| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,818 |
17,851 |
$4.53M |
| 99283 |
|
21,893 |
18,373 |
$2.54M |
| 74177 |
|
4,873 |
3,992 |
$2.19M |
| 99285 |
|
6,370 |
4,973 |
$1.71M |
| U0003 |
Cov-19 amp prb hgh thruput |
21,105 |
16,772 |
$1.31M |
| 70450 |
|
5,273 |
4,098 |
$1.02M |
| G0378 |
Hospital observation per hr |
5,466 |
2,494 |
$998K |
| 99212 |
|
26,118 |
22,855 |
$815K |
| 97110 |
|
28,005 |
8,754 |
$754K |
| 93005 |
|
18,875 |
14,576 |
$626K |
| 96374 |
|
13,381 |
9,895 |
$610K |
| 96361 |
|
11,564 |
8,077 |
$561K |
| 93306 |
|
1,888 |
1,470 |
$552K |
| 99213 |
|
8,633 |
7,358 |
$478K |
| 96365 |
|
6,078 |
3,763 |
$464K |
| G2023 |
Specimen collect covid-19 |
17,679 |
14,724 |
$436K |
| 74176 |
|
987 |
761 |
$406K |
| 99211 |
|
16,136 |
13,291 |
$383K |
| 71260 |
|
1,562 |
1,230 |
$382K |
| 71046 |
|
8,425 |
6,887 |
$348K |
| 96375 |
|
10,183 |
7,199 |
$323K |
| 70553 |
|
555 |
442 |
$319K |
| U0005 |
Infec agen detec ampli probe |
17,380 |
13,863 |
$312K |
| 43239 |
|
925 |
735 |
$287K |
| 97140 |
|
16,242 |
5,312 |
$285K |
| 71275 |
|
931 |
725 |
$277K |
| 96360 |
|
4,936 |
2,828 |
$275K |
| G0480 |
Drug test def 1-7 classes |
5,271 |
4,032 |
$273K |
| 99282 |
|
4,382 |
3,563 |
$264K |
| 96413 |
|
3,105 |
1,625 |
$264K |
| 80307 |
|
6,221 |
4,929 |
$239K |
| 85025 |
|
56,129 |
38,969 |
$236K |
| 71045 |
|
7,911 |
6,045 |
$228K |
| 72125 |
|
733 |
525 |
$196K |
| 97530 |
|
7,637 |
3,581 |
$187K |
| G0463 |
Hospital outpt clinic visit |
17,771 |
11,667 |
$186K |
| 80048 |
|
36,228 |
26,152 |
$171K |
| 80053 |
|
26,278 |
18,738 |
$145K |
| 87502 |
|
3,473 |
2,795 |
$129K |
| 76856 |
|
1,223 |
1,042 |
$129K |
| 77067 |
|
997 |
896 |
$127K |
| 87428 |
|
2,126 |
1,507 |
$124K |
| 76705 |
|
1,512 |
1,225 |
$121K |
| 87635 |
|
2,397 |
2,222 |
$119K |
| 84443 |
|
11,735 |
9,704 |
$118K |
| 80076 |
|
23,151 |
18,450 |
$107K |
| 87651 |
|
3,822 |
3,402 |
$107K |
| 76830 |
|
902 |
765 |
$104K |
| 97161 |
|
2,349 |
1,872 |
$98K |
| 74018 |
|
1,837 |
1,416 |
$93K |
| 76770 |
|
1,102 |
891 |
$91K |
| 0241U |
|
723 |
566 |
$88K |
| 97113 |
|
1,788 |
517 |
$87K |
| 64483 |
|
253 |
197 |
$86K |
| 96372 |
|
3,895 |
2,755 |
$85K |
| 97162 |
|
2,536 |
1,993 |
$84K |
| 20553 |
|
633 |
480 |
$75K |
| 73630 |
|
1,371 |
1,113 |
$74K |
| 76700 |
|
642 |
549 |
$73K |
| 73610 |
|
1,193 |
976 |
$73K |
| 84484 |
|
12,539 |
8,663 |
$70K |
| 93971 |
|
737 |
581 |
$65K |
| 59025 |
|
1,188 |
760 |
$64K |
| 80061 |
|
6,823 |
6,089 |
$63K |
| C9803 |
Hopd covid-19 spec collect |
5,406 |
4,350 |
$61K |
| 83735 |
|
17,886 |
12,334 |
$60K |
| 82306 |
|
2,811 |
2,477 |
$60K |
| J7050 |
Normal saline solution infus |
6,193 |
3,399 |
$59K |
| 93017 |
|
561 |
448 |
$58K |
| 72100 |
|
988 |
778 |
$55K |
| 97112 |
|
2,054 |
741 |
$55K |
| 0240U |
|
399 |
392 |
$53K |
| 96366 |
|
1,642 |
666 |
$48K |
| 97597 |
|
1,206 |
639 |
$48K |
| 73130 |
|
714 |
568 |
$47K |
| 87086 |
|
11,194 |
9,043 |
$47K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,772 |
1,347 |
$42K |
| 73564 |
|
642 |
522 |
$41K |
| 71250 |
|
287 |
204 |
$41K |
| 83690 |
|
9,857 |
7,808 |
$38K |
| 81001 |
|
20,668 |
16,565 |
$37K |
| 87389 |
|
1,487 |
1,313 |
$34K |
| 87491 |
|
1,655 |
1,442 |
$34K |
| 87591 |
|
1,655 |
1,442 |
$34K |
| 96376 |
|
1,224 |
911 |
$34K |
| 77063 |
|
997 |
896 |
$33K |
| 72148 |
|
122 |
92 |
$33K |
| 73030 |
|
702 |
566 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,929 |
6,217 |
$32K |
| 78452 |
|
66 |
54 |
$32K |
| 73110 |
|
497 |
399 |
$32K |
| 83880 |
|
1,745 |
1,309 |
$30K |
| 97165 |
|
759 |
543 |
$28K |
| 70551 |
|
82 |
68 |
$28K |
| 82728 |
|
3,064 |
2,583 |
$27K |
| 83036 |
|
4,171 |
3,601 |
$27K |
| 85027 |
|
6,960 |
5,323 |
$26K |
| 76642 |
|
353 |
259 |
$25K |
| 87040 |
|
2,390 |
1,801 |
$25K |
| 88305 |
|
998 |
677 |
$24K |
| 94060 |
|
438 |
350 |
$24K |
| 87636 |
|
188 |
182 |
$23K |
| 94640 |
|
1,702 |
972 |
$23K |
| 84702 |
|
1,888 |
1,447 |
$22K |
| 64493 |
|
75 |
51 |
$22K |
| 99281 |
|
786 |
689 |
$21K |
| 45380 |
|
50 |
42 |
$21K |
| J2704 |
Inj, propofol, 10 mg |
9,156 |
6,979 |
$21K |
| J3490 |
Drugs unclassified injection |
3,863 |
2,687 |
$20K |
| U0002 |
Covid-19 lab test non-cdc |
895 |
787 |
$19K |
| 80050 |
|
2,042 |
1,825 |
$19K |
| 73502 |
|
337 |
257 |
$19K |
| 84439 |
|
2,893 |
2,360 |
$18K |
| 84703 |
|
3,449 |
2,832 |
$18K |
| 93325 |
|
233 |
178 |
$18K |
| 83605 |
|
2,830 |
2,117 |
$17K |
| 87186 |
|
3,185 |
2,522 |
$16K |
| 87077 |
|
3,109 |
2,512 |
$16K |
| 82607 |
|
1,834 |
1,567 |
$15K |
| 86803 |
|
1,500 |
1,327 |
$15K |
| 87070 |
|
2,476 |
1,995 |
$15K |
| 70498 |
|
31 |
26 |
$15K |
| 83550 |
|
2,525 |
2,178 |
$15K |
| 87430 |
|
1,688 |
1,377 |
$14K |
| 87081 |
|
3,024 |
2,494 |
$14K |
| 70486 |
|
56 |
42 |
$14K |
| 81025 |
|
2,839 |
2,409 |
$14K |
| 86850 |
|
1,963 |
1,517 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
2,031 |
1,370 |
$13K |
| 76536 |
|
148 |
118 |
$13K |
| 76817 |
|
181 |
143 |
$13K |
| 69436 |
|
58 |
39 |
$13K |
| 73140 |
|
163 |
147 |
$13K |
| 80320 |
|
109 |
76 |
$12K |
| 86618 |
|
752 |
592 |
$12K |
| 76816 |
|
117 |
82 |
$12K |
| 83540 |
|
2,662 |
2,296 |
$12K |
| 36415 |
|
22,528 |
16,951 |
$11K |
| 64494 |
|
84 |
51 |
$11K |
| 76815 |
|
161 |
127 |
$11K |
| 83516 |
|
759 |
605 |
$11K |
| 94729 |
|
357 |
277 |
$10K |
| 86140 |
|
3,056 |
2,505 |
$10K |
| 70496 |
|
15 |
14 |
$10K |
| 87637 |
|
79 |
77 |
$10K |
| 85610 |
|
4,582 |
3,052 |
$10K |
| 96367 |
|
251 |
137 |
$10K |
| 80143 |
|
1,024 |
725 |
$9K |
| J1100 |
Dexamethasone sodium phos |
6,103 |
4,347 |
$9K |
| J2795 |
Ropivacaine hcl injection |
1,541 |
1,166 |
$9K |
| 64635 |
|
19 |
13 |
$8K |
| 77066 |
Tomosynthesis, mammo |
84 |
66 |
$8K |
| 77336 |
|
105 |
38 |
$8K |
| 87340 |
|
1,086 |
930 |
$8K |
| 71271 |
|
13 |
12 |
$8K |
| 36591 |
|
1,104 |
454 |
$8K |
| 85379 |
|
1,232 |
979 |
$8K |
| 87798 |
|
175 |
151 |
$8K |
| 80179 |
|
892 |
633 |
$8K |
| 62323 |
|
34 |
27 |
$8K |
| J0690 |
Cefazolin sodium injection |
2,903 |
1,901 |
$8K |
| 87807 |
|
761 |
601 |
$7K |
| 77065 |
Tomosynthesis, mammo |
99 |
58 |
$7K |
| 85651 |
|
2,982 |
2,442 |
$7K |
| 93225 |
|
95 |
83 |
$7K |
| 82784 |
|
650 |
527 |
$7K |
| 76811 |
|
65 |
52 |
$6K |
| J3010 |
Fentanyl citrate injection |
8,833 |
6,134 |
$6K |
| 83970 |
|
190 |
154 |
$6K |
| 72141 |
|
15 |
13 |
$6K |
| 86780 |
|
599 |
542 |
$6K |
| 74019 |
|
90 |
70 |
$6K |
| J2785 |
Regadenoson injection |
63 |
51 |
$6K |
| 87400 |
|
985 |
807 |
$6K |
| 74022 |
|
87 |
60 |
$6K |
| J2270 |
Morphine sulfate injection |
3,400 |
2,116 |
$6K |
| J1756 |
Iron sucrose injection |
243 |
80 |
$5K |
| G0108 |
Diab manage trn per indiv |
185 |
162 |
$5K |
| 95819 |
|
19 |
18 |
$5K |
| 64484 |
|
39 |
24 |
$5K |
| 97803 |
|
302 |
219 |
$5K |
| 86617 |
|
210 |
190 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
8,106 |
5,942 |
$5K |
| 72110 |
|
59 |
52 |
$5K |
| J2001 |
Lidocaine injection |
7,288 |
5,259 |
$5K |
| 87147 |
|
1,002 |
829 |
$5K |
| 97802 |
|
114 |
110 |
$5K |
| J2930 |
Methylprednisolone injection |
806 |
499 |
$5K |
| J2405 |
Ondansetron hcl injection |
12,317 |
8,508 |
$4K |
| 81003 |
|
3,658 |
3,048 |
$4K |
| 10060 |
|
44 |
37 |
$4K |
| 87205 |
|
1,611 |
1,267 |
$4K |
| J1040 |
Methylprednisolone 80 mg inj |
897 |
651 |
$4K |
| J3475 |
Inj magnesium sulfate |
1,056 |
604 |
$4K |
| 86900 |
|
2,103 |
1,609 |
$4K |
| 86901 |
|
2,103 |
1,609 |
$4K |
| 99218 |
|
296 |
63 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
9,141 |
6,152 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
97 |
90 |
$3K |
| J2060 |
Lorazepam injection |
2,062 |
1,449 |
$3K |
| 80047 |
|
556 |
471 |
$3K |
| 93321 |
|
70 |
51 |
$3K |
| A9500 |
Tc99m sestamibi |
53 |
41 |
$3K |
| 86706 |
|
345 |
303 |
$3K |
| 73562 |
|
25 |
25 |
$3K |
| 84100 |
|
936 |
630 |
$3K |
| 82043 |
|
674 |
586 |
$3K |
| 82550 |
|
607 |
466 |
$2K |
| 87185 |
|
1,499 |
1,195 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,551 |
1,154 |
$2K |
| 87880 |
|
278 |
206 |
$2K |
| 82948 |
|
1,711 |
791 |
$2K |
| 82150 |
|
598 |
452 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
1,354 |
1,000 |
$2K |
| 83615 |
|
560 |
433 |
$2K |
| J1650 |
Inj enoxaparin sodium |
719 |
274 |
$2K |
| 0598T |
|
36 |
27 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,885 |
685 |
$2K |
| S9982 |
Med record copy per page |
105 |
92 |
$2K |
| 85730 |
|
422 |
339 |
$2K |
| 64636 |
|
17 |
12 |
$2K |
| 93970 |
|
20 |
13 |
$2K |
| 97116 |
|
179 |
89 |
$2K |
| 90471 |
|
387 |
303 |
$2K |
| 76805 |
|
12 |
12 |
$2K |
| 87210 |
|
657 |
568 |
$2K |
| J7120 |
Ringers lactate infusion |
126 |
69 |
$2K |
| 84403 |
|
72 |
65 |
$2K |
| 90715 |
|
156 |
139 |
$1K |
| 77080 |
|
17 |
12 |
$1K |
| 76870 |
|
12 |
12 |
$1K |
| 12001 |
|
25 |
24 |
$1K |
| 87476 |
|
72 |
69 |
$1K |
| 86762 |
|
115 |
96 |
$1K |
| 86704 |
|
140 |
120 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
449 |
336 |
$1K |
| C1769 |
Guide wire |
35 |
27 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,671 |
1,125 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
181 |
116 |
$1K |
| 86039 |
|
134 |
121 |
$1K |
| 87804 |
|
121 |
97 |
$1K |
| 73080 |
|
26 |
24 |
$1K |
| J1815 |
Insulin injection |
119 |
51 |
$1K |
| J3480 |
Inj potassium chloride |
312 |
168 |
$1K |
| 84425 |
|
52 |
38 |
$1K |
| 29125 |
|
12 |
12 |
$952.56 |
| 86787 |
|
94 |
76 |
$947.84 |
| J8540 |
Oral dexamethasone |
705 |
401 |
$922.27 |
| Q9950 |
Inj sulf hexa lipid microsph |
36 |
26 |
$898.71 |
| 94727 |
|
51 |
41 |
$889.75 |
| J7060 |
5% dextrose/water |
82 |
24 |
$865.32 |
| 72050 |
|
16 |
13 |
$842.84 |
| 84402 |
|
42 |
36 |
$817.83 |
| 84460 |
|
254 |
211 |
$815.49 |
| 86308 |
|
190 |
161 |
$781.92 |
| 73090 |
|
14 |
12 |
$754.13 |
| 87902 |
|
13 |
13 |
$666.96 |
| 85048 |
|
492 |
422 |
$632.98 |
| 82565 |
|
197 |
165 |
$606.06 |
| A9552 |
F18 fdg |
13 |
12 |
$549.10 |
| J2765 |
Metoclopramide hcl injection |
740 |
511 |
$530.78 |
| 97535 |
|
68 |
42 |
$523.41 |
| 82746 |
|
42 |
27 |
$521.25 |
| 84270 |
|
26 |
24 |
$467.18 |
| 82570 |
|
120 |
106 |
$454.40 |
| J1170 |
Hydromorphone injection |
247 |
138 |
$451.88 |
| 94010 |
|
12 |
12 |
$450.12 |
| 82803 |
|
34 |
27 |
$442.26 |
| 93296 |
|
35 |
24 |
$390.34 |
| 82947 |
|
131 |
124 |
$383.56 |
| G0127 |
Trim nail(s) |
30 |
25 |
$346.54 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
737 |
461 |
$341.11 |
| 86431 |
|
77 |
65 |
$332.50 |
| J0780 |
Prochlorperazine injection |
56 |
51 |
$328.00 |
| 73590 |
|
16 |
12 |
$327.76 |
| 82105 |
|
29 |
24 |
$326.12 |
| 87207 |
|
61 |
55 |
$324.00 |
| 87150 |
|
15 |
15 |
$316.79 |
| 96415 |
|
20 |
13 |
$311.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,222 |
786 |
$296.05 |
| 80299 |
|
14 |
12 |
$280.48 |
| 84153 |
|
28 |
25 |
$272.29 |
| 85652 |
|
136 |
121 |
$237.11 |
| J2550 |
Promethazine hcl injection |
39 |
26 |
$232.32 |
| J0330 |
Succinycholine chloride inj |
35 |
27 |
$231.35 |
| 84156 |
|
89 |
80 |
$228.77 |
| 86038 |
|
27 |
25 |
$228.05 |
| 84165 |
|
33 |
29 |
$228.04 |
| 86753 |
|
16 |
13 |
$227.20 |
| 82962 |
|
174 |
137 |
$222.17 |
| 84550 |
|
67 |
57 |
$221.46 |
| 83520 |
|
16 |
14 |
$217.61 |
| 85018 |
|
159 |
115 |
$200.38 |
| 88738 |
|
107 |
76 |
$199.35 |
| S0119 |
Ondansetron 4 mg |
684 |
575 |
$198.38 |
| 87045 |
|
30 |
25 |
$197.95 |
| J7040 |
Normal saline solution infus |
20 |
12 |
$192.10 |
| S0028 |
Injection, famotidine, 20 mg |
254 |
191 |
$191.46 |
| 87177 |
|
28 |
26 |
$173.32 |
| J7999 |
Compounded drug, noc |
472 |
329 |
$169.58 |
| A6021 |
Collagen dressing <=16 sq in |
23 |
12 |
$166.29 |
| 88304 |
|
14 |
12 |
$147.78 |
| 83655 |
|
18 |
13 |
$137.93 |
| 82247 |
|
41 |
27 |
$132.68 |
| 87427 |
|
15 |
12 |
$117.59 |
| J2710 |
Neostigmine methylslfte inj |
42 |
24 |
$109.85 |
| G0008 |
Admin influenza virus vac |
19 |
18 |
$106.88 |
| J1020 |
Methylprednisolone 20 mg inj |
46 |
37 |
$105.31 |
| 90686 |
|
44 |
41 |
$104.23 |
| 86708 |
|
12 |
12 |
$103.94 |
| C9113 |
Inj pantoprazole sodium, via |
101 |
64 |
$99.65 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
43 |
17 |
$91.55 |
| 85007 |
|
76 |
41 |
$85.65 |
| J1010 |
Inj, methylpred acetate 1 mg |
107 |
97 |
$83.16 |
| 84075 |
|
28 |
24 |
$69.58 |
| 84450 |
|
13 |
12 |
$42.93 |
| 36416 |
|
17 |
12 |
$24.48 |
| 84132 |
|
12 |
12 |
$21.55 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
122 |
100 |
$16.24 |
| ATP17 |
|
13 |
12 |
$11.12 |
| J1642 |
Inj heparin sodium per 10 u |
18 |
15 |
$5.36 |
| Q0162 |
Ondansetron oral |
31 |
12 |
$4.26 |
| G8978 |
Mobility current status |
492 |
333 |
$0.00 |
| G8985 |
Carry goal status |
213 |
142 |
$0.00 |
| G8984 |
Carry current status |
118 |
80 |
$0.00 |
| G8979 |
Mobility goal status |
590 |
385 |
$0.00 |
| G8982 |
Body pos goal status |
44 |
28 |
$0.00 |
| G8980 |
Mobility d/c status |
67 |
42 |
$0.00 |