| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
51,377 |
47,382 |
$7.04M |
| U0003 |
Cov-19 amp prb hgh thruput |
60,582 |
45,931 |
$4.04M |
| 99283 |
|
12,037 |
11,314 |
$2.12M |
| 97110 |
|
14,561 |
6,493 |
$1.44M |
| 36415 |
|
31,094 |
25,340 |
$1.32M |
| 99282 |
|
7,629 |
7,327 |
$1.31M |
| 96361 |
|
4,688 |
4,021 |
$1.05M |
| 99284 |
|
7,406 |
7,000 |
$1.01M |
| 80053 |
|
42,059 |
37,736 |
$700K |
| 43239 |
|
851 |
847 |
$698K |
| 70450 |
|
2,309 |
2,219 |
$669K |
| 74177 |
|
2,355 |
2,308 |
$567K |
| 99285 |
|
3,608 |
3,406 |
$511K |
| 96365 |
|
3,822 |
2,827 |
$507K |
| 87651 |
|
8,096 |
7,969 |
$480K |
| 99281 |
|
2,178 |
2,138 |
$404K |
| 87502 |
|
5,618 |
5,536 |
$401K |
| 96360 |
|
1,916 |
1,574 |
$359K |
| 73721 |
|
709 |
702 |
$337K |
| 70551 |
|
690 |
686 |
$308K |
| 45380 |
|
265 |
264 |
$278K |
| 72148 |
|
556 |
555 |
$254K |
| 87491 |
|
10,123 |
9,982 |
$253K |
| 97161 |
|
1,893 |
1,883 |
$241K |
| 77067 |
|
2,445 |
2,443 |
$233K |
| 87591 |
|
10,127 |
9,985 |
$215K |
| 96372 |
|
3,637 |
3,190 |
$210K |
| 96366 |
|
1,260 |
825 |
$204K |
| 82306 |
|
6,491 |
6,467 |
$198K |
| 74176 |
|
786 |
774 |
$187K |
| 97162 |
|
1,136 |
1,132 |
$173K |
| 88305 |
|
3,603 |
3,542 |
$163K |
| 87635 |
|
6,447 |
5,654 |
$157K |
| 84443 |
|
20,429 |
19,999 |
$155K |
| 97140 |
|
3,855 |
1,838 |
$137K |
| 96413 |
|
1,261 |
823 |
$135K |
| 88175 |
|
4,335 |
4,334 |
$125K |
| Q3014 |
Telehealth facility fee |
1,946 |
1,866 |
$118K |
| 0241U |
|
6,062 |
5,784 |
$112K |
| 70553 |
|
241 |
241 |
$111K |
| 71275 |
|
362 |
362 |
$109K |
| 87624 |
|
3,782 |
3,780 |
$107K |
| 87798 |
|
1,366 |
1,279 |
$106K |
| 12001 |
|
261 |
260 |
$106K |
| 87389 |
|
6,321 |
6,290 |
$102K |
| 83036 |
|
10,375 |
10,329 |
$99K |
| G0480 |
Drug test def 1-7 classes |
5,117 |
4,509 |
$94K |
| 88342 |
|
249 |
236 |
$93K |
| 85025 |
|
45,648 |
40,034 |
$92K |
| 76830 |
|
1,749 |
1,730 |
$90K |
| 82607 |
|
7,189 |
7,132 |
$86K |
| 80061 |
|
13,345 |
13,284 |
$82K |
| 76705 |
|
2,097 |
2,064 |
$77K |
| 86481 |
|
1,544 |
1,537 |
$76K |
| 80048 |
|
6,989 |
6,451 |
$75K |
| 82728 |
|
5,804 |
5,726 |
$73K |
| 86780 |
|
5,367 |
5,331 |
$67K |
| 84439 |
|
7,705 |
7,614 |
$66K |
| 87522 |
Neg quan hep c or qual rna |
1,465 |
1,427 |
$65K |
| 87086 |
|
13,497 |
12,771 |
$64K |
| A9579 |
Gad-base mr contrast nos,1ml |
969 |
964 |
$62K |
| Q0138 |
Ferumoxytol, non-esrd |
128 |
83 |
$60K |
| 87661 |
|
2,373 |
2,343 |
$50K |
| G0378 |
Hospital observation per hr |
1,250 |
1,222 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
23,285 |
17,009 |
$47K |
| 93971 |
|
741 |
708 |
$46K |
| 86850 |
|
2,807 |
2,733 |
$46K |
| 95810 |
|
65 |
65 |
$45K |
| 87077 |
|
6,918 |
6,707 |
$44K |
| 82746 |
|
3,577 |
3,560 |
$43K |
| 86803 |
|
4,355 |
4,336 |
$41K |
| 76856 |
|
166 |
165 |
$38K |
| 94060 |
|
151 |
151 |
$38K |
| 86618 |
|
2,652 |
2,579 |
$37K |
| 86762 |
|
2,520 |
2,511 |
$36K |
| 83880 |
|
1,155 |
1,102 |
$36K |
| 87480 |
|
3,494 |
3,422 |
$36K |
| 87510 |
|
3,491 |
3,419 |
$36K |
| 84403 |
|
1,344 |
1,309 |
$36K |
| 96415 |
|
61 |
52 |
$34K |
| 87070 |
|
5,673 |
5,546 |
$34K |
| 73564 |
|
2,493 |
2,463 |
$33K |
| 83655 |
|
2,521 |
2,514 |
$32K |
| 80307 |
|
3,931 |
2,855 |
$32K |
| 86901 |
|
2,859 |
2,765 |
$31K |
| 45385 |
|
58 |
58 |
$31K |
| 99291 |
|
208 |
206 |
$30K |
| 71046 |
|
4,310 |
4,241 |
$29K |
| 97530 |
|
381 |
163 |
$29K |
| 86900 |
|
2,860 |
2,765 |
$27K |
| 84702 |
|
7,982 |
7,146 |
$27K |
| 86140 |
|
12,595 |
11,731 |
$27K |
| 87340 |
|
2,596 |
2,592 |
$26K |
| 0012A |
|
903 |
903 |
$25K |
| 77063 |
|
2,446 |
2,444 |
$24K |
| 83540 |
|
5,190 |
5,117 |
$24K |
| 71260 |
|
181 |
180 |
$24K |
| 72141 |
|
52 |
52 |
$24K |
| 86003 |
|
598 |
592 |
$23K |
| 93226 |
|
131 |
129 |
$23K |
| 0011A |
|
971 |
971 |
$23K |
| 95816 |
|
140 |
140 |
$23K |
| 83550 |
|
4,798 |
4,734 |
$22K |
| 83735 |
|
8,788 |
7,281 |
$22K |
| 88304 |
|
883 |
877 |
$21K |
| 76641 |
|
501 |
500 |
$19K |
| 82784 |
|
1,585 |
1,574 |
$19K |
| 87468 |
|
704 |
698 |
$19K |
| 87186 |
|
4,415 |
4,263 |
$18K |
| 87660 |
|
1,687 |
1,665 |
$18K |
| 69436 |
|
12 |
12 |
$18K |
| 0001A |
|
708 |
708 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,852 |
3,672 |
$17K |
| 72125 |
|
448 |
432 |
$17K |
| 85610 |
|
7,533 |
6,131 |
$17K |
| 84146 |
|
832 |
824 |
$16K |
| 73630 |
|
2,272 |
2,203 |
$16K |
| 82670 |
|
512 |
466 |
$16K |
| 77066 |
Tomosynthesis, mammo |
166 |
166 |
$16K |
| 51798 |
|
46 |
45 |
$16K |
| 86376 |
|
1,065 |
1,064 |
$15K |
| 76536 |
|
515 |
514 |
$15K |
| 86665 |
|
569 |
541 |
$15K |
| 87469 |
|
704 |
698 |
$15K |
| 87484 |
|
704 |
698 |
$15K |
| 85027 |
|
4,764 |
4,638 |
$15K |
| 87478 |
|
700 |
694 |
$15K |
| Q0247 |
Sotrovimab |
19 |
19 |
$14K |
| 87640 |
|
240 |
237 |
$14K |
| 83001 |
|
739 |
731 |
$14K |
| 83970 |
|
336 |
331 |
$14K |
| 73030 |
|
1,707 |
1,663 |
$14K |
| 73610 |
|
2,455 |
2,357 |
$14K |
| 82947 |
|
4,132 |
3,596 |
$13K |
| 80076 |
|
1,687 |
1,644 |
$13K |
| 90715 |
|
465 |
464 |
$13K |
| 76000 |
|
91 |
90 |
$13K |
| 87801 |
|
424 |
423 |
$13K |
| 73110 |
|
1,860 |
1,724 |
$13K |
| 73130 |
|
1,778 |
1,512 |
$13K |
| 64721 |
|
14 |
13 |
$12K |
| 86706 |
|
1,265 |
1,260 |
$11K |
| 82570 |
|
2,240 |
2,165 |
$11K |
| 84481 |
|
1,228 |
1,219 |
$11K |
| 85652 |
|
5,881 |
5,661 |
$10K |
| 72110 |
|
562 |
561 |
$10K |
| 93306 |
|
42 |
42 |
$10K |
| 97803 |
|
388 |
369 |
$10K |
| 36591 |
|
267 |
191 |
$10K |
| 95886 |
|
67 |
67 |
$10K |
| 81001 |
|
6,908 |
6,592 |
$9K |
| 83002 |
|
471 |
453 |
$9K |
| 73502 |
|
990 |
971 |
$9K |
| 82043 |
|
1,697 |
1,684 |
$8K |
| 86617 |
|
450 |
349 |
$8K |
| 70486 |
|
102 |
102 |
$8K |
| 87481 |
|
327 |
314 |
$8K |
| 96367 |
|
291 |
239 |
$7K |
| 86787 |
|
727 |
725 |
$7K |
| 86038 |
|
1,425 |
1,420 |
$7K |
| 83525 |
|
619 |
614 |
$7K |
| 76775 |
|
120 |
120 |
$7K |
| 86769 |
|
256 |
255 |
$7K |
| 95806 |
|
276 |
276 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
144 |
144 |
$7K |
| 86664 |
|
544 |
541 |
$7K |
| 74018 |
|
974 |
932 |
$7K |
| 87641 |
|
325 |
322 |
$7K |
| 81003 |
|
8,942 |
8,662 |
$6K |
| 12002 |
|
13 |
13 |
$6K |
| 86431 |
|
1,260 |
1,252 |
$6K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
490 |
490 |
$6K |
| 86704 |
|
631 |
628 |
$6K |
| 86708 |
|
629 |
625 |
$6K |
| 72100 |
|
678 |
673 |
$6K |
| 76642 |
|
219 |
218 |
$6K |
| 93005 |
|
7,113 |
6,514 |
$6K |
| 12011 |
|
15 |
14 |
$6K |
| 86765 |
|
423 |
422 |
$6K |
| 82550 |
|
1,823 |
1,661 |
$6K |
| 96374 |
|
5,973 |
5,150 |
$5K |
| 71271 |
|
132 |
132 |
$5K |
| 10060 |
|
15 |
15 |
$5K |
| 86364 |
|
631 |
630 |
$5K |
| 82533 |
|
285 |
268 |
$5K |
| 87205 |
|
2,407 |
2,314 |
$5K |
| 77062 |
|
173 |
163 |
$5K |
| 83690 |
|
4,256 |
3,966 |
$4K |
| 73221 |
|
12 |
12 |
$4K |
| 73140 |
|
1,153 |
1,073 |
$4K |
| 85730 |
|
1,691 |
1,613 |
$4K |
| 84425 |
|
276 |
275 |
$4K |
| 97802 |
|
153 |
153 |
$4K |
| 84550 |
|
981 |
948 |
$4K |
| 70496 |
|
12 |
12 |
$4K |
| 73080 |
|
583 |
555 |
$4K |
| 94726 |
|
54 |
54 |
$3K |
| 71250 |
|
41 |
41 |
$3K |
| 84100 |
|
941 |
868 |
$3K |
| 99214 |
|
63 |
61 |
$3K |
| 86039 |
|
651 |
646 |
$3K |
| G0483 |
Drug test def 22+ classes |
2,181 |
1,926 |
$3K |
| 87634 |
|
422 |
313 |
$3K |
| 83921 |
|
153 |
152 |
$3K |
| 86800 |
|
234 |
234 |
$3K |
| 86696 |
|
228 |
228 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
233 |
233 |
$3K |
| 76700 |
|
25 |
25 |
$3K |
| 86747 |
|
84 |
84 |
$3K |
| 87040 |
|
1,606 |
1,422 |
$3K |
| 84156 |
|
753 |
707 |
$3K |
| 87563 |
|
121 |
118 |
$3K |
| 84402 |
|
101 |
101 |
$2K |
| 86235 |
|
121 |
120 |
$2K |
| 72040 |
|
239 |
238 |
$2K |
| G0103 |
Psa screening |
257 |
257 |
$2K |
| 99213 |
|
51 |
51 |
$2K |
| 82105 |
|
327 |
322 |
$2K |
| 99156 |
|
863 |
857 |
$2K |
| 36592 |
|
100 |
94 |
$2K |
| 85379 |
|
1,302 |
1,274 |
$2K |
| 84480 |
|
354 |
350 |
$2K |
| 80178 |
|
348 |
302 |
$2K |
| 0002A |
|
69 |
69 |
$2K |
| 0031A |
|
47 |
47 |
$2K |
| 76870 |
|
54 |
54 |
$2K |
| 84484 |
|
6,579 |
4,571 |
$2K |
| 94729 |
|
54 |
54 |
$2K |
| 84590 |
|
143 |
141 |
$2K |
| 76815 |
|
24 |
23 |
$2K |
| 70498 |
|
25 |
25 |
$2K |
| 72131 |
|
12 |
12 |
$1K |
| 86735 |
|
171 |
170 |
$1K |
| 71045 |
|
3,422 |
3,294 |
$1K |
| 86141 |
|
161 |
159 |
$1K |
| 81596 |
|
25 |
25 |
$1K |
| 95911 |
|
25 |
25 |
$1K |
| 87328 |
|
106 |
105 |
$1K |
| 83605 |
|
5,512 |
5,134 |
$1K |
| 84446 |
|
97 |
95 |
$1K |
| 86160 |
|
72 |
70 |
$1K |
| 82248 |
|
329 |
306 |
$1K |
| 73590 |
|
230 |
208 |
$1K |
| 96375 |
|
5,002 |
4,088 |
$1K |
| 86308 |
|
439 |
434 |
$1K |
| 87329 |
|
93 |
92 |
$1K |
| 84165 |
|
161 |
159 |
$1K |
| 84460 |
|
223 |
223 |
$1K |
| 76801 |
|
17 |
15 |
$987.23 |
| 83993 |
|
86 |
86 |
$956.76 |
| 88173 |
|
51 |
51 |
$920.74 |
| 76805 |
|
15 |
15 |
$855.23 |
| 90686 |
|
32 |
31 |
$832.01 |
| 86777 |
|
52 |
52 |
$827.32 |
| 84144 |
|
37 |
26 |
$811.96 |
| 84436 |
|
365 |
360 |
$805.26 |
| 72070 |
|
85 |
85 |
$797.40 |
| 87899 |
|
69 |
64 |
$781.80 |
| 82150 |
|
214 |
210 |
$767.30 |
| 73560 |
|
183 |
178 |
$748.96 |
| 86778 |
|
51 |
51 |
$720.12 |
| 87045 |
|
92 |
89 |
$654.55 |
| 84155 |
|
134 |
133 |
$590.62 |
| 82040 |
|
128 |
125 |
$569.61 |
| G2023 |
Specimen collect covid-19 |
36 |
36 |
$566.72 |
| 83615 |
|
183 |
163 |
$550.60 |
| 84479 |
|
660 |
647 |
$535.26 |
| G0008 |
Admin influenza virus vac |
43 |
43 |
$529.20 |
| 86225 |
|
95 |
94 |
$487.00 |
| 80164 |
|
60 |
58 |
$452.38 |
| 73090 |
|
123 |
109 |
$423.76 |
| 73523 |
|
25 |
25 |
$371.12 |
| 76882 |
|
64 |
62 |
$361.66 |
| J1642 |
Inj heparin sodium per 10 u |
3,015 |
1,131 |
$342.41 |
| J2704 |
Inj, propofol, 10 mg |
3,552 |
3,421 |
$334.76 |
| 82977 |
|
66 |
66 |
$323.56 |
| 96376 |
|
1,008 |
795 |
$318.15 |
| 87046 |
|
92 |
89 |
$293.54 |
| 81025 |
|
79 |
77 |
$245.63 |
| 86036 |
|
16 |
16 |
$233.60 |
| 86592 |
|
69 |
67 |
$199.47 |
| 82525 |
|
12 |
12 |
$183.84 |
| 93000 |
|
128 |
127 |
$166.65 |
| 85014 |
|
93 |
91 |
$166.37 |
| 82247 |
|
40 |
39 |
$160.87 |
| 73620 |
|
27 |
26 |
$155.81 |
| 72050 |
|
12 |
12 |
$140.00 |
| 85018 |
|
78 |
76 |
$137.13 |
| 99152 |
|
623 |
620 |
$136.62 |
| 80175 |
|
13 |
13 |
$126.00 |
| 99153 |
Mod sedat endo service >5yrs |
323 |
321 |
$125.40 |
| J2270 |
Morphine sulfate injection |
1,827 |
1,395 |
$123.30 |
| 90471 |
|
446 |
436 |
$121.60 |
| 81513 |
|
17 |
16 |
$113.85 |
| 84630 |
|
14 |
14 |
$110.60 |
| 87177 |
|
12 |
12 |
$106.80 |
| J1170 |
Hydromorphone injection |
799 |
689 |
$99.18 |
| J0690 |
Cefazolin sodium injection |
1,723 |
1,665 |
$93.16 |
| J1885 |
Ketorolac tromethamine inj |
5,867 |
5,462 |
$90.65 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
15 |
15 |
$87.85 |
| J3010 |
Fentanyl citrate injection |
5,242 |
5,041 |
$82.72 |
| J3475 |
Inj magnesium sulfate |
929 |
631 |
$79.14 |
| 84482 |
|
13 |
12 |
$74.10 |
| 87209 |
|
12 |
12 |
$70.92 |
| 71101 |
|
12 |
12 |
$70.36 |
| 87102 |
|
13 |
13 |
$58.87 |
| 86255 |
|
12 |
12 |
$57.20 |
| 83630 |
|
12 |
12 |
$57.20 |
| J1100 |
Dexamethasone sodium phos |
3,983 |
3,486 |
$56.88 |
| 82565 |
|
12 |
12 |
$55.33 |
| J3490 |
Drugs unclassified injection |
279 |
270 |
$54.20 |
| J2250 |
Inj midazolam hydrochloride |
5,194 |
5,050 |
$52.87 |
| J2405 |
Ondansetron hcl injection |
5,834 |
5,314 |
$44.89 |
| 82274 |
|
14 |
14 |
$41.16 |
| 82803 |
|
45 |
45 |
$32.40 |
| J0696 |
Ceftriaxone sodium injection |
1,005 |
762 |
$26.28 |
| J1200 |
Diphenhydramine hcl injectio |
1,521 |
1,348 |
$26.22 |
| J1240 |
Dimenhydrinate injection |
179 |
179 |
$25.61 |
| J1644 |
Inj heparin sodium per 1000u |
60 |
45 |
$24.00 |
| 85046 |
|
13 |
12 |
$22.86 |
| J2795 |
Ropivacaine hcl injection |
53 |
52 |
$12.00 |
| J2765 |
Metoclopramide hcl injection |
531 |
495 |
$10.57 |
| J1790 |
Droperidol injection |
26 |
26 |
$8.95 |
| J0131 |
Inj, acetaminophen (nos) |
250 |
236 |
$8.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
882 |
823 |
$7.92 |
| J2060 |
Lorazepam injection |
663 |
508 |
$3.88 |
| J0780 |
Prochlorperazine injection |
72 |
64 |
$1.27 |
| 91301 |
|
55 |
55 |
$0.14 |
| G9903 |
Pt scrn tbco id as non user |
102 |
92 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
102 |
102 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| 88311 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
17 |
12 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
144 |
139 |
$0.00 |
| 99157 |
|
663 |
659 |
$0.00 |
| C1776 |
Joint device (implantable) |
134 |
132 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
506 |
463 |
$0.00 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
13 |
$0.00 |
| 81002 |
|
64 |
57 |
$0.00 |
| G8731 |
Pain neg no plan |
66 |
66 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
18 |
18 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
13 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
56 |
52 |
$0.00 |
| M0247 |
Sotrovimab infusion |
13 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
20 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
17 |
16 |
$0.00 |