| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
36,539 |
31,331 |
$2.05M |
| 99283 |
|
28,642 |
25,605 |
$1.99M |
| 96361 |
|
14,795 |
11,884 |
$1.71M |
| 80053 |
|
27,195 |
22,489 |
$685K |
| 99285 |
|
9,396 |
7,979 |
$494K |
| 70450 |
|
6,187 |
5,469 |
$409K |
| 74177 |
|
5,121 |
4,574 |
$388K |
| 99282 |
|
4,448 |
4,124 |
$362K |
| 96360 |
|
4,919 |
4,383 |
$307K |
| 80048 |
|
13,783 |
11,065 |
$294K |
| 59025 |
|
3,654 |
2,570 |
$282K |
| 76816 |
|
5,132 |
3,960 |
$260K |
| 99281 |
|
3,130 |
2,822 |
$248K |
| 96365 |
|
4,208 |
3,340 |
$239K |
| 87633 |
|
704 |
625 |
$221K |
| 87635 |
|
5,884 |
5,163 |
$217K |
| 76801 |
|
3,230 |
2,883 |
$199K |
| 76811 |
|
2,532 |
2,348 |
$193K |
| 85025 |
|
31,662 |
26,230 |
$187K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,709 |
2,417 |
$171K |
| 80307 |
|
3,446 |
2,868 |
$157K |
| 87637 |
|
1,500 |
1,381 |
$149K |
| G0378 |
Hospital observation per hr |
5,469 |
4,217 |
$143K |
| 76805 |
|
1,755 |
1,592 |
$142K |
| 94640 |
|
2,880 |
2,491 |
$125K |
| 71275 |
|
1,571 |
1,408 |
$116K |
| 96366 |
|
1,307 |
828 |
$109K |
| 76819 |
|
2,155 |
932 |
$108K |
| 81025 |
|
10,688 |
9,417 |
$106K |
| 87491 |
|
3,046 |
2,779 |
$101K |
| 90791 |
|
2,763 |
2,378 |
$101K |
| 84484 |
|
12,559 |
8,485 |
$101K |
| 87591 |
|
3,079 |
2,801 |
$96K |
| 74176 |
|
1,317 |
1,188 |
$94K |
| C9803 |
Hopd covid-19 spec collect |
2,729 |
2,401 |
$84K |
| 72125 |
|
2,540 |
2,257 |
$75K |
| 82962 |
|
12,696 |
5,708 |
$74K |
| 83880 |
|
3,245 |
2,827 |
$68K |
| 87636 |
|
820 |
759 |
$65K |
| 83605 |
|
8,339 |
6,184 |
$62K |
| 80306 |
|
3,952 |
3,478 |
$61K |
| 87502 |
|
624 |
575 |
$60K |
| 81001 |
|
11,898 |
10,402 |
$58K |
| 87880 |
|
2,559 |
2,389 |
$57K |
| 93975 |
|
1,202 |
1,094 |
$56K |
| 87086 |
|
4,666 |
4,097 |
$55K |
| 93296 |
|
2,428 |
2,244 |
$51K |
| 83690 |
|
9,636 |
8,308 |
$50K |
| 84702 |
|
1,432 |
1,226 |
$49K |
| 76817 |
|
2,485 |
1,976 |
$47K |
| 87808 |
|
2,550 |
2,239 |
$44K |
| 82077 |
|
4,511 |
3,759 |
$44K |
| 85027 |
|
8,218 |
6,458 |
$42K |
| 76813 |
|
2,027 |
1,871 |
$42K |
| 80143 |
|
2,601 |
2,195 |
$41K |
| 90792 |
|
800 |
661 |
$40K |
| 81003 |
|
6,814 |
6,110 |
$35K |
| 87205 |
|
3,955 |
3,225 |
$35K |
| 99211 |
|
1,080 |
797 |
$33K |
| 82805 |
|
1,156 |
952 |
$30K |
| 71260 |
|
411 |
367 |
$27K |
| 86850 |
|
3,627 |
3,119 |
$26K |
| 84145 |
|
1,705 |
1,405 |
$26K |
| 76856 |
|
668 |
599 |
$26K |
| 87798 |
|
409 |
357 |
$24K |
| 80179 |
|
2,492 |
2,134 |
$24K |
| 97110 |
|
567 |
340 |
$23K |
| 87081 |
|
1,280 |
1,207 |
$23K |
| 83735 |
|
5,057 |
3,997 |
$22K |
| 76700 |
|
454 |
410 |
$22K |
| 87077 |
|
2,409 |
1,862 |
$22K |
| 87040 |
|
3,033 |
1,420 |
$21K |
| 93458 |
|
62 |
52 |
$20K |
| 84443 |
|
2,316 |
2,082 |
$20K |
| 99291 |
|
1,044 |
920 |
$20K |
| 12001 |
|
220 |
199 |
$19K |
| 87486 |
|
394 |
342 |
$18K |
| 70553 |
|
172 |
151 |
$17K |
| 70498 |
|
192 |
176 |
$17K |
| 85379 |
|
2,098 |
1,922 |
$16K |
| 83036 |
|
2,094 |
1,863 |
$16K |
| 97530 |
|
816 |
497 |
$15K |
| 87186 |
|
1,997 |
1,608 |
$15K |
| G0379 |
Direct refer hospital observ |
469 |
407 |
$15K |
| 87389 |
|
620 |
564 |
$14K |
| 70496 |
|
145 |
132 |
$13K |
| 93005 |
|
22,521 |
18,672 |
$12K |
| 93971 |
|
322 |
300 |
$12K |
| U0005 |
Infec agen detec ampli probe |
1,664 |
1,469 |
$12K |
| 87631 |
|
78 |
78 |
$12K |
| 85610 |
|
4,533 |
3,577 |
$12K |
| 87581 |
|
394 |
342 |
$11K |
| 76830 |
|
345 |
304 |
$11K |
| 80050 |
|
1,760 |
1,590 |
$10K |
| 71045 |
|
8,912 |
7,782 |
$9K |
| 80061 |
|
1,409 |
1,260 |
$9K |
| 86900 |
|
3,719 |
3,196 |
$9K |
| 87070 |
|
866 |
655 |
$9K |
| 88305 |
|
4,363 |
3,243 |
$9K |
| 86901 |
|
3,752 |
3,232 |
$9K |
| 78431 |
|
46 |
40 |
$7K |
| 71046 |
|
6,912 |
6,235 |
$7K |
| 84703 |
|
722 |
654 |
$6K |
| 96374 |
|
16,907 |
14,354 |
$6K |
| 76815 |
|
395 |
309 |
$5K |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$5K |
| 76705 |
|
343 |
309 |
$5K |
| 12011 |
|
46 |
44 |
$5K |
| 96375 |
|
11,460 |
9,297 |
$5K |
| 87653 |
|
114 |
108 |
$5K |
| 97162 |
|
193 |
167 |
$5K |
| 70486 |
|
175 |
164 |
$5K |
| 90715 |
|
552 |
509 |
$4K |
| 86140 |
|
1,019 |
889 |
$3K |
| 12002 |
|
39 |
37 |
$3K |
| 76820 |
|
43 |
15 |
$2K |
| 29125 |
|
52 |
50 |
$2K |
| 85730 |
|
436 |
357 |
$2K |
| 0202U |
|
157 |
147 |
$2K |
| 93798 |
|
72 |
12 |
$2K |
| 80047 |
|
46 |
40 |
$2K |
| 64400 |
|
13 |
12 |
$2K |
| 96367 |
|
38 |
26 |
$2K |
| 84112 |
|
19 |
13 |
$2K |
| J7040 |
Normal saline solution infus |
1,497 |
1,247 |
$2K |
| 80305 |
|
35 |
34 |
$2K |
| 93325 |
|
71 |
66 |
$1K |
| 93017 |
|
56 |
51 |
$1K |
| 88342 |
|
1,113 |
892 |
$1K |
| G2066 |
Inter devc remote 30d |
40 |
39 |
$1K |
| 97166 |
|
41 |
38 |
$1K |
| 51798 |
|
695 |
533 |
$1K |
| 82550 |
|
214 |
186 |
$1K |
| P9045 |
Albumin (human), 5%, 250 ml |
17 |
12 |
$1K |
| 96372 |
|
7,056 |
5,436 |
$1K |
| 10060 |
|
16 |
14 |
$987.53 |
| 73030 |
|
616 |
537 |
$905.14 |
| 82570 |
|
306 |
257 |
$900.46 |
| 86803 |
|
18 |
18 |
$890.80 |
| 97161 |
|
13 |
12 |
$630.87 |
| 73610 |
|
925 |
851 |
$591.85 |
| 85014 |
|
361 |
303 |
$566.79 |
| 87075 |
|
113 |
63 |
$521.90 |
| 72100 |
|
271 |
247 |
$478.13 |
| 73562 |
|
1,131 |
985 |
$463.65 |
| 88307 |
|
240 |
169 |
$449.22 |
| 82565 |
|
16 |
14 |
$373.80 |
| 97116 |
|
17 |
12 |
$346.39 |
| 76937 |
|
44 |
40 |
$343.08 |
| J7030 |
Normal saline solution infus |
25,912 |
19,904 |
$338.87 |
| J3010 |
Fentanyl citrate injection |
9,837 |
7,925 |
$314.09 |
| 85018 |
|
186 |
139 |
$292.58 |
| 90471 |
|
628 |
572 |
$259.18 |
| J1644 |
Inj heparin sodium per 1000u |
3,124 |
1,910 |
$250.68 |
| 85652 |
|
134 |
114 |
$230.67 |
| 84100 |
|
67 |
38 |
$230.37 |
| 96376 |
|
3,803 |
2,708 |
$205.66 |
| 87340 |
|
29 |
25 |
$194.13 |
| 93298 |
|
16 |
14 |
$187.20 |
| 73630 |
|
812 |
747 |
$186.28 |
| 99292 |
|
19 |
14 |
$168.98 |
| J2704 |
Inj, propofol, 10 mg |
6,517 |
5,084 |
$166.60 |
| 72170 |
|
298 |
266 |
$147.70 |
| 36415 |
|
8,109 |
5,307 |
$145.04 |
| 84156 |
|
46 |
40 |
$140.96 |
| 87147 |
|
26 |
25 |
$131.47 |
| 86780 |
|
13 |
12 |
$114.16 |
| 84466 |
|
41 |
36 |
$94.38 |
| 84439 |
|
20 |
12 |
$93.20 |
| 73130 |
|
679 |
596 |
$83.61 |
| 74018 |
|
98 |
87 |
$82.98 |
| J1885 |
Ketorolac tromethamine inj |
11,523 |
9,433 |
$74.23 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,472 |
8,690 |
$73.33 |
| J7120 |
Ringers lactate infusion |
7,875 |
5,987 |
$69.07 |
| 86592 |
|
16 |
15 |
$61.74 |
| 82306 |
|
30 |
26 |
$60.19 |
| 83540 |
|
42 |
37 |
$49.17 |
| 73110 |
|
275 |
242 |
$46.54 |
| J2405 |
Ondansetron hcl injection |
13,932 |
11,131 |
$44.62 |
| 0352U |
|
155 |
141 |
$30.42 |
| 82607 |
|
12 |
12 |
$21.62 |
| 82272 |
|
12 |
12 |
$21.30 |
| 85007 |
|
33 |
30 |
$18.90 |
| 73502 |
|
25 |
25 |
$18.47 |
| 88304 |
|
66 |
49 |
$17.54 |
| J0696 |
Ceftriaxone sodium injection |
2,688 |
2,162 |
$15.33 |
| J1100 |
Dexamethasone sodium phos |
6,765 |
5,657 |
$15.26 |
| J7050 |
Normal saline solution infus |
5,113 |
3,429 |
$13.99 |
| J0690 |
Cefazolin sodium injection |
3,931 |
2,620 |
$13.46 |
| J1170 |
Hydromorphone injection |
7,880 |
5,287 |
$13.12 |
| J2250 |
Inj midazolam hydrochloride |
6,190 |
5,060 |
$12.38 |
| J2765 |
Metoclopramide hcl injection |
2,117 |
1,812 |
$12.22 |
| 82043 |
|
16 |
16 |
$11.60 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,381 |
1,040 |
$11.35 |
| J1200 |
Diphenhydramine hcl injectio |
4,184 |
3,510 |
$7.09 |
| C1769 |
Guide wire |
919 |
771 |
$3.30 |
| J1630 |
Haloperidol injection |
64 |
50 |
$3.06 |
| G1004 |
Cdsm ndsc |
2,066 |
1,351 |
$1.44 |
| J3475 |
Inj magnesium sulfate |
654 |
496 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,231 |
996 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
523 |
385 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
450 |
327 |
$0.00 |
| J2930 |
Methylprednisolone injection |
94 |
77 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
32 |
27 |
$0.00 |
| J2270 |
Morphine sulfate injection |
316 |
259 |
$0.00 |
| G8978 |
Mobility current status |
13 |
13 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
102 |
91 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
140 |
65 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
97 |
69 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
16 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
97 |
57 |
$0.00 |
| C1760 |
Closure dev, vasc |
58 |
50 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
53 |
48 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
30 |
27 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
53 |
40 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
15 |
13 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
16 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
13 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
2,467 |
2,049 |
$0.00 |
| A9555 |
Rb82 rubidium |
46 |
40 |
$0.00 |
| A9270 |
Non-covered item or service |
6,740 |
4,214 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
391 |
340 |
$0.00 |
| J1790 |
Droperidol injection |
394 |
329 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
765 |
567 |
$0.00 |
| 88341 |
|
191 |
96 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
443 |
343 |
$0.00 |
| J3480 |
Inj potassium chloride |
15 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
120 |
104 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
73 |
70 |
$0.00 |
| J3490 |
Drugs unclassified injection |
71 |
65 |
$0.00 |
| J2785 |
Regadenoson injection |
44 |
38 |
$0.00 |
| 74019 |
|
13 |
12 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
13 |
13 |
$0.00 |
| 71101 |
|
14 |
12 |
$0.00 |