| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
16,190 |
14,012 |
$5.26M |
| 99283 |
|
16,090 |
14,766 |
$4.06M |
| G0378 |
Hospital observation per hr |
4,165 |
3,191 |
$3.50M |
| 99285 |
|
8,186 |
7,019 |
$3.41M |
| G0463 |
Hospital outpt clinic visit |
6,615 |
4,576 |
$997K |
| A0427 |
Als1-emergency |
3,493 |
2,987 |
$979K |
| 43239 |
|
575 |
475 |
$930K |
| 96375 |
|
8,315 |
5,790 |
$852K |
| 74177 |
|
3,556 |
3,142 |
$796K |
| 0202U |
|
6,774 |
6,125 |
$689K |
| 99282 |
|
3,992 |
3,755 |
$686K |
| OP710 |
|
4,509 |
3,664 |
$429K |
| 96365 |
|
5,848 |
4,646 |
$356K |
| OP272 |
|
10,001 |
7,175 |
$319K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,851 |
5,570 |
$314K |
| 97110 |
|
15,870 |
3,530 |
$290K |
| 96413 |
|
1,559 |
750 |
$289K |
| 70450 |
|
5,128 |
4,354 |
$287K |
| OP259 |
|
28,377 |
13,413 |
$246K |
| 87633 |
|
794 |
789 |
$245K |
| 96374 |
|
6,856 |
5,945 |
$236K |
| 97140 |
|
6,977 |
1,446 |
$227K |
| 85025 |
|
39,299 |
29,652 |
$208K |
| 90791 |
|
1,382 |
1,108 |
$204K |
| 71045 |
|
7,928 |
6,645 |
$187K |
| 92507 |
|
4,148 |
1,529 |
$179K |
| 74176 |
|
1,401 |
1,207 |
$157K |
| 93005 |
|
15,400 |
12,302 |
$155K |
| A0429 |
Bls-emergency |
1,037 |
845 |
$154K |
| 80053 |
|
24,753 |
19,743 |
$149K |
| 76816 |
|
2,023 |
1,718 |
$147K |
| 97530 |
|
4,623 |
1,681 |
$140K |
| 45380 |
|
112 |
94 |
$135K |
| 96366 |
|
2,620 |
1,446 |
$130K |
| 71046 |
|
3,596 |
3,281 |
$129K |
| 76817 |
|
1,241 |
1,071 |
$127K |
| 93306 |
|
501 |
446 |
$124K |
| 71260 |
|
1,244 |
1,069 |
$123K |
| A0428 |
Bls |
3,187 |
2,340 |
$122K |
| 77067 |
|
1,332 |
1,259 |
$122K |
| 0241U |
|
4,653 |
3,749 |
$118K |
| 80048 |
|
20,470 |
14,889 |
$112K |
| 96372 |
|
5,651 |
3,455 |
$106K |
| A0425 |
Ground mileage |
8,211 |
6,254 |
$99K |
| 36415 |
|
47,592 |
31,028 |
$90K |
| 97112 |
|
5,096 |
1,267 |
$88K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,779 |
2,762 |
$86K |
| 76705 |
|
1,402 |
1,276 |
$84K |
| 94640 |
|
1,428 |
1,070 |
$78K |
| J0131 |
Inj, acetaminophen (nos) |
4,247 |
3,362 |
$73K |
| 93970 |
|
721 |
621 |
$73K |
| 76830 |
|
827 |
739 |
$67K |
| 76818 |
|
688 |
264 |
$63K |
| 0002A |
|
2,235 |
2,227 |
$61K |
| 0001A |
|
2,324 |
2,322 |
$60K |
| 72125 |
|
1,308 |
1,053 |
$58K |
| 84443 |
|
8,263 |
7,203 |
$58K |
| 86901 |
|
3,123 |
2,683 |
$53K |
| 84484 |
|
8,566 |
6,822 |
$46K |
| OP762 |
|
313 |
231 |
$45K |
| 99213 |
|
992 |
907 |
$45K |
| 96376 |
|
3,037 |
1,599 |
$45K |
| 87651 |
|
2,930 |
2,770 |
$44K |
| 96361 |
|
565 |
306 |
$42K |
| 77063 |
|
1,130 |
1,059 |
$40K |
| 76819 |
|
392 |
258 |
$37K |
| J3490 |
Drugs unclassified injection |
4,221 |
2,284 |
$36K |
| 99212 |
|
1,756 |
1,568 |
$35K |
| 76801 |
|
387 |
361 |
$33K |
| 80306 |
|
2,075 |
1,774 |
$33K |
| 87635 |
|
1,644 |
1,340 |
$33K |
| 83735 |
|
7,776 |
5,243 |
$32K |
| 87502 |
|
508 |
504 |
$32K |
| 76856 |
|
368 |
334 |
$31K |
| 96367 |
|
1,543 |
925 |
$30K |
| 81001 |
|
14,799 |
12,958 |
$28K |
| 83880 |
|
3,338 |
2,635 |
$28K |
| 87486 |
|
800 |
795 |
$27K |
| 86900 |
|
3,109 |
2,676 |
$27K |
| J2405 |
Ondansetron hcl injection |
7,232 |
5,227 |
$27K |
| 86850 |
|
3,184 |
2,726 |
$27K |
| 80061 |
|
5,449 |
4,957 |
$26K |
| 97161 |
|
735 |
554 |
$26K |
| 82962 |
|
5,539 |
2,979 |
$26K |
| 82306 |
|
2,497 |
2,304 |
$26K |
| 45378 |
|
12 |
12 |
$26K |
| 99392 |
|
352 |
333 |
$26K |
| 87798 |
|
807 |
802 |
$26K |
| 88305 |
|
1,929 |
1,617 |
$25K |
| 80076 |
|
5,939 |
4,940 |
$25K |
| J7120 |
Ringers lactate infusion |
3,464 |
1,997 |
$25K |
| 87581 |
|
800 |
795 |
$25K |
| 84439 |
|
5,263 |
4,669 |
$24K |
| 85610 |
|
8,705 |
6,415 |
$24K |
| 85027 |
|
7,596 |
5,594 |
$23K |
| 99391 |
|
404 |
341 |
$23K |
| 76700 |
|
209 |
191 |
$22K |
| 84100 |
|
5,552 |
3,837 |
$22K |
| 76811 |
|
72 |
71 |
$22K |
| 73560 |
|
981 |
805 |
$22K |
| 76642 |
|
322 |
277 |
$21K |
| 84703 |
|
5,036 |
4,639 |
$21K |
| 87086 |
|
6,115 |
5,360 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
6,024 |
4,849 |
$20K |
| 80320 |
|
1,164 |
1,025 |
$20K |
| J1100 |
Dexamethasone sodium phos |
3,785 |
2,597 |
$20K |
| 99214 |
|
949 |
614 |
$19K |
| 83605 |
|
2,101 |
1,755 |
$19K |
| 90471 |
|
2,586 |
2,139 |
$19K |
| 83690 |
|
6,038 |
5,156 |
$18K |
| 87040 |
|
2,173 |
1,885 |
$17K |
| U0005 |
Infec agen detec ampli probe |
2,112 |
1,801 |
$16K |
| 92526 |
|
382 |
166 |
$15K |
| 90715 |
|
527 |
469 |
$15K |
| A9585 |
Gadobutrol injection |
962 |
768 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
1,357 |
892 |
$14K |
| 87491 |
|
814 |
763 |
$14K |
| 84702 |
|
2,033 |
1,719 |
$13K |
| G0279 |
Tomosynthesis, mammo |
379 |
318 |
$13K |
| 90688 |
|
611 |
587 |
$13K |
| 71250 |
|
168 |
138 |
$12K |
| 83036 |
|
5,806 |
5,239 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
1,550 |
1,388 |
$12K |
| 73610 |
|
503 |
439 |
$11K |
| 72131 |
|
209 |
172 |
$11K |
| 77066 |
Tomosynthesis, mammo |
91 |
79 |
$11K |
| 77080 |
|
129 |
122 |
$10K |
| 87591 |
|
795 |
746 |
$10K |
| OP258 |
|
107 |
92 |
$10K |
| J2270 |
Morphine sulfate injection |
1,854 |
1,188 |
$9K |
| 97162 |
|
280 |
203 |
$9K |
| J1170 |
Hydromorphone injection |
2,004 |
998 |
$9K |
| 99393 |
|
101 |
98 |
$8K |
| 73030 |
|
436 |
353 |
$8K |
| 97116 |
|
287 |
106 |
$8K |
| 0003A |
|
303 |
299 |
$7K |
| 80329 |
|
332 |
298 |
$7K |
| 81003 |
|
3,578 |
2,133 |
$7K |
| 73630 |
|
313 |
274 |
$7K |
| 85730 |
|
2,020 |
1,703 |
$6K |
| OP278 |
|
297 |
224 |
$6K |
| J1650 |
Inj enoxaparin sodium |
551 |
195 |
$6K |
| 88342 |
|
887 |
714 |
$6K |
| 86140 |
|
2,778 |
2,437 |
$6K |
| 81025 |
|
2,747 |
2,367 |
$6K |
| 0031A |
|
213 |
211 |
$5K |
| 87077 |
|
1,890 |
1,679 |
$5K |
| 0011A |
|
164 |
164 |
$5K |
| 87186 |
|
1,730 |
1,523 |
$5K |
| 74018 |
|
290 |
235 |
$4K |
| 90697 |
|
39 |
38 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,452 |
913 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
1,545 |
860 |
$4K |
| 85378 |
|
1,262 |
1,136 |
$4K |
| 87806 |
|
167 |
167 |
$4K |
| 73110 |
|
141 |
122 |
$4K |
| 84145 |
|
1,045 |
843 |
$4K |
| 0012A |
|
139 |
138 |
$4K |
| 82565 |
|
1,316 |
1,090 |
$4K |
| 86780 |
|
364 |
346 |
$4K |
| 82607 |
|
1,582 |
1,399 |
$3K |
| 82947 |
|
556 |
491 |
$3K |
| 85652 |
|
2,184 |
1,883 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,264 |
1,034 |
$3K |
| 82728 |
|
1,080 |
922 |
$3K |
| 82248 |
|
783 |
590 |
$3K |
| 83550 |
|
1,188 |
1,038 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
306 |
281 |
$2K |
| 90756 |
|
84 |
84 |
$2K |
| 76805 |
|
27 |
24 |
$2K |
| 0071A |
|
76 |
73 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| 83540 |
|
1,341 |
1,177 |
$2K |
| 77065 |
Tomosynthesis, mammo |
41 |
29 |
$2K |
| 76536 |
|
30 |
26 |
$2K |
| 0072A |
|
60 |
60 |
$2K |
| 73502 |
|
134 |
110 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,357 |
411 |
$2K |
| 80307 |
|
167 |
142 |
$2K |
| J1756 |
Iron sucrose injection |
50 |
24 |
$2K |
| 96161 |
|
179 |
143 |
$2K |
| C1769 |
Guide wire |
204 |
120 |
$1K |
| 0013A |
|
76 |
73 |
$1K |
| 80164 |
|
674 |
577 |
$1K |
| 76641 |
|
14 |
12 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
637 |
480 |
$1K |
| 92610 |
|
18 |
12 |
$1K |
| 87390 |
|
72 |
72 |
$1K |
| 86328 |
|
32 |
32 |
$1K |
| 90472 |
|
471 |
258 |
$942.55 |
| 86702 |
|
73 |
73 |
$930.18 |
| G0480 |
Drug test def 1-7 classes |
74 |
43 |
$889.41 |
| 73130 |
|
48 |
39 |
$864.04 |
| 94760 |
|
17 |
16 |
$840.98 |
| 86701 |
|
72 |
72 |
$840.29 |
| 72100 |
|
48 |
40 |
$835.29 |
| 82550 |
|
500 |
417 |
$755.58 |
| G0008 |
Admin influenza virus vac |
70 |
60 |
$754.52 |
| 82746 |
|
584 |
504 |
$705.90 |
| 73140 |
|
27 |
25 |
$670.45 |
| 90670 |
|
14 |
14 |
$655.78 |
| 86618 |
|
60 |
50 |
$571.81 |
| 86665 |
|
40 |
36 |
$566.25 |
| 82247 |
|
121 |
80 |
$554.10 |
| J2060 |
Lorazepam injection |
158 |
115 |
$423.09 |
| 84295 |
|
214 |
158 |
$373.76 |
| 87070 |
|
68 |
64 |
$363.65 |
| 87880 |
|
30 |
30 |
$348.67 |
| 82330 |
|
63 |
37 |
$326.31 |
| 84480 |
|
122 |
110 |
$301.80 |
| J3480 |
Inj potassium chloride |
40 |
24 |
$301.22 |
| 90460 |
|
260 |
232 |
$288.36 |
| 82435 |
|
214 |
158 |
$283.55 |
| J2930 |
Methylprednisolone injection |
16 |
13 |
$261.64 |
| 86664 |
|
40 |
36 |
$242.98 |
| 92551 |
|
43 |
41 |
$237.43 |
| J2919 |
Inj, methylpred sod succ 5mg |
66 |
39 |
$231.10 |
| 82570 |
|
526 |
475 |
$223.30 |
| 87340 |
|
43 |
36 |
$221.40 |
| 84550 |
|
231 |
178 |
$210.27 |
| 99441 |
|
27 |
16 |
$205.84 |
| C9113 |
Inj pantoprazole sodium, via |
65 |
37 |
$199.41 |
| 90380 |
|
13 |
12 |
$165.65 |
| 87205 |
|
176 |
145 |
$162.62 |
| 99173 |
|
56 |
55 |
$153.95 |
| 99211 |
|
227 |
226 |
$146.98 |
| 73590 |
|
14 |
13 |
$146.13 |
| 0124A |
|
14 |
12 |
$145.80 |
| 96368 |
|
16 |
13 |
$144.02 |
| 82043 |
|
262 |
242 |
$121.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
220 |
169 |
$112.57 |
| 87071 |
|
70 |
52 |
$100.74 |
| 80178 |
|
63 |
42 |
$98.95 |
| J3010 |
Fentanyl citrate injection |
305 |
204 |
$92.78 |
| J3475 |
Inj magnesium sulfate |
46 |
25 |
$90.05 |
| 86308 |
|
29 |
25 |
$89.48 |
| 90473 |
|
24 |
13 |
$80.50 |
| 84436 |
|
171 |
154 |
$67.71 |
| J0780 |
Prochlorperazine injection |
16 |
12 |
$67.17 |
| 85014 |
|
68 |
52 |
$48.96 |
| G0472 |
Hep c screen high risk/other |
16 |
12 |
$36.74 |
| 82784 |
|
13 |
12 |
$33.90 |
| 83615 |
|
30 |
26 |
$28.44 |
| 88304 |
|
13 |
12 |
$28.11 |
| J2704 |
Inj, propofol, 10 mg |
24 |
17 |
$27.98 |
| 84132 |
|
38 |
24 |
$25.50 |
| G0444 |
Depression screen annual |
16 |
14 |
$22.17 |
| 85018 |
|
16 |
14 |
$15.40 |
| 84165 |
|
17 |
12 |
$12.00 |
| 99177 |
|
13 |
12 |
$11.64 |
| 36416 |
|
33 |
31 |
$9.00 |
| 82310 |
|
15 |
13 |
$8.20 |
| 84540 |
|
12 |
12 |
$7.00 |
| 90698 |
|
12 |
12 |
$4.00 |
| 90461 |
|
119 |
106 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
13 |
13 |
$0.00 |
| G0103 |
Psa screening |
14 |
12 |
$0.00 |