |
|
568 |
522 |
$9K |
| 82550 |
|
845 |
723 |
$8K |
| 85007 |
|
1,681 |
1,487 |
$8K |
| 81015 |
|
2,091 |
1,933 |
$7K |
| 87040 |
|
267 |
245 |
$7K |
| 82570 |
|
1,072 |
1,010 |
$7K |
| 90715 |
|
230 |
201 |
$6K |
| 82803 |
|
106 |
95 |
$6K |
| 96376 |
|
113 |
69 |
$5K |
| 85651 |
|
1,016 |
924 |
$5K |
| 87507 |
|
13 |
13 |
$4K |
| 86703 |
|
150 |
134 |
$4K |
| 94760 |
|
241 |
199 |
$4K |
| 82150 |
|
312 |
291 |
$4K |
| 87205 |
|
472 |
439 |
$3K |
| 73080 |
|
54 |
49 |
$3K |
| 84550 |
|
447 |
374 |
$3K |
| 82553 |
|
158 |
128 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
329 |
300 |
$3K |
| 84403 |
|
73 |
65 |
$3K |
| 86038 |
|
174 |
155 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| J7030 |
Normal saline solution infus |
210 |
182 |
$2K |
| 82962 |
|
308 |
219 |
$2K |
| J2405 |
Ondansetron hcl injection |
357 |
319 |
$2K |
| 82248 |
|
180 |
89 |
$2K |
| 73502 |
|
16 |
13 |
$2K |
| 72110 |
|
14 |
12 |
$2K |
| 73090 |
|
27 |
25 |
$2K |
| 82077 |
|
65 |
59 |
$2K |
| 74022 |
|
20 |
15 |
$1K |
| 80320 |
|
58 |
52 |
$1K |
| 82746 |
|
91 |
89 |
$1K |
| 97161 |
|
12 |
12 |
$1K |
| 36416 |
|
119 |
52 |
$1K |
| 82652 |
|
19 |
19 |
$923.43 |
| 90471 |
|
31 |
26 |
$881.67 |
| 80076 |
|
85 |
66 |
$863.70 |
| 76010 |
|
13 |
13 |
$567.87 |
| 86901 |
|
88 |
80 |
$458.17 |
| 86431 |
|
70 |
64 |
$452.12 |
| 81003 |
|
108 |
103 |
$434.92 |
| 86769 |
|
14 |
13 |
$418.29 |
| 87220 |
|
49 |
49 |
$324.76 |
| 82784 |
|
14 |
12 |
$312.16 |
| 86900 |
|
88 |
80 |
$308.72 |
| 87210 |
|
55 |
51 |
$269.94 |
| J7120 |
Ringers lactate infusion |
16 |
14 |
$195.72 |
| 86850 |
|
16 |
12 |
$114.33 |
| J2001 |
Lidocaine injection |
18 |
13 |
$32.36 |
| A9270 |
Non-covered item or service |
14 |
12 |
$0.00 |