| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,378 |
21,118 |
$6.96M |
| 99283 |
|
22,180 |
20,198 |
$5.36M |
| 99285 |
|
12,196 |
10,618 |
$3.94M |
| 74177 |
|
5,773 |
5,122 |
$3.89M |
| 74176 |
|
2,402 |
2,148 |
$1.10M |
| 97110 |
|
13,540 |
4,424 |
$1.10M |
| 71275 |
|
1,986 |
1,740 |
$1.03M |
| 59025 |
|
4,354 |
2,461 |
$813K |
| 11042 |
|
4,612 |
1,717 |
$782K |
| 72125 |
|
1,624 |
1,452 |
$722K |
| 97140 |
|
7,667 |
2,909 |
$520K |
| 92507 |
|
10,225 |
3,458 |
$442K |
| 97530 |
|
7,218 |
2,659 |
$414K |
| 80053 |
|
36,681 |
29,995 |
$363K |
| 99282 |
|
1,308 |
1,246 |
$173K |
| 99281 |
|
2,519 |
2,373 |
$168K |
| G0378 |
Hospital observation per hr |
6,342 |
3,162 |
$149K |
| 77067 |
|
2,179 |
2,013 |
$142K |
| 84443 |
|
10,029 |
9,242 |
$121K |
| 96361 |
|
13,179 |
11,016 |
$116K |
| 71046 |
|
5,204 |
4,689 |
$91K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,458 |
1,396 |
$79K |
| 93306 |
|
427 |
364 |
$76K |
| 87591 |
|
1,479 |
1,401 |
$63K |
| 96366 |
|
1,301 |
1,025 |
$52K |
| 80074 |
|
389 |
382 |
$51K |
| 76705 |
|
1,353 |
1,224 |
$48K |
| 84702 |
|
2,929 |
2,329 |
$48K |
| 76856 |
|
471 |
444 |
$42K |
| 97112 |
|
1,175 |
566 |
$41K |
| 71045 |
|
12,958 |
11,129 |
$41K |
| 78452 |
|
40 |
28 |
$38K |
| 76801 |
|
913 |
816 |
$35K |
| 80048 |
|
8,868 |
6,942 |
$31K |
| 76815 |
|
906 |
706 |
$31K |
| 73564 |
|
1,090 |
1,011 |
$30K |
| 72100 |
|
658 |
608 |
$25K |
| 96374 |
|
14,929 |
12,426 |
$25K |
| 93971 |
|
833 |
729 |
$24K |
| 80307 |
|
7,717 |
6,551 |
$24K |
| 76805 |
|
133 |
131 |
$22K |
| 73130 |
|
1,275 |
1,183 |
$22K |
| 70450 |
|
5,687 |
4,980 |
$21K |
| 96365 |
|
5,919 |
4,904 |
$20K |
| 77080 |
|
206 |
179 |
$20K |
| 93005 |
|
20,871 |
16,595 |
$20K |
| 96360 |
|
5,488 |
4,828 |
$20K |
| 73721 |
|
90 |
84 |
$19K |
| 97161 |
|
1,796 |
1,548 |
$19K |
| 73030 |
|
1,243 |
1,118 |
$19K |
| 72148 |
|
108 |
95 |
$18K |
| 96375 |
|
10,761 |
8,911 |
$16K |
| 97162 |
|
746 |
645 |
$13K |
| 73630 |
|
1,594 |
1,453 |
$13K |
| 83036 |
|
4,383 |
4,097 |
$12K |
| 96376 |
|
2,054 |
1,657 |
$12K |
| 85025 |
|
43,986 |
34,219 |
$11K |
| 92523 |
|
44 |
41 |
$11K |
| 43239 |
|
24 |
14 |
$11K |
| 70486 |
|
44 |
39 |
$11K |
| 76700 |
|
107 |
92 |
$10K |
| 73610 |
|
1,116 |
1,019 |
$10K |
| 86592 |
|
2,411 |
2,351 |
$10K |
| 70553 |
|
30 |
25 |
$10K |
| 97597 |
|
187 |
81 |
$9K |
| 71250 |
|
180 |
153 |
$9K |
| 70496 |
|
40 |
36 |
$9K |
| 96372 |
|
7,483 |
6,371 |
$9K |
| 76819 |
|
30 |
24 |
$8K |
| 87340 |
|
1,173 |
1,107 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
9,764 |
8,724 |
$8K |
| 93970 |
|
32 |
26 |
$8K |
| 87086 |
|
6,457 |
5,778 |
$7K |
| 72131 |
|
57 |
52 |
$7K |
| 97113 |
|
225 |
65 |
$6K |
| 84703 |
|
10,395 |
9,275 |
$6K |
| 73110 |
|
668 |
626 |
$5K |
| 87081 |
|
3,361 |
3,208 |
$5K |
| 80061 |
|
4,289 |
4,043 |
$5K |
| 74018 |
|
285 |
263 |
$4K |
| 76830 |
|
178 |
165 |
$4K |
| 76817 |
|
37 |
33 |
$4K |
| 76775 |
|
59 |
54 |
$4K |
| 94729 |
|
14 |
13 |
$4K |
| 86705 |
|
554 |
536 |
$4K |
| 82248 |
|
486 |
398 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
241 |
181 |
$3K |
| 87400 |
|
7,071 |
6,513 |
$3K |
| 81001 |
|
15,924 |
13,876 |
$3K |
| 84484 |
|
13,571 |
9,473 |
$3K |
| 71260 |
|
47 |
41 |
$3K |
| 82306 |
|
1,754 |
1,704 |
$3K |
| 87635 |
|
3,210 |
3,024 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,866 |
8,529 |
$2K |
| 85610 |
|
12,411 |
10,456 |
$2K |
| 86140 |
|
2,711 |
2,489 |
$2K |
| 72040 |
|
66 |
64 |
$2K |
| 94664 |
|
2,032 |
1,738 |
$2K |
| 87070 |
|
1,130 |
959 |
$1K |
| 73562 |
|
34 |
31 |
$1K |
| 82570 |
|
1,249 |
1,136 |
$1K |
| 80076 |
|
1,774 |
1,520 |
$1K |
| 86787 |
|
903 |
872 |
$1K |
| 92522 |
|
13 |
12 |
$1K |
| 73502 |
|
156 |
142 |
$1K |
| 83880 |
|
3,760 |
3,211 |
$1K |
| 97535 |
|
557 |
424 |
$1K |
| 80069 |
|
112 |
106 |
$1K |
| 82607 |
|
893 |
858 |
$1K |
| 82805 |
|
1,292 |
977 |
$1K |
| 86850 |
|
3,125 |
2,890 |
$967.24 |
| 36415 |
|
60,176 |
41,009 |
$887.34 |
| 84439 |
|
4,084 |
3,837 |
$849.64 |
| 82670 |
|
54 |
51 |
$820.69 |
| 87040 |
|
4,686 |
2,478 |
$817.57 |
| 85730 |
|
9,625 |
8,175 |
$812.11 |
| 96367 |
|
145 |
108 |
$711.11 |
| 94060 |
|
34 |
27 |
$675.60 |
| 83605 |
|
11,516 |
8,743 |
$665.97 |
| 77063 |
|
2,174 |
2,002 |
$627.07 |
| 83690 |
|
11,682 |
10,046 |
$572.20 |
| J1885 |
Ketorolac tromethamine inj |
9,920 |
8,833 |
$567.19 |
| J2785 |
Regadenoson injection |
21 |
14 |
$534.21 |
| 87491 |
|
1,486 |
1,403 |
$527.76 |
| J0696 |
Ceftriaxone sodium injection |
3,110 |
2,593 |
$515.65 |
| 97165 |
|
161 |
129 |
$506.39 |
| 82746 |
|
473 |
453 |
$497.61 |
| 85027 |
|
4,066 |
3,679 |
$495.38 |
| 87502 |
|
2,108 |
2,022 |
$432.81 |
| 73080 |
|
54 |
50 |
$410.15 |
| 84403 |
|
94 |
94 |
$397.17 |
| 85379 |
|
3,147 |
2,853 |
$396.13 |
| 97166 |
|
15 |
13 |
$393.64 |
| 82950 |
|
496 |
486 |
$385.47 |
| 81003 |
|
9,798 |
8,859 |
$348.19 |
| 76870 |
|
15 |
14 |
$345.36 |
| A9579 |
Gad-base mr contrast nos,1ml |
188 |
164 |
$326.78 |
| 84550 |
|
589 |
513 |
$322.69 |
| 83970 |
|
13 |
13 |
$299.06 |
| 83540 |
|
323 |
308 |
$298.79 |
| 84030 |
|
12 |
12 |
$295.24 |
| J7030 |
Normal saline solution infus |
9,954 |
7,985 |
$273.68 |
| 86900 |
|
3,440 |
3,089 |
$265.14 |
| 83735 |
|
11,525 |
8,366 |
$232.71 |
| 93976 |
|
20 |
17 |
$221.93 |
| 90471 |
|
1,058 |
944 |
$205.15 |
| 84153 |
|
84 |
84 |
$200.95 |
| 87077 |
|
819 |
717 |
$178.93 |
| 82247 |
|
154 |
111 |
$173.48 |
| 80320 |
|
5,263 |
4,511 |
$162.26 |
| 86803 |
|
988 |
946 |
$157.08 |
| 86762 |
|
1,125 |
1,073 |
$152.53 |
| 99213 |
|
16 |
14 |
$149.35 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
14 |
$148.74 |
| 87880 |
|
2,429 |
2,330 |
$146.07 |
| J2405 |
Ondansetron hcl injection |
12,671 |
10,607 |
$137.07 |
| 73090 |
|
28 |
24 |
$135.96 |
| 82962 |
|
6,977 |
3,319 |
$135.38 |
| 73590 |
|
30 |
24 |
$133.89 |
| 87389 |
|
453 |
449 |
$132.80 |
| 86703 |
|
1,353 |
1,307 |
$129.88 |
| J2270 |
Morphine sulfate injection |
3,840 |
2,838 |
$118.72 |
| U0005 |
Infec agen detec ampli probe |
1,067 |
1,011 |
$111.56 |
| J3490 |
Drugs unclassified injection |
3,391 |
1,829 |
$103.63 |
| 87205 |
|
1,487 |
1,217 |
$103.09 |
| 84112 |
|
204 |
176 |
$99.92 |
| 85014 |
|
218 |
194 |
$84.72 |
| 82550 |
|
1,463 |
1,273 |
$77.61 |
| 87420 |
|
1,388 |
1,339 |
$76.10 |
| 84144 |
|
152 |
134 |
$73.85 |
| 86901 |
|
3,435 |
3,086 |
$70.48 |
| A9270 |
Non-covered item or service |
7,238 |
1,835 |
$62.00 |
| 87147 |
|
202 |
184 |
$50.86 |
| 84156 |
|
213 |
170 |
$49.02 |
| 84100 |
|
2,001 |
1,553 |
$47.57 |
| 97116 |
|
286 |
152 |
$43.98 |
| 90715 |
|
779 |
726 |
$42.74 |
| 82565 |
|
13 |
12 |
$42.28 |
| 85652 |
|
1,580 |
1,467 |
$34.96 |
| 87651 |
|
547 |
536 |
$34.17 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
102 |
82 |
$30.49 |
| J1100 |
Dexamethasone sodium phos |
4,403 |
3,921 |
$23.62 |
| J2060 |
Lorazepam injection |
2,146 |
1,772 |
$22.35 |
| 84145 |
|
897 |
788 |
$22.21 |
| J2919 |
Inj, methylpred sod succ 5mg |
103 |
94 |
$22.21 |
| J2765 |
Metoclopramide hcl injection |
1,573 |
1,394 |
$22.13 |
| J2930 |
Methylprednisolone injection |
805 |
691 |
$21.47 |
| J7050 |
Normal saline solution infus |
929 |
774 |
$20.92 |
| 87210 |
|
226 |
212 |
$19.90 |
| J1170 |
Hydromorphone injection |
3,407 |
2,339 |
$19.77 |
| 36416 |
|
266 |
195 |
$19.27 |
| J3010 |
Fentanyl citrate injection |
6,264 |
5,103 |
$13.09 |
| J0690 |
Cefazolin sodium injection |
3,398 |
2,637 |
$11.96 |
| J3475 |
Inj magnesium sulfate |
642 |
505 |
$11.04 |
| J7120 |
Ringers lactate infusion |
4,271 |
3,567 |
$10.59 |
| J0780 |
Prochlorperazine injection |
164 |
133 |
$10.32 |
| 86709 |
|
599 |
571 |
$9.88 |
| J1200 |
Diphenhydramine hcl injectio |
2,324 |
1,936 |
$8.52 |
| J2550 |
Promethazine hcl injection |
316 |
244 |
$7.37 |
| C9113 |
Inj pantoprazole sodium, via |
419 |
309 |
$6.05 |
| 82140 |
|
124 |
104 |
$5.34 |
| J2704 |
Inj, propofol, 10 mg |
4,826 |
4,256 |
$4.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
276 |
181 |
$2.79 |
| S0028 |
Injection, famotidine, 20 mg |
838 |
765 |
$2.00 |
| J8499 |
Oral prescrip drug non chemo |
457 |
334 |
$0.64 |
| J7512 |
Prednisone ir or dr oral 1mg |
587 |
503 |
$0.60 |
| J7613 |
Albuterol non-comp unit |
620 |
528 |
$0.34 |
| J2250 |
Inj midazolam hydrochloride |
3,588 |
3,125 |
$0.26 |
| Q0162 |
Ondansetron oral |
1,583 |
1,451 |
$0.22 |
| A7521 |
Trach/laryn tube cuffed |
610 |
547 |
$0.00 |
| 96368 |
|
66 |
54 |
$0.00 |
| 88305 |
|
1,461 |
1,311 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
782 |
721 |
$0.00 |
| 80329 |
|
2,936 |
2,566 |
$0.00 |
| J1815 |
Insulin injection |
412 |
235 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
146 |
101 |
$0.00 |
| 85018 |
|
273 |
241 |
$0.00 |
| 82728 |
|
425 |
404 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
300 |
284 |
$0.00 |
| 82043 |
|
346 |
338 |
$0.00 |
| 12001 |
|
113 |
107 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
467 |
410 |
$0.00 |
| 88304 |
|
168 |
137 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
99 |
70 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
988 |
806 |
$0.00 |
| 20560 |
|
77 |
37 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
232 |
200 |
$0.00 |
| J2001 |
Lidocaine injection |
1,482 |
1,170 |
$0.00 |
| 97016 |
|
43 |
18 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
293 |
255 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
185 |
72 |
$0.00 |
| 88342 |
|
40 |
37 |
$0.00 |
| 97014 |
|
68 |
36 |
$0.00 |
| J0500 |
Dicyclomine injection |
47 |
42 |
$0.00 |
| J7999 |
Compounded drug, noc |
79 |
76 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
13 |
12 |
$0.00 |
| 84480 |
|
13 |
13 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$0.00 |
| J0456 |
Azithromycin |
15 |
12 |
$0.00 |
| 82553 |
|
15 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
63 |
54 |
$0.00 |
| 84402 |
|
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
16 |
15 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
18 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
18 |
12 |
$0.00 |
| 82010 |
|
157 |
130 |
$0.00 |
| G8978 |
Mobility current status |
235 |
156 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
590 |
259 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
179 |
81 |
$0.00 |
| A4218 |
Sterile saline or water |
102 |
83 |
$0.00 |
| J7040 |
Normal saline solution infus |
881 |
761 |
$0.00 |
| 97533 |
|
18 |
12 |
$0.00 |
| A9577 |
Inj multihance |
107 |
88 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
153 |
141 |
$0.00 |
| 36600 |
|
119 |
96 |
$0.00 |
| 84466 |
|
233 |
226 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
92 |
79 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
259 |
213 |
$0.00 |
| 84481 |
|
525 |
507 |
$0.00 |
| J7642 |
Glycopyrrolate comp con |
170 |
148 |
$0.00 |
| 86765 |
|
28 |
28 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
118 |
110 |
$0.00 |
| G8979 |
Mobility goal status |
287 |
182 |
$0.00 |
| S0164 |
Injection pantroprazole |
186 |
137 |
$0.00 |
| 86735 |
|
28 |
28 |
$0.00 |
| 97168 |
|
13 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
91 |
53 |
$0.00 |
| 29125 |
|
38 |
37 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
37 |
36 |
$0.00 |
| 99152 |
|
45 |
37 |
$0.00 |
| 93017 |
|
41 |
29 |
$0.00 |
| 94726 |
|
14 |
13 |
$0.00 |
| 51702 |
|
16 |
14 |
$0.00 |
| J1953 |
Levetiracetam injection |
15 |
13 |
$0.00 |