| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
22,464 |
18,087 |
$636K |
| 99284 |
|
12,001 |
10,548 |
$417K |
| 97530 |
|
13,932 |
5,063 |
$359K |
| 99283 |
|
10,303 |
9,251 |
$306K |
| 92507 |
|
11,046 |
3,124 |
$267K |
| 74177 |
|
3,592 |
3,249 |
$172K |
| G0378 |
Hospital observation per hr |
4,573 |
2,447 |
$156K |
| 70450 |
|
3,590 |
3,068 |
$116K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,517 |
8,874 |
$111K |
| 87636 |
|
6,898 |
6,309 |
$108K |
| 43239 |
|
628 |
604 |
$78K |
| 93975 |
|
1,164 |
1,063 |
$75K |
| 97110 |
|
17,676 |
6,722 |
$63K |
| 87651 |
|
4,023 |
3,839 |
$61K |
| 70553 |
|
508 |
413 |
$51K |
| 96374 |
|
13,024 |
10,646 |
$48K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
199 |
165 |
$43K |
| 97112 |
|
5,483 |
2,456 |
$41K |
| 99282 |
|
1,757 |
1,647 |
$38K |
| 71046 |
|
4,578 |
4,226 |
$38K |
| 87631 |
|
587 |
559 |
$36K |
| 80053 |
|
48,058 |
38,939 |
$35K |
| 88305 |
|
5,656 |
5,129 |
$34K |
| 80050 |
|
12,169 |
11,435 |
$32K |
| 85025 |
|
49,024 |
38,851 |
$32K |
| 82306 |
|
8,738 |
8,307 |
$31K |
| 42820 |
|
81 |
57 |
$31K |
| 76705 |
|
1,984 |
1,833 |
$28K |
| J0131 |
Inj, acetaminophen (nos) |
2,223 |
1,794 |
$27K |
| 74018 |
|
1,620 |
1,479 |
$26K |
| 96375 |
|
11,711 |
8,794 |
$26K |
| U0005 |
Infec agen detec ampli probe |
6,862 |
6,385 |
$25K |
| 87502 |
|
958 |
899 |
$25K |
| 96361 |
|
5,544 |
4,419 |
$25K |
| 96365 |
|
5,680 |
3,549 |
$25K |
| J7030 |
Normal saline solution infus |
10,471 |
8,464 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,415 |
6,273 |
$22K |
| 71045 |
|
6,208 |
5,456 |
$21K |
| 99214 |
|
143 |
117 |
$20K |
| 76856 |
|
2,347 |
2,185 |
$19K |
| J3490 |
Drugs unclassified injection |
2,342 |
1,785 |
$18K |
| 97140 |
|
11,180 |
4,663 |
$18K |
| 93005 |
|
11,043 |
9,370 |
$16K |
| 87491 |
|
7,995 |
7,488 |
$16K |
| 80307 |
|
4,704 |
3,616 |
$16K |
| 71275 |
|
657 |
602 |
$16K |
| 87591 |
|
7,992 |
7,487 |
$15K |
| 72125 |
|
623 |
556 |
$14K |
| 87635 |
|
1,313 |
1,179 |
$13K |
| 84443 |
|
12,734 |
11,956 |
$13K |
| 87633 |
|
406 |
373 |
$13K |
| 82728 |
|
5,101 |
4,753 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
3,719 |
3,549 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
8,131 |
6,318 |
$11K |
| 87798 |
|
907 |
843 |
$11K |
| 0202U |
|
365 |
351 |
$11K |
| 96376 |
|
4,109 |
2,978 |
$11K |
| 87081 |
|
3,816 |
3,545 |
$11K |
| 97161 |
|
2,451 |
2,229 |
$11K |
| 73110 |
|
890 |
796 |
$11K |
| 80061 |
|
14,432 |
13,736 |
$10K |
| 87086 |
|
8,809 |
7,839 |
$10K |
| J7120 |
Ringers lactate infusion |
5,921 |
4,420 |
$10K |
| J2405 |
Ondansetron hcl injection |
13,531 |
10,108 |
$10K |
| J1100 |
Dexamethasone sodium phos |
8,155 |
6,124 |
$9K |
| 73610 |
|
1,239 |
1,135 |
$9K |
| 76830 |
|
2,089 |
1,935 |
$9K |
| 83516 |
|
1,636 |
1,514 |
$9K |
| 96360 |
|
1,299 |
988 |
$9K |
| 84703 |
|
7,931 |
6,900 |
$9K |
| 86140 |
|
11,431 |
9,657 |
$9K |
| 97162 |
|
1,580 |
1,419 |
$8K |
| 83690 |
|
8,247 |
7,010 |
$8K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,285 |
1,113 |
$7K |
| J3010 |
Fentanyl citrate injection |
8,380 |
5,404 |
$7K |
| 84439 |
|
4,878 |
4,513 |
$7K |
| 73630 |
|
1,438 |
1,283 |
$7K |
| 95810 |
|
141 |
136 |
$7K |
| 85027 |
|
8,539 |
7,390 |
$7K |
| 87804 |
|
772 |
369 |
$7K |
| 74176 |
|
572 |
521 |
$7K |
| 82784 |
|
1,933 |
1,799 |
$7K |
| 96372 |
|
4,655 |
3,526 |
$7K |
| 83605 |
|
2,732 |
2,303 |
$6K |
| J7040 |
Normal saline solution infus |
1,560 |
1,176 |
$6K |
| J0690 |
Cefazolin sodium injection |
4,607 |
3,069 |
$6K |
| 87077 |
|
5,527 |
4,845 |
$6K |
| 76700 |
|
398 |
378 |
$6K |
| J7050 |
Normal saline solution infus |
6,303 |
3,586 |
$6K |
| 81001 |
|
11,011 |
9,519 |
$6K |
| 87040 |
|
972 |
770 |
$5K |
| 86003 |
|
185 |
147 |
$5K |
| 87480 |
|
5,343 |
4,868 |
$5K |
| 87510 |
|
5,342 |
4,867 |
$5K |
| 87660 |
|
5,344 |
4,868 |
$5K |
| 94640 |
|
1,785 |
1,417 |
$5K |
| 81025 |
|
4,165 |
3,453 |
$4K |
| U0001 |
2019-ncov diagnostic p |
1,667 |
1,569 |
$4K |
| 97535 |
|
965 |
659 |
$4K |
| 83036 |
|
9,157 |
8,727 |
$4K |
| 73130 |
|
744 |
645 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
7,736 |
6,132 |
$4K |
| 76770 |
|
213 |
201 |
$4K |
| 36415 |
|
16,021 |
13,219 |
$4K |
| 87070 |
|
3,086 |
2,791 |
$4K |
| 69436 |
|
29 |
27 |
$4K |
| 84145 |
|
1,266 |
1,133 |
$4K |
| 87186 |
|
3,940 |
3,522 |
$4K |
| 73562 |
|
707 |
626 |
$4K |
| 93971 |
|
1,137 |
1,052 |
$3K |
| 83550 |
|
3,232 |
3,028 |
$3K |
| 86900 |
|
4,818 |
3,892 |
$3K |
| 88304 |
|
328 |
283 |
$3K |
| 81003 |
|
6,724 |
6,072 |
$3K |
| 80048 |
|
7,907 |
6,327 |
$3K |
| 96413 |
|
2,789 |
1,667 |
$3K |
| 73140 |
|
174 |
166 |
$3K |
| 82077 |
|
3,443 |
2,508 |
$3K |
| 96366 |
|
842 |
602 |
$3K |
| 80143 |
|
1,610 |
1,291 |
$3K |
| 85379 |
|
2,758 |
2,533 |
$3K |
| 88342 |
|
555 |
481 |
$3K |
| 85652 |
|
5,952 |
5,114 |
$2K |
| 73030 |
|
832 |
750 |
$2K |
| 80179 |
|
1,509 |
1,230 |
$2K |
| 84484 |
|
4,782 |
3,845 |
$2K |
| 87486 |
|
408 |
375 |
$2K |
| 87581 |
|
408 |
375 |
$2K |
| 83735 |
|
3,363 |
2,641 |
$2K |
| 83880 |
|
2,384 |
2,023 |
$2K |
| 82803 |
|
123 |
109 |
$2K |
| 86850 |
|
4,667 |
3,770 |
$2K |
| 87389 |
|
4,472 |
4,272 |
$2K |
| 45380 |
|
258 |
248 |
$2K |
| 99152 |
|
604 |
536 |
$2K |
| 94762 |
|
233 |
170 |
$2K |
| J2270 |
Morphine sulfate injection |
3,992 |
3,206 |
$2K |
| 82948 |
|
3,371 |
2,325 |
$2K |
| G0463 |
Hospital outpt clinic visit |
26,733 |
18,190 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,369 |
760 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
4,837 |
3,663 |
$2K |
| 72100 |
|
730 |
673 |
$2K |
| 83540 |
|
2,247 |
2,080 |
$2K |
| 84403 |
|
932 |
858 |
$2K |
| 84481 |
|
1,806 |
1,683 |
$2K |
| 82607 |
|
2,563 |
2,405 |
$2K |
| 76937 |
|
1,677 |
1,340 |
$2K |
| J0330 |
Succinycholine chloride inj |
371 |
281 |
$2K |
| 93306 |
|
96 |
84 |
$2K |
| 85610 |
|
9,133 |
6,245 |
$2K |
| 29125 |
|
157 |
142 |
$2K |
| 84702 |
|
2,644 |
1,763 |
$2K |
| 73080 |
|
80 |
69 |
$2K |
| J0780 |
Prochlorperazine injection |
1,522 |
1,277 |
$2K |
| 86376 |
|
1,234 |
1,143 |
$1K |
| 70486 |
|
35 |
26 |
$1K |
| 90839 |
|
55 |
51 |
$1K |
| 71260 |
|
213 |
197 |
$1K |
| 86901 |
|
4,809 |
3,885 |
$1K |
| 97165 |
|
89 |
84 |
$1K |
| 87205 |
|
2,535 |
2,275 |
$1K |
| 84100 |
|
1,786 |
1,243 |
$1K |
| 73502 |
|
272 |
259 |
$1K |
| 86038 |
|
1,190 |
1,120 |
$1K |
| J1170 |
Hydromorphone injection |
4,028 |
2,726 |
$1K |
| 80076 |
|
757 |
682 |
$1K |
| 92523 |
|
25 |
25 |
$984.99 |
| 87426 |
|
184 |
173 |
$966.32 |
| 87147 |
|
387 |
356 |
$948.81 |
| 86780 |
|
3,187 |
3,015 |
$918.94 |
| 97597 |
|
1,205 |
639 |
$901.16 |
| 85730 |
|
846 |
742 |
$850.89 |
| 70551 |
|
38 |
37 |
$830.66 |
| 84146 |
|
402 |
381 |
$826.75 |
| 0352U |
|
205 |
196 |
$825.63 |
| 94729 |
|
314 |
297 |
$763.23 |
| 86364 |
|
197 |
189 |
$739.86 |
| C1769 |
Guide wire |
564 |
423 |
$735.09 |
| 83615 |
|
1,298 |
1,020 |
$716.18 |
| 93303 |
|
29 |
29 |
$663.99 |
| J1200 |
Diphenhydramine hcl injectio |
3,477 |
2,648 |
$658.76 |
| 90471 |
|
581 |
512 |
$637.24 |
| 87880 |
|
74 |
66 |
$602.68 |
| 84550 |
|
1,087 |
949 |
$588.29 |
| 86803 |
|
4,111 |
3,922 |
$576.78 |
| 82670 |
|
311 |
281 |
$560.08 |
| 97035 |
|
2,725 |
1,171 |
$543.17 |
| J2060 |
Lorazepam injection |
2,738 |
2,098 |
$539.31 |
| 12011 |
|
13 |
12 |
$532.29 |
| 83970 |
|
283 |
255 |
$507.65 |
| 86308 |
|
214 |
204 |
$474.31 |
| 82570 |
|
2,785 |
2,570 |
$458.18 |
| M0243 |
Casirivi and imdevi inj |
57 |
54 |
$450.00 |
| 82550 |
|
847 |
701 |
$448.38 |
| 94726 |
|
259 |
242 |
$442.90 |
| 96367 |
|
935 |
521 |
$441.75 |
| 76805 |
|
231 |
225 |
$441.26 |
| A4216 |
Sterile water/saline, 10 ml |
2,146 |
1,525 |
$417.36 |
| 86431 |
|
893 |
846 |
$408.58 |
| 73590 |
|
44 |
39 |
$407.34 |
| 76801 |
|
84 |
75 |
$407.15 |
| 97116 |
|
124 |
66 |
$393.96 |
| 87507 |
|
56 |
54 |
$370.47 |
| Q0162 |
Ondansetron oral |
797 |
714 |
$361.09 |
| 73090 |
|
13 |
13 |
$342.24 |
| 87075 |
|
529 |
463 |
$340.31 |
| 90715 |
|
258 |
233 |
$337.22 |
| 51798 |
|
32 |
29 |
$303.45 |
| 82043 |
|
2,502 |
2,382 |
$277.01 |
| 83001 |
|
233 |
217 |
$276.38 |
| 94799 |
|
30 |
28 |
$261.79 |
| 83630 |
|
135 |
124 |
$259.59 |
| 87046 |
|
39 |
36 |
$244.17 |
| 93325 |
|
50 |
48 |
$239.35 |
| 88175 |
|
4,006 |
3,847 |
$239.12 |
| 86762 |
|
1,146 |
1,075 |
$235.64 |
| 87340 |
|
1,810 |
1,698 |
$229.44 |
| 82247 |
|
169 |
109 |
$221.98 |
| 76536 |
|
51 |
50 |
$207.43 |
| 87338 |
|
25 |
25 |
$198.10 |
| S0028 |
Injection, famotidine, 20 mg |
235 |
179 |
$193.11 |
| 82785 |
|
20 |
15 |
$192.00 |
| 85007 |
|
460 |
362 |
$188.22 |
| 80178 |
|
527 |
441 |
$182.31 |
| 82746 |
|
352 |
321 |
$180.80 |
| 82375 |
|
420 |
395 |
$178.79 |
| 76816 |
|
145 |
130 |
$173.04 |
| 86769 |
|
96 |
95 |
$168.52 |
| 85018 |
|
590 |
514 |
$168.49 |
| 99153 |
Mod sedat endo service >5yrs |
84 |
73 |
$160.63 |
| 92567 |
|
58 |
54 |
$159.80 |
| 80305 |
|
274 |
223 |
$159.13 |
| 93320 |
|
33 |
33 |
$155.98 |
| J1642 |
Inj heparin sodium per 10 u |
3,340 |
1,627 |
$146.92 |
| 99281 |
|
13 |
12 |
$142.80 |
| 76817 |
|
112 |
98 |
$142.66 |
| G0108 |
Diab manage trn per indiv |
175 |
142 |
$138.55 |
| J1790 |
Droperidol injection |
611 |
528 |
$132.75 |
| 86480 |
|
33 |
32 |
$120.48 |
| J2930 |
Methylprednisolone injection |
414 |
303 |
$118.22 |
| 87427 |
|
27 |
24 |
$108.36 |
| 82533 |
|
120 |
102 |
$105.38 |
| 87045 |
|
54 |
48 |
$103.76 |
| J2765 |
Metoclopramide hcl injection |
356 |
305 |
$99.72 |
| 87624 |
|
2,881 |
2,772 |
$97.38 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$87.71 |
| 84156 |
|
832 |
669 |
$87.19 |
| 99392 |
|
184 |
177 |
$76.50 |
| 83721 |
|
275 |
266 |
$69.08 |
| 36410 |
|
925 |
722 |
$67.13 |
| 72040 |
|
27 |
25 |
$62.99 |
| 82274 |
|
15 |
13 |
$61.91 |
| J2550 |
Promethazine hcl injection |
229 |
181 |
$60.97 |
| 87467 |
|
578 |
559 |
$60.14 |
| 82977 |
|
45 |
39 |
$51.12 |
| 86255 |
|
63 |
58 |
$46.86 |
| J7620 |
Albuterol ipratrop non-comp |
144 |
120 |
$46.13 |
| 90686 |
|
387 |
370 |
$43.12 |
| 86706 |
|
375 |
357 |
$41.77 |
| 82950 |
|
661 |
637 |
$36.72 |
| 83002 |
|
15 |
14 |
$36.00 |
| 94760 |
|
26 |
24 |
$30.60 |
| A9270 |
Non-covered item or service |
10,036 |
4,224 |
$29.28 |
| 86141 |
|
59 |
58 |
$25.17 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
47 |
41 |
$23.80 |
| Q0163 |
Diphenhydramine hcl 50mg |
194 |
151 |
$22.95 |
| 80069 |
|
15 |
12 |
$22.38 |
| 82565 |
|
170 |
155 |
$13.21 |
| 82248 |
|
46 |
40 |
$13.02 |
| 86705 |
|
243 |
216 |
$10.37 |
| 82947 |
|
16 |
12 |
$10.12 |
| 86709 |
|
149 |
127 |
$9.91 |
| J7613 |
Albuterol non-comp unit |
67 |
62 |
$5.66 |
| G8979 |
Mobility goal status |
15 |
13 |
$5.60 |
| 83050 |
|
162 |
156 |
$2.93 |
| 96118 |
|
60 |
48 |
$0.00 |
| 92557 |
|
40 |
38 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
34 |
$0.00 |
| 99395 |
|
60 |
54 |
$0.00 |
| 86200 |
|
111 |
105 |
$0.00 |
| 84155 |
|
30 |
12 |
$0.00 |
| 11042 |
|
781 |
414 |
$0.00 |
| 77336 |
|
32 |
13 |
$0.00 |
| 99396 |
|
54 |
48 |
$0.00 |
| 76376 |
|
54 |
49 |
$0.00 |
| 0097U |
|
14 |
14 |
$0.00 |
| 45385 |
|
117 |
109 |
$0.00 |
| 11719 |
|
13 |
12 |
$0.00 |
| 87641 |
|
192 |
160 |
$0.00 |
| 99391 |
|
225 |
211 |
$0.00 |
| 90653 |
|
109 |
105 |
$0.00 |
| 99393 |
|
96 |
93 |
$0.00 |
| 93296 |
|
16 |
14 |
$0.00 |
| 84165 |
|
31 |
27 |
$0.00 |
| 94060 |
|
44 |
40 |
$0.00 |
| 59025 |
|
14 |
12 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
51 |
47 |
$0.00 |
| 17110 |
|
17 |
16 |
$0.00 |
| 99394 |
|
20 |
19 |
$0.00 |
| 80074 |
|
105 |
101 |
$0.00 |
| 80164 |
|
15 |
13 |
$0.00 |
| 89051 |
|
15 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
238 |
189 |
$0.00 |
| 87076 |
|
16 |
12 |
$0.00 |
| 81002 |
|
38 |
35 |
$0.00 |
| S9443 |
Lactation class |
36 |
14 |
$0.00 |
| 90837 |
|
27 |
19 |
$0.00 |
| J1630 |
Haloperidol injection |
145 |
115 |
$0.00 |
| 36591 |
|
300 |
198 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
74 |
66 |
$0.00 |
| 84153 |
|
1,200 |
1,121 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
34 |
26 |
$0.00 |
| 96415 |
|
207 |
145 |
$0.00 |
| G0008 |
Admin influenza virus vac |
491 |
473 |
$0.00 |
| 90694 |
|
75 |
72 |
$0.00 |
| S9445 |
Pt education noc individ |
297 |
196 |
$0.00 |
| 88307 |
|
146 |
97 |
$0.00 |
| G0379 |
Direct refer hospital observ |
16 |
12 |
$0.00 |
| 84144 |
|
247 |
214 |
$0.00 |
| Q3014 |
Telehealth facility fee |
35 |
28 |
$0.00 |
| 94010 |
|
12 |
12 |
$0.00 |
| 96161 |
|
60 |
58 |
$0.00 |
| 96119 |
|
38 |
35 |
$0.00 |
| 76815 |
|
12 |
12 |
$0.00 |
| 76870 |
|
14 |
13 |
$0.00 |
| J2469 |
Palonosetron hcl |
23 |
15 |
$0.00 |
| 96127 |
|
59 |
56 |
$0.00 |
| 96120 |
|
36 |
32 |
$0.00 |
| 84402 |
|
15 |
12 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
49 |
48 |
$0.00 |
| 12002 |
|
15 |
15 |
$0.00 |
| 58300 |
|
14 |
12 |
$0.00 |
| 70496 |
|
15 |
12 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |