| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
22,842 |
16,106 |
$2.49M |
| 99283 |
|
40,245 |
34,783 |
$2.45M |
| 99284 |
|
40,986 |
34,743 |
$2.24M |
| 99285 |
|
21,372 |
18,086 |
$964K |
| 41899 |
|
2,718 |
2,260 |
$841K |
| 96365 |
|
15,784 |
8,811 |
$770K |
| J2350 |
Injection, ocrelizumab, 1 mg |
173 |
152 |
$638K |
| 80053 |
|
38,638 |
30,769 |
$546K |
| 90853 |
|
12,649 |
2,271 |
$525K |
| 99213 |
|
9,178 |
6,830 |
$516K |
| 96360 |
|
6,880 |
5,196 |
$514K |
| Q5104 |
Injection, renflexis |
1,935 |
1,629 |
$501K |
| 59025 |
|
9,611 |
3,127 |
$498K |
| 99214 |
|
11,090 |
8,285 |
$473K |
| 76816 |
|
9,607 |
7,812 |
$432K |
| J1569 |
Gammagard liquid injection |
2,326 |
654 |
$430K |
| 99282 |
|
6,826 |
6,044 |
$428K |
| 96366 |
|
5,959 |
3,338 |
$400K |
| 96040 |
|
4,927 |
4,361 |
$376K |
| 80307 |
|
9,623 |
8,032 |
$374K |
| 76811 |
|
5,665 |
5,069 |
$371K |
| 70450 |
|
5,764 |
4,999 |
$353K |
| 87635 |
|
7,689 |
6,672 |
$329K |
| 96413 |
|
5,344 |
4,369 |
$305K |
| 76815 |
|
10,581 |
6,804 |
$303K |
| 74177 |
|
4,073 |
3,620 |
$264K |
| 99212 |
|
4,296 |
3,048 |
$237K |
| J2315 |
Naltrexone, depot form |
1,170 |
843 |
$232K |
| 87491 |
|
7,083 |
6,248 |
$206K |
| 85025 |
|
45,737 |
36,744 |
$204K |
| 90837 |
|
7,974 |
4,115 |
$201K |
| 80048 |
|
17,038 |
12,704 |
$199K |
| 76805 |
|
1,626 |
1,504 |
$175K |
| 87591 |
|
7,078 |
6,246 |
$167K |
| 99215 |
Prolong outpt/office vis |
3,559 |
2,809 |
$164K |
| 96415 |
|
2,219 |
1,740 |
$158K |
| G0463 |
Hospital outpt clinic visit |
15,611 |
11,777 |
$155K |
| 76801 |
|
3,732 |
3,287 |
$155K |
| J3380 |
Inj vedolizumab iv 1 mg |
116 |
105 |
$151K |
| 99211 |
|
2,846 |
2,350 |
$149K |
| 0241U |
|
4,086 |
3,621 |
$147K |
| 94640 |
|
4,519 |
3,360 |
$140K |
| 87210 |
|
10,017 |
7,231 |
$137K |
| 80305 |
|
10,444 |
6,689 |
$134K |
| 74176 |
|
2,151 |
1,922 |
$128K |
| 86850 |
|
5,703 |
4,688 |
$128K |
| 82947 |
|
12,086 |
6,874 |
$125K |
| G0378 |
Hospital observation per hr |
6,432 |
5,347 |
$122K |
| G0480 |
Drug test def 1-7 classes |
4,214 |
3,426 |
$112K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,364 |
2,096 |
$110K |
| 43239 |
|
689 |
597 |
$109K |
| 84484 |
|
15,081 |
10,854 |
$108K |
| 36902 |
|
341 |
305 |
$107K |
| 71275 |
|
1,457 |
1,277 |
$100K |
| 82962 |
|
11,538 |
6,242 |
$99K |
| 87086 |
|
7,308 |
6,242 |
$96K |
| 81003 |
|
28,079 |
23,623 |
$87K |
| 87631 |
|
999 |
893 |
$85K |
| 84702 |
|
4,821 |
3,959 |
$75K |
| 85027 |
|
12,999 |
9,355 |
$72K |
| 84443 |
|
7,219 |
6,222 |
$71K |
| 93976 |
|
1,893 |
1,695 |
$65K |
| 82077 |
|
7,783 |
6,431 |
$63K |
| 87637 |
|
533 |
485 |
$60K |
| 76830 |
|
2,514 |
2,255 |
$60K |
| 76705 |
|
2,549 |
2,243 |
$59K |
| 45380 |
|
354 |
321 |
$56K |
| 87081 |
|
2,876 |
2,590 |
$53K |
| 83036 |
|
3,344 |
2,841 |
$53K |
| 83880 |
|
2,841 |
2,434 |
$50K |
| 83690 |
|
11,797 |
9,954 |
$48K |
| 72125 |
|
1,612 |
1,405 |
$45K |
| 87502 |
|
716 |
623 |
$44K |
| 80143 |
|
3,751 |
3,137 |
$44K |
| 96374 |
|
26,295 |
20,015 |
$43K |
| 90834 |
|
1,635 |
1,085 |
$42K |
| 76857 |
|
2,565 |
2,299 |
$41K |
| 84703 |
|
7,360 |
6,440 |
$41K |
| 87880 |
|
3,061 |
2,797 |
$40K |
| 80329 |
|
1,187 |
546 |
$39K |
| 45385 |
|
167 |
152 |
$38K |
| H2012 |
Behav hlth day treat, per hr |
318 |
25 |
$37K |
| 87150 |
|
1,102 |
953 |
$37K |
| 82570 |
|
3,765 |
2,895 |
$37K |
| 81025 |
|
5,522 |
4,749 |
$37K |
| 93971 |
|
1,705 |
1,514 |
$36K |
| 64400 |
|
285 |
241 |
$35K |
| 93306 |
|
452 |
399 |
$34K |
| 82105 |
|
408 |
347 |
$33K |
| 80179 |
|
3,646 |
3,111 |
$31K |
| 86900 |
|
6,039 |
4,971 |
$30K |
| 76817 |
|
4,353 |
3,511 |
$28K |
| 87506 |
|
231 |
210 |
$27K |
| 90791 |
|
856 |
630 |
$27K |
| 82565 |
|
1,867 |
1,137 |
$26K |
| 97530 |
|
823 |
431 |
$25K |
| 0240U |
|
846 |
758 |
$25K |
| U0005 |
Infec agen detec ampli probe |
1,185 |
1,015 |
$24K |
| 83735 |
|
6,622 |
4,533 |
$24K |
| 83605 |
|
4,005 |
3,027 |
$23K |
| 76819 |
|
2,639 |
1,377 |
$22K |
| 87070 |
|
1,134 |
930 |
$21K |
| 82803 |
|
1,566 |
1,199 |
$21K |
| J1561 |
Gamunex-c/gammaked |
151 |
49 |
$19K |
| 85379 |
|
3,480 |
3,110 |
$19K |
| 87040 |
|
3,283 |
1,570 |
$18K |
| 12001 |
|
277 |
257 |
$17K |
| 84145 |
|
1,382 |
1,149 |
$17K |
| 70486 |
|
629 |
561 |
$17K |
| 96372 |
|
15,144 |
10,954 |
$16K |
| 92507 |
|
543 |
223 |
$15K |
| 90832 |
|
695 |
483 |
$15K |
| 76813 |
|
820 |
718 |
$15K |
| 87186 |
|
2,256 |
1,917 |
$14K |
| 80076 |
|
2,621 |
2,253 |
$13K |
| 93325 |
|
516 |
383 |
$13K |
| 76820 |
|
3,520 |
1,269 |
$13K |
| Q5119 |
Inj ruxience, 10 mg |
15 |
12 |
$13K |
| 85610 |
|
5,687 |
4,414 |
$12K |
| 93296 |
|
772 |
732 |
$12K |
| J1756 |
Iron sucrose injection |
2,855 |
1,600 |
$11K |
| 71046 |
|
6,586 |
5,803 |
$11K |
| 86901 |
|
6,035 |
4,970 |
$11K |
| 81001 |
|
1,198 |
1,060 |
$10K |
| 99442 |
|
778 |
625 |
$9K |
| 87636 |
|
163 |
141 |
$9K |
| 86140 |
|
3,270 |
2,209 |
$9K |
| G0108 |
Diab manage trn per indiv |
394 |
283 |
$9K |
| 84439 |
|
1,100 |
948 |
$9K |
| 90715 |
|
1,699 |
1,492 |
$9K |
| 84156 |
|
3,069 |
2,210 |
$9K |
| 90935 |
|
210 |
114 |
$8K |
| 84460 |
|
2,598 |
1,772 |
$8K |
| 99253 |
|
155 |
147 |
$8K |
| J1750 |
Inj iron dextran |
276 |
137 |
$7K |
| 84100 |
|
2,769 |
2,012 |
$7K |
| 71045 |
|
12,296 |
10,583 |
$7K |
| 84450 |
|
1,248 |
1,037 |
$7K |
| 36581 |
|
18 |
14 |
$7K |
| 58661 |
|
22 |
15 |
$7K |
| 86780 |
|
736 |
587 |
$7K |
| 99281 |
|
118 |
106 |
$7K |
| 12011 |
|
107 |
91 |
$7K |
| 87389 |
|
392 |
336 |
$6K |
| 82550 |
|
1,502 |
1,077 |
$6K |
| Q5103 |
Injection, inflectra |
16 |
16 |
$6K |
| 93005 |
|
22,932 |
18,424 |
$6K |
| 78452 |
|
51 |
44 |
$6K |
| 84132 |
|
1,397 |
837 |
$6K |
| 85730 |
|
1,760 |
1,405 |
$5K |
| 96375 |
|
20,810 |
15,379 |
$5K |
| 94660 |
|
443 |
177 |
$5K |
| 87632 |
|
39 |
31 |
$5K |
| 93010 |
|
1,105 |
836 |
$5K |
| 76825 |
|
163 |
134 |
$5K |
| 87653 |
|
93 |
82 |
$4K |
| 87088 |
|
833 |
731 |
$4K |
| G0379 |
Direct refer hospital observ |
489 |
408 |
$4K |
| 82728 |
|
366 |
286 |
$4K |
| 99443 |
|
327 |
246 |
$4K |
| 76821 |
|
1,040 |
362 |
$4K |
| M0243 |
Casirivi and imdevi inj |
19 |
16 |
$4K |
| 82010 |
|
781 |
606 |
$3K |
| 90686 |
|
1,047 |
911 |
$3K |
| 12002 |
|
52 |
52 |
$3K |
| 87077 |
|
451 |
349 |
$3K |
| 86803 |
|
508 |
407 |
$3K |
| 80061 |
|
250 |
230 |
$3K |
| M0247 |
Sotrovimab infusion |
19 |
17 |
$3K |
| 84112 |
|
28 |
24 |
$3K |
| 87147 |
|
655 |
576 |
$2K |
| 58558 |
|
16 |
12 |
$2K |
| 87205 |
|
930 |
769 |
$2K |
| 87184 |
|
534 |
445 |
$2K |
| 29125 |
|
31 |
26 |
$2K |
| 76000 |
|
616 |
550 |
$2K |
| 87641 |
|
127 |
116 |
$2K |
| 87340 |
|
412 |
328 |
$2K |
| 85651 |
|
1,139 |
699 |
$2K |
| 96367 |
|
13 |
13 |
$2K |
| 84163 |
|
198 |
166 |
$2K |
| 90471 |
|
2,334 |
1,980 |
$2K |
| 97110 |
|
120 |
54 |
$2K |
| 70498 |
|
16 |
16 |
$1K |
| 97112 |
|
105 |
58 |
$1K |
| 73562 |
|
1,410 |
1,237 |
$1K |
| 85652 |
|
843 |
521 |
$1K |
| 76827 |
|
161 |
135 |
$1K |
| 76942 |
|
234 |
202 |
$1K |
| 82306 |
|
41 |
38 |
$1K |
| 10061 |
|
27 |
24 |
$1K |
| 96127 |
|
570 |
476 |
$1K |
| 87493 |
|
72 |
64 |
$1K |
| 70553 |
|
29 |
28 |
$1K |
| 73610 |
|
658 |
567 |
$990.59 |
| 99254 |
|
16 |
14 |
$987.72 |
| 70496 |
|
13 |
13 |
$987.03 |
| 86870 |
|
20 |
15 |
$936.36 |
| 91322 |
|
162 |
134 |
$934.16 |
| 96376 |
|
6,292 |
3,979 |
$891.36 |
| 93017 |
|
51 |
44 |
$851.24 |
| 80051 |
|
42 |
39 |
$847.94 |
| 36901 |
|
12 |
12 |
$829.02 |
| 73630 |
|
1,711 |
1,476 |
$715.08 |
| 71260 |
|
13 |
12 |
$696.12 |
| 74018 |
|
915 |
800 |
$659.41 |
| 99152 |
|
1,532 |
1,257 |
$658.74 |
| 73130 |
|
1,396 |
1,165 |
$636.06 |
| 73030 |
|
870 |
761 |
$626.23 |
| 94729 |
|
81 |
68 |
$577.25 |
| 84550 |
|
84 |
64 |
$566.42 |
| 83021 |
|
44 |
36 |
$523.60 |
| 86787 |
|
108 |
76 |
$522.51 |
| Q3014 |
Telehealth facility fee |
338 |
301 |
$518.96 |
| 80050 |
|
1,187 |
1,071 |
$466.14 |
| 90674 |
|
119 |
94 |
$448.84 |
| 88305 |
|
5,355 |
3,720 |
$438.47 |
| 82950 |
|
30 |
25 |
$417.66 |
| 97162 |
|
148 |
134 |
$411.40 |
| 99291 |
|
14 |
13 |
$388.54 |
| 83540 |
|
108 |
92 |
$380.46 |
| 70551 |
|
17 |
12 |
$373.01 |
| 90677 |
|
37 |
28 |
$367.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,101 |
7,974 |
$367.53 |
| 85018 |
|
363 |
237 |
$351.87 |
| 76770 |
|
13 |
12 |
$350.30 |
| 72100 |
|
401 |
357 |
$323.66 |
| 36415 |
|
1,763 |
1,453 |
$305.38 |
| 73110 |
|
450 |
384 |
$304.43 |
| 85384 |
|
46 |
36 |
$303.66 |
| 83550 |
|
63 |
51 |
$301.10 |
| G0008 |
Admin influenza virus vac |
1,237 |
1,057 |
$287.45 |
| 99153 |
Mod sedat endo service >5yrs |
1,926 |
1,634 |
$281.00 |
| 0042T |
|
12 |
12 |
$269.72 |
| 90480 |
|
164 |
134 |
$239.47 |
| J1885 |
Ketorolac tromethamine inj |
21,768 |
17,355 |
$224.47 |
| 90656 |
|
68 |
61 |
$218.42 |
| 82977 |
|
49 |
43 |
$209.67 |
| 86762 |
|
17 |
13 |
$178.44 |
| J2405 |
Ondansetron hcl injection |
21,934 |
17,006 |
$167.14 |
| 82607 |
|
18 |
12 |
$155.80 |
| 73502 |
|
141 |
118 |
$154.95 |
| S9470 |
Nutritional counseling, diet |
59 |
38 |
$137.62 |
| 80164 |
|
15 |
12 |
$129.59 |
| 83020 |
|
27 |
24 |
$122.17 |
| 85007 |
|
234 |
192 |
$105.01 |
| 88307 |
|
78 |
57 |
$104.47 |
| 86308 |
|
28 |
26 |
$101.65 |
| 80178 |
|
29 |
26 |
$95.62 |
| 94010 |
|
29 |
28 |
$91.45 |
| J1170 |
Hydromorphone injection |
12,637 |
7,623 |
$89.46 |
| 82247 |
|
45 |
40 |
$89.04 |
| 87075 |
|
15 |
13 |
$88.11 |
| 90678 |
|
19 |
15 |
$84.78 |
| 81015 |
|
484 |
436 |
$74.56 |
| 90694 |
|
112 |
99 |
$68.96 |
| 80320 |
|
1,355 |
1,123 |
$66.24 |
| 97166 |
|
12 |
12 |
$62.66 |
| J1100 |
Dexamethasone sodium phos |
12,676 |
10,162 |
$45.54 |
| 88304 |
|
437 |
394 |
$33.30 |
| J2704 |
Inj, propofol, 10 mg |
10,602 |
8,675 |
$32.98 |
| A9500 |
Tc99m sestamibi |
51 |
44 |
$23.39 |
| J3010 |
Fentanyl citrate injection |
12,748 |
9,930 |
$21.13 |
| J2250 |
Inj midazolam hydrochloride |
11,482 |
9,346 |
$19.17 |
| 88342 |
|
397 |
334 |
$19.06 |
| 83615 |
|
18 |
12 |
$18.72 |
| J7120 |
Ringers lactate infusion |
9,817 |
7,710 |
$17.58 |
| 80348 |
|
17 |
12 |
$15.38 |
| C1769 |
Guide wire |
1,258 |
1,102 |
$14.14 |
| 85049 |
|
12 |
12 |
$12.42 |
| J2930 |
Methylprednisolone injection |
1,613 |
1,228 |
$12.40 |
| J1644 |
Inj heparin sodium per 1000u |
3,693 |
1,889 |
$11.61 |
| J3475 |
Inj magnesium sulfate |
1,587 |
882 |
$10.98 |
| J0696 |
Ceftriaxone sodium injection |
5,431 |
3,515 |
$10.71 |
| J1200 |
Diphenhydramine hcl injectio |
6,114 |
4,682 |
$10.42 |
| 73590 |
|
71 |
64 |
$10.18 |
| G0500 |
Mod sedat endo service >5yrs |
518 |
453 |
$8.75 |
| J0690 |
Cefazolin sodium injection |
4,491 |
3,375 |
$8.51 |
| J3480 |
Inj potassium chloride |
130 |
68 |
$7.59 |
| J2919 |
Inj, methylpred sod succ 5mg |
187 |
158 |
$7.37 |
| J1630 |
Haloperidol injection |
950 |
790 |
$6.38 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
278 |
239 |
$5.99 |
| J2060 |
Lorazepam injection |
1,519 |
1,213 |
$5.40 |
| J2785 |
Regadenoson injection |
39 |
29 |
$4.75 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
866 |
682 |
$4.44 |
| J1650 |
Inj enoxaparin sodium |
1,422 |
568 |
$3.39 |
| J2370 |
Phenylephrine hcl injection |
1,410 |
1,119 |
$2.54 |
| J1836 |
Inj, metronidazole, 10 mg |
110 |
78 |
$2.29 |
| J2469 |
Palonosetron hcl |
739 |
472 |
$2.08 |
| C9113 |
Inj pantoprazole sodium, via |
361 |
200 |
$1.82 |
| J0360 |
Hydralazine hcl injection |
131 |
97 |
$1.78 |
| J2270 |
Morphine sulfate injection |
1,512 |
1,167 |
$1.76 |
| J3370 |
Vancomycin hcl injection |
76 |
53 |
$1.67 |
| C1894 |
Intro/sheath, non-laser |
329 |
280 |
$1.55 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,875 |
1,982 |
$1.42 |
| J0780 |
Prochlorperazine injection |
2,128 |
1,618 |
$1.10 |
| J2765 |
Metoclopramide hcl injection |
2,494 |
2,006 |
$0.75 |
| C1887 |
Catheter, guiding |
311 |
273 |
$0.73 |
| A9270 |
Non-covered item or service |
11,005 |
7,123 |
$0.33 |
| Q9969 |
Non-heu tc-99m add-on/dose |
24 |
24 |
$0.18 |
| C1725 |
Cath, translumin non-laser |
1,251 |
1,060 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,006 |
868 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
695 |
499 |
$0.00 |
| C1888 |
Endovas non-cardiac abl cath |
794 |
659 |
$0.00 |
| 74019 |
|
26 |
24 |
$0.00 |
| 36591 |
|
52 |
37 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
980 |
191 |
$0.00 |
| J1815 |
Insulin injection |
63 |
40 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
50 |
32 |
$0.00 |
| 51798 |
|
74 |
64 |
$0.00 |
| C1889 |
Implant/insert device, noc |
79 |
61 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
73 |
59 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
179 |
154 |
$0.00 |
| 77001 |
|
25 |
15 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
32 |
24 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
47 |
29 |
$0.00 |
| J1790 |
Droperidol injection |
29 |
24 |
$0.00 |
| A9577 |
Inj multihance |
458 |
400 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,124 |
2,228 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
66 |
65 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
565 |
334 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
909 |
773 |
$0.00 |
| 0124A |
|
126 |
101 |
$0.00 |
| 0054A |
|
67 |
65 |
$0.00 |
| J2550 |
Promethazine hcl injection |
276 |
239 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
530 |
263 |
$0.00 |
| 0003A |
|
16 |
14 |
$0.00 |
| 88302 |
|
18 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
192 |
126 |
$0.00 |
| 73140 |
|
44 |
39 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
16 |
$0.00 |
| A9578 |
Inj multihance multipack |
73 |
58 |
$0.00 |
| G8978 |
Mobility current status |
16 |
16 |
$0.00 |
| 90653 |
|
15 |
13 |
$0.00 |
| 73080 |
|
14 |
12 |
$0.00 |