| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
33,384 |
29,715 |
$2.74M |
| 99284 |
|
39,221 |
31,281 |
$2.31M |
| 80053 |
|
50,979 |
37,040 |
$885K |
| 99285 |
|
18,634 |
14,227 |
$849K |
| 70450 |
|
10,183 |
7,795 |
$619K |
| 74177 |
|
5,212 |
4,422 |
$588K |
| 36415 |
|
80,717 |
53,994 |
$491K |
| 99282 |
|
5,363 |
4,802 |
$419K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,007 |
8,009 |
$399K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,740 |
6,955 |
$380K |
| 92507 |
|
3,590 |
1,004 |
$358K |
| 80048 |
|
24,753 |
16,544 |
$353K |
| 97110 |
|
8,170 |
2,141 |
$345K |
| 81003 |
|
34,483 |
28,073 |
$238K |
| 74176 |
|
2,205 |
1,859 |
$225K |
| 59899 |
|
3,105 |
2,263 |
$192K |
| C1729 |
Cath, drainage |
647 |
290 |
$185K |
| 96365 |
|
2,102 |
818 |
$173K |
| 71275 |
|
1,448 |
1,194 |
$150K |
| G0378 |
Hospital observation per hr |
18,166 |
7,232 |
$143K |
| 87631 |
|
3,587 |
3,235 |
$143K |
| 11042 |
|
3,074 |
1,226 |
$131K |
| 99281 |
|
1,357 |
1,224 |
$114K |
| 80307 |
|
7,210 |
5,996 |
$113K |
| 96360 |
|
2,728 |
2,181 |
$109K |
| 87635 |
|
8,427 |
6,466 |
$101K |
| 0202U |
|
1,301 |
1,230 |
$97K |
| 0241U |
|
8,440 |
7,626 |
$93K |
| 81025 |
|
4,069 |
3,597 |
$92K |
| 72125 |
|
2,036 |
1,446 |
$90K |
| 93306 |
|
1,827 |
1,452 |
$90K |
| 94640 |
|
5,140 |
3,068 |
$90K |
| 82948 |
|
16,981 |
5,131 |
$89K |
| 97530 |
|
1,438 |
555 |
$89K |
| G0463 |
Hospital outpt clinic visit |
3,727 |
2,412 |
$78K |
| 96367 |
|
2,063 |
758 |
$73K |
| 87491 |
|
7,900 |
7,258 |
$69K |
| 97112 |
|
1,177 |
405 |
$69K |
| 96361 |
|
1,221 |
956 |
$63K |
| 80047 |
|
15,752 |
11,759 |
$58K |
| 97140 |
|
2,861 |
791 |
$57K |
| 85025 |
|
83,609 |
59,398 |
$56K |
| 84484 |
|
25,399 |
15,323 |
$54K |
| 76819 |
|
756 |
564 |
$53K |
| J7050 |
Normal saline solution infus |
2,585 |
1,466 |
$50K |
| 87086 |
|
14,931 |
11,887 |
$46K |
| 84443 |
|
16,978 |
13,667 |
$38K |
| 84702 |
|
4,685 |
3,718 |
$36K |
| 73610 |
|
1,285 |
1,096 |
$36K |
| 88305 |
|
2,573 |
2,130 |
$36K |
| 82306 |
|
5,856 |
4,711 |
$34K |
| 97162 |
|
745 |
634 |
$33K |
| 76856 |
|
1,836 |
1,660 |
$33K |
| 96413 |
|
1,752 |
948 |
$32K |
| 87070 |
|
3,036 |
2,388 |
$31K |
| 87480 |
|
5,371 |
4,891 |
$31K |
| 73562 |
|
1,932 |
1,572 |
$30K |
| 73630 |
|
1,601 |
1,390 |
$29K |
| 70486 |
|
769 |
598 |
$27K |
| 73110 |
|
883 |
765 |
$27K |
| 93005 |
|
29,376 |
22,152 |
$27K |
| 73130 |
|
1,130 |
952 |
$27K |
| J1200 |
Diphenhydramine hcl injectio |
3,632 |
2,205 |
$26K |
| 71046 |
|
7,278 |
6,228 |
$26K |
| J2250 |
Inj midazolam hydrochloride |
3,607 |
2,725 |
$25K |
| 97163 |
|
1,398 |
1,198 |
$25K |
| J3010 |
Fentanyl citrate injection |
4,625 |
3,430 |
$25K |
| 36591 |
|
1,573 |
715 |
$24K |
| 87651 |
|
5,622 |
5,206 |
$23K |
| C1769 |
Guide wire |
1,210 |
829 |
$22K |
| 87624 |
|
862 |
817 |
$21K |
| J2405 |
Ondansetron hcl injection |
13,458 |
9,493 |
$21K |
| 76817 |
|
2,116 |
1,736 |
$20K |
| 71045 |
|
14,282 |
11,357 |
$20K |
| G0257 |
Unsched dialysis esrd pt hos |
56 |
12 |
$20K |
| 73030 |
|
1,507 |
1,129 |
$19K |
| J2001 |
Lidocaine injection |
3,159 |
2,457 |
$19K |
| 96375 |
|
2,686 |
1,710 |
$18K |
| 83735 |
|
13,566 |
9,101 |
$17K |
| 76705 |
|
1,277 |
1,134 |
$17K |
| 72040 |
|
1,597 |
1,153 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
908 |
733 |
$16K |
| 85660 |
|
576 |
522 |
$15K |
| 87502 |
|
1,203 |
1,047 |
$15K |
| 85610 |
|
14,549 |
8,752 |
$15K |
| 72100 |
|
2,534 |
1,941 |
$15K |
| 97116 |
|
833 |
399 |
$14K |
| 87641 |
|
2,454 |
1,917 |
$14K |
| J1100 |
Dexamethasone sodium phos |
3,689 |
2,583 |
$14K |
| 93971 |
|
1,538 |
1,250 |
$13K |
| 83880 |
|
11,166 |
7,592 |
$13K |
| 80076 |
|
4,277 |
3,588 |
$13K |
| 80061 |
|
15,432 |
12,388 |
$13K |
| 85027 |
|
12,114 |
8,626 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
8,452 |
6,615 |
$12K |
| A9270 |
Non-covered item or service |
6,216 |
2,181 |
$12K |
| 73140 |
|
237 |
206 |
$12K |
| 96366 |
|
260 |
85 |
$12K |
| 86780 |
|
1,584 |
1,498 |
$12K |
| 49083 |
|
369 |
151 |
$11K |
| 73080 |
|
389 |
318 |
$11K |
| 11043 |
|
475 |
184 |
$11K |
| 86140 |
|
3,817 |
2,952 |
$10K |
| 85652 |
|
3,274 |
2,512 |
$10K |
| 83036 |
|
12,362 |
10,115 |
$10K |
| 87591 |
|
7,913 |
7,266 |
$9K |
| J2710 |
Neostigmine methylslfte inj |
169 |
125 |
$9K |
| 87186 |
|
6,507 |
4,959 |
$8K |
| J0690 |
Cefazolin sodium injection |
2,336 |
1,673 |
$8K |
| 74022 |
|
1,555 |
1,379 |
$8K |
| G0123 |
Screen cerv/vag thin layer |
1,532 |
1,442 |
$8K |
| 87077 |
|
7,601 |
5,920 |
$8K |
| 86850 |
|
4,283 |
3,622 |
$8K |
| 99291 |
|
89 |
73 |
$8K |
| 97014 |
|
109 |
53 |
$7K |
| 76815 |
|
552 |
477 |
$7K |
| 76816 |
|
389 |
345 |
$6K |
| 83970 |
|
1,225 |
964 |
$6K |
| 76801 |
|
2,115 |
1,718 |
$6K |
| G0471 |
Ven blood coll snf/hha |
16,590 |
6,190 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
1,064 |
522 |
$6K |
| 74018 |
|
719 |
633 |
$6K |
| 85730 |
|
6,135 |
4,721 |
$5K |
| J3480 |
Inj potassium chloride |
192 |
102 |
$5K |
| 73502 |
|
826 |
615 |
$5K |
| 84703 |
|
8,695 |
7,555 |
$5K |
| 86900 |
|
4,696 |
3,957 |
$5K |
| C1894 |
Intro/sheath, non-laser |
570 |
392 |
$5K |
| 82247 |
|
1,368 |
854 |
$5K |
| 86803 |
|
2,433 |
2,246 |
$5K |
| 84145 |
|
3,612 |
2,505 |
$5K |
| 84100 |
|
2,696 |
1,805 |
$5K |
| 87205 |
|
3,207 |
2,516 |
$4K |
| 87040 |
|
3,046 |
2,435 |
$4K |
| 80074 |
|
464 |
410 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
3,496 |
2,319 |
$4K |
| 80055 |
|
146 |
140 |
$4K |
| 83605 |
|
2,102 |
1,615 |
$4K |
| 82728 |
|
3,203 |
2,564 |
$4K |
| 82330 |
|
9,765 |
7,626 |
$4K |
| 88342 |
|
950 |
778 |
$4K |
| M0243 |
Casirivi and imdevi inj |
166 |
135 |
$4K |
| 82950 |
|
1,317 |
1,275 |
$4K |
| 12001 |
|
288 |
217 |
$4K |
| J1815 |
Insulin injection |
3,465 |
1,594 |
$4K |
| 87510 |
|
5,338 |
4,856 |
$4K |
| J1170 |
Hydromorphone injection |
5,403 |
3,570 |
$4K |
| 84156 |
|
1,715 |
1,338 |
$3K |
| 82607 |
|
4,499 |
3,541 |
$3K |
| 84481 |
|
694 |
578 |
$3K |
| 71101 |
|
140 |
112 |
$3K |
| 70491 |
|
14 |
12 |
$3K |
| P9603 |
One-way allow prorated miles |
19,235 |
8,573 |
$3K |
| 82105 |
|
920 |
857 |
$3K |
| 87075 |
|
1,367 |
1,012 |
$3K |
| 86901 |
|
4,700 |
3,957 |
$3K |
| 87633 |
|
140 |
120 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,143 |
1,712 |
$3K |
| 87660 |
|
5,504 |
5,013 |
$3K |
| 87640 |
|
819 |
654 |
$3K |
| 87081 |
|
1,071 |
1,031 |
$3K |
| 82274 |
|
401 |
316 |
$3K |
| 80164 |
|
1,354 |
973 |
$3K |
| G8979 |
Mobility goal status |
125 |
114 |
$3K |
| 87389 |
|
3,556 |
3,354 |
$3K |
| 81001 |
|
5,363 |
4,040 |
$2K |
| 90791 |
|
718 |
593 |
$2K |
| 96372 |
|
1,205 |
886 |
$2K |
| J0330 |
Succinycholine chloride inj |
450 |
352 |
$2K |
| 97161 |
|
49 |
43 |
$2K |
| 72072 |
|
266 |
203 |
$2K |
| G8978 |
Mobility current status |
90 |
83 |
$2K |
| 93970 |
|
326 |
250 |
$2K |
| 83690 |
|
11,900 |
9,708 |
$2K |
| 85380 |
|
2,833 |
2,395 |
$2K |
| 86308 |
|
195 |
181 |
$2K |
| 90715 |
|
1,231 |
994 |
$2K |
| 29125 |
|
591 |
522 |
$2K |
| 0100U |
|
102 |
73 |
$2K |
| 84112 |
|
28 |
26 |
$2K |
| J1650 |
Inj enoxaparin sodium |
3,139 |
1,355 |
$2K |
| 86592 |
|
1,313 |
1,218 |
$1K |
| 96374 |
|
3,447 |
2,806 |
$1K |
| 83540 |
|
3,278 |
2,637 |
$1K |
| 85004 |
|
1,061 |
718 |
$1K |
| 84439 |
|
4,612 |
3,667 |
$1K |
| 76830 |
|
1,625 |
1,455 |
$1K |
| 76770 |
|
61 |
52 |
$1K |
| 83550 |
|
2,622 |
2,116 |
$1K |
| 88341 |
|
173 |
140 |
$1K |
| J2270 |
Morphine sulfate injection |
3,645 |
2,672 |
$1K |
| 82077 |
|
628 |
503 |
$1K |
| 73590 |
|
123 |
95 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,983 |
1,325 |
$1K |
| 73090 |
|
128 |
95 |
$1K |
| 12011 |
|
153 |
136 |
$1K |
| 77336 |
|
27 |
12 |
$1K |
| J2060 |
Lorazepam injection |
2,723 |
1,971 |
$1K |
| 82043 |
|
2,531 |
2,114 |
$1K |
| 82746 |
|
3,083 |
2,469 |
$1K |
| 86762 |
|
995 |
937 |
$1K |
| 82805 |
|
195 |
118 |
$979.32 |
| P9016 |
Rbc leukocytes reduced |
27 |
12 |
$934.25 |
| 87340 |
|
2,514 |
2,355 |
$893.85 |
| 86038 |
|
291 |
240 |
$874.16 |
| 97535 |
|
33 |
25 |
$839.04 |
| 73660 |
|
12 |
12 |
$814.94 |
| 83021 |
|
227 |
215 |
$802.22 |
| 82570 |
|
2,061 |
1,703 |
$792.63 |
| U0005 |
Infec agen detec ampli probe |
4,250 |
3,664 |
$718.04 |
| 82248 |
|
1,516 |
1,118 |
$716.33 |
| 0352U |
|
96 |
93 |
$701.63 |
| 84403 |
|
134 |
112 |
$695.75 |
| 84550 |
|
1,433 |
1,119 |
$693.65 |
| 10061 |
|
25 |
24 |
$641.52 |
| 87798 |
|
199 |
172 |
$634.82 |
| P9047 |
Albumin (human), 25%, 50ml |
18 |
12 |
$614.48 |
| 87015 |
|
198 |
152 |
$605.27 |
| J0780 |
Prochlorperazine injection |
1,593 |
1,200 |
$556.85 |
| J3490 |
Drugs unclassified injection |
1,026 |
851 |
$544.11 |
| G0480 |
Drug test def 1-7 classes |
19 |
15 |
$528.63 |
| 94060 |
|
20 |
16 |
$510.14 |
| 84146 |
|
40 |
39 |
$507.23 |
| 86787 |
|
953 |
902 |
$492.97 |
| J3475 |
Inj magnesium sulfate |
287 |
191 |
$412.28 |
| 84480 |
|
181 |
157 |
$410.32 |
| 82550 |
|
1,785 |
1,318 |
$359.18 |
| 97167 |
|
26 |
26 |
$357.87 |
| 82140 |
|
717 |
492 |
$332.84 |
| 85014 |
|
702 |
421 |
$318.38 |
| J0360 |
Hydralazine hcl injection |
58 |
44 |
$316.15 |
| 36416 |
|
111 |
89 |
$305.49 |
| 88304 |
|
46 |
41 |
$290.58 |
| 85018 |
|
1,346 |
862 |
$261.15 |
| J2930 |
Methylprednisolone injection |
1,542 |
1,197 |
$238.18 |
| 90471 |
|
96 |
85 |
$238.05 |
| 86364 |
|
16 |
15 |
$231.62 |
| 12002 |
|
16 |
13 |
$176.93 |
| 83993 |
|
12 |
12 |
$154.32 |
| 86359 |
|
81 |
61 |
$145.69 |
| 82378 |
|
13 |
12 |
$132.55 |
| 87427 |
|
69 |
55 |
$131.52 |
| 87653 |
|
14 |
14 |
$125.49 |
| 83655 |
|
45 |
45 |
$116.57 |
| 84153 |
|
147 |
108 |
$115.08 |
| 80069 |
|
178 |
155 |
$114.98 |
| 73552 |
|
37 |
25 |
$114.71 |
| 86376 |
|
361 |
309 |
$111.43 |
| 87102 |
|
17 |
12 |
$98.68 |
| 87430 |
|
175 |
157 |
$98.55 |
| 87581 |
|
140 |
120 |
$95.78 |
| 87486 |
|
140 |
120 |
$95.78 |
| 82951 |
|
12 |
12 |
$87.62 |
| 83020 |
|
227 |
215 |
$72.47 |
| Q0163 |
Diphenhydramine hcl 50mg |
263 |
199 |
$71.75 |
| 82785 |
|
48 |
40 |
$59.93 |
| 51798 |
|
78 |
39 |
$47.61 |
| 83615 |
|
546 |
346 |
$43.55 |
| 87536 |
|
78 |
58 |
$42.04 |
| G0103 |
Psa screening |
37 |
24 |
$38.10 |
| 86709 |
|
488 |
394 |
$37.12 |
| 87529 |
|
12 |
12 |
$35.32 |
| 84436 |
|
102 |
87 |
$31.75 |
| 82784 |
|
14 |
13 |
$29.27 |
| 84132 |
|
38 |
24 |
$27.95 |
| 86431 |
|
64 |
56 |
$19.69 |
| 86356 |
|
81 |
61 |
$19.38 |
| 86360 |
|
81 |
61 |
$19.38 |
| 85045 |
|
177 |
120 |
$18.97 |
| 86769 |
|
17 |
14 |
$17.67 |
| 80202 |
|
25 |
12 |
$17.10 |
| 83001 |
|
39 |
37 |
$16.44 |
| 83721 |
|
16 |
15 |
$15.54 |
| 80178 |
|
19 |
13 |
$7.95 |
| 83516 |
|
23 |
14 |
$6.61 |
| 87493 |
|
19 |
14 |
$6.42 |
| 81050 |
|
12 |
12 |
$5.32 |
| 87449 |
|
126 |
98 |
$4.23 |
| 82010 |
|
122 |
94 |
$3.31 |
| 86255 |
|
18 |
12 |
$3.30 |
| 85379 |
|
98 |
51 |
$2.63 |
| 86880 |
|
32 |
24 |
$1.27 |
| J1940 |
Furosemide injection |
14 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
74 |
58 |
$0.00 |
| 90686 |
|
147 |
117 |
$0.00 |
| J1790 |
Droperidol injection |
195 |
174 |
$0.00 |
| 0240U |
|
44 |
30 |
$0.00 |
| J7060 |
5% dextrose/water |
45 |
24 |
$0.00 |
| 87046 |
|
67 |
56 |
$0.00 |
| 94761 |
|
112 |
95 |
$0.00 |
| 82952 |
|
12 |
12 |
$0.00 |
| 72170 |
|
197 |
136 |
$0.00 |
| J3360 |
Diazepam injection |
17 |
15 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
26 |
25 |
$0.00 |
| J2920 |
Methylprednisolone injection |
59 |
13 |
$0.00 |
| 87481 |
|
576 |
389 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
124 |
77 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
94 |
53 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
144 |
88 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
220 |
208 |
$0.00 |
| 87328 |
|
13 |
12 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
15 |
12 |
$0.00 |
| 0353U |
|
121 |
116 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
27 |
23 |
$0.00 |
| 29515 |
|
42 |
37 |
$0.00 |
| 85384 |
|
22 |
13 |
$0.00 |
| 87400 |
|
15 |
13 |
$0.00 |
| 87045 |
|
67 |
56 |
$0.00 |
| 87329 |
|
13 |
12 |
$0.00 |