| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,210 |
18,312 |
$4.07M |
| 99285 |
|
13,764 |
11,760 |
$2.96M |
| 99283 |
|
19,705 |
17,310 |
$2.93M |
| 96374 |
|
11,705 |
9,750 |
$1.14M |
| G0378 |
Hospital observation per hr |
2,549 |
1,869 |
$888K |
| 97110 |
|
17,783 |
4,111 |
$656K |
| 74177 |
|
3,286 |
2,957 |
$526K |
| 87502 |
|
6,242 |
5,464 |
$368K |
| 94640 |
|
4,454 |
2,574 |
$351K |
| 96365 |
|
3,945 |
3,069 |
$348K |
| 71045 |
|
10,345 |
8,735 |
$325K |
| 71046 |
|
7,555 |
6,695 |
$320K |
| 96360 |
|
2,625 |
2,331 |
$271K |
| 80307 |
|
6,768 |
5,707 |
$268K |
| U0002 |
Covid-19 lab test non-cdc |
7,789 |
6,820 |
$254K |
| 96372 |
|
9,570 |
7,850 |
$254K |
| 93306 |
|
1,544 |
1,415 |
$253K |
| 96361 |
|
8,350 |
6,862 |
$253K |
| 93005 |
|
12,084 |
9,927 |
$252K |
| 99291 |
|
1,053 |
929 |
$249K |
| 87634 |
|
5,506 |
4,856 |
$242K |
| 80053 |
|
32,040 |
25,167 |
$212K |
| 86900 |
|
3,723 |
3,162 |
$202K |
| 70450 |
|
4,350 |
3,812 |
$185K |
| 85025 |
|
38,062 |
28,489 |
$178K |
| 74176 |
|
1,882 |
1,707 |
$165K |
| 74018 |
|
3,140 |
2,792 |
$156K |
| 96375 |
|
8,444 |
6,804 |
$149K |
| 99282 |
|
1,528 |
1,372 |
$143K |
| 87426 |
|
4,530 |
4,057 |
$137K |
| 87491 |
|
4,520 |
3,995 |
$126K |
| 87591 |
|
4,525 |
3,992 |
$125K |
| 76801 |
|
1,645 |
1,291 |
$110K |
| 36415 |
|
40,645 |
30,961 |
$96K |
| G0480 |
Drug test def 1-7 classes |
1,533 |
1,250 |
$89K |
| 86850 |
|
3,397 |
2,930 |
$87K |
| 84443 |
|
7,379 |
6,635 |
$84K |
| 87804 |
|
7,098 |
3,270 |
$78K |
| 76856 |
|
1,146 |
1,055 |
$76K |
| 87651 |
|
2,993 |
2,725 |
$76K |
| 80074 |
|
2,176 |
1,940 |
$75K |
| 77067 |
|
895 |
854 |
$71K |
| 86901 |
|
3,734 |
3,169 |
$64K |
| 73630 |
|
1,479 |
1,329 |
$63K |
| 97162 |
|
1,274 |
1,142 |
$55K |
| 83880 |
|
3,843 |
3,247 |
$54K |
| 76817 |
|
723 |
563 |
$53K |
| 84484 |
|
8,209 |
6,456 |
$52K |
| 80061 |
|
5,367 |
4,929 |
$50K |
| 73610 |
|
1,003 |
903 |
$48K |
| 88142 |
|
2,676 |
2,439 |
$45K |
| 88305 |
|
1,176 |
702 |
$44K |
| 76805 |
|
621 |
549 |
$44K |
| 87389 |
|
2,148 |
1,919 |
$40K |
| 81001 |
|
18,912 |
16,027 |
$39K |
| 73562 |
|
943 |
836 |
$38K |
| 72148 |
|
431 |
382 |
$38K |
| 82306 |
|
1,811 |
1,667 |
$37K |
| 82553 |
|
6,862 |
5,418 |
$34K |
| 73030 |
|
958 |
858 |
$34K |
| 81025 |
|
5,850 |
5,110 |
$34K |
| 96366 |
|
727 |
444 |
$34K |
| 76830 |
|
499 |
459 |
$33K |
| 76705 |
|
503 |
469 |
$32K |
| 83036 |
|
4,796 |
4,396 |
$30K |
| 87430 |
|
2,460 |
2,260 |
$30K |
| 73130 |
|
679 |
600 |
$30K |
| 87086 |
|
5,212 |
4,512 |
$29K |
| 76700 |
|
391 |
374 |
$27K |
| 82550 |
|
8,538 |
5,834 |
$26K |
| 80048 |
|
4,927 |
4,172 |
$26K |
| M0243 |
Casirivi and imdevi inj |
264 |
202 |
$25K |
| 97165 |
|
631 |
580 |
$25K |
| 97530 |
|
689 |
249 |
$22K |
| 87428 |
|
385 |
365 |
$22K |
| 84702 |
|
2,021 |
1,545 |
$22K |
| 90471 |
|
801 |
697 |
$21K |
| 83690 |
|
5,220 |
4,525 |
$21K |
| 72110 |
|
379 |
353 |
$21K |
| 87040 |
|
2,752 |
2,205 |
$20K |
| 84439 |
|
2,721 |
2,492 |
$18K |
| 87081 |
|
3,347 |
3,067 |
$18K |
| 72125 |
|
487 |
438 |
$18K |
| 73110 |
|
389 |
353 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
299 |
285 |
$17K |
| 83605 |
|
3,257 |
2,666 |
$16K |
| 86762 |
|
1,304 |
1,161 |
$15K |
| 87186 |
|
2,532 |
2,204 |
$15K |
| 87077 |
|
2,605 |
2,258 |
$14K |
| 73564 |
|
242 |
223 |
$14K |
| 36600 |
|
534 |
433 |
$14K |
| 87420 |
|
1,167 |
1,056 |
$13K |
| 72100 |
|
232 |
218 |
$13K |
| 85610 |
|
5,201 |
4,067 |
$12K |
| 85379 |
|
2,277 |
2,020 |
$12K |
| 73721 |
|
68 |
65 |
$11K |
| 85730 |
|
3,335 |
2,955 |
$10K |
| 93971 |
|
259 |
239 |
$10K |
| 86592 |
|
2,940 |
2,594 |
$10K |
| 99281 |
|
167 |
149 |
$9K |
| 83735 |
|
2,972 |
2,173 |
$9K |
| 12001 |
|
82 |
79 |
$9K |
| 82962 |
|
5,214 |
3,027 |
$9K |
| 87150 |
|
424 |
361 |
$8K |
| 82803 |
|
794 |
632 |
$8K |
| 82728 |
|
1,016 |
919 |
$8K |
| 71275 |
|
123 |
113 |
$7K |
| 70553 |
|
30 |
27 |
$7K |
| 82607 |
|
851 |
783 |
$7K |
| 73502 |
|
208 |
192 |
$6K |
| U0005 |
Infec agen detec ampli probe |
354 |
338 |
$6K |
| 31720 |
|
50 |
41 |
$6K |
| 84703 |
|
1,035 |
919 |
$6K |
| 97161 |
|
161 |
136 |
$6K |
| 85027 |
|
1,092 |
986 |
$5K |
| 86140 |
|
1,603 |
1,251 |
$5K |
| 76536 |
|
69 |
65 |
$5K |
| 83655 |
|
457 |
424 |
$5K |
| 87807 |
|
430 |
384 |
$5K |
| 87635 |
|
147 |
137 |
$4K |
| 83540 |
|
1,084 |
988 |
$4K |
| 97140 |
|
279 |
113 |
$4K |
| J0561 |
Penicillin g benzathine inj |
42 |
24 |
$4K |
| 83550 |
|
772 |
702 |
$4K |
| 85651 |
|
1,369 |
1,160 |
$4K |
| 83525 |
|
401 |
352 |
$4K |
| 87660 |
|
238 |
208 |
$3K |
| 97014 |
|
499 |
130 |
$3K |
| 87480 |
|
239 |
209 |
$3K |
| 80069 |
|
1,031 |
621 |
$3K |
| 70486 |
|
45 |
38 |
$3K |
| 86308 |
|
638 |
563 |
$3K |
| 87510 |
|
239 |
209 |
$3K |
| 74022 |
|
41 |
36 |
$2K |
| 0012A |
|
90 |
88 |
$2K |
| 82950 |
|
664 |
577 |
$2K |
| 76641 |
|
44 |
37 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,419 |
4,697 |
$2K |
| 71250 |
|
83 |
72 |
$2K |
| 96367 |
|
90 |
74 |
$2K |
| 0011A |
|
92 |
89 |
$2K |
| 82248 |
|
380 |
261 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| 86665 |
|
47 |
43 |
$2K |
| 76642 |
|
40 |
38 |
$1K |
| 73090 |
|
29 |
25 |
$1K |
| 82105 |
|
110 |
99 |
$1K |
| 51702 |
|
42 |
36 |
$1K |
| 93880 |
|
26 |
26 |
$1K |
| 87070 |
|
204 |
184 |
$1K |
| 82247 |
|
276 |
172 |
$1K |
| 83001 |
|
86 |
80 |
$1K |
| 80076 |
|
215 |
189 |
$1K |
| 97032 |
|
168 |
64 |
$1K |
| 76770 |
|
13 |
13 |
$1K |
| 86769 |
|
28 |
28 |
$1K |
| 82150 |
|
190 |
176 |
$1K |
| 84403 |
|
52 |
50 |
$965.73 |
| 86481 |
|
14 |
12 |
$911.70 |
| 82677 |
|
43 |
38 |
$874.50 |
| 86765 |
|
70 |
64 |
$845.68 |
| 81003 |
|
546 |
489 |
$840.90 |
| 82397 |
|
59 |
51 |
$770.72 |
| 70496 |
|
12 |
12 |
$684.73 |
| 86336 |
|
43 |
38 |
$668.74 |
| 99211 |
|
110 |
95 |
$637.07 |
| 85007 |
|
208 |
189 |
$626.02 |
| 82565 |
|
172 |
137 |
$582.78 |
| 73140 |
|
14 |
13 |
$570.80 |
| 90686 |
|
42 |
34 |
$557.80 |
| 73080 |
|
12 |
12 |
$555.58 |
| 87205 |
|
181 |
161 |
$555.16 |
| 86663 |
|
42 |
40 |
$537.69 |
| 73590 |
|
13 |
12 |
$433.46 |
| 97016 |
|
56 |
24 |
$428.17 |
| 82043 |
|
154 |
140 |
$427.06 |
| A9270 |
Non-covered item or service |
9,119 |
5,919 |
$420.43 |
| 88304 |
|
13 |
12 |
$394.56 |
| 87210 |
|
105 |
93 |
$393.05 |
| 36592 |
|
10,875 |
9,020 |
$389.79 |
| 84100 |
|
175 |
134 |
$361.05 |
| J1170 |
Hydromorphone injection |
1,994 |
1,491 |
$276.86 |
| 84520 |
|
85 |
71 |
$236.74 |
| 82951 |
|
34 |
27 |
$234.46 |
| J2405 |
Ondansetron hcl injection |
7,284 |
5,862 |
$171.37 |
| J0696 |
Ceftriaxone sodium injection |
4,261 |
3,345 |
$167.08 |
| 82947 |
|
64 |
48 |
$161.12 |
| 84146 |
|
15 |
13 |
$137.23 |
| J1100 |
Dexamethasone sodium phos |
4,149 |
3,656 |
$113.20 |
| 82270 |
|
66 |
54 |
$111.48 |
| 87184 |
|
13 |
12 |
$92.84 |
| 80305 |
|
13 |
13 |
$92.65 |
| J1885 |
Ketorolac tromethamine inj |
6,175 |
5,133 |
$84.05 |
| 96376 |
|
1,673 |
1,069 |
$71.07 |
| 82746 |
|
12 |
12 |
$66.55 |
| J2550 |
Promethazine hcl injection |
1,532 |
1,173 |
$66.13 |
| 84550 |
|
28 |
25 |
$64.67 |
| J2919 |
Inj, methylpred sod succ 5mg |
191 |
119 |
$45.72 |
| J1200 |
Diphenhydramine hcl injectio |
1,563 |
1,281 |
$42.02 |
| J3010 |
Fentanyl citrate injection |
1,389 |
1,200 |
$30.43 |
| J2704 |
Inj, propofol, 10 mg |
2,243 |
1,958 |
$29.22 |
| J2360 |
Orphenadrine injection |
510 |
450 |
$22.28 |
| J2270 |
Morphine sulfate injection |
1,769 |
1,396 |
$18.67 |
| J0134 |
Inj acetaminophen -fresenius |
921 |
796 |
$13.96 |
| J2250 |
Inj midazolam hydrochloride |
1,162 |
993 |
$12.51 |
| 77063 |
|
688 |
649 |
$12.40 |
| 94760 |
|
665 |
293 |
$10.63 |
| J2060 |
Lorazepam injection |
417 |
335 |
$10.28 |
| J2272 |
Inj, morphine (fresenius) |
257 |
217 |
$9.05 |
| C9113 |
Inj pantoprazole sodium, via |
181 |
83 |
$8.25 |
| J2930 |
Methylprednisolone injection |
1,338 |
920 |
$4.00 |
| J1650 |
Inj enoxaparin sodium |
736 |
381 |
$1.35 |
| J0690 |
Cefazolin sodium injection |
295 |
249 |
$1.22 |
| J0780 |
Prochlorperazine injection |
244 |
222 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
568 |
468 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
24 |
24 |
$0.00 |
| 90715 |
|
628 |
565 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
195 |
175 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
62 |
51 |
$0.00 |
| G8979 |
Mobility goal status |
38 |
37 |
$0.00 |
| A9577 |
Inj multihance |
62 |
56 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
46 |
27 |
$0.00 |
| 84145 |
|
53 |
40 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
28 |
26 |
$0.00 |
| J1940 |
Furosemide injection |
483 |
276 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
150 |
135 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
244 |
209 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
283 |
83 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
85 |
72 |
$0.00 |
| 94761 |
|
89 |
38 |
$0.00 |
| J3360 |
Diazepam injection |
19 |
13 |
$0.00 |
| J0500 |
Dicyclomine injection |
13 |
13 |
$0.00 |
| 80050 |
|
14 |
14 |
$0.00 |