| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
36,476 |
34,054 |
$4.86M |
| 99284 |
|
33,781 |
30,977 |
$4.85M |
| 99285 |
|
31,105 |
27,112 |
$4.78M |
| 96361 |
|
10,292 |
6,977 |
$3.42M |
| G0463 |
Hospital outpt clinic visit |
24,501 |
18,914 |
$2.08M |
| 0241U |
|
8,436 |
7,168 |
$1.19M |
| 70450 |
|
3,233 |
2,665 |
$974K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,350 |
3,924 |
$722K |
| G0378 |
Hospital observation per hr |
10,705 |
4,589 |
$685K |
| 74177 |
|
2,142 |
1,757 |
$602K |
| 99282 |
|
3,828 |
3,508 |
$507K |
| 96365 |
|
2,692 |
2,024 |
$462K |
| 96366 |
|
1,747 |
931 |
$415K |
| 94640 |
|
2,559 |
1,897 |
$341K |
| 96360 |
|
1,421 |
1,142 |
$298K |
| 71260 |
|
1,078 |
895 |
$296K |
| 43239 |
|
624 |
490 |
$291K |
| 97110 |
|
3,950 |
1,926 |
$264K |
| 80053 |
|
40,227 |
31,814 |
$263K |
| 11042 |
|
1,932 |
981 |
$203K |
| C9803 |
Hopd covid-19 spec collect |
3,995 |
3,832 |
$189K |
| 74176 |
|
630 |
524 |
$178K |
| 45380 |
|
303 |
232 |
$157K |
| 93306 |
|
463 |
392 |
$134K |
| 96413 |
|
863 |
418 |
$125K |
| 93970 |
|
658 |
538 |
$91K |
| 11045 |
|
156 |
71 |
$86K |
| 80048 |
|
7,218 |
4,671 |
$72K |
| 71250 |
|
652 |
587 |
$69K |
| 97161 |
|
1,851 |
1,518 |
$68K |
| 99281 |
|
492 |
469 |
$68K |
| 76705 |
|
648 |
555 |
$66K |
| 93971 |
|
651 |
547 |
$64K |
| 81513 |
|
388 |
357 |
$63K |
| 80307 |
|
4,434 |
3,553 |
$62K |
| 82805 |
|
1,480 |
1,102 |
$58K |
| 70553 |
|
158 |
140 |
$57K |
| 76856 |
|
231 |
211 |
$54K |
| 84484 |
|
15,933 |
10,221 |
$51K |
| 85025 |
|
41,902 |
33,700 |
$51K |
| 93976 |
|
358 |
304 |
$51K |
| 36415 |
|
68,296 |
44,103 |
$51K |
| 93005 |
|
24,339 |
19,888 |
$50K |
| 76830 |
|
760 |
659 |
$48K |
| 71046 |
|
3,792 |
3,297 |
$47K |
| 97165 |
|
871 |
685 |
$46K |
| 87591 |
|
6,488 |
5,936 |
$46K |
| 80069 |
|
4,754 |
2,279 |
$44K |
| 85027 |
|
12,343 |
7,293 |
$43K |
| 76770 |
|
265 |
240 |
$40K |
| 87631 |
|
202 |
195 |
$39K |
| 93799 |
|
6,751 |
2,275 |
$39K |
| 97113 |
|
537 |
238 |
$38K |
| 84443 |
|
2,875 |
2,380 |
$38K |
| 45385 |
|
56 |
53 |
$35K |
| 70498 |
|
85 |
69 |
$35K |
| 97530 |
|
1,141 |
580 |
$33K |
| 80061 |
|
2,495 |
2,171 |
$31K |
| 71045 |
|
11,161 |
9,481 |
$30K |
| 43235 |
|
66 |
53 |
$30K |
| 83735 |
|
18,114 |
11,689 |
$30K |
| 86850 |
|
1,164 |
906 |
$30K |
| 78452 |
|
48 |
44 |
$29K |
| 96367 |
|
707 |
478 |
$29K |
| 96372 |
|
15,768 |
9,637 |
$28K |
| 96374 |
|
15,534 |
13,171 |
$27K |
| 83036 |
|
2,321 |
1,905 |
$27K |
| 97535 |
|
960 |
606 |
$26K |
| 74018 |
|
715 |
549 |
$26K |
| 82306 |
|
1,150 |
1,007 |
$25K |
| 99214 |
|
1,002 |
917 |
$25K |
| 12001 |
|
118 |
94 |
$24K |
| 99211 |
|
257 |
231 |
$24K |
| 97802 |
|
401 |
331 |
$24K |
| 73630 |
|
1,111 |
954 |
$23K |
| 87491 |
|
6,504 |
5,951 |
$23K |
| 97140 |
|
559 |
289 |
$21K |
| 71275 |
|
56 |
48 |
$21K |
| 77067 |
|
537 |
479 |
$21K |
| 72125 |
|
1,308 |
1,113 |
$21K |
| 97116 |
|
720 |
428 |
$20K |
| 82962 |
|
13,523 |
3,974 |
$20K |
| 99213 |
|
926 |
845 |
$19K |
| 73564 |
|
622 |
531 |
$18K |
| 86780 |
|
2,682 |
2,348 |
$18K |
| 99253 |
|
495 |
447 |
$18K |
| 70491 |
|
41 |
31 |
$18K |
| 70486 |
|
429 |
382 |
$18K |
| 73030 |
|
925 |
771 |
$17K |
| 99395 |
|
118 |
107 |
$17K |
| 97112 |
|
797 |
541 |
$17K |
| 10060 |
|
79 |
64 |
$16K |
| 86900 |
|
1,189 |
913 |
$16K |
| 96127 |
|
468 |
329 |
$16K |
| 11043 |
|
96 |
49 |
$16K |
| 87389 |
|
731 |
627 |
$15K |
| 81001 |
|
29,110 |
26,039 |
$15K |
| 82728 |
|
1,042 |
888 |
$14K |
| 73610 |
|
959 |
758 |
$14K |
| 86803 |
|
620 |
540 |
$14K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
13 |
$13K |
| 72100 |
|
575 |
511 |
$13K |
| 85610 |
|
11,573 |
7,107 |
$13K |
| 90715 |
|
738 |
544 |
$13K |
| 84702 |
|
1,025 |
755 |
$13K |
| 73130 |
|
888 |
751 |
$12K |
| 99212 |
|
1,223 |
1,152 |
$12K |
| J1756 |
Iron sucrose injection |
369 |
134 |
$11K |
| 82607 |
|
643 |
563 |
$11K |
| G0257 |
Unsched dialysis esrd pt hos |
42 |
13 |
$11K |
| 73560 |
|
799 |
690 |
$11K |
| 99231 |
|
1,262 |
836 |
$10K |
| 99396 |
|
86 |
79 |
$10K |
| 86140 |
|
1,260 |
1,017 |
$10K |
| 83880 |
|
1,921 |
1,550 |
$10K |
| 72197 |
|
31 |
26 |
$10K |
| 99152 |
|
366 |
314 |
$10K |
| 83540 |
|
1,119 |
955 |
$10K |
| 84439 |
|
597 |
471 |
$9K |
| 70496 |
|
145 |
112 |
$9K |
| 73502 |
|
658 |
526 |
$9K |
| 87340 |
|
562 |
453 |
$9K |
| 87502 |
|
526 |
487 |
$8K |
| 87661 |
|
3,035 |
2,624 |
$8K |
| 76801 |
|
354 |
295 |
$8K |
| A9270 |
Non-covered item or service |
3,111 |
1,251 |
$8K |
| 73110 |
|
572 |
482 |
$8K |
| 82570 |
|
661 |
592 |
$8K |
| 83550 |
|
1,105 |
947 |
$8K |
| 74183 |
|
27 |
24 |
$7K |
| 93017 |
|
104 |
92 |
$7K |
| 97150 |
|
301 |
166 |
$7K |
| 43245 |
|
15 |
13 |
$6K |
| 99221 |
|
555 |
504 |
$6K |
| 96375 |
|
5,610 |
3,785 |
$6K |
| 86901 |
|
1,189 |
913 |
$6K |
| 96376 |
|
3,195 |
1,455 |
$6K |
| 82550 |
|
2,591 |
1,727 |
$6K |
| 99232 |
|
457 |
396 |
$5K |
| 80076 |
|
630 |
531 |
$5K |
| 83970 |
|
166 |
138 |
$5K |
| 98927 |
|
181 |
163 |
$5K |
| 96368 |
|
154 |
102 |
$5K |
| 87651 |
|
1,974 |
1,726 |
$5K |
| 76857 |
|
368 |
301 |
$4K |
| 76817 |
|
284 |
243 |
$4K |
| U0005 |
Infec agen detec ampli probe |
3,130 |
2,757 |
$4K |
| 77063 |
|
73 |
71 |
$4K |
| 87086 |
|
1,945 |
1,608 |
$4K |
| 93321 |
|
17 |
12 |
$4K |
| 84100 |
|
1,114 |
695 |
$4K |
| 76536 |
|
21 |
21 |
$4K |
| 90471 |
|
864 |
619 |
$4K |
| 84153 |
|
232 |
206 |
$4K |
| 99291 |
|
34 |
25 |
$4K |
| 83690 |
|
5,997 |
4,946 |
$4K |
| 82077 |
|
2,487 |
1,865 |
$4K |
| 82043 |
|
438 |
399 |
$3K |
| 12011 |
|
16 |
13 |
$3K |
| J0561 |
Penicillin g benzathine inj |
13 |
12 |
$3K |
| 86706 |
|
215 |
163 |
$3K |
| 98928 |
|
96 |
89 |
$3K |
| 81025 |
|
19,825 |
17,976 |
$3K |
| 82553 |
|
1,425 |
839 |
$3K |
| 94760 |
|
3,389 |
1,726 |
$2K |
| 83605 |
|
2,127 |
1,401 |
$2K |
| 87635 |
|
477 |
367 |
$2K |
| 73590 |
|
223 |
181 |
$2K |
| 87077 |
|
966 |
802 |
$2K |
| 85652 |
|
332 |
273 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
274 |
227 |
$2K |
| 99215 |
Prolong outpt/office vis |
52 |
49 |
$2K |
| 86703 |
|
1,997 |
1,758 |
$2K |
| 93356 |
|
110 |
92 |
$2K |
| 76642 |
|
14 |
12 |
$2K |
| 85379 |
|
1,205 |
977 |
$2K |
| 82330 |
|
1,656 |
1,145 |
$2K |
| 98926 |
|
57 |
55 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
6,940 |
2,278 |
$2K |
| 82746 |
|
264 |
227 |
$2K |
| 87040 |
|
614 |
427 |
$2K |
| 92610 |
|
30 |
25 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,154 |
3,374 |
$1K |
| 84550 |
|
285 |
240 |
$1K |
| 85730 |
|
1,607 |
1,126 |
$1K |
| J2543 |
Piperacillin/tazobactam |
506 |
258 |
$1K |
| 82784 |
|
68 |
56 |
$1K |
| 86480 |
|
16 |
12 |
$1K |
| 85018 |
|
1,636 |
1,200 |
$964.91 |
| 82248 |
|
301 |
239 |
$949.48 |
| 80143 |
|
304 |
227 |
$909.52 |
| 87186 |
|
721 |
613 |
$909.40 |
| 73140 |
|
72 |
60 |
$852.03 |
| 84132 |
|
1,725 |
1,296 |
$829.95 |
| 92526 |
|
22 |
12 |
$779.62 |
| 88305 |
|
1,411 |
1,162 |
$749.25 |
| 87205 |
|
706 |
576 |
$749.05 |
| 83615 |
|
112 |
85 |
$740.38 |
| 97162 |
|
13 |
12 |
$736.90 |
| J1885 |
Ketorolac tromethamine inj |
12,597 |
10,705 |
$725.46 |
| 87522 |
Neg quan hep c or qual rna |
16 |
13 |
$715.05 |
| 82375 |
|
1,504 |
1,123 |
$691.33 |
| J2270 |
Morphine sulfate injection |
1,550 |
932 |
$669.08 |
| 00731 |
|
751 |
622 |
$668.64 |
| 90686 |
|
83 |
77 |
$666.44 |
| J1815 |
Insulin injection |
162 |
112 |
$663.11 |
| 87481 |
|
309 |
291 |
$633.75 |
| 87070 |
|
349 |
261 |
$631.12 |
| C9113 |
Inj pantoprazole sodium, via |
421 |
211 |
$622.40 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
774 |
659 |
$603.97 |
| 90656 |
|
43 |
39 |
$580.08 |
| 84156 |
|
95 |
83 |
$562.26 |
| 83721 |
|
70 |
68 |
$545.00 |
| 99203 |
|
19 |
19 |
$523.60 |
| 80179 |
|
274 |
203 |
$507.16 |
| 83050 |
|
1,514 |
1,119 |
$460.73 |
| 82435 |
|
1,388 |
1,046 |
$455.00 |
| 84403 |
|
19 |
16 |
$450.70 |
| 73080 |
|
41 |
38 |
$422.47 |
| 73090 |
|
14 |
12 |
$417.35 |
| 87808 |
|
809 |
765 |
$413.47 |
| 86038 |
|
25 |
24 |
$409.69 |
| Q3014 |
Telehealth facility fee |
14 |
14 |
$389.58 |
| 80074 |
|
17 |
12 |
$332.75 |
| 94799 |
|
17 |
12 |
$326.17 |
| 80320 |
|
209 |
196 |
$297.43 |
| 82010 |
|
388 |
286 |
$284.77 |
| 84295 |
|
1,470 |
1,104 |
$270.16 |
| 85045 |
|
137 |
122 |
$263.42 |
| J2930 |
Methylprednisolone injection |
452 |
294 |
$259.59 |
| J1170 |
Hydromorphone injection |
584 |
318 |
$250.57 |
| J0780 |
Prochlorperazine injection |
842 |
554 |
$243.41 |
| 83520 |
|
13 |
13 |
$223.39 |
| J3475 |
Inj magnesium sulfate |
1,169 |
783 |
$213.89 |
| J2704 |
Inj, propofol, 10 mg |
5,523 |
2,894 |
$182.01 |
| J3490 |
Drugs unclassified injection |
40 |
25 |
$169.09 |
| 83695 |
|
57 |
53 |
$156.04 |
| J3010 |
Fentanyl citrate injection |
3,688 |
2,513 |
$154.92 |
| 87430 |
|
402 |
367 |
$150.65 |
| 73552 |
|
37 |
32 |
$135.05 |
| 84165 |
|
13 |
12 |
$114.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
253 |
169 |
$105.14 |
| J1650 |
Inj enoxaparin sodium |
128 |
51 |
$103.60 |
| J0696 |
Ceftriaxone sodium injection |
1,639 |
1,056 |
$100.51 |
| J2060 |
Lorazepam injection |
552 |
351 |
$94.13 |
| J2405 |
Ondansetron hcl injection |
5,378 |
3,790 |
$91.19 |
| 81003 |
|
317 |
276 |
$84.46 |
| 84703 |
|
78 |
70 |
$82.46 |
| J7120 |
Ringers lactate infusion |
2,613 |
2,050 |
$77.81 |
| 80164 |
|
28 |
25 |
$72.71 |
| 84155 |
|
16 |
13 |
$68.65 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,740 |
949 |
$65.07 |
| 87880 |
|
159 |
149 |
$58.78 |
| 87624 |
|
27 |
27 |
$58.01 |
| J1200 |
Diphenhydramine hcl injectio |
905 |
616 |
$57.28 |
| J2470 |
Inj pantoprazole sodium 40mg |
147 |
82 |
$49.92 |
| J1790 |
Droperidol injection |
439 |
331 |
$48.56 |
| 88342 |
|
40 |
28 |
$48.31 |
| J3480 |
Inj potassium chloride |
295 |
199 |
$47.44 |
| J2250 |
Inj midazolam hydrochloride |
1,878 |
1,358 |
$47.40 |
| J0360 |
Hydralazine hcl injection |
37 |
28 |
$44.30 |
| J1100 |
Dexamethasone sodium phos |
1,961 |
1,325 |
$41.62 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
250 |
186 |
$31.88 |
| 84145 |
|
36 |
31 |
$28.65 |
| J2920 |
Methylprednisolone injection |
35 |
16 |
$25.28 |
| J0690 |
Cefazolin sodium injection |
950 |
641 |
$13.92 |
| J2360 |
Orphenadrine injection |
41 |
40 |
$13.82 |
| 71101 |
|
50 |
36 |
$11.75 |
| Q9969 |
Non-heu tc-99m add-on/dose |
464 |
382 |
$11.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
47 |
34 |
$9.19 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
174 |
147 |
$6.75 |
| J3370 |
Vancomycin hcl injection |
66 |
38 |
$5.16 |
| J7620 |
Albuterol ipratrop non-comp |
58 |
28 |
$3.04 |
| J2765 |
Metoclopramide hcl injection |
149 |
133 |
$2.18 |
| 99233 |
Prolong inpt eval add15 m |
30 |
27 |
$0.00 |
| 00811 |
|
262 |
203 |
$0.00 |
| 87660 |
|
26 |
25 |
$0.00 |
| G1004 |
Cdsm ndsc |
158 |
127 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
24 |
24 |
$0.00 |
| 3078F |
|
146 |
130 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
48 |
44 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
32 |
32 |
$0.00 |
| 87899 |
|
27 |
26 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
27 |
18 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
116 |
90 |
$0.00 |
| 87480 |
|
26 |
25 |
$0.00 |
| J2001 |
Lidocaine injection |
134 |
100 |
$0.00 |
| 74174 |
|
14 |
12 |
$0.00 |
| 3074F |
|
181 |
165 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
15 |
13 |
$0.00 |
| C1889 |
Implant/insert device, noc |
18 |
16 |
$0.00 |
| C1769 |
Guide wire |
292 |
228 |
$0.00 |
| J1630 |
Haloperidol injection |
20 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
80 |
77 |
$0.00 |
| J7050 |
Normal saline solution infus |
92 |
51 |
$0.00 |
| 00813 |
|
78 |
56 |
$0.00 |
| 3079F |
|
41 |
40 |
$0.00 |
| 87510 |
|
26 |
25 |
$0.00 |
| 00952 |
|
18 |
13 |
$0.00 |