| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
11,467 |
10,431 |
$8.56M |
| 99283 |
|
30,329 |
28,383 |
$8.01M |
| 99284 |
|
31,018 |
28,178 |
$7.04M |
| 99285 |
|
17,419 |
14,487 |
$5.19M |
| 71275 |
|
4,210 |
3,781 |
$1.86M |
| 99282 |
|
9,895 |
9,374 |
$1.39M |
| 72125 |
|
4,289 |
3,925 |
$1.15M |
| 70450 |
|
9,672 |
8,691 |
$1.07M |
| 11042 |
|
8,831 |
4,331 |
$1.04M |
| 88305 |
|
3,719 |
3,421 |
$981K |
| 74176 |
|
1,781 |
1,653 |
$806K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
424 |
388 |
$805K |
| 97110 |
|
14,867 |
4,969 |
$702K |
| 95811 |
|
1,574 |
1,492 |
$667K |
| 72131 |
|
2,706 |
2,522 |
$645K |
| 99213 |
|
3,977 |
3,037 |
$584K |
| G0378 |
Hospital observation per hr |
5,943 |
3,279 |
$495K |
| 11043 |
|
2,491 |
1,249 |
$494K |
| 93306 |
|
2,607 |
2,450 |
$485K |
| 43239 |
|
1,367 |
1,299 |
$430K |
| 96365 |
|
11,431 |
7,954 |
$416K |
| 76856 |
|
2,379 |
2,272 |
$409K |
| 93971 |
|
1,993 |
1,898 |
$349K |
| 59025 |
|
2,939 |
1,894 |
$328K |
| 45380 |
|
863 |
830 |
$316K |
| 99291 |
|
489 |
460 |
$295K |
| 72100 |
|
2,701 |
2,645 |
$289K |
| 99281 |
|
3,616 |
3,387 |
$269K |
| 97530 |
|
5,469 |
2,797 |
$256K |
| 72148 |
|
1,713 |
1,657 |
$253K |
| 70486 |
|
1,478 |
1,383 |
$247K |
| 77067 |
|
3,786 |
3,748 |
$243K |
| 71046 |
|
9,940 |
9,339 |
$212K |
| 87633 |
|
3,698 |
3,527 |
$204K |
| 70553 |
|
461 |
435 |
$203K |
| 92507 |
|
5,335 |
2,247 |
$182K |
| 73721 |
|
1,489 |
1,375 |
$169K |
| 96413 |
|
1,939 |
1,016 |
$167K |
| 96361 |
|
17,083 |
13,794 |
$162K |
| 64483 |
|
171 |
167 |
$156K |
| 71260 |
|
2,294 |
2,145 |
$148K |
| 73030 |
|
3,330 |
3,146 |
$121K |
| 76705 |
|
3,466 |
3,241 |
$118K |
| 76700 |
|
1,364 |
1,332 |
$114K |
| 77066 |
Tomosynthesis, mammo |
744 |
727 |
$89K |
| 73562 |
|
3,197 |
2,987 |
$89K |
| 70551 |
|
731 |
679 |
$84K |
| 73610 |
|
2,582 |
2,453 |
$80K |
| 99214 |
|
1,906 |
1,693 |
$79K |
| 73110 |
|
2,266 |
2,153 |
$72K |
| 97113 |
|
1,271 |
446 |
$68K |
| 97140 |
|
8,493 |
3,035 |
$67K |
| 96360 |
|
4,951 |
4,217 |
$64K |
| 99212 |
|
2,262 |
1,782 |
$59K |
| 73630 |
|
2,697 |
2,518 |
$59K |
| 73221 |
|
506 |
469 |
$57K |
| 72141 |
|
472 |
454 |
$57K |
| 70491 |
|
171 |
149 |
$56K |
| 73130 |
|
2,505 |
2,352 |
$56K |
| 70498 |
|
198 |
182 |
$55K |
| 96366 |
|
4,131 |
2,781 |
$49K |
| 85025 |
|
53,205 |
42,986 |
$48K |
| 76942 |
|
739 |
679 |
$47K |
| 96375 |
|
27,671 |
21,210 |
$47K |
| 97162 |
|
607 |
551 |
$44K |
| 76642 |
|
1,529 |
1,468 |
$43K |
| 94060 |
|
159 |
151 |
$43K |
| 87635 |
|
5,642 |
5,364 |
$41K |
| 78452 |
|
27 |
25 |
$38K |
| 76536 |
|
631 |
607 |
$38K |
| 73502 |
|
1,746 |
1,650 |
$37K |
| 72072 |
|
1,038 |
1,020 |
$37K |
| 93005 |
|
12,199 |
10,498 |
$35K |
| 72040 |
|
1,336 |
1,310 |
$35K |
| 97161 |
|
2,129 |
1,827 |
$35K |
| 99215 |
Prolong outpt/office vis |
572 |
500 |
$35K |
| 96372 |
|
11,888 |
8,957 |
$33K |
| 87637 |
|
3,222 |
3,012 |
$33K |
| 71250 |
|
346 |
324 |
$32K |
| 72110 |
|
222 |
216 |
$29K |
| 74018 |
|
1,324 |
1,235 |
$27K |
| 76830 |
|
1,316 |
1,253 |
$27K |
| 74178 |
|
59 |
56 |
$27K |
| 77080 |
|
365 |
356 |
$26K |
| 96374 |
|
29,868 |
25,789 |
$25K |
| 97597 |
|
725 |
436 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
8,312 |
7,203 |
$21K |
| 93970 |
|
121 |
113 |
$21K |
| 76770 |
|
343 |
333 |
$21K |
| 76818 |
|
135 |
85 |
$21K |
| J2469 |
Palonosetron hcl |
210 |
98 |
$20K |
| 80053 |
|
54,530 |
43,945 |
$20K |
| 87426 |
|
4,568 |
4,062 |
$20K |
| 74019 |
|
304 |
290 |
$19K |
| 95810 |
|
42 |
40 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,930 |
16,052 |
$18K |
| 73140 |
|
642 |
621 |
$18K |
| 73700 |
|
143 |
135 |
$17K |
| 92523 |
|
73 |
66 |
$16K |
| 99453 |
|
189 |
164 |
$16K |
| 72128 |
|
1,717 |
1,593 |
$15K |
| 97803 |
|
481 |
409 |
$15K |
| 76801 |
|
1,201 |
1,079 |
$15K |
| 73080 |
|
851 |
798 |
$14K |
| 72114 |
|
99 |
99 |
$13K |
| 99211 |
|
425 |
330 |
$13K |
| 97112 |
|
945 |
341 |
$13K |
| 72074 |
|
68 |
67 |
$13K |
| 71271 |
|
265 |
261 |
$12K |
| J0171 |
Adrenalin epinephrine inject |
525 |
447 |
$10K |
| 87507 |
|
396 |
378 |
$10K |
| 76815 |
|
1,121 |
933 |
$10K |
| 80329 |
|
4,238 |
3,102 |
$10K |
| 64415 |
|
13 |
12 |
$10K |
| 73564 |
|
196 |
179 |
$10K |
| 73590 |
|
885 |
814 |
$10K |
| J0690 |
Cefazolin sodium injection |
5,137 |
3,846 |
$9K |
| 87071 |
|
2,630 |
2,368 |
$9K |
| 71045 |
|
16,138 |
14,128 |
$9K |
| J1170 |
Hydromorphone injection |
4,709 |
3,687 |
$9K |
| 64484 |
|
17 |
13 |
$8K |
| 11045 |
|
44 |
12 |
$8K |
| 96367 |
|
2,274 |
1,379 |
$7K |
| M0243 |
Casirivi and imdevi inj |
23 |
23 |
$7K |
| 77065 |
Tomosynthesis, mammo |
74 |
72 |
$7K |
| 45378 |
|
13 |
12 |
$6K |
| G0480 |
Drug test def 1-7 classes |
1,426 |
1,097 |
$6K |
| 73523 |
|
53 |
51 |
$6K |
| 84443 |
|
7,746 |
6,860 |
$6K |
| 83880 |
|
2,516 |
2,207 |
$5K |
| 87040 |
|
3,286 |
2,883 |
$5K |
| 83036 |
|
1,507 |
1,317 |
$5K |
| 93010 |
|
934 |
831 |
$5K |
| 76805 |
|
105 |
104 |
$5K |
| J3480 |
Inj potassium chloride |
1,274 |
894 |
$5K |
| 76870 |
|
125 |
121 |
$5K |
| 96523 |
|
118 |
108 |
$4K |
| 85027 |
|
7,894 |
6,332 |
$4K |
| J2001 |
Lidocaine injection |
5,540 |
3,314 |
$4K |
| J3360 |
Diazepam injection |
766 |
607 |
$4K |
| 97802 |
|
82 |
79 |
$4K |
| 87086 |
|
5,924 |
5,334 |
$4K |
| 86923 |
|
35 |
26 |
$4K |
| 73090 |
|
351 |
329 |
$4K |
| 70496 |
|
130 |
121 |
$4K |
| 73100 |
|
57 |
54 |
$4K |
| C1889 |
Implant/insert device, noc |
62 |
61 |
$3K |
| J3475 |
Inj magnesium sulfate |
1,921 |
1,487 |
$3K |
| 96376 |
|
7,906 |
5,316 |
$3K |
| J3490 |
Drugs unclassified injection |
19,374 |
9,655 |
$3K |
| 80307 |
|
11,439 |
9,886 |
$3K |
| 87491 |
|
520 |
500 |
$3K |
| 85730 |
|
10,208 |
8,885 |
$3K |
| 71101 |
|
88 |
85 |
$3K |
| 86850 |
|
2,272 |
2,015 |
$2K |
| 94640 |
|
2,041 |
1,656 |
$2K |
| 12001 |
|
201 |
189 |
$2K |
| 73560 |
|
196 |
175 |
$2K |
| 84484 |
|
12,422 |
10,042 |
$2K |
| 87502 |
|
3,481 |
3,319 |
$2K |
| 12002 |
|
40 |
40 |
$2K |
| 73120 |
|
75 |
61 |
$2K |
| 73620 |
|
70 |
63 |
$2K |
| 36591 |
|
39 |
25 |
$2K |
| 87506 |
|
27 |
24 |
$2K |
| 74022 |
|
310 |
285 |
$2K |
| 99195 |
|
17 |
12 |
$2K |
| 80048 |
|
5,762 |
4,444 |
$2K |
| 85378 |
|
3,408 |
3,062 |
$1K |
| 81025 |
|
10,603 |
9,615 |
$1K |
| 87077 |
|
3,843 |
3,529 |
$1K |
| 82803 |
|
859 |
765 |
$1K |
| 84702 |
|
5,036 |
4,514 |
$1K |
| 83690 |
|
18,351 |
15,899 |
$1K |
| 87651 |
|
2,346 |
2,248 |
$1K |
| 81001 |
|
28,425 |
24,362 |
$1K |
| G0463 |
Hospital outpt clinic visit |
268 |
196 |
$1K |
| 83735 |
|
11,384 |
9,499 |
$1K |
| 80061 |
|
1,245 |
1,082 |
$1K |
| 80320 |
|
13,494 |
10,845 |
$1K |
| J1815 |
Insulin injection |
316 |
175 |
$983.93 |
| 82140 |
|
625 |
518 |
$948.32 |
| 76819 |
|
37 |
25 |
$936.75 |
| 72052 |
|
12 |
12 |
$936.74 |
| 90715 |
|
1,569 |
1,488 |
$897.45 |
| 97116 |
|
118 |
61 |
$751.98 |
| 73600 |
|
44 |
36 |
$744.21 |
| 85652 |
|
2,856 |
2,299 |
$738.24 |
| 93017 |
|
40 |
38 |
$717.45 |
| 64447 |
|
95 |
90 |
$707.53 |
| J7050 |
Normal saline solution infus |
4,604 |
2,538 |
$624.73 |
| J8499 |
Oral prescrip drug non chemo |
2,761 |
1,923 |
$603.91 |
| 29125 |
|
125 |
120 |
$581.27 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,244 |
1,182 |
$565.89 |
| 87798 |
|
3,755 |
3,575 |
$559.87 |
| 82962 |
|
10,602 |
7,103 |
$558.87 |
| J7030 |
Normal saline solution infus |
22,163 |
18,089 |
$551.95 |
| 87880 |
|
3,197 |
3,069 |
$549.76 |
| 85610 |
|
15,368 |
13,220 |
$546.01 |
| J1885 |
Ketorolac tromethamine inj |
16,983 |
14,785 |
$519.51 |
| 36415 |
|
17,403 |
13,406 |
$442.08 |
| 77085 |
|
12 |
12 |
$430.99 |
| J2360 |
Orphenadrine injection |
2,706 |
2,525 |
$428.96 |
| 87581 |
|
3,748 |
3,571 |
$419.40 |
| 82550 |
|
2,413 |
2,068 |
$417.59 |
| 87486 |
|
3,748 |
3,571 |
$413.16 |
| 51702 |
|
269 |
224 |
$409.77 |
| 73552 |
|
12 |
12 |
$408.66 |
| J2550 |
Promethazine hcl injection |
2,396 |
1,990 |
$401.91 |
| P9016 |
Rbc leukocytes reduced |
38 |
27 |
$370.30 |
| J2405 |
Ondansetron hcl injection |
24,458 |
20,169 |
$363.25 |
| 82977 |
|
3,751 |
3,365 |
$337.69 |
| 90471 |
|
1,753 |
1,588 |
$333.69 |
| 76857 |
|
14 |
13 |
$332.02 |
| 82150 |
|
1,455 |
1,295 |
$331.08 |
| 83605 |
|
7,135 |
5,937 |
$312.36 |
| 88304 |
|
643 |
595 |
$310.44 |
| J2274 |
Inj morphine pf epid ithc |
1,210 |
928 |
$281.20 |
| 94726 |
|
137 |
132 |
$255.94 |
| 36430 |
|
37 |
27 |
$252.37 |
| J0696 |
Ceftriaxone sodium injection |
5,884 |
4,231 |
$243.20 |
| 82728 |
|
49 |
39 |
$233.03 |
| 93308 |
|
14 |
14 |
$230.67 |
| 82553 |
|
352 |
310 |
$220.25 |
| 86900 |
|
2,944 |
2,614 |
$209.53 |
| J2270 |
Morphine sulfate injection |
7,691 |
5,975 |
$206.35 |
| 87591 |
|
521 |
499 |
$204.71 |
| 85014 |
|
343 |
269 |
$201.70 |
| 94729 |
|
127 |
122 |
$201.02 |
| 84439 |
|
1,808 |
1,624 |
$189.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
206 |
173 |
$178.80 |
| 87186 |
|
3,254 |
3,004 |
$169.53 |
| 84550 |
|
515 |
401 |
$152.99 |
| 86140 |
|
3,757 |
3,078 |
$150.35 |
| 82565 |
|
1,233 |
1,150 |
$150.00 |
| 87801 |
|
707 |
693 |
$146.66 |
| 87205 |
|
2,817 |
2,533 |
$140.32 |
| 86901 |
|
2,942 |
2,612 |
$133.71 |
| J1644 |
Inj heparin sodium per 1000u |
1,169 |
581 |
$130.36 |
| J2930 |
Methylprednisolone injection |
2,399 |
1,955 |
$111.73 |
| J3010 |
Fentanyl citrate injection |
9,834 |
8,287 |
$97.28 |
| S0164 |
Injection pantroprazole |
1,552 |
1,214 |
$97.05 |
| Q3014 |
Telehealth facility fee |
964 |
603 |
$87.39 |
| J0131 |
Inj, acetaminophen (nos) |
997 |
886 |
$86.70 |
| J7120 |
Ringers lactate infusion |
5,647 |
4,656 |
$82.89 |
| G0283 |
Elec stim other than wound |
65 |
30 |
$77.72 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
673 |
614 |
$74.96 |
| J1100 |
Dexamethasone sodium phos |
8,760 |
7,048 |
$66.13 |
| J7040 |
Normal saline solution infus |
7,840 |
4,704 |
$64.69 |
| 87081 |
|
2,655 |
2,560 |
$61.88 |
| J1200 |
Diphenhydramine hcl injectio |
4,623 |
3,777 |
$52.26 |
| J2250 |
Inj midazolam hydrochloride |
4,854 |
4,124 |
$45.24 |
| 96368 |
|
559 |
415 |
$40.74 |
| 82010 |
|
544 |
469 |
$40.65 |
| 99001 |
|
725 |
699 |
$38.98 |
| J3370 |
Vancomycin hcl injection |
346 |
258 |
$32.68 |
| J2060 |
Lorazepam injection |
3,511 |
2,771 |
$32.25 |
| J1642 |
Inj heparin sodium per 10 u |
1,408 |
897 |
$31.10 |
| 97014 |
|
68 |
27 |
$30.68 |
| 86905 |
|
70 |
68 |
$26.00 |
| J0780 |
Prochlorperazine injection |
670 |
592 |
$15.04 |
| J2765 |
Metoclopramide hcl injection |
2,722 |
2,376 |
$13.86 |
| J0330 |
Succinycholine chloride inj |
746 |
640 |
$11.58 |
| 84156 |
|
207 |
149 |
$11.24 |
| J1630 |
Haloperidol injection |
767 |
660 |
$11.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
195 |
173 |
$10.01 |
| 97010 |
|
164 |
83 |
$9.55 |
| J0134 |
Inj acetaminophen -fresenius |
194 |
151 |
$8.45 |
| 84100 |
|
211 |
150 |
$7.63 |
| C9113 |
Inj pantoprazole sodium, via |
1,582 |
1,293 |
$6.97 |
| 82274 |
|
135 |
126 |
$4.76 |
| 97165 |
|
61 |
49 |
$4.42 |
| 82947 |
|
183 |
140 |
$3.99 |
| 82607 |
|
44 |
37 |
$3.91 |
| Q0162 |
Ondansetron oral |
1,122 |
1,067 |
$3.83 |
| 85018 |
|
389 |
299 |
$3.78 |
| J2543 |
Piperacillin/tazobactam |
423 |
267 |
$2.67 |
| Q0177 |
Hydroxyzine pamoate 25mg |
244 |
207 |
$2.58 |
| J7620 |
Albuterol ipratrop non-comp |
204 |
180 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
378 |
339 |
$0.00 |
| J7060 |
5% dextrose/water |
50 |
29 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
798 |
715 |
$0.00 |
| 87073 |
|
1,681 |
1,497 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
577 |
500 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
80 |
76 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
158 |
128 |
$0.00 |
| 77063 |
|
1,281 |
1,269 |
$0.00 |
| 51798 |
|
19 |
16 |
$0.00 |
| P9612 |
Catheterize for urine spec |
696 |
641 |
$0.00 |
| C1769 |
Guide wire |
206 |
153 |
$0.00 |
| 88342 |
|
258 |
241 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
143 |
112 |
$0.00 |
| J1790 |
Droperidol injection |
13 |
12 |
$0.00 |
| J0500 |
Dicyclomine injection |
97 |
89 |
$0.00 |
| 87807 |
|
67 |
64 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
16 |
16 |
$0.00 |
| 96415 |
|
20 |
14 |
$0.00 |
| 83615 |
|
73 |
52 |
$0.00 |
| J7999 |
Compounded drug, noc |
232 |
184 |
$0.00 |
| 83550 |
|
14 |
13 |
$0.00 |
| 99292 |
|
12 |
12 |
$0.00 |
| 76817 |
|
13 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
27 |
25 |
$0.00 |
| C1781 |
Mesh (implantable) |
12 |
12 |
$0.00 |
| 64450 |
|
14 |
13 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
374 |
365 |
$0.00 |
| 81003 |
|
610 |
540 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
67 |
65 |
$0.00 |
| G8979 |
Mobility goal status |
247 |
172 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
632 |
333 |
$0.00 |
| 84112 |
|
124 |
110 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
98 |
83 |
$0.00 |
| G8978 |
Mobility current status |
171 |
125 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
115 |
93 |
$0.00 |
| 99152 |
|
26 |
25 |
$0.00 |
| 83630 |
|
31 |
27 |
$0.00 |
| 82570 |
|
82 |
66 |
$0.00 |
| 87210 |
|
38 |
36 |
$0.00 |
| 83540 |
|
29 |
26 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
30 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
13 |
12 |
$0.00 |
| 76000 |
|
17 |
14 |
$0.00 |
| 96417 |
|
91 |
40 |
$0.00 |
| 80076 |
|
14 |
14 |
$0.00 |
| 88302 |
|
19 |
16 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
23 |
14 |
$0.00 |