| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
36,843 |
32,277 |
$12.85M |
| 99284 |
|
45,686 |
41,325 |
$12.20M |
| 74177 |
|
11,460 |
10,685 |
$8.21M |
| 99283 |
|
31,993 |
30,052 |
$7.57M |
| 74176 |
|
4,897 |
4,541 |
$2.60M |
| 99282 |
|
11,505 |
10,782 |
$1.57M |
| 71275 |
|
2,829 |
2,638 |
$1.52M |
| 72125 |
|
3,837 |
3,562 |
$1.41M |
| 70450 |
|
11,940 |
10,784 |
$1.24M |
| 47562 |
|
196 |
185 |
$779K |
| 70496 |
|
846 |
778 |
$617K |
| 93306 |
|
1,105 |
986 |
$506K |
| 99213 |
|
2,805 |
2,211 |
$364K |
| 95811 |
|
408 |
368 |
$280K |
| 93971 |
|
1,945 |
1,807 |
$238K |
| G0378 |
Hospital observation per hr |
14,738 |
6,821 |
$236K |
| 72131 |
|
614 |
564 |
$229K |
| 99291 |
|
156 |
149 |
$220K |
| 71260 |
|
1,307 |
1,212 |
$119K |
| 80053 |
|
74,203 |
61,037 |
$107K |
| 70486 |
|
1,241 |
1,169 |
$106K |
| 70551 |
|
359 |
301 |
$94K |
| 80307 |
|
9,329 |
8,246 |
$92K |
| 43239 |
|
324 |
317 |
$89K |
| 49083 |
|
171 |
86 |
$88K |
| 99214 |
|
530 |
424 |
$85K |
| 74174 |
|
85 |
80 |
$82K |
| 76856 |
|
1,946 |
1,864 |
$81K |
| 96374 |
|
35,811 |
31,322 |
$68K |
| 70498 |
|
1,016 |
943 |
$68K |
| 96365 |
|
12,678 |
11,165 |
$64K |
| 97110 |
|
1,162 |
265 |
$61K |
| 96366 |
|
3,850 |
2,947 |
$54K |
| 99202 |
|
342 |
313 |
$51K |
| 11042 |
|
286 |
171 |
$50K |
| 99203 |
|
246 |
229 |
$46K |
| 88305 |
|
3,773 |
2,771 |
$45K |
| 93005 |
|
36,559 |
29,935 |
$45K |
| 45385 |
|
86 |
84 |
$43K |
| 99212 |
|
532 |
443 |
$42K |
| G0463 |
Hospital outpt clinic visit |
2,669 |
1,415 |
$38K |
| 70491 |
|
111 |
106 |
$38K |
| 96361 |
|
8,143 |
6,963 |
$36K |
| J8540 |
Oral dexamethasone |
2,341 |
1,953 |
$35K |
| 97597 |
|
690 |
432 |
$32K |
| 77067 |
|
1,086 |
964 |
$30K |
| 92507 |
|
362 |
119 |
$29K |
| 76642 |
|
369 |
333 |
$27K |
| 76705 |
|
4,564 |
4,272 |
$25K |
| 77080 |
|
356 |
312 |
$25K |
| 76700 |
|
273 |
260 |
$24K |
| 45378 |
|
42 |
42 |
$22K |
| 71046 |
|
10,733 |
9,999 |
$22K |
| 99215 |
Prolong outpt/office vis |
225 |
133 |
$19K |
| 80320 |
|
6,857 |
6,201 |
$17K |
| 96375 |
|
30,718 |
24,943 |
$16K |
| 99205 |
Prolong outpt/office vis |
102 |
93 |
$13K |
| 94640 |
|
6,472 |
3,924 |
$13K |
| 71045 |
|
23,373 |
20,918 |
$13K |
| 76819 |
|
166 |
106 |
$11K |
| 95810 |
|
13 |
12 |
$11K |
| 76770 |
|
203 |
194 |
$11K |
| 96372 |
|
12,579 |
9,759 |
$9K |
| 99211 |
|
1,416 |
784 |
$9K |
| 73130 |
|
2,383 |
2,206 |
$9K |
| 71250 |
|
308 |
271 |
$9K |
| 74178 |
|
32 |
27 |
$9K |
| 96360 |
|
2,552 |
2,342 |
$9K |
| 76801 |
|
2,343 |
2,105 |
$8K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
63 |
56 |
$8K |
| 74018 |
|
2,000 |
1,886 |
$8K |
| 36430 |
|
144 |
114 |
$8K |
| 70553 |
|
14 |
13 |
$8K |
| 93970 |
|
46 |
41 |
$7K |
| 96376 |
|
9,997 |
6,295 |
$7K |
| 85025 |
|
76,005 |
62,152 |
$7K |
| 99281 |
|
103 |
99 |
$7K |
| 80048 |
|
10,440 |
7,850 |
$7K |
| 87636 |
|
7,724 |
7,407 |
$7K |
| 97530 |
|
1,608 |
764 |
$7K |
| 97161 |
|
495 |
422 |
$6K |
| 73610 |
|
2,222 |
2,039 |
$6K |
| 84484 |
|
29,797 |
19,449 |
$5K |
| 10060 |
|
123 |
121 |
$5K |
| 93880 |
|
92 |
84 |
$5K |
| 94762 |
|
7,209 |
4,511 |
$5K |
| 73030 |
|
2,447 |
2,174 |
$5K |
| 59025 |
|
199 |
150 |
$5K |
| 87631 |
|
3,135 |
3,040 |
$4K |
| 72148 |
|
28 |
26 |
$4K |
| 76805 |
|
155 |
146 |
$4K |
| 73110 |
|
1,563 |
1,431 |
$4K |
| 76536 |
|
68 |
66 |
$4K |
| J3490 |
Drugs unclassified injection |
33,611 |
18,195 |
$4K |
| 99204 |
|
12 |
12 |
$3K |
| 73562 |
|
2,668 |
2,375 |
$3K |
| 73630 |
|
2,639 |
2,439 |
$3K |
| 87086 |
|
14,652 |
13,335 |
$3K |
| 88341 |
|
37 |
24 |
$3K |
| 73502 |
|
899 |
819 |
$3K |
| 81025 |
|
12,733 |
11,700 |
$2K |
| 77065 |
Tomosynthesis, mammo |
197 |
165 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
18,220 |
16,652 |
$2K |
| 72192 |
|
16 |
13 |
$2K |
| 97162 |
|
135 |
110 |
$2K |
| 83880 |
|
5,101 |
4,506 |
$2K |
| 77066 |
Tomosynthesis, mammo |
138 |
118 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
7,753 |
6,454 |
$2K |
| 36416 |
|
684 |
438 |
$2K |
| 83690 |
|
23,173 |
20,440 |
$2K |
| 72100 |
|
469 |
443 |
$2K |
| J2270 |
Morphine sulfate injection |
15,643 |
12,230 |
$2K |
| 87635 |
|
1,804 |
1,739 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,753 |
1,688 |
$1K |
| 76815 |
|
390 |
354 |
$1K |
| 73564 |
|
42 |
37 |
$1K |
| J3010 |
Fentanyl citrate injection |
10,331 |
8,990 |
$1K |
| 88342 |
|
703 |
625 |
$1K |
| 80329 |
|
1,275 |
1,114 |
$1K |
| 82947 |
|
26,289 |
13,546 |
$1K |
| 87804 |
|
4,578 |
2,219 |
$1K |
| 84443 |
|
4,635 |
4,278 |
$1K |
| 73080 |
|
825 |
767 |
$1K |
| 72128 |
|
69 |
62 |
$1K |
| 84703 |
|
10,456 |
9,766 |
$1K |
| 81001 |
|
30,008 |
26,729 |
$1K |
| A9270 |
Non-covered item or service |
45,900 |
8,993 |
$914.08 |
| 82803 |
|
785 |
681 |
$869.10 |
| 85610 |
|
14,577 |
12,051 |
$835.76 |
| 87040 |
|
9,778 |
4,889 |
$833.51 |
| 80061 |
|
456 |
393 |
$807.14 |
| 87880 |
|
3,665 |
3,541 |
$793.20 |
| J7030 |
Normal saline solution infus |
17,410 |
14,419 |
$763.66 |
| 86850 |
|
3,626 |
3,274 |
$760.77 |
| 83735 |
|
9,906 |
8,041 |
$731.73 |
| 76817 |
|
859 |
790 |
$711.36 |
| 85379 |
|
2,693 |
2,546 |
$670.53 |
| 83605 |
|
11,221 |
8,816 |
$658.19 |
| 87491 |
|
1,434 |
1,371 |
$649.61 |
| 87591 |
|
1,446 |
1,386 |
$645.33 |
| 81003 |
|
14,361 |
13,224 |
$625.17 |
| 84702 |
|
5,135 |
4,595 |
$622.70 |
| J1885 |
Ketorolac tromethamine inj |
22,985 |
20,267 |
$612.57 |
| 87651 |
|
897 |
882 |
$609.35 |
| C1769 |
Guide wire |
287 |
249 |
$594.20 |
| 76830 |
|
812 |
773 |
$574.36 |
| J2405 |
Ondansetron hcl injection |
31,284 |
25,970 |
$557.69 |
| 0450 |
|
13 |
12 |
$550.14 |
| 82140 |
|
1,001 |
823 |
$534.18 |
| 90715 |
|
2,126 |
2,038 |
$533.28 |
| 85027 |
|
7,754 |
6,163 |
$500.50 |
| 82550 |
|
3,691 |
3,251 |
$498.42 |
| 86901 |
|
5,173 |
4,692 |
$438.58 |
| 87081 |
|
1,865 |
1,823 |
$430.06 |
| 85730 |
|
3,732 |
3,344 |
$426.62 |
| 97116 |
|
744 |
444 |
$413.64 |
| J8499 |
Oral prescrip drug non chemo |
33,428 |
17,370 |
$393.14 |
| J1815 |
Insulin injection |
5,922 |
2,795 |
$388.30 |
| 12002 |
|
239 |
229 |
$378.07 |
| 87088 |
|
11,620 |
10,182 |
$365.64 |
| 73090 |
|
559 |
506 |
$347.50 |
| 73590 |
|
506 |
452 |
$335.53 |
| 96367 |
|
1,466 |
1,279 |
$332.11 |
| J1100 |
Dexamethasone sodium phos |
7,374 |
6,821 |
$308.43 |
| 71101 |
|
72 |
70 |
$275.94 |
| 82565 |
|
180 |
168 |
$272.00 |
| J7120 |
Ringers lactate infusion |
10,889 |
9,782 |
$241.82 |
| 83036 |
|
649 |
570 |
$224.87 |
| 87186 |
|
4,406 |
3,918 |
$221.87 |
| 73140 |
|
78 |
73 |
$209.49 |
| P9016 |
Rbc leukocytes reduced |
168 |
147 |
$200.28 |
| 12001 |
|
793 |
772 |
$180.70 |
| 90471 |
|
2,342 |
2,208 |
$165.14 |
| G0480 |
Drug test def 1-7 classes |
406 |
365 |
$162.94 |
| 87077 |
|
5,563 |
4,669 |
$162.06 |
| 88307 |
|
273 |
216 |
$151.77 |
| J2360 |
Orphenadrine injection |
2,649 |
2,492 |
$139.70 |
| 82270 |
|
334 |
303 |
$135.91 |
| J2765 |
Metoclopramide hcl injection |
2,714 |
2,435 |
$130.52 |
| C9113 |
Inj pantoprazole sodium, via |
2,116 |
1,533 |
$129.70 |
| 72072 |
|
13 |
12 |
$125.44 |
| J8597 |
Antiemetic drug oral nos |
4,653 |
4,164 |
$112.46 |
| J1756 |
Iron sucrose injection |
50 |
26 |
$112.21 |
| 87661 |
|
220 |
212 |
$112.16 |
| 82010 |
|
784 |
676 |
$109.61 |
| J1650 |
Inj enoxaparin sodium |
1,905 |
1,002 |
$106.09 |
| J1953 |
Levetiracetam injection |
426 |
325 |
$98.34 |
| J1200 |
Diphenhydramine hcl injectio |
4,687 |
4,162 |
$92.39 |
| 97140 |
|
366 |
113 |
$88.69 |
| 85055 |
|
1,957 |
1,367 |
$84.62 |
| J2930 |
Methylprednisolone injection |
2,103 |
1,849 |
$78.69 |
| 87807 |
|
543 |
525 |
$77.73 |
| J3475 |
Inj magnesium sulfate |
1,813 |
1,567 |
$72.07 |
| 84132 |
|
1,263 |
945 |
$69.07 |
| J7050 |
Normal saline solution infus |
399 |
311 |
$65.15 |
| 86900 |
|
4,152 |
3,770 |
$63.00 |
| J2550 |
Promethazine hcl injection |
2,023 |
1,663 |
$61.46 |
| 84145 |
|
258 |
243 |
$57.57 |
| J3480 |
Inj potassium chloride |
1,041 |
746 |
$55.75 |
| 86140 |
|
1,642 |
1,568 |
$50.51 |
| 94760 |
|
1,308 |
962 |
$45.95 |
| J2543 |
Piperacillin/tazobactam |
2,369 |
1,309 |
$45.54 |
| 94664 |
|
505 |
386 |
$45.24 |
| 94644 |
|
113 |
109 |
$44.91 |
| M0243 |
Casirivi and imdevi inj |
165 |
152 |
$44.21 |
| J1940 |
Furosemide injection |
833 |
486 |
$39.87 |
| J2704 |
Inj, propofol, 10 mg |
6,927 |
6,415 |
$39.73 |
| J3370 |
Vancomycin hcl injection |
1,019 |
690 |
$38.00 |
| 96368 |
|
465 |
439 |
$37.63 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,145 |
952 |
$35.12 |
| 87210 |
|
738 |
710 |
$34.68 |
| J2060 |
Lorazepam injection |
2,950 |
2,397 |
$33.46 |
| 84100 |
|
875 |
754 |
$29.62 |
| 88304 |
|
1,059 |
997 |
$29.05 |
| 72040 |
|
71 |
70 |
$24.97 |
| J7040 |
Normal saline solution infus |
1,231 |
1,149 |
$24.96 |
| J0780 |
Prochlorperazine injection |
634 |
579 |
$24.49 |
| J1790 |
Droperidol injection |
278 |
239 |
$23.41 |
| G0279 |
Tomosynthesis, mammo |
368 |
328 |
$23.38 |
| 36600 |
|
541 |
510 |
$22.89 |
| 74022 |
|
49 |
43 |
$21.38 |
| 73060 |
|
47 |
41 |
$19.38 |
| J0330 |
Succinycholine chloride inj |
1,182 |
1,086 |
$13.50 |
| 73552 |
|
27 |
26 |
$11.72 |
| J2250 |
Inj midazolam hydrochloride |
6,134 |
5,533 |
$11.61 |
| U0005 |
Infec agen detec ampli probe |
812 |
784 |
$11.25 |
| J1642 |
Inj heparin sodium per 10 u |
31 |
25 |
$10.34 |
| 85652 |
|
725 |
663 |
$10.20 |
| 84439 |
|
189 |
178 |
$7.91 |
| J1170 |
Hydromorphone injection |
3,018 |
2,515 |
$7.09 |
| J2920 |
Methylprednisolone injection |
114 |
37 |
$6.19 |
| J7999 |
Compounded drug, noc |
1,913 |
1,779 |
$5.27 |
| J2795 |
Ropivacaine hcl injection |
355 |
327 |
$3.99 |
| J0690 |
Cefazolin sodium injection |
4,656 |
3,768 |
$3.04 |
| J0171 |
Adrenalin epinephrine inject |
2,325 |
2,145 |
$2.77 |
| 84520 |
|
149 |
141 |
$2.52 |
| J1630 |
Haloperidol injection |
581 |
473 |
$1.25 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
870 |
584 |
$1.00 |
| S0028 |
Injection, famotidine, 20 mg |
937 |
781 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
102 |
101 |
$0.00 |
| 85007 |
|
13 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
820 |
435 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
160 |
148 |
$0.00 |
| 87275 |
|
43 |
41 |
$0.00 |
| 93041 |
|
48 |
47 |
$0.00 |
| A9577 |
Inj multihance |
294 |
257 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
92 |
92 |
$0.00 |
| J1956 |
Levofloxacin injection |
170 |
111 |
$0.00 |
| 84112 |
|
276 |
210 |
$0.00 |
| 97163 |
|
15 |
13 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
43 |
31 |
$0.00 |
| 12011 |
|
241 |
225 |
$0.00 |
| 89051 |
|
14 |
13 |
$0.00 |
| 29125 |
|
34 |
31 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
208 |
190 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
15 |
14 |
$0.00 |
| 86923 |
|
98 |
62 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
148 |
124 |
$0.00 |
| G8978 |
Mobility current status |
17 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
47 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
35 |
35 |
$0.00 |
| 88313 |
|
69 |
40 |
$0.00 |
| 87075 |
|
84 |
72 |
$0.00 |
| 87254 |
|
51 |
32 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
14 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
109 |
103 |
$0.00 |
| J0500 |
Dicyclomine injection |
66 |
58 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
1,168 |
827 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
673 |
630 |
$0.00 |
| 87205 |
|
853 |
681 |
$0.00 |
| 87070 |
|
820 |
656 |
$0.00 |
| 77063 |
|
1,068 |
946 |
$0.00 |
| J2001 |
Lidocaine injection |
1,808 |
1,438 |
$0.00 |
| 97010 |
|
769 |
192 |
$0.00 |
| 72170 |
|
59 |
53 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
377 |
282 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
802 |
739 |
$0.00 |
| J0456 |
Azithromycin |
88 |
63 |
$0.00 |
| 97535 |
|
170 |
110 |
$0.00 |
| 74420 |
|
27 |
26 |
$0.00 |
| 76870 |
|
41 |
38 |
$0.00 |
| 87147 |
|
220 |
199 |
$0.00 |
| 85018 |
|
207 |
141 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
35 |
24 |
$0.00 |
| C1781 |
Mesh (implantable) |
41 |
33 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
122 |
113 |
$0.00 |
| 90686 |
|
34 |
29 |
$0.00 |
| 97166 |
|
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
86 |
62 |
$0.00 |
| G0008 |
Admin influenza virus vac |
18 |
14 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
14 |
12 |
$0.00 |
| 87276 |
|
43 |
41 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
22 |
13 |
$0.00 |