| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
16,476 |
12,207 |
$3.50M |
| 99284 |
|
22,425 |
16,938 |
$3.36M |
| 74177 |
|
4,755 |
3,733 |
$2.77M |
| 99283 |
|
16,895 |
13,293 |
$1.79M |
| G0378 |
Hospital observation per hr |
7,763 |
5,259 |
$1.20M |
| 70450 |
|
6,024 |
4,402 |
$971K |
| G0463 |
Hospital outpt clinic visit |
64,686 |
38,295 |
$621K |
| 74176 |
|
1,173 |
893 |
$556K |
| 71275 |
|
1,374 |
1,081 |
$553K |
| 96361 |
|
12,042 |
7,516 |
$507K |
| 97110 |
|
28,558 |
9,550 |
$481K |
| 93306 |
|
2,318 |
1,828 |
$435K |
| 41899 |
|
482 |
339 |
$422K |
| 96375 |
|
8,686 |
5,967 |
$411K |
| 72125 |
|
2,100 |
1,537 |
$397K |
| 0202U |
|
1,864 |
1,511 |
$388K |
| 93005 |
|
21,858 |
14,620 |
$387K |
| 99214 |
|
8,516 |
7,366 |
$364K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,498 |
4,455 |
$359K |
| 96374 |
|
11,298 |
8,200 |
$328K |
| 96365 |
|
7,757 |
4,280 |
$319K |
| 99213 |
|
9,205 |
7,855 |
$314K |
| 71046 |
|
9,364 |
7,208 |
$302K |
| 71260 |
|
882 |
719 |
$299K |
| 80053 |
|
54,343 |
39,279 |
$289K |
| 85025 |
|
64,379 |
44,119 |
$247K |
| G0480 |
Drug test def 1-7 classes |
8,613 |
5,789 |
$228K |
| 99282 |
|
3,398 |
2,805 |
$228K |
| 76705 |
|
1,927 |
1,569 |
$222K |
| 93971 |
|
1,465 |
1,119 |
$168K |
| 76856 |
|
1,567 |
1,283 |
$159K |
| 87635 |
|
4,026 |
3,423 |
$153K |
| 96376 |
|
4,021 |
2,230 |
$143K |
| 76830 |
|
1,267 |
1,061 |
$142K |
| 70553 |
|
211 |
169 |
$140K |
| 80307 |
|
3,720 |
2,404 |
$134K |
| 84443 |
|
15,341 |
12,679 |
$127K |
| 76801 |
|
755 |
612 |
$126K |
| 97140 |
|
10,404 |
3,847 |
$123K |
| 99281 |
|
2,978 |
2,437 |
$120K |
| 90870 |
|
2,039 |
509 |
$114K |
| 88305 |
|
5,064 |
4,077 |
$112K |
| J7030 |
Normal saline solution infus |
13,947 |
9,217 |
$110K |
| U0005 |
Infec agen detec ampli probe |
4,892 |
3,991 |
$106K |
| 96360 |
|
3,533 |
2,631 |
$106K |
| 87591 |
|
5,821 |
4,807 |
$105K |
| 71045 |
|
4,137 |
2,973 |
$104K |
| 87491 |
|
5,831 |
4,822 |
$103K |
| 99215 |
Prolong outpt/office vis |
1,561 |
1,363 |
$101K |
| 96366 |
|
2,412 |
1,473 |
$94K |
| 78452 |
|
403 |
324 |
$94K |
| 87633 |
|
794 |
680 |
$92K |
| 0241U |
|
1,210 |
858 |
$92K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,844 |
6,884 |
$90K |
| 80061 |
|
10,371 |
8,898 |
$87K |
| 82306 |
|
4,334 |
3,707 |
$79K |
| 99212 |
|
2,559 |
1,995 |
$77K |
| 70551 |
|
221 |
170 |
$77K |
| J7120 |
Ringers lactate infusion |
9,875 |
5,998 |
$77K |
| G2023 |
Specimen collect covid-19 |
3,096 |
2,041 |
$73K |
| 97161 |
|
2,992 |
2,483 |
$71K |
| 93017 |
|
709 |
575 |
$69K |
| 80306 |
|
8,840 |
6,315 |
$67K |
| 97162 |
|
2,904 |
2,301 |
$66K |
| 80048 |
|
16,479 |
11,549 |
$66K |
| 96372 |
|
5,833 |
3,193 |
$65K |
| 83036 |
|
12,319 |
10,338 |
$63K |
| G0108 |
Diab manage trn per indiv |
2,421 |
1,858 |
$61K |
| 88175 |
|
3,044 |
2,589 |
$57K |
| 87389 |
|
2,304 |
2,023 |
$54K |
| 94640 |
|
1,832 |
1,023 |
$52K |
| 84484 |
|
13,723 |
7,638 |
$50K |
| 87660 |
|
4,089 |
3,260 |
$47K |
| 87798 |
|
2,019 |
1,667 |
$46K |
| 99001 |
|
9,426 |
8,478 |
$45K |
| 87510 |
|
4,089 |
3,260 |
$44K |
| 87480 |
|
4,089 |
3,260 |
$44K |
| 87086 |
|
12,674 |
9,453 |
$41K |
| 76817 |
|
379 |
296 |
$37K |
| A9500 |
Tc99m sestamibi |
372 |
302 |
$37K |
| 87624 |
|
2,063 |
1,763 |
$36K |
| 76805 |
|
578 |
508 |
$35K |
| J0585 |
Injection,onabotulinumtoxina |
594 |
307 |
$35K |
| 73630 |
|
887 |
680 |
$35K |
| 73610 |
|
764 |
559 |
$33K |
| 73030 |
|
807 |
583 |
$31K |
| 87522 |
Neg quan hep c or qual rna |
994 |
846 |
$29K |
| 73564 |
|
644 |
454 |
$29K |
| 83690 |
|
8,746 |
6,450 |
$29K |
| 84703 |
|
6,456 |
4,899 |
$29K |
| 83880 |
|
2,334 |
1,739 |
$28K |
| 87486 |
|
1,420 |
1,207 |
$28K |
| 87581 |
|
1,419 |
1,206 |
$28K |
| 70498 |
|
76 |
62 |
$27K |
| 96413 |
|
584 |
383 |
$27K |
| 73130 |
|
559 |
418 |
$27K |
| J7050 |
Normal saline solution infus |
2,804 |
1,871 |
$27K |
| 85027 |
|
8,407 |
6,132 |
$27K |
| 97535 |
|
2,534 |
1,277 |
$25K |
| 93225 |
|
364 |
287 |
$25K |
| 97113 |
|
1,576 |
449 |
$24K |
| 87186 |
|
5,126 |
3,868 |
$23K |
| 94726 |
|
428 |
344 |
$23K |
| 86850 |
|
3,557 |
2,798 |
$23K |
| 82728 |
|
2,401 |
1,968 |
$23K |
| 73502 |
|
485 |
331 |
$23K |
| 99291 |
|
59 |
52 |
$23K |
| 87483 |
|
219 |
135 |
$22K |
| 70496 |
|
61 |
50 |
$22K |
| 93325 |
|
404 |
327 |
$21K |
| H0004 |
Alcohol and/or drug services |
568 |
195 |
$20K |
| 11042 |
|
234 |
147 |
$20K |
| 83605 |
|
4,891 |
3,235 |
$20K |
| 86780 |
|
2,165 |
1,851 |
$20K |
| Q3014 |
Telehealth facility fee |
6,250 |
3,686 |
$19K |
| 97165 |
|
815 |
652 |
$19K |
| 82607 |
|
2,592 |
2,157 |
$19K |
| 87502 |
|
649 |
513 |
$19K |
| G0383 |
Lev 4 hosp type b ed visit |
1,349 |
1,011 |
$19K |
| 81001 |
|
12,143 |
9,148 |
$19K |
| J0696 |
Ceftriaxone sodium injection |
2,660 |
1,427 |
$18K |
| 95810 |
|
28 |
25 |
$18K |
| 86803 |
|
1,719 |
1,494 |
$17K |
| 84702 |
|
1,729 |
1,147 |
$17K |
| 72100 |
|
327 |
280 |
$17K |
| J7040 |
Normal saline solution infus |
2,295 |
1,689 |
$16K |
| 84439 |
|
2,911 |
2,421 |
$16K |
| 87070 |
|
2,962 |
2,345 |
$15K |
| 80050 |
|
2,085 |
2,049 |
$15K |
| 83735 |
|
4,147 |
2,947 |
$15K |
| 94729 |
|
430 |
345 |
$15K |
| A9585 |
Gadobutrol injection |
941 |
734 |
$14K |
| 85610 |
|
8,464 |
5,232 |
$14K |
| C1769 |
Guide wire |
579 |
426 |
$14K |
| 83550 |
|
2,357 |
1,912 |
$14K |
| G0390 |
Trauma respons w/hosp criti |
131 |
124 |
$14K |
| 87040 |
|
2,438 |
1,090 |
$13K |
| 87340 |
|
1,877 |
1,618 |
$13K |
| 86140 |
|
4,240 |
3,123 |
$13K |
| 87631 |
|
233 |
204 |
$13K |
| G0382 |
Lev 3 hosp type b ed visit |
1,203 |
948 |
$12K |
| 76816 |
|
245 |
207 |
$12K |
| 87081 |
|
2,811 |
2,397 |
$12K |
| J2785 |
Regadenoson injection |
298 |
241 |
$12K |
| 97166 |
|
541 |
403 |
$12K |
| 97597 |
|
550 |
308 |
$12K |
| 81025 |
|
3,185 |
2,438 |
$12K |
| 93351 |
|
40 |
36 |
$12K |
| 43239 |
|
51 |
41 |
$11K |
| 93296 |
|
1,215 |
879 |
$11K |
| 80076 |
|
2,191 |
1,733 |
$11K |
| 83540 |
|
2,465 |
1,993 |
$11K |
| 86618 |
|
1,055 |
899 |
$10K |
| 88342 |
|
1,145 |
896 |
$10K |
| 74018 |
|
307 |
216 |
$10K |
| 87077 |
|
2,580 |
1,806 |
$10K |
| 81003 |
|
11,713 |
8,597 |
$10K |
| 99211 |
|
374 |
313 |
$10K |
| 73110 |
|
270 |
208 |
$9K |
| 83655 |
|
976 |
843 |
$9K |
| 94010 |
|
342 |
280 |
$9K |
| M0243 |
Casirivi and imdevi inj |
105 |
85 |
$9K |
| 83970 |
|
349 |
281 |
$9K |
| 87880 |
|
1,241 |
998 |
$9K |
| 93356 |
|
159 |
123 |
$8K |
| 85379 |
|
1,599 |
1,270 |
$8K |
| A9270 |
Non-covered item or service |
53,624 |
5,852 |
$8K |
| 94060 |
|
93 |
68 |
$8K |
| 81420 |
|
14 |
14 |
$7K |
| 86762 |
|
696 |
622 |
$7K |
| J3490 |
Drugs unclassified injection |
7,365 |
3,418 |
$7K |
| 36415 |
|
33,546 |
25,599 |
$7K |
| 99204 |
|
137 |
121 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
8,212 |
5,326 |
$7K |
| 85652 |
|
4,476 |
3,350 |
$7K |
| 82570 |
|
2,081 |
1,681 |
$7K |
| 82746 |
|
696 |
592 |
$7K |
| 87205 |
|
2,568 |
1,974 |
$6K |
| 59025 |
|
70 |
60 |
$6K |
| 51705 |
|
220 |
111 |
$6K |
| 86900 |
|
3,756 |
2,939 |
$6K |
| 86038 |
|
730 |
639 |
$6K |
| 88304 |
|
365 |
306 |
$6K |
| 80074 |
|
209 |
187 |
$6K |
| 87653 |
|
318 |
289 |
$6K |
| 86901 |
|
3,756 |
2,938 |
$6K |
| 90834 |
|
362 |
148 |
$6K |
| 80164 |
|
1,048 |
704 |
$6K |
| 93880 |
|
41 |
37 |
$6K |
| 97163 |
|
218 |
159 |
$6K |
| 84153 |
|
583 |
484 |
$6K |
| 97803 |
|
290 |
179 |
$6K |
| 96367 |
|
232 |
148 |
$5K |
| 86480 |
|
134 |
107 |
$5K |
| 97116 |
|
857 |
416 |
$5K |
| 90715 |
|
840 |
646 |
$5K |
| J0690 |
Cefazolin sodium injection |
2,582 |
1,674 |
$5K |
| 70486 |
|
14 |
12 |
$5K |
| 77336 |
|
45 |
14 |
$4K |
| 87661 |
|
164 |
138 |
$4K |
| 87476 |
|
247 |
232 |
$4K |
| 86706 |
|
597 |
507 |
$4K |
| 74019 |
|
96 |
65 |
$4K |
| 82565 |
|
1,600 |
1,222 |
$4K |
| J0330 |
Succinycholine chloride inj |
3,604 |
1,317 |
$4K |
| 93970 |
|
16 |
13 |
$4K |
| 82962 |
|
5,271 |
2,509 |
$4K |
| 90853 |
|
381 |
39 |
$4K |
| 97112 |
|
285 |
162 |
$4K |
| J1170 |
Hydromorphone injection |
3,565 |
2,038 |
$4K |
| 99203 |
|
120 |
108 |
$4K |
| 97802 |
|
104 |
80 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
10,773 |
6,909 |
$4K |
| 82784 |
|
269 |
214 |
$4K |
| 82950 |
|
976 |
856 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
12 |
$3K |
| J2930 |
Methylprednisolone injection |
767 |
467 |
$3K |
| 82550 |
|
1,013 |
698 |
$3K |
| 88112 |
|
148 |
104 |
$3K |
| 76700 |
|
19 |
14 |
$3K |
| 74230 |
|
35 |
26 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
730 |
584 |
$3K |
| 83516 |
|
360 |
280 |
$3K |
| 12001 |
|
41 |
37 |
$3K |
| 88307 |
|
38 |
36 |
$3K |
| 85730 |
|
1,020 |
743 |
$3K |
| 51798 |
|
1,572 |
1,041 |
$3K |
| 84403 |
|
141 |
115 |
$3K |
| 10060 |
|
27 |
25 |
$3K |
| 82043 |
|
796 |
664 |
$3K |
| 76000 |
|
30 |
24 |
$2K |
| 52287 |
|
22 |
13 |
$2K |
| 90471 |
|
1,396 |
1,024 |
$2K |
| 84100 |
|
835 |
581 |
$2K |
| 95806 |
|
27 |
27 |
$2K |
| C9399 |
Unclassified drugs or biolog |
544 |
365 |
$2K |
| J3010 |
Fentanyl citrate injection |
7,447 |
5,185 |
$2K |
| 76775 |
|
17 |
12 |
$2K |
| 74022 |
|
35 |
25 |
$2K |
| M0245 |
Bamlan and etesev infusion |
21 |
16 |
$2K |
| 80178 |
|
531 |
376 |
$2K |
| 90686 |
|
1,673 |
1,235 |
$2K |
| 85018 |
|
1,313 |
979 |
$2K |
| J2270 |
Morphine sulfate injection |
2,162 |
1,410 |
$2K |
| 73590 |
|
50 |
39 |
$2K |
| 92650 |
|
24 |
21 |
$2K |
| H0001 |
Alcohol and/or drug assess |
18 |
12 |
$2K |
| J2405 |
Ondansetron hcl injection |
11,174 |
7,394 |
$2K |
| 87902 |
|
33 |
25 |
$2K |
| J1100 |
Dexamethasone sodium phos |
5,113 |
3,898 |
$2K |
| 92611 |
|
34 |
25 |
$2K |
| J0780 |
Prochlorperazine injection |
914 |
646 |
$2K |
| 84156 |
|
624 |
493 |
$2K |
| 72110 |
|
36 |
27 |
$2K |
| C1887 |
Catheter, guiding |
52 |
39 |
$1K |
| 87493 |
|
118 |
97 |
$1K |
| 51702 |
|
133 |
74 |
$1K |
| 80320 |
|
167 |
88 |
$1K |
| 80143 |
|
137 |
96 |
$1K |
| G0481 |
Drug test def 8-14 classes |
25 |
16 |
$1K |
| 82805 |
|
64 |
55 |
$1K |
| 85014 |
|
1,014 |
753 |
$1K |
| J2795 |
Ropivacaine hcl injection |
735 |
552 |
$1K |
| Q0163 |
Diphenhydramine hcl 50mg |
1,861 |
1,108 |
$1K |
| A9502 |
Tc99m tetrofosmin |
59 |
49 |
$1K |
| 82947 |
|
514 |
413 |
$1K |
| 86617 |
|
55 |
44 |
$1K |
| 80179 |
|
115 |
81 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
2,309 |
1,389 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
5,631 |
4,187 |
$962.41 |
| J1644 |
Inj heparin sodium per 1000u |
1,862 |
711 |
$961.09 |
| 88312 |
|
50 |
42 |
$944.25 |
| J2370 |
Phenylephrine hcl injection |
1,143 |
864 |
$922.45 |
| 84146 |
|
65 |
63 |
$887.11 |
| 86431 |
|
200 |
172 |
$875.12 |
| 82105 |
|
69 |
61 |
$858.00 |
| C1760 |
Closure dev, vasc |
20 |
14 |
$819.27 |
| 96415 |
|
25 |
24 |
$803.60 |
| 83789 |
|
278 |
255 |
$757.29 |
| 51701 |
|
38 |
26 |
$726.26 |
| 90832 |
|
47 |
15 |
$716.13 |
| 99495 |
|
64 |
56 |
$714.13 |
| 97035 |
|
71 |
34 |
$692.08 |
| G0384 |
Lev 5 hosp type b ed visit |
68 |
57 |
$678.76 |
| 76376 |
|
14 |
13 |
$670.08 |
| H0005 |
Alcohol and/or drug services |
30 |
12 |
$664.75 |
| 90662 |
|
168 |
116 |
$601.57 |
| 82140 |
|
99 |
57 |
$597.32 |
| G0008 |
Admin influenza virus vac |
1,982 |
1,482 |
$597.24 |
| J3475 |
Inj magnesium sulfate |
285 |
219 |
$542.44 |
| G0379 |
Direct refer hospital observ |
64 |
51 |
$512.56 |
| 84481 |
|
48 |
37 |
$499.34 |
| 91320 |
|
92 |
90 |
$493.21 |
| 82330 |
|
75 |
64 |
$491.01 |
| 52000 |
|
14 |
12 |
$468.25 |
| 83721 |
|
103 |
90 |
$459.42 |
| 82248 |
|
151 |
95 |
$452.42 |
| J1200 |
Diphenhydramine hcl injectio |
1,905 |
1,247 |
$448.90 |
| 87899 |
|
49 |
40 |
$427.52 |
| 88313 |
|
30 |
25 |
$415.50 |
| J1650 |
Inj enoxaparin sodium |
332 |
149 |
$408.94 |
| C1894 |
Intro/sheath, non-laser |
34 |
27 |
$408.90 |
| J2765 |
Metoclopramide hcl injection |
1,137 |
878 |
$402.19 |
| 99202 |
|
14 |
12 |
$400.50 |
| J2060 |
Lorazepam injection |
2,344 |
1,474 |
$374.19 |
| 85007 |
|
313 |
229 |
$367.27 |
| 80159 |
|
32 |
25 |
$366.85 |
| 29581 |
|
23 |
13 |
$350.81 |
| 87075 |
|
59 |
39 |
$324.68 |
| J3480 |
Inj potassium chloride |
271 |
163 |
$322.33 |
| 87045 |
|
59 |
52 |
$321.97 |
| J3411 |
Thiamine hcl 100 mg |
119 |
54 |
$313.89 |
| 84165 |
|
39 |
38 |
$308.23 |
| J3370 |
Vancomycin hcl injection |
90 |
53 |
$294.60 |
| P9604 |
One-way allow prorated trip |
184 |
105 |
$287.00 |
| J2543 |
Piperacillin/tazobactam |
45 |
26 |
$280.57 |
| 82010 |
|
48 |
40 |
$266.43 |
| 84520 |
|
101 |
93 |
$259.20 |
| 84550 |
|
76 |
52 |
$229.99 |
| 86704 |
|
33 |
28 |
$225.38 |
| G0103 |
Psa screening |
13 |
12 |
$219.99 |
| 99243 |
|
12 |
12 |
$216.24 |
| G0381 |
Lev 2 hosp type b ed visit |
49 |
45 |
$213.43 |
| 87046 |
|
59 |
52 |
$207.13 |
| 83615 |
|
70 |
54 |
$195.84 |
| 90677 |
|
12 |
12 |
$176.02 |
| 83001 |
|
12 |
12 |
$169.97 |
| 84132 |
|
136 |
91 |
$158.87 |
| 69210 |
|
35 |
15 |
$154.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,614 |
898 |
$153.96 |
| G0472 |
Hep c screen high risk/other |
150 |
125 |
$147.54 |
| 86376 |
|
14 |
12 |
$133.03 |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,429 |
568 |
$116.98 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
118 |
89 |
$114.84 |
| 82977 |
|
35 |
28 |
$108.29 |
| 99152 |
|
17 |
13 |
$101.67 |
| 90653 |
|
17 |
17 |
$97.39 |
| 86708 |
|
13 |
12 |
$96.64 |
| 97010 |
|
36 |
13 |
$81.42 |
| 81015 |
|
47 |
39 |
$72.30 |
| 82150 |
|
15 |
13 |
$65.65 |
| 86308 |
|
16 |
14 |
$57.85 |
| C9113 |
Inj pantoprazole sodium, via |
173 |
81 |
$53.91 |
| 85046 |
|
16 |
14 |
$46.58 |
| 84155 |
|
26 |
25 |
$43.63 |
| J2710 |
Neostigmine methylslfte inj |
103 |
67 |
$42.14 |
| 86592 |
|
13 |
12 |
$40.89 |
| J2001 |
Lidocaine injection |
27 |
13 |
$24.01 |
| J0689 |
Inj cefazolin sodium, baxter |
133 |
109 |
$22.21 |
| J1630 |
Haloperidol injection |
110 |
80 |
$13.62 |
| J8597 |
Antiemetic drug oral nos |
132 |
87 |
$12.33 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
306 |
269 |
$10.14 |
| G0009 |
Admin pneumococcal vaccine |
40 |
25 |
$3.84 |
| J0744 |
Ciprofloxacin iv |
22 |
12 |
$2.86 |
| 90472 |
|
17 |
13 |
$0.84 |
| G8979 |
Mobility goal status |
746 |
424 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
35 |
32 |
$0.00 |
| G8985 |
Carry goal status |
67 |
45 |
$0.00 |
| G8978 |
Mobility current status |
604 |
370 |
$0.00 |
| G0380 |
Lev 1 hosp type b ed visit |
17 |
17 |
$0.00 |
| 91312 |
|
58 |
58 |
$0.00 |
| G8984 |
Carry current status |
39 |
28 |
$0.00 |
| 0124A |
|
58 |
58 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
22 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
219 |
137 |
$0.00 |
| 90480 |
|
92 |
90 |
$0.00 |
| 36416 |
|
958 |
772 |
$0.00 |
| G8988 |
Self care goal status |
190 |
117 |
$0.00 |
| G8987 |
Self care current status |
145 |
98 |
$0.00 |
| 90656 |
|
44 |
44 |
$0.00 |
| 91305 |
|
21 |
15 |
$0.00 |
| G8982 |
Body pos goal status |
21 |
14 |
$0.00 |
| 80329 |
|
39 |
12 |
$0.00 |
| G8981 |
Body pos current status |
20 |
13 |
$0.00 |