| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
31,786 |
27,250 |
$3.53M |
| 99283 |
|
29,072 |
25,876 |
$3.47M |
| 0241U |
|
13,953 |
13,176 |
$1.66M |
| 99285 |
|
13,328 |
9,690 |
$993K |
| 88305 |
|
6,318 |
3,041 |
$831K |
| 99282 |
|
5,819 |
5,406 |
$731K |
| 74177 |
|
3,701 |
2,978 |
$453K |
| 43239 |
|
1,668 |
1,370 |
$422K |
| 93005 |
|
21,051 |
16,055 |
$357K |
| 87651 |
|
13,034 |
12,135 |
$315K |
| 85025 |
|
52,775 |
40,547 |
$214K |
| 45380 |
|
781 |
614 |
$207K |
| 87631 |
|
6,285 |
5,568 |
$181K |
| 96374 |
|
10,051 |
7,000 |
$175K |
| 70450 |
|
4,697 |
3,852 |
$175K |
| T1015 |
Clinic service |
2,403 |
1,772 |
$175K |
| 80048 |
|
35,841 |
27,704 |
$158K |
| 93306 |
|
1,111 |
1,013 |
$149K |
| 87491 |
|
6,768 |
5,752 |
$147K |
| 96375 |
|
8,255 |
4,918 |
$138K |
| 87591 |
|
6,637 |
5,532 |
$131K |
| 80053 |
|
22,593 |
18,102 |
$130K |
| 97110 |
|
4,799 |
830 |
$129K |
| 74176 |
|
1,916 |
1,655 |
$123K |
| 80050 |
|
5,032 |
4,322 |
$123K |
| 96365 |
|
3,902 |
2,030 |
$115K |
| 71045 |
|
15,977 |
11,816 |
$107K |
| G0378 |
Hospital observation per hr |
992 |
879 |
$107K |
| U0002 |
Covid-19 lab test non-cdc |
2,998 |
2,364 |
$101K |
| 96372 |
|
5,160 |
3,392 |
$94K |
| 97140 |
|
3,290 |
596 |
$93K |
| 87801 |
|
1,326 |
1,148 |
$83K |
| 36415 |
|
40,958 |
35,147 |
$81K |
| 80061 |
|
10,799 |
9,969 |
$79K |
| 87481 |
|
2,568 |
1,527 |
$78K |
| 81220 |
|
705 |
585 |
$77K |
| 96413 |
|
1,678 |
718 |
$77K |
| 76856 |
|
1,577 |
1,463 |
$75K |
| 87086 |
|
16,451 |
13,697 |
$74K |
| 84484 |
|
14,748 |
9,679 |
$71K |
| 93971 |
|
1,267 |
1,080 |
$70K |
| 71275 |
|
960 |
636 |
$68K |
| 76805 |
|
1,220 |
1,062 |
$66K |
| 80076 |
|
14,863 |
11,846 |
$62K |
| 84443 |
|
7,593 |
6,775 |
$61K |
| 83690 |
|
15,410 |
12,190 |
$60K |
| 95810 |
|
384 |
358 |
$56K |
| 76830 |
|
1,241 |
1,150 |
$55K |
| 82306 |
|
3,524 |
3,265 |
$50K |
| 87661 |
|
3,381 |
3,000 |
$50K |
| 93970 |
|
674 |
529 |
$49K |
| 36591 |
|
1,449 |
521 |
$49K |
| 77067 |
|
2,051 |
1,912 |
$48K |
| 80307 |
|
4,218 |
3,168 |
$47K |
| 83735 |
|
15,059 |
9,749 |
$44K |
| 94640 |
|
2,544 |
1,705 |
$43K |
| 71250 |
|
1,137 |
919 |
$42K |
| 71046 |
|
5,499 |
4,915 |
$42K |
| 95811 |
|
157 |
151 |
$41K |
| 72125 |
|
950 |
768 |
$41K |
| 76801 |
|
825 |
677 |
$38K |
| U0003 |
Cov-19 amp prb hgh thruput |
655 |
501 |
$38K |
| 99281 |
|
244 |
227 |
$37K |
| 99212 |
|
732 |
614 |
$35K |
| 81001 |
|
19,820 |
16,218 |
$34K |
| 83036 |
|
6,674 |
6,137 |
$34K |
| 87799 |
|
702 |
260 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
8,240 |
4,245 |
$33K |
| 76705 |
|
1,325 |
1,021 |
$33K |
| 88175 |
|
1,190 |
1,092 |
$33K |
| 11042 |
|
294 |
117 |
$32K |
| J7050 |
Normal saline solution infus |
4,186 |
2,667 |
$32K |
| 76700 |
|
630 |
584 |
$31K |
| J7030 |
Normal saline solution infus |
6,856 |
5,587 |
$29K |
| 81025 |
|
6,684 |
5,742 |
$29K |
| 88142 |
|
2,301 |
2,162 |
$28K |
| 83880 |
|
2,597 |
1,964 |
$27K |
| 87624 |
|
1,702 |
1,547 |
$26K |
| 84702 |
|
3,314 |
2,507 |
$26K |
| 82728 |
|
3,359 |
2,949 |
$25K |
| 99213 |
|
476 |
371 |
$25K |
| G0480 |
Drug test def 1-7 classes |
2,016 |
1,653 |
$24K |
| 76816 |
|
626 |
560 |
$24K |
| 80320 |
|
947 |
514 |
$23K |
| 73130 |
|
1,669 |
1,436 |
$22K |
| 70551 |
|
472 |
410 |
$22K |
| 85027 |
|
7,350 |
5,971 |
$21K |
| 87150 |
|
665 |
513 |
$21K |
| 86803 |
|
2,626 |
2,183 |
$21K |
| 73610 |
|
1,495 |
1,305 |
$20K |
| J1439 |
Inj ferric carboxymaltos 1mg |
94 |
37 |
$19K |
| 80081 |
|
939 |
801 |
$18K |
| 73030 |
|
1,600 |
1,396 |
$18K |
| 96367 |
|
452 |
262 |
$18K |
| 83605 |
|
3,930 |
2,912 |
$18K |
| 82607 |
|
2,244 |
2,100 |
$18K |
| Q0162 |
Ondansetron oral |
2,812 |
1,807 |
$17K |
| 87077 |
|
4,340 |
3,489 |
$17K |
| 99214 |
|
481 |
314 |
$17K |
| 73630 |
|
1,524 |
1,364 |
$16K |
| 73564 |
|
1,232 |
1,075 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
8,370 |
6,336 |
$16K |
| 76819 |
|
940 |
360 |
$16K |
| 84439 |
|
3,273 |
2,913 |
$15K |
| 77063 |
|
2,031 |
1,897 |
$15K |
| 94726 |
|
727 |
634 |
$14K |
| 88342 |
|
356 |
292 |
$14K |
| 87040 |
|
2,404 |
1,741 |
$14K |
| 83550 |
|
2,952 |
2,587 |
$14K |
| 85610 |
|
9,716 |
6,836 |
$13K |
| 81513 |
|
152 |
142 |
$13K |
| 83540 |
|
3,551 |
3,161 |
$13K |
| J2405 |
Ondansetron hcl injection |
9,986 |
6,001 |
$12K |
| 73562 |
|
855 |
787 |
$11K |
| 85730 |
|
6,617 |
4,578 |
$11K |
| 84703 |
|
3,288 |
2,219 |
$11K |
| J1100 |
Dexamethasone sodium phos |
5,518 |
2,843 |
$11K |
| 94729 |
|
755 |
656 |
$11K |
| 87184 |
|
3,744 |
3,040 |
$10K |
| 82805 |
|
934 |
577 |
$10K |
| 80329 |
|
133 |
109 |
$10K |
| 72100 |
|
1,024 |
940 |
$10K |
| 74018 |
|
1,262 |
1,148 |
$10K |
| 82947 |
|
5,347 |
3,087 |
$9K |
| 88304 |
|
738 |
390 |
$9K |
| 86140 |
|
3,337 |
2,787 |
$9K |
| 87512 |
|
317 |
248 |
$9K |
| 94060 |
|
462 |
400 |
$9K |
| 73110 |
|
793 |
700 |
$9K |
| 87070 |
|
2,892 |
2,301 |
$8K |
| 66984 |
|
17 |
12 |
$8K |
| 83021 |
|
914 |
786 |
$8K |
| J3010 |
Fentanyl citrate injection |
5,550 |
2,911 |
$8K |
| 82150 |
|
5,484 |
3,694 |
$7K |
| 97010 |
|
2,197 |
389 |
$7K |
| 70486 |
|
208 |
190 |
$7K |
| 86850 |
|
1,848 |
1,421 |
$7K |
| 77066 |
Tomosynthesis, mammo |
280 |
253 |
$7K |
| 76642 |
|
450 |
391 |
$7K |
| 85379 |
|
2,150 |
1,503 |
$7K |
| G0463 |
Hospital outpt clinic visit |
614 |
337 |
$7K |
| 82746 |
|
936 |
868 |
$6K |
| J2270 |
Morphine sulfate injection |
4,191 |
2,496 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
2,993 |
2,104 |
$6K |
| 76536 |
|
261 |
241 |
$6K |
| 87635 |
|
147 |
142 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,631 |
882 |
$6K |
| 99203 |
|
138 |
117 |
$5K |
| 81003 |
|
4,912 |
4,103 |
$5K |
| 82570 |
|
2,212 |
1,989 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
4,988 |
2,600 |
$5K |
| 86038 |
|
1,065 |
896 |
$5K |
| 82043 |
|
1,770 |
1,623 |
$5K |
| 85652 |
|
3,842 |
3,254 |
$5K |
| 96376 |
|
1,380 |
829 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,795 |
944 |
$5K |
| 90715 |
|
272 |
211 |
$5K |
| 83615 |
|
1,429 |
1,146 |
$5K |
| 76817 |
|
172 |
129 |
$5K |
| 87389 |
|
206 |
184 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
391 |
296 |
$4K |
| 87502 |
|
1,262 |
1,047 |
$4K |
| 82105 |
|
494 |
429 |
$4K |
| 87186 |
|
508 |
420 |
$4K |
| 73502 |
|
385 |
356 |
$4K |
| 96366 |
|
146 |
115 |
$4K |
| J1170 |
Hydromorphone injection |
1,131 |
556 |
$4K |
| 87340 |
|
887 |
657 |
$4K |
| 97530 |
|
234 |
74 |
$4K |
| 86901 |
|
2,752 |
2,206 |
$4K |
| 83970 |
|
278 |
257 |
$4K |
| 94762 |
|
713 |
224 |
$4K |
| 94618 |
|
171 |
153 |
$4K |
| 90471 |
|
379 |
297 |
$3K |
| 99152 |
|
713 |
510 |
$3K |
| 82950 |
|
1,274 |
1,146 |
$3K |
| 71260 |
|
160 |
128 |
$3K |
| 76775 |
|
356 |
324 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
596 |
407 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
2,884 |
760 |
$3K |
| 86376 |
|
407 |
356 |
$3K |
| C1780 |
Lens, intraocular (new tech) |
20 |
14 |
$3K |
| 86703 |
|
908 |
736 |
$3K |
| 93880 |
|
39 |
37 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,632 |
1,181 |
$3K |
| 73080 |
|
273 |
249 |
$3K |
| 83516 |
|
233 |
210 |
$3K |
| J0780 |
Prochlorperazine injection |
123 |
107 |
$3K |
| 97165 |
|
90 |
78 |
$2K |
| 45385 |
|
13 |
12 |
$2K |
| 72040 |
|
351 |
324 |
$2K |
| 96417 |
|
40 |
25 |
$2K |
| 86900 |
|
1,964 |
1,502 |
$2K |
| 84425 |
|
197 |
186 |
$2K |
| J7120 |
Ringers lactate infusion |
395 |
306 |
$2K |
| G0103 |
Psa screening |
542 |
512 |
$2K |
| 84403 |
|
84 |
77 |
$2K |
| 83020 |
|
172 |
145 |
$2K |
| 82784 |
|
295 |
247 |
$2K |
| 82247 |
|
586 |
448 |
$2K |
| 86235 |
|
158 |
91 |
$2K |
| 77065 |
Tomosynthesis, mammo |
68 |
63 |
$2K |
| 86480 |
|
67 |
64 |
$2K |
| J2060 |
Lorazepam injection |
1,364 |
591 |
$2K |
| 84550 |
|
1,007 |
844 |
$2K |
| J2930 |
Methylprednisolone injection |
953 |
656 |
$2K |
| J1756 |
Iron sucrose injection |
33 |
13 |
$2K |
| J2310 |
Inj naloxone hydrochloride |
85 |
68 |
$2K |
| 82550 |
|
806 |
672 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
139 |
66 |
$2K |
| 86592 |
|
863 |
708 |
$2K |
| 87081 |
|
399 |
353 |
$1K |
| 84436 |
|
383 |
346 |
$1K |
| 84156 |
|
839 |
702 |
$1K |
| 86618 |
|
232 |
211 |
$1K |
| 84100 |
|
995 |
678 |
$1K |
| 84165 |
|
242 |
215 |
$1K |
| 97161 |
|
78 |
64 |
$1K |
| 87147 |
|
781 |
656 |
$1K |
| 97162 |
|
109 |
92 |
$1K |
| 74019 |
|
273 |
240 |
$1K |
| 78815 |
|
12 |
12 |
$1K |
| 82977 |
|
312 |
283 |
$1K |
| 96523 |
|
17 |
13 |
$1K |
| J2543 |
Piperacillin/tazobactam |
57 |
27 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
35 |
30 |
$1K |
| 73590 |
|
168 |
126 |
$994.39 |
| 82803 |
|
220 |
149 |
$961.10 |
| 86160 |
|
97 |
87 |
$959.08 |
| 86431 |
|
531 |
426 |
$955.20 |
| 83655 |
|
299 |
268 |
$940.90 |
| 87641 |
|
103 |
94 |
$919.96 |
| J0131 |
Inj, acetaminophen (nos) |
2,622 |
620 |
$914.24 |
| 80069 |
|
465 |
315 |
$877.45 |
| 84146 |
|
70 |
67 |
$856.12 |
| 93922 |
|
87 |
73 |
$854.42 |
| 82248 |
|
449 |
375 |
$850.61 |
| U0005 |
Infec agen detec ampli probe |
235 |
130 |
$850.00 |
| 83525 |
|
118 |
115 |
$831.99 |
| 84460 |
|
429 |
368 |
$785.17 |
| 73560 |
|
122 |
99 |
$698.11 |
| 87899 |
|
72 |
66 |
$684.43 |
| 73565 |
|
39 |
39 |
$659.10 |
| 93925 |
|
29 |
28 |
$654.24 |
| 73090 |
|
47 |
43 |
$651.60 |
| J0360 |
Hydralazine hcl injection |
85 |
66 |
$538.68 |
| 83001 |
|
39 |
37 |
$525.41 |
| 36000 |
|
209 |
172 |
$506.63 |
| 86762 |
|
40 |
30 |
$469.60 |
| 86141 |
|
116 |
95 |
$461.68 |
| 82375 |
|
46 |
38 |
$461.33 |
| 12001 |
|
42 |
37 |
$456.62 |
| 85018 |
|
1,484 |
1,162 |
$454.60 |
| J2370 |
Phenylephrine hcl injection |
209 |
151 |
$438.94 |
| 99211 |
|
116 |
100 |
$434.02 |
| 72072 |
|
13 |
13 |
$429.16 |
| 73140 |
|
108 |
95 |
$429.09 |
| J0171 |
Adrenalin epinephrine inject |
183 |
63 |
$425.74 |
| C1769 |
Guide wire |
179 |
33 |
$423.02 |
| 84402 |
|
16 |
13 |
$399.75 |
| 86200 |
|
62 |
56 |
$393.64 |
| 80074 |
|
109 |
92 |
$386.51 |
| 86255 |
|
19 |
14 |
$386.01 |
| 71101 |
|
59 |
53 |
$375.20 |
| 85014 |
|
1,252 |
1,056 |
$374.02 |
| J7510 |
Prednisolone oral per 5 mg |
236 |
208 |
$368.91 |
| 95816 |
|
15 |
12 |
$359.33 |
| 93225 |
|
60 |
56 |
$356.94 |
| 80055 |
|
47 |
40 |
$331.57 |
| 80177 |
|
102 |
81 |
$327.75 |
| J7060 |
5% dextrose/water |
150 |
63 |
$319.50 |
| 87205 |
|
117 |
95 |
$318.14 |
| 10060 |
|
74 |
63 |
$310.49 |
| 82103 |
|
31 |
25 |
$297.81 |
| 85007 |
|
115 |
99 |
$282.24 |
| 87046 |
|
73 |
67 |
$266.06 |
| 97116 |
|
22 |
13 |
$263.92 |
| 86800 |
|
14 |
13 |
$260.43 |
| 93226 |
|
60 |
56 |
$257.30 |
| 81050 |
|
120 |
110 |
$254.94 |
| 82009 |
|
136 |
119 |
$251.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
648 |
538 |
$243.60 |
| 87045 |
|
72 |
66 |
$240.82 |
| 86021 |
|
19 |
14 |
$229.51 |
| 84155 |
|
228 |
202 |
$187.26 |
| 72131 |
|
13 |
12 |
$179.13 |
| 86225 |
|
53 |
49 |
$179.07 |
| 87088 |
|
26 |
24 |
$174.23 |
| 83010 |
|
12 |
12 |
$168.99 |
| J3490 |
Drugs unclassified injection |
1,095 |
288 |
$166.46 |
| 84450 |
|
153 |
118 |
$161.97 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$148.06 |
| 85041 |
|
898 |
773 |
$122.93 |
| 87210 |
|
49 |
43 |
$115.34 |
| 74022 |
|
95 |
86 |
$115.29 |
| 76870 |
|
46 |
43 |
$110.30 |
| J3475 |
Inj magnesium sulfate |
38 |
26 |
$105.42 |
| 86308 |
|
18 |
16 |
$100.29 |
| 72110 |
|
35 |
30 |
$97.89 |
| J2001 |
Lidocaine injection |
36 |
30 |
$93.09 |
| J7040 |
Normal saline solution infus |
210 |
157 |
$68.98 |
| 87880 |
|
124 |
101 |
$59.16 |
| 87493 |
|
32 |
27 |
$47.18 |
| J3480 |
Inj potassium chloride |
79 |
40 |
$46.19 |
| J0330 |
Succinycholine chloride inj |
28 |
26 |
$45.95 |
| 82272 |
|
103 |
80 |
$42.26 |
| 84480 |
|
147 |
135 |
$38.19 |
| J3301 |
Triamcinolone acet inj nos |
20 |
14 |
$35.69 |
| 93017 |
|
13 |
12 |
$34.91 |
| 82140 |
|
16 |
12 |
$32.06 |
| 82565 |
|
81 |
69 |
$29.80 |
| 87209 |
|
14 |
12 |
$21.75 |
| J1630 |
Haloperidol injection |
33 |
26 |
$21.38 |
| J2300 |
Inj nalbuphine hydrochloride |
16 |
12 |
$18.62 |
| 80185 |
|
116 |
25 |
$16.36 |
| 86704 |
|
95 |
28 |
$14.88 |
| 84520 |
|
32 |
28 |
$13.97 |
| 87177 |
|
14 |
12 |
$10.77 |
| J0290 |
Ampicillin 500 mg inj |
27 |
26 |
$9.80 |
| A9270 |
Non-covered item or service |
2,597 |
1,221 |
$6.64 |
| 96160 |
|
15 |
13 |
$6.08 |
| 85045 |
|
16 |
14 |
$5.34 |
| J0713 |
Inj ceftazidime per 500 mg |
33 |
14 |
$3.81 |
| G8978 |
Mobility current status |
103 |
70 |
$0.01 |
| 96127 |
|
27 |
13 |
$0.00 |
| 83002 |
|
12 |
12 |
$0.00 |
| 94010 |
|
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
126 |
84 |
$0.00 |
| G8985 |
Carry goal status |
37 |
27 |
$0.00 |
| 82785 |
|
29 |
27 |
$0.00 |
| 86003 |
|
14 |
12 |
$0.00 |
| 90658 |
|
30 |
29 |
$0.00 |
| G8984 |
Carry current status |
35 |
27 |
$0.00 |
| 83721 |
|
15 |
12 |
$0.00 |
| 86923 |
|
14 |
12 |
$0.00 |