| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,024 |
19,074 |
$3.94M |
| 99283 |
|
18,809 |
17,768 |
$3.72M |
| 99285 |
|
18,666 |
17,721 |
$3.55M |
| G0378 |
Hospital observation per hr |
1,943 |
1,825 |
$2.45M |
| J1745 |
Infliximab not biosimil 10mg |
613 |
585 |
$1.17M |
| U0003 |
Cov-19 amp prb hgh thruput |
7,925 |
7,443 |
$526K |
| G9012 |
Other specified case mgmt |
2,019 |
1,889 |
$486K |
| T1015 |
Clinic service |
3,367 |
3,081 |
$477K |
| G0483 |
Drug test def 22+ classes |
3,696 |
2,837 |
$365K |
| 43239 |
|
438 |
420 |
$350K |
| 70450 |
|
3,571 |
3,337 |
$344K |
| 74177 |
|
2,109 |
2,028 |
$309K |
| 45380 |
|
395 |
376 |
$253K |
| 66984 |
|
192 |
181 |
$216K |
| 93306 |
|
1,239 |
1,192 |
$163K |
| 72125 |
|
1,541 |
1,465 |
$158K |
| 71260 |
|
1,578 |
1,513 |
$156K |
| 96413 |
|
1,245 |
933 |
$150K |
| 45378 |
|
163 |
156 |
$149K |
| 36415 |
|
50,031 |
42,899 |
$148K |
| 93005 |
|
13,824 |
12,527 |
$134K |
| 99281 |
|
804 |
734 |
$134K |
| 73721 |
|
383 |
368 |
$122K |
| 73221 |
|
340 |
323 |
$102K |
| 11042 |
|
877 |
613 |
$98K |
| 80048 |
|
20,094 |
16,836 |
$95K |
| 77067 |
|
1,003 |
987 |
$94K |
| 87536 |
|
1,167 |
1,114 |
$91K |
| J9271 |
Inj pembrolizumab |
28 |
25 |
$82K |
| 85025 |
|
25,843 |
21,634 |
$82K |
| 74183 |
|
167 |
160 |
$80K |
| 73562 |
|
4,558 |
3,266 |
$75K |
| 99282 |
|
439 |
414 |
$75K |
| 73564 |
|
3,348 |
2,354 |
$74K |
| 20610 |
|
444 |
393 |
$72K |
| 72148 |
|
398 |
382 |
$72K |
| 87491 |
|
4,579 |
4,439 |
$69K |
| 80307 |
|
1,920 |
1,780 |
$68K |
| 73610 |
|
3,058 |
2,680 |
$67K |
| 72141 |
|
285 |
273 |
$67K |
| 70553 |
|
259 |
248 |
$65K |
| 70486 |
|
545 |
512 |
$61K |
| 45385 |
|
129 |
120 |
$60K |
| 72197 |
|
118 |
116 |
$58K |
| 87637 |
|
669 |
629 |
$56K |
| 70551 |
|
287 |
279 |
$56K |
| 80053 |
|
11,456 |
9,209 |
$52K |
| G0463 |
Hospital outpt clinic visit |
5,897 |
5,046 |
$52K |
| 71250 |
|
638 |
613 |
$49K |
| 73630 |
|
3,009 |
2,407 |
$43K |
| 78452 |
|
243 |
228 |
$42K |
| 76881 |
|
504 |
412 |
$41K |
| 87389 |
|
2,805 |
2,727 |
$41K |
| 71046 |
|
2,602 |
2,462 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
2,357 |
2,253 |
$40K |
| 96365 |
|
1,160 |
890 |
$39K |
| 74176 |
|
403 |
387 |
$39K |
| 80061 |
|
4,133 |
3,994 |
$36K |
| 73030 |
|
1,977 |
1,655 |
$35K |
| H0047 |
Alcohol/drug abuse svc nos |
435 |
236 |
$34K |
| 96374 |
|
2,734 |
2,485 |
$33K |
| 93971 |
|
612 |
563 |
$33K |
| 87636 |
|
431 |
407 |
$33K |
| 73130 |
|
2,091 |
1,665 |
$33K |
| 86360 |
|
732 |
704 |
$32K |
| J1756 |
Iron sucrose injection |
2,060 |
1,193 |
$31K |
| 84443 |
|
2,816 |
2,502 |
$29K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,117 |
1,081 |
$26K |
| 73502 |
|
1,231 |
1,147 |
$25K |
| 86359 |
|
732 |
704 |
$25K |
| 77063 |
|
1,003 |
987 |
$25K |
| 83036 |
|
5,826 |
5,597 |
$24K |
| 93356 |
|
230 |
224 |
$23K |
| 76700 |
|
339 |
325 |
$23K |
| A9500 |
Tc99m sestamibi |
170 |
159 |
$21K |
| 82803 |
|
1,903 |
1,718 |
$21K |
| 97597 |
|
563 |
427 |
$21K |
| 70498 |
|
161 |
156 |
$20K |
| 93017 |
|
358 |
339 |
$19K |
| 72110 |
|
625 |
587 |
$19K |
| 96415 |
|
508 |
438 |
$18K |
| 71045 |
|
3,009 |
2,754 |
$18K |
| 94729 |
|
484 |
472 |
$18K |
| 87591 |
|
4,035 |
3,902 |
$17K |
| 83735 |
|
6,248 |
4,765 |
$17K |
| 86480 |
|
331 |
329 |
$16K |
| 73110 |
|
1,058 |
894 |
$16K |
| 73700 |
|
201 |
178 |
$16K |
| 82306 |
|
739 |
698 |
$16K |
| 83880 |
|
1,118 |
1,033 |
$15K |
| 76830 |
|
294 |
283 |
$15K |
| 72100 |
|
734 |
700 |
$15K |
| 85027 |
|
3,871 |
3,258 |
$14K |
| J2785 |
Regadenoson injection |
187 |
178 |
$14K |
| 90832 |
|
2,487 |
1,473 |
$14K |
| 84484 |
|
2,680 |
2,293 |
$14K |
| OP710 |
|
283 |
164 |
$14K |
| 96361 |
|
1,900 |
1,696 |
$14K |
| 86803 |
|
986 |
965 |
$14K |
| 88175 |
|
701 |
696 |
$13K |
| 70496 |
|
103 |
102 |
$13K |
| 73590 |
|
774 |
659 |
$12K |
| 82728 |
|
1,639 |
1,518 |
$12K |
| 96375 |
|
1,563 |
1,379 |
$12K |
| 90853 |
|
2,160 |
845 |
$12K |
| 76856 |
|
299 |
288 |
$12K |
| 74246 |
|
185 |
179 |
$11K |
| 80076 |
|
3,099 |
2,768 |
$11K |
| 76536 |
|
192 |
189 |
$11K |
| 87624 |
|
459 |
454 |
$11K |
| 93970 |
|
160 |
153 |
$11K |
| 85730 |
|
3,161 |
2,769 |
$11K |
| 85610 |
|
4,370 |
3,695 |
$11K |
| 96376 |
|
330 |
297 |
$10K |
| 96360 |
|
754 |
697 |
$10K |
| 86850 |
|
2,020 |
1,815 |
$10K |
| 96372 |
|
1,585 |
1,337 |
$10K |
| 94640 |
|
438 |
325 |
$10K |
| 73521 |
|
440 |
418 |
$10K |
| 20680 |
|
12 |
12 |
$10K |
| OP250 |
|
3,377 |
1,827 |
$10K |
| 94010 |
|
732 |
712 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,972 |
3,734 |
$9K |
| 70491 |
|
84 |
80 |
$9K |
| 84466 |
|
1,394 |
1,296 |
$9K |
| 93923 |
|
187 |
176 |
$9K |
| 76705 |
|
244 |
240 |
$9K |
| 72040 |
|
412 |
401 |
$9K |
| 87661 |
|
2,047 |
1,987 |
$8K |
| 99211 |
|
2,429 |
1,983 |
$8K |
| Q3014 |
Telehealth facility fee |
2,276 |
1,945 |
$8K |
| 84100 |
|
3,302 |
2,703 |
$8K |
| 36902 |
|
31 |
26 |
$8K |
| C1725 |
Cath, translumin non-laser |
94 |
80 |
$7K |
| 73552 |
|
399 |
367 |
$7K |
| 83605 |
|
1,967 |
1,744 |
$7K |
| 87086 |
|
1,715 |
1,613 |
$7K |
| Q0162 |
Ondansetron oral |
1,619 |
1,211 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
331 |
320 |
$7K |
| 82607 |
|
899 |
866 |
$7K |
| 83540 |
|
1,483 |
1,377 |
$6K |
| 88305 |
|
993 |
928 |
$6K |
| 84153 |
|
450 |
430 |
$6K |
| 80320 |
|
1,023 |
958 |
$6K |
| 86900 |
|
2,177 |
1,970 |
$6K |
| 84702 |
|
784 |
719 |
$6K |
| 94726 |
|
213 |
209 |
$6K |
| 76770 |
|
141 |
127 |
$6K |
| 77002 |
|
185 |
174 |
$6K |
| 81025 |
|
3,312 |
3,104 |
$6K |
| 77080 |
|
115 |
113 |
$6K |
| 87633 |
|
34 |
32 |
$6K |
| 86592 |
|
2,403 |
2,333 |
$5K |
| 86901 |
|
2,078 |
1,862 |
$5K |
| 76801 |
|
112 |
110 |
$5K |
| 82570 |
|
1,338 |
1,260 |
$5K |
| 83970 |
|
224 |
212 |
$5K |
| 73080 |
|
417 |
376 |
$5K |
| 87631 |
|
93 |
88 |
$5K |
| 71275 |
|
29 |
29 |
$5K |
| 82962 |
|
5,170 |
4,049 |
$5K |
| 87088 |
|
1,231 |
1,157 |
$5K |
| 90471 |
|
766 |
722 |
$4K |
| 82043 |
|
981 |
950 |
$4K |
| 87340 |
|
435 |
422 |
$4K |
| 73560 |
|
441 |
329 |
$4K |
| 86704 |
|
331 |
320 |
$4K |
| 73200 |
|
52 |
50 |
$4K |
| 83690 |
|
1,887 |
1,744 |
$4K |
| 86706 |
|
460 |
447 |
$4K |
| 90792 |
|
845 |
699 |
$4K |
| 90715 |
|
1,181 |
1,138 |
$4K |
| 81003 |
|
2,800 |
2,623 |
$4K |
| 76882 |
|
202 |
180 |
$4K |
| 80050 |
|
118 |
107 |
$4K |
| 73090 |
|
310 |
255 |
$3K |
| 36591 |
|
93 |
68 |
$3K |
| 72070 |
|
159 |
148 |
$3K |
| 93226 |
|
66 |
63 |
$3K |
| 72131 |
|
42 |
40 |
$3K |
| 99214 |
|
234 |
142 |
$3K |
| 74174 |
|
13 |
13 |
$3K |
| 81001 |
|
1,953 |
1,835 |
$3K |
| 96366 |
|
306 |
268 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
64 |
62 |
$3K |
| 73140 |
|
240 |
218 |
$3K |
| 83883 |
|
82 |
74 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
124 |
116 |
$3K |
| 82746 |
|
415 |
403 |
$3K |
| 96367 |
|
157 |
120 |
$3K |
| 82330 |
|
695 |
635 |
$2K |
| 87077 |
|
645 |
601 |
$2K |
| C1769 |
Guide wire |
87 |
79 |
$2K |
| 86682 |
|
44 |
43 |
$2K |
| 93975 |
|
27 |
25 |
$2K |
| 87040 |
|
259 |
231 |
$2K |
| 99291 |
|
14 |
12 |
$2K |
| 73060 |
|
203 |
175 |
$2K |
| 85384 |
|
454 |
426 |
$2K |
| 80354 |
|
130 |
125 |
$2K |
| 82378 |
|
224 |
181 |
$2K |
| 87635 |
|
138 |
134 |
$2K |
| 92014 |
|
194 |
176 |
$2K |
| C1894 |
Intro/sheath, non-laser |
57 |
52 |
$2K |
| P9016 |
Rbc leukocytes reduced |
12 |
12 |
$2K |
| 85379 |
|
413 |
383 |
$2K |
| 87186 |
|
485 |
448 |
$2K |
| 86140 |
|
961 |
911 |
$2K |
| 85652 |
|
1,020 |
968 |
$2K |
| 93225 |
|
68 |
65 |
$2K |
| J7120 |
Ringers lactate infusion |
7,561 |
6,356 |
$2K |
| C1887 |
Catheter, guiding |
13 |
12 |
$2K |
| 85007 |
|
662 |
588 |
$1K |
| 87467 |
|
122 |
119 |
$1K |
| 72050 |
|
39 |
38 |
$1K |
| 93926 |
|
16 |
12 |
$1K |
| 72170 |
|
102 |
97 |
$1K |
| 82550 |
|
375 |
337 |
$1K |
| 87502 |
|
16 |
14 |
$1K |
| 74018 |
|
77 |
72 |
$1K |
| 76000 |
|
286 |
275 |
$1K |
| 84439 |
|
214 |
210 |
$917.30 |
| 87070 |
|
369 |
339 |
$907.77 |
| 73120 |
|
87 |
53 |
$893.14 |
| J8540 |
Oral dexamethasone |
2,166 |
959 |
$852.66 |
| 84165 |
|
118 |
106 |
$825.23 |
| 88342 |
|
310 |
292 |
$813.43 |
| OP270 |
|
61 |
41 |
$730.48 |
| 86787 |
|
42 |
42 |
$730.21 |
| 94618 |
|
76 |
71 |
$705.14 |
| 84295 |
|
1,348 |
1,226 |
$684.25 |
| 82784 |
|
44 |
41 |
$674.57 |
| 84132 |
|
1,410 |
1,276 |
$666.86 |
| 87205 |
|
369 |
339 |
$639.60 |
| 82565 |
|
290 |
284 |
$639.54 |
| 84156 |
|
264 |
236 |
$622.91 |
| J3010 |
Fentanyl citrate injection |
6,873 |
5,715 |
$598.95 |
| 73600 |
|
67 |
55 |
$571.13 |
| 76937 |
|
137 |
108 |
$564.49 |
| 86593 |
|
128 |
124 |
$550.20 |
| J2704 |
Inj, propofol, 10 mg |
8,169 |
5,323 |
$541.96 |
| J1170 |
Hydromorphone injection |
2,901 |
1,928 |
$533.48 |
| G0239 |
Oth resp proc, group |
47 |
38 |
$530.61 |
| 11043 |
|
16 |
12 |
$512.34 |
| J2270 |
Morphine sulfate injection |
603 |
484 |
$508.80 |
| J2930 |
Methylprednisolone injection |
312 |
264 |
$505.06 |
| 92134 |
|
315 |
280 |
$477.15 |
| 85045 |
|
198 |
177 |
$471.23 |
| 81015 |
|
325 |
312 |
$465.03 |
| 36430 |
|
14 |
13 |
$464.38 |
| 94060 |
|
26 |
26 |
$454.00 |
| 84436 |
|
101 |
90 |
$452.55 |
| 73100 |
|
31 |
26 |
$440.66 |
| 84479 |
|
102 |
91 |
$426.87 |
| 82375 |
|
188 |
172 |
$411.06 |
| 67028 |
|
34 |
29 |
$407.57 |
| 84403 |
|
28 |
25 |
$403.65 |
| 82947 |
|
672 |
615 |
$361.01 |
| S5000 |
Prescription drug, generic |
52 |
47 |
$359.65 |
| 87081 |
|
106 |
105 |
$342.30 |
| 73620 |
|
46 |
31 |
$308.21 |
| 82248 |
|
103 |
92 |
$305.73 |
| 86160 |
|
20 |
12 |
$297.78 |
| J1650 |
Inj enoxaparin sodium |
1,570 |
811 |
$292.61 |
| 72190 |
|
14 |
12 |
$291.62 |
| 76817 |
|
13 |
12 |
$268.97 |
| J1885 |
Ketorolac tromethamine inj |
5,632 |
4,791 |
$258.50 |
| J1644 |
Inj heparin sodium per 1000u |
2,338 |
1,120 |
$248.86 |
| 84550 |
|
78 |
71 |
$238.55 |
| J3490 |
Drugs unclassified injection |
3,066 |
2,495 |
$210.69 |
| J2795 |
Ropivacaine hcl injection |
563 |
511 |
$205.94 |
| J0690 |
Cefazolin sodium injection |
1,627 |
1,301 |
$204.62 |
| 85018 |
|
703 |
639 |
$202.84 |
| J2405 |
Ondansetron hcl injection |
6,458 |
5,362 |
$198.22 |
| 86038 |
|
29 |
29 |
$185.26 |
| 82105 |
|
13 |
13 |
$171.88 |
| 82010 |
|
89 |
78 |
$161.38 |
| 99202 |
|
129 |
123 |
$151.23 |
| 90686 |
|
13 |
12 |
$150.34 |
| 83615 |
|
204 |
157 |
$143.31 |
| J0696 |
Ceftriaxone sodium injection |
543 |
485 |
$142.32 |
| 83050 |
|
188 |
172 |
$139.89 |
| 86762 |
|
12 |
12 |
$128.63 |
| J3370 |
Vancomycin hcl injection |
60 |
39 |
$106.02 |
| J1100 |
Dexamethasone sodium phos |
1,034 |
872 |
$101.35 |
| J1815 |
Insulin injection |
591 |
346 |
$100.14 |
| 80197 |
|
111 |
76 |
$97.50 |
| J2370 |
Phenylephrine hcl injection |
514 |
482 |
$68.90 |
| G0008 |
Admin influenza virus vac |
92 |
83 |
$68.30 |
| J2765 |
Metoclopramide hcl injection |
817 |
705 |
$66.04 |
| J2060 |
Lorazepam injection |
417 |
346 |
$58.39 |
| J0171 |
Adrenalin epinephrine inject |
236 |
203 |
$57.92 |
| 80349 |
|
18 |
15 |
$53.83 |
| J2250 |
Inj midazolam hydrochloride |
2,047 |
1,811 |
$49.14 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,128 |
850 |
$48.19 |
| J1200 |
Diphenhydramine hcl injectio |
768 |
685 |
$47.23 |
| 84425 |
|
26 |
26 |
$46.90 |
| 99213 |
|
34 |
25 |
$35.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
176 |
134 |
$29.04 |
| J3475 |
Inj magnesium sulfate |
753 |
643 |
$28.55 |
| 85008 |
|
130 |
93 |
$23.55 |
| 92133 |
|
16 |
13 |
$21.52 |
| 87015 |
|
13 |
13 |
$20.19 |
| 85014 |
|
49 |
42 |
$19.38 |
| 90662 |
|
12 |
12 |
$14.63 |
| 76376 |
|
15 |
12 |
$14.26 |
| 99201 |
|
101 |
83 |
$14.12 |
| 84460 |
|
17 |
14 |
$13.48 |
| 99152 |
|
14 |
13 |
$11.39 |
| J1642 |
Inj heparin sodium per 10 u |
14 |
12 |
$10.44 |
| J2001 |
Lidocaine injection |
4,827 |
4,369 |
$10.37 |
| 97161 |
|
13 |
13 |
$9.86 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
12 |
$9.58 |
| J1630 |
Haloperidol injection |
167 |
148 |
$6.61 |
| 88304 |
|
41 |
38 |
$3.17 |
| 82247 |
|
16 |
13 |
$1.63 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,060 |
995 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
28 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
128 |
112 |
$0.00 |
| G1004 |
Cdsm ndsc |
162 |
144 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
921 |
753 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
445 |
404 |
$0.00 |
| J1953 |
Levetiracetam injection |
94 |
75 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
271 |
266 |
$0.00 |
| H0034 |
Med trng & support per 15min |
179 |
145 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
3,125 |
534 |
$0.00 |
| 87481 |
|
28 |
28 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
166 |
103 |
$0.00 |
| 81513 |
|
30 |
30 |
$0.00 |
| 84450 |
|
15 |
12 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
15 |
13 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
38 |
13 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
365 |
251 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
423 |
399 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
1,066 |
667 |
$0.00 |
| J1790 |
Droperidol injection |
194 |
161 |
$0.00 |
| J2920 |
Methylprednisolone injection |
38 |
37 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
269 |
257 |
$0.00 |
| 36000 |
|
109 |
106 |
$0.00 |
| J1940 |
Furosemide injection |
22 |
12 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
54 |
43 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
42 |
39 |
$0.00 |