| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
23,595 |
19,305 |
$16.62M |
| 99284 |
|
32,044 |
29,209 |
$13.20M |
| 99283 |
|
35,811 |
33,514 |
$13.09M |
| 99285 |
|
38,934 |
33,771 |
$11.79M |
| 93306 |
|
4,295 |
4,101 |
$4.33M |
| 99282 |
|
10,234 |
9,600 |
$2.47M |
| 80053 |
|
80,247 |
62,776 |
$1.76M |
| 93017 |
|
1,950 |
1,849 |
$1.18M |
| 96413 |
|
3,381 |
1,886 |
$1.14M |
| OP250 |
|
99,658 |
50,766 |
$1.12M |
| 97110 |
|
25,263 |
6,437 |
$1.06M |
| 78452 |
|
1,594 |
1,507 |
$889K |
| 71046 |
|
15,849 |
14,948 |
$786K |
| 71045 |
|
15,643 |
14,078 |
$759K |
| 96367 |
|
2,568 |
1,456 |
$689K |
| 93005 |
|
35,313 |
29,591 |
$642K |
| 74177 |
|
6,150 |
5,791 |
$608K |
| 77067 |
|
4,812 |
4,776 |
$580K |
| 36415 |
|
98,888 |
72,196 |
$564K |
| 85025 |
|
74,990 |
60,036 |
$506K |
| 95800 |
|
542 |
526 |
$488K |
| 96365 |
|
5,331 |
4,062 |
$473K |
| 70450 |
|
9,790 |
8,805 |
$389K |
| 97140 |
|
7,295 |
2,002 |
$348K |
| 96374 |
|
23,492 |
20,475 |
$307K |
| 87636 |
|
18,395 |
15,910 |
$305K |
| 96361 |
|
17,352 |
14,533 |
$302K |
| 76830 |
|
2,572 |
2,491 |
$299K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
380 |
335 |
$296K |
| 96375 |
|
13,341 |
10,357 |
$287K |
| 90791 |
|
10,384 |
8,964 |
$274K |
| 93970 |
|
1,488 |
1,382 |
$265K |
| G0480 |
Drug test def 1-7 classes |
10,119 |
8,225 |
$264K |
| 80307 |
|
13,802 |
12,041 |
$244K |
| 99281 |
|
1,048 |
930 |
$242K |
| 76705 |
|
3,371 |
3,272 |
$235K |
| 92507 |
|
3,388 |
1,080 |
$221K |
| 76642 |
|
1,791 |
1,744 |
$215K |
| 74176 |
|
2,860 |
2,695 |
$212K |
| 96372 |
|
13,940 |
10,862 |
$202K |
| 73564 |
|
3,166 |
2,979 |
$197K |
| 80048 |
|
11,796 |
9,256 |
$189K |
| 11042 |
|
1,393 |
579 |
$187K |
| OP710 |
|
6,701 |
6,111 |
$185K |
| 77063 |
|
3,861 |
3,824 |
$170K |
| 87635 |
|
5,197 |
3,483 |
$166K |
| 97530 |
|
4,852 |
3,172 |
$162K |
| 93971 |
|
1,802 |
1,694 |
$160K |
| 76700 |
|
1,030 |
1,008 |
$152K |
| 76817 |
|
1,622 |
1,460 |
$150K |
| A9270 |
Non-covered item or service |
23,816 |
8,834 |
$147K |
| U0004 |
Cov-19 test non-cdc hgh thru |
5,378 |
3,075 |
$144K |
| 73630 |
|
3,031 |
2,902 |
$138K |
| 73030 |
|
2,435 |
2,237 |
$122K |
| 71275 |
|
1,594 |
1,501 |
$120K |
| 72110 |
|
1,430 |
1,402 |
$119K |
| OP272 |
|
8,577 |
7,522 |
$119K |
| 72125 |
|
2,989 |
2,692 |
$118K |
| 76856 |
|
1,016 |
996 |
$118K |
| 87086 |
|
14,524 |
13,322 |
$117K |
| 82962 |
|
12,736 |
8,088 |
$116K |
| 96360 |
|
6,747 |
6,141 |
$115K |
| 81001 |
|
26,230 |
23,739 |
$110K |
| 73130 |
|
2,399 |
2,277 |
$109K |
| 71250 |
|
701 |
662 |
$108K |
| OP258 |
|
37,459 |
26,755 |
$106K |
| 97161 |
|
2,043 |
1,996 |
$99K |
| 88305 |
|
2,904 |
2,584 |
$99K |
| OP370 |
|
6,078 |
5,560 |
$96K |
| 70553 |
|
208 |
201 |
$95K |
| 84443 |
|
8,667 |
7,974 |
$93K |
| 77066 |
Tomosynthesis, mammo |
655 |
627 |
$92K |
| 80061 |
|
5,425 |
5,094 |
$90K |
| 71260 |
|
588 |
547 |
$89K |
| 84484 |
|
19,304 |
15,175 |
$88K |
| 73610 |
|
2,737 |
2,609 |
$87K |
| 85610 |
|
16,221 |
13,609 |
$87K |
| 77065 |
Tomosynthesis, mammo |
943 |
889 |
$84K |
| J1100 |
Dexamethasone sodium phos |
5,776 |
4,428 |
$82K |
| 0202U |
|
1,329 |
1,289 |
$81K |
| G0379 |
Direct refer hospital observ |
2,443 |
2,024 |
$79K |
| 76805 |
|
700 |
660 |
$79K |
| 96415 |
|
305 |
203 |
$77K |
| 83735 |
|
11,778 |
8,414 |
$77K |
| A9500 |
Tc99m sestamibi |
1,328 |
1,192 |
$71K |
| J2405 |
Ondansetron hcl injection |
12,511 |
10,168 |
$70K |
| G0279 |
Tomosynthesis, mammo |
1,697 |
1,580 |
$70K |
| 77080 |
|
744 |
732 |
$69K |
| 85027 |
|
18,008 |
12,500 |
$67K |
| J2785 |
Regadenoson injection |
715 |
666 |
$67K |
| 96376 |
|
6,038 |
3,857 |
$63K |
| 85730 |
|
11,887 |
10,775 |
$62K |
| 86900 |
|
7,800 |
6,946 |
$60K |
| 90792 |
|
2,362 |
2,100 |
$58K |
| 73110 |
|
1,683 |
1,586 |
$58K |
| 87651 |
|
1,555 |
1,483 |
$55K |
| 97162 |
|
2,189 |
1,983 |
$54K |
| J1439 |
Inj ferric carboxymaltos 1mg |
89 |
53 |
$54K |
| 87040 |
|
3,992 |
3,359 |
$52K |
| 76536 |
|
422 |
405 |
$52K |
| 76819 |
|
317 |
275 |
$52K |
| 76775 |
|
668 |
639 |
$51K |
| 86140 |
|
4,455 |
3,081 |
$48K |
| U0005 |
Infec agen detec ampli probe |
5,405 |
3,470 |
$48K |
| 87081 |
|
3,497 |
3,378 |
$47K |
| 86850 |
|
7,455 |
6,587 |
$46K |
| C1776 |
Joint device (implantable) |
15 |
14 |
$46K |
| 77336 |
|
304 |
141 |
$45K |
| 87633 |
|
600 |
569 |
$44K |
| J2060 |
Lorazepam injection |
4,419 |
3,414 |
$43K |
| 70551 |
|
242 |
220 |
$42K |
| 87804 |
|
2,594 |
2,545 |
$41K |
| 83880 |
|
3,679 |
3,042 |
$41K |
| 43239 |
|
19 |
17 |
$41K |
| 96366 |
|
702 |
554 |
$39K |
| 81003 |
|
7,817 |
7,293 |
$39K |
| 0241U |
|
1,083 |
958 |
$36K |
| 84100 |
|
4,964 |
2,839 |
$35K |
| 83690 |
|
14,799 |
13,218 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
935 |
877 |
$33K |
| 85651 |
|
3,619 |
2,523 |
$33K |
| 83036 |
|
4,870 |
4,488 |
$33K |
| 73502 |
|
1,486 |
1,354 |
$31K |
| 82306 |
|
1,986 |
1,841 |
$31K |
| 95811 |
|
16 |
16 |
$29K |
| 73590 |
|
969 |
907 |
$28K |
| 76801 |
|
305 |
295 |
$27K |
| 86901 |
|
7,874 |
6,990 |
$27K |
| G0463 |
Hospital outpt clinic visit |
832 |
671 |
$26K |
| 87880 |
|
3,352 |
3,290 |
$26K |
| J2270 |
Morphine sulfate injection |
5,562 |
3,925 |
$24K |
| 85007 |
|
4,933 |
4,105 |
$24K |
| J0131 |
Inj, acetaminophen (nos) |
5,103 |
4,393 |
$23K |
| 87491 |
|
1,039 |
1,007 |
$23K |
| 81025 |
|
4,851 |
4,353 |
$23K |
| 97014 |
|
1,165 |
381 |
$23K |
| 80329 |
|
1,432 |
1,165 |
$22K |
| 74018 |
|
733 |
685 |
$22K |
| 70486 |
|
484 |
456 |
$22K |
| J1200 |
Diphenhydramine hcl injectio |
3,815 |
2,825 |
$22K |
| 83605 |
|
3,688 |
3,302 |
$21K |
| 80320 |
|
8,167 |
7,227 |
$21K |
| J2250 |
Inj midazolam hydrochloride |
3,348 |
2,917 |
$21K |
| J3010 |
Fentanyl citrate injection |
4,796 |
4,345 |
$21K |
| 80164 |
|
1,486 |
1,305 |
$20K |
| 96417 |
|
109 |
73 |
$20K |
| 93458 |
|
12 |
12 |
$20K |
| 94640 |
|
1,887 |
1,529 |
$20K |
| 80076 |
|
818 |
692 |
$20K |
| 84702 |
|
3,679 |
3,305 |
$19K |
| 93975 |
|
179 |
170 |
$19K |
| 76937 |
|
88 |
66 |
$18K |
| 84439 |
|
2,048 |
1,928 |
$18K |
| 82542 |
|
1,351 |
1,312 |
$17K |
| 87070 |
|
1,200 |
1,078 |
$17K |
| C9290 |
Inj, bupivacaine liposome |
474 |
395 |
$17K |
| 73700 |
|
118 |
110 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
2,108 |
1,668 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
10,802 |
9,322 |
$16K |
| J1630 |
Haloperidol injection |
1,671 |
1,304 |
$16K |
| 72050 |
|
154 |
154 |
$15K |
| 12001 |
|
1,020 |
974 |
$15K |
| 87088 |
|
3,024 |
2,792 |
$14K |
| C1769 |
Guide wire |
1,328 |
1,113 |
$14K |
| 82550 |
|
2,399 |
1,896 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
3,472 |
3,093 |
$12K |
| 73080 |
|
551 |
526 |
$12K |
| 71271 |
|
69 |
66 |
$12K |
| 90715 |
|
2,381 |
2,268 |
$12K |
| G0382 |
Lev 3 hosp type b ed visit |
640 |
603 |
$12K |
| 74021 |
|
273 |
260 |
$11K |
| 87186 |
|
1,970 |
1,750 |
$11K |
| 29125 |
|
1,112 |
1,073 |
$11K |
| 73140 |
|
317 |
308 |
$11K |
| 77334 |
|
22 |
16 |
$11K |
| 73090 |
|
476 |
449 |
$10K |
| 82607 |
|
1,094 |
997 |
$10K |
| 90471 |
|
2,905 |
2,691 |
$9K |
| 87426 |
|
778 |
736 |
$9K |
| 29515 |
|
986 |
970 |
$9K |
| G0383 |
Lev 4 hosp type b ed visit |
564 |
523 |
$9K |
| 12011 |
|
499 |
478 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,788 |
4,238 |
$9K |
| 84134 |
|
740 |
504 |
$9K |
| 97116 |
|
1,033 |
626 |
$9K |
| 87591 |
|
1,039 |
1,007 |
$9K |
| 80179 |
|
4,068 |
3,497 |
$8K |
| 72148 |
|
42 |
37 |
$8K |
| 20610 |
|
15 |
12 |
$8K |
| A9579 |
Gad-base mr contrast nos,1ml |
910 |
841 |
$8K |
| 76870 |
|
115 |
109 |
$8K |
| 0002A |
|
219 |
219 |
$7K |
| 97035 |
|
487 |
129 |
$7K |
| 76641 |
|
53 |
45 |
$7K |
| 84478 |
|
236 |
94 |
$7K |
| 82248 |
|
1,185 |
1,038 |
$7K |
| 0001A |
|
209 |
209 |
$7K |
| J1756 |
Iron sucrose injection |
338 |
146 |
$6K |
| J1815 |
Insulin injection |
406 |
237 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
455 |
243 |
$6K |
| 11043 |
|
64 |
24 |
$6K |
| 87077 |
|
1,418 |
1,262 |
$6K |
| 85378 |
|
2,663 |
2,505 |
$6K |
| 80143 |
|
1,709 |
1,497 |
$6K |
| G8979 |
Mobility goal status |
283 |
270 |
$6K |
| G8978 |
Mobility current status |
283 |
270 |
$6K |
| 85008 |
|
1,555 |
1,237 |
$6K |
| J2930 |
Methylprednisolone injection |
1,248 |
1,098 |
$6K |
| 10060 |
|
155 |
141 |
$6K |
| J0690 |
Cefazolin sodium injection |
1,893 |
1,383 |
$6K |
| 77290 |
|
13 |
13 |
$5K |
| 88304 |
|
438 |
389 |
$5K |
| 76770 |
|
58 |
56 |
$5K |
| J1170 |
Hydromorphone injection |
1,963 |
1,500 |
$5K |
| 71100 |
|
98 |
97 |
$5K |
| 97166 |
|
556 |
434 |
$5K |
| 84703 |
|
371 |
347 |
$4K |
| 87798 |
|
443 |
423 |
$4K |
| J3535 |
Metered dose inhaler drug |
644 |
425 |
$4K |
| 92523 |
|
74 |
74 |
$4K |
| 84436 |
|
764 |
719 |
$4K |
| OP255 |
|
1,122 |
1,070 |
$4K |
| 82728 |
|
455 |
391 |
$4K |
| 87205 |
|
1,340 |
1,185 |
$4K |
| 87486 |
|
439 |
419 |
$4K |
| 93880 |
|
13 |
12 |
$4K |
| OP278 |
|
15 |
14 |
$4K |
| 72170 |
|
245 |
208 |
$4K |
| 74174 |
|
26 |
26 |
$3K |
| 36430 |
|
15 |
13 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,460 |
2,184 |
$3K |
| 12002 |
|
142 |
135 |
$3K |
| 87581 |
|
439 |
419 |
$3K |
| 87147 |
|
197 |
186 |
$3K |
| 82746 |
|
248 |
207 |
$3K |
| G0108 |
Diab manage trn per indiv |
33 |
25 |
$3K |
| 72100 |
|
102 |
96 |
$3K |
| 88342 |
|
375 |
332 |
$3K |
| 84481 |
|
110 |
106 |
$3K |
| 29505 |
|
264 |
261 |
$3K |
| 70544 |
|
24 |
24 |
$3K |
| 86920 |
|
149 |
121 |
$3K |
| 80202 |
|
95 |
38 |
$3K |
| M0222 |
Bebtelovimab injection |
113 |
91 |
$3K |
| 83540 |
|
620 |
557 |
$2K |
| G8988 |
Self care goal status |
67 |
67 |
$2K |
| G8987 |
Self care current status |
67 |
67 |
$2K |
| 93925 |
|
17 |
14 |
$2K |
| 87631 |
|
61 |
60 |
$2K |
| 87637 |
|
28 |
28 |
$2K |
| 93308 |
|
46 |
46 |
$2K |
| C1894 |
Intro/sheath, non-laser |
427 |
361 |
$2K |
| 72131 |
|
62 |
53 |
$2K |
| 82805 |
|
302 |
276 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
913 |
787 |
$2K |
| 85055 |
|
412 |
279 |
$2K |
| 77280 |
|
14 |
13 |
$2K |
| 85379 |
|
672 |
641 |
$2K |
| M0244 |
Casirivi and imdevi inj hm |
28 |
28 |
$2K |
| 73552 |
|
189 |
165 |
$2K |
| 83550 |
|
373 |
328 |
$2K |
| J2790 |
Rho d immune globulin inj |
14 |
14 |
$1K |
| 76815 |
|
12 |
12 |
$1K |
| 72070 |
|
37 |
37 |
$1K |
| OP637 |
|
1,846 |
869 |
$1K |
| J7613 |
Albuterol non-comp unit |
749 |
680 |
$1K |
| 82570 |
|
374 |
337 |
$1K |
| P9016 |
Rbc leukocytes reduced |
13 |
12 |
$1K |
| 73060 |
|
68 |
63 |
$1K |
| A9502 |
Tc99m tetrofosmin |
118 |
104 |
$995.72 |
| 29130 |
|
78 |
77 |
$942.40 |
| J2469 |
Palonosetron hcl |
213 |
122 |
$933.50 |
| 97535 |
|
266 |
152 |
$897.13 |
| 92522 |
|
14 |
14 |
$876.00 |
| 73070 |
|
43 |
42 |
$845.03 |
| 82150 |
|
72 |
68 |
$842.94 |
| C1760 |
Closure dev, vasc |
14 |
12 |
$825.59 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
224 |
209 |
$747.81 |
| 0011A |
|
21 |
21 |
$744.96 |
| 0012A |
|
21 |
21 |
$744.96 |
| 15853 |
|
26 |
25 |
$698.16 |
| 82043 |
|
195 |
187 |
$679.22 |
| 82553 |
|
59 |
49 |
$603.50 |
| 83615 |
|
358 |
310 |
$570.12 |
| 0004A |
|
16 |
16 |
$552.34 |
| 99213 |
|
13 |
13 |
$541.95 |
| 84153 |
|
42 |
36 |
$523.21 |
| C1725 |
Cath, translumin non-laser |
15 |
12 |
$501.60 |
| 76882 |
|
17 |
13 |
$499.61 |
| 77002 |
|
30 |
27 |
$478.65 |
| A9577 |
Inj multihance |
61 |
61 |
$470.94 |
| J0134 |
Inj acetaminophen -fresenius |
837 |
768 |
$463.66 |
| 70496 |
|
15 |
13 |
$449.23 |
| 70498 |
|
16 |
14 |
$444.30 |
| 0054A |
|
12 |
12 |
$440.00 |
| 88307 |
|
15 |
13 |
$413.65 |
| 82140 |
|
113 |
91 |
$346.82 |
| 83970 |
|
13 |
12 |
$346.77 |
| 85652 |
|
461 |
404 |
$338.36 |
| J0500 |
Dicyclomine injection |
28 |
27 |
$335.69 |
| 88312 |
|
15 |
15 |
$296.26 |
| 84156 |
|
75 |
64 |
$261.79 |
| 84520 |
|
516 |
397 |
$241.99 |
| 85014 |
|
116 |
87 |
$237.75 |
| 0031A |
|
39 |
39 |
$233.70 |
| 82010 |
|
40 |
36 |
$232.13 |
| 84480 |
|
40 |
39 |
$227.58 |
| 82565 |
|
40 |
37 |
$220.57 |
| J7510 |
Prednisolone oral per 5 mg |
308 |
306 |
$219.06 |
| 84550 |
|
58 |
49 |
$192.32 |
| 88142 |
|
12 |
12 |
$165.42 |
| 85018 |
|
115 |
85 |
$128.21 |
| 97165 |
|
16 |
12 |
$124.12 |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$116.78 |
| 80177 |
|
55 |
50 |
$106.87 |
| J2919 |
Inj, methylpred sod succ 5mg |
140 |
109 |
$91.02 |
| J3475 |
Inj magnesium sulfate |
308 |
247 |
$77.12 |
| 36600 |
|
31 |
27 |
$75.95 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
392 |
373 |
$74.22 |
| 87075 |
|
111 |
92 |
$69.61 |
| 88300 |
|
14 |
12 |
$66.54 |
| J3480 |
Inj potassium chloride |
152 |
104 |
$62.74 |
| U0002 |
Covid-19 lab test non-cdc |
25 |
25 |
$60.47 |
| 87493 |
|
14 |
13 |
$58.46 |
| 82803 |
|
28 |
26 |
$52.31 |
| 84145 |
|
13 |
13 |
$47.24 |
| C1887 |
Catheter, guiding |
82 |
65 |
$42.81 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
90 |
83 |
$30.49 |
| J0171 |
Adrenalin epinephrine inject |
18 |
14 |
$28.74 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
15 |
12 |
$7.64 |
| 82274 |
|
12 |
12 |
$7.40 |
| Q0222 |
Bebtelovimab 175 mg |
113 |
91 |
$7.00 |
| J1953 |
Levetiracetam injection |
29 |
26 |
$6.44 |
| OP270 |
|
32 |
26 |
$5.34 |
| Q0244 |
Casirivi and imdevi 1200 mg |
30 |
29 |
$5.00 |
| J2543 |
Piperacillin/tazobactam |
13 |
12 |
$3.65 |
| J0737 |
Inj, clindamycin (baxter) |
17 |
15 |
$3.20 |
| 86308 |
|
14 |
14 |
$3.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
34 |
$2.59 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
195 |
153 |
$2.00 |
| G8996 |
Swallow current status |
12 |
12 |
$2.00 |
| G8997 |
Swallow goal status |
12 |
12 |
$2.00 |
| 80178 |
|
20 |
12 |
$1.00 |
| 91300 |
|
107 |
94 |
$1.00 |
| Q0245 |
Bamlanivimab and etesevima |
12 |
12 |
$1.00 |
| 91301 |
|
18 |
18 |
$0.01 |
| 84132 |
|
163 |
132 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
50 |
39 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
13 |
13 |
$0.00 |
| Q0247 |
Sotrovimab |
12 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
27 |
23 |
$0.00 |
| 29105 |
|
12 |
12 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$0.00 |