| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
33,165 |
30,583 |
$10.61M |
| 99285 |
|
41,159 |
34,363 |
$8.64M |
| 0450 |
|
36,746 |
33,189 |
$3.26M |
| 97110 |
|
55,657 |
8,461 |
$1.75M |
| 77067 |
|
9,759 |
9,710 |
$644K |
| 99284 |
|
1,779 |
1,695 |
$477K |
| Z7502 |
|
10,264 |
10,027 |
$357K |
| 74177 |
|
4,627 |
4,316 |
$328K |
| 0270 |
|
21,591 |
11,560 |
$320K |
| 70450 |
|
7,375 |
6,884 |
$291K |
| 80053 |
|
58,361 |
52,510 |
$277K |
| 93010 |
|
20,115 |
17,163 |
$268K |
| 74176 |
|
4,424 |
4,026 |
$242K |
| 76700 |
|
4,986 |
4,857 |
$238K |
| 85025 |
|
72,225 |
64,136 |
$237K |
| 76856 |
|
6,353 |
6,196 |
$234K |
| 73721 |
|
1,581 |
1,457 |
$232K |
| 71046 |
|
19,432 |
18,471 |
$211K |
| 97112 |
|
9,643 |
1,992 |
$196K |
| 99199 |
|
2,866 |
2,611 |
$193K |
| 87637 |
|
6,882 |
6,778 |
$191K |
| G0463 |
Hospital outpt clinic visit |
3,589 |
2,523 |
$187K |
| 76830 |
|
4,190 |
4,104 |
$171K |
| 99213 |
|
5,363 |
4,917 |
$152K |
| 76805 |
|
2,514 |
2,452 |
$150K |
| 97530 |
|
9,025 |
1,936 |
$143K |
| S3620 |
Newborn metabolic screening |
1,029 |
994 |
$138K |
| 87633 |
|
989 |
966 |
$132K |
| 77063 |
|
5,339 |
5,329 |
$129K |
| 93005 |
|
18,829 |
16,766 |
$118K |
| 84443 |
|
9,955 |
9,722 |
$117K |
| G0480 |
Drug test def 1-7 classes |
6,882 |
5,631 |
$114K |
| 96374 |
|
10,374 |
8,720 |
$99K |
| 76817 |
|
2,788 |
2,430 |
$98K |
| 71045 |
|
19,343 |
18,091 |
$97K |
| 76641 |
|
1,482 |
1,442 |
$95K |
| Z7610 |
|
8,443 |
5,373 |
$94K |
| 0250 |
|
2,705 |
1,556 |
$92K |
| 97140 |
|
3,659 |
999 |
$90K |
| 97161 |
|
2,037 |
2,001 |
$89K |
| 86480 |
|
1,534 |
1,511 |
$88K |
| 80061 |
|
8,458 |
8,343 |
$85K |
| 96372 |
|
8,762 |
8,358 |
$83K |
| T1015 |
Clinic service |
1,476 |
1,136 |
$82K |
| 87635 |
|
5,158 |
4,776 |
$80K |
| J3490 |
Drugs unclassified injection |
9,702 |
4,561 |
$78K |
| Z9725 |
|
1,605 |
1,571 |
$69K |
| 83036 |
|
9,070 |
8,890 |
$67K |
| 76705 |
|
3,159 |
2,962 |
$67K |
| 82306 |
|
3,237 |
3,204 |
$67K |
| 87491 |
|
3,173 |
3,021 |
$66K |
| 87591 |
|
3,195 |
3,040 |
$66K |
| 99070 |
|
104,310 |
41,851 |
$63K |
| 96375 |
|
7,902 |
6,660 |
$60K |
| 96365 |
|
4,150 |
3,748 |
$58K |
| 71250 |
|
773 |
758 |
$56K |
| 87806 |
|
2,111 |
2,070 |
$55K |
| 96360 |
|
4,670 |
3,782 |
$54K |
| T1999 |
Noc retail items andsupplies |
3,059 |
1,402 |
$52K |
| 99223 |
Prolong inpt eval add15 m |
584 |
509 |
$50K |
| 72148 |
|
411 |
379 |
$49K |
| 87086 |
|
15,418 |
14,155 |
$47K |
| 81001 |
|
34,670 |
31,882 |
$47K |
| 86780 |
|
6,158 |
5,961 |
$47K |
| 99460 |
|
712 |
700 |
$46K |
| 81025 |
|
24,063 |
21,717 |
$45K |
| 97116 |
|
3,419 |
802 |
$44K |
| 96361 |
|
6,510 |
5,699 |
$44K |
| 71260 |
|
591 |
544 |
$43K |
| 73030 |
|
2,983 |
2,831 |
$42K |
| 72100 |
|
2,525 |
2,443 |
$42K |
| 0360 |
|
524 |
399 |
$41K |
| G0481 |
Drug test def 8-14 classes |
2,887 |
2,799 |
$39K |
| 97163 |
|
930 |
929 |
$37K |
| 73630 |
|
2,929 |
2,813 |
$36K |
| 84484 |
|
13,020 |
11,142 |
$35K |
| 59409 |
|
70 |
70 |
$35K |
| C9803 |
Hopd covid-19 spec collect |
4,953 |
4,564 |
$35K |
| 43239 |
|
135 |
125 |
$34K |
| 74018 |
|
3,185 |
3,038 |
$33K |
| 73610 |
|
2,547 |
2,445 |
$32K |
| 86481 |
|
491 |
482 |
$32K |
| 99282 |
|
265 |
257 |
$30K |
| 72125 |
|
746 |
709 |
$30K |
| 73221 |
|
232 |
218 |
$30K |
| 74178 |
|
177 |
142 |
$29K |
| 80307 |
|
1,835 |
1,730 |
$28K |
| 83690 |
|
14,854 |
13,174 |
$28K |
| A4223 |
Infusion supplies w/o pump |
6,690 |
4,409 |
$27K |
| 76770 |
|
531 |
513 |
$27K |
| 73562 |
|
2,023 |
1,961 |
$26K |
| 76536 |
|
662 |
647 |
$25K |
| 84702 |
|
3,741 |
2,837 |
$25K |
| 59025 |
|
1,462 |
706 |
$25K |
| 99238 |
|
641 |
634 |
$24K |
| 97162 |
|
360 |
358 |
$23K |
| 80048 |
|
5,883 |
5,293 |
$22K |
| 99212 |
|
839 |
812 |
$22K |
| 83880 |
|
3,141 |
2,883 |
$22K |
| 73130 |
|
1,525 |
1,464 |
$20K |
| 87040 |
|
5,566 |
4,636 |
$20K |
| 73560 |
|
1,471 |
1,409 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
13,206 |
10,881 |
$20K |
| 99203 |
|
319 |
318 |
$19K |
| 84439 |
|
2,709 |
2,681 |
$19K |
| 87389 |
|
2,747 |
2,676 |
$18K |
| 82951 |
|
1,745 |
1,562 |
$18K |
| 87804 |
|
3,421 |
3,132 |
$18K |
| 59514 |
|
56 |
55 |
$18K |
| 73110 |
|
1,161 |
1,103 |
$18K |
| 94640 |
|
3,075 |
2,792 |
$16K |
| 90715 |
|
902 |
871 |
$16K |
| 85730 |
|
5,032 |
4,476 |
$16K |
| 70551 |
|
144 |
143 |
$15K |
| 87186 |
|
4,358 |
4,056 |
$15K |
| 73564 |
|
1,050 |
991 |
$14K |
| 93971 |
|
395 |
372 |
$14K |
| J7030 |
Normal saline solution infus |
2,696 |
2,302 |
$13K |
| 0710 |
|
1,725 |
1,426 |
$13K |
| 83605 |
|
4,690 |
4,020 |
$13K |
| 85610 |
|
7,402 |
6,608 |
$13K |
| 99214 |
|
333 |
318 |
$13K |
| 87340 |
|
1,476 |
1,461 |
$13K |
| 83001 |
|
841 |
833 |
$12K |
| 72040 |
|
767 |
741 |
$12K |
| 71275 |
|
259 |
257 |
$12K |
| 76819 |
|
205 |
108 |
$12K |
| 87341 |
|
1,143 |
1,127 |
$12K |
| 87081 |
|
5,373 |
4,799 |
$11K |
| 73502 |
|
546 |
515 |
$11K |
| 83002 |
|
752 |
744 |
$11K |
| 76801 |
|
378 |
359 |
$11K |
| J2405 |
Ondansetron hcl injection |
7,299 |
5,977 |
$11K |
| 87502 |
|
1,030 |
1,012 |
$11K |
| 93306 |
|
187 |
180 |
$11K |
| S0119 |
Ondansetron 4 mg |
1,361 |
1,329 |
$10K |
| 93041 |
|
7,147 |
6,525 |
$10K |
| 47563 |
|
13 |
13 |
$10K |
| 86850 |
|
2,454 |
2,312 |
$10K |
| 87088 |
|
3,391 |
3,163 |
$9K |
| 92507 |
|
128 |
50 |
$9K |
| 80055 |
|
246 |
238 |
$9K |
| 0202U |
|
208 |
204 |
$9K |
| 80076 |
|
1,854 |
1,739 |
$9K |
| 72081 |
|
392 |
390 |
$9K |
| 84436 |
|
1,705 |
1,656 |
$9K |
| 86140 |
|
4,208 |
3,857 |
$9K |
| 83540 |
|
1,742 |
1,709 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
4,269 |
3,861 |
$8K |
| 83655 |
|
889 |
876 |
$8K |
| 87070 |
|
3,051 |
2,847 |
$8K |
| 81003 |
|
12,646 |
10,764 |
$8K |
| 86762 |
|
651 |
640 |
$8K |
| 76816 |
|
214 |
203 |
$8K |
| 77066 |
Tomosynthesis, mammo |
78 |
77 |
$8K |
| 80074 |
|
269 |
260 |
$8K |
| 84146 |
|
485 |
478 |
$7K |
| 73140 |
|
763 |
742 |
$7K |
| 76870 |
|
253 |
249 |
$7K |
| 82962 |
|
4,564 |
3,605 |
$7K |
| G0108 |
Diab manage trn per indiv |
350 |
149 |
$7K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
4,018 |
3,655 |
$7K |
| J3010 |
Fentanyl citrate injection |
1,914 |
1,450 |
$7K |
| 84144 |
|
436 |
432 |
$7K |
| 82043 |
|
1,497 |
1,482 |
$7K |
| J7120 |
Ringers lactate infusion |
2,331 |
1,630 |
$7K |
| 82248 |
|
1,747 |
1,377 |
$7K |
| 84466 |
|
667 |
658 |
$7K |
| 77080 |
|
196 |
196 |
$6K |
| 82570 |
|
1,511 |
1,489 |
$6K |
| 88307 |
|
90 |
88 |
$6K |
| J2270 |
Morphine sulfate injection |
2,681 |
2,207 |
$6K |
| 87651 |
|
925 |
917 |
$6K |
| 88305 |
|
234 |
207 |
$6K |
| 73080 |
|
449 |
414 |
$6K |
| 86147 |
|
345 |
329 |
$6K |
| 86803 |
|
2,171 |
2,132 |
$6K |
| 83735 |
|
2,676 |
2,477 |
$6K |
| 84481 |
|
466 |
460 |
$6K |
| 86901 |
|
3,447 |
3,176 |
$5K |
| 86038 |
|
584 |
570 |
$5K |
| J1100 |
Dexamethasone sodium phos |
3,252 |
2,925 |
$5K |
| 86171 |
|
728 |
699 |
$5K |
| J1170 |
Hydromorphone injection |
1,756 |
1,323 |
$5K |
| 82746 |
|
451 |
449 |
$5K |
| 59050 |
|
95 |
75 |
$5K |
| 73590 |
|
439 |
419 |
$5K |
| J2765 |
Metoclopramide hcl injection |
2,837 |
2,378 |
$5K |
| 82670 |
|
215 |
214 |
$5K |
| 84479 |
|
1,002 |
965 |
$5K |
| 86592 |
|
1,465 |
1,409 |
$5K |
| 85379 |
|
1,641 |
1,554 |
$4K |
| 84550 |
|
1,335 |
1,207 |
$4K |
| 82247 |
|
1,229 |
788 |
$4K |
| 78227 |
|
12 |
12 |
$4K |
| 84402 |
|
230 |
227 |
$4K |
| 74022 |
|
382 |
354 |
$4K |
| G0279 |
Tomosynthesis, mammo |
225 |
222 |
$4K |
| 97803 |
|
346 |
253 |
$4K |
| 0942 |
|
162 |
67 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,240 |
1,034 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
117 |
96 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
2,188 |
1,863 |
$4K |
| 76815 |
|
71 |
69 |
$3K |
| 82552 |
|
787 |
693 |
$3K |
| 85651 |
|
1,790 |
1,717 |
$3K |
| 82465 |
|
847 |
846 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
786 |
712 |
$3K |
| 0272 |
|
901 |
797 |
$3K |
| 73090 |
|
319 |
302 |
$3K |
| 86900 |
|
1,772 |
1,680 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
680 |
554 |
$3K |
| 82550 |
|
1,579 |
1,427 |
$3K |
| 87077 |
|
866 |
812 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
729 |
719 |
$3K |
| 73620 |
|
198 |
196 |
$3K |
| 86141 |
|
631 |
612 |
$3K |
| 73120 |
|
226 |
221 |
$3K |
| 82607 |
|
266 |
264 |
$3K |
| 96366 |
|
362 |
305 |
$2K |
| 82105 |
|
153 |
153 |
$2K |
| 86696 |
|
194 |
189 |
$2K |
| 70486 |
|
60 |
59 |
$2K |
| 97032 |
|
230 |
65 |
$2K |
| 0301 |
|
42 |
40 |
$2K |
| 86635 |
|
241 |
160 |
$2K |
| J0690 |
Cefazolin sodium injection |
468 |
336 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
182 |
177 |
$2K |
| 71020 |
|
89 |
55 |
$2K |
| 72110 |
|
72 |
71 |
$2K |
| 0451 |
|
38 |
38 |
$2K |
| H1001 |
Antepartum management |
37 |
25 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
14 |
14 |
$2K |
| 72070 |
|
120 |
119 |
$2K |
| 82947 |
|
553 |
543 |
$2K |
| J2550 |
Promethazine hcl injection |
725 |
562 |
$2K |
| 81002 |
|
2,112 |
1,807 |
$2K |
| 82728 |
|
156 |
151 |
$2K |
| 94761 |
|
122 |
97 |
$2K |
| 99204 |
|
16 |
16 |
$1K |
| 87536 |
|
21 |
19 |
$1K |
| 99239 |
|
24 |
24 |
$1K |
| 0760 |
|
41 |
37 |
$1K |
| 84153 |
|
98 |
94 |
$1K |
| 88304 |
|
129 |
98 |
$1K |
| 99202 |
|
34 |
34 |
$1K |
| 86765 |
|
145 |
143 |
$1K |
| 96367 |
|
199 |
186 |
$1K |
| 87798 |
|
229 |
229 |
$1K |
| 84703 |
|
630 |
524 |
$1K |
| 72131 |
|
29 |
28 |
$1K |
| 82652 |
|
38 |
38 |
$1K |
| 73600 |
|
81 |
77 |
$1K |
| 97750 |
|
15 |
12 |
$1K |
| 86735 |
|
146 |
144 |
$1K |
| 85060 |
|
80 |
80 |
$985.01 |
| 86317 |
|
95 |
92 |
$981.61 |
| J7050 |
Normal saline solution infus |
421 |
374 |
$953.80 |
| J2060 |
Lorazepam injection |
548 |
458 |
$932.83 |
| 87420 |
|
741 |
689 |
$920.58 |
| 72170 |
|
63 |
61 |
$911.59 |
| J0131 |
Inj, acetaminophen (nos) |
17 |
13 |
$900.82 |
| 0324 |
|
63 |
63 |
$866.94 |
| 86431 |
|
178 |
172 |
$843.84 |
| 83721 |
|
124 |
123 |
$831.48 |
| 97014 |
|
68 |
31 |
$800.65 |
| 76811 |
|
12 |
12 |
$778.56 |
| 85652 |
|
358 |
340 |
$778.54 |
| 87522 |
Neg quan hep c or qual rna |
94 |
94 |
$718.30 |
| 70498 |
|
59 |
56 |
$707.72 |
| 99232 |
|
17 |
15 |
$706.60 |
| 82140 |
|
143 |
142 |
$675.83 |
| 73100 |
|
38 |
36 |
$649.51 |
| 0271 |
|
279 |
266 |
$646.80 |
| 76857 |
|
55 |
52 |
$599.32 |
| 86695 |
|
65 |
64 |
$546.06 |
| 82805 |
|
223 |
212 |
$530.44 |
| 74021 |
|
31 |
27 |
$528.22 |
| 86787 |
|
66 |
64 |
$526.23 |
| 82272 |
|
186 |
169 |
$525.71 |
| 86376 |
|
42 |
42 |
$520.40 |
| 85007 |
|
306 |
299 |
$484.76 |
| 12001 |
|
42 |
42 |
$469.60 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$456.57 |
| J7040 |
Normal saline solution infus |
301 |
265 |
$451.22 |
| 97010 |
|
28 |
12 |
$448.36 |
| J2001 |
Lidocaine injection |
189 |
109 |
$440.99 |
| 71010 |
|
30 |
12 |
$429.08 |
| 86694 |
|
34 |
27 |
$426.57 |
| 99000 |
|
114 |
113 |
$410.19 |
| J7613 |
Albuterol non-comp unit |
1,312 |
1,099 |
$406.68 |
| 84100 |
|
172 |
163 |
$348.30 |
| 87076 |
|
98 |
89 |
$347.13 |
| 36415 |
|
929 |
855 |
$345.73 |
| 83970 |
|
12 |
12 |
$293.10 |
| 84403 |
|
13 |
13 |
$292.56 |
| 70496 |
|
44 |
42 |
$278.38 |
| 45385 |
|
12 |
12 |
$275.94 |
| J1815 |
Insulin injection |
82 |
57 |
$266.00 |
| 86703 |
|
28 |
26 |
$260.82 |
| 73552 |
|
26 |
25 |
$243.26 |
| P9011 |
Blood split unit |
134 |
130 |
$230.97 |
| 82677 |
|
12 |
12 |
$227.91 |
| 99401 |
|
27 |
25 |
$227.09 |
| J7644 |
Ipratropium bromide non-comp |
652 |
543 |
$222.16 |
| 82150 |
|
87 |
71 |
$197.25 |
| 84145 |
|
22 |
13 |
$195.47 |
| 83516 |
|
17 |
14 |
$174.95 |
| J2930 |
Methylprednisolone injection |
49 |
49 |
$164.60 |
| 74019 |
|
24 |
24 |
$164.12 |
| J2175 |
Meperidine hydrochl /100 mg |
64 |
34 |
$163.50 |
| 84480 |
|
14 |
14 |
$133.51 |
| 73060 |
|
13 |
12 |
$131.31 |
| S0020 |
Injection, bupivicaine hydro |
54 |
30 |
$127.23 |
| 82010 |
|
117 |
112 |
$120.61 |
| 82950 |
|
26 |
25 |
$103.75 |
| A9579 |
Gad-base mr contrast nos,1ml |
62 |
62 |
$95.06 |
| J1920 |
Inj, labetalol hcl, 5mg |
146 |
109 |
$93.52 |
| 82009 |
|
79 |
77 |
$86.55 |
| J8540 |
Oral dexamethasone |
13 |
12 |
$85.00 |
| J0360 |
Hydralazine hcl injection |
123 |
111 |
$83.84 |
| 80143 |
|
60 |
58 |
$83.80 |
| 73070 |
|
14 |
14 |
$78.22 |
| 87880 |
|
53 |
53 |
$64.85 |
| 96376 |
|
65 |
40 |
$64.80 |
| 85027 |
|
12 |
12 |
$60.64 |
| 86922 |
|
20 |
12 |
$54.56 |
| 0258 |
|
58 |
52 |
$54.54 |
| 90471 |
|
28 |
27 |
$52.36 |
| 80179 |
|
53 |
53 |
$50.28 |
| J0456 |
Azithromycin |
15 |
14 |
$50.04 |
| 82565 |
|
13 |
13 |
$45.65 |
| E0275 |
Bed pan standard |
36 |
26 |
$42.65 |
| 99173 |
|
17 |
17 |
$41.06 |
| J3370 |
Vancomycin hcl injection |
35 |
33 |
$38.53 |
| J7060 |
5% dextrose/water |
68 |
38 |
$37.86 |
| 84520 |
|
12 |
12 |
$30.34 |
| 87205 |
|
27 |
27 |
$29.87 |
| 86308 |
|
19 |
19 |
$29.26 |
| J2919 |
Inj, methylpred sod succ 5mg |
28 |
28 |
$12.39 |
| 94664 |
|
33 |
33 |
$11.09 |
| 1160F |
|
73 |
66 |
$0.00 |
| 0272R |
|
1,279 |
1,177 |
$0.00 |
| 1159F |
|
94 |
85 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
15 |
14 |
$0.00 |
| 74300 |
|
14 |
14 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
12 |
12 |
$0.00 |
| 0250R |
|
1,667 |
1,567 |
$0.00 |
| 0271R |
|
511 |
490 |
$0.00 |
| 80050 |
|
38 |
38 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
18 |
18 |
$0.00 |
| 3008F |
|
17 |
16 |
$0.00 |
| 80320 |
|
17 |
13 |
$0.00 |