| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,198 |
9,646 |
$2.70M |
| G0463 |
Hospital outpt clinic visit |
26,306 |
23,684 |
$2.19M |
| 99285 |
|
5,140 |
4,820 |
$2.00M |
| 99283 |
|
9,847 |
9,303 |
$1.69M |
| 96374 |
|
6,688 |
5,933 |
$859K |
| 74177 |
|
2,612 |
2,549 |
$530K |
| 97110 |
|
13,496 |
4,101 |
$454K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,238 |
6,032 |
$417K |
| 99282 |
|
3,092 |
2,958 |
$305K |
| 96365 |
|
2,102 |
1,896 |
$254K |
| 71046 |
|
4,761 |
4,596 |
$248K |
| 87637 |
|
1,894 |
1,859 |
$204K |
| 96361 |
|
4,557 |
3,960 |
$171K |
| 43239 |
|
341 |
338 |
$153K |
| 96375 |
|
5,743 |
4,800 |
$147K |
| 96360 |
|
1,008 |
966 |
$134K |
| 80061 |
|
7,887 |
7,855 |
$107K |
| 97140 |
|
6,477 |
2,319 |
$97K |
| 86900 |
|
1,709 |
1,658 |
$95K |
| 76705 |
|
1,185 |
1,174 |
$93K |
| 87491 |
|
4,598 |
4,559 |
$90K |
| 36415 |
|
33,095 |
28,486 |
$90K |
| U0005 |
Infec agen detec ampli probe |
4,476 |
4,333 |
$87K |
| 87591 |
|
4,414 |
4,377 |
$85K |
| 77067 |
|
1,306 |
1,302 |
$83K |
| 80053 |
|
23,668 |
21,301 |
$83K |
| G0472 |
Hep c screen high risk/other |
2,304 |
2,299 |
$80K |
| U0002 |
Covid-19 lab test non-cdc |
2,294 |
2,202 |
$78K |
| 76830 |
|
941 |
933 |
$75K |
| 80307 |
|
3,434 |
3,310 |
$71K |
| 70450 |
|
1,260 |
1,220 |
$69K |
| 99291 |
|
96 |
92 |
$65K |
| C9803 |
Hopd covid-19 spec collect |
6,125 |
5,850 |
$64K |
| 84443 |
|
6,798 |
6,692 |
$63K |
| 97161 |
|
900 |
889 |
$58K |
| 76856 |
|
720 |
718 |
$49K |
| 85025 |
|
20,484 |
18,012 |
$43K |
| 76805 |
|
535 |
533 |
$42K |
| 96413 |
|
181 |
135 |
$42K |
| 80050 |
|
1,470 |
1,451 |
$41K |
| 82947 |
|
2,599 |
1,739 |
$41K |
| 87428 |
|
1,422 |
1,404 |
$38K |
| 71045 |
|
704 |
673 |
$38K |
| 82306 |
|
2,094 |
2,068 |
$37K |
| G0482 |
Drug test def 15-21 classes |
408 |
391 |
$34K |
| 99281 |
|
583 |
550 |
$33K |
| 76816 |
|
420 |
417 |
$32K |
| 87661 |
|
1,774 |
1,759 |
$32K |
| 83036 |
|
4,897 |
4,882 |
$29K |
| G0378 |
Hospital observation per hr |
170 |
132 |
$23K |
| 97162 |
|
381 |
377 |
$22K |
| 87086 |
|
7,694 |
7,372 |
$22K |
| 96372 |
|
4,488 |
3,622 |
$22K |
| 73630 |
|
1,506 |
1,474 |
$21K |
| 74176 |
|
136 |
134 |
$21K |
| 87624 |
|
853 |
850 |
$21K |
| 85027 |
|
6,669 |
6,344 |
$21K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,019 |
1,018 |
$20K |
| 73562 |
|
880 |
865 |
$18K |
| G0432 |
Eia hiv-1/hiv-2 screen |
1,282 |
1,279 |
$18K |
| 82728 |
|
1,960 |
1,931 |
$18K |
| 82607 |
|
1,793 |
1,787 |
$16K |
| 72100 |
|
337 |
337 |
$16K |
| 71260 |
|
63 |
63 |
$15K |
| 84702 |
|
1,875 |
1,327 |
$15K |
| 86780 |
|
1,476 |
1,474 |
$14K |
| 73130 |
|
1,189 |
1,161 |
$14K |
| 73610 |
|
1,165 |
1,139 |
$14K |
| 93975 |
|
80 |
79 |
$13K |
| 88305 |
|
1,923 |
1,750 |
$13K |
| 71275 |
|
116 |
113 |
$13K |
| 93005 |
|
5,100 |
4,517 |
$12K |
| 87653 |
|
492 |
490 |
$11K |
| 87426 |
|
405 |
401 |
$11K |
| 73030 |
|
576 |
557 |
$11K |
| 74018 |
|
295 |
290 |
$10K |
| 73110 |
|
668 |
647 |
$10K |
| 80048 |
|
2,742 |
2,339 |
$10K |
| 72125 |
|
96 |
94 |
$10K |
| 77063 |
|
574 |
574 |
$10K |
| 87077 |
|
2,965 |
2,889 |
$9K |
| 83550 |
|
1,521 |
1,506 |
$9K |
| C9399 |
Unclassified drugs or biolog |
157 |
157 |
$9K |
| 45380 |
|
13 |
13 |
$9K |
| 84439 |
|
1,560 |
1,524 |
$9K |
| 73721 |
|
52 |
52 |
$8K |
| G0475 |
Hiv combination assay |
436 |
436 |
$8K |
| 87186 |
|
2,184 |
2,153 |
$7K |
| 81001 |
|
11,724 |
10,814 |
$7K |
| 83540 |
|
1,562 |
1,547 |
$7K |
| 87502 |
|
705 |
699 |
$6K |
| 82570 |
|
1,911 |
1,799 |
$6K |
| 87081 |
|
4,126 |
4,057 |
$6K |
| 85610 |
|
2,901 |
2,136 |
$5K |
| G0103 |
Psa screening |
387 |
386 |
$5K |
| 84146 |
|
403 |
400 |
$5K |
| 97112 |
|
155 |
59 |
$5K |
| 83735 |
|
2,670 |
2,203 |
$5K |
| G0480 |
Drug test def 1-7 classes |
484 |
448 |
$5K |
| 93971 |
|
63 |
61 |
$4K |
| 87205 |
|
2,623 |
2,538 |
$4K |
| 83880 |
|
644 |
596 |
$4K |
| 82043 |
|
1,101 |
1,095 |
$4K |
| 86140 |
|
2,087 |
1,939 |
$4K |
| 93306 |
|
12 |
12 |
$4K |
| 83655 |
|
393 |
391 |
$3K |
| 70553 |
|
12 |
12 |
$3K |
| 72141 |
|
14 |
14 |
$3K |
| 87635 |
|
91 |
86 |
$3K |
| 0012A |
|
85 |
85 |
$3K |
| 90471 |
|
249 |
222 |
$3K |
| 82746 |
|
266 |
265 |
$3K |
| 72148 |
|
12 |
12 |
$3K |
| 82950 |
|
703 |
700 |
$2K |
| 80076 |
|
401 |
359 |
$2K |
| 87340 |
|
1,171 |
1,170 |
$2K |
| 76801 |
|
26 |
26 |
$2K |
| 0011A |
|
97 |
97 |
$2K |
| 85652 |
|
1,504 |
1,444 |
$2K |
| 96376 |
|
1,040 |
717 |
$2K |
| 87070 |
|
607 |
590 |
$2K |
| 0002A |
|
51 |
50 |
$2K |
| 76536 |
|
26 |
26 |
$2K |
| 0001A |
|
56 |
56 |
$2K |
| 73502 |
|
62 |
61 |
$2K |
| 76642 |
|
26 |
26 |
$1K |
| 87880 |
|
3,774 |
3,701 |
$1K |
| 83690 |
|
3,887 |
3,603 |
$1K |
| 73140 |
|
112 |
107 |
$1K |
| 82565 |
|
1,221 |
1,183 |
$1K |
| 85007 |
|
857 |
788 |
$1K |
| 87147 |
|
740 |
726 |
$1K |
| 71250 |
|
14 |
14 |
$1K |
| 87563 |
|
56 |
56 |
$1K |
| 84100 |
|
946 |
819 |
$1K |
| 81025 |
|
6,045 |
5,697 |
$1K |
| 97022 |
|
152 |
56 |
$994.45 |
| 85730 |
|
1,100 |
1,048 |
$928.53 |
| 80074 |
|
25 |
25 |
$877.80 |
| 86850 |
|
1,603 |
1,565 |
$812.67 |
| 86480 |
|
24 |
24 |
$788.56 |
| 84156 |
|
438 |
390 |
$698.75 |
| 84403 |
|
36 |
36 |
$661.38 |
| 86038 |
|
70 |
70 |
$603.80 |
| 86762 |
|
772 |
772 |
$599.52 |
| 94640 |
|
1,032 |
910 |
$496.13 |
| 84481 |
|
40 |
38 |
$441.74 |
| 73080 |
|
46 |
45 |
$433.18 |
| 82784 |
|
41 |
41 |
$298.08 |
| 83516 |
|
27 |
25 |
$271.36 |
| 87804 |
|
467 |
439 |
$269.62 |
| 96366 |
|
13 |
13 |
$258.64 |
| 73090 |
|
27 |
26 |
$250.58 |
| 85379 |
|
348 |
344 |
$228.15 |
| 81002 |
|
2,405 |
2,341 |
$198.94 |
| 84425 |
|
13 |
13 |
$189.40 |
| 86787 |
|
230 |
229 |
$179.30 |
| 76817 |
|
73 |
69 |
$169.78 |
| 87807 |
|
462 |
457 |
$140.00 |
| 83605 |
|
3,157 |
2,484 |
$116.87 |
| J7030 |
Normal saline solution infus |
7,744 |
6,699 |
$108.06 |
| 84484 |
|
3,316 |
2,049 |
$105.34 |
| 85018 |
|
108 |
91 |
$102.66 |
| 86431 |
|
25 |
25 |
$100.64 |
| 86308 |
|
57 |
57 |
$91.00 |
| 88304 |
|
12 |
12 |
$80.28 |
| J1100 |
Dexamethasone sodium phos |
2,822 |
2,607 |
$64.32 |
| 82248 |
|
15 |
12 |
$53.06 |
| 82077 |
|
585 |
547 |
$47.33 |
| 87040 |
|
120 |
80 |
$43.76 |
| J2704 |
Inj, propofol, 10 mg |
3,294 |
3,140 |
$33.07 |
| J2405 |
Ondansetron hcl injection |
5,158 |
4,541 |
$21.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,946 |
3,816 |
$21.22 |
| 80143 |
|
220 |
213 |
$14.99 |
| J1885 |
Ketorolac tromethamine inj |
5,654 |
4,990 |
$10.22 |
| J7120 |
Ringers lactate infusion |
3,766 |
3,426 |
$1.91 |
| J7040 |
Normal saline solution infus |
573 |
519 |
$1.27 |
| J7050 |
Normal saline solution infus |
4,472 |
3,177 |
$0.98 |
| J0131 |
Inj, acetaminophen (nos) |
1,810 |
1,702 |
$0.05 |
| J1200 |
Diphenhydramine hcl injectio |
1,644 |
1,265 |
$0.00 |
| J0780 |
Prochlorperazine injection |
396 |
348 |
$0.00 |
| J2930 |
Methylprednisolone injection |
896 |
834 |
$0.00 |
| 80179 |
|
218 |
212 |
$0.00 |
| A9577 |
Inj multihance |
207 |
206 |
$0.00 |
| J2270 |
Morphine sulfate injection |
374 |
341 |
$0.00 |
| G1004 |
Cdsm ndsc |
6,457 |
6,046 |
$0.00 |
| 90715 |
|
170 |
170 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
40 |
39 |
$0.00 |
| 91300 |
|
115 |
97 |
$0.00 |
| 84145 |
|
12 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,036 |
945 |
$0.00 |
| C1889 |
Implant/insert device, noc |
138 |
137 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,010 |
1,685 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,265 |
1,158 |
$0.00 |
| J1170 |
Hydromorphone injection |
898 |
686 |
$0.00 |
| 91301 |
|
191 |
191 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
71 |
70 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
588 |
544 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
201 |
180 |
$0.00 |
| A9270 |
Non-covered item or service |
413 |
290 |
$0.00 |
| 12001 |
|
100 |
100 |
$0.00 |
| J2060 |
Lorazepam injection |
31 |
25 |
$0.00 |
| J2360 |
Orphenadrine injection |
184 |
172 |
$0.00 |
| J1630 |
Haloperidol injection |
87 |
76 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
47 |
47 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
63 |
63 |
$0.00 |
| 0241U |
|
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
33 |
28 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$0.00 |