| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
26,573 |
25,576 |
$3.63M |
| 99284 |
|
16,093 |
15,363 |
$2.48M |
| T1015 |
Clinic service |
63,539 |
16,510 |
$2.34M |
| G0378 |
Hospital observation per hr |
2,422 |
2,190 |
$2.32M |
| U0003 |
Cov-19 amp prb hgh thruput |
14,470 |
13,669 |
$1.16M |
| 99213 |
|
11,369 |
11,024 |
$879K |
| 99285 |
|
4,959 |
4,675 |
$821K |
| X0621 |
|
3,466 |
2,384 |
$777K |
| 87636 |
|
4,643 |
4,418 |
$492K |
| 99050 |
|
4,155 |
3,955 |
$412K |
| 87491 |
|
13,384 |
12,964 |
$315K |
| 87591 |
|
13,159 |
12,743 |
$308K |
| 99203 |
|
2,509 |
2,508 |
$277K |
| 76816 |
|
6,074 |
5,888 |
$273K |
| 99282 |
|
3,496 |
3,405 |
$196K |
| 88175 |
|
6,431 |
6,292 |
$190K |
| 76817 |
|
2,898 |
2,755 |
$170K |
| 87635 |
|
4,684 |
4,616 |
$169K |
| 87624 |
|
3,596 |
3,536 |
$141K |
| 74177 |
|
887 |
854 |
$136K |
| 43239 |
|
519 |
508 |
$122K |
| 80053 |
|
12,541 |
11,666 |
$122K |
| 78815 |
|
139 |
138 |
$111K |
| 80050 |
|
2,426 |
2,348 |
$105K |
| 76811 |
|
1,005 |
974 |
$102K |
| 80307 |
|
1,775 |
1,610 |
$101K |
| 95810 |
|
369 |
357 |
$95K |
| 85025 |
|
16,601 |
15,419 |
$78K |
| 93005 |
|
10,394 |
9,862 |
$74K |
| 70553 |
|
334 |
324 |
$74K |
| 97162 |
|
946 |
933 |
$63K |
| X0616 |
|
337 |
333 |
$59K |
| 80061 |
|
4,297 |
4,158 |
$57K |
| 87070 |
|
6,457 |
6,294 |
$56K |
| 0241U |
|
618 |
589 |
$53K |
| 97161 |
|
770 |
763 |
$51K |
| X0620 |
|
283 |
268 |
$51K |
| 93306 |
|
703 |
688 |
$51K |
| 82306 |
|
1,478 |
1,437 |
$46K |
| 99214 |
|
438 |
430 |
$46K |
| 73721 |
|
165 |
159 |
$42K |
| 84443 |
|
2,110 |
2,021 |
$42K |
| 77066 |
Tomosynthesis, mammo |
483 |
470 |
$40K |
| 76642 |
|
1,010 |
941 |
$40K |
| 76813 |
|
720 |
675 |
$38K |
| 77067 |
|
442 |
429 |
$38K |
| 70450 |
|
732 |
692 |
$37K |
| 88305 |
|
2,853 |
2,756 |
$37K |
| 87086 |
|
4,638 |
4,415 |
$34K |
| 72148 |
|
224 |
217 |
$32K |
| 87631 |
|
238 |
235 |
$32K |
| 76805 |
|
577 |
555 |
$30K |
| 96413 |
|
465 |
327 |
$29K |
| 87389 |
|
1,023 |
995 |
$28K |
| 87150 |
|
656 |
637 |
$27K |
| 97110 |
|
699 |
184 |
$25K |
| 36415 |
|
3,849 |
3,085 |
$25K |
| 96365 |
|
769 |
409 |
$25K |
| 80048 |
|
3,130 |
2,766 |
$22K |
| 300 |
Patient transfer system <300 |
456 |
185 |
$22K |
| 95811 |
|
42 |
42 |
$21K |
| 87480 |
|
894 |
871 |
$21K |
| 87660 |
|
897 |
873 |
$21K |
| 92567 |
|
1,642 |
1,603 |
$20K |
| 80081 |
|
243 |
235 |
$20K |
| 76856 |
|
460 |
445 |
$19K |
| 86803 |
|
1,003 |
964 |
$19K |
| 77065 |
Tomosynthesis, mammo |
280 |
271 |
$18K |
| 70551 |
|
84 |
82 |
$17K |
| 83036 |
|
2,540 |
2,470 |
$17K |
| 87536 |
|
158 |
156 |
$17K |
| 88341 |
|
264 |
253 |
$16K |
| 87880 |
|
2,383 |
2,336 |
$16K |
| 76801 |
|
389 |
370 |
$15K |
| 95886 |
|
334 |
309 |
$15K |
| J1756 |
Iron sucrose injection |
2,165 |
1,117 |
$15K |
| 71275 |
|
84 |
81 |
$14K |
| 71046 |
|
1,308 |
1,274 |
$14K |
| 86480 |
|
203 |
199 |
$13K |
| 74176 |
|
187 |
179 |
$13K |
| G0279 |
Tomosynthesis, mammo |
745 |
721 |
$13K |
| 81001 |
|
4,917 |
4,655 |
$13K |
| 72082 |
|
325 |
321 |
$13K |
| 88342 |
|
418 |
395 |
$13K |
| 86003 |
|
102 |
97 |
$13K |
| 88344 |
|
161 |
144 |
$13K |
| 82728 |
|
1,089 |
1,035 |
$12K |
| 76705 |
|
412 |
387 |
$12K |
| 71250 |
|
223 |
213 |
$12K |
| G0108 |
Diab manage trn per indiv |
359 |
281 |
$12K |
| 73610 |
|
648 |
575 |
$12K |
| 72125 |
|
231 |
221 |
$12K |
| U0005 |
Infec agen detec ampli probe |
1,163 |
1,063 |
$11K |
| 78452 |
|
82 |
79 |
$11K |
| 83970 |
|
284 |
273 |
$11K |
| 82570 |
|
1,604 |
1,514 |
$11K |
| S9083 |
Urgent care center global |
105 |
99 |
$11K |
| 87510 |
|
724 |
703 |
$11K |
| 71260 |
|
173 |
170 |
$11K |
| 87186 |
|
1,262 |
1,212 |
$10K |
| 93017 |
|
288 |
275 |
$10K |
| 77063 |
|
442 |
429 |
$10K |
| 84439 |
|
1,300 |
1,242 |
$10K |
| 92587 |
|
325 |
317 |
$9K |
| 73110 |
|
653 |
563 |
$9K |
| 97163 |
|
180 |
173 |
$9K |
| 76815 |
|
232 |
209 |
$9K |
| 87077 |
|
1,218 |
1,167 |
$9K |
| 84702 |
|
558 |
459 |
$8K |
| 19083 |
|
78 |
73 |
$8K |
| 82607 |
|
785 |
761 |
$8K |
| 85027 |
|
1,386 |
1,249 |
$8K |
| 83540 |
|
951 |
914 |
$8K |
| 82043 |
|
1,009 |
977 |
$8K |
| 93971 |
|
149 |
139 |
$8K |
| 76770 |
|
198 |
191 |
$8K |
| 71045 |
|
1,599 |
1,504 |
$7K |
| 76536 |
|
154 |
147 |
$7K |
| 96372 |
|
625 |
398 |
$7K |
| 84484 |
|
1,105 |
969 |
$7K |
| 70496 |
|
43 |
41 |
$7K |
| 83690 |
|
1,508 |
1,415 |
$6K |
| 70498 |
|
38 |
36 |
$6K |
| 11042 |
|
312 |
216 |
$6K |
| 92557 |
|
255 |
244 |
$6K |
| J3490 |
Drugs unclassified injection |
1,907 |
1,132 |
$6K |
| 82784 |
|
372 |
360 |
$6K |
| 87811 |
|
421 |
418 |
$6K |
| 87340 |
|
427 |
416 |
$6K |
| 97164 |
|
199 |
191 |
$6K |
| 87653 |
|
147 |
142 |
$6K |
| 73030 |
|
544 |
496 |
$6K |
| 73562 |
|
401 |
308 |
$6K |
| 73630 |
|
607 |
539 |
$5K |
| 83735 |
|
861 |
660 |
$5K |
| 86038 |
|
335 |
325 |
$5K |
| 86255 |
|
310 |
300 |
$5K |
| 94726 |
|
223 |
220 |
$5K |
| 94729 |
|
203 |
199 |
$5K |
| 84153 |
|
236 |
228 |
$5K |
| 73560 |
|
382 |
334 |
$5K |
| 97167 |
|
73 |
70 |
$5K |
| 72141 |
|
24 |
24 |
$5K |
| 72110 |
|
256 |
253 |
$5K |
| 45380 |
|
30 |
30 |
$5K |
| 84403 |
|
180 |
169 |
$4K |
| 73130 |
|
473 |
400 |
$4K |
| 73502 |
|
290 |
280 |
$4K |
| 73564 |
|
311 |
276 |
$4K |
| 96415 |
|
189 |
161 |
$4K |
| 88313 |
|
85 |
83 |
$4K |
| 90715 |
|
318 |
283 |
$4K |
| 83550 |
|
850 |
817 |
$4K |
| 93226 |
|
116 |
114 |
$4K |
| 86618 |
|
171 |
169 |
$4K |
| 84146 |
|
165 |
156 |
$4K |
| 86850 |
|
558 |
536 |
$4K |
| 72100 |
|
225 |
216 |
$4K |
| 76818 |
|
54 |
46 |
$4K |
| 81003 |
|
1,254 |
1,179 |
$4K |
| 73590 |
|
236 |
204 |
$3K |
| 96367 |
|
215 |
139 |
$3K |
| 85610 |
|
1,155 |
994 |
$3K |
| 95708 |
|
43 |
27 |
$3K |
| 86235 |
|
106 |
101 |
$3K |
| 97112 |
|
327 |
93 |
$3K |
| 73221 |
|
12 |
12 |
$3K |
| 87637 |
|
107 |
100 |
$3K |
| 86361 |
|
102 |
101 |
$3K |
| 86592 |
|
745 |
723 |
$3K |
| 76819 |
|
54 |
50 |
$3K |
| 76700 |
|
57 |
56 |
$3K |
| 84703 |
|
288 |
280 |
$3K |
| 83655 |
|
255 |
249 |
$3K |
| 82950 |
|
404 |
391 |
$3K |
| 83880 |
|
124 |
117 |
$3K |
| 45385 |
|
13 |
13 |
$3K |
| 82746 |
|
255 |
246 |
$3K |
| 85379 |
|
291 |
280 |
$2K |
| 80076 |
|
307 |
287 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
86 |
86 |
$2K |
| 87147 |
|
513 |
482 |
$2K |
| 87205 |
|
520 |
507 |
$2K |
| 76820 |
|
98 |
76 |
$2K |
| 86140 |
|
802 |
765 |
$2K |
| 97166 |
|
43 |
39 |
$2K |
| 92556 |
|
131 |
126 |
$2K |
| OP250 |
|
1,259 |
826 |
$2K |
| 93225 |
|
130 |
126 |
$2K |
| 74018 |
|
163 |
162 |
$2K |
| 84100 |
|
383 |
283 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
7,132 |
4,196 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
48 |
43 |
$2K |
| 93970 |
|
27 |
26 |
$2K |
| 85652 |
|
688 |
651 |
$2K |
| 86900 |
|
592 |
567 |
$2K |
| 88142 |
|
117 |
112 |
$2K |
| 86901 |
|
581 |
557 |
$2K |
| 96366 |
|
115 |
69 |
$2K |
| 97597 |
|
155 |
104 |
$2K |
| 76882 |
|
221 |
214 |
$2K |
| 95911 |
|
29 |
29 |
$2K |
| 86706 |
|
138 |
137 |
$2K |
| G0480 |
Drug test def 1-7 classes |
41 |
40 |
$2K |
| 84156 |
|
449 |
402 |
$2K |
| 83001 |
|
98 |
97 |
$2K |
| 73080 |
|
156 |
141 |
$2K |
| 82105 |
|
87 |
85 |
$2K |
| 86800 |
|
95 |
90 |
$2K |
| 86430 |
|
227 |
220 |
$2K |
| 86704 |
|
104 |
101 |
$1K |
| 84402 |
|
54 |
53 |
$1K |
| 87255 |
|
35 |
33 |
$1K |
| 92593 |
|
106 |
100 |
$1K |
| 85730 |
|
287 |
276 |
$1K |
| J7030 |
Normal saline solution infus |
763 |
681 |
$1K |
| 73140 |
|
159 |
149 |
$1K |
| 93923 |
|
39 |
38 |
$1K |
| 94060 |
|
134 |
133 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
9,839 |
7,841 |
$1K |
| 73552 |
|
72 |
66 |
$1K |
| 83002 |
|
62 |
61 |
$1K |
| G0382 |
Lev 3 hosp type b ed visit |
13 |
13 |
$992.20 |
| 82550 |
|
181 |
171 |
$978.86 |
| X0592 |
|
55 |
40 |
$965.70 |
| 70486 |
|
12 |
12 |
$917.76 |
| 96375 |
|
172 |
140 |
$906.47 |
| 92555 |
|
121 |
120 |
$901.29 |
| 99153 |
Mod sedat endo service >5yrs |
101 |
93 |
$897.96 |
| 95819 |
|
70 |
69 |
$868.42 |
| 82948 |
|
746 |
632 |
$865.97 |
| 85007 |
|
275 |
220 |
$860.96 |
| 81002 |
|
252 |
245 |
$823.54 |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$790.76 |
| 86705 |
|
56 |
53 |
$776.84 |
| 87081 |
|
139 |
139 |
$746.24 |
| 84550 |
|
139 |
136 |
$742.21 |
| 87430 |
|
85 |
85 |
$711.55 |
| 99212 |
|
14 |
14 |
$707.20 |
| 72170 |
|
81 |
80 |
$691.10 |
| 84481 |
|
28 |
25 |
$657.50 |
| J1100 |
Dexamethasone sodium phos |
5,356 |
4,511 |
$642.98 |
| 87661 |
|
15 |
15 |
$620.46 |
| 72040 |
|
45 |
44 |
$617.35 |
| 86200 |
|
43 |
42 |
$567.97 |
| 87040 |
|
46 |
44 |
$557.20 |
| 84480 |
|
72 |
70 |
$556.23 |
| 86376 |
|
73 |
72 |
$548.06 |
| 82785 |
|
32 |
32 |
$526.12 |
| 96374 |
|
155 |
127 |
$511.00 |
| 82248 |
|
81 |
79 |
$508.78 |
| 99152 |
|
99 |
96 |
$501.03 |
| 83605 |
|
92 |
87 |
$475.20 |
| J2785 |
Regadenoson injection |
13 |
13 |
$474.48 |
| 81025 |
|
370 |
342 |
$460.56 |
| 80164 |
|
25 |
25 |
$436.15 |
| J7050 |
Normal saline solution infus |
918 |
338 |
$424.43 |
| J1170 |
Hydromorphone injection |
2,071 |
1,493 |
$403.87 |
| G0109 |
Diab manage trn ind/group |
18 |
14 |
$371.81 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,199 |
1,106 |
$359.43 |
| 88304 |
|
64 |
63 |
$356.63 |
| J2405 |
Ondansetron hcl injection |
8,139 |
6,722 |
$352.99 |
| 73090 |
|
29 |
25 |
$337.33 |
| 95816 |
|
29 |
29 |
$330.26 |
| J2930 |
Methylprednisolone injection |
43 |
37 |
$323.80 |
| 94640 |
|
16 |
12 |
$301.83 |
| 72050 |
|
14 |
14 |
$287.87 |
| 87209 |
|
13 |
12 |
$276.85 |
| 82247 |
|
37 |
24 |
$259.21 |
| 97530 |
|
32 |
12 |
$253.44 |
| 82947 |
|
82 |
78 |
$251.77 |
| 92552 |
|
29 |
26 |
$239.99 |
| J2765 |
Metoclopramide hcl injection |
1,552 |
1,370 |
$236.29 |
| 84132 |
|
54 |
53 |
$212.67 |
| 86787 |
|
13 |
12 |
$206.59 |
| J3010 |
Fentanyl citrate injection |
3,889 |
3,307 |
$186.57 |
| J2270 |
Morphine sulfate injection |
491 |
405 |
$167.57 |
| 84425 |
|
26 |
25 |
$157.11 |
| 83615 |
|
29 |
26 |
$148.37 |
| J3475 |
Inj magnesium sulfate |
641 |
552 |
$142.26 |
| J1200 |
Diphenhydramine hcl injectio |
1,323 |
1,070 |
$141.86 |
| 84590 |
|
12 |
12 |
$137.80 |
| 82803 |
|
13 |
12 |
$137.52 |
| 86769 |
|
12 |
12 |
$136.96 |
| 94010 |
|
14 |
14 |
$128.42 |
| 87102 |
|
12 |
12 |
$128.04 |
| 85014 |
|
58 |
55 |
$121.85 |
| J7120 |
Ringers lactate infusion |
157 |
104 |
$118.16 |
| 83020 |
|
12 |
12 |
$116.60 |
| 82977 |
|
12 |
12 |
$116.05 |
| 76830 |
|
15 |
14 |
$109.60 |
| 87177 |
|
13 |
12 |
$103.35 |
| A9585 |
Gadobutrol injection |
56 |
51 |
$94.72 |
| 80178 |
|
14 |
12 |
$87.25 |
| J0690 |
Cefazolin sodium injection |
1,928 |
1,610 |
$78.65 |
| 97140 |
|
111 |
41 |
$71.84 |
| J1644 |
Inj heparin sodium per 1000u |
707 |
477 |
$70.88 |
| J2250 |
Inj midazolam hydrochloride |
2,840 |
2,498 |
$58.40 |
| G0476 |
Hpv combo assay ca screen |
43 |
39 |
$45.85 |
| 76937 |
|
12 |
12 |
$43.79 |
| J3420 |
Vitamin b12 injection |
225 |
146 |
$42.26 |
| J0696 |
Ceftriaxone sodium injection |
410 |
390 |
$42.07 |
| 84295 |
|
14 |
13 |
$39.93 |
| J7040 |
Normal saline solution infus |
39 |
26 |
$38.35 |
| 82077 |
|
12 |
12 |
$21.06 |
| 90471 |
|
33 |
33 |
$21.00 |
| J2060 |
Lorazepam injection |
138 |
126 |
$14.32 |
| J2710 |
Neostigmine methylslfte inj |
32 |
25 |
$10.62 |
| J1630 |
Haloperidol injection |
14 |
13 |
$8.90 |
| G1004 |
Cdsm ndsc |
481 |
426 |
$0.08 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
922 |
751 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
27 |
27 |
$0.00 |
| 81513 |
|
40 |
39 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
18 |
15 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
64 |
52 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
154 |
150 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
14 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
241 |
200 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
73 |
60 |
$0.00 |
| A9270 |
Non-covered item or service |
436 |
338 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
139 |
128 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
67 |
64 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
13 |
12 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
13 |
12 |
$0.00 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |