| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
|
195,260 |
181,790 |
$12.30M |
| 99211 |
|
92,058 |
82,140 |
$3.29M |
| 87633 |
|
7,393 |
7,139 |
$2.71M |
| 99213 |
|
21,576 |
8,898 |
$2.29M |
| 87637 |
|
13,133 |
12,945 |
$1.85M |
| 96374 |
|
13,735 |
13,608 |
$964K |
| 70450 |
|
4,513 |
4,433 |
$891K |
| 97530 |
|
18,652 |
8,063 |
$846K |
| 80053 |
|
77,837 |
75,070 |
$809K |
| 59025 |
|
21,174 |
17,416 |
$773K |
| 93005 |
|
22,376 |
21,502 |
$719K |
| 93306 |
|
4,435 |
4,419 |
$709K |
| Z7502 |
|
18,463 |
18,239 |
$678K |
| G0480 |
Drug test def 1-7 classes |
8,442 |
7,805 |
$673K |
| 74177 |
|
2,925 |
2,888 |
$668K |
| T1999 |
Noc retail items andsupplies |
178,492 |
94,217 |
$660K |
| 85025 |
|
83,278 |
79,873 |
$637K |
| 80307 |
|
10,808 |
10,025 |
$626K |
| 76815 |
|
9,114 |
7,932 |
$622K |
| U0002 |
Covid-19 lab test non-cdc |
9,791 |
9,455 |
$485K |
| 76705 |
|
6,699 |
6,579 |
$450K |
| 71046 |
|
17,605 |
17,235 |
$403K |
| 72125 |
|
1,422 |
1,400 |
$402K |
| 76811 |
|
3,583 |
3,573 |
$388K |
| 76856 |
|
5,073 |
5,056 |
$385K |
| 77067 |
|
3,102 |
3,100 |
$385K |
| 84443 |
|
22,117 |
21,601 |
$379K |
| 97799 |
|
13,227 |
3,044 |
$373K |
| 92507 |
|
3,180 |
1,607 |
$352K |
| 76830 |
|
4,251 |
4,236 |
$322K |
| 73721 |
|
621 |
618 |
$307K |
| 76801 |
|
4,234 |
3,932 |
$276K |
| 80061 |
|
19,821 |
19,740 |
$271K |
| 82306 |
|
8,778 |
8,753 |
$271K |
| 93303 |
|
1,316 |
1,309 |
$254K |
| 87491 |
|
6,302 |
6,220 |
$224K |
| 99243 |
|
3,348 |
3,343 |
$224K |
| 87591 |
|
6,252 |
6,175 |
$222K |
| Z7610 |
|
13,810 |
7,552 |
$217K |
| 83036 |
|
21,430 |
21,307 |
$212K |
| 86480 |
|
4,855 |
4,781 |
$205K |
| 93325 |
|
1,340 |
1,334 |
$198K |
| 76817 |
|
2,847 |
2,510 |
$194K |
| S0302 |
Completed epsdt |
1,721 |
809 |
$193K |
| 81001 |
|
56,377 |
54,098 |
$180K |
| 97110 |
|
7,923 |
3,234 |
$177K |
| 94640 |
|
5,357 |
5,095 |
$170K |
| 96375 |
|
3,730 |
3,601 |
$167K |
| 78452 |
|
773 |
772 |
$157K |
| 87536 |
|
1,750 |
1,737 |
$156K |
| 87088 |
|
19,270 |
18,599 |
$154K |
| 76770 |
|
1,675 |
1,672 |
$153K |
| 71275 |
|
623 |
616 |
$148K |
| 76816 |
|
2,265 |
2,225 |
$144K |
| G0108 |
Diab manage trn per indiv |
3,203 |
2,930 |
$142K |
| 73610 |
|
4,349 |
3,988 |
$133K |
| 87086 |
|
15,571 |
15,051 |
$130K |
| 73630 |
|
4,663 |
3,975 |
$130K |
| 93971 |
|
993 |
981 |
$127K |
| 88305 |
|
3,279 |
3,255 |
$109K |
| 81025 |
|
15,831 |
15,427 |
$106K |
| 73110 |
|
3,548 |
3,225 |
$106K |
| 83690 |
|
14,650 |
14,286 |
$100K |
| 73562 |
|
3,601 |
3,145 |
$96K |
| 76700 |
|
1,116 |
1,114 |
$95K |
| 93320 |
|
1,051 |
1,047 |
$95K |
| 77063 |
|
3,039 |
3,037 |
$95K |
| 87389 |
|
4,404 |
4,362 |
$89K |
| 86803 |
|
5,443 |
5,407 |
$79K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,159 |
5,970 |
$79K |
| 76642 |
|
1,123 |
1,105 |
$78K |
| 73030 |
|
2,549 |
2,407 |
$76K |
| 84484 |
|
6,284 |
5,845 |
$75K |
| 73130 |
|
2,471 |
2,204 |
$74K |
| 73080 |
|
2,127 |
1,919 |
$69K |
| 71250 |
|
332 |
332 |
$67K |
| 92523 |
|
520 |
511 |
$66K |
| 70551 |
|
128 |
128 |
$66K |
| 72110 |
|
1,174 |
1,170 |
$65K |
| 84439 |
|
6,930 |
6,862 |
$64K |
| 80048 |
|
7,691 |
7,461 |
$64K |
| 71045 |
|
5,252 |
5,125 |
$63K |
| 97165 |
|
928 |
927 |
$61K |
| 87430 |
|
4,077 |
4,050 |
$59K |
| Z7500 |
|
1,741 |
1,311 |
$59K |
| 76870 |
|
794 |
783 |
$59K |
| 74176 |
|
487 |
483 |
$59K |
| 70553 |
|
42 |
40 |
$54K |
| 84702 |
|
3,628 |
2,970 |
$53K |
| 74018 |
|
2,424 |
2,371 |
$52K |
| 93017 |
|
1,228 |
1,216 |
$52K |
| J1885 |
Ketorolac tromethamine inj |
6,402 |
5,977 |
$51K |
| 76805 |
|
461 |
458 |
$51K |
| 72148 |
|
86 |
86 |
$49K |
| 83880 |
|
1,674 |
1,628 |
$48K |
| 87186 |
|
4,882 |
4,758 |
$47K |
| 90378 |
|
17 |
12 |
$47K |
| 80081 |
|
648 |
617 |
$45K |
| 99367 |
|
752 |
750 |
$44K |
| 0450 |
|
1,366 |
1,242 |
$43K |
| 73590 |
|
1,670 |
1,518 |
$41K |
| A9502 |
Tc99m tetrofosmin |
670 |
669 |
$39K |
| 83550 |
|
4,344 |
4,273 |
$39K |
| 96365 |
|
463 |
450 |
$39K |
| 86361 |
|
1,498 |
1,487 |
$35K |
| L8699 |
Prosthetic implant nos |
13 |
13 |
$34K |
| J2785 |
Regadenoson injection |
276 |
276 |
$34K |
| 45378 |
|
742 |
740 |
$34K |
| 87040 |
|
2,180 |
2,056 |
$33K |
| 93225 |
|
923 |
919 |
$32K |
| 73502 |
|
1,003 |
946 |
$31K |
| 83605 |
|
2,579 |
2,446 |
$30K |
| 82570 |
|
5,797 |
5,689 |
$30K |
| 83540 |
|
4,513 |
4,440 |
$30K |
| T1024 |
Team evaluation & management |
907 |
532 |
$30K |
| 43239 |
|
582 |
581 |
$29K |
| 73140 |
|
1,490 |
1,380 |
$29K |
| 82728 |
|
2,096 |
2,088 |
$29K |
| 73560 |
|
1,438 |
1,267 |
$29K |
| 86756 |
|
1,789 |
1,721 |
$28K |
| 82962 |
|
7,671 |
7,176 |
$28K |
| 76536 |
|
430 |
430 |
$28K |
| 83970 |
|
1,248 |
1,242 |
$28K |
| 47562 |
|
93 |
91 |
$28K |
| 85610 |
|
9,507 |
7,516 |
$27K |
| 86850 |
|
2,851 |
2,774 |
$26K |
| 88304 |
|
938 |
937 |
$25K |
| 87205 |
|
5,224 |
5,053 |
$24K |
| 72100 |
|
686 |
682 |
$24K |
| 93970 |
|
119 |
118 |
$24K |
| 80069 |
|
2,686 |
2,572 |
$24K |
| 82043 |
|
3,836 |
3,825 |
$23K |
| 86703 |
|
1,356 |
1,343 |
$23K |
| 87400 |
|
3,873 |
3,788 |
$22K |
| 73090 |
|
852 |
781 |
$21K |
| 82746 |
|
1,351 |
1,343 |
$20K |
| 87340 |
|
1,930 |
1,913 |
$20K |
| 86140 |
|
3,693 |
3,572 |
$19K |
| 85027 |
|
2,909 |
2,800 |
$19K |
| 86706 |
|
1,744 |
1,725 |
$18K |
| 87081 |
|
2,672 |
2,659 |
$18K |
| J3490 |
Drugs unclassified injection |
657 |
413 |
$18K |
| 83655 |
|
3,058 |
3,014 |
$18K |
| 73221 |
|
44 |
44 |
$18K |
| 86787 |
|
1,285 |
1,248 |
$17K |
| 73000 |
|
638 |
577 |
$17K |
| A9585 |
Gadobutrol injection |
568 |
560 |
$17K |
| J0690 |
Cefazolin sodium injection |
3,066 |
2,745 |
$16K |
| 85730 |
|
2,766 |
2,701 |
$16K |
| J7030 |
Normal saline solution infus |
2,511 |
2,196 |
$16K |
| 86704 |
|
1,254 |
1,246 |
$15K |
| 87426 |
|
407 |
405 |
$14K |
| 86592 |
|
3,319 |
3,284 |
$14K |
| 87899 |
|
485 |
467 |
$14K |
| 86709 |
|
1,213 |
1,206 |
$14K |
| 72070 |
|
385 |
384 |
$14K |
| 73552 |
|
551 |
503 |
$14K |
| 84238 |
|
325 |
325 |
$13K |
| 93226 |
|
225 |
224 |
$13K |
| 83735 |
|
1,852 |
1,710 |
$12K |
| 99368 |
|
748 |
537 |
$12K |
| 71260 |
|
43 |
42 |
$12K |
| 76000 |
|
430 |
428 |
$11K |
| 86900 |
|
3,836 |
3,664 |
$11K |
| 86901 |
|
3,779 |
3,657 |
$11K |
| 82274 |
|
756 |
749 |
$11K |
| 80076 |
|
1,325 |
1,302 |
$11K |
| 85007 |
|
2,835 |
2,730 |
$11K |
| 84425 |
|
464 |
463 |
$10K |
| 84703 |
|
1,288 |
1,271 |
$9K |
| 84235 |
|
131 |
128 |
$9K |
| 85652 |
|
3,324 |
3,211 |
$9K |
| 77066 |
Tomosynthesis, mammo |
68 |
67 |
$9K |
| 87798 |
|
209 |
207 |
$8K |
| J2405 |
Ondansetron hcl injection |
2,118 |
1,960 |
$8K |
| 86038 |
|
936 |
926 |
$8K |
| 73564 |
|
214 |
180 |
$7K |
| 97140 |
|
219 |
120 |
$7K |
| 82607 |
|
472 |
469 |
$7K |
| 84156 |
|
2,155 |
2,066 |
$7K |
| 82247 |
|
1,226 |
909 |
$7K |
| 90686 |
|
370 |
368 |
$6K |
| 80055 |
|
119 |
118 |
$6K |
| 72081 |
|
189 |
189 |
$6K |
| 82525 |
|
440 |
439 |
$6K |
| 85379 |
|
596 |
589 |
$6K |
| 86762 |
|
232 |
231 |
$6K |
| 84630 |
|
537 |
536 |
$6K |
| 70498 |
|
25 |
25 |
$6K |
| 86780 |
|
458 |
445 |
$5K |
| Q0111 |
Wet mounts/ w preparations |
1,429 |
1,277 |
$5K |
| G0109 |
Diab manage trn ind/group |
261 |
163 |
$5K |
| 84481 |
|
285 |
282 |
$5K |
| 87077 |
|
692 |
692 |
$5K |
| 85018 |
|
2,020 |
1,820 |
$5K |
| J2001 |
Lidocaine injection |
1,304 |
1,263 |
$5K |
| 87210 |
|
427 |
416 |
$5K |
| 87045 |
|
474 |
467 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
919 |
885 |
$5K |
| 82550 |
|
695 |
668 |
$4K |
| 84590 |
|
362 |
361 |
$4K |
| 94060 |
|
135 |
134 |
$4K |
| 75574 |
|
16 |
16 |
$4K |
| 84460 |
|
755 |
736 |
$4K |
| 81002 |
|
1,216 |
1,206 |
$4K |
| 45380 |
|
79 |
79 |
$4K |
| 99199 |
|
76 |
70 |
$4K |
| G0442 |
Annual alcohol screen 15 min |
173 |
172 |
$4K |
| 82248 |
|
712 |
686 |
$4K |
| 82784 |
|
255 |
247 |
$3K |
| 83525 |
|
300 |
300 |
$3K |
| 77080 |
|
78 |
78 |
$3K |
| 83516 |
|
233 |
227 |
$3K |
| 70486 |
|
12 |
12 |
$3K |
| 77065 |
Tomosynthesis, mammo |
31 |
29 |
$3K |
| 72190 |
|
81 |
81 |
$3K |
| 86039 |
|
315 |
312 |
$3K |
| 84100 |
|
558 |
527 |
$3K |
| 84403 |
|
116 |
115 |
$3K |
| 84550 |
|
572 |
549 |
$3K |
| G0279 |
Tomosynthesis, mammo |
93 |
92 |
$2K |
| J1439 |
Inj ferric carboxymaltos 1mg |
367 |
365 |
$2K |
| 92526 |
|
51 |
25 |
$2K |
| 84450 |
|
417 |
401 |
$2K |
| 92587 |
|
28 |
28 |
$2K |
| 72052 |
|
37 |
37 |
$2K |
| J0780 |
Prochlorperazine injection |
184 |
178 |
$2K |
| 90656 |
|
84 |
84 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
42 |
41 |
$2K |
| 94375 |
|
73 |
71 |
$2K |
| 76813 |
|
27 |
27 |
$2K |
| 82950 |
|
400 |
399 |
$2K |
| J2270 |
Morphine sulfate injection |
263 |
236 |
$2K |
| 73100 |
|
83 |
69 |
$2K |
| 86308 |
|
316 |
314 |
$2K |
| J3010 |
Fentanyl citrate injection |
429 |
416 |
$2K |
| 76882 |
|
136 |
136 |
$2K |
| 92567 |
|
37 |
37 |
$1K |
| 82565 |
|
275 |
265 |
$1K |
| 88262 |
|
12 |
12 |
$1K |
| 71020 |
|
42 |
40 |
$1K |
| 73060 |
|
57 |
55 |
$1K |
| 73070 |
|
51 |
50 |
$1K |
| 86341 |
|
55 |
55 |
$1K |
| 83014 |
|
163 |
163 |
$1K |
| 72170 |
|
48 |
48 |
$1K |
| 73660 |
|
66 |
62 |
$1K |
| 84153 |
|
58 |
55 |
$1K |
| 86376 |
|
87 |
86 |
$1K |
| 82951 |
|
85 |
83 |
$1K |
| 87046 |
|
199 |
199 |
$994.79 |
| 94726 |
|
26 |
26 |
$974.37 |
| 82652 |
|
48 |
47 |
$940.00 |
| 88720 |
|
217 |
178 |
$934.88 |
| 86593 |
|
213 |
212 |
$932.80 |
| J7050 |
Normal saline solution infus |
204 |
186 |
$923.95 |
| 94729 |
|
25 |
25 |
$879.90 |
| J2250 |
Inj midazolam hydrochloride |
285 |
280 |
$862.03 |
| J2372 |
Inj, biorphen, 20 micrograms |
177 |
176 |
$772.90 |
| S0020 |
Injection, bupivicaine hydro |
86 |
86 |
$716.88 |
| 82610 |
|
47 |
47 |
$694.60 |
| 82105 |
|
40 |
40 |
$657.54 |
| 86360 |
|
14 |
13 |
$633.63 |
| 85045 |
|
138 |
135 |
$586.22 |
| 84402 |
|
25 |
25 |
$562.50 |
| 92582 |
|
13 |
13 |
$543.71 |
| 83001 |
|
50 |
50 |
$472.56 |
| 83520 |
|
27 |
27 |
$458.12 |
| 84146 |
|
24 |
24 |
$454.09 |
| J1030 |
Methylprednisolone 40 mg inj |
32 |
30 |
$408.29 |
| 84520 |
|
112 |
106 |
$396.84 |
| 94664 |
|
46 |
45 |
$379.50 |
| 73600 |
|
16 |
13 |
$372.45 |
| 86430 |
|
59 |
57 |
$370.10 |
| 87070 |
|
41 |
40 |
$345.83 |
| 82803 |
|
14 |
13 |
$345.67 |
| 97535 |
|
14 |
13 |
$335.92 |
| J2704 |
Inj, propofol, 10 mg |
112 |
110 |
$334.20 |
| J2370 |
Phenylephrine hcl injection |
42 |
41 |
$314.61 |
| 73620 |
|
16 |
13 |
$293.67 |
| 82310 |
|
54 |
54 |
$293.65 |
| 93270 |
|
12 |
12 |
$271.36 |
| 82270 |
|
58 |
57 |
$263.72 |
| 70360 |
|
12 |
12 |
$250.20 |
| 87147 |
|
44 |
41 |
$246.62 |
| 86255 |
|
14 |
12 |
$237.94 |
| 82977 |
|
29 |
28 |
$229.74 |
| J7613 |
Albuterol non-comp unit |
3,270 |
2,935 |
$198.40 |
| 92551 |
|
12 |
12 |
$196.68 |
| J0696 |
Ceftriaxone sodium injection |
30 |
28 |
$191.56 |
| 87209 |
|
43 |
40 |
$185.41 |
| 87177 |
|
43 |
40 |
$184.97 |
| J2765 |
Metoclopramide hcl injection |
42 |
39 |
$183.12 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$143.60 |
| 97162 |
|
25 |
25 |
$140.16 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
29 |
29 |
$126.28 |
| 83002 |
|
12 |
12 |
$117.78 |
| 0270 |
|
49 |
24 |
$105.86 |
| J1100 |
Dexamethasone sodium phos |
13 |
13 |
$62.82 |
| J0461 |
Atropine sulfate injection |
13 |
13 |
$54.17 |
| 36415 |
|
3,616 |
3,445 |
$45.67 |
| G0008 |
Admin influenza virus vac |
81 |
81 |
$0.00 |
| G8978 |
Mobility current status |
30 |
29 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| G8979 |
Mobility goal status |
59 |
58 |
$0.00 |