| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,826 |
9,067 |
$5.73M |
| 74176 |
|
4,350 |
3,878 |
$3.34M |
| 99283 |
|
21,735 |
18,895 |
$2.43M |
| 99285 |
|
3,655 |
2,848 |
$2.18M |
| 43239 |
|
1,738 |
1,474 |
$1.34M |
| 70450 |
|
2,623 |
2,183 |
$953K |
| 80053 |
|
44,728 |
27,324 |
$839K |
| G0378 |
Hospital observation per hr |
1,999 |
1,152 |
$812K |
| 96365 |
|
13,083 |
4,604 |
$789K |
| 99282 |
|
8,840 |
8,005 |
$719K |
| 76700 |
|
2,843 |
2,469 |
$660K |
| 99291 |
|
1,257 |
744 |
$644K |
| 74177 |
|
583 |
492 |
$543K |
| 93005 |
|
10,175 |
8,103 |
$474K |
| 96361 |
|
7,147 |
3,484 |
$459K |
| 71045 |
|
8,476 |
7,136 |
$386K |
| 96372 |
|
13,420 |
9,196 |
$385K |
| 87631 |
|
4,483 |
4,239 |
$385K |
| 96374 |
|
7,050 |
3,971 |
$350K |
| 85025 |
|
32,909 |
25,220 |
$350K |
| 93306 |
|
633 |
550 |
$332K |
| G0480 |
Drug test def 1-7 classes |
2,319 |
1,534 |
$322K |
| 36415 |
|
103,514 |
33,743 |
$300K |
| 71046 |
|
4,659 |
3,949 |
$278K |
| 96375 |
|
6,204 |
4,975 |
$266K |
| 80307 |
|
5,048 |
4,236 |
$238K |
| 45378 |
|
202 |
192 |
$198K |
| 80061 |
|
6,262 |
5,424 |
$196K |
| 96360 |
|
3,202 |
1,500 |
$193K |
| 84484 |
|
7,565 |
6,051 |
$191K |
| 92507 |
|
4,150 |
1,382 |
$189K |
| 41899 |
|
183 |
137 |
$181K |
| 94640 |
|
2,848 |
1,575 |
$181K |
| 72100 |
|
1,833 |
1,593 |
$161K |
| 87040 |
|
4,002 |
2,739 |
$159K |
| 97110 |
|
2,732 |
577 |
$146K |
| 88305 |
|
1,598 |
1,387 |
$142K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,869 |
1,184 |
$140K |
| 0241U |
|
2,505 |
2,202 |
$137K |
| 83605 |
|
5,243 |
4,354 |
$129K |
| 83690 |
|
5,193 |
4,520 |
$126K |
| 84443 |
|
5,699 |
5,145 |
$124K |
| 73630 |
|
1,621 |
1,471 |
$123K |
| 96366 |
|
1,916 |
1,304 |
$120K |
| 72125 |
|
193 |
177 |
$112K |
| 45380 |
|
133 |
114 |
$107K |
| 80074 |
|
1,556 |
1,231 |
$105K |
| 80048 |
|
7,453 |
4,266 |
$97K |
| 87522 |
Neg quan hep c or qual rna |
2,383 |
2,179 |
$96K |
| 73610 |
|
1,161 |
1,051 |
$95K |
| 73030 |
|
1,349 |
1,123 |
$95K |
| 82306 |
|
3,150 |
2,762 |
$92K |
| 73562 |
|
1,370 |
1,197 |
$91K |
| 81001 |
|
9,755 |
8,498 |
$89K |
| 76705 |
|
503 |
456 |
$88K |
| 87902 |
|
293 |
275 |
$88K |
| 82150 |
|
2,194 |
1,893 |
$87K |
| 82803 |
|
1,704 |
1,362 |
$83K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,299 |
2,031 |
$82K |
| 73130 |
|
970 |
844 |
$80K |
| 74018 |
|
987 |
893 |
$77K |
| 87086 |
|
5,494 |
4,537 |
$76K |
| 87633 |
|
322 |
283 |
$72K |
| 99281 |
|
1,895 |
1,753 |
$72K |
| 82553 |
|
2,811 |
2,324 |
$69K |
| 83735 |
|
3,042 |
2,507 |
$68K |
| 85610 |
|
4,493 |
3,458 |
$68K |
| 87651 |
|
3,053 |
2,875 |
$67K |
| 72148 |
|
93 |
80 |
$67K |
| 76856 |
|
280 |
257 |
$66K |
| 71250 |
|
143 |
127 |
$65K |
| 82607 |
|
2,876 |
2,410 |
$62K |
| 0100U |
|
840 |
779 |
$58K |
| 83516 |
|
767 |
707 |
$58K |
| 97530 |
|
1,234 |
345 |
$57K |
| 72040 |
|
635 |
473 |
$55K |
| 77067 |
|
705 |
646 |
$55K |
| 83880 |
|
2,047 |
1,673 |
$55K |
| 81025 |
|
2,732 |
2,474 |
$55K |
| 00170 |
|
83 |
61 |
$54K |
| 83550 |
|
2,886 |
2,650 |
$53K |
| 72131 |
|
126 |
107 |
$52K |
| 85730 |
|
1,830 |
1,568 |
$52K |
| 93041 |
|
1,904 |
1,602 |
$51K |
| 87186 |
|
1,678 |
1,459 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
5,150 |
3,797 |
$49K |
| 96376 |
|
1,100 |
709 |
$47K |
| 83540 |
|
2,396 |
2,082 |
$47K |
| 87502 |
|
908 |
804 |
$47K |
| 82550 |
|
3,932 |
3,221 |
$46K |
| 99234 |
|
263 |
233 |
$46K |
| 76536 |
|
224 |
208 |
$45K |
| J2704 |
Inj, propofol, 10 mg |
1,354 |
603 |
$44K |
| 83036 |
|
4,564 |
4,088 |
$44K |
| 82172 |
|
1,216 |
1,054 |
$42K |
| 72072 |
|
331 |
293 |
$40K |
| 82570 |
|
1,488 |
1,171 |
$40K |
| 72110 |
|
309 |
245 |
$40K |
| 82247 |
|
1,621 |
1,442 |
$38K |
| 83883 |
|
779 |
714 |
$37K |
| 73110 |
|
442 |
395 |
$36K |
| 82728 |
|
1,120 |
929 |
$36K |
| 84145 |
|
837 |
702 |
$35K |
| 87070 |
|
1,392 |
1,182 |
$34K |
| 82977 |
|
1,537 |
1,405 |
$34K |
| 36600 |
|
1,979 |
1,519 |
$34K |
| 83010 |
|
1,292 |
1,211 |
$32K |
| 00731 |
|
76 |
62 |
$31K |
| 87077 |
|
2,362 |
1,506 |
$30K |
| 86038 |
|
761 |
692 |
$28K |
| 84439 |
|
1,066 |
922 |
$27K |
| 87389 |
|
718 |
648 |
$25K |
| 84703 |
|
1,166 |
1,076 |
$25K |
| 96367 |
|
215 |
167 |
$23K |
| 00811 |
|
52 |
47 |
$23K |
| J2930 |
Methylprednisolone injection |
2,552 |
1,955 |
$23K |
| 45384 |
|
26 |
25 |
$22K |
| 86140 |
|
1,765 |
1,450 |
$22K |
| G2023 |
Specimen collect covid-19 |
1,103 |
947 |
$20K |
| 81015 |
|
2,174 |
1,776 |
$19K |
| J0780 |
Prochlorperazine injection |
1,441 |
1,226 |
$19K |
| 87798 |
|
427 |
271 |
$19K |
| 87076 |
|
2,385 |
1,204 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
6,583 |
5,410 |
$18K |
| 84460 |
|
1,266 |
1,193 |
$18K |
| 83521 |
|
377 |
321 |
$18K |
| 87521 |
Neg quan hep c or qual rna |
85 |
76 |
$17K |
| 90714 |
|
509 |
326 |
$16K |
| U0005 |
Infec agen detec ampli probe |
1,650 |
1,515 |
$16K |
| J1100 |
Dexamethasone sodium phos |
293 |
277 |
$14K |
| 96368 |
|
359 |
259 |
$13K |
| 85027 |
|
1,499 |
1,369 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
513 |
405 |
$13K |
| 85652 |
|
1,330 |
1,118 |
$13K |
| 82248 |
|
565 |
495 |
$12K |
| 51702 |
|
295 |
199 |
$12K |
| 90471 |
|
875 |
785 |
$11K |
| 82103 |
|
181 |
156 |
$11K |
| 87486 |
|
367 |
275 |
$11K |
| 87581 |
|
304 |
267 |
$11K |
| 86481 |
|
760 |
631 |
$11K |
| 82105 |
|
236 |
217 |
$11K |
| 82951 |
|
82 |
69 |
$11K |
| J2270 |
Morphine sulfate injection |
665 |
335 |
$10K |
| 74022 |
|
55 |
54 |
$10K |
| 87880 |
|
745 |
678 |
$10K |
| 84436 |
|
501 |
452 |
$10K |
| 73080 |
|
106 |
91 |
$10K |
| 73502 |
|
118 |
92 |
$9K |
| 82043 |
|
628 |
536 |
$9K |
| 86706 |
|
276 |
253 |
$9K |
| 87804 |
|
643 |
564 |
$9K |
| 85378 |
|
590 |
531 |
$7K |
| 12001 |
|
67 |
62 |
$7K |
| 71271 |
|
13 |
13 |
$7K |
| 93971 |
|
42 |
36 |
$6K |
| 82652 |
|
254 |
206 |
$6K |
| 81003 |
|
965 |
836 |
$6K |
| 80320 |
|
245 |
220 |
$6K |
| 84481 |
|
80 |
77 |
$6K |
| 82274 |
|
174 |
146 |
$6K |
| J7120 |
Ringers lactate infusion |
625 |
529 |
$6K |
| 0012A |
|
410 |
399 |
$5K |
| 81002 |
|
508 |
368 |
$5K |
| 80299 |
|
61 |
49 |
$5K |
| M0243 |
Casirivi and imdevi inj |
23 |
23 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
1,781 |
1,250 |
$5K |
| 90715 |
|
89 |
83 |
$5K |
| 72050 |
|
48 |
41 |
$4K |
| 82270 |
|
266 |
244 |
$4K |
| 82140 |
|
154 |
121 |
$4K |
| 97140 |
|
154 |
38 |
$4K |
| 80076 |
|
150 |
126 |
$4K |
| 86617 |
|
176 |
165 |
$4K |
| 0011A |
|
399 |
386 |
$4K |
| 85379 |
|
112 |
95 |
$4K |
| 82746 |
|
88 |
82 |
$3K |
| 72084 |
|
19 |
16 |
$3K |
| 73090 |
|
45 |
38 |
$3K |
| J0330 |
Succinycholine chloride inj |
126 |
100 |
$2K |
| 80164 |
|
689 |
524 |
$2K |
| 84479 |
|
155 |
149 |
$2K |
| 76770 |
|
18 |
16 |
$2K |
| 82565 |
|
157 |
141 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
158 |
120 |
$2K |
| 76775 |
|
31 |
26 |
$2K |
| 84550 |
|
171 |
147 |
$2K |
| 73140 |
|
34 |
29 |
$2K |
| 29515 |
|
16 |
13 |
$2K |
| 86703 |
|
144 |
127 |
$2K |
| 93017 |
|
14 |
12 |
$2K |
| J1956 |
Levofloxacin injection |
267 |
166 |
$2K |
| 84520 |
|
125 |
115 |
$2K |
| 93225 |
|
14 |
13 |
$2K |
| 83993 |
|
18 |
12 |
$1K |
| 80177 |
|
181 |
152 |
$1K |
| 87449 |
|
37 |
30 |
$1K |
| 84702 |
|
50 |
48 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,026 |
838 |
$1K |
| 12002 |
|
12 |
12 |
$1K |
| 84478 |
|
147 |
144 |
$1K |
| 86255 |
|
115 |
75 |
$1K |
| 97162 |
|
32 |
27 |
$1K |
| 93226 |
|
14 |
13 |
$1K |
| 91200 |
|
17 |
15 |
$1K |
| J2360 |
Orphenadrine injection |
83 |
76 |
$1K |
| 82465 |
|
127 |
124 |
$1K |
| 71101 |
|
16 |
13 |
$1K |
| 84156 |
|
70 |
62 |
$1K |
| 0097U |
|
12 |
12 |
$1K |
| 84450 |
|
132 |
130 |
$993.39 |
| J3490 |
Drugs unclassified injection |
181 |
136 |
$990.65 |
| 82947 |
|
141 |
131 |
$774.03 |
| 80143 |
|
90 |
66 |
$726.88 |
| J3370 |
Vancomycin hcl injection |
153 |
67 |
$694.36 |
| J1040 |
Methylprednisolone 80 mg inj |
35 |
26 |
$672.71 |
| 0064A |
|
68 |
53 |
$588.12 |
| J2920 |
Methylprednisolone injection |
85 |
70 |
$563.84 |
| J2543 |
Piperacillin/tazobactam |
46 |
24 |
$553.47 |
| 80185 |
|
57 |
39 |
$543.61 |
| 87420 |
|
41 |
38 |
$503.43 |
| J0290 |
Ampicillin 500 mg inj |
25 |
24 |
$471.60 |
| 84153 |
|
12 |
12 |
$468.65 |
| J3010 |
Fentanyl citrate injection |
252 |
216 |
$443.36 |
| 93975 |
|
13 |
12 |
$411.08 |
| J2250 |
Inj midazolam hydrochloride |
186 |
171 |
$396.18 |
| 86376 |
|
25 |
24 |
$381.55 |
| G0103 |
Psa screening |
22 |
15 |
$362.22 |
| 99499 |
|
13 |
13 |
$276.68 |
| 86308 |
|
16 |
15 |
$238.31 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
108 |
102 |
$205.67 |
| 80162 |
|
83 |
66 |
$184.34 |
| 84100 |
|
14 |
13 |
$178.56 |
| 83970 |
|
18 |
13 |
$139.47 |
| 86900 |
|
13 |
13 |
$127.76 |
| 86901 |
|
13 |
13 |
$117.06 |
| J1200 |
Diphenhydramine hcl injectio |
77 |
68 |
$111.47 |
| A9270 |
Non-covered item or service |
200 |
74 |
$97.98 |
| J2780 |
Ranitidine hydrochloride inj |
27 |
25 |
$95.28 |
| J1940 |
Furosemide injection |
16 |
13 |
$86.62 |
| J2550 |
Promethazine hcl injection |
107 |
90 |
$81.12 |
| J0690 |
Cefazolin sodium injection |
30 |
25 |
$72.51 |
| 82962 |
|
53 |
50 |
$20.67 |
| 97010 |
|
436 |
113 |
$5.14 |
| Q0245 |
Bamlanivimab and etesevima |
17 |
14 |
$0.02 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
20 |
$0.00 |