| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,353 |
21,899 |
$2.67M |
| 99283 |
|
23,159 |
21,432 |
$2.33M |
| 96361 |
|
8,592 |
7,323 |
$2.27M |
| 99285 |
|
9,740 |
8,091 |
$1.13M |
| 70450 |
|
2,229 |
1,887 |
$480K |
| 74177 |
|
1,989 |
1,653 |
$478K |
| 96365 |
|
2,554 |
1,654 |
$358K |
| G0463 |
Hospital outpt clinic visit |
4,815 |
2,848 |
$287K |
| 74176 |
|
1,053 |
819 |
$254K |
| 59025 |
|
1,735 |
952 |
$245K |
| C9803 |
Hopd covid-19 spec collect |
5,979 |
5,069 |
$192K |
| 80053 |
|
8,704 |
7,430 |
$173K |
| 43239 |
|
448 |
386 |
$169K |
| 94640 |
|
1,383 |
1,021 |
$157K |
| 80048 |
|
25,997 |
21,353 |
$138K |
| 99282 |
|
1,136 |
1,061 |
$117K |
| 45385 |
|
228 |
185 |
$112K |
| 93306 |
|
631 |
551 |
$95K |
| 96360 |
|
665 |
528 |
$95K |
| 71275 |
|
374 |
262 |
$92K |
| 84443 |
|
4,660 |
4,251 |
$78K |
| 85025 |
|
33,301 |
27,699 |
$76K |
| 97110 |
|
1,073 |
337 |
$72K |
| 45380 |
|
162 |
124 |
$71K |
| 96366 |
|
330 |
161 |
$71K |
| 92507 |
|
594 |
203 |
$51K |
| 96413 |
|
584 |
356 |
$45K |
| 80307 |
|
3,620 |
3,142 |
$44K |
| 83036 |
|
3,644 |
3,421 |
$43K |
| 99213 |
|
738 |
537 |
$43K |
| 76705 |
|
387 |
333 |
$40K |
| 99281 |
|
390 |
375 |
$38K |
| 99211 |
|
597 |
457 |
$37K |
| 82306 |
|
2,397 |
2,235 |
$36K |
| G0378 |
Hospital observation per hr |
962 |
535 |
$36K |
| 80061 |
|
2,862 |
2,627 |
$34K |
| G0447 |
Behavior counsel obesity 15m |
216 |
190 |
$31K |
| 80076 |
|
11,522 |
9,915 |
$30K |
| 84484 |
|
8,389 |
6,301 |
$29K |
| 87591 |
|
1,103 |
1,010 |
$28K |
| 86592 |
|
987 |
913 |
$27K |
| 86900 |
|
1,141 |
959 |
$26K |
| 80069 |
|
1,644 |
1,465 |
$26K |
| 83970 |
|
1,264 |
1,168 |
$25K |
| 71046 |
|
2,150 |
2,001 |
$24K |
| 87491 |
|
1,107 |
1,015 |
$24K |
| 87086 |
|
3,857 |
3,180 |
$23K |
| 36415 |
|
14,587 |
12,022 |
$23K |
| 88305 |
|
2,185 |
1,513 |
$22K |
| 78452 |
|
71 |
51 |
$22K |
| 87806 |
|
461 |
414 |
$20K |
| 77063 |
|
521 |
475 |
$18K |
| 82607 |
|
1,102 |
1,032 |
$16K |
| 86850 |
|
1,000 |
856 |
$12K |
| 71260 |
|
112 |
87 |
$12K |
| 71045 |
|
9,829 |
8,475 |
$12K |
| 72110 |
|
280 |
238 |
$12K |
| 11042 |
|
181 |
130 |
$11K |
| 82728 |
|
740 |
674 |
$11K |
| G0480 |
Drug test def 1-7 classes |
1,297 |
1,067 |
$11K |
| 74018 |
|
451 |
347 |
$11K |
| 71250 |
|
132 |
106 |
$11K |
| 77067 |
|
519 |
475 |
$11K |
| 93005 |
|
12,103 |
10,200 |
$10K |
| 86803 |
|
516 |
457 |
$10K |
| J3490 |
Drugs unclassified injection |
840 |
625 |
$10K |
| 88175 |
|
576 |
544 |
$9K |
| 87624 |
|
249 |
235 |
$9K |
| 99214 |
|
76 |
74 |
$9K |
| 84439 |
|
748 |
627 |
$9K |
| 93017 |
|
119 |
92 |
$8K |
| 86901 |
|
1,141 |
959 |
$8K |
| 76775 |
|
74 |
61 |
$8K |
| 87340 |
|
519 |
448 |
$8K |
| 72125 |
|
415 |
329 |
$8K |
| 82746 |
|
827 |
774 |
$7K |
| 83550 |
|
770 |
708 |
$7K |
| 72131 |
|
122 |
87 |
$7K |
| 84702 |
|
740 |
575 |
$7K |
| 84550 |
|
1,476 |
1,255 |
$7K |
| 96372 |
|
6,118 |
5,160 |
$6K |
| 83540 |
|
787 |
719 |
$6K |
| 93976 |
|
83 |
68 |
$6K |
| 97161 |
|
161 |
125 |
$6K |
| 87081 |
|
947 |
849 |
$6K |
| 73030 |
|
303 |
237 |
$6K |
| 73630 |
|
607 |
492 |
$6K |
| 85027 |
|
1,432 |
979 |
$5K |
| 81001 |
|
11,276 |
9,844 |
$5K |
| 85014 |
|
917 |
835 |
$5K |
| 76805 |
|
25 |
25 |
$5K |
| 76856 |
|
28 |
25 |
$5K |
| 93971 |
|
46 |
37 |
$5K |
| 87804 |
|
9,781 |
6,082 |
$5K |
| 86762 |
|
298 |
274 |
$4K |
| 96374 |
|
13,573 |
11,388 |
$4K |
| 82950 |
|
332 |
311 |
$4K |
| 76642 |
|
36 |
25 |
$4K |
| 96367 |
|
38 |
24 |
$4K |
| 73610 |
|
337 |
277 |
$4K |
| 90715 |
|
250 |
205 |
$4K |
| 87426 |
|
7,854 |
6,800 |
$4K |
| 85018 |
|
1,491 |
1,180 |
$3K |
| 83735 |
|
1,069 |
731 |
$3K |
| 85610 |
|
2,894 |
2,205 |
$3K |
| 73130 |
|
319 |
264 |
$3K |
| 76816 |
|
14 |
14 |
$3K |
| Q0138 |
Ferumoxytol, non-esrd |
18 |
12 |
$3K |
| 84153 |
|
183 |
163 |
$3K |
| 76536 |
|
28 |
26 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
16 |
12 |
$3K |
| 93356 |
|
12 |
12 |
$3K |
| 73502 |
|
120 |
85 |
$3K |
| 71271 |
|
14 |
13 |
$3K |
| 12001 |
|
20 |
15 |
$2K |
| 82962 |
|
2,131 |
1,172 |
$2K |
| 87880 |
|
4,124 |
3,728 |
$2K |
| 70551 |
|
13 |
12 |
$2K |
| 83690 |
|
7,948 |
6,747 |
$2K |
| 81003 |
|
4,976 |
4,362 |
$2K |
| 70553 |
|
12 |
12 |
$2K |
| 82565 |
|
309 |
245 |
$2K |
| 86880 |
|
149 |
129 |
$2K |
| 83605 |
|
1,538 |
1,122 |
$2K |
| 83880 |
|
1,010 |
759 |
$2K |
| 96375 |
|
9,850 |
7,973 |
$2K |
| 88142 |
|
78 |
78 |
$1K |
| 70486 |
|
15 |
13 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
1,854 |
916 |
$1K |
| 83525 |
|
55 |
52 |
$1K |
| 96376 |
|
889 |
508 |
$1K |
| 85379 |
|
1,571 |
1,280 |
$1K |
| J7030 |
Normal saline solution infus |
6,632 |
4,740 |
$1K |
| 85730 |
|
2,264 |
1,794 |
$1K |
| J7040 |
Normal saline solution infus |
965 |
639 |
$1K |
| 94664 |
|
218 |
111 |
$1K |
| 82043 |
|
159 |
146 |
$1K |
| 86140 |
|
88 |
74 |
$1K |
| 81025 |
|
5,417 |
4,705 |
$1K |
| 87040 |
|
737 |
475 |
$1K |
| 97530 |
|
58 |
30 |
$1K |
| 73110 |
|
58 |
54 |
$1K |
| 82570 |
|
327 |
221 |
$994.98 |
| 87186 |
|
941 |
776 |
$986.21 |
| 82784 |
|
59 |
58 |
$982.14 |
| 74420 |
|
15 |
13 |
$963.32 |
| J1170 |
Hydromorphone injection |
1,725 |
1,083 |
$897.09 |
| 83615 |
|
339 |
226 |
$884.11 |
| 87070 |
|
1,241 |
999 |
$757.43 |
| 87661 |
|
32 |
29 |
$755.61 |
| 76801 |
|
13 |
13 |
$738.33 |
| 82150 |
|
1,175 |
997 |
$730.26 |
| 84156 |
|
335 |
225 |
$729.62 |
| 99204 |
|
13 |
13 |
$676.68 |
| 84100 |
|
183 |
108 |
$637.12 |
| 82803 |
|
404 |
257 |
$598.05 |
| 84403 |
|
18 |
12 |
$578.17 |
| 82105 |
|
19 |
16 |
$466.40 |
| G0483 |
Drug test def 22+ classes |
38 |
34 |
$463.57 |
| J7050 |
Normal saline solution infus |
3,053 |
1,601 |
$438.17 |
| 36591 |
|
463 |
276 |
$421.13 |
| 87798 |
|
17 |
15 |
$418.97 |
| 87280 |
|
588 |
520 |
$399.63 |
| 86706 |
|
28 |
28 |
$394.51 |
| 85651 |
|
71 |
60 |
$383.60 |
| J3010 |
Fentanyl citrate injection |
2,798 |
2,106 |
$379.39 |
| 73560 |
|
193 |
139 |
$361.28 |
| U0005 |
Infec agen detec ampli probe |
16 |
12 |
$350.68 |
| 00731 |
|
51 |
44 |
$328.72 |
| J7120 |
Ringers lactate infusion |
944 |
634 |
$322.14 |
| 83516 |
|
14 |
12 |
$322.10 |
| J2405 |
Ondansetron hcl injection |
8,879 |
7,047 |
$313.74 |
| J1885 |
Ketorolac tromethamine inj |
6,228 |
5,360 |
$306.50 |
| 73590 |
|
34 |
24 |
$302.02 |
| 97597 |
|
36 |
26 |
$292.52 |
| 87077 |
|
726 |
606 |
$281.83 |
| J2550 |
Promethazine hcl injection |
735 |
461 |
$233.60 |
| J0696 |
Ceftriaxone sodium injection |
930 |
652 |
$206.87 |
| J2270 |
Morphine sulfate injection |
1,131 |
710 |
$175.61 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,338 |
3,633 |
$167.72 |
| 85007 |
|
144 |
98 |
$162.09 |
| 87088 |
|
35 |
33 |
$148.28 |
| 86704 |
|
12 |
12 |
$134.44 |
| 82947 |
|
14 |
13 |
$129.13 |
| J1644 |
Inj heparin sodium per 1000u |
523 |
196 |
$124.12 |
| 94762 |
|
879 |
812 |
$121.55 |
| 87205 |
|
1,019 |
787 |
$106.75 |
| J1100 |
Dexamethasone sodium phos |
2,727 |
2,189 |
$76.65 |
| 88304 |
|
64 |
44 |
$74.71 |
| C9113 |
Inj pantoprazole sodium, via |
50 |
30 |
$67.59 |
| J0780 |
Prochlorperazine injection |
140 |
98 |
$66.00 |
| J1650 |
Inj enoxaparin sodium |
50 |
26 |
$61.75 |
| 84145 |
|
115 |
71 |
$58.73 |
| 85652 |
|
12 |
12 |
$54.31 |
| J8540 |
Oral dexamethasone |
137 |
110 |
$52.11 |
| J1200 |
Diphenhydramine hcl injectio |
905 |
677 |
$46.40 |
| 90471 |
|
281 |
230 |
$40.01 |
| 0012A |
|
25 |
24 |
$37.98 |
| J0690 |
Cefazolin sodium injection |
854 |
586 |
$35.04 |
| J2930 |
Methylprednisolone injection |
375 |
272 |
$33.42 |
| J2060 |
Lorazepam injection |
394 |
278 |
$31.79 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
13 |
$29.34 |
| 82010 |
|
101 |
68 |
$29.26 |
| J2765 |
Metoclopramide hcl injection |
329 |
246 |
$22.74 |
| 80329 |
|
13 |
12 |
$22.48 |
| 80348 |
|
158 |
124 |
$17.13 |
| 82247 |
|
23 |
13 |
$16.63 |
| 84703 |
|
13 |
12 |
$14.88 |
| J2250 |
Inj midazolam hydrochloride |
1,141 |
832 |
$11.72 |
| J0689 |
Inj cefazolin sodium, baxter |
184 |
176 |
$10.61 |
| J2704 |
Inj, propofol, 10 mg |
329 |
313 |
$9.36 |
| J2360 |
Orphenadrine injection |
45 |
42 |
$7.15 |
| J3475 |
Inj magnesium sulfate |
20 |
13 |
$6.30 |
| J7512 |
Prednisone ir or dr oral 1mg |
252 |
207 |
$3.95 |
| C1769 |
Guide wire |
278 |
177 |
$0.00 |
| 94760 |
|
4,339 |
3,440 |
$0.00 |
| A9585 |
Gadobutrol injection |
80 |
70 |
$0.00 |
| 91301 |
|
54 |
48 |
$0.00 |
| J2785 |
Regadenoson injection |
18 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
75 |
53 |
$0.00 |
| 88342 |
|
19 |
15 |
$0.00 |
| 0011A |
|
32 |
31 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
32 |
19 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
390 |
311 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
51 |
35 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
21 |
14 |
$0.00 |
| 84450 |
|
22 |
12 |
$0.00 |
| 00812 |
|
13 |
13 |
$0.00 |
| 84460 |
|
22 |
12 |
$0.00 |
| 80305 |
|
27 |
25 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
14 |
13 |
$0.00 |