| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,075 |
13,089 |
$2.72M |
| 99283 |
|
15,581 |
14,733 |
$1.96M |
| 99285 |
|
4,025 |
3,773 |
$1.21M |
| 96374 |
|
8,618 |
7,662 |
$845K |
| 99282 |
|
6,471 |
6,271 |
$466K |
| 97110 |
|
15,068 |
4,466 |
$403K |
| 74177 |
|
2,768 |
2,696 |
$399K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,286 |
6,050 |
$366K |
| 96365 |
|
2,221 |
1,570 |
$209K |
| 87637 |
|
2,189 |
2,159 |
$206K |
| G0463 |
Hospital outpt clinic visit |
3,195 |
2,517 |
$186K |
| 71046 |
|
4,606 |
4,385 |
$173K |
| 96375 |
|
7,066 |
5,943 |
$146K |
| 96361 |
|
4,647 |
3,981 |
$134K |
| 99281 |
|
2,693 |
2,621 |
$110K |
| U0002 |
Covid-19 lab test non-cdc |
3,658 |
3,487 |
$105K |
| 86900 |
|
2,482 |
2,282 |
$87K |
| 76705 |
|
1,470 |
1,453 |
$87K |
| 70450 |
|
1,812 |
1,770 |
$87K |
| 80061 |
|
6,882 |
6,851 |
$84K |
| 77067 |
|
1,783 |
1,763 |
$83K |
| 97140 |
|
5,870 |
2,145 |
$80K |
| U0005 |
Infec agen detec ampli probe |
4,388 |
4,238 |
$75K |
| 96360 |
|
714 |
599 |
$73K |
| 71045 |
|
1,805 |
1,709 |
$72K |
| 36415 |
|
38,665 |
32,216 |
$62K |
| 74176 |
|
516 |
508 |
$58K |
| G0472 |
Hep c screen high risk/other |
2,223 |
2,219 |
$56K |
| 96413 |
|
398 |
290 |
$56K |
| 80053 |
|
24,799 |
22,014 |
$54K |
| 80050 |
|
1,839 |
1,810 |
$50K |
| 87491 |
|
2,989 |
2,947 |
$48K |
| 80307 |
|
4,492 |
4,171 |
$48K |
| 87591 |
|
2,981 |
2,935 |
$48K |
| 87633 |
|
247 |
246 |
$48K |
| 84443 |
|
8,123 |
7,922 |
$47K |
| 76830 |
|
734 |
729 |
$42K |
| 85025 |
|
27,380 |
23,702 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
6,506 |
6,177 |
$38K |
| 97162 |
|
804 |
794 |
$37K |
| 87624 |
|
1,660 |
1,657 |
$32K |
| G0378 |
Hospital observation per hr |
167 |
146 |
$32K |
| 82947 |
|
2,801 |
2,187 |
$28K |
| 96372 |
|
6,037 |
5,257 |
$26K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,703 |
1,701 |
$25K |
| 82306 |
|
2,108 |
2,089 |
$25K |
| 71260 |
|
142 |
142 |
$23K |
| 83036 |
|
4,546 |
4,520 |
$17K |
| 82728 |
|
2,697 |
2,651 |
$16K |
| 93005 |
|
6,957 |
6,162 |
$15K |
| 76856 |
|
315 |
311 |
$14K |
| G0432 |
Eia hiv-1/hiv-2 screen |
1,218 |
1,216 |
$13K |
| 82607 |
|
1,939 |
1,924 |
$12K |
| 86780 |
|
1,534 |
1,530 |
$11K |
| 87086 |
|
5,595 |
5,300 |
$11K |
| 71275 |
|
133 |
131 |
$11K |
| 88305 |
|
2,040 |
1,874 |
$10K |
| 93975 |
|
82 |
82 |
$10K |
| 83550 |
|
2,641 |
2,599 |
$10K |
| 99213 |
|
394 |
352 |
$10K |
| 92507 |
|
249 |
97 |
$10K |
| 80048 |
|
4,998 |
4,542 |
$10K |
| 77063 |
|
794 |
794 |
$9K |
| 66984 |
|
14 |
12 |
$9K |
| 87661 |
|
461 |
459 |
$9K |
| 83655 |
|
1,236 |
1,204 |
$8K |
| 83540 |
|
2,777 |
2,735 |
$8K |
| 72125 |
|
96 |
96 |
$8K |
| 87502 |
|
628 |
620 |
$8K |
| 84439 |
|
2,099 |
2,016 |
$8K |
| 73630 |
|
945 |
922 |
$7K |
| 73562 |
|
564 |
557 |
$7K |
| 84702 |
|
1,795 |
1,390 |
$7K |
| 85027 |
|
3,486 |
3,261 |
$7K |
| 97161 |
|
145 |
141 |
$7K |
| G0480 |
Drug test def 1-7 classes |
1,030 |
958 |
$6K |
| 87077 |
|
2,423 |
2,340 |
$6K |
| 87081 |
|
3,546 |
3,501 |
$6K |
| 43239 |
|
17 |
17 |
$6K |
| G0482 |
Drug test def 15-21 classes |
105 |
105 |
$6K |
| G0475 |
Hiv combination assay |
419 |
418 |
$5K |
| 87653 |
|
291 |
291 |
$5K |
| 93306 |
|
25 |
25 |
$5K |
| 81001 |
|
15,522 |
13,809 |
$5K |
| 83735 |
|
5,515 |
4,705 |
$5K |
| 73610 |
|
723 |
702 |
$5K |
| Q3014 |
Telehealth facility fee |
324 |
278 |
$5K |
| 87186 |
|
1,762 |
1,722 |
$5K |
| G0103 |
Psa screening |
453 |
453 |
$5K |
| 72148 |
|
49 |
49 |
$4K |
| 73721 |
|
36 |
36 |
$4K |
| 87635 |
|
193 |
190 |
$4K |
| 73030 |
|
348 |
336 |
$4K |
| 96366 |
|
231 |
160 |
$4K |
| 85610 |
|
3,930 |
3,061 |
$4K |
| 82570 |
|
2,017 |
1,947 |
$4K |
| 82746 |
|
630 |
623 |
$4K |
| 73110 |
|
338 |
327 |
$4K |
| 0002A |
|
115 |
115 |
$4K |
| 72100 |
|
120 |
120 |
$4K |
| 74018 |
|
162 |
157 |
$4K |
| 87205 |
|
2,409 |
2,247 |
$4K |
| 97112 |
|
135 |
66 |
$4K |
| 0012A |
|
93 |
93 |
$3K |
| 87340 |
|
1,391 |
1,388 |
$3K |
| 70553 |
|
12 |
12 |
$3K |
| 83880 |
|
999 |
940 |
$3K |
| 0001A |
|
127 |
127 |
$3K |
| 82043 |
|
1,014 |
1,008 |
$3K |
| 73130 |
|
371 |
360 |
$3K |
| 70498 |
|
14 |
14 |
$3K |
| 88175 |
|
164 |
160 |
$3K |
| 86140 |
|
1,742 |
1,626 |
$3K |
| G0481 |
Drug test def 8-14 classes |
55 |
55 |
$2K |
| 0011A |
|
92 |
92 |
$2K |
| 96376 |
|
1,243 |
963 |
$2K |
| 94060 |
|
14 |
14 |
$2K |
| 93971 |
|
29 |
29 |
$2K |
| 86038 |
|
274 |
274 |
$2K |
| 87070 |
|
628 |
572 |
$1K |
| 76770 |
|
24 |
24 |
$1K |
| 80076 |
|
406 |
381 |
$1K |
| 84100 |
|
1,617 |
1,346 |
$1K |
| 76801 |
|
24 |
24 |
$1K |
| 85652 |
|
1,541 |
1,498 |
$1K |
| 83690 |
|
5,105 |
4,723 |
$1K |
| 90471 |
|
131 |
108 |
$1K |
| 87880 |
|
2,353 |
2,316 |
$1K |
| 74019 |
|
212 |
207 |
$947.27 |
| J2469 |
Palonosetron hcl |
20 |
12 |
$930.06 |
| 81025 |
|
6,185 |
5,794 |
$925.35 |
| 84403 |
|
67 |
67 |
$877.28 |
| 85730 |
|
1,555 |
1,435 |
$793.27 |
| 82565 |
|
918 |
880 |
$603.92 |
| 87147 |
|
362 |
355 |
$551.82 |
| 84156 |
|
524 |
490 |
$547.46 |
| 87804 |
|
1,079 |
725 |
$529.75 |
| 73564 |
|
27 |
25 |
$524.36 |
| 83001 |
|
50 |
50 |
$500.81 |
| 86850 |
|
2,329 |
2,160 |
$495.88 |
| 82950 |
|
182 |
182 |
$480.26 |
| 93010 |
|
89 |
82 |
$432.73 |
| 84466 |
|
86 |
85 |
$405.30 |
| 76817 |
|
82 |
79 |
$394.85 |
| 82150 |
|
910 |
856 |
$363.13 |
| 82670 |
|
25 |
25 |
$354.94 |
| 85007 |
|
460 |
402 |
$332.51 |
| 82550 |
|
194 |
176 |
$257.08 |
| 72110 |
|
16 |
16 |
$233.04 |
| 86787 |
|
337 |
336 |
$201.92 |
| 73502 |
|
12 |
12 |
$196.58 |
| 83605 |
|
2,092 |
1,682 |
$191.90 |
| 85379 |
|
1,089 |
1,058 |
$182.84 |
| 84550 |
|
97 |
87 |
$181.32 |
| 84484 |
|
4,265 |
2,865 |
$172.90 |
| 87807 |
|
343 |
334 |
$167.42 |
| 85055 |
|
13 |
12 |
$165.34 |
| 83516 |
|
25 |
25 |
$160.96 |
| 86431 |
|
58 |
58 |
$155.13 |
| 83615 |
|
154 |
139 |
$152.17 |
| 86762 |
|
439 |
438 |
$151.33 |
| 87088 |
|
68 |
65 |
$143.97 |
| 82784 |
|
27 |
27 |
$141.92 |
| 70496 |
|
13 |
13 |
$100.63 |
| 82805 |
|
56 |
41 |
$87.04 |
| 86200 |
|
12 |
12 |
$85.57 |
| 86618 |
|
13 |
13 |
$85.50 |
| 86376 |
|
12 |
12 |
$74.30 |
| 82248 |
|
139 |
134 |
$66.30 |
| 82533 |
|
13 |
12 |
$62.44 |
| 82077 |
|
1,020 |
892 |
$60.40 |
| 74022 |
|
149 |
142 |
$57.04 |
| 87420 |
|
79 |
75 |
$49.35 |
| 73140 |
|
17 |
13 |
$48.48 |
| 73080 |
|
13 |
12 |
$47.36 |
| 87400 |
|
84 |
83 |
$44.47 |
| 87040 |
|
265 |
147 |
$31.21 |
| 85651 |
|
31 |
30 |
$27.34 |
| 82247 |
|
27 |
25 |
$22.37 |
| J3010 |
Fentanyl citrate injection |
3,331 |
2,619 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,898 |
3,526 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,498 |
2,163 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
7,125 |
6,465 |
$0.00 |
| 94640 |
|
1,359 |
1,191 |
$0.00 |
| J7050 |
Normal saline solution infus |
7,892 |
4,646 |
$0.00 |
| A9270 |
Non-covered item or service |
115 |
93 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,218 |
1,054 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
119 |
119 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
555 |
516 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,406 |
1,136 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
3,544 |
3,338 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
737 |
676 |
$0.00 |
| J2360 |
Orphenadrine injection |
302 |
294 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
458 |
248 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
118 |
115 |
$0.00 |
| J1790 |
Droperidol injection |
25 |
24 |
$0.00 |
| 87808 |
|
69 |
69 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
31 |
25 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
143 |
94 |
$0.00 |
| J2060 |
Lorazepam injection |
140 |
116 |
$0.00 |
| 12001 |
|
25 |
25 |
$0.00 |
| 91301 |
|
176 |
176 |
$0.00 |
| J7999 |
Compounded drug, noc |
26 |
26 |
$0.00 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$0.00 |
| 86901 |
|
152 |
144 |
$0.00 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
33 |
32 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
19 |
19 |
$0.00 |
| 76377 |
|
15 |
15 |
$0.00 |
| J7030 |
Normal saline solution infus |
8,533 |
7,279 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
2,361 |
2,052 |
$0.00 |
| J2930 |
Methylprednisolone injection |
635 |
595 |
$0.00 |
| 80179 |
|
529 |
494 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
6,490 |
5,363 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,233 |
1,031 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,503 |
4,332 |
$0.00 |
| J7120 |
Ringers lactate infusion |
4,516 |
3,858 |
$0.00 |
| G1004 |
Cdsm ndsc |
5,812 |
5,393 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,047 |
932 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
26 |
25 |
$0.00 |
| A9577 |
Inj multihance |
228 |
227 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,555 |
1,378 |
$0.00 |
| 91300 |
|
238 |
205 |
$0.00 |
| 80143 |
|
576 |
533 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
41 |
26 |
$0.00 |
| J2550 |
Promethazine hcl injection |
27 |
25 |
$0.00 |
| G8484 |
Flu immunize no admin |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
15 |
15 |
$0.00 |