| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
24,014 |
20,107 |
$3.73M |
| 99284 |
|
21,614 |
16,834 |
$3.64M |
| 85025 |
|
57,522 |
45,596 |
$1.75M |
| 74177 |
|
2,263 |
2,016 |
$1.73M |
| 70450 |
|
2,950 |
2,684 |
$1.69M |
| 80053 |
|
54,798 |
47,118 |
$1.54M |
| 87637 |
|
9,026 |
7,730 |
$1.38M |
| 99285 |
|
7,865 |
5,924 |
$1.27M |
| 74176 |
|
1,721 |
1,546 |
$1.08M |
| 84443 |
|
21,635 |
19,517 |
$962K |
| 71045 |
|
8,428 |
7,188 |
$678K |
| 83036 |
|
20,506 |
18,587 |
$648K |
| 87086 |
|
14,441 |
12,587 |
$618K |
| 93005 |
|
11,785 |
9,822 |
$616K |
| 80061 |
|
23,661 |
21,613 |
$604K |
| 81001 |
|
20,334 |
17,049 |
$579K |
| 96374 |
|
9,920 |
8,139 |
$576K |
| 36415 |
|
54,347 |
45,703 |
$568K |
| 71046 |
|
4,821 |
4,314 |
$560K |
| 96375 |
|
7,945 |
6,065 |
$522K |
| 88305 |
|
4,071 |
2,533 |
$483K |
| 99282 |
|
5,523 |
4,916 |
$464K |
| 93306 |
|
1,770 |
1,080 |
$447K |
| 99211 |
|
22,670 |
17,921 |
$438K |
| G0378 |
Hospital observation per hr |
3,362 |
1,440 |
$400K |
| 80048 |
|
15,530 |
12,111 |
$384K |
| 43239 |
|
1,538 |
964 |
$381K |
| 82306 |
|
6,702 |
6,177 |
$356K |
| 80307 |
|
3,742 |
3,206 |
$309K |
| 76830 |
|
871 |
828 |
$306K |
| 73630 |
|
3,004 |
2,330 |
$297K |
| 85027 |
|
9,808 |
8,722 |
$289K |
| 82248 |
|
14,261 |
11,722 |
$266K |
| 87491 |
|
5,133 |
4,676 |
$266K |
| 87591 |
|
5,131 |
4,674 |
$259K |
| 87389 |
|
5,532 |
5,015 |
$256K |
| 96361 |
|
5,662 |
4,479 |
$255K |
| 86803 |
|
5,701 |
5,037 |
$251K |
| 96365 |
|
3,679 |
2,947 |
$245K |
| 59025 |
|
2,117 |
1,375 |
$231K |
| 99213 |
|
21,912 |
14,950 |
$226K |
| 84484 |
|
9,164 |
7,092 |
$224K |
| 71260 |
|
324 |
281 |
$223K |
| U0002 |
Covid-19 lab test non-cdc |
4,013 |
3,587 |
$222K |
| 76705 |
|
805 |
748 |
$217K |
| 83690 |
|
9,647 |
8,134 |
$216K |
| 72125 |
|
315 |
292 |
$210K |
| 67028 |
|
1,997 |
1,052 |
$201K |
| 92134 |
|
3,078 |
1,810 |
$201K |
| 87186 |
|
4,328 |
3,832 |
$199K |
| J7120 |
Ringers lactate infusion |
3,821 |
2,879 |
$185K |
| 85610 |
|
8,063 |
6,214 |
$185K |
| 82607 |
|
3,306 |
3,126 |
$177K |
| 0241U |
|
1,664 |
1,503 |
$176K |
| 76816 |
|
723 |
683 |
$162K |
| 96372 |
|
6,418 |
4,905 |
$161K |
| 82803 |
|
3,693 |
2,855 |
$151K |
| 96360 |
|
1,504 |
1,283 |
$148K |
| 73610 |
|
1,064 |
942 |
$144K |
| 87804 |
|
5,677 |
4,738 |
$140K |
| 83880 |
|
3,523 |
2,939 |
$139K |
| 87077 |
|
4,304 |
3,840 |
$137K |
| 71275 |
|
203 |
187 |
$136K |
| 73564 |
|
1,176 |
1,013 |
$133K |
| 87040 |
|
2,019 |
1,391 |
$132K |
| 77067 |
|
920 |
872 |
$129K |
| 87340 |
|
2,291 |
2,065 |
$128K |
| 82728 |
|
2,598 |
2,432 |
$128K |
| 84466 |
|
2,693 |
2,521 |
$123K |
| 87880 |
|
4,315 |
3,943 |
$120K |
| 85730 |
|
3,470 |
3,062 |
$115K |
| G0463 |
Hospital outpt clinic visit |
17,294 |
13,596 |
$115K |
| 72110 |
|
634 |
601 |
$114K |
| J1885 |
Ketorolac tromethamine inj |
5,561 |
4,428 |
$108K |
| 76805 |
|
395 |
363 |
$106K |
| 81025 |
|
3,996 |
3,467 |
$105K |
| U0004 |
Cov-19 test non-cdc hgh thru |
779 |
716 |
$104K |
| 73030 |
|
1,105 |
973 |
$103K |
| 74018 |
|
979 |
903 |
$93K |
| 45384 |
|
197 |
127 |
$92K |
| 73130 |
|
762 |
634 |
$89K |
| 87522 |
Neg quan hep c or qual rna |
581 |
528 |
$88K |
| 85652 |
|
2,889 |
2,589 |
$88K |
| 87661 |
|
1,160 |
1,060 |
$86K |
| 86706 |
|
1,373 |
1,253 |
$84K |
| 84702 |
|
1,224 |
902 |
$84K |
| 84439 |
|
2,187 |
2,047 |
$83K |
| 87070 |
|
1,170 |
992 |
$82K |
| 87651 |
|
1,427 |
1,227 |
$80K |
| 82570 |
|
3,545 |
3,345 |
$80K |
| 11042 |
|
2,531 |
808 |
$79K |
| 80050 |
|
843 |
822 |
$78K |
| 96376 |
|
2,211 |
1,347 |
$78K |
| 94640 |
|
2,090 |
1,451 |
$74K |
| 73110 |
|
672 |
581 |
$74K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,453 |
2,237 |
$74K |
| 87807 |
|
1,955 |
1,750 |
$73K |
| 83605 |
|
2,867 |
2,332 |
$71K |
| 88142 |
|
1,469 |
1,371 |
$71K |
| 87481 |
|
376 |
336 |
$70K |
| 83735 |
|
5,726 |
4,684 |
$70K |
| 71250 |
|
185 |
168 |
$69K |
| 82746 |
|
1,127 |
1,073 |
$65K |
| 87081 |
|
1,410 |
1,304 |
$61K |
| 99214 |
|
8,737 |
5,476 |
$60K |
| 82043 |
|
3,426 |
3,254 |
$58K |
| G0480 |
Drug test def 1-7 classes |
969 |
793 |
$58K |
| 86592 |
|
1,582 |
1,419 |
$57K |
| 90471 |
|
2,780 |
2,592 |
$57K |
| 74019 |
|
427 |
384 |
$56K |
| 86850 |
|
1,628 |
1,429 |
$56K |
| J2405 |
Ondansetron hcl injection |
6,109 |
4,585 |
$55K |
| 83540 |
|
2,877 |
2,702 |
$53K |
| 82962 |
|
4,723 |
2,156 |
$51K |
| J1100 |
Dexamethasone sodium phos |
537 |
418 |
$50K |
| 82550 |
|
2,424 |
2,102 |
$48K |
| 76642 |
|
335 |
286 |
$47K |
| 86140 |
|
3,196 |
2,781 |
$45K |
| 74022 |
|
409 |
359 |
$45K |
| 93971 |
|
268 |
211 |
$43K |
| 87506 |
|
132 |
128 |
$42K |
| 84153 |
|
1,053 |
989 |
$42K |
| 90715 |
|
930 |
849 |
$42K |
| 85379 |
|
911 |
801 |
$41K |
| 86704 |
|
1,164 |
1,060 |
$40K |
| 84145 |
|
1,516 |
1,159 |
$40K |
| 93017 |
|
97 |
93 |
$38K |
| 87205 |
|
1,283 |
1,081 |
$37K |
| 87801 |
|
223 |
201 |
$37K |
| 86901 |
|
1,672 |
1,465 |
$36K |
| 86618 |
|
989 |
616 |
$36K |
| 84100 |
|
2,791 |
2,328 |
$35K |
| 88342 |
|
492 |
370 |
$34K |
| 86900 |
|
1,674 |
1,467 |
$34K |
| 87653 |
|
395 |
383 |
$33K |
| 96367 |
|
280 |
216 |
$30K |
| 77063 |
|
677 |
635 |
$30K |
| 87624 |
|
819 |
766 |
$30K |
| 83970 |
|
258 |
235 |
$30K |
| 86762 |
|
697 |
624 |
$29K |
| 82274 |
|
766 |
699 |
$29K |
| 96366 |
|
567 |
355 |
$27K |
| J2930 |
Methylprednisolone injection |
1,711 |
1,262 |
$25K |
| 76536 |
|
135 |
124 |
$24K |
| 78452 |
|
63 |
40 |
$24K |
| 76770 |
|
92 |
90 |
$24K |
| 76817 |
|
150 |
122 |
$24K |
| M0243 |
Casirivi and imdevi inj |
98 |
97 |
$23K |
| 76813 |
|
263 |
238 |
$23K |
| 11721 |
|
4,095 |
2,086 |
$22K |
| 82947 |
|
720 |
628 |
$20K |
| 73501 |
|
162 |
145 |
$19K |
| 87799 |
|
74 |
69 |
$19K |
| 99203 |
|
1,811 |
1,320 |
$18K |
| J2270 |
Morphine sulfate injection |
1,005 |
744 |
$18K |
| J0178 |
Aflibercept injection |
55 |
52 |
$18K |
| 99281 |
|
251 |
243 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
1,476 |
1,218 |
$16K |
| 45380 |
|
38 |
24 |
$16K |
| 87493 |
|
203 |
196 |
$15K |
| 82565 |
|
840 |
706 |
$15K |
| 72072 |
|
83 |
79 |
$15K |
| 86787 |
|
763 |
679 |
$15K |
| A9500 |
Tc99m sestamibi |
44 |
40 |
$15K |
| 99204 |
|
2,356 |
1,439 |
$14K |
| 86038 |
|
411 |
378 |
$14K |
| 73080 |
|
124 |
112 |
$14K |
| 85007 |
|
427 |
364 |
$13K |
| 82105 |
|
366 |
352 |
$12K |
| J1200 |
Diphenhydramine hcl injectio |
406 |
332 |
$12K |
| 80076 |
|
408 |
378 |
$12K |
| 90686 |
|
880 |
838 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
1,087 |
810 |
$12K |
| 84460 |
|
416 |
374 |
$11K |
| 84703 |
|
341 |
300 |
$11K |
| 93226 |
|
13 |
13 |
$11K |
| 90472 |
|
625 |
588 |
$11K |
| 99212 |
|
901 |
700 |
$11K |
| 86780 |
|
663 |
560 |
$11K |
| 10060 |
|
37 |
32 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
499 |
351 |
$10K |
| 84156 |
|
264 |
239 |
$10K |
| 84550 |
|
478 |
438 |
$9K |
| 83001 |
|
205 |
185 |
$9K |
| 82150 |
|
365 |
349 |
$9K |
| 73140 |
|
76 |
67 |
$9K |
| 76801 |
|
78 |
66 |
$8K |
| G0475 |
Hiv combination assay |
146 |
135 |
$8K |
| 97597 |
|
549 |
162 |
$8K |
| 82950 |
|
328 |
314 |
$8K |
| 87147 |
|
248 |
221 |
$8K |
| 81596 |
|
61 |
58 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
2,292 |
1,740 |
$7K |
| 93010 |
|
3,765 |
3,134 |
$7K |
| 86430 |
|
165 |
151 |
$7K |
| 84520 |
|
291 |
237 |
$7K |
| 84450 |
|
289 |
262 |
$7K |
| 86200 |
|
109 |
103 |
$7K |
| 82010 |
|
153 |
128 |
$6K |
| 20610 |
|
155 |
85 |
$6K |
| 83721 |
|
501 |
463 |
$6K |
| 86695 |
|
219 |
202 |
$6K |
| 87045 |
|
57 |
51 |
$6K |
| 83002 |
|
88 |
80 |
$5K |
| 87339 |
|
166 |
152 |
$5K |
| 73090 |
|
30 |
27 |
$5K |
| 86696 |
|
205 |
188 |
$5K |
| 73562 |
|
32 |
25 |
$5K |
| 76811 |
|
15 |
15 |
$5K |
| 99291 |
|
34 |
24 |
$4K |
| 84146 |
|
25 |
25 |
$4K |
| 84481 |
|
78 |
70 |
$4K |
| 82140 |
|
187 |
154 |
$4K |
| 81514 |
|
56 |
55 |
$4K |
| 99173 |
|
241 |
228 |
$4K |
| 87512 |
|
59 |
56 |
$4K |
| 80164 |
|
67 |
64 |
$3K |
| 80179 |
|
100 |
93 |
$3K |
| 87075 |
|
31 |
27 |
$3K |
| 73590 |
|
28 |
26 |
$3K |
| 82553 |
|
70 |
65 |
$3K |
| 76856 |
|
12 |
12 |
$3K |
| 83704 |
|
73 |
72 |
$3K |
| 87427 |
|
66 |
51 |
$3K |
| 83516 |
|
79 |
51 |
$3K |
| 99219 |
|
99 |
91 |
$3K |
| 93225 |
|
13 |
13 |
$3K |
| 86431 |
|
63 |
57 |
$3K |
| 73620 |
|
27 |
25 |
$3K |
| 92551 |
|
174 |
166 |
$3K |
| 86665 |
|
19 |
12 |
$3K |
| J1650 |
Inj enoxaparin sodium |
400 |
229 |
$3K |
| 87635 |
|
31 |
28 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
338 |
280 |
$2K |
| 87046 |
|
57 |
51 |
$2K |
| 84403 |
|
82 |
75 |
$2K |
| 96413 |
|
22 |
13 |
$2K |
| 99222 |
|
119 |
105 |
$2K |
| 90670 |
|
204 |
193 |
$2K |
| 73502 |
|
37 |
37 |
$2K |
| Q0162 |
Ondansetron oral |
113 |
89 |
$2K |
| 86617 |
|
109 |
71 |
$2K |
| 76700 |
|
13 |
12 |
$2K |
| J3490 |
Drugs unclassified injection |
3,175 |
1,703 |
$2K |
| 99393 |
|
109 |
107 |
$2K |
| 87177 |
|
39 |
39 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
12 |
12 |
$1K |
| 87328 |
|
24 |
24 |
$1K |
| 99202 |
|
120 |
92 |
$1K |
| 84112 |
|
20 |
13 |
$1K |
| 90658 |
|
100 |
99 |
$1K |
| 87209 |
|
39 |
39 |
$1K |
| 99392 |
|
81 |
80 |
$1K |
| 87329 |
|
24 |
24 |
$1K |
| 99394 |
|
78 |
76 |
$888.12 |
| 99391 |
|
61 |
53 |
$874.24 |
| 82784 |
|
13 |
13 |
$862.89 |
| J2360 |
Orphenadrine injection |
108 |
100 |
$825.16 |
| 12001 |
|
16 |
14 |
$757.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
176 |
121 |
$723.40 |
| 86308 |
|
30 |
26 |
$722.30 |
| C9257 |
Bevacizumab injection |
54 |
52 |
$719.38 |
| 84436 |
|
12 |
12 |
$711.19 |
| J1642 |
Inj heparin sodium per 10 u |
64 |
40 |
$654.51 |
| J0780 |
Prochlorperazine injection |
103 |
84 |
$641.30 |
| 92136 |
|
21 |
13 |
$588.95 |
| 90648 |
|
152 |
150 |
$578.47 |
| U0005 |
Infec agen detec ampli probe |
29 |
25 |
$565.33 |
| J0690 |
Cefazolin sodium injection |
58 |
40 |
$555.37 |
| 82247 |
|
12 |
12 |
$542.18 |
| 80143 |
|
49 |
46 |
$453.12 |
| 36600 |
|
14 |
12 |
$432.35 |
| 99217 |
|
42 |
41 |
$401.66 |
| 81002 |
|
12 |
12 |
$394.41 |
| G0103 |
Psa screening |
43 |
43 |
$368.49 |
| 86664 |
|
19 |
12 |
$353.65 |
| 99308 |
|
31 |
28 |
$317.08 |
| 94760 |
|
31 |
24 |
$310.25 |
| T1015 |
Clinic service |
112 |
102 |
$300.22 |
| 90474 |
|
25 |
25 |
$270.12 |
| 82977 |
|
14 |
13 |
$245.99 |
| 83550 |
|
28 |
27 |
$227.95 |
| J2060 |
Lorazepam injection |
64 |
41 |
$207.42 |
| J2919 |
Inj, methylpred sod succ 5mg |
92 |
83 |
$206.12 |
| 90680 |
|
27 |
26 |
$183.50 |
| 90723 |
|
27 |
27 |
$179.50 |
| 83020 |
|
15 |
14 |
$150.04 |
| 90651 |
|
16 |
15 |
$143.33 |
| 83695 |
|
29 |
25 |
$142.23 |
| J3010 |
Fentanyl citrate injection |
250 |
214 |
$127.84 |
| 90620 |
|
12 |
12 |
$116.39 |
| G0008 |
Admin influenza virus vac |
74 |
74 |
$103.68 |
| 90710 |
|
15 |
15 |
$71.61 |
| 11056 |
|
23 |
12 |
$67.76 |
| 99395 |
|
15 |
15 |
$60.54 |
| 82172 |
|
42 |
38 |
$57.45 |
| J0134 |
Inj acetaminophen -fresenius |
43 |
33 |
$56.62 |
| J0136 |
Inj, acetaminophen (b braun) |
61 |
56 |
$52.81 |
| G0439 |
Ppps, subseq visit |
99 |
99 |
$40.33 |
| 90633 |
|
12 |
12 |
$34.36 |
| 99305 |
|
38 |
38 |
$30.00 |
| J3475 |
Inj magnesium sulfate |
17 |
12 |
$7.41 |
| 99442 |
|
28 |
26 |
$4.93 |
| 90734 |
|
29 |
29 |
$0.00 |
| 99024 |
|
34 |
25 |
$0.00 |
| 99441 |
|
22 |
22 |
$0.00 |
| Q0240 |
Casirivi and imdevi 600 mg |
20 |
20 |
$0.00 |