| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,458 |
22,396 |
$4.33M |
| 99283 |
|
11,780 |
11,088 |
$1.93M |
| 96361 |
|
7,450 |
6,019 |
$1.60M |
| 59025 |
|
7,324 |
4,750 |
$1.15M |
| 74177 |
|
3,051 |
3,008 |
$952K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,249 |
11,957 |
$946K |
| 99285 |
|
5,266 |
5,059 |
$941K |
| 87491 |
|
27,432 |
26,864 |
$905K |
| 87591 |
|
27,447 |
26,881 |
$863K |
| 87631 |
|
6,837 |
6,752 |
$815K |
| 93306 |
|
2,870 |
2,829 |
$739K |
| 70450 |
|
2,335 |
2,307 |
$734K |
| 80048 |
|
28,922 |
22,709 |
$660K |
| 43239 |
|
972 |
966 |
$655K |
| 99282 |
|
3,999 |
3,819 |
$604K |
| 87661 |
|
18,343 |
18,100 |
$563K |
| 45380 |
|
778 |
776 |
$557K |
| 77067 |
|
8,337 |
8,325 |
$549K |
| 74176 |
|
1,670 |
1,658 |
$537K |
| 96365 |
|
2,479 |
2,312 |
$435K |
| 71275 |
|
1,087 |
1,078 |
$381K |
| 88305 |
|
4,536 |
3,839 |
$355K |
| 80307 |
|
7,300 |
6,820 |
$328K |
| 76856 |
|
4,015 |
3,989 |
$293K |
| 87480 |
|
15,857 |
15,448 |
$290K |
| G0378 |
Hospital observation per hr |
1,753 |
1,573 |
$288K |
| 87510 |
|
15,638 |
15,236 |
$287K |
| 99281 |
|
1,849 |
1,657 |
$278K |
| 96374 |
|
6,200 |
4,576 |
$236K |
| 76801 |
|
4,331 |
4,136 |
$205K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
6,853 |
6,844 |
$203K |
| 86850 |
|
7,810 |
7,517 |
$197K |
| 76811 |
|
3,111 |
3,110 |
$196K |
| 87660 |
|
11,088 |
10,850 |
$194K |
| 87624 |
|
5,729 |
5,716 |
$188K |
| 76816 |
|
7,024 |
6,185 |
$184K |
| U0005 |
Infec agen detec ampli probe |
7,445 |
7,291 |
$182K |
| 76830 |
|
3,821 |
3,791 |
$170K |
| 45385 |
|
286 |
285 |
$167K |
| 80076 |
|
12,210 |
11,214 |
$160K |
| 80053 |
|
9,911 |
8,906 |
$158K |
| 96366 |
|
927 |
765 |
$150K |
| 70553 |
|
394 |
393 |
$147K |
| 88307 |
|
1,628 |
1,339 |
$143K |
| 76805 |
|
2,880 |
2,843 |
$143K |
| 47562 |
|
49 |
49 |
$130K |
| 86901 |
|
7,780 |
7,501 |
$124K |
| 83970 |
|
2,862 |
2,843 |
$123K |
| 76817 |
|
3,004 |
2,455 |
$121K |
| 96360 |
|
621 |
613 |
$120K |
| 77066 |
Tomosynthesis, mammo |
1,762 |
1,758 |
$120K |
| 77065 |
Tomosynthesis, mammo |
1,591 |
1,534 |
$117K |
| 86900 |
|
7,844 |
7,563 |
$105K |
| G0480 |
Drug test def 1-7 classes |
1,621 |
1,452 |
$98K |
| 87086 |
|
12,420 |
12,044 |
$97K |
| 96375 |
|
4,061 |
3,428 |
$95K |
| 87635 |
|
2,293 |
2,261 |
$94K |
| 93971 |
|
925 |
913 |
$92K |
| G0108 |
Diab manage trn per indiv |
1,847 |
1,644 |
$91K |
| 73721 |
|
239 |
237 |
$80K |
| 76705 |
|
1,221 |
1,206 |
$80K |
| 82306 |
|
2,663 |
2,658 |
$78K |
| 76642 |
|
2,940 |
2,900 |
$72K |
| 87150 |
|
1,989 |
1,976 |
$69K |
| 76700 |
|
894 |
893 |
$69K |
| 93017 |
|
1,014 |
1,006 |
$69K |
| 99214 |
|
2,093 |
1,942 |
$68K |
| 77063 |
|
7,623 |
7,611 |
$65K |
| 71046 |
|
3,935 |
3,864 |
$64K |
| 97803 |
|
1,492 |
1,457 |
$63K |
| 97161 |
|
570 |
561 |
$58K |
| 83036 |
|
5,675 |
5,646 |
$55K |
| 93320 |
|
521 |
520 |
$54K |
| 58661 |
|
25 |
25 |
$52K |
| 93350 |
|
482 |
482 |
$52K |
| 84443 |
|
3,650 |
3,632 |
$51K |
| 82607 |
|
3,501 |
3,489 |
$50K |
| 82728 |
|
3,579 |
3,558 |
$49K |
| 96372 |
|
3,169 |
2,596 |
$49K |
| 87389 |
|
2,456 |
2,450 |
$48K |
| 76770 |
|
140 |
140 |
$47K |
| 99213 |
|
828 |
786 |
$44K |
| 82746 |
|
3,259 |
3,253 |
$44K |
| 88342 |
|
759 |
690 |
$43K |
| 74183 |
|
120 |
119 |
$42K |
| 76815 |
|
582 |
550 |
$42K |
| 76641 |
|
1,350 |
1,345 |
$42K |
| 76813 |
|
1,337 |
1,334 |
$42K |
| 85025 |
|
12,076 |
10,309 |
$41K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,006 |
3,487 |
$41K |
| G0463 |
Hospital outpt clinic visit |
2,430 |
1,971 |
$41K |
| 93970 |
|
119 |
118 |
$41K |
| 76376 |
|
604 |
599 |
$39K |
| Q9956 |
Inj octafluoropropane mic,ml |
788 |
502 |
$38K |
| 97165 |
|
325 |
324 |
$36K |
| 19083 |
|
26 |
26 |
$35K |
| 97802 |
|
693 |
693 |
$34K |
| 87081 |
|
5,650 |
5,606 |
$34K |
| 93005 |
|
3,666 |
3,477 |
$33K |
| 83880 |
|
924 |
896 |
$32K |
| 86780 |
|
2,480 |
2,472 |
$32K |
| 85027 |
|
6,340 |
5,985 |
$31K |
| 87651 |
|
783 |
778 |
$31K |
| 93225 |
|
382 |
382 |
$28K |
| G0121 |
Colon ca scrn not hi rsk ind |
37 |
37 |
$27K |
| 96376 |
|
1,383 |
947 |
$26K |
| 72148 |
|
83 |
82 |
$24K |
| 88142 |
|
343 |
341 |
$24K |
| G0124 |
Screen c/v thin layer by md |
887 |
887 |
$23K |
| 73562 |
|
1,638 |
1,604 |
$23K |
| 83540 |
|
3,567 |
3,553 |
$22K |
| 82570 |
|
4,789 |
4,622 |
$22K |
| 87186 |
|
2,614 |
2,573 |
$21K |
| 84702 |
|
1,725 |
1,549 |
$21K |
| 0071A |
|
487 |
480 |
$21K |
| 0124A |
|
464 |
463 |
$21K |
| 86803 |
|
1,578 |
1,577 |
$20K |
| G2066 |
Inter devc remote 30d |
290 |
290 |
$20K |
| Q9950 |
Inj sulf hexa lipid microsph |
421 |
310 |
$20K |
| 84425 |
|
954 |
953 |
$19K |
| 73030 |
|
1,138 |
1,099 |
$19K |
| 0001A |
|
426 |
399 |
$17K |
| 87158 |
|
3,348 |
3,300 |
$17K |
| 58558 |
|
12 |
12 |
$16K |
| 93325 |
|
610 |
609 |
$16K |
| 73502 |
|
1,323 |
1,289 |
$16K |
| 87340 |
|
1,566 |
1,564 |
$16K |
| 73564 |
|
666 |
664 |
$16K |
| 82043 |
|
2,781 |
2,776 |
$16K |
| 71045 |
|
544 |
529 |
$16K |
| 88304 |
|
252 |
249 |
$16K |
| 87529 |
|
235 |
235 |
$15K |
| A9573 |
Inj, gadopiclenol, 1 ml |
396 |
226 |
$14K |
| 82947 |
|
5,001 |
3,651 |
$14K |
| 80061 |
|
1,216 |
1,205 |
$14K |
| 81001 |
|
5,050 |
4,934 |
$13K |
| 0004A |
|
286 |
284 |
$13K |
| J1170 |
Hydromorphone injection |
2,798 |
2,219 |
$12K |
| 99152 |
|
385 |
379 |
$12K |
| 72100 |
|
762 |
757 |
$11K |
| 83655 |
|
912 |
910 |
$11K |
| 86762 |
|
961 |
959 |
$11K |
| 97116 |
|
233 |
143 |
$11K |
| 94640 |
|
618 |
535 |
$11K |
| 72110 |
|
382 |
382 |
$10K |
| 0241U |
|
1,206 |
1,176 |
$10K |
| 73630 |
|
896 |
866 |
$10K |
| J7120 |
Ringers lactate infusion |
3,236 |
2,997 |
$10K |
| 93975 |
|
25 |
25 |
$10K |
| 83690 |
|
4,595 |
4,207 |
$10K |
| G0123 |
Screen cerv/vag thin layer |
372 |
372 |
$9K |
| 76819 |
|
212 |
175 |
$9K |
| 84439 |
|
1,049 |
1,042 |
$9K |
| A9579 |
Gad-base mr contrast nos,1ml |
314 |
312 |
$9K |
| 76821 |
|
396 |
217 |
$9K |
| 71260 |
|
68 |
68 |
$9K |
| 82150 |
|
5,339 |
4,880 |
$8K |
| A9576 |
Inj prohance multipack |
444 |
438 |
$8K |
| 73610 |
|
490 |
476 |
$8K |
| 85380 |
|
349 |
346 |
$8K |
| 85610 |
|
1,946 |
1,836 |
$8K |
| 71271 |
|
341 |
341 |
$8K |
| 84156 |
|
2,203 |
2,031 |
$7K |
| 76820 |
|
569 |
329 |
$7K |
| 77336 |
|
25 |
12 |
$7K |
| 73130 |
|
561 |
552 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
2,629 |
2,584 |
$7K |
| 94010 |
|
149 |
145 |
$6K |
| 0054A |
|
133 |
133 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
119 |
118 |
$6K |
| 90715 |
|
192 |
192 |
$6K |
| 73560 |
|
677 |
650 |
$6K |
| 36415 |
|
2,872 |
2,707 |
$6K |
| 84163 |
|
390 |
390 |
$6K |
| 77062 |
|
184 |
184 |
$6K |
| 73221 |
|
18 |
18 |
$6K |
| 0072A |
|
125 |
125 |
$5K |
| 87641 |
|
148 |
147 |
$5K |
| 93226 |
|
78 |
78 |
$4K |
| 85730 |
|
650 |
642 |
$4K |
| 84484 |
|
906 |
556 |
$4K |
| 81329 |
|
41 |
41 |
$4K |
| 76536 |
|
122 |
122 |
$4K |
| 0003A |
|
87 |
87 |
$4K |
| 81508 |
|
95 |
95 |
$4K |
| 85014 |
|
970 |
936 |
$4K |
| 82950 |
|
750 |
750 |
$3K |
| 74018 |
|
288 |
279 |
$3K |
| 84703 |
|
1,267 |
1,223 |
$3K |
| 87502 |
|
51 |
50 |
$3K |
| 0002A |
|
74 |
74 |
$3K |
| 0081A |
|
67 |
67 |
$3K |
| 81220 |
|
12 |
12 |
$3K |
| 97804 |
|
116 |
116 |
$3K |
| 86787 |
|
297 |
297 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,340 |
1,080 |
$3K |
| 82565 |
|
798 |
794 |
$3K |
| 87070 |
|
394 |
387 |
$3K |
| J3010 |
Fentanyl citrate injection |
3,020 |
2,945 |
$2K |
| 83735 |
|
742 |
588 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
4,536 |
4,028 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
231 |
230 |
$2K |
| 93922 |
|
26 |
26 |
$2K |
| 73110 |
|
140 |
137 |
$2K |
| 81025 |
|
392 |
386 |
$2K |
| 76882 |
|
72 |
70 |
$2K |
| 86140 |
|
644 |
568 |
$2K |
| 77061 |
|
53 |
53 |
$2K |
| J2405 |
Ondansetron hcl injection |
5,029 |
4,476 |
$2K |
| 93299 |
|
44 |
44 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
39 |
39 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,261 |
2,206 |
$1K |
| 96367 |
|
12 |
12 |
$1K |
| 87634 |
|
26 |
26 |
$1K |
| J2550 |
Promethazine hcl injection |
1,177 |
926 |
$1K |
| 87040 |
|
139 |
102 |
$1K |
| 92558 |
|
41 |
39 |
$1K |
| 82105 |
|
82 |
80 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
3,315 |
3,251 |
$1K |
| J2270 |
Morphine sulfate injection |
572 |
497 |
$1K |
| 94726 |
|
12 |
12 |
$1K |
| 0051A |
|
24 |
24 |
$1K |
| 83605 |
|
173 |
162 |
$1K |
| 85018 |
|
505 |
492 |
$1K |
| 81003 |
|
738 |
730 |
$992.78 |
| 97530 |
|
27 |
12 |
$898.69 |
| 83020 |
|
68 |
68 |
$887.87 |
| A9585 |
Gadobutrol injection |
92 |
91 |
$887.25 |
| 94729 |
|
53 |
51 |
$884.42 |
| 87205 |
|
312 |
304 |
$884.21 |
| 76377 |
|
13 |
13 |
$846.00 |
| 0053A |
|
18 |
18 |
$808.00 |
| 76857 |
|
12 |
12 |
$778.67 |
| 88341 |
|
14 |
12 |
$761.83 |
| 85652 |
|
539 |
471 |
$757.51 |
| 72072 |
|
25 |
25 |
$717.27 |
| 73590 |
|
25 |
25 |
$661.24 |
| 97535 |
|
26 |
26 |
$658.38 |
| 0082A |
|
13 |
13 |
$638.00 |
| J1650 |
Inj enoxaparin sodium |
218 |
107 |
$626.62 |
| 82805 |
|
14 |
14 |
$597.88 |
| 0154A |
|
12 |
12 |
$592.00 |
| J0330 |
Succinycholine chloride inj |
110 |
109 |
$575.86 |
| 87798 |
|
18 |
17 |
$569.05 |
| 0074A |
|
12 |
12 |
$552.00 |
| 90686 |
|
49 |
49 |
$531.98 |
| J1644 |
Inj heparin sodium per 1000u |
476 |
382 |
$531.39 |
| 74022 |
|
15 |
15 |
$526.00 |
| 82310 |
|
155 |
151 |
$496.43 |
| 88175 |
|
12 |
12 |
$410.19 |
| 72050 |
|
28 |
28 |
$387.60 |
| 73080 |
|
12 |
12 |
$386.08 |
| 82248 |
|
147 |
146 |
$384.56 |
| 82040 |
|
128 |
125 |
$370.65 |
| 80305 |
|
47 |
47 |
$345.95 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
158 |
155 |
$335.80 |
| 85007 |
|
228 |
193 |
$319.80 |
| 80050 |
|
12 |
12 |
$316.94 |
| 82247 |
|
141 |
137 |
$307.19 |
| G0008 |
Admin influenza virus vac |
89 |
89 |
$289.06 |
| 84460 |
|
111 |
111 |
$275.50 |
| J1200 |
Diphenhydramine hcl injectio |
445 |
336 |
$247.96 |
| J1630 |
Haloperidol injection |
317 |
308 |
$213.45 |
| 84075 |
|
76 |
76 |
$201.06 |
| 80069 |
|
13 |
12 |
$173.50 |
| 81002 |
|
65 |
65 |
$134.49 |
| J2765 |
Metoclopramide hcl injection |
256 |
232 |
$129.27 |
| J0780 |
Prochlorperazine injection |
43 |
43 |
$120.84 |
| 73522 |
|
12 |
12 |
$120.57 |
| 87184 |
|
13 |
13 |
$110.45 |
| 84155 |
|
75 |
75 |
$106.77 |
| 86706 |
|
12 |
12 |
$105.18 |
| 83550 |
|
14 |
14 |
$104.32 |
| 90471 |
|
14 |
14 |
$92.69 |
| 84520 |
|
81 |
80 |
$75.84 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
37 |
$69.38 |
| J1815 |
Insulin injection |
58 |
40 |
$59.89 |
| J0696 |
Ceftriaxone sodium injection |
71 |
65 |
$54.09 |
| J3415 |
Pyridoxine hcl 100 mg |
13 |
12 |
$44.34 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
50 |
46 |
$33.26 |
| 90694 |
|
13 |
13 |
$28.05 |
| 84100 |
|
31 |
25 |
$27.46 |
| J2001 |
Lidocaine injection |
64 |
62 |
$21.73 |
| S0020 |
Injection, bupivicaine hydro |
15 |
15 |
$17.81 |
| Q0162 |
Ondansetron oral |
180 |
158 |
$14.50 |
| J2370 |
Phenylephrine hcl injection |
26 |
26 |
$12.32 |
| 82374 |
|
16 |
16 |
$4.67 |
| 84295 |
|
16 |
16 |
$4.60 |
| 82435 |
|
16 |
16 |
$4.38 |