| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
26,930 |
24,918 |
$7.91M |
| 99284 |
|
21,658 |
19,823 |
$7.31M |
| 99285 |
|
14,225 |
12,675 |
$6.49M |
| G0378 |
Hospital observation per hr |
7,899 |
6,931 |
$4.50M |
| 99282 |
|
9,877 |
9,478 |
$1.77M |
| 95810 |
|
918 |
896 |
$1.19M |
| OP250 |
|
63,731 |
34,866 |
$948K |
| H0035 |
Mh partial hosp tx under 24h |
6,515 |
660 |
$907K |
| 97110 |
|
17,221 |
4,466 |
$467K |
| OP370 |
|
3,245 |
2,920 |
$431K |
| 74177 |
|
3,970 |
3,796 |
$431K |
| OP710 |
|
3,769 |
3,448 |
$410K |
| 93306 |
|
1,825 |
1,754 |
$391K |
| 93005 |
|
21,867 |
18,813 |
$372K |
| 80053 |
|
43,785 |
36,340 |
$359K |
| 96361 |
|
7,126 |
5,822 |
$346K |
| 96375 |
|
9,190 |
7,783 |
$341K |
| 70450 |
|
5,392 |
5,062 |
$280K |
| 96413 |
|
1,423 |
863 |
$276K |
| 85025 |
|
42,612 |
34,426 |
$271K |
| OP272 |
|
5,078 |
4,657 |
$270K |
| 93975 |
|
2,394 |
2,256 |
$252K |
| 96374 |
|
14,201 |
12,615 |
$231K |
| 36415 |
|
47,736 |
38,668 |
$209K |
| 11042 |
|
3,194 |
1,354 |
$198K |
| 80307 |
|
6,849 |
6,109 |
$188K |
| 76642 |
|
1,796 |
1,672 |
$154K |
| 77067 |
|
2,473 |
2,412 |
$142K |
| 97140 |
|
6,517 |
2,040 |
$140K |
| 71045 |
|
10,946 |
10,150 |
$138K |
| 74176 |
|
1,527 |
1,460 |
$133K |
| 96372 |
|
8,173 |
6,331 |
$131K |
| 93970 |
|
1,083 |
1,030 |
$126K |
| 76830 |
|
1,733 |
1,681 |
$124K |
| 88305 |
|
2,349 |
2,190 |
$120K |
| 71046 |
|
6,856 |
6,587 |
$118K |
| 90791 |
|
3,812 |
3,253 |
$118K |
| 97530 |
|
3,824 |
2,058 |
$117K |
| 99281 |
|
993 |
977 |
$115K |
| 95782 |
|
96 |
94 |
$109K |
| 95806 |
|
392 |
379 |
$107K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,747 |
2,087 |
$106K |
| 76856 |
|
1,492 |
1,446 |
$104K |
| 97161 |
|
2,477 |
2,373 |
$88K |
| 94640 |
|
3,483 |
2,979 |
$86K |
| 71275 |
|
797 |
750 |
$81K |
| 77066 |
Tomosynthesis, mammo |
1,005 |
983 |
$79K |
| 84443 |
|
5,531 |
5,091 |
$78K |
| 72125 |
|
859 |
787 |
$75K |
| 93971 |
|
857 |
823 |
$74K |
| 96360 |
|
2,222 |
2,037 |
$73K |
| 81001 |
|
20,092 |
18,532 |
$70K |
| OP258 |
|
23,723 |
15,963 |
$67K |
| 95800 |
|
321 |
321 |
$65K |
| 96365 |
|
1,681 |
1,457 |
$64K |
| 84484 |
|
12,760 |
10,453 |
$61K |
| G0480 |
Drug test def 1-7 classes |
2,562 |
2,143 |
$53K |
| J1100 |
Dexamethasone sodium phos |
3,066 |
2,535 |
$51K |
| 80061 |
|
4,070 |
3,903 |
$49K |
| 0241U |
|
1,448 |
1,380 |
$49K |
| 84702 |
|
7,086 |
6,406 |
$48K |
| 90792 |
|
2,071 |
1,842 |
$48K |
| 93017 |
|
398 |
376 |
$48K |
| 87636 |
|
1,211 |
1,157 |
$48K |
| 76700 |
|
703 |
682 |
$47K |
| G0463 |
Hospital outpt clinic visit |
3,768 |
2,396 |
$45K |
| 83735 |
|
12,138 |
9,610 |
$45K |
| 78452 |
|
202 |
187 |
$41K |
| 83605 |
|
6,896 |
6,252 |
$40K |
| 80048 |
|
5,106 |
4,411 |
$40K |
| 99211 |
|
2,632 |
2,015 |
$40K |
| 76817 |
|
845 |
756 |
$39K |
| 73630 |
|
1,752 |
1,641 |
$39K |
| 97112 |
|
1,336 |
440 |
$38K |
| 73562 |
|
1,762 |
1,643 |
$38K |
| 76705 |
|
1,007 |
977 |
$36K |
| 85610 |
|
9,014 |
8,100 |
$35K |
| 78815 |
|
31 |
28 |
$35K |
| 85027 |
|
7,727 |
6,938 |
$35K |
| 76816 |
|
439 |
421 |
$34K |
| 77063 |
|
1,046 |
995 |
$33K |
| 76815 |
|
488 |
448 |
$33K |
| 86900 |
|
3,724 |
3,425 |
$31K |
| 0202U |
|
397 |
383 |
$31K |
| 86850 |
|
3,464 |
3,148 |
$30K |
| 70553 |
|
101 |
94 |
$30K |
| A9270 |
Non-covered item or service |
10,075 |
3,648 |
$29K |
| 88142 |
|
793 |
784 |
$29K |
| OP278 |
|
124 |
116 |
$28K |
| 83690 |
|
9,163 |
8,366 |
$28K |
| 73610 |
|
1,508 |
1,446 |
$28K |
| 73030 |
|
1,158 |
1,087 |
$27K |
| 87637 |
|
1,514 |
1,436 |
$27K |
| 86803 |
|
4,800 |
4,475 |
$27K |
| G0279 |
Tomosynthesis, mammo |
731 |
710 |
$26K |
| 73130 |
|
1,066 |
997 |
$26K |
| 71260 |
|
189 |
170 |
$26K |
| 99212 |
|
1,363 |
836 |
$26K |
| 85730 |
|
6,506 |
6,021 |
$25K |
| 87635 |
|
2,689 |
2,389 |
$25K |
| 90832 |
|
407 |
85 |
$24K |
| 81025 |
|
6,484 |
6,153 |
$23K |
| 77065 |
Tomosynthesis, mammo |
521 |
482 |
$23K |
| 83036 |
|
4,464 |
4,170 |
$23K |
| 82948 |
|
2,987 |
2,014 |
$23K |
| 96376 |
|
2,267 |
1,827 |
$23K |
| 90853 |
|
826 |
105 |
$20K |
| 80320 |
|
3,124 |
2,804 |
$20K |
| 85007 |
|
5,154 |
4,574 |
$19K |
| 43239 |
|
44 |
39 |
$18K |
| 83880 |
|
2,006 |
1,835 |
$17K |
| 87631 |
|
423 |
418 |
$16K |
| G0108 |
Diab manage trn per indiv |
126 |
94 |
$16K |
| 87086 |
|
2,515 |
2,342 |
$15K |
| 96366 |
|
689 |
503 |
$15K |
| OP271 |
|
2,110 |
2,039 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
1,082 |
1,027 |
$15K |
| 87633 |
|
166 |
161 |
$13K |
| J2060 |
Lorazepam injection |
2,477 |
1,948 |
$13K |
| U0005 |
Infec agen detec ampli probe |
1,451 |
1,072 |
$13K |
| 96417 |
|
58 |
41 |
$13K |
| 82306 |
|
777 |
731 |
$12K |
| 29125 |
|
340 |
330 |
$12K |
| 96367 |
|
329 |
234 |
$12K |
| 87491 |
|
595 |
556 |
$12K |
| J3010 |
Fentanyl citrate injection |
2,553 |
2,264 |
$12K |
| 72110 |
|
256 |
256 |
$11K |
| 73110 |
|
570 |
544 |
$11K |
| 87040 |
|
1,394 |
1,288 |
$11K |
| 77080 |
|
184 |
179 |
$11K |
| 87651 |
|
1,319 |
1,278 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,355 |
3,024 |
$11K |
| J2405 |
Ondansetron hcl injection |
7,255 |
6,169 |
$10K |
| 87591 |
|
601 |
559 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
2,496 |
2,147 |
$10K |
| 84439 |
|
1,266 |
1,114 |
$9K |
| 87186 |
|
812 |
776 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,897 |
1,562 |
$9K |
| 12001 |
|
283 |
277 |
$9K |
| 87340 |
|
2,174 |
1,928 |
$8K |
| 88313 |
|
389 |
363 |
$8K |
| 99291 |
|
44 |
38 |
$8K |
| 73502 |
|
430 |
405 |
$8K |
| 86901 |
|
1,927 |
1,708 |
$8K |
| 82150 |
|
1,417 |
1,263 |
$8K |
| J0690 |
Cefazolin sodium injection |
1,456 |
1,147 |
$8K |
| 90715 |
|
1,076 |
1,044 |
$7K |
| 71250 |
|
65 |
64 |
$7K |
| 82607 |
|
881 |
802 |
$7K |
| 87806 |
|
453 |
419 |
$7K |
| 74018 |
|
294 |
267 |
$7K |
| 88342 |
|
587 |
558 |
$7K |
| OP259 |
|
9,817 |
4,688 |
$6K |
| J1756 |
Iron sucrose injection |
234 |
100 |
$6K |
| 82962 |
|
3,913 |
2,552 |
$6K |
| 97162 |
|
248 |
231 |
$6K |
| 87081 |
|
1,397 |
1,379 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
1,218 |
1,084 |
$6K |
| J1630 |
Haloperidol injection |
772 |
589 |
$6K |
| 0001A |
|
189 |
189 |
$6K |
| 90471 |
|
1,157 |
1,039 |
$6K |
| OP270 |
|
814 |
800 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
888 |
693 |
$5K |
| 12011 |
|
202 |
199 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
8,635 |
7,593 |
$5K |
| 70551 |
|
29 |
28 |
$5K |
| 80329 |
|
826 |
749 |
$5K |
| 0002A |
|
157 |
157 |
$5K |
| 85379 |
|
2,613 |
2,500 |
$5K |
| 86703 |
|
195 |
193 |
$5K |
| 76770 |
|
106 |
104 |
$5K |
| 77336 |
|
52 |
24 |
$4K |
| 0240U |
|
186 |
172 |
$4K |
| 76819 |
|
48 |
29 |
$4K |
| 73140 |
|
178 |
170 |
$4K |
| 84100 |
|
2,256 |
1,809 |
$4K |
| 90837 |
|
68 |
39 |
$4K |
| 87653 |
|
296 |
295 |
$4K |
| 0071A |
|
113 |
111 |
$4K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,289 |
1,190 |
$3K |
| 84145 |
|
386 |
370 |
$3K |
| 0004A |
|
103 |
103 |
$3K |
| 70486 |
|
28 |
27 |
$3K |
| 97165 |
|
160 |
141 |
$3K |
| 99213 |
|
209 |
155 |
$3K |
| 87430 |
|
1,063 |
1,053 |
$3K |
| 73590 |
|
101 |
100 |
$3K |
| OP279 |
|
411 |
409 |
$3K |
| 72100 |
|
122 |
109 |
$3K |
| 86780 |
|
467 |
404 |
$3K |
| 92587 |
|
25 |
25 |
$3K |
| C1769 |
Guide wire |
267 |
213 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,792 |
1,600 |
$2K |
| 88341 |
|
16 |
14 |
$2K |
| 97116 |
|
263 |
127 |
$2K |
| A9500 |
Tc99m sestamibi |
207 |
185 |
$2K |
| 82550 |
|
876 |
765 |
$2K |
| 84703 |
|
627 |
601 |
$2K |
| 82746 |
|
352 |
309 |
$2K |
| 97597 |
|
19 |
12 |
$2K |
| 87426 |
|
151 |
151 |
$2K |
| 83540 |
|
716 |
668 |
$2K |
| J1170 |
Hydromorphone injection |
2,709 |
1,806 |
$2K |
| 94060 |
|
17 |
15 |
$2K |
| 80164 |
|
303 |
271 |
$2K |
| 84466 |
|
395 |
368 |
$2K |
| 80143 |
|
398 |
359 |
$2K |
| 29130 |
|
39 |
39 |
$1K |
| 82728 |
|
244 |
231 |
$1K |
| 80050 |
|
38 |
37 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
507 |
470 |
$1K |
| 20999 |
|
67 |
67 |
$1K |
| 87070 |
|
350 |
309 |
$1K |
| J2785 |
Regadenoson injection |
44 |
40 |
$1K |
| 10060 |
|
26 |
24 |
$1K |
| 0072A |
|
40 |
40 |
$1K |
| 84481 |
|
137 |
115 |
$1K |
| 84436 |
|
179 |
175 |
$1K |
| J2930 |
Methylprednisolone injection |
233 |
194 |
$1K |
| G8978 |
Mobility current status |
216 |
206 |
$1K |
| 88307 |
|
25 |
25 |
$1K |
| 85651 |
|
593 |
559 |
$1K |
| 80179 |
|
377 |
339 |
$1K |
| 73070 |
|
42 |
42 |
$1K |
| G8979 |
Mobility goal status |
223 |
206 |
$1K |
| 76870 |
|
14 |
13 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 87088 |
|
168 |
158 |
$1K |
| 97602 |
|
16 |
13 |
$995.80 |
| 76805 |
|
12 |
12 |
$983.96 |
| 87147 |
|
237 |
236 |
$976.61 |
| OP637 |
|
1,628 |
719 |
$928.83 |
| 82247 |
|
763 |
747 |
$807.74 |
| 0064A |
|
28 |
28 |
$784.54 |
| A4648 |
Implantable tissue marker |
26 |
25 |
$778.81 |
| J2765 |
Metoclopramide hcl injection |
1,407 |
1,304 |
$740.81 |
| 90834 |
|
16 |
12 |
$718.39 |
| OP229 |
|
13 |
13 |
$667.29 |
| J1644 |
Inj heparin sodium per 1000u |
484 |
194 |
$658.94 |
| J2270 |
Morphine sulfate injection |
792 |
484 |
$637.90 |
| 87624 |
|
84 |
75 |
$616.07 |
| 83020 |
|
107 |
74 |
$566.53 |
| 0003A |
|
19 |
18 |
$563.16 |
| 92567 |
|
13 |
12 |
$543.81 |
| A9577 |
Inj multihance |
201 |
192 |
$525.75 |
| 74019 |
|
41 |
39 |
$509.89 |
| 83615 |
|
273 |
243 |
$503.34 |
| J0131 |
Inj, acetaminophen (nos) |
294 |
278 |
$478.99 |
| 83550 |
|
144 |
136 |
$472.18 |
| J3475 |
Inj magnesium sulfate |
597 |
420 |
$454.23 |
| 84460 |
|
325 |
315 |
$442.09 |
| 84153 |
|
52 |
44 |
$425.01 |
| 0011A |
|
13 |
13 |
$417.10 |
| 84480 |
|
47 |
42 |
$414.30 |
| 87077 |
|
62 |
61 |
$411.66 |
| 84075 |
|
320 |
310 |
$407.83 |
| 97803 |
|
27 |
24 |
$395.69 |
| 0012A |
|
13 |
13 |
$388.85 |
| 82248 |
|
133 |
121 |
$384.27 |
| 86141 |
|
49 |
48 |
$362.79 |
| 86140 |
|
195 |
179 |
$361.51 |
| 29515 |
|
12 |
12 |
$360.06 |
| 86762 |
|
54 |
45 |
$343.59 |
| 94729 |
|
17 |
15 |
$340.95 |
| 82009 |
|
128 |
112 |
$332.80 |
| J2272 |
Inj, morphine (fresenius) |
468 |
349 |
$330.88 |
| 36592 |
|
18 |
13 |
$327.54 |
| 84450 |
|
318 |
308 |
$326.26 |
| 85652 |
|
484 |
446 |
$318.11 |
| M0247 |
Sotrovimab infusion |
14 |
14 |
$286.65 |
| 94727 |
|
17 |
15 |
$277.74 |
| L1830 |
Ko immob canvas long pre ots |
25 |
24 |
$277.34 |
| A9552 |
F18 fdg |
14 |
13 |
$270.56 |
| 82951 |
|
30 |
29 |
$248.35 |
| 86317 |
|
80 |
52 |
$243.03 |
| 71100 |
|
14 |
14 |
$234.11 |
| 84479 |
|
38 |
38 |
$199.90 |
| 84155 |
|
321 |
309 |
$195.74 |
| 82040 |
|
318 |
308 |
$192.42 |
| 82043 |
|
118 |
112 |
$188.34 |
| 73090 |
|
16 |
14 |
$180.45 |
| 87185 |
|
130 |
108 |
$177.41 |
| 82570 |
|
133 |
123 |
$136.52 |
| 83655 |
|
13 |
13 |
$124.74 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
202 |
177 |
$121.83 |
| 84550 |
|
55 |
52 |
$120.37 |
| 73660 |
|
13 |
12 |
$95.20 |
| G0472 |
Hep c screen high risk/other |
23 |
19 |
$73.79 |
| J1790 |
Droperidol injection |
185 |
156 |
$70.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
129 |
115 |
$67.56 |
| 86706 |
|
14 |
12 |
$67.08 |
| 86592 |
|
25 |
25 |
$60.92 |
| J3480 |
Inj potassium chloride |
97 |
63 |
$57.39 |
| C1894 |
Intro/sheath, non-laser |
38 |
28 |
$56.34 |
| J1650 |
Inj enoxaparin sodium |
95 |
38 |
$52.38 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$47.44 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$44.59 |
| J1643 |
Inj heparin, pfizer, 1000u |
525 |
227 |
$37.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
55 |
50 |
$29.12 |
| 81002 |
|
15 |
15 |
$28.63 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
73 |
67 |
$25.96 |
| OP255 |
|
21 |
12 |
$13.31 |
| 91307 |
|
123 |
110 |
$12.00 |
| J7510 |
Prednisolone oral per 5 mg |
29 |
26 |
$6.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
53 |
44 |
$4.58 |
| 91306 |
|
25 |
25 |
$4.00 |
| 85384 |
|
14 |
14 |
$1.00 |
| J7613 |
Albuterol non-comp unit |
12 |
12 |
$1.00 |
| J0687 |
Inj cefazolin (wg crit care) |
97 |
87 |
$0.35 |
| 91300 |
|
147 |
141 |
$0.00 |
| Q0247 |
Sotrovimab |
13 |
13 |
$0.00 |