| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
22,411 |
21,442 |
$2.48M |
| 99283 |
|
11,297 |
10,980 |
$880K |
| 99285 |
|
3,987 |
3,821 |
$596K |
| T1015 |
Clinic service |
15,053 |
13,502 |
$431K |
| 74177 |
|
1,478 |
1,438 |
$217K |
| 96413 |
|
2,120 |
1,166 |
$198K |
| 80053 |
|
20,594 |
18,373 |
$193K |
| 96374 |
|
8,467 |
8,045 |
$191K |
| 0241U |
|
2,110 |
2,083 |
$165K |
| 85025 |
|
34,686 |
29,406 |
$164K |
| G0378 |
Hospital observation per hr |
529 |
232 |
$138K |
| 80050 |
|
2,564 |
2,493 |
$123K |
| 87491 |
|
5,011 |
4,962 |
$120K |
| 87591 |
|
4,930 |
4,881 |
$113K |
| 70450 |
|
1,786 |
1,716 |
$96K |
| 96365 |
|
3,072 |
1,855 |
$91K |
| 96375 |
|
4,438 |
4,077 |
$72K |
| 87480 |
|
3,262 |
3,218 |
$72K |
| 87660 |
|
3,256 |
3,212 |
$71K |
| 82306 |
|
2,393 |
2,347 |
$71K |
| 80061 |
|
4,807 |
4,715 |
$64K |
| 88175 |
|
2,076 |
2,068 |
$62K |
| 74176 |
|
820 |
781 |
$61K |
| 77067 |
|
735 |
730 |
$59K |
| 73721 |
|
242 |
237 |
$57K |
| 87624 |
|
1,324 |
1,318 |
$48K |
| 76856 |
|
1,042 |
1,025 |
$47K |
| 84443 |
|
2,090 |
2,051 |
$47K |
| 83735 |
|
8,011 |
6,723 |
$44K |
| 71275 |
|
301 |
296 |
$44K |
| 93005 |
|
5,376 |
5,121 |
$43K |
| 76830 |
|
964 |
949 |
$39K |
| 72148 |
|
243 |
236 |
$38K |
| 70553 |
|
176 |
165 |
$37K |
| 78815 |
|
52 |
47 |
$36K |
| 96372 |
|
3,331 |
2,726 |
$36K |
| U0003 |
Cov-19 amp prb hgh thruput |
528 |
505 |
$34K |
| 96367 |
|
1,637 |
785 |
$33K |
| 71045 |
|
4,983 |
4,751 |
$32K |
| 84484 |
|
4,262 |
3,957 |
$32K |
| 71046 |
|
2,466 |
2,365 |
$30K |
| 87088 |
|
4,194 |
3,987 |
$30K |
| 95811 |
|
85 |
79 |
$30K |
| 93306 |
|
474 |
461 |
$30K |
| 80307 |
|
751 |
710 |
$30K |
| 80048 |
|
3,800 |
3,394 |
$28K |
| 70551 |
|
122 |
120 |
$25K |
| 82728 |
|
2,112 |
1,975 |
$23K |
| 82607 |
|
1,896 |
1,841 |
$23K |
| 83605 |
|
3,327 |
3,061 |
$21K |
| 80081 |
|
234 |
231 |
$20K |
| 71260 |
|
317 |
317 |
$20K |
| 86803 |
|
971 |
960 |
$20K |
| 78452 |
|
108 |
108 |
$19K |
| 83540 |
|
2,301 |
2,209 |
$18K |
| J1756 |
Iron sucrose injection |
3,242 |
1,257 |
$17K |
| 83880 |
|
714 |
676 |
$17K |
| 93971 |
|
292 |
278 |
$16K |
| 83036 |
|
2,440 |
2,400 |
$16K |
| 87661 |
|
426 |
423 |
$16K |
| 77063 |
|
729 |
724 |
$16K |
| 99282 |
|
314 |
301 |
$15K |
| 72141 |
|
66 |
65 |
$15K |
| 83690 |
|
3,717 |
3,534 |
$15K |
| 84702 |
|
902 |
721 |
$15K |
| 72125 |
|
290 |
277 |
$14K |
| 81003 |
|
5,686 |
5,315 |
$14K |
| 86147 |
|
379 |
373 |
$14K |
| 81220 |
|
29 |
29 |
$14K |
| 99281 |
|
473 |
415 |
$14K |
| 73221 |
|
60 |
58 |
$14K |
| 84439 |
|
1,697 |
1,641 |
$13K |
| 87653 |
|
303 |
302 |
$13K |
| 87389 |
|
442 |
438 |
$13K |
| 96366 |
|
1,056 |
754 |
$12K |
| 76705 |
|
381 |
376 |
$12K |
| 76536 |
|
292 |
280 |
$12K |
| 82805 |
|
404 |
360 |
$11K |
| 95886 |
|
274 |
266 |
$11K |
| J3490 |
Drugs unclassified injection |
2,866 |
2,114 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,046 |
4,841 |
$10K |
| 71250 |
|
173 |
164 |
$10K |
| 83550 |
|
2,158 |
2,078 |
$10K |
| 83970 |
|
257 |
249 |
$10K |
| 84153 |
|
384 |
372 |
$9K |
| 87081 |
|
1,689 |
1,652 |
$9K |
| 84460 |
|
1,397 |
1,367 |
$9K |
| 85730 |
|
1,696 |
1,610 |
$9K |
| 84450 |
|
1,387 |
1,356 |
$9K |
| 88305 |
|
764 |
752 |
$9K |
| 96415 |
|
300 |
200 |
$8K |
| 85610 |
|
2,948 |
2,531 |
$8K |
| 73610 |
|
520 |
488 |
$8K |
| 82565 |
|
1,396 |
1,363 |
$8K |
| 76775 |
|
182 |
178 |
$8K |
| 84481 |
|
333 |
295 |
$8K |
| 93017 |
|
201 |
198 |
$7K |
| 87040 |
|
615 |
426 |
$7K |
| 87077 |
|
1,096 |
1,039 |
$7K |
| 73564 |
|
356 |
346 |
$7K |
| 80076 |
|
784 |
757 |
$7K |
| 86038 |
|
445 |
440 |
$7K |
| 96361 |
|
588 |
370 |
$6K |
| 85652 |
|
2,436 |
2,325 |
$6K |
| 86140 |
|
2,119 |
2,021 |
$6K |
| 76801 |
|
178 |
164 |
$6K |
| 72110 |
|
310 |
303 |
$6K |
| 81329 |
|
61 |
60 |
$6K |
| 76819 |
|
104 |
82 |
$6K |
| 82043 |
|
730 |
721 |
$6K |
| 73030 |
|
440 |
428 |
$6K |
| 82746 |
|
552 |
534 |
$6K |
| 73630 |
|
569 |
545 |
$6K |
| J0185 |
Inj., aprepitant, 1 mg |
214 |
125 |
$6K |
| 74018 |
|
502 |
482 |
$6K |
| 87635 |
|
167 |
166 |
$6K |
| 76700 |
|
116 |
110 |
$5K |
| 87481 |
|
524 |
517 |
$5K |
| 84403 |
|
191 |
187 |
$5K |
| 95810 |
|
24 |
24 |
$5K |
| 93970 |
|
63 |
62 |
$5K |
| 72020 |
|
538 |
481 |
$5K |
| J2785 |
Regadenoson injection |
195 |
193 |
$5K |
| 76642 |
|
124 |
122 |
$5K |
| 86618 |
|
212 |
209 |
$5K |
| 84100 |
|
925 |
782 |
$5K |
| 73502 |
|
306 |
294 |
$5K |
| 81025 |
|
1,397 |
1,317 |
$5K |
| 94729 |
|
183 |
174 |
$5K |
| 72100 |
|
256 |
252 |
$4K |
| 83001 |
|
237 |
233 |
$4K |
| 70491 |
|
67 |
62 |
$4K |
| 76817 |
|
98 |
87 |
$4K |
| 73130 |
|
383 |
369 |
$4K |
| 84550 |
|
593 |
509 |
$4K |
| 84703 |
|
665 |
648 |
$4K |
| 85379 |
|
483 |
475 |
$4K |
| 94726 |
|
169 |
161 |
$4K |
| 80074 |
|
75 |
74 |
$4K |
| 74246 |
|
100 |
96 |
$4K |
| 93880 |
|
42 |
40 |
$3K |
| 86850 |
|
596 |
541 |
$3K |
| 82570 |
|
479 |
435 |
$3K |
| 96523 |
|
233 |
199 |
$3K |
| J2469 |
Palonosetron hcl |
900 |
510 |
$3K |
| J7030 |
Normal saline solution infus |
9,541 |
6,075 |
$3K |
| A9577 |
Inj multihance |
666 |
648 |
$3K |
| 84402 |
|
115 |
112 |
$3K |
| 82784 |
|
231 |
227 |
$3K |
| 77336 |
|
82 |
40 |
$3K |
| 82248 |
|
419 |
384 |
$3K |
| 73110 |
|
267 |
257 |
$3K |
| 86592 |
|
612 |
602 |
$3K |
| 82330 |
|
454 |
398 |
$3K |
| 72050 |
|
129 |
125 |
$3K |
| 86160 |
|
92 |
88 |
$3K |
| 96417 |
|
62 |
45 |
$3K |
| 84132 |
|
548 |
472 |
$3K |
| 97597 |
|
162 |
97 |
$2K |
| 93226 |
|
74 |
74 |
$2K |
| 83615 |
|
357 |
252 |
$2K |
| 70486 |
|
43 |
42 |
$2K |
| 81001 |
|
872 |
858 |
$2K |
| 86200 |
|
161 |
159 |
$2K |
| 95911 |
|
38 |
38 |
$2K |
| G0463 |
Hospital outpt clinic visit |
439 |
302 |
$2K |
| 87340 |
|
161 |
158 |
$2K |
| 73562 |
|
147 |
141 |
$2K |
| 82950 |
|
306 |
303 |
$2K |
| 80197 |
|
154 |
89 |
$2K |
| 83002 |
|
122 |
121 |
$2K |
| 76641 |
|
40 |
39 |
$2K |
| 86430 |
|
293 |
290 |
$2K |
| 82310 |
|
318 |
311 |
$2K |
| 64493 |
|
30 |
26 |
$2K |
| 84156 |
|
477 |
418 |
$2K |
| 86901 |
|
658 |
600 |
$2K |
| 86900 |
|
658 |
600 |
$2K |
| 86800 |
|
100 |
100 |
$2K |
| 82977 |
|
200 |
154 |
$2K |
| 82962 |
|
1,132 |
809 |
$2K |
| J1170 |
Hydromorphone injection |
3,414 |
2,221 |
$2K |
| 80358 |
|
87 |
86 |
$2K |
| 82150 |
|
457 |
438 |
$2K |
| 95909 |
|
44 |
43 |
$2K |
| 94060 |
|
211 |
200 |
$2K |
| 82550 |
|
283 |
268 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
39 |
36 |
$2K |
| 82105 |
|
77 |
76 |
$2K |
| J7120 |
Ringers lactate infusion |
4,619 |
3,433 |
$2K |
| 87430 |
|
266 |
263 |
$2K |
| 82375 |
|
409 |
365 |
$2K |
| 86235 |
|
29 |
29 |
$2K |
| 76770 |
|
33 |
33 |
$1K |
| 84520 |
|
297 |
283 |
$1K |
| 84630 |
|
112 |
110 |
$1K |
| 76815 |
|
40 |
40 |
$1K |
| 36415 |
|
4,911 |
3,591 |
$1K |
| 86226 |
|
80 |
79 |
$1K |
| 86003 |
|
14 |
13 |
$1K |
| 85027 |
|
231 |
201 |
$1K |
| G0399 |
Home sleep test/type 3 porta |
17 |
16 |
$1K |
| 93225 |
|
86 |
86 |
$1K |
| 84146 |
|
47 |
46 |
$1K |
| 87070 |
|
235 |
224 |
$1K |
| 82947 |
|
446 |
423 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| 90715 |
|
152 |
150 |
$1K |
| 72070 |
|
70 |
69 |
$969.59 |
| J1100 |
Dexamethasone sodium phos |
4,535 |
3,333 |
$966.51 |
| 88342 |
|
28 |
28 |
$961.63 |
| 86713 |
|
46 |
46 |
$943.97 |
| J1885 |
Ketorolac tromethamine inj |
6,180 |
5,557 |
$920.26 |
| 73590 |
|
70 |
69 |
$876.53 |
| 86376 |
|
109 |
107 |
$841.08 |
| 84295 |
|
441 |
377 |
$826.80 |
| 83050 |
|
417 |
372 |
$826.46 |
| 87205 |
|
243 |
232 |
$821.68 |
| 73560 |
|
70 |
66 |
$819.71 |
| 82747 |
|
37 |
37 |
$792.66 |
| 96411 |
|
18 |
12 |
$792.37 |
| 77334 |
|
17 |
12 |
$751.30 |
| 84436 |
|
83 |
83 |
$743.87 |
| 87186 |
|
95 |
93 |
$734.60 |
| 86039 |
|
52 |
52 |
$729.75 |
| 73080 |
|
73 |
69 |
$696.89 |
| 86696 |
|
31 |
31 |
$687.09 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
148 |
138 |
$654.20 |
| 76816 |
|
14 |
13 |
$640.65 |
| J0690 |
Cefazolin sodium injection |
1,143 |
915 |
$603.02 |
| 86695 |
|
31 |
31 |
$584.95 |
| 59025 |
|
110 |
45 |
$582.06 |
| 82435 |
|
397 |
351 |
$560.72 |
| 96360 |
|
22 |
14 |
$555.06 |
| J2930 |
Methylprednisolone injection |
466 |
441 |
$529.10 |
| 99213 |
|
13 |
12 |
$478.10 |
| 73090 |
|
43 |
42 |
$469.23 |
| J0696 |
Ceftriaxone sodium injection |
1,543 |
1,383 |
$450.33 |
| 83655 |
|
43 |
43 |
$449.26 |
| J2405 |
Ondansetron hcl injection |
5,990 |
5,012 |
$406.03 |
| 82670 |
|
15 |
15 |
$314.21 |
| 86812 |
|
27 |
26 |
$309.74 |
| J2360 |
Orphenadrine injection |
258 |
253 |
$303.78 |
| 84425 |
|
45 |
45 |
$302.42 |
| 84165 |
|
25 |
25 |
$299.64 |
| J0780 |
Prochlorperazine injection |
277 |
254 |
$278.85 |
| 83921 |
|
12 |
12 |
$250.69 |
| J1200 |
Diphenhydramine hcl injectio |
2,116 |
1,642 |
$247.66 |
| J3010 |
Fentanyl citrate injection |
1,735 |
1,550 |
$244.71 |
| S0020 |
Injection, bupivicaine hydro |
233 |
215 |
$224.22 |
| 82533 |
|
16 |
13 |
$211.20 |
| 88142 |
|
12 |
12 |
$211.02 |
| 80069 |
|
21 |
15 |
$203.66 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$202.72 |
| 71101 |
|
15 |
15 |
$190.23 |
| J2765 |
Metoclopramide hcl injection |
1,128 |
999 |
$189.71 |
| 85018 |
|
117 |
103 |
$183.81 |
| 85014 |
|
106 |
91 |
$172.36 |
| 80329 |
|
13 |
12 |
$160.24 |
| 87329 |
|
13 |
13 |
$143.35 |
| J3475 |
Inj magnesium sulfate |
286 |
213 |
$127.41 |
| 64494 |
|
13 |
12 |
$114.30 |
| J1644 |
Inj heparin sodium per 1000u |
201 |
120 |
$113.40 |
| 86141 |
|
12 |
12 |
$107.53 |
| J7040 |
Normal saline solution infus |
627 |
432 |
$103.24 |
| 72170 |
|
13 |
13 |
$89.81 |
| 87045 |
|
16 |
16 |
$87.60 |
| J3420 |
Vitamin b12 injection |
245 |
194 |
$81.59 |
| 88304 |
|
56 |
56 |
$80.51 |
| J7050 |
Normal saline solution infus |
902 |
668 |
$79.25 |
| J2250 |
Inj midazolam hydrochloride |
1,567 |
1,407 |
$73.90 |
| 87046 |
|
16 |
16 |
$65.60 |
| J1650 |
Inj enoxaparin sodium |
89 |
41 |
$65.54 |
| 86308 |
|
13 |
12 |
$65.20 |
| 85007 |
|
15 |
13 |
$54.94 |
| J1626 |
Granisetron hcl injection |
67 |
25 |
$39.93 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$37.20 |
| 84155 |
|
26 |
26 |
$32.30 |
| J2704 |
Inj, propofol, 10 mg |
335 |
247 |
$30.26 |
| J2060 |
Lorazepam injection |
157 |
126 |
$27.74 |
| J2270 |
Morphine sulfate injection |
75 |
62 |
$18.83 |
| J7512 |
Prednisone ir or dr oral 1mg |
671 |
569 |
$13.69 |
| S0028 |
Injection, famotidine, 20 mg |
21 |
12 |
$13.44 |
| 94761 |
|
29 |
27 |
$10.07 |
| J7620 |
Albuterol ipratrop non-comp |
511 |
422 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
525 |
508 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
87 |
81 |
$0.00 |
| J7999 |
Compounded drug, noc |
376 |
319 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
135 |
134 |
$0.00 |
| 96376 |
|
18 |
14 |
$0.00 |
| J3480 |
Inj potassium chloride |
18 |
13 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
91 |
83 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
118 |
105 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
139 |
113 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
299 |
158 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
116 |
83 |
$0.00 |