| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
51,216 |
46,204 |
$18.40M |
| G0463 |
Hospital outpt clinic visit |
192,872 |
168,955 |
$16.16M |
| H2035 |
A/d tx program, per hour |
72,447 |
5,693 |
$13.28M |
| 99284 |
|
46,541 |
39,419 |
$9.73M |
| 99283 |
|
55,477 |
48,186 |
$9.67M |
| 90853 |
|
26,165 |
3,556 |
$2.14M |
| Q9991 |
Buprenorph xr 100 mg or less |
1,013 |
940 |
$1.40M |
| D7140 |
|
1,234 |
618 |
$1.40M |
| 90791 |
|
10,409 |
9,738 |
$1.20M |
| Q9992 |
Buprenorphine xr over 100 mg |
804 |
737 |
$1.09M |
| 87637 |
|
7,520 |
7,377 |
$1.03M |
| 36415 |
|
52,720 |
44,143 |
$1.00M |
| D2930 |
|
1,068 |
740 |
$902K |
| 96374 |
|
8,421 |
7,146 |
$858K |
| 96361 |
|
9,880 |
7,947 |
$857K |
| 41899 |
|
335 |
333 |
$699K |
| T1013 |
Sign lang/oral interpreter |
16,098 |
10,479 |
$689K |
| 80053 |
|
40,494 |
34,266 |
$632K |
| D1206 |
|
1,099 |
975 |
$572K |
| H0001 |
Alcohol and/or drug assess |
3,169 |
3,101 |
$571K |
| 99282 |
|
5,115 |
4,844 |
$407K |
| 90870 |
|
1,549 |
542 |
$390K |
| 76816 |
|
4,440 |
3,868 |
$388K |
| 96365 |
|
1,566 |
1,052 |
$385K |
| 93303 |
|
844 |
802 |
$364K |
| 92015 |
|
15,883 |
15,459 |
$356K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,452 |
3,452 |
$265K |
| 67028 |
|
795 |
738 |
$251K |
| 76811 |
|
1,103 |
1,064 |
$223K |
| 92060 |
|
4,347 |
4,187 |
$214K |
| 69436 |
|
189 |
174 |
$206K |
| H0035 |
Mh partial hosp tx under 24h |
893 |
139 |
$202K |
| 96372 |
|
5,766 |
4,652 |
$192K |
| 92587 |
|
1,116 |
1,058 |
$184K |
| H2012 |
Behav hlth day treat, per hr |
4,888 |
730 |
$183K |
| 88305 |
|
4,412 |
2,463 |
$176K |
| 87636 |
|
1,266 |
1,244 |
$169K |
| J7050 |
Normal saline solution infus |
5,394 |
2,431 |
$160K |
| C9803 |
Hopd covid-19 spec collect |
9,534 |
9,174 |
$158K |
| 93005 |
|
10,497 |
9,084 |
$156K |
| 76819 |
|
1,303 |
933 |
$154K |
| G0378 |
Hospital observation per hr |
1,195 |
590 |
$138K |
| 96413 |
|
586 |
275 |
$135K |
| 92134 |
|
7,388 |
6,768 |
$120K |
| 97803 |
|
1,732 |
1,644 |
$97K |
| 99233 |
Prolong inpt eval add15 m |
1,914 |
434 |
$97K |
| 85025 |
|
64,323 |
54,167 |
$93K |
| 80307 |
|
8,558 |
5,937 |
$91K |
| 71046 |
|
2,370 |
2,058 |
$87K |
| 80048 |
|
9,252 |
6,429 |
$84K |
| 92083 |
|
1,753 |
1,636 |
$78K |
| 92567 |
|
5,480 |
5,225 |
$77K |
| 82306 |
|
1,789 |
1,564 |
$76K |
| 80197 |
|
9,004 |
5,616 |
$61K |
| 93296 |
|
1,754 |
1,683 |
$59K |
| U0005 |
Infec agen detec ampli probe |
3,267 |
2,396 |
$59K |
| G0177 |
Opps/php/iop; train & educ |
15,969 |
2,674 |
$57K |
| 96375 |
|
3,161 |
2,176 |
$57K |
| 92579 |
|
905 |
873 |
$52K |
| 92133 |
|
2,235 |
2,099 |
$51K |
| 99232 |
|
1,282 |
337 |
$49K |
| 99291 |
|
359 |
210 |
$49K |
| 99211 |
|
1,496 |
1,048 |
$47K |
| 99223 |
Prolong inpt eval add15 m |
359 |
321 |
$42K |
| 96040 |
|
1,228 |
1,136 |
$39K |
| 93325 |
|
893 |
839 |
$38K |
| 86832 |
|
401 |
354 |
$37K |
| D1351 |
|
99 |
66 |
$35K |
| 96360 |
|
534 |
277 |
$34K |
| 86833 |
|
373 |
331 |
$32K |
| 43239 |
|
46 |
44 |
$32K |
| 82962 |
|
2,035 |
974 |
$30K |
| 67311 |
|
12 |
12 |
$28K |
| 88307 |
|
442 |
365 |
$28K |
| 70551 |
|
66 |
63 |
$27K |
| 81001 |
|
12,743 |
11,366 |
$27K |
| D3220 |
|
38 |
25 |
$26K |
| 93320 |
|
850 |
804 |
$25K |
| 93306 |
|
78 |
71 |
$25K |
| 92507 |
|
269 |
102 |
$21K |
| 87635 |
|
441 |
254 |
$21K |
| 80069 |
|
2,849 |
2,128 |
$20K |
| 99239 |
|
314 |
291 |
$19K |
| 76770 |
|
233 |
194 |
$19K |
| 94375 |
|
178 |
138 |
$19K |
| G0480 |
Drug test def 1-7 classes |
610 |
273 |
$19K |
| 94640 |
|
170 |
164 |
$17K |
| 92582 |
|
281 |
254 |
$17K |
| 90832 |
|
185 |
83 |
$17K |
| 77072 |
|
223 |
206 |
$15K |
| 85027 |
|
4,979 |
3,705 |
$14K |
| 84443 |
|
2,444 |
2,105 |
$14K |
| 97110 |
|
271 |
128 |
$13K |
| J7040 |
Normal saline solution infus |
10,289 |
5,769 |
$13K |
| 92557 |
|
223 |
212 |
$13K |
| 83036 |
|
2,657 |
2,423 |
$13K |
| 87799 |
|
1,122 |
907 |
$12K |
| A9270 |
Non-covered item or service |
8,351 |
1,916 |
$12K |
| D2934 |
|
30 |
12 |
$11K |
| 82607 |
|
298 |
282 |
$11K |
| Q3014 |
Telehealth facility fee |
497 |
459 |
$10K |
| 99220 |
|
86 |
86 |
$10K |
| 90847 |
|
222 |
99 |
$10K |
| 91200 |
|
119 |
102 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
290 |
274 |
$9K |
| 99217 |
|
187 |
184 |
$9K |
| 43762 |
|
53 |
50 |
$9K |
| 87086 |
|
1,127 |
905 |
$9K |
| 83735 |
|
3,442 |
1,867 |
$8K |
| 84484 |
|
4,085 |
2,914 |
$8K |
| J3490 |
Drugs unclassified injection |
1,875 |
1,082 |
$8K |
| 86140 |
|
2,445 |
2,021 |
$7K |
| J2405 |
Ondansetron hcl injection |
7,060 |
5,255 |
$7K |
| 87088 |
|
343 |
300 |
$7K |
| 83970 |
|
169 |
152 |
$7K |
| 87070 |
|
536 |
372 |
$7K |
| D2932 |
|
14 |
12 |
$7K |
| 83880 |
|
598 |
479 |
$6K |
| J3010 |
Fentanyl citrate injection |
5,262 |
3,886 |
$6K |
| 80076 |
|
2,396 |
2,020 |
$6K |
| J7030 |
Normal saline solution infus |
9,878 |
7,228 |
$6K |
| 86780 |
|
375 |
337 |
$6K |
| 92250 |
|
157 |
144 |
$6K |
| 80061 |
|
333 |
264 |
$6K |
| 86481 |
|
238 |
206 |
$5K |
| G0472 |
Hep c screen high risk/other |
144 |
137 |
$5K |
| 82728 |
|
720 |
618 |
$5K |
| 85610 |
|
5,786 |
4,354 |
$5K |
| 92630 |
|
33 |
12 |
$5K |
| 82565 |
|
868 |
677 |
$5K |
| J7120 |
Ringers lactate infusion |
7,273 |
6,063 |
$5K |
| 99214 |
|
66 |
24 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
2,982 |
963 |
$4K |
| 99219 |
|
48 |
47 |
$4K |
| 97802 |
|
52 |
51 |
$4K |
| 83690 |
|
4,248 |
3,686 |
$4K |
| 92550 |
|
88 |
83 |
$4K |
| 70553 |
|
25 |
15 |
$4K |
| 84439 |
|
1,499 |
1,368 |
$4K |
| 99222 |
|
56 |
50 |
$4K |
| 70450 |
|
60 |
52 |
$4K |
| 71045 |
|
209 |
146 |
$4K |
| 87491 |
|
140 |
121 |
$4K |
| 87880 |
|
3,497 |
3,422 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,781 |
1,375 |
$4K |
| G0108 |
Diab manage trn per indiv |
51 |
43 |
$4K |
| 74177 |
|
33 |
28 |
$4K |
| 93010 |
|
645 |
604 |
$4K |
| 87389 |
|
330 |
295 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
12 |
$3K |
| G0475 |
Hiv combination assay |
148 |
139 |
$3K |
| 87186 |
|
760 |
584 |
$3K |
| 92235 |
|
13 |
12 |
$3K |
| 87591 |
|
139 |
120 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
5,586 |
4,298 |
$3K |
| 82043 |
|
689 |
614 |
$3K |
| 99281 |
|
35 |
33 |
$3K |
| 87081 |
|
532 |
511 |
$3K |
| 99238 |
|
60 |
58 |
$2K |
| 84510 |
|
205 |
186 |
$2K |
| 82570 |
|
1,402 |
424 |
$2K |
| 76820 |
|
38 |
28 |
$2K |
| 80158 |
|
268 |
214 |
$2K |
| 84156 |
|
1,423 |
1,193 |
$2K |
| 84100 |
|
932 |
477 |
$2K |
| 82784 |
|
126 |
90 |
$2K |
| 86803 |
|
145 |
129 |
$2K |
| 76815 |
|
19 |
15 |
$2K |
| 81025 |
|
2,495 |
2,282 |
$2K |
| 82977 |
|
322 |
175 |
$2K |
| 86900 |
|
563 |
299 |
$1K |
| 0064U |
|
20 |
13 |
$1K |
| 76801 |
|
14 |
13 |
$1K |
| 96138 |
|
21 |
12 |
$1K |
| 86850 |
|
508 |
287 |
$1K |
| 97165 |
|
28 |
14 |
$1K |
| 84030 |
|
205 |
186 |
$1K |
| 86706 |
|
112 |
108 |
$1K |
| J1170 |
Hydromorphone injection |
950 |
432 |
$1K |
| 86704 |
|
101 |
97 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,814 |
1,199 |
$1K |
| 87651 |
|
498 |
489 |
$1K |
| 87340 |
|
103 |
100 |
$1K |
| 87517 |
|
207 |
190 |
$1K |
| 92025 |
|
44 |
40 |
$1K |
| 83605 |
|
1,026 |
703 |
$1K |
| G0008 |
Admin influenza virus vac |
333 |
234 |
$969.96 |
| 85730 |
|
884 |
732 |
$955.54 |
| 99225 |
|
19 |
12 |
$921.58 |
| V5264 |
Ear mold/insert |
12 |
12 |
$862.24 |
| J1100 |
Dexamethasone sodium phos |
3,816 |
3,104 |
$860.53 |
| A9585 |
Gadobutrol injection |
183 |
162 |
$831.02 |
| G0124 |
Screen c/v thin layer by md |
43 |
39 |
$799.71 |
| 82248 |
|
198 |
120 |
$790.87 |
| 86901 |
|
528 |
288 |
$758.37 |
| 99221 |
|
12 |
12 |
$744.52 |
| 99153 |
Mod sedat endo service >5yrs |
46 |
29 |
$733.46 |
| 87536 |
|
100 |
92 |
$695.09 |
| 96139 |
|
21 |
12 |
$663.00 |
| 84305 |
|
195 |
168 |
$657.33 |
| 84403 |
|
79 |
76 |
$651.08 |
| 90785 |
|
520 |
326 |
$638.52 |
| 83550 |
|
283 |
247 |
$634.07 |
| 97530 |
|
26 |
13 |
$606.57 |
| 81241 |
|
13 |
12 |
$600.65 |
| 81240 |
|
13 |
12 |
$586.23 |
| J8597 |
Antiemetic drug oral nos |
3,026 |
2,934 |
$572.03 |
| 85652 |
|
922 |
770 |
$531.69 |
| 83540 |
|
326 |
277 |
$521.91 |
| 86905 |
|
13 |
12 |
$517.50 |
| 92285 |
|
15 |
13 |
$509.04 |
| 97162 |
|
17 |
13 |
$492.33 |
| 36591 |
|
15 |
14 |
$490.66 |
| 82157 |
|
38 |
36 |
$485.41 |
| 97150 |
|
100 |
17 |
$484.17 |
| J1885 |
Ketorolac tromethamine inj |
2,091 |
1,875 |
$470.15 |
| 85045 |
|
838 |
736 |
$465.85 |
| J7999 |
Compounded drug, noc |
116 |
91 |
$408.70 |
| 84703 |
|
276 |
250 |
$402.09 |
| 83655 |
|
154 |
140 |
$396.31 |
| 87077 |
|
215 |
155 |
$395.07 |
| 99231 |
|
22 |
12 |
$388.15 |
| 86360 |
|
113 |
105 |
$383.55 |
| 82533 |
|
41 |
37 |
$375.93 |
| 97535 |
|
73 |
39 |
$354.36 |
| 82397 |
|
208 |
179 |
$343.52 |
| 86359 |
|
111 |
103 |
$326.22 |
| C1894 |
Intro/sheath, non-laser |
78 |
75 |
$318.28 |
| 87522 |
Neg quan hep c or qual rna |
31 |
27 |
$313.22 |
| 87497 |
|
35 |
27 |
$312.93 |
| 99213 |
|
13 |
12 |
$299.37 |
| 99152 |
|
105 |
67 |
$286.13 |
| 82024 |
|
27 |
24 |
$285.88 |
| 86003 |
|
14 |
14 |
$284.48 |
| 96376 |
|
151 |
93 |
$283.48 |
| 84460 |
|
111 |
105 |
$265.02 |
| 84450 |
|
108 |
101 |
$263.78 |
| C1769 |
Guide wire |
206 |
131 |
$241.70 |
| 83002 |
|
56 |
51 |
$235.88 |
| 90686 |
|
67 |
50 |
$233.60 |
| J0690 |
Cefazolin sodium injection |
820 |
733 |
$225.51 |
| 90662 |
|
59 |
50 |
$219.98 |
| 92555 |
|
29 |
29 |
$209.02 |
| 88300 |
|
13 |
12 |
$202.52 |
| 86708 |
|
14 |
13 |
$198.03 |
| 86160 |
|
41 |
39 |
$182.89 |
| 87804 |
|
460 |
261 |
$180.06 |
| 86709 |
|
13 |
12 |
$174.02 |
| 83001 |
|
44 |
38 |
$171.23 |
| 36416 |
|
303 |
285 |
$166.09 |
| 82379 |
|
16 |
12 |
$163.69 |
| 80320 |
|
70 |
60 |
$149.13 |
| 84165 |
|
17 |
14 |
$148.48 |
| 99454 |
|
13 |
12 |
$140.20 |
| 83498 |
|
13 |
12 |
$138.73 |
| 84244 |
|
13 |
12 |
$133.36 |
| 84702 |
|
70 |
68 |
$125.52 |
| 82105 |
|
52 |
49 |
$107.15 |
| C9399 |
Unclassified drugs or biolog |
57 |
54 |
$92.48 |
| C1887 |
Catheter, guiding |
13 |
13 |
$86.14 |
| 82803 |
|
37 |
28 |
$77.02 |
| J0330 |
Succinycholine chloride inj |
937 |
376 |
$73.21 |
| 86225 |
|
42 |
40 |
$72.92 |
| 87633 |
|
13 |
13 |
$63.24 |
| 87581 |
|
13 |
13 |
$63.24 |
| 87486 |
|
13 |
13 |
$63.24 |
| 93017 |
|
17 |
12 |
$57.96 |
| 82075 |
|
70 |
64 |
$55.02 |
| 86665 |
|
41 |
28 |
$49.96 |
| P9604 |
One-way allow prorated trip |
48 |
29 |
$38.59 |
| J1920 |
Inj, labetalol hcl, 5mg |
31 |
12 |
$30.39 |
| 87040 |
|
56 |
24 |
$29.07 |
| 83516 |
|
21 |
13 |
$28.46 |
| 86644 |
|
28 |
27 |
$28.09 |
| 85613 |
|
14 |
13 |
$27.73 |
| 86147 |
|
14 |
13 |
$27.45 |
| 86886 |
|
12 |
12 |
$27.23 |
| J2270 |
Morphine sulfate injection |
105 |
73 |
$24.61 |
| J7060 |
5% dextrose/water |
94 |
93 |
$17.98 |
| 86645 |
|
15 |
15 |
$16.84 |
| 86664 |
|
15 |
15 |
$15.28 |
| 85018 |
|
60 |
40 |
$13.35 |
| 84132 |
|
61 |
27 |
$13.08 |
| 82040 |
|
25 |
25 |
$12.40 |
| J2404 |
Inj, nicardipine 0.1 mg |
18 |
12 |
$10.82 |
| J2930 |
Methylprednisolone injection |
15 |
14 |
$4.17 |
| 82550 |
|
12 |
12 |
$3.94 |
| J2001 |
Lidocaine injection |
74 |
71 |
$0.45 |
| 84550 |
|
13 |
13 |
$0.00 |
| 85670 |
|
14 |
13 |
$0.00 |
| 84466 |
|
20 |
14 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| G1010 |
Cdsm stanson |
30 |
24 |
$0.00 |
| 86787 |
|
14 |
13 |
$0.00 |
| S5102 |
Adult day care per diem |
1,869 |
301 |
$0.00 |
| S5100 |
Adult daycare services 15min |
248 |
89 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
18 |
12 |
$0.00 |