| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
10,456 |
8,878 |
$675K |
| 99283 |
|
11,623 |
10,016 |
$660K |
| 99213 |
|
10,109 |
8,525 |
$652K |
| 96361 |
|
6,462 |
4,353 |
$594K |
| A0427 |
Als1-emergency |
4,275 |
3,379 |
$557K |
| 99284 |
|
7,881 |
6,757 |
$325K |
| A0390 |
Advanced life support mileag |
1,808 |
1,424 |
$299K |
| 80053 |
|
17,591 |
13,139 |
$251K |
| 96365 |
|
4,748 |
2,955 |
$246K |
| 99282 |
|
3,146 |
2,820 |
$205K |
| 87637 |
|
1,667 |
1,479 |
$192K |
| 96360 |
|
2,344 |
1,772 |
$176K |
| 99285 |
|
5,413 |
4,606 |
$158K |
| 85025 |
|
25,123 |
18,501 |
$152K |
| 99215 |
Prolong outpt/office vis |
3,551 |
2,029 |
$149K |
| 74177 |
|
2,999 |
2,575 |
$145K |
| 87502 |
|
1,289 |
1,174 |
$142K |
| 90999 |
|
5,296 |
361 |
$136K |
| 87651 |
|
2,234 |
2,004 |
$133K |
| 80048 |
|
8,862 |
7,283 |
$129K |
| 70450 |
|
2,765 |
2,416 |
$125K |
| 96413 |
|
5,038 |
2,314 |
$116K |
| 87491 |
|
2,089 |
1,758 |
$113K |
| 80061 |
|
4,581 |
4,099 |
$112K |
| 84443 |
|
4,865 |
4,152 |
$109K |
| 96366 |
|
1,865 |
1,137 |
$109K |
| G0463 |
Hospital outpt clinic visit |
18,129 |
13,226 |
$103K |
| 87635 |
|
2,227 |
1,940 |
$100K |
| 99391 |
|
1,508 |
1,340 |
$89K |
| 99392 |
|
1,290 |
1,204 |
$88K |
| 81001 |
|
13,357 |
10,963 |
$84K |
| 99203 |
|
1,171 |
1,048 |
$83K |
| 81025 |
|
3,949 |
3,344 |
$80K |
| 99393 |
|
825 |
773 |
$73K |
| 99212 |
|
1,423 |
1,273 |
$72K |
| 80307 |
|
1,294 |
1,115 |
$71K |
| 93306 |
|
1,060 |
948 |
$67K |
| 87086 |
|
4,627 |
3,935 |
$66K |
| 87081 |
|
1,776 |
1,558 |
$63K |
| 83036 |
|
4,387 |
3,951 |
$60K |
| U0003 |
Cov-19 amp prb hgh thruput |
725 |
652 |
$59K |
| 20610 |
|
964 |
777 |
$59K |
| A0425 |
Ground mileage |
3,077 |
2,320 |
$57K |
| 87591 |
|
1,992 |
1,671 |
$52K |
| 73630 |
|
3,071 |
2,228 |
$50K |
| 83880 |
|
2,011 |
1,704 |
$48K |
| 41899 |
|
105 |
93 |
$48K |
| 77067 |
|
1,206 |
1,097 |
$46K |
| 99394 |
|
524 |
468 |
$45K |
| 85610 |
|
5,297 |
3,839 |
$43K |
| 81514 |
|
385 |
300 |
$40K |
| 87634 |
|
728 |
670 |
$40K |
| 80050 |
|
2,662 |
2,014 |
$39K |
| 82306 |
|
925 |
830 |
$39K |
| 84484 |
|
6,740 |
4,381 |
$36K |
| 96367 |
|
1,080 |
661 |
$36K |
| 82962 |
|
3,803 |
2,071 |
$36K |
| 85027 |
|
2,426 |
1,913 |
$33K |
| 83735 |
|
8,598 |
5,493 |
$33K |
| 90670 |
|
1,272 |
1,155 |
$33K |
| 99396 |
|
438 |
375 |
$32K |
| 71046 |
|
3,944 |
3,470 |
$32K |
| 96415 |
|
692 |
405 |
$31K |
| 87880 |
|
1,329 |
1,194 |
$30K |
| 78452 |
|
260 |
230 |
$29K |
| 84145 |
|
1,741 |
1,514 |
$29K |
| 99204 |
|
416 |
375 |
$29K |
| 87186 |
|
1,457 |
1,232 |
$29K |
| 99243 |
|
439 |
393 |
$29K |
| 93296 |
|
967 |
902 |
$28K |
| 99202 |
|
488 |
415 |
$28K |
| 99395 |
|
389 |
337 |
$26K |
| 76805 |
|
402 |
363 |
$26K |
| 71275 |
|
568 |
497 |
$24K |
| 73030 |
|
1,677 |
1,379 |
$23K |
| 71260 |
|
808 |
673 |
$23K |
| 80306 |
|
631 |
544 |
$23K |
| 73562 |
|
1,668 |
1,268 |
$22K |
| 90756 |
|
1,130 |
1,014 |
$22K |
| 82728 |
|
1,271 |
1,133 |
$22K |
| 93005 |
|
11,517 |
9,312 |
$22K |
| 87624 |
|
499 |
412 |
$21K |
| 90471 |
|
1,125 |
958 |
$20K |
| 76705 |
|
563 |
499 |
$19K |
| 96372 |
|
5,296 |
3,598 |
$19K |
| 73610 |
|
1,222 |
1,008 |
$19K |
| 90674 |
|
967 |
886 |
$18K |
| 87481 |
|
701 |
411 |
$18K |
| 97110 |
|
2,993 |
1,320 |
$18K |
| 72148 |
|
344 |
318 |
$17K |
| 99281 |
|
198 |
176 |
$17K |
| 85379 |
|
1,644 |
1,482 |
$17K |
| 83605 |
|
3,068 |
2,453 |
$16K |
| 81513 |
|
231 |
198 |
$16K |
| 90715 |
|
930 |
813 |
$16K |
| 84702 |
|
417 |
291 |
$16K |
| 83690 |
|
3,652 |
3,054 |
$15K |
| 87801 |
|
297 |
271 |
$15K |
| 76856 |
|
346 |
322 |
$14K |
| 76801 |
|
250 |
200 |
$14K |
| 88142 |
|
681 |
561 |
$14K |
| 87661 |
|
454 |
387 |
$13K |
| 87040 |
|
2,100 |
1,045 |
$13K |
| 72100 |
|
819 |
742 |
$12K |
| 86140 |
|
2,934 |
2,495 |
$11K |
| 90651 |
|
244 |
221 |
$10K |
| G2066 |
Inter devc remote 30d |
146 |
135 |
$10K |
| G0378 |
Hospital observation per hr |
1,622 |
1,236 |
$10K |
| 76830 |
|
212 |
195 |
$10K |
| 86803 |
|
884 |
723 |
$10K |
| 85018 |
|
1,710 |
1,390 |
$9K |
| 96374 |
|
6,503 |
5,137 |
$9K |
| 90680 |
|
746 |
672 |
$9K |
| 82565 |
|
1,567 |
1,326 |
$9K |
| 97597 |
|
485 |
258 |
$8K |
| 93976 |
|
297 |
276 |
$8K |
| 86762 |
|
286 |
230 |
$8K |
| 73502 |
|
594 |
517 |
$8K |
| 0241U |
|
262 |
246 |
$7K |
| 87077 |
|
729 |
605 |
$7K |
| J0882 |
Darbepoetin alfa, esrd use |
148 |
37 |
$7K |
| 86780 |
|
857 |
719 |
$7K |
| 90688 |
|
316 |
295 |
$7K |
| 85730 |
|
2,478 |
2,131 |
$7K |
| 11721 |
|
170 |
159 |
$7K |
| 86850 |
|
1,639 |
1,315 |
$7K |
| 90686 |
|
432 |
406 |
$6K |
| 36591 |
|
1,992 |
960 |
$6K |
| 90744 |
|
653 |
596 |
$6K |
| 87070 |
|
331 |
294 |
$6K |
| 99211 |
|
113 |
81 |
$6K |
| 74176 |
|
122 |
108 |
$6K |
| 87340 |
|
927 |
750 |
$6K |
| 72125 |
|
327 |
301 |
$6K |
| 93017 |
|
270 |
237 |
$6K |
| 88305 |
|
2,105 |
1,662 |
$5K |
| 87798 |
|
156 |
119 |
$5K |
| 90734 |
|
240 |
211 |
$5K |
| 83970 |
|
217 |
188 |
$5K |
| 86703 |
|
521 |
420 |
$5K |
| 76816 |
|
128 |
106 |
$4K |
| 83550 |
|
908 |
816 |
$4K |
| 90633 |
|
524 |
483 |
$4K |
| 73110 |
|
270 |
230 |
$4K |
| 73130 |
|
607 |
450 |
$4K |
| 0002A |
|
323 |
221 |
$4K |
| 0001A |
|
355 |
260 |
$4K |
| 82607 |
|
291 |
260 |
$3K |
| 90698 |
|
923 |
840 |
$3K |
| 92002 |
|
75 |
70 |
$3K |
| U0005 |
Infec agen detec ampli probe |
359 |
318 |
$3K |
| 96417 |
|
92 |
52 |
$3K |
| 84439 |
|
541 |
472 |
$3K |
| 83540 |
|
964 |
863 |
$3K |
| 77063 |
|
1,137 |
1,032 |
$3K |
| 99242 |
|
44 |
39 |
$3K |
| 86900 |
|
1,768 |
1,427 |
$3K |
| 86901 |
|
1,736 |
1,398 |
$3K |
| 82043 |
|
468 |
427 |
$3K |
| 36415 |
|
30,755 |
23,476 |
$3K |
| 99244 |
|
32 |
29 |
$3K |
| G0008 |
Admin influenza virus vac |
1,854 |
1,665 |
$3K |
| 87389 |
|
160 |
136 |
$3K |
| 84153 |
|
92 |
83 |
$3K |
| 70553 |
|
36 |
26 |
$3K |
| 87088 |
|
274 |
242 |
$3K |
| 71045 |
|
4,307 |
3,731 |
$3K |
| G0481 |
Drug test def 8-14 classes |
40 |
32 |
$2K |
| 93971 |
|
107 |
92 |
$2K |
| 85652 |
|
1,250 |
1,066 |
$2K |
| 93297 |
|
27 |
26 |
$2K |
| 84460 |
|
1,071 |
920 |
$2K |
| 81003 |
|
289 |
256 |
$2K |
| G0480 |
Drug test def 1-7 classes |
51 |
47 |
$2K |
| 82570 |
|
328 |
291 |
$2K |
| 74018 |
|
173 |
156 |
$2K |
| 82803 |
|
108 |
87 |
$2K |
| 82105 |
|
102 |
81 |
$2K |
| 86618 |
|
110 |
97 |
$2K |
| 99245 |
|
28 |
24 |
$2K |
| 96375 |
|
6,968 |
4,549 |
$2K |
| 82077 |
|
202 |
158 |
$2K |
| Q3014 |
Telehealth facility fee |
920 |
745 |
$2K |
| 82950 |
|
259 |
235 |
$2K |
| 82947 |
|
654 |
489 |
$1K |
| 76770 |
|
40 |
37 |
$1K |
| 87480 |
|
44 |
33 |
$1K |
| 76536 |
|
42 |
38 |
$1K |
| 45380 |
|
15 |
14 |
$1K |
| 87653 |
|
26 |
24 |
$1K |
| 87510 |
|
45 |
34 |
$1K |
| 94640 |
|
60 |
52 |
$1K |
| 90716 |
|
55 |
51 |
$1K |
| 86580 |
|
15 |
13 |
$1K |
| 83655 |
|
60 |
55 |
$911.03 |
| 72141 |
|
13 |
13 |
$902.34 |
| 80069 |
|
95 |
89 |
$867.37 |
| 82784 |
|
37 |
25 |
$852.85 |
| 97140 |
|
207 |
116 |
$850.19 |
| 83615 |
|
386 |
290 |
$836.72 |
| 85380 |
|
107 |
90 |
$833.42 |
| 36592 |
|
5,011 |
4,290 |
$819.81 |
| 87660 |
|
44 |
33 |
$814.56 |
| 90707 |
|
126 |
113 |
$793.49 |
| 87468 |
|
19 |
13 |
$710.93 |
| 73721 |
|
13 |
12 |
$677.58 |
| 87205 |
|
253 |
224 |
$578.42 |
| 84132 |
|
818 |
516 |
$553.91 |
| 94060 |
|
28 |
26 |
$534.79 |
| 90710 |
|
48 |
44 |
$478.28 |
| J2469 |
Palonosetron hcl |
62 |
27 |
$468.55 |
| 87469 |
|
19 |
13 |
$462.93 |
| 87484 |
|
19 |
13 |
$462.93 |
| 90696 |
|
18 |
17 |
$428.24 |
| 84703 |
|
82 |
75 |
$427.35 |
| 92134 |
|
124 |
108 |
$412.53 |
| 84520 |
|
888 |
408 |
$396.18 |
| 84550 |
|
37 |
27 |
$395.32 |
| 73560 |
|
57 |
40 |
$367.00 |
| G0476 |
Hpv combo assay ca screen |
94 |
76 |
$361.00 |
| G0439 |
Ppps, subseq visit |
56 |
55 |
$358.88 |
| 72170 |
|
14 |
13 |
$343.00 |
| 82150 |
|
90 |
80 |
$319.89 |
| 90662 |
|
43 |
43 |
$302.45 |
| 82310 |
|
548 |
429 |
$255.53 |
| 82248 |
|
84 |
65 |
$253.80 |
| 84100 |
|
594 |
424 |
$240.52 |
| 90700 |
|
45 |
45 |
$222.33 |
| 82040 |
|
493 |
405 |
$192.28 |
| 84481 |
|
15 |
12 |
$182.82 |
| 80076 |
|
28 |
24 |
$181.48 |
| 76817 |
|
19 |
12 |
$167.90 |
| 96368 |
|
16 |
12 |
$145.38 |
| 84075 |
|
465 |
380 |
$114.59 |
| 96376 |
|
2,187 |
1,601 |
$103.87 |
| J0696 |
Ceftriaxone sodium injection |
829 |
545 |
$94.69 |
| 82374 |
|
456 |
373 |
$89.13 |
| 90648 |
|
27 |
26 |
$84.95 |
| 94729 |
|
24 |
24 |
$78.11 |
| 87147 |
|
19 |
14 |
$77.96 |
| 90750 |
|
49 |
39 |
$64.20 |
| J1270 |
Injection, doxercalciferol |
3,906 |
298 |
$27.28 |
| 84450 |
|
15 |
13 |
$22.95 |
| 97161 |
|
28 |
28 |
$12.72 |
| J1885 |
Ketorolac tromethamine inj |
3,847 |
3,213 |
$12.69 |
| G0009 |
Admin pneumococcal vaccine |
13 |
12 |
$6.34 |
| J7030 |
Normal saline solution infus |
1,568 |
1,218 |
$5.44 |
| Q2039 |
Influenza virus vaccine, nos |
20 |
19 |
$5.00 |
| J2704 |
Inj, propofol, 10 mg |
3,581 |
3,153 |
$4.55 |
| J2930 |
Methylprednisolone injection |
123 |
107 |
$4.25 |
| J2405 |
Ondansetron hcl injection |
5,257 |
4,324 |
$2.62 |
| U0002 |
Covid-19 lab test non-cdc |
822 |
746 |
$0.51 |
| J1100 |
Dexamethasone sodium phos |
5,164 |
3,393 |
$0.49 |
| J8499 |
Oral prescrip drug non chemo |
1,732 |
1,226 |
$0.47 |
| J3010 |
Fentanyl citrate injection |
6,099 |
5,206 |
$0.47 |
| J2250 |
Inj midazolam hydrochloride |
4,227 |
3,574 |
$0.47 |
| J7620 |
Albuterol ipratrop non-comp |
212 |
181 |
$0.11 |
| J2001 |
Lidocaine injection |
3,979 |
2,884 |
$0.01 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,270 |
4,073 |
$0.00 |
| A9577 |
Inj multihance |
1,256 |
605 |
$0.00 |
| J7040 |
Normal saline solution infus |
805 |
513 |
$0.00 |
| J7120 |
Ringers lactate infusion |
371 |
291 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
391 |
362 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,038 |
631 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
1,067 |
739 |
$0.00 |
| 51702 |
|
52 |
41 |
$0.00 |
| V5266 |
Battery for hearing device |
493 |
482 |
$0.00 |
| J2270 |
Morphine sulfate injection |
108 |
96 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
286 |
136 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
82 |
67 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
38 |
27 |
$0.00 |
| J2060 |
Lorazepam injection |
341 |
260 |
$0.00 |
| A9270 |
Non-covered item or service |
4,327 |
3,111 |
$0.00 |
| 97162 |
|
26 |
25 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,209 |
1,034 |
$0.00 |
| J1170 |
Hydromorphone injection |
984 |
776 |
$0.00 |
| A9500 |
Tc99m sestamibi |
284 |
254 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
629 |
567 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,540 |
191 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
35 |
30 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,853 |
1,174 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
229 |
200 |
$0.00 |
| J2785 |
Regadenoson injection |
109 |
95 |
$0.00 |
| J7050 |
Normal saline solution infus |
61 |
43 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
29 |
25 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
27 |
24 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
38 |
26 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
52 |
45 |
$0.00 |
| J1815 |
Insulin injection |
20 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
18 |
15 |
$0.00 |
| 94760 |
|
32 |
15 |
$0.00 |