| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
103,802 |
100,288 |
$15.06M |
| 99284 |
|
48,556 |
46,324 |
$13.80M |
| U0003 |
Cov-19 amp prb hgh thruput |
66,206 |
57,381 |
$5.62M |
| 0241U |
|
25,488 |
24,484 |
$4.71M |
| C9803 |
Hopd covid-19 spec collect |
71,427 |
63,177 |
$1.95M |
| 0225U |
|
4,256 |
3,802 |
$1.54M |
| U0005 |
Infec agen detec ampli probe |
49,362 |
43,147 |
$1.41M |
| 99285 |
|
3,691 |
3,474 |
$1.33M |
| A0431 |
Rotary wing air transport |
570 |
340 |
$1.10M |
| 99282 |
|
13,105 |
12,775 |
$1.09M |
| G0463 |
Hospital outpt clinic visit |
40,881 |
36,092 |
$993K |
| 85025 |
|
110,594 |
95,176 |
$956K |
| 95810 |
|
962 |
928 |
$901K |
| 71046 |
|
8,485 |
8,175 |
$729K |
| 93005 |
|
12,392 |
11,608 |
$661K |
| G0378 |
Hospital observation per hr |
3,105 |
2,639 |
$584K |
| 80053 |
|
56,596 |
45,177 |
$554K |
| 87591 |
|
11,772 |
11,265 |
$380K |
| 96374 |
|
7,943 |
6,988 |
$370K |
| 87491 |
|
11,088 |
10,604 |
$362K |
| J0585 |
Injection,onabotulinumtoxina |
348 |
325 |
$301K |
| A0436 |
Rotary wing air mileage |
568 |
338 |
$261K |
| 96413 |
|
2,788 |
1,651 |
$256K |
| P9016 |
Rbc leukocytes reduced |
1,009 |
934 |
$233K |
| 36455 |
|
671 |
636 |
$213K |
| 88305 |
|
1,323 |
1,249 |
$208K |
| 96375 |
|
3,086 |
2,108 |
$156K |
| 86780 |
|
8,218 |
7,785 |
$153K |
| 43239 |
|
219 |
210 |
$147K |
| 86703 |
|
8,516 |
8,086 |
$139K |
| 95782 |
|
163 |
162 |
$138K |
| 92507 |
|
1,614 |
540 |
$137K |
| 87651 |
|
3,014 |
2,917 |
$125K |
| 84443 |
|
5,255 |
4,985 |
$115K |
| 87088 |
|
10,112 |
9,634 |
$112K |
| 82728 |
|
5,162 |
4,517 |
$96K |
| 81001 |
|
25,083 |
23,933 |
$94K |
| A0425 |
Ground mileage |
829 |
498 |
$94K |
| 82306 |
|
2,547 |
2,474 |
$94K |
| A0427 |
Als1-emergency |
287 |
169 |
$92K |
| J3490 |
Drugs unclassified injection |
5,538 |
3,741 |
$91K |
| 80048 |
|
11,967 |
10,903 |
$91K |
| 81025 |
|
10,898 |
10,389 |
$91K |
| 70553 |
|
76 |
76 |
$90K |
| 86850 |
|
5,292 |
4,580 |
$83K |
| 99157 |
|
195 |
191 |
$82K |
| J9271 |
Inj pembrolizumab |
65 |
50 |
$81K |
| 36430 |
|
173 |
102 |
$63K |
| 86922 |
|
427 |
397 |
$61K |
| 85045 |
|
11,038 |
9,935 |
$61K |
| 83020 |
|
3,176 |
3,014 |
$58K |
| 86762 |
|
2,748 |
2,609 |
$55K |
| 82570 |
|
6,778 |
6,293 |
$53K |
| 76770 |
|
311 |
310 |
$50K |
| 84439 |
|
3,956 |
3,845 |
$49K |
| 87631 |
|
563 |
548 |
$48K |
| 86787 |
|
2,613 |
2,484 |
$46K |
| 62323 |
|
252 |
250 |
$46K |
| 97110 |
|
517 |
161 |
$44K |
| 87641 |
|
1,834 |
1,764 |
$44K |
| 94640 |
|
630 |
590 |
$44K |
| A0426 |
Als 1 |
362 |
218 |
$43K |
| 36415 |
|
18,237 |
15,392 |
$43K |
| 87633 |
|
171 |
153 |
$43K |
| 11042 |
|
612 |
445 |
$42K |
| 80307 |
|
592 |
515 |
$39K |
| 88142 |
|
1,373 |
1,291 |
$38K |
| 80061 |
|
2,201 |
2,078 |
$37K |
| 86923 |
|
326 |
278 |
$37K |
| 36591 |
|
2,290 |
1,363 |
$36K |
| 74177 |
|
41 |
38 |
$36K |
| 86803 |
|
1,642 |
1,540 |
$35K |
| 87340 |
|
2,805 |
2,667 |
$35K |
| 80069 |
|
3,282 |
3,031 |
$35K |
| 96372 |
|
1,171 |
1,035 |
$35K |
| 81003 |
|
11,562 |
10,982 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
707 |
579 |
$32K |
| 84156 |
|
6,068 |
5,496 |
$30K |
| 86902 |
|
986 |
918 |
$30K |
| 83735 |
|
6,007 |
4,848 |
$30K |
| 82962 |
|
7,901 |
7,397 |
$30K |
| J2469 |
Palonosetron hcl |
114 |
75 |
$30K |
| 87081 |
|
3,659 |
3,526 |
$27K |
| 84484 |
|
2,277 |
1,931 |
$26K |
| P9040 |
Rbc leukoreduced irradiated |
84 |
76 |
$24K |
| 86900 |
|
5,977 |
5,163 |
$24K |
| 71250 |
|
134 |
128 |
$24K |
| 86901 |
|
5,977 |
5,163 |
$24K |
| 96361 |
|
317 |
222 |
$24K |
| 83021 |
|
979 |
924 |
$23K |
| 82784 |
|
727 |
720 |
$23K |
| 83615 |
|
2,836 |
2,600 |
$23K |
| 70450 |
|
57 |
49 |
$22K |
| 82951 |
|
1,118 |
1,014 |
$21K |
| 83690 |
|
2,417 |
2,263 |
$21K |
| 70551 |
|
24 |
24 |
$20K |
| 87880 |
|
1,473 |
1,443 |
$20K |
| 96376 |
|
215 |
82 |
$18K |
| J0561 |
Penicillin g benzathine inj |
80 |
60 |
$18K |
| 85027 |
|
1,996 |
1,645 |
$18K |
| J7030 |
Normal saline solution infus |
2,762 |
1,304 |
$17K |
| 87150 |
|
404 |
391 |
$17K |
| 71260 |
|
54 |
51 |
$17K |
| 96365 |
|
147 |
108 |
$15K |
| 83036 |
|
1,084 |
1,006 |
$14K |
| J0475 |
Baclofen 10 mg injection |
40 |
36 |
$14K |
| 82610 |
|
558 |
544 |
$12K |
| 84466 |
|
666 |
592 |
$12K |
| 86160 |
|
429 |
423 |
$12K |
| J1100 |
Dexamethasone sodium phos |
1,529 |
1,344 |
$11K |
| 86141 |
|
651 |
636 |
$11K |
| 83540 |
|
1,170 |
1,081 |
$11K |
| 84100 |
|
4,099 |
3,216 |
$10K |
| 78815 |
|
27 |
27 |
$10K |
| 74240 |
|
25 |
25 |
$10K |
| 82607 |
|
432 |
415 |
$10K |
| 86162 |
|
411 |
405 |
$10K |
| 85660 |
|
983 |
915 |
$9K |
| 87430 |
|
642 |
635 |
$9K |
| 82950 |
|
1,455 |
1,423 |
$9K |
| 99155 |
|
59 |
55 |
$8K |
| 92567 |
|
337 |
324 |
$8K |
| 83970 |
|
242 |
229 |
$8K |
| 92588 |
|
54 |
54 |
$8K |
| M0243 |
Casirivi and imdevi inj |
27 |
26 |
$7K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
746 |
627 |
$7K |
| 84300 |
|
1,120 |
1,107 |
$7K |
| 74018 |
|
65 |
64 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
1,191 |
1,107 |
$7K |
| 93886 |
|
27 |
25 |
$6K |
| 87077 |
|
571 |
543 |
$6K |
| 84133 |
|
1,100 |
1,088 |
$6K |
| 87070 |
|
532 |
523 |
$6K |
| 87635 |
|
87 |
83 |
$6K |
| 83880 |
|
134 |
118 |
$6K |
| 84702 |
|
476 |
427 |
$6K |
| 80197 |
|
2,502 |
1,850 |
$6K |
| 85007 |
|
1,244 |
938 |
$6K |
| 84703 |
|
484 |
451 |
$5K |
| 82550 |
|
725 |
718 |
$5K |
| 87661 |
|
160 |
154 |
$5K |
| 82565 |
|
767 |
738 |
$5K |
| 86832 |
|
172 |
165 |
$4K |
| 80051 |
|
587 |
570 |
$4K |
| 83002 |
|
152 |
148 |
$4K |
| 87799 |
|
1,096 |
954 |
$4K |
| 86833 |
|
172 |
165 |
$4K |
| 83001 |
|
139 |
135 |
$4K |
| 76937 |
|
73 |
70 |
$3K |
| 87497 |
|
758 |
678 |
$3K |
| 92579 |
|
59 |
57 |
$3K |
| 82657 |
|
71 |
68 |
$3K |
| J3535 |
Metered dose inhaler drug |
67 |
66 |
$3K |
| 84403 |
|
71 |
71 |
$3K |
| 82043 |
|
378 |
372 |
$3K |
| 84425 |
|
90 |
80 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
205 |
201 |
$3K |
| 85652 |
|
802 |
787 |
$3K |
| 87502 |
|
39 |
38 |
$2K |
| 86592 |
|
466 |
457 |
$2K |
| 87636 |
|
12 |
12 |
$2K |
| 0352U |
|
81 |
78 |
$2K |
| 84305 |
|
117 |
117 |
$2K |
| J2001 |
Lidocaine injection |
339 |
300 |
$2K |
| 82670 |
|
53 |
50 |
$2K |
| 82088 |
|
35 |
35 |
$2K |
| 82746 |
|
84 |
74 |
$2K |
| 0202U |
|
34 |
31 |
$2K |
| 88342 |
|
13 |
13 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
181 |
165 |
$2K |
| 87205 |
|
277 |
256 |
$2K |
| A9585 |
Gadobutrol injection |
56 |
52 |
$2K |
| 87624 |
|
54 |
52 |
$2K |
| J2405 |
Ondansetron hcl injection |
410 |
371 |
$1K |
| 99281 |
|
26 |
26 |
$1K |
| 84550 |
|
872 |
860 |
$1K |
| G0482 |
Drug test def 15-21 classes |
42 |
42 |
$1K |
| 82040 |
|
169 |
153 |
$1K |
| 82157 |
|
26 |
26 |
$1K |
| 82105 |
|
66 |
66 |
$1K |
| 87210 |
|
233 |
214 |
$1K |
| 96417 |
|
17 |
12 |
$1K |
| 96366 |
|
31 |
15 |
$1K |
| 82677 |
|
42 |
42 |
$1K |
| A4217 |
Sterile water/saline, 500 ml |
241 |
221 |
$1K |
| 82627 |
|
28 |
28 |
$1K |
| A9552 |
F18 fdg |
13 |
12 |
$1K |
| 83655 |
|
68 |
65 |
$1K |
| 84244 |
|
32 |
32 |
$876.80 |
| 97161 |
|
12 |
12 |
$876.03 |
| J1170 |
Hydromorphone injection |
32 |
12 |
$872.23 |
| 64642 |
|
14 |
14 |
$858.70 |
| 64644 |
|
16 |
12 |
$850.80 |
| 86336 |
|
42 |
42 |
$838.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
15 |
12 |
$746.29 |
| 85018 |
|
260 |
245 |
$731.32 |
| S0020 |
Injection, bupivicaine hydro |
202 |
182 |
$699.10 |
| 85014 |
|
261 |
241 |
$693.38 |
| 86769 |
|
42 |
41 |
$678.37 |
| 97530 |
|
16 |
12 |
$653.28 |
| 82340 |
|
84 |
82 |
$538.67 |
| 87496 |
|
174 |
136 |
$530.04 |
| J0690 |
Cefazolin sodium injection |
116 |
97 |
$481.07 |
| Q3014 |
Telehealth facility fee |
100 |
80 |
$468.80 |
| 80177 |
|
30 |
26 |
$457.38 |
| 83520 |
|
27 |
27 |
$446.85 |
| 87389 |
|
12 |
12 |
$426.10 |
| 76377 |
|
64 |
64 |
$385.65 |
| 84153 |
|
26 |
24 |
$335.50 |
| J7120 |
Ringers lactate infusion |
44 |
39 |
$308.56 |
| G0239 |
Oth resp proc, group |
73 |
13 |
$292.66 |
| 84075 |
|
196 |
173 |
$284.37 |
| 82310 |
|
158 |
142 |
$271.30 |
| 84481 |
|
12 |
12 |
$262.39 |
| 87040 |
|
13 |
13 |
$249.38 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
52 |
42 |
$236.28 |
| J2250 |
Inj midazolam hydrochloride |
75 |
74 |
$233.63 |
| 90471 |
|
13 |
13 |
$191.52 |
| 80500 |
|
13 |
12 |
$178.80 |
| 83605 |
|
13 |
12 |
$178.24 |
| 87522 |
Neg quan hep c or qual rna |
18 |
15 |
$170.44 |
| 82378 |
|
17 |
12 |
$165.48 |
| 84165 |
|
27 |
26 |
$163.00 |
| 85730 |
|
42 |
38 |
$142.12 |
| 84520 |
|
771 |
740 |
$126.90 |
| 82947 |
|
606 |
586 |
$115.38 |
| 84155 |
|
187 |
169 |
$108.07 |
| J3010 |
Fentanyl citrate injection |
25 |
24 |
$100.96 |
| 87186 |
|
13 |
12 |
$97.57 |
| 82248 |
|
13 |
13 |
$96.73 |
| 85610 |
|
61 |
51 |
$94.46 |
| 83521 |
|
27 |
26 |
$82.82 |
| G1010 |
Cdsm stanson |
766 |
588 |
$56.55 |
| 84436 |
|
41 |
39 |
$49.96 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$43.42 |
| C1894 |
Intro/sheath, non-laser |
15 |
14 |
$22.25 |
| C1769 |
Guide wire |
13 |
12 |
$15.77 |
| 84132 |
|
13 |
12 |
$5.72 |
| 0100U |
|
49 |
45 |
$0.00 |