| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
27,169 |
23,541 |
$3.73M |
| 96361 |
|
12,513 |
9,318 |
$2.52M |
| 99285 |
|
20,610 |
17,616 |
$2.31M |
| 99283 |
|
17,745 |
15,695 |
$2.07M |
| 41899 |
|
2,077 |
1,991 |
$1.94M |
| G0463 |
Hospital outpt clinic visit |
19,155 |
15,033 |
$1.48M |
| 69436 |
|
1,153 |
1,108 |
$1.30M |
| 74177 |
|
7,170 |
6,444 |
$1.27M |
| 93306 |
|
3,305 |
3,028 |
$866K |
| 97110 |
|
18,731 |
4,695 |
$856K |
| 70450 |
|
5,413 |
4,703 |
$806K |
| 43239 |
|
1,897 |
1,737 |
$668K |
| G0330 |
Facility svs dental rehab |
1,061 |
549 |
$653K |
| 42820 |
|
429 |
401 |
$651K |
| 36415 |
|
37,043 |
26,445 |
$649K |
| 99282 |
|
4,554 |
4,173 |
$586K |
| 99212 |
|
4,980 |
4,337 |
$576K |
| 80307 |
|
8,978 |
7,813 |
$547K |
| 78452 |
|
952 |
873 |
$540K |
| 92507 |
|
5,676 |
1,709 |
$496K |
| 78815 |
|
813 |
695 |
$458K |
| 74176 |
|
2,661 |
2,369 |
$457K |
| G0378 |
Hospital observation per hr |
4,269 |
3,579 |
$451K |
| 80053 |
|
59,771 |
47,539 |
$443K |
| 0241U |
|
7,831 |
6,982 |
$400K |
| 45378 |
|
795 |
750 |
$392K |
| 96365 |
|
5,110 |
3,895 |
$366K |
| 97530 |
|
8,705 |
2,355 |
$355K |
| 96366 |
|
2,388 |
1,725 |
$344K |
| 96360 |
|
3,665 |
2,930 |
$325K |
| 71275 |
|
1,714 |
1,566 |
$316K |
| 45380 |
|
767 |
690 |
$275K |
| 72148 |
|
1,666 |
1,536 |
$264K |
| 43235 |
|
749 |
695 |
$264K |
| 96413 |
|
2,889 |
1,356 |
$254K |
| 81001 |
|
22,646 |
19,074 |
$241K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,831 |
10,508 |
$234K |
| 76705 |
|
2,666 |
2,486 |
$231K |
| 95811 |
|
416 |
396 |
$230K |
| J3490 |
Drugs unclassified injection |
8,426 |
5,101 |
$224K |
| 99291 |
|
773 |
715 |
$143K |
| 94640 |
|
3,797 |
2,591 |
$140K |
| 73721 |
|
835 |
745 |
$138K |
| 45385 |
|
340 |
328 |
$135K |
| 95810 |
|
236 |
216 |
$130K |
| 77067 |
|
2,916 |
2,821 |
$117K |
| 83036 |
|
14,858 |
13,838 |
$106K |
| 93971 |
|
1,462 |
1,293 |
$105K |
| 70553 |
|
388 |
353 |
$104K |
| 71046 |
|
8,746 |
7,771 |
$101K |
| 93017 |
|
1,146 |
1,063 |
$98K |
| 97140 |
|
5,460 |
1,525 |
$96K |
| 76700 |
|
790 |
751 |
$96K |
| J7050 |
Normal saline solution infus |
586 |
227 |
$92K |
| 85025 |
|
65,501 |
50,660 |
$91K |
| C1889 |
Implant/insert device, noc |
760 |
736 |
$88K |
| 0202U |
|
648 |
611 |
$86K |
| 84443 |
|
16,999 |
15,365 |
$84K |
| 99213 |
|
715 |
632 |
$80K |
| 71260 |
|
1,309 |
1,191 |
$80K |
| 97162 |
|
1,062 |
958 |
$73K |
| 82306 |
|
5,459 |
5,090 |
$71K |
| 70551 |
|
396 |
368 |
$71K |
| 80048 |
|
11,201 |
8,966 |
$69K |
| 76536 |
|
653 |
626 |
$66K |
| 87491 |
|
4,404 |
4,140 |
$62K |
| A9585 |
Gadobutrol injection |
1,587 |
1,454 |
$62K |
| 83880 |
|
4,417 |
3,780 |
$62K |
| 74018 |
|
2,444 |
2,103 |
$61K |
| 99211 |
|
586 |
548 |
$60K |
| 29581 |
|
390 |
131 |
$60K |
| 97597 |
|
871 |
524 |
$58K |
| 72141 |
|
307 |
289 |
$54K |
| 81025 |
|
6,386 |
5,698 |
$52K |
| 64493 |
|
85 |
81 |
$48K |
| 87591 |
|
4,398 |
4,136 |
$47K |
| 93005 |
|
24,558 |
18,099 |
$46K |
| 87040 |
|
6,980 |
3,614 |
$43K |
| 73221 |
|
246 |
230 |
$39K |
| 71250 |
|
704 |
637 |
$39K |
| 80061 |
|
9,156 |
8,553 |
$36K |
| 72100 |
|
1,898 |
1,736 |
$36K |
| 88305 |
|
4,771 |
4,272 |
$36K |
| 76642 |
|
349 |
330 |
$35K |
| 64635 |
|
77 |
49 |
$35K |
| S0028 |
Injection, famotidine, 20 mg |
741 |
511 |
$34K |
| 96372 |
|
10,090 |
7,451 |
$33K |
| J7620 |
Albuterol ipratrop non-comp |
978 |
769 |
$33K |
| J7030 |
Normal saline solution infus |
1,399 |
1,073 |
$32K |
| 87651 |
|
1,032 |
977 |
$32K |
| 96374 |
|
17,293 |
14,567 |
$32K |
| 99281 |
|
336 |
306 |
$32K |
| 73130 |
|
1,724 |
1,493 |
$31K |
| 73630 |
|
1,987 |
1,740 |
$29K |
| 77063 |
|
993 |
953 |
$27K |
| 72125 |
|
1,531 |
1,361 |
$26K |
| 96367 |
|
410 |
280 |
$26K |
| 84439 |
|
5,359 |
4,764 |
$26K |
| 82607 |
|
6,053 |
5,629 |
$25K |
| 71045 |
|
8,163 |
6,967 |
$24K |
| 87653 |
|
1,445 |
1,351 |
$24K |
| 73030 |
|
1,243 |
1,071 |
$24K |
| 73610 |
|
1,223 |
1,090 |
$24K |
| 73562 |
|
1,582 |
1,353 |
$23K |
| G0480 |
Drug test def 1-7 classes |
2,869 |
2,369 |
$22K |
| 84484 |
|
15,745 |
10,573 |
$22K |
| 87389 |
|
3,947 |
3,778 |
$22K |
| 86803 |
|
2,783 |
2,648 |
$21K |
| 85027 |
|
8,421 |
7,236 |
$20K |
| 87086 |
|
6,903 |
6,152 |
$19K |
| G0500 |
Mod sedat endo service >5yrs |
865 |
783 |
$18K |
| 93246 |
|
479 |
450 |
$18K |
| 62321 |
|
29 |
28 |
$18K |
| 76775 |
|
183 |
171 |
$17K |
| 71271 |
|
157 |
155 |
$16K |
| 84702 |
|
2,189 |
1,688 |
$16K |
| 70486 |
|
202 |
192 |
$15K |
| 87088 |
|
5,543 |
4,827 |
$15K |
| 96375 |
|
13,627 |
10,045 |
$15K |
| 94729 |
|
461 |
421 |
$13K |
| 82728 |
|
3,326 |
2,926 |
$13K |
| 87804 |
|
5,721 |
2,593 |
$13K |
| 87070 |
|
2,103 |
1,859 |
$13K |
| 86850 |
|
3,180 |
2,750 |
$13K |
| 90715 |
|
857 |
795 |
$12K |
| 80329 |
|
1,599 |
777 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
1,444 |
1,306 |
$12K |
| 0001A |
|
578 |
534 |
$12K |
| 87077 |
|
5,321 |
4,786 |
$11K |
| A9552 |
F18 fdg |
882 |
757 |
$11K |
| 64494 |
|
57 |
53 |
$11K |
| 82950 |
|
1,601 |
1,550 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
474 |
457 |
$10K |
| 86140 |
|
3,562 |
3,123 |
$10K |
| 83605 |
|
6,132 |
4,648 |
$10K |
| 87880 |
|
1,857 |
1,742 |
$10K |
| 82565 |
|
1,653 |
1,461 |
$10K |
| J7120 |
Ringers lactate infusion |
2,782 |
2,429 |
$10K |
| 73110 |
|
508 |
448 |
$10K |
| 76830 |
|
137 |
127 |
$10K |
| 96376 |
|
4,734 |
3,027 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
9,213 |
8,027 |
$9K |
| 95806 |
|
13 |
12 |
$9K |
| 86901 |
|
3,077 |
2,633 |
$9K |
| 80143 |
|
1,572 |
1,333 |
$9K |
| 97035 |
|
217 |
79 |
$8K |
| 94726 |
|
325 |
293 |
$8K |
| 85379 |
|
1,897 |
1,732 |
$8K |
| 0002A |
|
255 |
247 |
$8K |
| 85610 |
|
6,501 |
4,930 |
$8K |
| 81003 |
|
4,822 |
4,199 |
$7K |
| 80055 |
|
999 |
948 |
$7K |
| 87186 |
|
4,414 |
3,917 |
$7K |
| 84112 |
|
331 |
277 |
$6K |
| 59025 |
|
36 |
28 |
$6K |
| 82140 |
|
2,710 |
2,186 |
$6K |
| 83735 |
|
7,950 |
5,582 |
$6K |
| 76770 |
|
52 |
50 |
$6K |
| 83540 |
|
3,634 |
3,270 |
$5K |
| 83550 |
|
1,928 |
1,771 |
$5K |
| 73502 |
|
468 |
402 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
11,936 |
10,419 |
$5K |
| J7613 |
Albuterol non-comp unit |
514 |
438 |
$5K |
| 83970 |
|
340 |
312 |
$5K |
| 93922 |
|
62 |
60 |
$5K |
| 82746 |
|
1,637 |
1,506 |
$5K |
| 82105 |
|
537 |
511 |
$5K |
| 12001 |
|
25 |
25 |
$5K |
| J2405 |
Ondansetron hcl injection |
19,434 |
15,809 |
$4K |
| 85652 |
|
3,798 |
3,287 |
$4K |
| 80076 |
|
1,259 |
1,137 |
$4K |
| 62323 |
|
18 |
15 |
$4K |
| S0020 |
Injection, bupivicaine hydro |
1,183 |
1,070 |
$4K |
| 84481 |
|
564 |
521 |
$4K |
| 82570 |
|
2,512 |
2,200 |
$4K |
| 86592 |
|
1,180 |
1,126 |
$4K |
| 83615 |
|
3,066 |
2,477 |
$4K |
| 80320 |
|
1,210 |
1,041 |
$4K |
| 70496 |
|
27 |
26 |
$4K |
| 84550 |
|
2,036 |
1,720 |
$4K |
| 87015 |
|
753 |
712 |
$4K |
| 84156 |
|
1,342 |
1,082 |
$4K |
| 83690 |
|
13,050 |
11,127 |
$4K |
| 84145 |
|
355 |
313 |
$4K |
| 84703 |
|
4,125 |
3,736 |
$4K |
| 86900 |
|
3,190 |
2,639 |
$4K |
| C8929 |
Tte w or wo fol wcon,doppler |
14 |
14 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
243 |
226 |
$3K |
| J3010 |
Fentanyl citrate injection |
9,799 |
8,443 |
$3K |
| 94010 |
|
93 |
75 |
$3K |
| J2469 |
Palonosetron hcl |
45 |
24 |
$3K |
| 87635 |
|
184 |
142 |
$3K |
| 87340 |
|
1,480 |
1,403 |
$3K |
| 73080 |
|
100 |
90 |
$3K |
| 70491 |
|
29 |
26 |
$3K |
| 84403 |
|
262 |
253 |
$3K |
| 87081 |
|
834 |
781 |
$3K |
| 99214 |
|
26 |
26 |
$3K |
| 95886 |
|
23 |
16 |
$3K |
| 97166 |
|
55 |
49 |
$3K |
| Q9950 |
Inj sulf hexa lipid microsph |
29 |
26 |
$3K |
| 76817 |
|
54 |
50 |
$2K |
| 10060 |
|
12 |
12 |
$2K |
| 90471 |
|
1,081 |
931 |
$2K |
| J7040 |
Normal saline solution infus |
269 |
199 |
$2K |
| C1729 |
Cath, drainage |
375 |
334 |
$2K |
| 85730 |
|
2,108 |
1,762 |
$2K |
| 84100 |
|
2,859 |
2,126 |
$2K |
| J8540 |
Oral dexamethasone |
783 |
373 |
$2K |
| S0077 |
Injection, clindamycin phosp |
166 |
136 |
$2K |
| 96523 |
|
29 |
26 |
$2K |
| S0164 |
Injection pantroprazole |
29 |
27 |
$2K |
| J1100 |
Dexamethasone sodium phos |
13,340 |
10,917 |
$2K |
| 70498 |
|
40 |
39 |
$2K |
| 76816 |
|
33 |
30 |
$2K |
| 43450 |
|
29 |
28 |
$2K |
| 74022 |
|
162 |
140 |
$2K |
| 73590 |
|
236 |
203 |
$2K |
| 84153 |
|
225 |
211 |
$2K |
| 82043 |
|
1,515 |
1,405 |
$2K |
| 80164 |
|
331 |
306 |
$2K |
| 93880 |
|
13 |
12 |
$2K |
| 93225 |
|
39 |
37 |
$2K |
| 97014 |
|
102 |
26 |
$2K |
| 88312 |
|
1,721 |
1,573 |
$1K |
| 94375 |
|
37 |
36 |
$1K |
| 82803 |
|
1,290 |
1,037 |
$1K |
| 86141 |
|
723 |
622 |
$1K |
| 94060 |
|
49 |
41 |
$1K |
| 76805 |
|
15 |
15 |
$1K |
| 99152 |
|
499 |
408 |
$1K |
| 76000 |
|
152 |
140 |
$1K |
| 87205 |
|
1,789 |
1,544 |
$1K |
| 84466 |
|
974 |
820 |
$1K |
| 29125 |
|
15 |
12 |
$1K |
| 97163 |
|
61 |
43 |
$1K |
| 80179 |
|
1,519 |
1,294 |
$1K |
| G0283 |
Elec stim other than wound |
69 |
25 |
$1K |
| J0780 |
Prochlorperazine injection |
1,364 |
1,169 |
$1K |
| 82533 |
|
465 |
365 |
$1K |
| 77002 |
|
13 |
13 |
$1K |
| 82731 |
|
17 |
14 |
$1K |
| 86762 |
|
672 |
644 |
$1K |
| 64636 |
|
14 |
13 |
$1K |
| 93242 |
|
25 |
25 |
$998.10 |
| 36591 |
|
160 |
84 |
$800.53 |
| 87807 |
|
584 |
562 |
$795.16 |
| J1650 |
Inj enoxaparin sodium |
928 |
545 |
$752.20 |
| 73090 |
|
100 |
90 |
$724.18 |
| 86038 |
|
160 |
150 |
$716.03 |
| 76856 |
|
14 |
12 |
$699.62 |
| 71101 |
|
66 |
62 |
$664.36 |
| 93226 |
|
39 |
37 |
$653.31 |
| J1642 |
Inj heparin sodium per 10 u |
5,102 |
2,261 |
$604.14 |
| 80074 |
|
63 |
57 |
$598.29 |
| 94762 |
|
103 |
64 |
$585.87 |
| G0379 |
Direct refer hospital observ |
16 |
14 |
$583.94 |
| 86704 |
|
175 |
165 |
$568.61 |
| J3420 |
Vitamin b12 injection |
211 |
149 |
$557.27 |
| 84681 |
|
141 |
128 |
$521.31 |
| J2930 |
Methylprednisolone injection |
1,952 |
1,583 |
$510.05 |
| 84146 |
|
53 |
51 |
$505.58 |
| 82272 |
|
70 |
65 |
$486.91 |
| 88300 |
|
691 |
651 |
$467.04 |
| J2270 |
Morphine sulfate injection |
5,227 |
3,947 |
$435.51 |
| Q0162 |
Ondansetron oral |
1,509 |
1,117 |
$415.00 |
| J2785 |
Regadenoson injection |
670 |
617 |
$406.72 |
| J0696 |
Ceftriaxone sodium injection |
4,886 |
3,747 |
$388.42 |
| J2001 |
Lidocaine injection |
203 |
155 |
$384.40 |
| 82550 |
|
326 |
263 |
$371.35 |
| J1200 |
Diphenhydramine hcl injectio |
3,035 |
2,183 |
$306.73 |
| 72050 |
|
20 |
19 |
$291.44 |
| 86376 |
|
27 |
25 |
$285.38 |
| 88304 |
|
846 |
785 |
$282.06 |
| 99153 |
Mod sedat endo service >5yrs |
978 |
871 |
$280.93 |
| 87147 |
|
307 |
274 |
$279.37 |
| 88307 |
|
15 |
14 |
$244.98 |
| J1170 |
Hydromorphone injection |
4,230 |
2,895 |
$237.84 |
| 97167 |
|
14 |
13 |
$234.22 |
| 86706 |
|
73 |
70 |
$225.85 |
| J2765 |
Metoclopramide hcl injection |
1,311 |
1,117 |
$216.40 |
| 94664 |
|
233 |
186 |
$209.56 |
| A9502 |
Tc99m tetrofosmin |
919 |
841 |
$205.36 |
| 82977 |
|
77 |
74 |
$202.19 |
| 86800 |
|
24 |
24 |
$188.66 |
| J2543 |
Piperacillin/tazobactam |
92 |
56 |
$187.93 |
| J0690 |
Cefazolin sodium injection |
3,258 |
2,732 |
$186.41 |
| 85045 |
|
215 |
200 |
$173.78 |
| 82248 |
|
75 |
53 |
$156.24 |
| 83001 |
|
15 |
15 |
$152.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
659 |
526 |
$149.82 |
| J2704 |
Inj, propofol, 10 mg |
12,799 |
11,313 |
$141.62 |
| J0330 |
Succinycholine chloride inj |
1,921 |
1,706 |
$141.50 |
| 86308 |
|
13 |
13 |
$134.29 |
| 81050 |
|
56 |
53 |
$128.69 |
| 83993 |
|
12 |
12 |
$124.04 |
| 36600 |
|
35 |
25 |
$119.00 |
| J0171 |
Adrenalin epinephrine inject |
285 |
218 |
$118.38 |
| 87449 |
|
25 |
25 |
$110.82 |
| 86430 |
|
58 |
50 |
$101.80 |
| 88302 |
|
52 |
38 |
$99.36 |
| 87210 |
|
108 |
97 |
$84.97 |
| J2795 |
Ropivacaine hcl injection |
895 |
816 |
$80.75 |
| 83721 |
|
15 |
13 |
$77.97 |
| 85018 |
|
50 |
42 |
$68.68 |
| 86003 |
|
18 |
14 |
$66.67 |
| J2060 |
Lorazepam injection |
992 |
747 |
$57.47 |
| G8978 |
Mobility current status |
27 |
14 |
$56.29 |
| 72170 |
|
29 |
25 |
$56.28 |
| 80156 |
|
12 |
12 |
$55.12 |
| 82378 |
|
31 |
28 |
$54.93 |
| J1644 |
Inj heparin sodium per 1000u |
1,261 |
640 |
$52.56 |
| 83002 |
|
13 |
13 |
$51.47 |
| 88342 |
|
195 |
172 |
$47.48 |
| 84402 |
|
12 |
12 |
$45.71 |
| 86708 |
|
18 |
18 |
$43.65 |
| 85007 |
|
98 |
82 |
$41.50 |
| J2370 |
Phenylephrine hcl injection |
476 |
419 |
$41.15 |
| J1815 |
Insulin injection |
287 |
127 |
$40.76 |
| J1956 |
Levofloxacin injection |
534 |
437 |
$35.29 |
| 82150 |
|
29 |
24 |
$32.52 |
| J2550 |
Promethazine hcl injection |
613 |
473 |
$31.82 |
| 86431 |
|
13 |
12 |
$31.72 |
| J2919 |
Inj, methylpred sod succ 5mg |
262 |
219 |
$31.64 |
| 84460 |
|
15 |
12 |
$22.98 |
| C9113 |
Inj pantoprazole sodium, via |
461 |
275 |
$21.84 |
| 84450 |
|
15 |
12 |
$17.88 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
97 |
63 |
$12.50 |
| J2360 |
Orphenadrine injection |
502 |
466 |
$11.87 |
| 88341 |
|
15 |
12 |
$10.22 |
| J3475 |
Inj magnesium sulfate |
177 |
93 |
$10.06 |
| 82009 |
|
76 |
71 |
$9.94 |
| J3480 |
Inj potassium chloride |
114 |
68 |
$8.21 |
| J1040 |
Methylprednisolone 80 mg inj |
112 |
94 |
$6.23 |
| C1769 |
Guide wire |
315 |
283 |
$5.38 |
| 94760 |
|
865 |
629 |
$4.79 |
| J3370 |
Vancomycin hcl injection |
36 |
27 |
$3.29 |
| J3301 |
Triamcinolone acet inj nos |
16 |
15 |
$2.04 |
| J2274 |
Inj morphine pf epid ithc |
1,596 |
1,521 |
$1.52 |
| J1940 |
Furosemide injection |
25 |
13 |
$0.91 |
| 94761 |
|
1,189 |
748 |
$0.43 |
| J1030 |
Methylprednisolone 40 mg inj |
69 |
38 |
$0.17 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
950 |
864 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
1,017 |
921 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
23 |
17 |
$0.00 |
| 96417 |
|
19 |
12 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
15 |
15 |
$0.00 |
| J1953 |
Levetiracetam injection |
16 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
12 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
38 |
24 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
27 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
782 |
616 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
160 |
142 |
$0.00 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
18 |
12 |
$0.00 |
| J0173 |
Inj, epinephrine (belcher) |
71 |
53 |
$0.00 |
| J1630 |
Haloperidol injection |
19 |
12 |
$0.00 |
| 96368 |
|
42 |
38 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
108 |
82 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
49 |
46 |
$0.00 |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
26 |
25 |
$0.00 |
| 84132 |
|
15 |
12 |
$0.00 |
| 74019 |
|
12 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
22 |
12 |
$0.00 |