| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
50,394 |
46,648 |
$5.92M |
| 99284 |
|
28,904 |
26,890 |
$3.92M |
| 96361 |
|
11,435 |
8,684 |
$3.54M |
| 99285 |
|
11,699 |
10,426 |
$1.65M |
| 97110 |
|
17,255 |
5,250 |
$1.35M |
| G0463 |
Hospital outpt clinic visit |
10,646 |
7,671 |
$890K |
| 99282 |
|
7,187 |
6,792 |
$777K |
| 11042 |
|
7,001 |
3,127 |
$608K |
| 70450 |
|
2,353 |
1,955 |
$551K |
| 96365 |
|
3,281 |
1,961 |
$542K |
| 74177 |
|
2,198 |
1,871 |
$536K |
| G0378 |
Hospital observation per hr |
5,674 |
3,096 |
$416K |
| 43239 |
|
1,110 |
1,028 |
$408K |
| 11043 |
|
1,402 |
595 |
$328K |
| 74176 |
|
1,177 |
1,022 |
$320K |
| 96360 |
|
1,580 |
1,254 |
$314K |
| 96366 |
|
1,449 |
720 |
$261K |
| 80048 |
|
25,069 |
20,433 |
$238K |
| 11045 |
|
998 |
414 |
$227K |
| 80053 |
|
30,459 |
25,715 |
$223K |
| 93356 |
|
798 |
688 |
$213K |
| C9803 |
Hopd covid-19 spec collect |
5,003 |
4,660 |
$190K |
| 71275 |
|
675 |
580 |
$175K |
| 45380 |
|
387 |
351 |
$165K |
| 99281 |
|
1,360 |
1,224 |
$160K |
| U0003 |
Cov-19 amp prb hgh thruput |
999 |
959 |
$156K |
| 59025 |
|
969 |
658 |
$153K |
| 94640 |
|
1,257 |
1,018 |
$138K |
| 87502 |
|
8,255 |
7,474 |
$133K |
| 96413 |
|
1,106 |
572 |
$130K |
| 78452 |
|
314 |
280 |
$124K |
| 80307 |
|
6,253 |
5,262 |
$88K |
| 77063 |
|
1,778 |
1,660 |
$84K |
| 73721 |
|
362 |
338 |
$79K |
| 71260 |
|
448 |
378 |
$73K |
| 85025 |
|
56,611 |
47,196 |
$72K |
| 84484 |
|
17,196 |
10,112 |
$67K |
| 76705 |
|
589 |
524 |
$60K |
| 93306 |
|
1,038 |
897 |
$57K |
| 80061 |
|
3,916 |
3,654 |
$55K |
| 45385 |
|
168 |
158 |
$53K |
| 43248 |
|
174 |
163 |
$43K |
| 71046 |
|
2,957 |
2,730 |
$43K |
| 82306 |
|
1,763 |
1,626 |
$43K |
| 84443 |
|
3,554 |
3,081 |
$43K |
| 80076 |
|
7,889 |
7,214 |
$42K |
| 36415 |
|
26,562 |
19,267 |
$41K |
| 12001 |
|
255 |
230 |
$41K |
| 97162 |
|
1,083 |
951 |
$40K |
| 95886 |
|
141 |
116 |
$38K |
| 93005 |
|
20,315 |
17,479 |
$35K |
| 99291 |
|
284 |
226 |
$35K |
| 76642 |
|
215 |
211 |
$31K |
| 73221 |
|
158 |
146 |
$30K |
| 93017 |
|
383 |
345 |
$30K |
| 71045 |
|
11,974 |
10,668 |
$30K |
| 97140 |
|
1,673 |
676 |
$30K |
| 82805 |
|
1,052 |
850 |
$29K |
| 70551 |
|
173 |
149 |
$29K |
| 71250 |
|
282 |
253 |
$27K |
| 77067 |
|
2,217 |
2,093 |
$26K |
| 76830 |
|
355 |
320 |
$26K |
| 83036 |
|
2,319 |
2,120 |
$25K |
| 97161 |
|
547 |
479 |
$25K |
| 82607 |
|
1,556 |
1,394 |
$24K |
| 10060 |
|
140 |
123 |
$23K |
| 29580 |
|
237 |
111 |
$20K |
| 97607 |
|
198 |
82 |
$18K |
| J1756 |
Iron sucrose injection |
826 |
298 |
$16K |
| 97530 |
|
637 |
266 |
$16K |
| 86850 |
|
839 |
682 |
$16K |
| 93971 |
|
205 |
186 |
$16K |
| 95811 |
|
27 |
27 |
$16K |
| 94060 |
|
116 |
101 |
$16K |
| 80069 |
|
1,185 |
825 |
$16K |
| 85027 |
|
4,478 |
2,994 |
$15K |
| 97166 |
|
386 |
323 |
$15K |
| J3490 |
Drugs unclassified injection |
4,035 |
2,502 |
$15K |
| 72100 |
|
598 |
544 |
$15K |
| 72148 |
|
117 |
104 |
$14K |
| 72125 |
|
886 |
737 |
$14K |
| 96367 |
|
761 |
471 |
$14K |
| 84100 |
|
1,924 |
1,549 |
$13K |
| 95810 |
|
26 |
24 |
$13K |
| 29581 |
|
137 |
64 |
$13K |
| 96372 |
|
9,612 |
6,727 |
$13K |
| 83735 |
|
5,656 |
3,548 |
$13K |
| 86900 |
|
1,079 |
877 |
$12K |
| 97165 |
|
254 |
212 |
$12K |
| 70553 |
|
45 |
41 |
$12K |
| 73030 |
|
832 |
674 |
$11K |
| 84439 |
|
765 |
665 |
$11K |
| 90715 |
|
661 |
567 |
$10K |
| 82746 |
|
1,405 |
1,261 |
$10K |
| 96374 |
|
16,220 |
14,097 |
$10K |
| 93970 |
|
84 |
75 |
$9K |
| 70496 |
|
44 |
41 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
8,170 |
7,312 |
$9K |
| 81001 |
|
18,948 |
17,114 |
$9K |
| 0202U |
|
41 |
41 |
$8K |
| 86803 |
|
382 |
347 |
$8K |
| 73130 |
|
751 |
646 |
$8K |
| 82728 |
|
1,651 |
1,444 |
$8K |
| 90471 |
|
676 |
568 |
$8K |
| 76770 |
|
69 |
59 |
$8K |
| 94726 |
|
109 |
97 |
$8K |
| 94729 |
|
111 |
99 |
$8K |
| 73562 |
|
697 |
596 |
$8K |
| J0561 |
Penicillin g benzathine inj |
36 |
27 |
$7K |
| 76801 |
|
38 |
27 |
$7K |
| 93270 |
|
73 |
66 |
$7K |
| 72040 |
|
162 |
151 |
$7K |
| 73630 |
|
845 |
746 |
$6K |
| 36591 |
|
1,672 |
785 |
$6K |
| 83540 |
|
1,505 |
1,297 |
$6K |
| 76805 |
|
29 |
25 |
$6K |
| 96375 |
|
10,462 |
8,008 |
$6K |
| 72131 |
|
116 |
95 |
$5K |
| 80320 |
|
454 |
380 |
$5K |
| 84436 |
|
592 |
544 |
$5K |
| 93880 |
|
72 |
67 |
$5K |
| U0005 |
Infec agen detec ampli probe |
583 |
565 |
$5K |
| 97597 |
|
296 |
153 |
$5K |
| 86140 |
|
657 |
472 |
$5K |
| 83550 |
|
1,476 |
1,273 |
$5K |
| 96376 |
|
1,906 |
1,062 |
$5K |
| 73502 |
|
373 |
315 |
$5K |
| 76700 |
|
27 |
25 |
$4K |
| 85610 |
|
2,566 |
2,019 |
$4K |
| 73610 |
|
744 |
680 |
$4K |
| 12011 |
|
36 |
28 |
$4K |
| 87529 |
|
1,402 |
756 |
$4K |
| 83880 |
|
1,608 |
1,238 |
$4K |
| 93975 |
|
27 |
26 |
$4K |
| 87633 |
|
26 |
23 |
$4K |
| 80324 |
|
143 |
142 |
$4K |
| 73110 |
|
542 |
468 |
$4K |
| 74018 |
|
186 |
166 |
$3K |
| 82575 |
|
336 |
298 |
$3K |
| 83605 |
|
3,008 |
2,281 |
$3K |
| 87634 |
|
1,291 |
1,117 |
$3K |
| G0279 |
Tomosynthesis, mammo |
340 |
307 |
$3K |
| 73080 |
|
263 |
229 |
$3K |
| 87491 |
|
887 |
790 |
$3K |
| 87651 |
|
2,288 |
2,049 |
$2K |
| 84702 |
|
918 |
756 |
$2K |
| 43249 |
|
12 |
12 |
$2K |
| 73560 |
|
242 |
203 |
$2K |
| 83690 |
|
8,284 |
7,358 |
$2K |
| 87661 |
|
833 |
745 |
$2K |
| 86901 |
|
1,078 |
876 |
$2K |
| 70491 |
|
18 |
18 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
80 |
66 |
$2K |
| 81025 |
|
6,956 |
6,178 |
$2K |
| 75635 |
|
12 |
12 |
$2K |
| 87591 |
|
887 |
790 |
$2K |
| 85651 |
|
977 |
734 |
$2K |
| 85007 |
|
929 |
659 |
$2K |
| 97116 |
|
109 |
71 |
$2K |
| 80361 |
|
143 |
142 |
$2K |
| 84153 |
|
125 |
108 |
$2K |
| 82043 |
|
283 |
262 |
$2K |
| 84156 |
|
366 |
320 |
$2K |
| 77066 |
Tomosynthesis, mammo |
59 |
53 |
$2K |
| 97535 |
|
78 |
57 |
$2K |
| 93225 |
|
25 |
16 |
$2K |
| 77065 |
Tomosynthesis, mammo |
59 |
46 |
$2K |
| 80348 |
|
143 |
142 |
$2K |
| 76815 |
|
15 |
12 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,357 |
972 |
$2K |
| 80373 |
|
143 |
142 |
$2K |
| 72141 |
|
13 |
12 |
$2K |
| 80354 |
|
143 |
142 |
$2K |
| 80346 |
|
143 |
142 |
$2K |
| 70486 |
|
81 |
69 |
$2K |
| 88305 |
|
2,933 |
2,253 |
$2K |
| 87086 |
|
2,089 |
1,765 |
$2K |
| 76817 |
|
73 |
60 |
$2K |
| 80372 |
|
143 |
142 |
$2K |
| 80353 |
|
143 |
142 |
$2K |
| 81003 |
|
2,652 |
2,284 |
$2K |
| 80365 |
|
143 |
142 |
$1K |
| 80359 |
|
143 |
142 |
$1K |
| 80358 |
|
143 |
142 |
$1K |
| 71101 |
|
169 |
154 |
$1K |
| 87070 |
|
2,452 |
2,068 |
$1K |
| 85378 |
|
2,026 |
1,721 |
$1K |
| 01999 |
|
535 |
465 |
$1K |
| 87077 |
|
2,063 |
1,607 |
$1K |
| 87389 |
|
76 |
63 |
$1K |
| 84703 |
|
2,973 |
2,724 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 87186 |
|
1,741 |
1,402 |
$869.91 |
| 97112 |
|
20 |
12 |
$866.09 |
| 29125 |
|
397 |
352 |
$816.08 |
| J2250 |
Inj midazolam hydrochloride |
2,095 |
1,680 |
$785.55 |
| 87210 |
|
477 |
431 |
$706.96 |
| 87205 |
|
1,869 |
1,494 |
$704.42 |
| J1170 |
Hydromorphone injection |
2,397 |
1,375 |
$672.22 |
| J2704 |
Inj, propofol, 10 mg |
2,222 |
1,919 |
$654.09 |
| 82550 |
|
452 |
346 |
$621.21 |
| 85730 |
|
911 |
743 |
$607.16 |
| 72128 |
|
14 |
12 |
$591.19 |
| 93226 |
|
18 |
13 |
$588.72 |
| 80074 |
|
54 |
41 |
$578.84 |
| J3010 |
Fentanyl citrate injection |
4,206 |
3,360 |
$564.90 |
| J2405 |
Ondansetron hcl injection |
7,190 |
5,522 |
$541.90 |
| 73590 |
|
123 |
110 |
$533.02 |
| 84145 |
|
920 |
744 |
$514.82 |
| 86780 |
|
52 |
42 |
$485.97 |
| J1100 |
Dexamethasone sodium phos |
3,701 |
2,838 |
$467.48 |
| J0690 |
Cefazolin sodium injection |
1,606 |
1,153 |
$453.27 |
| 82140 |
|
162 |
123 |
$452.31 |
| 92610 |
|
13 |
13 |
$440.34 |
| J2270 |
Morphine sulfate injection |
1,746 |
1,302 |
$409.55 |
| 87040 |
|
1,328 |
592 |
$399.63 |
| J1885 |
Ketorolac tromethamine inj |
13,598 |
7,765 |
$398.88 |
| 70498 |
|
43 |
40 |
$393.84 |
| 85014 |
|
40 |
40 |
$392.76 |
| 88304 |
|
221 |
149 |
$378.92 |
| G0008 |
Admin influenza virus vac |
36 |
27 |
$362.15 |
| 01400 |
|
83 |
67 |
$361.08 |
| 97598 |
|
30 |
12 |
$356.85 |
| 73140 |
|
34 |
29 |
$344.13 |
| 86706 |
|
31 |
26 |
$323.39 |
| J1644 |
Inj heparin sodium per 1000u |
1,073 |
513 |
$270.47 |
| 86334 |
|
56 |
39 |
$265.97 |
| 88342 |
|
987 |
846 |
$262.87 |
| 84132 |
|
497 |
394 |
$258.04 |
| 73090 |
|
67 |
51 |
$254.39 |
| 82248 |
|
83 |
64 |
$251.18 |
| 82950 |
|
28 |
28 |
$244.99 |
| 83970 |
|
12 |
12 |
$207.20 |
| J0171 |
Adrenalin epinephrine inject |
964 |
434 |
$200.71 |
| J2930 |
Methylprednisolone injection |
440 |
324 |
$199.79 |
| 85018 |
|
40 |
40 |
$196.72 |
| 72170 |
|
146 |
122 |
$194.47 |
| 87880 |
|
440 |
418 |
$169.56 |
| J3475 |
Inj magnesium sulfate |
628 |
371 |
$160.39 |
| J1642 |
Inj heparin sodium per 10 u |
1,353 |
628 |
$156.28 |
| J2550 |
Promethazine hcl injection |
1,160 |
877 |
$150.75 |
| 86592 |
|
14 |
12 |
$147.00 |
| J0696 |
Ceftriaxone sodium injection |
1,055 |
676 |
$143.49 |
| 94760 |
|
1,204 |
805 |
$140.58 |
| J2919 |
Inj, methylpred sod succ 5mg |
315 |
207 |
$133.64 |
| J2272 |
Inj, morphine (fresenius) |
141 |
116 |
$131.48 |
| 86141 |
|
78 |
69 |
$126.13 |
| 84550 |
|
85 |
75 |
$125.36 |
| 82378 |
|
264 |
172 |
$109.08 |
| 83615 |
|
77 |
68 |
$92.47 |
| 84165 |
|
58 |
43 |
$88.65 |
| 82570 |
|
15 |
15 |
$81.68 |
| J1200 |
Diphenhydramine hcl injectio |
2,512 |
1,900 |
$80.82 |
| 87486 |
|
26 |
23 |
$74.00 |
| J2060 |
Lorazepam injection |
893 |
673 |
$72.88 |
| 82010 |
|
158 |
133 |
$68.78 |
| 87176 |
|
89 |
83 |
$56.96 |
| J0360 |
Hydralazine hcl injection |
115 |
89 |
$46.66 |
| J0689 |
Inj cefazolin sodium, baxter |
494 |
399 |
$46.23 |
| J3301 |
Triamcinolone acet inj nos |
202 |
177 |
$45.35 |
| J1940 |
Furosemide injection |
198 |
131 |
$39.46 |
| J0780 |
Prochlorperazine injection |
566 |
458 |
$37.65 |
| 87798 |
|
27 |
24 |
$37.00 |
| 87581 |
|
26 |
23 |
$37.00 |
| J3480 |
Inj potassium chloride |
231 |
132 |
$29.36 |
| J2360 |
Orphenadrine injection |
77 |
63 |
$29.23 |
| J3360 |
Diazepam injection |
157 |
59 |
$26.96 |
| J2765 |
Metoclopramide hcl injection |
789 |
636 |
$25.85 |
| J3370 |
Vancomycin hcl injection |
231 |
149 |
$24.39 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
562 |
452 |
$23.15 |
| J3420 |
Vitamin b12 injection |
39 |
25 |
$18.28 |
| J2795 |
Ropivacaine hcl injection |
135 |
113 |
$12.86 |
| J7999 |
Compounded drug, noc |
28 |
26 |
$11.60 |
| J2800 |
Methocarbamol injection |
13 |
13 |
$8.59 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
147 |
94 |
$8.57 |
| J1630 |
Haloperidol injection |
67 |
38 |
$8.34 |
| J1790 |
Droperidol injection |
79 |
66 |
$4.50 |
| J2470 |
Inj pantoprazole sodium 40mg |
60 |
43 |
$3.86 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$2.46 |
| J0330 |
Succinycholine chloride inj |
184 |
144 |
$2.05 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
472 |
396 |
$0.29 |
| Q0177 |
Hydroxyzine pamoate 25mg |
31 |
28 |
$0.15 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
270 |
228 |
$0.00 |
| 00731 |
|
287 |
254 |
$0.00 |
| 00811 |
|
98 |
96 |
$0.00 |
| 00840 |
|
16 |
13 |
$0.00 |
| C1776 |
Joint device (implantable) |
79 |
68 |
$0.00 |
| J1953 |
Levetiracetam injection |
14 |
13 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
17 |
13 |
$0.00 |
| 36592 |
|
17 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
42 |
30 |
$0.00 |
| A9552 |
F18 fdg |
14 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
315 |
281 |
$0.00 |
| 88311 |
|
77 |
63 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
199 |
140 |
$0.00 |
| 94761 |
|
216 |
140 |
$0.00 |
| J2785 |
Regadenoson injection |
77 |
68 |
$0.00 |
| 00813 |
|
128 |
121 |
$0.00 |
| C1769 |
Guide wire |
152 |
123 |
$0.00 |
| C1889 |
Implant/insert device, noc |
22 |
16 |
$0.00 |
| 00790 |
|
18 |
12 |
$0.00 |
| 74022 |
|
14 |
14 |
$0.00 |