| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
38,005 |
35,435 |
$12.09M |
| 99284 |
|
18,288 |
17,469 |
$3.19M |
| 99283 |
|
19,263 |
18,669 |
$2.33M |
| G0378 |
Hospital observation per hr |
7,139 |
6,586 |
$2.31M |
| 96374 |
|
22,047 |
20,469 |
$2.05M |
| G0382 |
Lev 3 hosp type b ed visit |
16,992 |
16,498 |
$1.37M |
| 96361 |
|
24,049 |
19,700 |
$1.26M |
| 97110 |
|
42,510 |
11,866 |
$985K |
| 96365 |
|
9,242 |
6,669 |
$855K |
| 96360 |
|
7,716 |
7,111 |
$794K |
| 74177 |
|
5,725 |
5,617 |
$705K |
| 87636 |
|
9,031 |
8,820 |
$663K |
| G0381 |
Lev 2 hosp type b ed visit |
10,260 |
10,013 |
$610K |
| G0463 |
Hospital outpt clinic visit |
9,389 |
8,064 |
$562K |
| 71046 |
|
16,029 |
15,358 |
$519K |
| 96375 |
|
18,219 |
14,936 |
$519K |
| 96413 |
|
2,593 |
1,500 |
$429K |
| G0383 |
Lev 4 hosp type b ed visit |
4,495 |
4,415 |
$414K |
| 70450 |
|
4,514 |
4,391 |
$366K |
| 97140 |
|
26,356 |
8,327 |
$348K |
| 97530 |
|
12,911 |
5,007 |
$338K |
| 93306 |
|
2,021 |
2,008 |
$325K |
| 71045 |
|
8,620 |
8,282 |
$301K |
| 77067 |
|
5,776 |
5,761 |
$278K |
| 74176 |
|
2,588 |
2,551 |
$263K |
| 43239 |
|
765 |
762 |
$259K |
| 93975 |
|
2,303 |
2,241 |
$251K |
| 97112 |
|
11,611 |
4,203 |
$232K |
| 92507 |
|
5,687 |
1,916 |
$229K |
| 99282 |
|
2,995 |
2,959 |
$225K |
| 76830 |
|
3,971 |
3,901 |
$223K |
| 99291 |
|
451 |
445 |
$217K |
| 76700 |
|
3,441 |
3,411 |
$203K |
| 80061 |
|
7,270 |
7,191 |
$200K |
| 70496 |
|
1,294 |
1,273 |
$191K |
| 71260 |
|
1,635 |
1,622 |
$185K |
| G0380 |
Lev 1 hosp type b ed visit |
3,355 |
3,277 |
$184K |
| 76856 |
|
4,006 |
3,938 |
$183K |
| 96366 |
|
4,608 |
3,304 |
$165K |
| 97161 |
|
3,113 |
3,080 |
$160K |
| 59025 |
|
1,993 |
1,013 |
$157K |
| 73721 |
|
1,054 |
1,045 |
$139K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,805 |
3,710 |
$132K |
| 97162 |
|
2,626 |
2,611 |
$125K |
| 70553 |
|
644 |
637 |
$125K |
| 71275 |
|
1,507 |
1,485 |
$114K |
| 96372 |
|
19,574 |
14,961 |
$113K |
| 93970 |
|
1,138 |
1,123 |
$100K |
| U0002 |
Covid-19 lab test non-cdc |
4,510 |
4,360 |
$95K |
| 76642 |
|
2,430 |
2,399 |
$94K |
| 76801 |
|
1,692 |
1,581 |
$93K |
| 72148 |
|
993 |
990 |
$90K |
| 93971 |
|
1,588 |
1,557 |
$84K |
| 80053 |
|
29,308 |
25,549 |
$82K |
| 99281 |
|
1,811 |
1,785 |
$77K |
| 77066 |
Tomosynthesis, mammo |
1,214 |
1,189 |
$70K |
| 85025 |
|
60,135 |
50,565 |
$66K |
| 84443 |
|
9,114 |
8,909 |
$66K |
| 76816 |
|
1,244 |
1,086 |
$62K |
| 76770 |
|
1,060 |
1,040 |
$60K |
| 76536 |
|
1,150 |
1,147 |
$57K |
| 77065 |
Tomosynthesis, mammo |
1,209 |
1,143 |
$53K |
| 76705 |
|
900 |
888 |
$52K |
| 45380 |
|
123 |
123 |
$52K |
| 71250 |
|
914 |
905 |
$51K |
| 72141 |
|
350 |
348 |
$50K |
| 76805 |
|
825 |
825 |
$50K |
| 82306 |
|
2,993 |
2,971 |
$50K |
| 80307 |
|
8,385 |
8,013 |
$48K |
| M0243 |
Casirivi and imdevi inj |
181 |
181 |
$48K |
| 96367 |
|
1,414 |
1,071 |
$47K |
| 77063 |
|
3,684 |
3,677 |
$46K |
| 87491 |
|
4,266 |
4,210 |
$44K |
| 72100 |
|
2,251 |
2,236 |
$40K |
| 11042 |
|
211 |
104 |
$40K |
| 90792 |
|
1,359 |
1,310 |
$39K |
| 80048 |
|
38,096 |
32,462 |
$37K |
| 87591 |
|
3,963 |
3,912 |
$37K |
| 86900 |
|
7,710 |
7,452 |
$36K |
| M0245 |
Bamlan and etesev infusion |
146 |
144 |
$34K |
| 83036 |
|
6,850 |
6,792 |
$34K |
| 73562 |
|
2,875 |
2,841 |
$30K |
| 93005 |
|
23,831 |
21,332 |
$30K |
| C8929 |
Tte w or wo fol wcon,doppler |
215 |
213 |
$28K |
| 70551 |
|
281 |
278 |
$27K |
| U0005 |
Infec agen detec ampli probe |
2,447 |
2,405 |
$26K |
| 73630 |
|
3,421 |
3,339 |
$26K |
| 93017 |
|
979 |
972 |
$24K |
| 73130 |
|
2,638 |
2,562 |
$24K |
| 73610 |
|
2,861 |
2,795 |
$23K |
| 78452 |
|
100 |
100 |
$23K |
| G0279 |
Tomosynthesis, mammo |
1,942 |
1,891 |
$23K |
| 73030 |
|
2,347 |
2,306 |
$22K |
| 82728 |
|
3,294 |
3,198 |
$22K |
| C9803 |
Hopd covid-19 spec collect |
11,456 |
11,155 |
$21K |
| 82607 |
|
3,073 |
3,047 |
$21K |
| 85027 |
|
11,666 |
9,982 |
$21K |
| Q3014 |
Telehealth facility fee |
1,232 |
1,161 |
$19K |
| 74022 |
|
1,896 |
1,856 |
$18K |
| G0384 |
Lev 5 hosp type b ed visit |
161 |
154 |
$18K |
| 84702 |
|
7,966 |
7,073 |
$16K |
| 87389 |
|
1,596 |
1,589 |
$16K |
| 43235 |
|
44 |
44 |
$16K |
| 72125 |
|
1,932 |
1,893 |
$15K |
| 76815 |
|
2,829 |
2,179 |
$14K |
| 74018 |
|
1,661 |
1,572 |
$14K |
| 83550 |
|
3,088 |
3,011 |
$14K |
| 73110 |
|
1,596 |
1,558 |
$14K |
| 45385 |
|
38 |
38 |
$13K |
| 87635 |
|
314 |
302 |
$13K |
| 73502 |
|
1,264 |
1,226 |
$12K |
| 83735 |
|
28,022 |
22,797 |
$12K |
| 64450 |
|
376 |
348 |
$12K |
| 82746 |
|
1,784 |
1,765 |
$12K |
| 84439 |
|
2,463 |
2,409 |
$11K |
| 97035 |
|
1,951 |
759 |
$11K |
| 73221 |
|
105 |
103 |
$11K |
| 87086 |
|
9,376 |
9,051 |
$11K |
| 83540 |
|
3,327 |
3,243 |
$11K |
| J0185 |
Inj., aprepitant, 1 mg |
72 |
49 |
$10K |
| 85610 |
|
22,002 |
19,417 |
$10K |
| M0222 |
Bebtelovimab injection |
50 |
50 |
$10K |
| G0472 |
Hep c screen high risk/other |
301 |
300 |
$10K |
| 86780 |
|
839 |
836 |
$9K |
| 90471 |
|
1,229 |
1,173 |
$9K |
| 86803 |
|
1,144 |
1,143 |
$9K |
| 87502 |
|
2,702 |
2,666 |
$9K |
| Q0111 |
Wet mounts/ w preparations |
1,163 |
1,136 |
$9K |
| 88305 |
|
3,085 |
3,042 |
$9K |
| 51798 |
|
718 |
462 |
$8K |
| M0247 |
Sotrovimab infusion |
31 |
30 |
$8K |
| 87081 |
|
10,552 |
10,387 |
$7K |
| 83880 |
|
4,081 |
3,918 |
$7K |
| 87661 |
|
1,720 |
1,702 |
$7K |
| 71101 |
|
400 |
398 |
$7K |
| 72050 |
|
193 |
193 |
$7K |
| 83970 |
|
262 |
256 |
$6K |
| 71271 |
|
113 |
113 |
$6K |
| 94640 |
|
4,840 |
3,780 |
$6K |
| G0480 |
Drug test def 1-7 classes |
3,831 |
3,196 |
$6K |
| 97116 |
|
665 |
390 |
$6K |
| 82565 |
|
1,854 |
1,612 |
$6K |
| 82570 |
|
2,128 |
2,001 |
$6K |
| 92523 |
|
54 |
54 |
$6K |
| 82248 |
|
16,154 |
14,457 |
$5K |
| 86850 |
|
7,656 |
7,395 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
371 |
366 |
$5K |
| G0121 |
Colon ca scrn not hi rsk ind |
14 |
14 |
$5K |
| 86140 |
|
2,984 |
2,532 |
$5K |
| 85730 |
|
19,444 |
17,896 |
$5K |
| 87808 |
|
2,115 |
2,075 |
$5K |
| G8978 |
Mobility current status |
44 |
41 |
$5K |
| 96417 |
|
130 |
88 |
$5K |
| 96415 |
|
97 |
71 |
$5K |
| 81001 |
|
17,450 |
16,599 |
$4K |
| 87631 |
|
1,502 |
1,467 |
$4K |
| 70498 |
|
1,196 |
1,177 |
$4K |
| 76882 |
|
78 |
77 |
$4K |
| 29580 |
|
45 |
15 |
$4K |
| 73080 |
|
612 |
600 |
$4K |
| 84460 |
|
1,452 |
1,337 |
$4K |
| 87340 |
|
824 |
817 |
$4K |
| 80076 |
|
680 |
621 |
$3K |
| 72110 |
|
93 |
93 |
$3K |
| 84450 |
|
1,450 |
1,335 |
$3K |
| 86039 |
|
597 |
594 |
$3K |
| 72040 |
|
299 |
299 |
$3K |
| 93798 |
|
75 |
12 |
$3K |
| 84100 |
|
3,327 |
2,488 |
$3K |
| 45378 |
|
12 |
12 |
$3K |
| 77080 |
|
53 |
53 |
$3K |
| 87186 |
|
2,507 |
2,466 |
$3K |
| 82043 |
|
831 |
825 |
$3K |
| 82947 |
|
516 |
509 |
$3K |
| 87634 |
|
873 |
867 |
$2K |
| 85007 |
|
2,905 |
2,436 |
$2K |
| 87077 |
|
1,691 |
1,657 |
$2K |
| G0328 |
Fecal blood scrn immunoassay |
255 |
249 |
$2K |
| 70491 |
|
25 |
25 |
$2K |
| 85652 |
|
2,238 |
1,985 |
$2K |
| 74019 |
|
192 |
188 |
$2K |
| 29515 |
|
31 |
30 |
$2K |
| 73140 |
|
450 |
444 |
$2K |
| 83615 |
|
822 |
707 |
$2K |
| 87070 |
|
1,295 |
1,205 |
$2K |
| 97166 |
|
40 |
40 |
$2K |
| 86901 |
|
7,709 |
7,449 |
$2K |
| 10060 |
|
26 |
25 |
$2K |
| 74183 |
|
16 |
16 |
$2K |
| 73590 |
|
400 |
385 |
$2K |
| 97535 |
|
159 |
95 |
$2K |
| 84156 |
|
1,045 |
932 |
$2K |
| 88342 |
|
667 |
663 |
$2K |
| 87880 |
|
7,799 |
7,650 |
$2K |
| 83690 |
|
11,686 |
10,932 |
$2K |
| 76817 |
|
2,594 |
2,451 |
$2K |
| J1100 |
Dexamethasone sodium phos |
6,974 |
6,210 |
$2K |
| 97165 |
|
38 |
38 |
$2K |
| 82550 |
|
1,578 |
1,346 |
$2K |
| 70486 |
|
58 |
58 |
$1K |
| 97014 |
|
160 |
61 |
$1K |
| 72114 |
|
127 |
127 |
$1K |
| 84484 |
|
13,438 |
11,287 |
$1K |
| 87205 |
|
1,488 |
1,398 |
$1K |
| 84520 |
|
649 |
567 |
$1K |
| 76881 |
|
15 |
12 |
$993.36 |
| 94726 |
|
14 |
14 |
$981.07 |
| 82105 |
|
130 |
123 |
$971.23 |
| 81003 |
|
8,332 |
8,101 |
$968.72 |
| 36591 |
|
18 |
12 |
$966.98 |
| 86480 |
|
26 |
26 |
$890.25 |
| 85379 |
|
3,235 |
3,176 |
$890.22 |
| G0297 |
Ldct for lung ca screen |
26 |
26 |
$869.43 |
| 73090 |
|
274 |
266 |
$868.20 |
| 87804 |
|
2,336 |
2,294 |
$856.23 |
| 81025 |
|
16,414 |
15,790 |
$851.21 |
| 36415 |
|
494 |
459 |
$781.22 |
| 72170 |
|
392 |
387 |
$691.83 |
| 87088 |
|
796 |
784 |
$675.77 |
| 87210 |
|
964 |
951 |
$591.67 |
| 86706 |
|
110 |
110 |
$562.11 |
| 86431 |
|
163 |
161 |
$554.56 |
| 86376 |
|
73 |
73 |
$547.56 |
| S0077 |
Injection, clindamycin phosp |
195 |
136 |
$525.75 |
| 87430 |
|
4,760 |
4,705 |
$496.37 |
| 82951 |
|
63 |
63 |
$451.54 |
| 84425 |
|
37 |
37 |
$440.09 |
| 87420 |
|
937 |
926 |
$419.03 |
| 84403 |
|
27 |
26 |
$392.88 |
| 85045 |
|
306 |
284 |
$391.26 |
| 87147 |
|
599 |
592 |
$385.72 |
| 84550 |
|
201 |
196 |
$375.88 |
| 80164 |
|
121 |
115 |
$372.08 |
| 87040 |
|
2,268 |
2,150 |
$353.38 |
| 82247 |
|
126 |
93 |
$309.69 |
| 89060 |
|
104 |
98 |
$305.14 |
| 82962 |
|
9,936 |
6,500 |
$292.60 |
| G1004 |
Cdsm ndsc |
13,607 |
11,649 |
$290.67 |
| 84481 |
|
39 |
39 |
$279.91 |
| 88304 |
|
593 |
591 |
$261.59 |
| 86255 |
|
37 |
37 |
$259.13 |
| 84480 |
|
40 |
40 |
$251.33 |
| 72052 |
|
12 |
12 |
$250.98 |
| 86308 |
|
1,217 |
1,198 |
$236.73 |
| 72072 |
|
13 |
13 |
$208.40 |
| G0168 |
Wound closure by adhesive |
35 |
35 |
$202.50 |
| 83605 |
|
3,539 |
3,129 |
$202.08 |
| 86762 |
|
74 |
74 |
$187.12 |
| 86769 |
|
12 |
12 |
$178.56 |
| 80074 |
|
12 |
12 |
$173.94 |
| 82077 |
|
5,289 |
4,540 |
$171.45 |
| 88307 |
|
40 |
39 |
$139.03 |
| 96376 |
|
6,767 |
4,287 |
$131.28 |
| 86200 |
|
14 |
14 |
$110.49 |
| J2405 |
Ondansetron hcl injection |
2,900 |
2,281 |
$102.91 |
| 86592 |
|
44 |
42 |
$92.80 |
| 82952 |
|
38 |
38 |
$91.52 |
| 82784 |
|
12 |
12 |
$88.66 |
| 82465 |
|
32 |
26 |
$87.17 |
| 80178 |
|
44 |
38 |
$85.64 |
| J1200 |
Diphenhydramine hcl injectio |
4,131 |
3,506 |
$72.54 |
| 85651 |
|
57 |
52 |
$62.03 |
| 82803 |
|
353 |
333 |
$55.90 |
| 84165 |
|
12 |
12 |
$55.02 |
| 73060 |
|
12 |
12 |
$48.48 |
| J3490 |
Drugs unclassified injection |
2,297 |
1,735 |
$43.98 |
| 84436 |
|
27 |
27 |
$42.95 |
| J0131 |
Inj, acetaminophen (nos) |
2,515 |
2,357 |
$34.00 |
| 70360 |
|
13 |
13 |
$31.59 |
| 85014 |
|
78 |
73 |
$29.71 |
| 80143 |
|
3,021 |
2,867 |
$27.71 |
| 84132 |
|
64 |
63 |
$26.20 |
| 29125 |
|
148 |
142 |
$21.39 |
| 80179 |
|
2,971 |
2,832 |
$15.43 |
| 97803 |
|
56 |
56 |
$12.94 |
| J2250 |
Inj midazolam hydrochloride |
567 |
523 |
$7.37 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
147 |
122 |
$3.94 |
| J2704 |
Inj, propofol, 10 mg |
1,318 |
1,255 |
$3.48 |
| J3010 |
Fentanyl citrate injection |
1,036 |
991 |
$2.30 |
| J0137 |
Inj, acetaminophen (hikma) |
17 |
15 |
$1.42 |
| C1769 |
Guide wire |
686 |
668 |
$0.00 |
| 12001 |
|
156 |
154 |
$0.00 |
| G0283 |
Elec stim other than wound |
224 |
111 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
152 |
148 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
272 |
201 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
761 |
365 |
$0.00 |
| 76870 |
|
68 |
63 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,482 |
1,371 |
$0.00 |
| J1170 |
Hydromorphone injection |
110 |
82 |
$0.00 |
| 96368 |
|
337 |
232 |
$0.00 |
| A4648 |
Implantable tissue marker |
65 |
63 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
98 |
64 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
92 |
49 |
$0.00 |
| Q0247 |
Sotrovimab |
28 |
28 |
$0.00 |
| G8980 |
Mobility d/c status |
33 |
29 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
63 |
51 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
48 |
48 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
56 |
56 |
$0.00 |
| J2060 |
Lorazepam injection |
18 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
13 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
739 |
408 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
97 |
77 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
85 |
85 |
$0.00 |
| 99152 |
|
143 |
142 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
747 |
436 |
$0.00 |
| A9576 |
Inj prohance multipack |
62 |
61 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
265 |
136 |
$0.00 |
| 12011 |
|
64 |
63 |
$0.00 |
| J2270 |
Morphine sulfate injection |
203 |
176 |
$0.00 |
| A9552 |
F18 fdg |
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
110 |
104 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
229 |
228 |
$0.00 |
| C1729 |
Cath, drainage |
48 |
37 |
$0.00 |
| 90715 |
|
181 |
181 |
$0.00 |
| G8979 |
Mobility goal status |
60 |
55 |
$0.00 |
| L1902 |
Afo ankle gauntlet pre ots |
26 |
26 |
$0.00 |
| J1756 |
Iron sucrose injection |
164 |
71 |
$0.00 |
| C1765 |
Adhesion barrier |
55 |
54 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
48 |
48 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
151 |
151 |
$0.00 |
| 94729 |
|
14 |
14 |
$0.00 |
| 82010 |
|
19 |
18 |
$0.00 |
| C1758 |
Catheter, ureteral |
28 |
27 |
$0.00 |
| 84145 |
|
42 |
42 |
$0.00 |
| 77062 |
|
20 |
14 |
$0.00 |