| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services |
660,632 |
37,548 |
$17.66M |
| G2067 |
Med assist tx meth wk |
41,191 |
13,337 |
$6.88M |
| 99284 |
|
37,448 |
34,619 |
$4.94M |
| 99283 |
|
23,781 |
22,660 |
$4.53M |
| 99282 |
|
17,297 |
15,759 |
$3.74M |
| 36415 |
|
48,766 |
44,086 |
$3.58M |
| 96361 |
|
12,113 |
10,982 |
$2.79M |
| 90832 |
|
21,448 |
13,769 |
$2.07M |
| H0005 |
Alcohol and/or drug services |
35,602 |
7,014 |
$2.02M |
| 70450 |
|
6,186 |
6,020 |
$1.81M |
| H2036 |
A/d tx program, per diem |
13,581 |
1,666 |
$1.44M |
| 76856 |
|
2,635 |
2,594 |
$1.41M |
| 74177 |
|
4,884 |
4,793 |
$1.41M |
| 87637 |
|
11,514 |
11,099 |
$1.15M |
| 99214 |
|
8,823 |
7,705 |
$1.14M |
| 59025 |
|
6,286 |
4,661 |
$1.10M |
| G0397 |
Alcohol/subs interv >30 min |
7,934 |
5,359 |
$1.08M |
| 80048 |
|
46,050 |
38,889 |
$1.07M |
| 69436 |
|
530 |
530 |
$880K |
| 99213 |
|
6,107 |
5,413 |
$765K |
| G0396 |
Alcohol/subs interv 15-30mn |
7,285 |
5,137 |
$761K |
| 86900 |
|
6,431 |
6,180 |
$751K |
| 74176 |
|
2,278 |
2,228 |
$682K |
| 96360 |
|
3,312 |
3,250 |
$680K |
| 99285 |
|
5,392 |
5,223 |
$646K |
| 97110 |
|
4,992 |
2,167 |
$609K |
| 96372 |
|
5,607 |
5,364 |
$554K |
| 80076 |
|
22,256 |
20,693 |
$549K |
| 96365 |
|
2,853 |
2,542 |
$513K |
| 87631 |
|
2,786 |
2,768 |
$488K |
| 93306 |
|
1,957 |
1,949 |
$488K |
| H0004 |
Alcohol and/or drug services |
10,145 |
7,957 |
$476K |
| 76770 |
|
906 |
888 |
$464K |
| 70551 |
|
1,332 |
1,319 |
$426K |
| 43239 |
|
348 |
344 |
$396K |
| 71260 |
|
1,316 |
1,308 |
$391K |
| 83880 |
|
3,261 |
3,097 |
$384K |
| 99212 |
|
2,734 |
2,424 |
$382K |
| 58661 |
|
153 |
153 |
$342K |
| A0225 |
Neonatal emergency transport |
558 |
553 |
$336K |
| 87591 |
|
5,285 |
5,170 |
$322K |
| 87651 |
|
3,738 |
3,684 |
$308K |
| 99281 |
|
945 |
906 |
$253K |
| 80307 |
|
5,719 |
5,204 |
$253K |
| H0001 |
Alcohol and/or drug assess |
1,656 |
1,512 |
$241K |
| 88307 |
|
726 |
676 |
$235K |
| 87635 |
|
5,034 |
4,922 |
$232K |
| 97161 |
|
2,031 |
2,010 |
$219K |
| 76801 |
|
2,390 |
2,316 |
$216K |
| H2001 |
Rehabilitation program 1/2 d |
2,706 |
899 |
$215K |
| 90834 |
|
1,349 |
852 |
$175K |
| 97530 |
|
1,123 |
536 |
$173K |
| 88342 |
|
585 |
566 |
$168K |
| 99395 |
|
1,535 |
1,478 |
$165K |
| 80053 |
|
6,555 |
5,918 |
$147K |
| G0378 |
Hospital observation per hr |
2,614 |
2,521 |
$146K |
| 86901 |
|
6,422 |
6,169 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,049 |
999 |
$129K |
| 76705 |
|
2,880 |
2,827 |
$128K |
| 76815 |
|
1,201 |
1,145 |
$127K |
| 93970 |
|
257 |
257 |
$124K |
| 88305 |
|
2,459 |
2,312 |
$114K |
| 76817 |
|
1,045 |
955 |
$111K |
| H0002 |
Alcohol and/or drug screenin |
632 |
631 |
$104K |
| 97140 |
|
1,487 |
764 |
$103K |
| 87491 |
|
5,225 |
5,110 |
$103K |
| 86850 |
|
6,330 |
6,089 |
$99K |
| 42820 |
|
55 |
55 |
$96K |
| H0038 |
Self-help/peer svc per 15min |
1,466 |
705 |
$94K |
| 99396 |
|
814 |
786 |
$90K |
| 58558 |
|
63 |
63 |
$87K |
| 70486 |
|
699 |
693 |
$75K |
| 97162 |
|
512 |
509 |
$70K |
| 47562 |
|
25 |
25 |
$69K |
| 93971 |
|
1,153 |
1,131 |
$68K |
| 72125 |
|
1,483 |
1,466 |
$66K |
| 78452 |
|
112 |
112 |
$61K |
| 93017 |
|
409 |
407 |
$60K |
| 77067 |
|
970 |
969 |
$54K |
| G0463 |
Hospital outpt clinic visit |
403 |
315 |
$54K |
| 97803 |
|
536 |
535 |
$49K |
| 99291 |
|
401 |
399 |
$47K |
| 72131 |
|
267 |
266 |
$47K |
| 96366 |
|
144 |
112 |
$44K |
| 87502 |
|
1,026 |
1,011 |
$39K |
| 82803 |
|
552 |
463 |
$38K |
| 10060 |
|
118 |
117 |
$36K |
| 87641 |
|
482 |
478 |
$36K |
| 12001 |
|
88 |
87 |
$34K |
| 76805 |
|
426 |
424 |
$32K |
| 70498 |
|
157 |
156 |
$31K |
| 87522 |
Neg quan hep c or qual rna |
874 |
858 |
$31K |
| 97802 |
|
316 |
316 |
$30K |
| 29125 |
|
150 |
145 |
$30K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,017 |
6,807 |
$28K |
| 70553 |
|
62 |
62 |
$27K |
| 82962 |
|
8,250 |
3,724 |
$27K |
| 86703 |
|
1,102 |
1,094 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
349 |
334 |
$25K |
| 85027 |
|
7,076 |
5,497 |
$23K |
| 83690 |
|
12,480 |
11,566 |
$23K |
| 93005 |
|
20,551 |
18,288 |
$22K |
| 76641 |
|
972 |
964 |
$21K |
| 97165 |
|
231 |
231 |
$20K |
| 94640 |
|
3,545 |
2,463 |
$20K |
| 90715 |
|
607 |
606 |
$18K |
| 76830 |
|
659 |
649 |
$16K |
| 93351 |
|
50 |
50 |
$15K |
| 87798 |
|
185 |
180 |
$15K |
| 71046 |
|
7,869 |
7,667 |
$14K |
| 70491 |
|
45 |
43 |
$14K |
| 85055 |
|
309 |
273 |
$13K |
| 99211 |
|
372 |
312 |
$13K |
| 80061 |
|
443 |
432 |
$12K |
| 74018 |
|
1,958 |
1,900 |
$12K |
| 84702 |
|
8,894 |
8,208 |
$11K |
| 95816 |
|
66 |
66 |
$11K |
| 88304 |
|
372 |
368 |
$11K |
| J7297 |
Liletta, 52 mg |
14 |
14 |
$10K |
| 12002 |
|
26 |
26 |
$10K |
| 12011 |
|
27 |
27 |
$10K |
| 71045 |
|
7,601 |
7,258 |
$9K |
| 96374 |
|
13,897 |
12,805 |
$9K |
| 76700 |
|
41 |
41 |
$7K |
| 85025 |
|
40,148 |
35,981 |
$7K |
| 70496 |
|
129 |
128 |
$7K |
| 86920 |
|
38 |
26 |
$6K |
| 83735 |
|
7,408 |
6,165 |
$6K |
| 36430 |
|
15 |
14 |
$6K |
| G2078 |
Take-home meth |
324 |
206 |
$6K |
| 77063 |
|
974 |
973 |
$6K |
| 84443 |
|
3,235 |
3,195 |
$6K |
| 76816 |
|
59 |
54 |
$5K |
| P9016 |
Rbc leukocytes reduced |
14 |
13 |
$5K |
| 87086 |
|
9,801 |
9,344 |
$5K |
| 81003 |
|
23,382 |
21,949 |
$4K |
| 93325 |
|
53 |
53 |
$4K |
| 88341 |
|
58 |
53 |
$4K |
| 72148 |
|
13 |
13 |
$4K |
| 83036 |
|
1,390 |
1,371 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
132 |
131 |
$4K |
| 87340 |
|
1,226 |
1,190 |
$3K |
| 99203 |
|
27 |
27 |
$3K |
| 72110 |
|
203 |
202 |
$3K |
| 87640 |
|
290 |
287 |
$3K |
| 36569 |
|
12 |
12 |
$2K |
| 88112 |
|
12 |
12 |
$2K |
| 73564 |
|
1,170 |
1,133 |
$2K |
| 77065 |
Tomosynthesis, mammo |
28 |
28 |
$2K |
| 88302 |
|
71 |
71 |
$2K |
| M0222 |
Bebtelovimab injection |
20 |
19 |
$2K |
| 87040 |
|
1,077 |
604 |
$2K |
| 82570 |
|
1,074 |
960 |
$2K |
| 86803 |
|
881 |
858 |
$2K |
| 87070 |
|
1,117 |
1,059 |
$2K |
| 87075 |
|
249 |
233 |
$2K |
| J2274 |
Inj morphine pf epid ithc |
2,547 |
2,199 |
$2K |
| 72100 |
|
293 |
291 |
$1K |
| 73030 |
|
745 |
719 |
$1K |
| 86780 |
|
699 |
664 |
$1K |
| 85730 |
|
2,467 |
2,381 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
83 |
82 |
$1K |
| 84484 |
|
13,942 |
11,050 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$1K |
| 73630 |
|
1,053 |
1,034 |
$1K |
| J3475 |
Inj magnesium sulfate |
892 |
703 |
$1K |
| 87077 |
|
3,516 |
3,137 |
$986.35 |
| 73610 |
|
941 |
913 |
$864.51 |
| 96375 |
|
5,093 |
4,488 |
$802.74 |
| 0031A |
|
20 |
20 |
$800.00 |
| 87480 |
|
4,483 |
4,357 |
$771.17 |
| 76819 |
|
16 |
14 |
$703.65 |
| 85610 |
|
4,034 |
3,851 |
$621.50 |
| 84703 |
|
5,969 |
5,741 |
$469.28 |
| 84100 |
|
1,571 |
1,082 |
$467.07 |
| 72050 |
|
43 |
43 |
$438.61 |
| 80358 |
|
207 |
175 |
$410.76 |
| 87186 |
|
2,711 |
2,496 |
$403.56 |
| 85379 |
|
1,795 |
1,764 |
$317.80 |
| 81002 |
|
453 |
439 |
$314.36 |
| 87660 |
|
4,483 |
4,357 |
$306.76 |
| S0028 |
Injection, famotidine, 20 mg |
219 |
216 |
$260.00 |
| 87389 |
|
256 |
253 |
$243.38 |
| A9502 |
Tc99m tetrofosmin |
36 |
36 |
$240.00 |
| 76536 |
|
15 |
15 |
$234.08 |
| 87510 |
|
4,483 |
4,357 |
$224.28 |
| J1650 |
Inj enoxaparin sodium |
540 |
289 |
$203.73 |
| 83605 |
|
1,091 |
949 |
$202.55 |
| J7030 |
Normal saline solution infus |
11,108 |
9,914 |
$197.39 |
| 73130 |
|
475 |
460 |
$180.74 |
| 72170 |
|
39 |
39 |
$179.08 |
| 80321 |
|
208 |
178 |
$171.61 |
| 86140 |
|
1,115 |
1,068 |
$124.15 |
| 84439 |
|
170 |
168 |
$108.00 |
| 73110 |
|
306 |
298 |
$100.25 |
| 87205 |
|
1,113 |
1,049 |
$97.71 |
| J2704 |
Inj, propofol, 10 mg |
5,406 |
5,309 |
$97.22 |
| A9573 |
Inj, gadopiclenol, 1 ml |
15 |
15 |
$82.62 |
| J3010 |
Fentanyl citrate injection |
7,794 |
7,278 |
$74.34 |
| 73502 |
|
65 |
64 |
$74.29 |
| 73590 |
|
134 |
129 |
$71.19 |
| 80354 |
|
143 |
118 |
$70.91 |
| 96376 |
|
343 |
312 |
$62.00 |
| J1885 |
Ketorolac tromethamine inj |
9,279 |
8,302 |
$61.68 |
| 90471 |
|
442 |
410 |
$51.46 |
| 83615 |
|
1,343 |
1,139 |
$45.91 |
| J0690 |
Cefazolin sodium injection |
882 |
803 |
$41.12 |
| J2405 |
Ondansetron hcl injection |
11,850 |
10,508 |
$39.59 |
| 86308 |
|
1,011 |
999 |
$35.48 |
| 85651 |
|
456 |
442 |
$33.80 |
| J2250 |
Inj midazolam hydrochloride |
5,861 |
5,747 |
$30.72 |
| J2270 |
Morphine sulfate injection |
2,132 |
1,716 |
$30.43 |
| J2543 |
Piperacillin/tazobactam |
274 |
185 |
$30.06 |
| 84550 |
|
1,382 |
1,198 |
$29.54 |
| 74019 |
|
103 |
99 |
$27.00 |
| C9113 |
Inj pantoprazole sodium, via |
3,241 |
2,452 |
$26.69 |
| J1100 |
Dexamethasone sodium phos |
5,401 |
5,274 |
$25.88 |
| J0131 |
Inj, acetaminophen (nos) |
1,504 |
1,417 |
$24.20 |
| 71101 |
|
75 |
75 |
$21.80 |
| 84156 |
|
1,030 |
918 |
$21.51 |
| J2765 |
Metoclopramide hcl injection |
4,102 |
3,659 |
$20.95 |
| J0330 |
Succinycholine chloride inj |
482 |
470 |
$16.10 |
| 80349 |
|
80 |
73 |
$15.15 |
| 80361 |
|
110 |
95 |
$15.15 |
| 82550 |
|
212 |
199 |
$15.14 |
| 82010 |
|
100 |
92 |
$12.94 |
| J1644 |
Inj heparin sodium per 1000u |
1,645 |
1,040 |
$11.42 |
| J0696 |
Ceftriaxone sodium injection |
1,929 |
1,626 |
$11.13 |
| 80324 |
|
32 |
26 |
$10.10 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,569 |
1,399 |
$8.61 |
| J1200 |
Diphenhydramine hcl injectio |
2,697 |
2,266 |
$8.52 |
| 73140 |
|
71 |
68 |
$5.92 |
| J2060 |
Lorazepam injection |
1,082 |
949 |
$5.24 |
| 80353 |
|
52 |
45 |
$5.05 |
| J7050 |
Normal saline solution infus |
472 |
299 |
$4.80 |
| 73090 |
|
64 |
62 |
$4.12 |
| Q0162 |
Ondansetron oral |
2,084 |
1,962 |
$3.58 |
| J7614 |
Levalbuterol non-comp unit |
244 |
199 |
$2.58 |
| J3370 |
Vancomycin hcl injection |
130 |
84 |
$1.77 |
| J3480 |
Inj potassium chloride |
34 |
27 |
$1.35 |
| J1815 |
Insulin injection |
383 |
172 |
$0.51 |
| J2001 |
Lidocaine injection |
1,264 |
1,217 |
$0.05 |
| C1769 |
Guide wire |
290 |
284 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
13 |
$0.00 |
| 88300 |
|
122 |
122 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
231 |
155 |
$0.00 |
| J8540 |
Oral dexamethasone |
80 |
78 |
$0.00 |
| J7612 |
Levalbuterol non-comp con |
114 |
110 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
148 |
142 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
16 |
14 |
$0.00 |
| 93320 |
|
24 |
24 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
14 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
13 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
12 |
12 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
442 |
413 |
$0.00 |
| 94664 |
|
41 |
40 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
304 |
299 |
$0.00 |
| J2930 |
Methylprednisolone injection |
187 |
173 |
$0.00 |
| J7120 |
Ringers lactate infusion |
410 |
335 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
106 |
101 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
91 |
91 |
$0.00 |
| 99152 |
|
129 |
127 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
38 |
38 |
$0.00 |
| 80179 |
|
12 |
12 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| 73080 |
|
24 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
29 |
28 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
18 |
18 |
$0.00 |
| 80299 |
|
43 |
38 |
$0.00 |
| J1953 |
Levetiracetam injection |
59 |
40 |
$0.00 |
| S5551 |
Insulin most rapid 5 u |
18 |
12 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
13 |
13 |
$0.00 |
| 80346 |
|
18 |
16 |
$0.00 |
| G1004 |
Cdsm ndsc |
59 |
54 |
$0.00 |
| 80143 |
|
12 |
12 |
$0.00 |