| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
42,564 |
34,260 |
$7.15M |
| 99285 |
|
30,404 |
23,947 |
$5.73M |
| 99283 |
|
27,482 |
23,244 |
$3.53M |
| G0378 |
Hospital observation per hr |
9,238 |
5,724 |
$3.07M |
| 96374 |
|
20,422 |
15,712 |
$1.53M |
| 93306 |
|
7,949 |
6,760 |
$1.17M |
| 78452 |
|
3,357 |
2,864 |
$1.14M |
| 74177 |
|
7,368 |
6,011 |
$999K |
| 96372 |
|
27,204 |
16,596 |
$769K |
| 96361 |
|
13,578 |
7,807 |
$758K |
| D0272 |
|
1,127 |
946 |
$718K |
| 71045 |
|
20,633 |
16,147 |
$635K |
| 96365 |
|
8,194 |
5,281 |
$599K |
| D2930 |
|
11,944 |
1,864 |
$598K |
| D7140 |
|
1,851 |
513 |
$585K |
| 96413 |
|
4,841 |
1,988 |
$577K |
| 99282 |
|
6,652 |
5,706 |
$554K |
| 94640 |
|
7,687 |
4,198 |
$546K |
| 93005 |
|
29,032 |
18,548 |
$518K |
| 96375 |
|
21,101 |
13,452 |
$483K |
| 80053 |
|
76,640 |
53,892 |
$479K |
| U0002 |
Covid-19 lab test non-cdc |
14,831 |
11,438 |
$417K |
| 70450 |
|
8,981 |
7,232 |
$388K |
| 71046 |
|
9,121 |
7,762 |
$372K |
| C9803 |
Hopd covid-19 spec collect |
26,977 |
21,931 |
$354K |
| 85025 |
|
69,944 |
49,128 |
$313K |
| 87804 |
|
27,613 |
12,016 |
$297K |
| 93017 |
|
3,979 |
3,427 |
$284K |
| 86900 |
|
5,843 |
4,235 |
$266K |
| 96366 |
|
5,139 |
2,208 |
$234K |
| 96360 |
|
2,807 |
2,162 |
$224K |
| 74176 |
|
2,923 |
2,292 |
$223K |
| 80307 |
|
5,395 |
4,389 |
$217K |
| 36415 |
|
98,641 |
62,827 |
$203K |
| 76817 |
|
3,155 |
2,379 |
$200K |
| G0480 |
Drug test def 1-7 classes |
2,998 |
2,299 |
$189K |
| 84484 |
|
27,169 |
12,982 |
$180K |
| 71275 |
|
2,628 |
2,062 |
$179K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,849 |
2,378 |
$175K |
| J0897 |
Denosumab injection |
314 |
227 |
$171K |
| 71260 |
|
2,110 |
1,688 |
$154K |
| 99281 |
|
2,931 |
2,496 |
$133K |
| 76815 |
|
2,008 |
1,652 |
$129K |
| 87635 |
|
3,997 |
3,528 |
$128K |
| D2934 |
|
2,506 |
495 |
$111K |
| 86850 |
|
5,179 |
3,695 |
$109K |
| 83880 |
|
5,562 |
4,323 |
$108K |
| 72100 |
|
2,150 |
1,821 |
$106K |
| D3220 |
|
3,122 |
951 |
$104K |
| 99214 |
|
4,204 |
2,903 |
$88K |
| 93880 |
|
1,498 |
1,305 |
$87K |
| 86901 |
|
6,029 |
4,367 |
$85K |
| 73560 |
|
2,525 |
2,105 |
$83K |
| 77067 |
|
1,045 |
974 |
$82K |
| 72125 |
|
2,309 |
1,880 |
$82K |
| 81001 |
|
34,753 |
27,496 |
$80K |
| 74018 |
|
1,946 |
1,580 |
$79K |
| 76705 |
|
1,358 |
1,123 |
$75K |
| 83735 |
|
21,039 |
13,918 |
$74K |
| J9271 |
Inj pembrolizumab |
43 |
12 |
$73K |
| 85027 |
|
21,752 |
14,135 |
$70K |
| 71250 |
|
2,151 |
1,781 |
$69K |
| 97110 |
|
3,538 |
519 |
$69K |
| 93971 |
|
1,974 |
1,637 |
$68K |
| 93458 |
|
58 |
55 |
$66K |
| 73030 |
|
1,990 |
1,639 |
$64K |
| 77066 |
Tomosynthesis, mammo |
1,058 |
923 |
$58K |
| D3320 |
|
135 |
95 |
$58K |
| 76830 |
|
917 |
805 |
$57K |
| 70551 |
|
865 |
687 |
$57K |
| 81025 |
|
8,669 |
7,160 |
$56K |
| 87880 |
|
3,984 |
3,460 |
$53K |
| 99211 |
|
7,297 |
3,726 |
$53K |
| 80048 |
|
12,615 |
7,826 |
$52K |
| 73610 |
|
1,323 |
1,123 |
$51K |
| 73630 |
|
1,396 |
1,209 |
$51K |
| 84443 |
|
5,405 |
4,119 |
$50K |
| 87491 |
|
1,929 |
1,661 |
$50K |
| 87591 |
|
1,930 |
1,661 |
$49K |
| 36430 |
|
529 |
279 |
$47K |
| 83690 |
|
10,576 |
8,328 |
$47K |
| 87651 |
|
1,899 |
1,677 |
$47K |
| 76642 |
|
1,460 |
1,262 |
$46K |
| 78815 |
|
143 |
130 |
$45K |
| 96367 |
|
1,766 |
1,098 |
$44K |
| 84702 |
|
4,307 |
3,234 |
$44K |
| 83605 |
|
7,287 |
5,189 |
$42K |
| G0463 |
Hospital outpt clinic visit |
2,726 |
2,160 |
$41K |
| 84703 |
|
8,050 |
6,346 |
$40K |
| 73130 |
|
998 |
843 |
$38K |
| 87086 |
|
6,705 |
5,559 |
$36K |
| D2391 |
|
569 |
136 |
$33K |
| D2330 |
|
1,689 |
362 |
$33K |
| Q3014 |
Telehealth facility fee |
2,385 |
1,904 |
$33K |
| 95810 |
|
72 |
65 |
$32K |
| 87040 |
|
6,096 |
2,710 |
$32K |
| 73502 |
|
1,135 |
913 |
$31K |
| J2469 |
Palonosetron hcl |
776 |
344 |
$30K |
| 93970 |
|
401 |
335 |
$27K |
| 93010 |
|
12,639 |
8,894 |
$27K |
| 87807 |
|
2,495 |
2,260 |
$27K |
| 90935 |
|
233 |
100 |
$27K |
| D1120 |
|
2,491 |
2,033 |
$25K |
| 59025 |
|
258 |
187 |
$25K |
| 85379 |
|
4,339 |
3,461 |
$23K |
| 77065 |
Tomosynthesis, mammo |
599 |
523 |
$23K |
| 99215 |
Prolong outpt/office vis |
766 |
445 |
$23K |
| 73110 |
|
578 |
483 |
$22K |
| 70553 |
|
164 |
132 |
$21K |
| 85610 |
|
9,921 |
7,109 |
$21K |
| 72050 |
|
415 |
359 |
$21K |
| 70486 |
|
368 |
307 |
$19K |
| P9016 |
Rbc leukocytes reduced |
300 |
153 |
$18K |
| 76805 |
|
272 |
229 |
$17K |
| J0561 |
Penicillin g benzathine inj |
172 |
128 |
$16K |
| J1439 |
Inj ferric carboxymaltos 1mg |
102 |
37 |
$16K |
| D1208 |
|
2,488 |
2,020 |
$16K |
| 86923 |
|
424 |
174 |
$16K |
| 85730 |
|
4,957 |
3,352 |
$15K |
| 80061 |
|
2,188 |
1,645 |
$15K |
| 97530 |
|
1,034 |
217 |
$14K |
| 70498 |
|
280 |
209 |
$13K |
| 95811 |
|
30 |
26 |
$13K |
| 82565 |
|
5,395 |
4,266 |
$13K |
| 83036 |
|
2,360 |
1,908 |
$12K |
| 82728 |
|
2,703 |
1,782 |
$12K |
| 70496 |
|
206 |
150 |
$11K |
| 90471 |
|
614 |
501 |
$11K |
| 93925 |
|
150 |
144 |
$10K |
| 76770 |
|
200 |
175 |
$10K |
| 97162 |
|
587 |
429 |
$10K |
| J7030 |
Normal saline solution infus |
19,331 |
12,982 |
$9K |
| 76856 |
|
150 |
121 |
$9K |
| Q9950 |
Inj sulf hexa lipid microsph |
534 |
256 |
$9K |
| 85007 |
|
3,638 |
2,685 |
$8K |
| 76819 |
|
152 |
97 |
$8K |
| 97161 |
|
394 |
311 |
$8K |
| 96417 |
|
192 |
89 |
$7K |
| 84439 |
|
1,598 |
1,093 |
$7K |
| 82306 |
|
474 |
377 |
$7K |
| 86140 |
|
2,416 |
1,918 |
$7K |
| 93290 |
|
921 |
807 |
$7K |
| 73070 |
|
177 |
153 |
$7K |
| 76700 |
|
113 |
100 |
$6K |
| 93016 |
|
962 |
824 |
$6K |
| 83550 |
|
2,440 |
1,566 |
$5K |
| 88305 |
|
264 |
168 |
$5K |
| M0243 |
Casirivi and imdevi inj |
23 |
22 |
$5K |
| 87210 |
|
1,449 |
1,238 |
$5K |
| 12011 |
|
59 |
40 |
$5K |
| 74022 |
|
78 |
71 |
$5K |
| 82607 |
|
891 |
623 |
$4K |
| 73590 |
|
107 |
89 |
$4K |
| 83540 |
|
2,500 |
1,611 |
$4K |
| 41899 |
|
13 |
12 |
$4K |
| U0005 |
Infec agen detec ampli probe |
256 |
220 |
$4K |
| 93280 |
|
475 |
422 |
$4K |
| J7040 |
Normal saline solution infus |
3,235 |
2,077 |
$4K |
| 83615 |
|
1,370 |
908 |
$4K |
| 74174 |
|
43 |
43 |
$4K |
| 99213 |
|
261 |
208 |
$4K |
| J7120 |
Ringers lactate infusion |
7,099 |
5,121 |
$3K |
| A9270 |
Non-covered item or service |
9,999 |
5,575 |
$3K |
| 76801 |
|
49 |
41 |
$3K |
| 82570 |
|
1,087 |
834 |
$3K |
| 82803 |
|
256 |
210 |
$3K |
| 73090 |
|
73 |
68 |
$3K |
| J2270 |
Morphine sulfate injection |
9,049 |
5,581 |
$3K |
| 74019 |
|
111 |
70 |
$3K |
| 82550 |
|
748 |
546 |
$3K |
| 72070 |
|
65 |
54 |
$3K |
| 12001 |
|
29 |
28 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,473 |
12,402 |
$3K |
| 85652 |
|
1,620 |
1,301 |
$3K |
| 82746 |
|
612 |
422 |
$3K |
| 85045 |
|
938 |
535 |
$3K |
| J2405 |
Ondansetron hcl injection |
18,550 |
12,517 |
$2K |
| 84550 |
|
917 |
679 |
$2K |
| 84100 |
|
1,546 |
1,007 |
$2K |
| 84156 |
|
1,019 |
761 |
$2K |
| 93018 |
|
962 |
824 |
$2K |
| 77336 |
|
37 |
12 |
$2K |
| 80069 |
|
475 |
334 |
$2K |
| 97166 |
|
52 |
44 |
$1K |
| D0230 |
|
1,059 |
880 |
$1K |
| 86308 |
|
158 |
128 |
$1K |
| J1100 |
Dexamethasone sodium phos |
12,150 |
9,121 |
$1K |
| 72131 |
|
46 |
41 |
$1K |
| 97165 |
|
70 |
53 |
$1K |
| 73552 |
|
33 |
27 |
$1K |
| 85014 |
|
663 |
474 |
$1K |
| J7050 |
Normal saline solution infus |
7,266 |
2,622 |
$1K |
| 75574 |
|
13 |
13 |
$959.45 |
| 82150 |
|
177 |
141 |
$917.80 |
| 36600 |
|
30 |
26 |
$870.37 |
| C1769 |
Guide wire |
1,581 |
1,248 |
$839.51 |
| 82731 |
|
16 |
13 |
$826.33 |
| 85018 |
|
513 |
384 |
$821.66 |
| 96411 |
|
23 |
12 |
$815.09 |
| 71271 |
|
13 |
12 |
$769.69 |
| 87070 |
|
107 |
95 |
$726.14 |
| 70360 |
|
15 |
12 |
$698.68 |
| D0220 |
|
1,121 |
941 |
$672.56 |
| 83970 |
|
46 |
30 |
$671.96 |
| 90686 |
|
96 |
72 |
$598.51 |
| 93289 |
|
58 |
45 |
$590.88 |
| 87205 |
|
177 |
141 |
$586.77 |
| 96376 |
|
8,685 |
3,782 |
$566.01 |
| Q0162 |
Ondansetron oral |
4,694 |
3,684 |
$487.10 |
| 85347 |
|
87 |
45 |
$480.98 |
| J2930 |
Methylprednisolone injection |
1,975 |
1,430 |
$477.72 |
| J1200 |
Diphenhydramine hcl injectio |
5,371 |
3,479 |
$471.57 |
| 93283 |
|
51 |
38 |
$470.70 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,598 |
1,276 |
$454.05 |
| J1644 |
Inj heparin sodium per 1000u |
5,382 |
2,009 |
$446.91 |
| J0696 |
Ceftriaxone sodium injection |
5,915 |
3,959 |
$398.19 |
| 82248 |
|
89 |
65 |
$387.81 |
| J3010 |
Fentanyl citrate injection |
5,605 |
4,327 |
$338.24 |
| 0002A |
|
14 |
14 |
$327.31 |
| D1351 |
|
66 |
14 |
$316.89 |
| 87641 |
|
18 |
14 |
$301.89 |
| 84132 |
|
176 |
97 |
$287.33 |
| 99212 |
|
14 |
13 |
$273.98 |
| 82375 |
|
30 |
26 |
$271.53 |
| 73060 |
|
16 |
12 |
$262.39 |
| J1170 |
Hydromorphone injection |
6,216 |
3,200 |
$223.38 |
| C1887 |
Catheter, guiding |
577 |
471 |
$221.46 |
| 84165 |
|
106 |
58 |
$196.62 |
| 80047 |
|
45 |
33 |
$193.82 |
| 93282 |
|
12 |
12 |
$182.66 |
| 0001A |
|
20 |
18 |
$180.80 |
| 84145 |
|
1,429 |
1,089 |
$166.02 |
| 83050 |
|
30 |
26 |
$162.65 |
| 83655 |
|
14 |
14 |
$154.25 |
| J1885 |
Ketorolac tromethamine inj |
10,329 |
8,028 |
$150.81 |
| J2785 |
Regadenoson injection |
3,006 |
2,583 |
$145.31 |
| 87640 |
|
18 |
14 |
$140.36 |
| J2704 |
Inj, propofol, 10 mg |
6,875 |
5,306 |
$140.13 |
| C1894 |
Intro/sheath, non-laser |
757 |
620 |
$134.19 |
| J2360 |
Orphenadrine injection |
2,143 |
1,788 |
$129.83 |
| 93288 |
|
12 |
12 |
$127.48 |
| Q9957 |
Inj perflutren lip micros,ml |
186 |
174 |
$116.21 |
| J8540 |
Oral dexamethasone |
265 |
102 |
$115.11 |
| 90715 |
|
202 |
167 |
$103.59 |
| 82010 |
|
21 |
13 |
$74.06 |
| J2919 |
Inj, methylpred sod succ 5mg |
144 |
93 |
$64.55 |
| A9502 |
Tc99m tetrofosmin |
3,366 |
2,872 |
$57.34 |
| 82247 |
|
14 |
13 |
$54.73 |
| J1650 |
Inj enoxaparin sodium |
5,569 |
2,032 |
$46.68 |
| D1206 |
|
17 |
12 |
$39.53 |
| J1756 |
Iron sucrose injection |
147 |
51 |
$36.61 |
| 82270 |
|
13 |
12 |
$32.50 |
| J2550 |
Promethazine hcl injection |
2,538 |
1,802 |
$32.37 |
| J0780 |
Prochlorperazine injection |
695 |
606 |
$29.40 |
| J3475 |
Inj magnesium sulfate |
603 |
355 |
$26.12 |
| G1004 |
Cdsm ndsc |
4,801 |
2,805 |
$24.13 |
| J0595 |
Butorphanol tartrate 1 mg |
38 |
26 |
$23.93 |
| J2250 |
Inj midazolam hydrochloride |
5,911 |
4,434 |
$21.82 |
| J0360 |
Hydralazine hcl injection |
1,665 |
1,099 |
$20.38 |
| J2060 |
Lorazepam injection |
1,159 |
754 |
$15.65 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
51 |
30 |
$10.75 |
| 96368 |
|
21 |
12 |
$10.72 |
| J2765 |
Metoclopramide hcl injection |
1,799 |
1,342 |
$9.63 |
| J0137 |
Inj, acetaminophen (hikma) |
69 |
48 |
$9.08 |
| J3480 |
Inj potassium chloride |
124 |
65 |
$8.69 |
| 83521 |
|
89 |
27 |
$6.90 |
| 77063 |
|
38 |
37 |
$6.20 |
| C9113 |
Inj pantoprazole sodium, via |
1,426 |
744 |
$1.89 |
| G0008 |
Admin influenza virus vac |
77 |
57 |
$1.13 |
| J0690 |
Cefazolin sodium injection |
3,552 |
2,430 |
$0.79 |
| J1630 |
Haloperidol injection |
32 |
25 |
$0.23 |
| J7510 |
Prednisolone oral per 5 mg |
72 |
70 |
$0.16 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
200 |
154 |
$0.05 |
| G8978 |
Mobility current status |
265 |
208 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
382 |
151 |
$0.00 |
| G8997 |
Swallow goal status |
59 |
43 |
$0.00 |
| G8979 |
Mobility goal status |
271 |
213 |
$0.00 |
| 76937 |
|
76 |
56 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
91 |
80 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
12 |
12 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
20 |
16 |
$0.00 |
| G8996 |
Swallow current status |
58 |
43 |
$0.00 |
| A9552 |
F18 fdg |
71 |
62 |
$0.00 |
| 99204 |
|
14 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
89 |
53 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
58 |
38 |
$0.00 |
| 84112 |
|
14 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
878 |
493 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
486 |
371 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
22 |
15 |
$0.00 |
| J0500 |
Dicyclomine injection |
168 |
146 |
$0.00 |
| 36416 |
|
333 |
221 |
$0.00 |
| A9609 |
F18 fdg, 15 millicuries |
13 |
13 |
$0.00 |
| J2780 |
Ranitidine hydrochloride inj |
408 |
173 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
497 |
353 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
560 |
393 |
$0.00 |
| 36591 |
|
27 |
14 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
186 |
108 |
$0.00 |
| G8998 |
Swallow d/c status |
53 |
39 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
61 |
53 |
$0.00 |
| G8988 |
Self care goal status |
83 |
72 |
$0.00 |
| G8987 |
Self care current status |
84 |
72 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
39 |
12 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
18 |
12 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
23 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
19 |
12 |
$0.00 |