| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
17,462 |
14,191 |
$4.15M |
| 99283 |
|
10,122 |
8,543 |
$1.39M |
| 99285 |
|
2,459 |
1,714 |
$545K |
| 74176 |
|
2,011 |
1,633 |
$340K |
| 74177 |
|
1,155 |
926 |
$250K |
| G0463 |
Hospital outpt clinic visit |
7,761 |
5,731 |
$217K |
| G0378 |
Hospital observation per hr |
1,363 |
794 |
$207K |
| 11042 |
|
1,965 |
765 |
$184K |
| 97110 |
|
5,221 |
1,278 |
$175K |
| 99282 |
|
1,353 |
1,196 |
$168K |
| 70553 |
|
341 |
272 |
$166K |
| 70450 |
|
1,782 |
1,412 |
$163K |
| 72148 |
|
381 |
341 |
$155K |
| 80307 |
|
4,385 |
3,655 |
$153K |
| 96374 |
|
5,296 |
2,758 |
$133K |
| 96365 |
|
2,777 |
1,141 |
$133K |
| 85025 |
|
20,608 |
15,394 |
$124K |
| 36415 |
|
45,352 |
21,130 |
$120K |
| 76816 |
|
1,097 |
936 |
$110K |
| 80053 |
|
20,313 |
13,046 |
$106K |
| 71046 |
|
5,147 |
4,292 |
$106K |
| 81220 |
|
404 |
359 |
$105K |
| 76805 |
|
879 |
796 |
$103K |
| 96372 |
|
8,337 |
4,759 |
$103K |
| 77067 |
|
1,205 |
1,086 |
$102K |
| 96361 |
|
3,654 |
2,180 |
$102K |
| 76705 |
|
903 |
805 |
$91K |
| 93306 |
|
625 |
529 |
$86K |
| 76856 |
|
823 |
758 |
$86K |
| 71260 |
|
477 |
347 |
$79K |
| 81001 |
|
10,502 |
8,629 |
$70K |
| 99218 |
|
1,003 |
391 |
$69K |
| G0483 |
Drug test def 22+ classes |
536 |
417 |
$68K |
| 84443 |
|
5,204 |
4,475 |
$68K |
| 93005 |
|
5,498 |
4,485 |
$60K |
| 99211 |
|
1,052 |
846 |
$57K |
| 71045 |
|
2,554 |
1,874 |
$53K |
| 73721 |
|
94 |
90 |
$46K |
| 80055 |
|
957 |
824 |
$44K |
| 96360 |
|
1,155 |
803 |
$44K |
| 73630 |
|
2,261 |
1,808 |
$42K |
| 99213 |
|
1,542 |
1,453 |
$42K |
| 80061 |
|
3,824 |
3,158 |
$41K |
| 99214 |
|
845 |
829 |
$37K |
| 87804 |
|
4,463 |
3,848 |
$34K |
| 96375 |
|
2,379 |
1,864 |
$32K |
| 97140 |
|
1,666 |
568 |
$32K |
| 99212 |
|
1,104 |
996 |
$30K |
| 81025 |
|
3,048 |
2,651 |
$30K |
| 73610 |
|
1,562 |
1,207 |
$29K |
| 87070 |
|
6,467 |
4,673 |
$28K |
| 94640 |
|
2,268 |
1,404 |
$26K |
| 87086 |
|
6,340 |
4,148 |
$25K |
| 82306 |
|
1,221 |
1,001 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,981 |
1,646 |
$24K |
| 76536 |
|
243 |
216 |
$22K |
| 80048 |
|
5,665 |
3,612 |
$21K |
| 64493 |
|
54 |
44 |
$21K |
| 73110 |
|
1,384 |
978 |
$20K |
| 73030 |
|
1,040 |
847 |
$20K |
| 87635 |
|
921 |
682 |
$20K |
| 86769 |
|
1,095 |
572 |
$20K |
| 83036 |
|
2,970 |
2,497 |
$20K |
| 71275 |
|
80 |
73 |
$19K |
| 87880 |
|
4,049 |
3,664 |
$19K |
| J2405 |
Ondansetron hcl injection |
3,459 |
2,631 |
$18K |
| 73221 |
|
40 |
38 |
$17K |
| 74018 |
|
940 |
806 |
$17K |
| 87186 |
|
2,145 |
1,814 |
$17K |
| 87426 |
|
1,170 |
851 |
$16K |
| 73130 |
|
1,062 |
838 |
$16K |
| 82607 |
|
1,501 |
1,172 |
$16K |
| 97162 |
|
340 |
252 |
$16K |
| 78452 |
|
85 |
41 |
$15K |
| 84484 |
|
3,241 |
2,347 |
$14K |
| 84439 |
|
1,703 |
1,496 |
$13K |
| 84702 |
|
1,297 |
836 |
$13K |
| 87040 |
|
1,350 |
1,131 |
$13K |
| 12001 |
|
119 |
116 |
$12K |
| 82728 |
|
1,158 |
955 |
$12K |
| 82746 |
|
968 |
849 |
$12K |
| 83880 |
|
865 |
689 |
$11K |
| 72100 |
|
559 |
449 |
$11K |
| 82248 |
|
4,976 |
3,979 |
$11K |
| 86803 |
|
934 |
793 |
$11K |
| 77063 |
|
1,063 |
815 |
$11K |
| 99291 |
|
30 |
29 |
$11K |
| 82948 |
|
1,550 |
863 |
$10K |
| 93017 |
|
104 |
100 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
1,124 |
858 |
$10K |
| A9585 |
Gadobutrol injection |
516 |
449 |
$10K |
| 82553 |
|
2,136 |
1,505 |
$10K |
| 72125 |
|
98 |
87 |
$10K |
| 96376 |
|
642 |
395 |
$9K |
| 73562 |
|
574 |
475 |
$9K |
| 85379 |
|
1,809 |
1,503 |
$9K |
| 71250 |
|
49 |
43 |
$8K |
| 83690 |
|
2,749 |
2,307 |
$8K |
| 96366 |
|
311 |
189 |
$8K |
| 73502 |
|
440 |
363 |
$8K |
| 86140 |
|
3,279 |
2,787 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
4,487 |
3,687 |
$7K |
| 62323 |
|
12 |
12 |
$6K |
| 90471 |
|
761 |
679 |
$6K |
| 90715 |
|
316 |
287 |
$6K |
| 87491 |
|
177 |
171 |
$6K |
| 87591 |
|
183 |
176 |
$6K |
| 83605 |
|
1,632 |
1,308 |
$6K |
| 83735 |
|
1,453 |
1,172 |
$6K |
| 85610 |
|
2,300 |
1,425 |
$5K |
| 85730 |
|
948 |
776 |
$5K |
| J2930 |
Methylprednisolone injection |
688 |
570 |
$5K |
| 87088 |
|
1,250 |
1,063 |
$5K |
| 87077 |
|
857 |
745 |
$5K |
| 78227 |
|
19 |
13 |
$4K |
| 72110 |
|
147 |
128 |
$4K |
| 80081 |
|
56 |
50 |
$4K |
| 74022 |
|
131 |
117 |
$4K |
| 73560 |
|
277 |
221 |
$4K |
| 70486 |
|
31 |
25 |
$4K |
| 96523 |
|
112 |
101 |
$4K |
| 82950 |
|
824 |
725 |
$4K |
| 85018 |
|
861 |
737 |
$3K |
| 93880 |
|
30 |
28 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
148 |
128 |
$3K |
| 76642 |
|
36 |
32 |
$3K |
| 73590 |
|
129 |
104 |
$3K |
| 97530 |
|
44 |
13 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,019 |
812 |
$2K |
| 90686 |
|
248 |
227 |
$2K |
| 80320 |
|
510 |
460 |
$2K |
| 86757 |
|
103 |
92 |
$2K |
| 76801 |
|
45 |
37 |
$2K |
| 76817 |
|
55 |
48 |
$2K |
| 43239 |
|
18 |
13 |
$2K |
| 76830 |
|
29 |
28 |
$2K |
| 97014 |
|
205 |
77 |
$2K |
| 85045 |
|
656 |
565 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,707 |
1,436 |
$2K |
| 86900 |
|
439 |
338 |
$2K |
| 87807 |
|
488 |
457 |
$2K |
| 83516 |
|
77 |
64 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
317 |
302 |
$2K |
| 85651 |
|
646 |
534 |
$2K |
| 82550 |
|
649 |
489 |
$2K |
| 82803 |
|
235 |
200 |
$2K |
| J2360 |
Orphenadrine injection |
332 |
300 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
247 |
235 |
$2K |
| 73140 |
|
123 |
107 |
$1K |
| 76770 |
|
15 |
14 |
$1K |
| 86618 |
|
112 |
103 |
$1K |
| 85014 |
|
865 |
735 |
$1K |
| 84153 |
|
108 |
90 |
$1K |
| 86666 |
|
51 |
42 |
$1K |
| 72131 |
|
16 |
16 |
$1K |
| 72040 |
|
57 |
53 |
$1K |
| 82247 |
|
263 |
140 |
$1K |
| J1170 |
Hydromorphone injection |
386 |
294 |
$1K |
| 84550 |
|
411 |
315 |
$1K |
| 82570 |
|
237 |
200 |
$1K |
| J3490 |
Drugs unclassified injection |
8,633 |
3,658 |
$1K |
| Q3014 |
Telehealth facility fee |
83 |
65 |
$1K |
| 80074 |
|
37 |
36 |
$1K |
| 59025 |
|
26 |
12 |
$1K |
| 73090 |
|
104 |
94 |
$1K |
| 95816 |
|
14 |
14 |
$990.26 |
| 84146 |
|
58 |
50 |
$944.10 |
| J7050 |
Normal saline solution infus |
302 |
93 |
$922.42 |
| 72070 |
|
68 |
50 |
$919.53 |
| 74019 |
|
32 |
31 |
$903.15 |
| 87339 |
|
16 |
13 |
$901.25 |
| 84481 |
|
53 |
51 |
$895.82 |
| A4217 |
Sterile water/saline, 500 ml |
137 |
121 |
$889.54 |
| 86850 |
|
185 |
142 |
$682.55 |
| 84703 |
|
159 |
144 |
$675.04 |
| 72081 |
|
30 |
28 |
$668.48 |
| 97161 |
|
15 |
13 |
$659.59 |
| 83540 |
|
136 |
112 |
$655.25 |
| 87046 |
|
29 |
27 |
$642.26 |
| 84436 |
|
109 |
98 |
$630.13 |
| 82565 |
|
165 |
107 |
$593.73 |
| 86038 |
|
58 |
52 |
$592.29 |
| 87389 |
|
24 |
24 |
$570.88 |
| 86376 |
|
43 |
37 |
$566.59 |
| 83550 |
|
77 |
66 |
$565.51 |
| 80329 |
|
41 |
38 |
$561.37 |
| 73564 |
|
16 |
14 |
$550.78 |
| 71101 |
|
18 |
15 |
$543.08 |
| 36600 |
|
164 |
142 |
$524.81 |
| 82043 |
|
107 |
91 |
$487.47 |
| 82150 |
|
132 |
125 |
$480.74 |
| 73565 |
|
39 |
38 |
$464.20 |
| 82274 |
|
42 |
40 |
$375.21 |
| J1030 |
Methylprednisolone 40 mg inj |
261 |
199 |
$367.93 |
| 72050 |
|
16 |
12 |
$358.84 |
| 93226 |
|
13 |
12 |
$357.42 |
| A4351 |
Straight tip urine catheter |
46 |
41 |
$321.57 |
| J1200 |
Diphenhydramine hcl injectio |
148 |
135 |
$319.64 |
| 73070 |
|
14 |
12 |
$307.62 |
| 84450 |
|
61 |
53 |
$304.12 |
| 64494 |
|
46 |
42 |
$294.24 |
| 87045 |
|
50 |
41 |
$291.35 |
| 90460 |
|
55 |
52 |
$274.81 |
| 80076 |
|
34 |
28 |
$196.07 |
| A9537 |
Tc99m mebrofenin |
14 |
13 |
$177.23 |
| J0330 |
Succinycholine chloride inj |
125 |
116 |
$164.70 |
| 84520 |
|
67 |
53 |
$160.90 |
| 84156 |
|
50 |
42 |
$160.15 |
| 83874 |
|
39 |
32 |
$133.56 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
13 |
13 |
$97.69 |
| 84479 |
|
14 |
13 |
$75.24 |
| 84460 |
|
24 |
12 |
$60.84 |
| 86308 |
|
13 |
12 |
$35.52 |
| A9270 |
Non-covered item or service |
231 |
152 |
$0.00 |