| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
31,421 |
24,113 |
$10.66M |
| 99283 |
|
34,253 |
28,159 |
$6.21M |
| 99285 |
|
12,561 |
7,349 |
$5.58M |
| 74177 |
|
8,038 |
6,036 |
$2.75M |
| 70450 |
|
6,820 |
5,190 |
$1.06M |
| 92507 |
|
11,989 |
3,254 |
$886K |
| 74176 |
|
3,422 |
2,604 |
$795K |
| 87637 |
|
6,418 |
5,692 |
$759K |
| G0378 |
Hospital observation per hr |
11,186 |
5,385 |
$754K |
| 71045 |
|
16,123 |
10,956 |
$679K |
| 99282 |
|
5,941 |
5,376 |
$658K |
| 93306 |
|
2,053 |
1,801 |
$602K |
| G0463 |
Hospital outpt clinic visit |
7,162 |
5,492 |
$594K |
| 43239 |
|
1,531 |
1,040 |
$588K |
| 96365 |
|
5,809 |
2,558 |
$583K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,357 |
6,873 |
$570K |
| 96361 |
|
8,084 |
3,653 |
$538K |
| 11042 |
|
3,396 |
1,336 |
$533K |
| 93005 |
|
16,591 |
13,414 |
$515K |
| 80307 |
|
12,723 |
10,207 |
$485K |
| 96374 |
|
8,221 |
4,282 |
$460K |
| 36415 |
|
132,923 |
70,401 |
$439K |
| 97110 |
|
9,971 |
2,909 |
$425K |
| G0379 |
Direct refer hospital observ |
1,372 |
1,046 |
$412K |
| 71046 |
|
7,664 |
6,119 |
$399K |
| 41899 |
|
205 |
198 |
$387K |
| 72148 |
|
1,182 |
1,058 |
$366K |
| 76705 |
|
2,711 |
2,405 |
$346K |
| 80053 |
|
47,018 |
36,236 |
$334K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,146 |
9,114 |
$320K |
| 72125 |
|
2,138 |
1,808 |
$312K |
| 85025 |
|
57,377 |
43,505 |
$310K |
| 96360 |
|
3,165 |
2,255 |
$306K |
| 96375 |
|
5,350 |
3,079 |
$283K |
| 70553 |
|
645 |
515 |
$264K |
| 71260 |
|
1,173 |
880 |
$260K |
| 96372 |
|
11,044 |
5,032 |
$254K |
| 71275 |
|
914 |
769 |
$225K |
| 77067 |
|
2,826 |
2,621 |
$217K |
| 94640 |
|
4,823 |
3,660 |
$214K |
| 78452 |
|
377 |
242 |
$196K |
| 88305 |
|
3,767 |
3,267 |
$191K |
| 97112 |
|
3,419 |
997 |
$184K |
| 87491 |
|
5,259 |
4,855 |
$178K |
| 45380 |
|
374 |
284 |
$172K |
| 0202U |
|
515 |
411 |
$168K |
| G0480 |
Drug test def 1-7 classes |
3,347 |
2,571 |
$168K |
| 87591 |
|
5,112 |
4,811 |
$162K |
| 84443 |
|
10,586 |
9,593 |
$159K |
| 80061 |
|
12,488 |
11,010 |
$154K |
| 71250 |
|
1,018 |
823 |
$147K |
| 73630 |
|
2,916 |
2,414 |
$146K |
| 80050 |
|
6,824 |
6,180 |
$143K |
| 97530 |
|
3,300 |
1,185 |
$142K |
| 87502 |
|
2,873 |
2,458 |
$133K |
| 70551 |
|
425 |
388 |
$126K |
| 76801 |
|
757 |
642 |
$117K |
| 74018 |
|
2,222 |
1,863 |
$114K |
| 82306 |
|
4,582 |
4,212 |
$109K |
| 96366 |
|
1,300 |
640 |
$108K |
| 73562 |
|
1,918 |
1,531 |
$105K |
| 73610 |
|
2,138 |
1,740 |
$102K |
| 72100 |
|
1,704 |
1,394 |
$97K |
| C9803 |
Hopd covid-19 spec collect |
6,930 |
5,505 |
$96K |
| 73130 |
|
1,929 |
1,590 |
$96K |
| 95810 |
|
151 |
131 |
$95K |
| U0005 |
Infec agen detec ampli probe |
4,518 |
3,795 |
$93K |
| 87661 |
|
2,945 |
2,789 |
$92K |
| 73030 |
|
2,085 |
1,613 |
$89K |
| 59025 |
|
777 |
410 |
$89K |
| 97140 |
|
2,932 |
1,100 |
$89K |
| 99291 |
|
160 |
87 |
$87K |
| 77063 |
|
3,276 |
2,813 |
$85K |
| 99211 |
|
4,048 |
3,354 |
$83K |
| 73721 |
|
237 |
220 |
$83K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,096 |
919 |
$82K |
| 96376 |
|
1,731 |
931 |
$79K |
| 81001 |
|
28,708 |
23,579 |
$73K |
| 84439 |
|
8,900 |
8,137 |
$72K |
| 80048 |
|
12,962 |
9,709 |
$70K |
| 93017 |
|
434 |
366 |
$68K |
| 87086 |
|
11,224 |
9,286 |
$67K |
| 76536 |
|
454 |
415 |
$66K |
| J2405 |
Ondansetron hcl injection |
17,217 |
12,605 |
$65K |
| 76856 |
|
542 |
499 |
$64K |
| 76817 |
|
578 |
486 |
$64K |
| 99213 |
|
2,504 |
2,217 |
$64K |
| 87389 |
|
2,978 |
2,779 |
$64K |
| 72131 |
|
534 |
385 |
$63K |
| 84484 |
|
7,694 |
5,137 |
$60K |
| 73110 |
|
967 |
802 |
$57K |
| 99212 |
|
2,006 |
1,725 |
$57K |
| J1885 |
Ketorolac tromethamine inj |
10,620 |
8,695 |
$56K |
| 76642 |
|
608 |
555 |
$55K |
| 82947 |
|
7,932 |
3,434 |
$54K |
| 97161 |
|
1,077 |
704 |
$53K |
| 83036 |
|
6,995 |
6,367 |
$53K |
| 84702 |
|
4,343 |
3,109 |
$52K |
| J1100 |
Dexamethasone sodium phos |
11,202 |
9,478 |
$52K |
| 80074 |
|
1,307 |
1,187 |
$52K |
| 76819 |
|
436 |
239 |
$50K |
| 93971 |
|
393 |
362 |
$50K |
| A9500 |
Tc99m sestamibi |
241 |
195 |
$48K |
| 76830 |
|
274 |
249 |
$47K |
| 76770 |
|
374 |
323 |
$47K |
| 72110 |
|
438 |
375 |
$47K |
| 82607 |
|
3,460 |
3,136 |
$46K |
| 99214 |
|
2,163 |
1,863 |
$45K |
| 45385 |
|
66 |
58 |
$44K |
| 81513 |
|
657 |
528 |
$43K |
| 87651 |
|
2,118 |
1,952 |
$43K |
| 96413 |
|
236 |
99 |
$40K |
| 88342 |
|
863 |
766 |
$40K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,146 |
1,028 |
$40K |
| J0696 |
Ceftriaxone sodium injection |
5,540 |
3,835 |
$39K |
| 83690 |
|
9,059 |
7,743 |
$39K |
| 83735 |
|
9,298 |
6,371 |
$38K |
| 86803 |
|
3,023 |
2,827 |
$38K |
| 84703 |
|
7,994 |
7,090 |
$38K |
| 83874 |
|
4,167 |
2,283 |
$38K |
| J3010 |
Fentanyl citrate injection |
7,632 |
6,153 |
$37K |
| 76815 |
|
368 |
303 |
$37K |
| J2704 |
Inj, propofol, 10 mg |
4,898 |
4,075 |
$37K |
| 70486 |
|
250 |
232 |
$37K |
| 87040 |
|
3,778 |
2,939 |
$35K |
| 99218 |
|
822 |
325 |
$35K |
| 87077 |
|
6,466 |
4,759 |
$35K |
| 87186 |
|
6,025 |
4,409 |
$34K |
| J2270 |
Morphine sulfate injection |
7,764 |
5,125 |
$34K |
| 83880 |
|
1,768 |
1,460 |
$33K |
| 82728 |
|
2,444 |
2,210 |
$28K |
| 96367 |
|
614 |
340 |
$28K |
| 86900 |
|
1,739 |
1,425 |
$26K |
| 94060 |
|
213 |
163 |
$26K |
| 73560 |
|
502 |
386 |
$25K |
| 83605 |
|
3,863 |
3,073 |
$25K |
| 74022 |
|
359 |
331 |
$25K |
| 80081 |
|
381 |
364 |
$24K |
| 87070 |
|
3,641 |
2,424 |
$23K |
| 73502 |
|
534 |
424 |
$23K |
| J1650 |
Inj enoxaparin sodium |
1,828 |
946 |
$22K |
| J1815 |
Insulin injection |
1,556 |
741 |
$22K |
| 81025 |
|
4,540 |
4,038 |
$21K |
| 87801 |
|
485 |
434 |
$21K |
| 85610 |
|
6,951 |
5,105 |
$21K |
| 76818 |
|
165 |
107 |
$21K |
| 87522 |
Neg quan hep c or qual rna |
483 |
422 |
$20K |
| J1170 |
Hydromorphone injection |
3,459 |
2,157 |
$20K |
| 82553 |
|
3,018 |
1,786 |
$20K |
| 82550 |
|
5,174 |
3,482 |
$20K |
| 83550 |
|
2,700 |
2,485 |
$20K |
| 84145 |
|
1,515 |
1,357 |
$19K |
| 69436 |
|
29 |
28 |
$19K |
| Q0162 |
Ondansetron oral |
3,698 |
3,105 |
$19K |
| 87804 |
|
1,325 |
628 |
$18K |
| 83540 |
|
3,146 |
2,890 |
$18K |
| 76820 |
|
238 |
133 |
$17K |
| 80055 |
|
337 |
316 |
$17K |
| 87641 |
|
693 |
637 |
$17K |
| J2550 |
Promethazine hcl injection |
4,952 |
3,418 |
$17K |
| 72141 |
|
29 |
29 |
$17K |
| 96523 |
|
1,073 |
548 |
$16K |
| 94760 |
|
1,301 |
1,061 |
$16K |
| J2785 |
Regadenoson injection |
140 |
107 |
$16K |
| 82803 |
|
1,220 |
987 |
$16K |
| 82077 |
|
1,452 |
1,289 |
$16K |
| 82746 |
|
1,306 |
1,204 |
$16K |
| 85730 |
|
3,258 |
2,773 |
$15K |
| 73590 |
|
360 |
287 |
$15K |
| 76775 |
|
150 |
128 |
$15K |
| 87636 |
|
94 |
92 |
$14K |
| 76805 |
|
119 |
101 |
$14K |
| 87481 |
|
460 |
421 |
$14K |
| 95806 |
|
92 |
89 |
$14K |
| 85379 |
|
2,296 |
2,040 |
$13K |
| 85027 |
|
2,281 |
1,846 |
$13K |
| A9577 |
Inj multihance |
311 |
263 |
$13K |
| 87653 |
|
362 |
342 |
$12K |
| C1729 |
Cath, drainage |
901 |
748 |
$12K |
| 58558 |
|
14 |
12 |
$12K |
| 88304 |
|
423 |
383 |
$12K |
| 86140 |
|
3,400 |
2,934 |
$12K |
| 87430 |
|
1,229 |
1,098 |
$12K |
| 77066 |
Tomosynthesis, mammo |
89 |
74 |
$11K |
| J1642 |
Inj heparin sodium per 10 u |
4,303 |
1,798 |
$11K |
| 87081 |
|
1,605 |
1,451 |
$11K |
| 86787 |
|
888 |
845 |
$11K |
| 81003 |
|
2,695 |
2,273 |
$11K |
| J2360 |
Orphenadrine injection |
1,077 |
919 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
2,883 |
2,334 |
$10K |
| 97162 |
|
159 |
143 |
$10K |
| 80076 |
|
1,379 |
1,200 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
2,618 |
1,971 |
$9K |
| 73221 |
|
14 |
13 |
$9K |
| J0690 |
Cefazolin sodium injection |
1,553 |
1,190 |
$9K |
| 87635 |
|
191 |
177 |
$9K |
| 85652 |
|
4,048 |
3,593 |
$9K |
| 84403 |
|
365 |
311 |
$9K |
| J0330 |
Succinycholine chloride inj |
932 |
741 |
$9K |
| 73090 |
|
196 |
173 |
$9K |
| L4387 |
Non-pneum walk boot pre ots |
102 |
81 |
$8K |
| J0780 |
Prochlorperazine injection |
993 |
766 |
$8K |
| J3490 |
Drugs unclassified injection |
984 |
638 |
$8K |
| J2930 |
Methylprednisolone injection |
1,086 |
797 |
$8K |
| 87205 |
|
2,186 |
1,845 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
182 |
160 |
$8K |
| 90471 |
|
777 |
649 |
$8K |
| 94729 |
|
220 |
203 |
$8K |
| M0243 |
Casirivi and imdevi inj |
23 |
22 |
$8K |
| 90715 |
|
425 |
348 |
$8K |
| 84100 |
|
2,347 |
1,260 |
$8K |
| 93975 |
|
27 |
26 |
$8K |
| 80069 |
|
857 |
666 |
$7K |
| 77065 |
Tomosynthesis, mammo |
92 |
82 |
$7K |
| 82248 |
|
1,992 |
1,585 |
$7K |
| G0103 |
Psa screening |
566 |
466 |
$7K |
| 86038 |
|
643 |
576 |
$7K |
| 72072 |
|
109 |
89 |
$7K |
| 84146 |
|
316 |
286 |
$7K |
| 94727 |
|
134 |
123 |
$7K |
| J3475 |
Inj magnesium sulfate |
661 |
504 |
$7K |
| 97802 |
|
108 |
99 |
$6K |
| 77080 |
|
82 |
63 |
$6K |
| 82150 |
|
1,377 |
1,159 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
132 |
121 |
$6K |
| 72040 |
|
123 |
96 |
$6K |
| 86901 |
|
1,808 |
1,563 |
$6K |
| 36592 |
|
495 |
214 |
$6K |
| 80143 |
|
498 |
444 |
$6K |
| 99215 |
Prolong outpt/office vis |
307 |
251 |
$6K |
| 99281 |
|
120 |
109 |
$6K |
| 45378 |
|
26 |
13 |
$6K |
| 82043 |
|
1,158 |
1,035 |
$6K |
| J0561 |
Penicillin g benzathine inj |
48 |
43 |
$6K |
| 80179 |
|
485 |
441 |
$6K |
| 84481 |
|
359 |
338 |
$6K |
| 82570 |
|
1,301 |
1,072 |
$6K |
| 74019 |
|
127 |
117 |
$6K |
| 29515 |
|
52 |
51 |
$6K |
| 74021 |
|
90 |
73 |
$6K |
| C1889 |
Implant/insert device, noc |
111 |
104 |
$6K |
| 82950 |
|
1,067 |
998 |
$5K |
| 86850 |
|
858 |
723 |
$5K |
| 85007 |
|
1,959 |
1,567 |
$5K |
| J2175 |
Meperidine hydrochl /100 mg |
1,809 |
1,354 |
$5K |
| J2765 |
Metoclopramide hcl injection |
1,386 |
1,153 |
$5K |
| 84550 |
|
1,301 |
1,132 |
$5K |
| 76816 |
|
27 |
25 |
$5K |
| 84156 |
|
1,386 |
1,072 |
$4K |
| 83525 |
|
410 |
383 |
$4K |
| 87210 |
|
868 |
779 |
$4K |
| 29125 |
|
120 |
112 |
$4K |
| 86317 |
|
259 |
170 |
$4K |
| 83655 |
|
313 |
277 |
$4K |
| 87420 |
|
247 |
235 |
$3K |
| 87902 |
|
13 |
12 |
$3K |
| 12001 |
|
47 |
43 |
$3K |
| 73080 |
|
65 |
57 |
$3K |
| 82247 |
|
587 |
341 |
$3K |
| A6402 |
Sterile gauze <= 16 sq in |
403 |
337 |
$3K |
| 87493 |
|
124 |
111 |
$3K |
| J2060 |
Lorazepam injection |
1,080 |
802 |
$3K |
| 94726 |
|
43 |
41 |
$3K |
| J0500 |
Dicyclomine injection |
143 |
133 |
$3K |
| 82948 |
|
827 |
304 |
$3K |
| A9573 |
Inj, gadopiclenol, 1 ml |
59 |
56 |
$3K |
| 71101 |
|
63 |
52 |
$3K |
| J3480 |
Inj potassium chloride |
359 |
228 |
$2K |
| 77061 |
|
74 |
58 |
$2K |
| 83001 |
|
123 |
120 |
$2K |
| 76641 |
|
17 |
13 |
$2K |
| G0279 |
Tomosynthesis, mammo |
85 |
67 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
237 |
199 |
$2K |
| 92523 |
|
13 |
12 |
$2K |
| 88307 |
|
31 |
24 |
$2K |
| 83615 |
|
395 |
328 |
$2K |
| J2274 |
Inj morphine pf epid ithc |
378 |
242 |
$2K |
| 51701 |
|
59 |
54 |
$2K |
| 73070 |
|
48 |
43 |
$2K |
| 86592 |
|
409 |
367 |
$2K |
| 87880 |
|
244 |
225 |
$2K |
| 87340 |
|
198 |
186 |
$2K |
| A6250 |
Skin seal protect moisturizr |
165 |
131 |
$2K |
| 93325 |
|
13 |
12 |
$2K |
| 36600 |
|
123 |
97 |
$2K |
| J2543 |
Piperacillin/tazobactam |
110 |
63 |
$2K |
| J1790 |
Droperidol injection |
156 |
137 |
$2K |
| 84112 |
|
29 |
26 |
$2K |
| J0694 |
Cefoxitin sodium injection |
48 |
29 |
$2K |
| 82784 |
|
171 |
148 |
$1K |
| 90686 |
|
124 |
72 |
$1K |
| J3486 |
Ziprasidone mesylate |
61 |
50 |
$1K |
| 93320 |
|
13 |
12 |
$1K |
| 72050 |
|
13 |
12 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
96 |
78 |
$1K |
| 97166 |
|
19 |
13 |
$1K |
| 87807 |
|
136 |
132 |
$1K |
| J0360 |
Hydralazine hcl injection |
153 |
110 |
$1K |
| J1956 |
Levofloxacin injection |
190 |
122 |
$1K |
| 86431 |
|
174 |
126 |
$1K |
| 82330 |
|
175 |
90 |
$987.57 |
| 83516 |
|
62 |
55 |
$947.83 |
| 88341 |
|
15 |
13 |
$932.84 |
| J2001 |
Lidocaine injection |
254 |
209 |
$925.50 |
| 36416 |
|
618 |
404 |
$895.59 |
| 88313 |
|
36 |
33 |
$834.39 |
| J3301 |
Triamcinolone acet inj nos |
78 |
69 |
$805.11 |
| Q3014 |
Telehealth facility fee |
61 |
52 |
$801.28 |
| 87899 |
|
76 |
40 |
$780.04 |
| G0008 |
Admin influenza virus vac |
20 |
19 |
$765.74 |
| 83520 |
|
16 |
14 |
$744.03 |
| 87045 |
|
83 |
65 |
$738.32 |
| 82565 |
|
117 |
108 |
$731.14 |
| Q9957 |
Inj perflutren lip micros,ml |
13 |
12 |
$730.00 |
| 86706 |
|
96 |
89 |
$708.03 |
| 12011 |
|
19 |
14 |
$654.48 |
| 86308 |
|
128 |
120 |
$610.10 |
| 85018 |
|
312 |
229 |
$574.02 |
| 82105 |
|
28 |
28 |
$537.13 |
| 83970 |
|
12 |
12 |
$458.48 |
| 87427 |
|
55 |
41 |
$457.82 |
| 87075 |
|
44 |
40 |
$407.53 |
| 85014 |
|
247 |
170 |
$404.16 |
| 0011A |
|
16 |
14 |
$394.90 |
| 85384 |
|
56 |
49 |
$383.44 |
| J3590 |
Unclassified biologics |
16 |
12 |
$382.21 |
| C9113 |
Inj pantoprazole sodium, via |
171 |
53 |
$369.08 |
| 87046 |
|
26 |
25 |
$364.82 |
| 82397 |
|
14 |
13 |
$361.44 |
| 86430 |
|
56 |
54 |
$345.48 |
| J3411 |
Thiamine hcl 100 mg |
66 |
53 |
$317.69 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
16 |
$317.52 |
| J0595 |
Butorphanol tartrate 1 mg |
248 |
167 |
$311.23 |
| J1644 |
Inj heparin sodium per 1000u |
71 |
24 |
$280.46 |
| 86708 |
|
26 |
25 |
$272.93 |
| 82533 |
|
23 |
16 |
$241.33 |
| 83993 |
|
12 |
12 |
$233.37 |
| 83002 |
|
15 |
14 |
$226.88 |
| J1940 |
Furosemide injection |
57 |
24 |
$217.76 |
| 84460 |
|
63 |
52 |
$196.16 |
| 84132 |
|
68 |
54 |
$164.73 |
| 87073 |
|
18 |
15 |
$155.86 |
| 87071 |
|
18 |
15 |
$155.86 |
| 86762 |
|
24 |
24 |
$154.54 |
| 84450 |
|
59 |
53 |
$152.48 |
| 86200 |
|
16 |
14 |
$150.72 |
| 86778 |
|
15 |
13 |
$146.82 |
| 83883 |
|
12 |
12 |
$145.76 |
| 80320 |
|
18 |
15 |
$120.04 |
| 82390 |
|
13 |
12 |
$92.26 |
| 80349 |
|
22 |
14 |
$90.81 |
| A4315 |
Cath w/drainage 2-way silcne |
14 |
12 |
$87.68 |
| J8540 |
Oral dexamethasone |
81 |
72 |
$81.10 |
| A4615 |
Cannula nasal |
109 |
79 |
$79.16 |
| 85045 |
|
26 |
24 |
$77.89 |
| 85046 |
|
13 |
12 |
$55.58 |
| A9270 |
Non-covered item or service |
85 |
16 |
$49.63 |
| 82272 |
|
15 |
12 |
$28.15 |
| A6446 |
Conform band s w>=3" <5"/yd |
12 |
12 |
$20.08 |
| 85041 |
|
19 |
15 |
$16.57 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$15.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
52 |
34 |
$9.73 |