| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
25,221 |
20,025 |
$7.49M |
| 99284 |
|
49,394 |
45,240 |
$5.74M |
| 99285 |
|
42,019 |
36,887 |
$5.50M |
| 99283 |
|
45,833 |
42,876 |
$5.05M |
| 97110 |
|
23,755 |
10,053 |
$1.58M |
| 0241U |
|
9,870 |
8,509 |
$1.14M |
| G0463 |
Hospital outpt clinic visit |
14,700 |
11,643 |
$1.14M |
| 70450 |
|
3,707 |
3,154 |
$993K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,728 |
6,078 |
$958K |
| 74177 |
|
3,388 |
2,793 |
$836K |
| 27447 |
|
278 |
208 |
$779K |
| 96360 |
|
3,642 |
3,239 |
$614K |
| G0378 |
Hospital observation per hr |
7,297 |
3,237 |
$573K |
| 99282 |
|
4,553 |
3,989 |
$524K |
| 96365 |
|
3,896 |
3,056 |
$486K |
| 90853 |
|
4,653 |
669 |
$448K |
| 96366 |
|
2,332 |
1,228 |
$437K |
| C1776 |
Joint device (implantable) |
734 |
564 |
$430K |
| 80053 |
|
55,736 |
47,065 |
$404K |
| 94640 |
|
3,066 |
2,411 |
$378K |
| 71260 |
|
1,563 |
1,290 |
$350K |
| 74176 |
|
1,009 |
858 |
$276K |
| 90870 |
|
1,034 |
388 |
$226K |
| 64483 |
|
549 |
480 |
$204K |
| 80307 |
|
17,342 |
14,696 |
$195K |
| C9803 |
Hopd covid-19 spec collect |
5,065 |
4,875 |
$186K |
| 93306 |
|
873 |
748 |
$182K |
| 90839 |
|
1,491 |
1,206 |
$168K |
| 70498 |
|
570 |
477 |
$154K |
| 99232 |
|
7,889 |
6,002 |
$149K |
| 97140 |
|
4,679 |
2,003 |
$133K |
| 11042 |
|
1,402 |
739 |
$121K |
| 73564 |
|
2,499 |
2,315 |
$110K |
| 93975 |
|
1,031 |
878 |
$110K |
| 97161 |
|
3,810 |
3,400 |
$101K |
| 76705 |
|
1,301 |
1,108 |
$101K |
| 76770 |
|
658 |
572 |
$92K |
| 82306 |
|
4,257 |
3,862 |
$91K |
| 78452 |
|
210 |
180 |
$89K |
| 84439 |
|
3,816 |
3,501 |
$86K |
| 97535 |
|
2,937 |
1,678 |
$81K |
| 84484 |
|
24,896 |
17,272 |
$77K |
| 71046 |
|
13,657 |
12,243 |
$75K |
| 85025 |
|
44,892 |
38,425 |
$72K |
| 80048 |
|
9,389 |
5,599 |
$70K |
| 77067 |
|
2,043 |
1,902 |
$68K |
| 84443 |
|
5,920 |
5,303 |
$67K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,043 |
846 |
$66K |
| 87631 |
|
498 |
479 |
$64K |
| 93971 |
|
1,013 |
872 |
$61K |
| 70553 |
|
234 |
206 |
$59K |
| 80061 |
|
4,844 |
4,412 |
$57K |
| 93970 |
|
411 |
346 |
$55K |
| 64447 |
|
406 |
319 |
$55K |
| 83036 |
|
4,128 |
3,717 |
$53K |
| 11045 |
|
262 |
105 |
$52K |
| 76830 |
|
1,058 |
911 |
$51K |
| 97165 |
|
1,239 |
1,003 |
$50K |
| 36415 |
|
54,142 |
37,822 |
$49K |
| 27130 |
|
22 |
14 |
$46K |
| 81513 |
|
390 |
351 |
$45K |
| 70491 |
|
133 |
112 |
$42K |
| 99281 |
|
399 |
366 |
$42K |
| 73130 |
|
1,899 |
1,647 |
$42K |
| 73030 |
|
1,756 |
1,495 |
$41K |
| 72148 |
|
259 |
240 |
$39K |
| 97802 |
|
554 |
472 |
$38K |
| 73502 |
|
1,240 |
1,060 |
$36K |
| 97803 |
|
464 |
414 |
$34K |
| 93005 |
|
33,588 |
28,279 |
$33K |
| 73721 |
|
163 |
155 |
$33K |
| 86850 |
|
1,613 |
1,361 |
$33K |
| 85027 |
|
19,000 |
13,482 |
$32K |
| 71250 |
|
385 |
352 |
$31K |
| 96367 |
|
834 |
580 |
$29K |
| 97116 |
|
1,439 |
869 |
$27K |
| 72100 |
|
1,272 |
1,118 |
$27K |
| 97112 |
|
1,217 |
609 |
$26K |
| 12001 |
|
172 |
159 |
$26K |
| 93799 |
|
4,484 |
1,524 |
$25K |
| 87591 |
|
4,819 |
4,237 |
$24K |
| 73630 |
|
1,601 |
1,406 |
$24K |
| 71275 |
|
78 |
76 |
$24K |
| 73562 |
|
465 |
446 |
$23K |
| 72125 |
|
1,763 |
1,502 |
$23K |
| 10060 |
|
121 |
105 |
$19K |
| 96374 |
|
23,181 |
20,234 |
$19K |
| 86803 |
|
879 |
794 |
$19K |
| 72131 |
|
380 |
336 |
$18K |
| 80320 |
|
1,951 |
1,806 |
$18K |
| 71045 |
|
9,578 |
8,339 |
$18K |
| 83735 |
|
17,651 |
12,683 |
$18K |
| 70551 |
|
121 |
98 |
$18K |
| 76536 |
|
198 |
179 |
$17K |
| 86900 |
|
1,634 |
1,370 |
$17K |
| 87491 |
|
4,888 |
4,303 |
$16K |
| 82728 |
|
1,185 |
1,004 |
$15K |
| 87389 |
|
887 |
793 |
$15K |
| 77063 |
|
333 |
331 |
$15K |
| 73110 |
|
1,012 |
842 |
$15K |
| 96372 |
|
15,456 |
12,974 |
$14K |
| 82962 |
|
11,305 |
4,494 |
$13K |
| 82607 |
|
1,007 |
853 |
$13K |
| 81001 |
|
46,679 |
41,890 |
$13K |
| 93017 |
|
231 |
191 |
$13K |
| 97162 |
|
304 |
267 |
$13K |
| 73610 |
|
1,264 |
1,106 |
$12K |
| 99213 |
|
676 |
649 |
$12K |
| 90792 |
|
76 |
66 |
$12K |
| 73560 |
|
909 |
798 |
$12K |
| 70486 |
|
515 |
444 |
$11K |
| 87502 |
|
782 |
683 |
$11K |
| 87086 |
|
5,298 |
4,651 |
$11K |
| 86780 |
|
2,781 |
2,418 |
$11K |
| 83540 |
|
1,307 |
1,106 |
$10K |
| 85610 |
|
5,317 |
3,779 |
$10K |
| G0480 |
Drug test def 1-7 classes |
566 |
457 |
$10K |
| 84702 |
|
1,618 |
1,244 |
$10K |
| 76857 |
|
1,007 |
864 |
$9K |
| 90715 |
|
735 |
581 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
335 |
248 |
$9K |
| 99308 |
|
1,168 |
608 |
$9K |
| 82805 |
|
383 |
307 |
$9K |
| 87340 |
|
662 |
561 |
$8K |
| 86140 |
|
1,220 |
1,015 |
$8K |
| 83550 |
|
1,280 |
1,079 |
$7K |
| 97530 |
|
325 |
195 |
$7K |
| 86901 |
|
1,633 |
1,370 |
$7K |
| 74183 |
|
30 |
26 |
$7K |
| 72050 |
|
159 |
142 |
$7K |
| 82570 |
|
828 |
723 |
$7K |
| 0001A |
|
169 |
168 |
$6K |
| 99291 |
|
54 |
44 |
$6K |
| 70496 |
|
597 |
500 |
$6K |
| 85379 |
|
4,563 |
3,945 |
$6K |
| 00104 |
|
1,012 |
388 |
$6K |
| 84100 |
|
2,001 |
1,079 |
$6K |
| 0002A |
|
150 |
150 |
$6K |
| 96376 |
|
2,608 |
1,249 |
$6K |
| 83970 |
|
315 |
262 |
$5K |
| 73080 |
|
499 |
436 |
$5K |
| 87651 |
|
4,687 |
4,114 |
$5K |
| 99211 |
|
34 |
33 |
$5K |
| 87661 |
|
3,239 |
2,768 |
$5K |
| 76817 |
|
530 |
436 |
$5K |
| 86706 |
|
385 |
318 |
$5K |
| 80076 |
|
528 |
407 |
$5K |
| J0561 |
Penicillin g benzathine inj |
14 |
12 |
$5K |
| 76642 |
|
42 |
38 |
$4K |
| U0005 |
Infec agen detec ampli probe |
5,100 |
4,504 |
$4K |
| 96368 |
|
121 |
100 |
$4K |
| 82077 |
|
4,723 |
3,566 |
$4K |
| 83880 |
|
2,313 |
1,864 |
$4K |
| 74018 |
|
252 |
213 |
$4K |
| 96375 |
|
10,228 |
8,102 |
$4K |
| 76942 |
|
184 |
159 |
$4K |
| 80197 |
|
252 |
113 |
$4K |
| 81025 |
|
20,767 |
18,586 |
$4K |
| 82043 |
|
614 |
548 |
$4K |
| 76801 |
|
453 |
372 |
$3K |
| 80069 |
|
282 |
181 |
$3K |
| 73700 |
|
25 |
24 |
$3K |
| 99231 |
|
266 |
233 |
$3K |
| 99395 |
|
27 |
26 |
$3K |
| 82550 |
|
3,546 |
2,737 |
$3K |
| 76882 |
|
30 |
25 |
$3K |
| J2543 |
Piperacillin/tazobactam |
856 |
342 |
$3K |
| 87077 |
|
1,561 |
1,333 |
$3K |
| 90791 |
|
13 |
13 |
$3K |
| 73590 |
|
431 |
378 |
$3K |
| 99307 |
|
520 |
258 |
$3K |
| J3490 |
Drugs unclassified injection |
514 |
247 |
$3K |
| 74022 |
|
339 |
304 |
$3K |
| 82553 |
|
173 |
148 |
$2K |
| 73140 |
|
323 |
285 |
$2K |
| J1756 |
Iron sucrose injection |
79 |
31 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 86703 |
|
2,221 |
1,908 |
$2K |
| 83690 |
|
10,680 |
9,163 |
$2K |
| 72110 |
|
59 |
53 |
$2K |
| 99225 |
|
142 |
116 |
$2K |
| 90471 |
|
709 |
515 |
$2K |
| 82977 |
|
160 |
78 |
$2K |
| 87635 |
|
1,369 |
1,109 |
$2K |
| 73523 |
|
39 |
37 |
$2K |
| 94660 |
|
20 |
12 |
$2K |
| 86704 |
|
137 |
115 |
$2K |
| C9290 |
Inj, bupivacaine liposome |
28 |
25 |
$2K |
| 72072 |
|
124 |
107 |
$2K |
| 99222 |
|
35 |
34 |
$2K |
| 73090 |
|
291 |
238 |
$2K |
| 71101 |
|
207 |
171 |
$2K |
| 72040 |
|
41 |
36 |
$1K |
| 85652 |
|
610 |
512 |
$1K |
| 80365 |
|
149 |
110 |
$1K |
| J1815 |
Insulin injection |
211 |
129 |
$1K |
| 85730 |
|
1,810 |
1,453 |
$1K |
| 84550 |
|
357 |
302 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
73 |
56 |
$1K |
| 77080 |
|
26 |
25 |
$1K |
| 82746 |
|
390 |
325 |
$1K |
| 87481 |
|
288 |
265 |
$1K |
| 87186 |
|
1,257 |
1,080 |
$1K |
| 72128 |
|
21 |
18 |
$1K |
| 76870 |
|
89 |
78 |
$1K |
| 99396 |
|
12 |
12 |
$1K |
| 84132 |
|
807 |
633 |
$1K |
| 84156 |
|
339 |
240 |
$989.11 |
| 87430 |
|
2,540 |
2,379 |
$963.84 |
| J1885 |
Ketorolac tromethamine inj |
30,390 |
25,202 |
$952.49 |
| 84153 |
|
61 |
57 |
$939.90 |
| 82947 |
|
507 |
411 |
$924.01 |
| Q3014 |
Telehealth facility fee |
33 |
32 |
$879.37 |
| 11043 |
|
16 |
12 |
$873.79 |
| 82330 |
|
474 |
365 |
$754.87 |
| A9270 |
Non-covered item or service |
2,762 |
1,573 |
$714.37 |
| 73070 |
|
12 |
12 |
$683.72 |
| 87070 |
|
571 |
483 |
$682.13 |
| 83605 |
|
1,902 |
1,266 |
$650.42 |
| 87205 |
|
728 |
618 |
$626.47 |
| 86431 |
|
54 |
43 |
$589.32 |
| 80164 |
|
235 |
173 |
$560.66 |
| J2270 |
Morphine sulfate injection |
2,279 |
1,496 |
$558.52 |
| 84165 |
|
88 |
68 |
$554.02 |
| 84703 |
|
1,343 |
1,122 |
$520.51 |
| 99214 |
|
13 |
13 |
$471.21 |
| 85018 |
|
484 |
391 |
$447.15 |
| 87040 |
|
782 |
599 |
$440.13 |
| 74019 |
|
61 |
56 |
$417.86 |
| J0690 |
Cefazolin sodium injection |
3,516 |
1,999 |
$379.80 |
| 84155 |
|
111 |
84 |
$376.73 |
| J1644 |
Inj heparin sodium per 1000u |
1,263 |
501 |
$374.08 |
| 90714 |
|
34 |
25 |
$340.09 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,538 |
6,367 |
$309.26 |
| 86038 |
|
16 |
12 |
$304.31 |
| 82533 |
|
20 |
14 |
$303.40 |
| C9113 |
Inj pantoprazole sodium, via |
363 |
183 |
$301.22 |
| J2704 |
Inj, propofol, 10 mg |
3,086 |
2,382 |
$291.67 |
| J1170 |
Hydromorphone injection |
916 |
484 |
$283.52 |
| 87640 |
|
17 |
13 |
$277.52 |
| 76815 |
|
26 |
26 |
$255.86 |
| 83615 |
|
62 |
50 |
$230.33 |
| 84481 |
|
44 |
38 |
$229.55 |
| 86160 |
|
19 |
13 |
$229.02 |
| J2930 |
Methylprednisolone injection |
820 |
523 |
$218.66 |
| 86480 |
|
14 |
12 |
$188.22 |
| 99152 |
|
603 |
530 |
$183.34 |
| J2919 |
Inj, methylpred sod succ 5mg |
412 |
282 |
$166.44 |
| J0171 |
Adrenalin epinephrine inject |
31 |
26 |
$165.54 |
| 87641 |
|
17 |
13 |
$163.82 |
| 82435 |
|
394 |
323 |
$161.85 |
| J0702 |
Betamethasone acet&sod phosp |
55 |
50 |
$155.76 |
| 87808 |
|
234 |
200 |
$150.39 |
| 82375 |
|
565 |
457 |
$128.05 |
| 82042 |
|
14 |
14 |
$127.14 |
| 72170 |
|
196 |
140 |
$123.98 |
| J1790 |
Droperidol injection |
1,175 |
864 |
$117.77 |
| 82784 |
|
35 |
26 |
$99.79 |
| J0696 |
Ceftriaxone sodium injection |
1,887 |
1,316 |
$99.75 |
| 73660 |
|
16 |
12 |
$99.23 |
| J0330 |
Succinycholine chloride inj |
1,069 |
436 |
$99.14 |
| J2405 |
Ondansetron hcl injection |
9,520 |
7,244 |
$96.45 |
| 86308 |
|
26 |
24 |
$95.23 |
| 84295 |
|
391 |
314 |
$93.42 |
| J2060 |
Lorazepam injection |
835 |
508 |
$92.47 |
| 85045 |
|
51 |
38 |
$83.69 |
| J0360 |
Hydralazine hcl injection |
127 |
80 |
$81.02 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,071 |
945 |
$77.86 |
| J3475 |
Inj magnesium sulfate |
1,454 |
1,017 |
$77.25 |
| 88305 |
|
182 |
152 |
$73.29 |
| J1650 |
Inj enoxaparin sodium |
54 |
26 |
$71.86 |
| 99212 |
|
15 |
13 |
$69.90 |
| J1200 |
Diphenhydramine hcl injectio |
1,415 |
1,021 |
$69.81 |
| 82010 |
|
245 |
190 |
$66.70 |
| J2360 |
Orphenadrine injection |
328 |
295 |
$66.58 |
| J2795 |
Ropivacaine hcl injection |
1,009 |
813 |
$65.45 |
| 84145 |
|
37 |
27 |
$64.71 |
| 80143 |
|
55 |
38 |
$64.45 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,670 |
1,235 |
$63.46 |
| 83050 |
|
390 |
312 |
$61.30 |
| J2920 |
Methylprednisolone injection |
33 |
12 |
$58.74 |
| 86592 |
|
45 |
40 |
$58.70 |
| J2250 |
Inj midazolam hydrochloride |
5,047 |
4,194 |
$53.48 |
| 94644 |
|
28 |
26 |
$52.48 |
| J3010 |
Fentanyl citrate injection |
2,918 |
2,085 |
$52.12 |
| J1040 |
Methylprednisolone 80 mg inj |
731 |
632 |
$46.42 |
| 86705 |
|
14 |
12 |
$45.49 |
| 83521 |
|
19 |
15 |
$43.95 |
| 94760 |
|
3,465 |
1,973 |
$39.40 |
| J3370 |
Vancomycin hcl injection |
331 |
215 |
$39.22 |
| J2765 |
Metoclopramide hcl injection |
1,133 |
864 |
$36.95 |
| J7030 |
Normal saline solution infus |
195 |
183 |
$32.31 |
| J1630 |
Haloperidol injection |
220 |
151 |
$32.26 |
| 87899 |
|
14 |
14 |
$31.33 |
| J1100 |
Dexamethasone sodium phos |
2,243 |
1,775 |
$30.90 |
| J7040 |
Normal saline solution infus |
591 |
294 |
$27.85 |
| J3480 |
Inj potassium chloride |
552 |
355 |
$21.35 |
| 87088 |
|
59 |
57 |
$19.43 |
| 87798 |
|
12 |
12 |
$18.26 |
| J0780 |
Prochlorperazine injection |
165 |
126 |
$17.94 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
805 |
700 |
$17.08 |
| Q9969 |
Non-heu tc-99m add-on/dose |
505 |
397 |
$12.36 |
| J1010 |
Inj, methylpred acetate 1 mg |
88 |
84 |
$11.20 |
| J7120 |
Ringers lactate infusion |
463 |
360 |
$10.82 |
| J2470 |
Inj pantoprazole sodium 40mg |
38 |
26 |
$7.98 |
| J0689 |
Inj cefazolin sodium, baxter |
73 |
54 |
$5.29 |
| J2175 |
Meperidine hydrochl /100 mg |
16 |
13 |
$5.02 |
| J2004 |
Inj, lidocaine w epinephrine |
34 |
32 |
$4.80 |
| J1940 |
Furosemide injection |
35 |
12 |
$4.54 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
55 |
33 |
$3.31 |
| 91300 |
|
319 |
268 |
$3.08 |
| J1030 |
Methylprednisolone 40 mg inj |
36 |
34 |
$3.00 |
| J2001 |
Lidocaine injection |
1,245 |
1,126 |
$2.67 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
409 |
277 |
$2.55 |
| J3301 |
Triamcinolone acet inj nos |
362 |
311 |
$1.55 |
| A9502 |
Tc99m tetrofosmin |
226 |
194 |
$0.00 |
| 01402 |
|
280 |
209 |
$0.00 |
| 76376 |
|
66 |
62 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
23 |
13 |
$0.00 |
| 01810 |
|
14 |
13 |
$0.00 |
| 82272 |
|
34 |
26 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
24 |
24 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
69 |
44 |
$0.00 |
| 74174 |
|
13 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
197 |
167 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
182 |
134 |
$0.00 |
| 87081 |
|
56 |
52 |
$0.00 |
| 01214 |
|
22 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
31 |
31 |
$0.00 |
| 88304 |
|
35 |
27 |
$0.00 |