| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
24,831 |
22,998 |
$9.07M |
| 99284 |
|
20,494 |
18,503 |
$8.41M |
| 99285 |
|
14,628 |
13,058 |
$5.80M |
| T2034 |
Crisis interven waiver/diem |
5,344 |
5,026 |
$4.55M |
| S9480 |
Intensive outpatient psychia |
4,383 |
3,964 |
$3.48M |
| G0378 |
Hospital observation per hr |
3,400 |
2,609 |
$2.39M |
| 99282 |
|
7,959 |
7,408 |
$2.13M |
| 96365 |
|
6,380 |
3,793 |
$1.50M |
| 96413 |
|
2,946 |
1,750 |
$1.36M |
| 11042 |
|
2,106 |
900 |
$1.09M |
| OP250 |
|
54,494 |
31,058 |
$1.03M |
| 80053 |
|
34,393 |
28,343 |
$957K |
| 43239 |
|
633 |
592 |
$938K |
| 71046 |
|
9,031 |
8,587 |
$699K |
| 97110 |
|
9,712 |
2,571 |
$696K |
| 77067 |
|
4,162 |
4,076 |
$638K |
| OP710 |
|
5,084 |
4,723 |
$577K |
| 76642 |
|
2,049 |
1,993 |
$558K |
| 74177 |
|
2,852 |
2,687 |
$553K |
| 71045 |
|
6,301 |
5,764 |
$500K |
| 96361 |
|
10,894 |
9,116 |
$442K |
| 96372 |
|
9,811 |
7,327 |
$421K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,739 |
2,254 |
$404K |
| 92587 |
|
2,023 |
1,966 |
$391K |
| 88305 |
|
2,399 |
2,253 |
$383K |
| OP370 |
|
3,120 |
2,911 |
$338K |
| OP272 |
|
9,691 |
8,744 |
$321K |
| 96367 |
|
1,255 |
643 |
$304K |
| 77063 |
|
3,822 |
3,739 |
$303K |
| 70450 |
|
5,085 |
4,621 |
$291K |
| 93971 |
|
1,093 |
1,055 |
$283K |
| 45378 |
|
179 |
174 |
$279K |
| 74176 |
|
2,383 |
2,248 |
$276K |
| 93005 |
|
14,080 |
12,563 |
$267K |
| 96375 |
|
8,324 |
6,986 |
$267K |
| 96374 |
|
12,896 |
11,338 |
$247K |
| 36415 |
|
43,492 |
33,967 |
$246K |
| 92555 |
|
1,993 |
1,885 |
$238K |
| 92579 |
|
1,037 |
973 |
$233K |
| 85025 |
|
34,766 |
28,070 |
$232K |
| 76700 |
|
1,017 |
986 |
$226K |
| 92567 |
|
2,363 |
2,242 |
$218K |
| 93306 |
|
256 |
235 |
$211K |
| 87636 |
|
7,961 |
7,333 |
$208K |
| 76705 |
|
1,649 |
1,586 |
$200K |
| 76536 |
|
637 |
606 |
$183K |
| 96360 |
|
4,254 |
3,804 |
$181K |
| 86850 |
|
2,981 |
2,788 |
$175K |
| 50590 |
|
80 |
77 |
$172K |
| 97140 |
|
3,374 |
1,012 |
$159K |
| G0279 |
Tomosynthesis, mammo |
1,626 |
1,568 |
$153K |
| J2791 |
Rhophylac injection |
1,295 |
1,252 |
$153K |
| 93975 |
|
394 |
372 |
$148K |
| G0480 |
Drug test def 1-7 classes |
5,512 |
4,389 |
$143K |
| 92582 |
|
598 |
578 |
$143K |
| 76856 |
|
1,017 |
993 |
$139K |
| 76641 |
|
233 |
227 |
$137K |
| 76830 |
|
1,186 |
1,162 |
$132K |
| 99281 |
|
434 |
398 |
$129K |
| 72125 |
|
1,912 |
1,734 |
$119K |
| 77065 |
Tomosynthesis, mammo |
853 |
808 |
$119K |
| 80307 |
|
5,839 |
5,188 |
$117K |
| 73630 |
|
1,611 |
1,551 |
$112K |
| 73130 |
|
1,471 |
1,406 |
$101K |
| 77066 |
Tomosynthesis, mammo |
493 |
472 |
$100K |
| G0463 |
Hospital outpt clinic visit |
2,730 |
1,844 |
$97K |
| 92557 |
|
465 |
431 |
$97K |
| 45385 |
|
77 |
71 |
$94K |
| 99213 |
|
1,265 |
1,165 |
$93K |
| 99214 |
|
1,014 |
914 |
$87K |
| 86900 |
|
3,109 |
2,916 |
$86K |
| 92550 |
|
730 |
696 |
$86K |
| OP258 |
|
25,854 |
19,041 |
$83K |
| 73030 |
|
1,143 |
1,074 |
$83K |
| 87635 |
|
1,425 |
1,293 |
$78K |
| 82962 |
|
7,137 |
4,610 |
$78K |
| 76770 |
|
466 |
453 |
$72K |
| 93970 |
|
192 |
174 |
$67K |
| 87081 |
|
2,163 |
2,133 |
$67K |
| 97162 |
|
1,057 |
979 |
$62K |
| 73562 |
|
803 |
754 |
$61K |
| 87651 |
|
1,206 |
1,154 |
$60K |
| 82247 |
|
1,749 |
1,116 |
$57K |
| A9270 |
Non-covered item or service |
9,425 |
4,486 |
$56K |
| 73610 |
|
1,170 |
1,130 |
$54K |
| U0005 |
Infec agen detec ampli probe |
2,749 |
2,334 |
$52K |
| 72110 |
|
566 |
536 |
$49K |
| 84443 |
|
2,984 |
2,660 |
$49K |
| OP278 |
|
171 |
159 |
$45K |
| 80048 |
|
3,064 |
2,380 |
$41K |
| 86901 |
|
3,112 |
2,918 |
$40K |
| 87804 |
|
1,657 |
1,639 |
$40K |
| 78815 |
|
29 |
28 |
$38K |
| 87040 |
|
2,410 |
2,225 |
$37K |
| 45380 |
|
37 |
36 |
$36K |
| 84484 |
|
7,967 |
6,738 |
$35K |
| 81001 |
|
7,015 |
6,412 |
$35K |
| 96376 |
|
2,149 |
1,485 |
$34K |
| 93976 |
|
428 |
412 |
$33K |
| 74018 |
|
946 |
860 |
$32K |
| 82248 |
|
3,226 |
2,320 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
388 |
364 |
$32K |
| 80061 |
|
1,778 |
1,662 |
$30K |
| 85610 |
|
6,958 |
6,271 |
$29K |
| 88312 |
|
560 |
522 |
$28K |
| J1756 |
Iron sucrose injection |
1,219 |
401 |
$27K |
| J1439 |
Inj ferric carboxymaltos 1mg |
39 |
26 |
$27K |
| 87086 |
|
3,858 |
3,513 |
$26K |
| 85027 |
|
3,889 |
3,232 |
$25K |
| 85730 |
|
6,435 |
5,902 |
$24K |
| 73110 |
|
462 |
439 |
$24K |
| 96415 |
|
94 |
62 |
$24K |
| 87807 |
|
819 |
809 |
$23K |
| 94640 |
|
887 |
737 |
$22K |
| 81003 |
|
4,916 |
4,560 |
$22K |
| 71260 |
|
103 |
97 |
$22K |
| 96366 |
|
146 |
104 |
$22K |
| 12001 |
|
690 |
647 |
$21K |
| 85007 |
|
3,036 |
2,552 |
$20K |
| 71275 |
|
167 |
147 |
$19K |
| 74021 |
|
353 |
348 |
$18K |
| 87880 |
|
2,395 |
2,356 |
$17K |
| 81025 |
|
1,954 |
1,809 |
$16K |
| 77080 |
|
82 |
79 |
$14K |
| 83690 |
|
7,423 |
6,734 |
$14K |
| OP270 |
|
2,307 |
2,084 |
$14K |
| 83735 |
|
3,859 |
3,296 |
$13K |
| 83036 |
|
1,256 |
1,168 |
$13K |
| J2060 |
Lorazepam injection |
1,108 |
884 |
$12K |
| A9579 |
Gad-base mr contrast nos,1ml |
366 |
333 |
$12K |
| J1100 |
Dexamethasone sodium phos |
2,749 |
2,079 |
$12K |
| 82306 |
|
263 |
237 |
$12K |
| 90791 |
|
515 |
357 |
$12K |
| J2405 |
Ondansetron hcl injection |
6,437 |
5,402 |
$12K |
| 84439 |
|
661 |
588 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
463 |
194 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
2,269 |
2,065 |
$11K |
| 90471 |
|
1,216 |
1,036 |
$10K |
| J3010 |
Fentanyl citrate injection |
2,448 |
2,276 |
$10K |
| 88313 |
|
151 |
137 |
$9K |
| 97597 |
|
16 |
12 |
$9K |
| 87186 |
|
637 |
544 |
$8K |
| 73590 |
|
99 |
91 |
$8K |
| 82542 |
|
459 |
449 |
$7K |
| 72100 |
|
228 |
226 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
3,867 |
3,588 |
$7K |
| 84702 |
|
965 |
888 |
$7K |
| 86140 |
|
1,125 |
1,058 |
$7K |
| 76882 |
|
26 |
24 |
$7K |
| 80320 |
|
1,178 |
1,058 |
$7K |
| 87633 |
|
63 |
60 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,402 |
2,110 |
$7K |
| 80164 |
|
364 |
313 |
$6K |
| 84703 |
|
1,709 |
1,604 |
$6K |
| OP255 |
|
1,066 |
788 |
$6K |
| 80179 |
|
2,089 |
1,745 |
$6K |
| 83605 |
|
828 |
734 |
$5K |
| 97530 |
|
167 |
53 |
$5K |
| J2270 |
Morphine sulfate injection |
2,255 |
1,721 |
$5K |
| 87426 |
|
135 |
57 |
$5K |
| 0241U |
|
181 |
179 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,616 |
1,260 |
$5K |
| 97802 |
|
39 |
30 |
$5K |
| 92586 |
|
27 |
27 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
4,759 |
4,342 |
$5K |
| 97014 |
|
86 |
26 |
$4K |
| G0382 |
Lev 3 hosp type b ed visit |
111 |
107 |
$4K |
| 85651 |
|
727 |
682 |
$4K |
| 73502 |
|
115 |
107 |
$4K |
| 95886 |
|
14 |
12 |
$4K |
| 97161 |
|
88 |
87 |
$4K |
| J2930 |
Methylprednisolone injection |
943 |
833 |
$4K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
421 |
396 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
563 |
417 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
1,687 |
1,476 |
$4K |
| C1781 |
Mesh (implantable) |
13 |
13 |
$4K |
| M0244 |
Casirivi and imdevi inj hm |
66 |
66 |
$4K |
| 80329 |
|
465 |
377 |
$4K |
| 92611 |
|
35 |
26 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,208 |
1,026 |
$3K |
| 90715 |
|
715 |
662 |
$3K |
| 80143 |
|
892 |
742 |
$3K |
| 90792 |
|
52 |
46 |
$3K |
| 74022 |
|
42 |
40 |
$3K |
| 76870 |
|
14 |
13 |
$3K |
| 83880 |
|
328 |
297 |
$2K |
| 73090 |
|
69 |
63 |
$2K |
| 76817 |
|
15 |
13 |
$2K |
| 87070 |
|
160 |
154 |
$2K |
| 85378 |
|
737 |
706 |
$2K |
| 73564 |
|
52 |
51 |
$2K |
| 80076 |
|
272 |
214 |
$2K |
| 76775 |
|
13 |
13 |
$2K |
| J1170 |
Hydromorphone injection |
504 |
364 |
$2K |
| 85380 |
|
365 |
343 |
$2K |
| 87088 |
|
483 |
436 |
$2K |
| A9552 |
F18 fdg |
68 |
57 |
$2K |
| 82550 |
|
979 |
860 |
$1K |
| 77072 |
|
14 |
13 |
$1K |
| 70486 |
|
13 |
12 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,287 |
1,149 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
44 |
44 |
$1K |
| 76801 |
|
14 |
12 |
$1K |
| 74230 |
|
38 |
27 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
276 |
247 |
$1K |
| 94760 |
|
213 |
126 |
$1K |
| 84100 |
|
306 |
277 |
$1K |
| 87205 |
|
163 |
157 |
$1K |
| OP637 |
|
690 |
356 |
$925.97 |
| 12002 |
|
17 |
16 |
$916.20 |
| 71101 |
|
12 |
12 |
$850.97 |
| 88304 |
|
94 |
93 |
$830.49 |
| 73080 |
|
26 |
25 |
$783.46 |
| 87798 |
|
23 |
22 |
$745.40 |
| M0222 |
Bebtelovimab injection |
16 |
15 |
$733.32 |
| 0002A |
|
22 |
22 |
$718.18 |
| 0001A |
|
21 |
21 |
$688.36 |
| 87077 |
|
121 |
119 |
$630.56 |
| 90674 |
|
15 |
15 |
$559.17 |
| J0134 |
Inj acetaminophen -fresenius |
646 |
584 |
$548.89 |
| 85652 |
|
181 |
172 |
$533.97 |
| C1769 |
Guide wire |
157 |
135 |
$438.34 |
| 77002 |
|
12 |
12 |
$422.90 |
| 86617 |
|
12 |
12 |
$370.43 |
| 87400 |
|
20 |
20 |
$325.78 |
| 74019 |
|
13 |
13 |
$314.12 |
| J7613 |
Albuterol non-comp unit |
263 |
250 |
$283.89 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$234.32 |
| 82607 |
|
30 |
24 |
$226.75 |
| 88300 |
|
43 |
39 |
$200.24 |
| 29515 |
|
12 |
12 |
$158.25 |
| J0136 |
Inj, acetaminophen (b braun) |
176 |
157 |
$129.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
488 |
424 |
$129.19 |
| J1815 |
Insulin injection |
21 |
15 |
$127.44 |
| J2272 |
Inj, morphine (fresenius) |
324 |
238 |
$94.90 |
| 82150 |
|
63 |
60 |
$89.50 |
| 87581 |
|
23 |
22 |
$81.70 |
| 87486 |
|
23 |
22 |
$81.70 |
| 75571 |
|
20 |
19 |
$70.63 |
| J3360 |
Diazepam injection |
39 |
30 |
$69.76 |
| J3301 |
Triamcinolone acet inj nos |
64 |
56 |
$64.89 |
| 83550 |
|
14 |
12 |
$42.26 |
| J2919 |
Inj, methylpred sod succ 5mg |
99 |
87 |
$35.57 |
| J1630 |
Haloperidol injection |
185 |
133 |
$32.89 |
| 83540 |
|
14 |
12 |
$30.93 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
64 |
57 |
$23.17 |
| Q0244 |
Casirivi and imdevi 1200 mg |
59 |
57 |
$20.00 |
| J7510 |
Prednisolone oral per 5 mg |
215 |
212 |
$17.77 |
| 82553 |
|
18 |
12 |
$16.00 |
| Q0222 |
Bebtelovimab 175 mg |
16 |
14 |
$2.00 |
| J1580 |
Garamycin gentamicin inj |
13 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
14 |
14 |
$0.00 |
| 87491 |
|
12 |
12 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 87591 |
|
12 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
22 |
12 |
$0.00 |