| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
285,933 |
239,871 |
$27.00M |
| 99283 |
|
44,895 |
40,622 |
$5.28M |
| 99284 |
|
28,212 |
24,768 |
$3.47M |
| 99285 |
|
11,403 |
9,602 |
$1.36M |
| 99282 |
|
8,736 |
8,013 |
$1.11M |
| 96365 |
|
4,490 |
2,744 |
$919K |
| 70450 |
|
3,793 |
3,261 |
$894K |
| 11042 |
|
9,035 |
3,971 |
$870K |
| 99391 |
|
8,073 |
7,231 |
$751K |
| 74176 |
|
2,708 |
2,365 |
$744K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,038 |
3,846 |
$732K |
| 80053 |
|
56,899 |
47,358 |
$677K |
| 97110 |
|
8,226 |
2,515 |
$631K |
| 74177 |
|
2,069 |
1,718 |
$583K |
| 99392 |
|
7,461 |
7,135 |
$571K |
| 43239 |
|
1,540 |
1,359 |
$547K |
| 96361 |
|
2,410 |
2,066 |
$474K |
| 45380 |
|
1,474 |
1,294 |
$429K |
| 45385 |
|
821 |
720 |
$419K |
| 99393 |
|
4,837 |
4,590 |
$339K |
| 87637 |
|
15,209 |
13,340 |
$338K |
| 99281 |
|
2,615 |
2,440 |
$316K |
| 66984 |
|
558 |
382 |
$284K |
| 94640 |
|
1,781 |
1,498 |
$260K |
| 96366 |
|
802 |
539 |
$252K |
| 96413 |
|
2,503 |
1,097 |
$234K |
| 85025 |
|
59,350 |
47,952 |
$230K |
| 99394 |
|
2,778 |
2,603 |
$224K |
| 80061 |
|
14,828 |
13,920 |
$210K |
| 11721 |
|
6,816 |
5,997 |
$187K |
| G0378 |
Hospital observation per hr |
2,348 |
1,083 |
$184K |
| 92507 |
|
2,083 |
735 |
$184K |
| 71260 |
|
835 |
650 |
$179K |
| 84443 |
|
11,458 |
10,422 |
$176K |
| 93306 |
|
749 |
669 |
$176K |
| 20610 |
|
1,047 |
890 |
$176K |
| 36415 |
|
72,028 |
58,936 |
$160K |
| 98926 |
|
3,468 |
3,064 |
$159K |
| 95886 |
|
666 |
546 |
$150K |
| 69436 |
|
115 |
101 |
$146K |
| 80048 |
|
8,717 |
6,819 |
$145K |
| 83036 |
|
9,958 |
9,263 |
$132K |
| 92014 |
|
2,150 |
1,981 |
$131K |
| 76705 |
|
994 |
860 |
$107K |
| 95810 |
|
147 |
132 |
$105K |
| 71046 |
|
4,933 |
4,459 |
$101K |
| 78452 |
|
262 |
218 |
$100K |
| 97112 |
|
1,413 |
507 |
$96K |
| 93975 |
|
600 |
494 |
$89K |
| 94060 |
|
1,483 |
1,247 |
$88K |
| 97140 |
|
2,402 |
856 |
$85K |
| 71250 |
|
829 |
751 |
$79K |
| 82306 |
|
4,065 |
3,734 |
$77K |
| C9803 |
Hopd covid-19 spec collect |
2,779 |
2,650 |
$77K |
| 96360 |
|
378 |
299 |
$75K |
| 95117 |
|
4,126 |
1,445 |
$69K |
| 70553 |
|
298 |
250 |
$61K |
| 92557 |
|
854 |
784 |
$61K |
| 80307 |
|
3,904 |
3,328 |
$60K |
| 76770 |
|
327 |
295 |
$57K |
| 67028 |
|
423 |
364 |
$56K |
| 87502 |
|
3,789 |
3,567 |
$56K |
| 93005 |
|
22,381 |
18,968 |
$54K |
| 87086 |
|
11,365 |
9,993 |
$53K |
| 82607 |
|
3,143 |
2,811 |
$51K |
| 99395 |
|
1,096 |
1,026 |
$48K |
| 73721 |
|
187 |
175 |
$48K |
| 73630 |
|
2,055 |
1,788 |
$48K |
| 76815 |
|
788 |
729 |
$47K |
| 82728 |
|
3,193 |
2,768 |
$45K |
| 73564 |
|
1,232 |
1,081 |
$44K |
| 87491 |
|
2,108 |
1,896 |
$42K |
| 92134 |
|
1,885 |
1,647 |
$41K |
| 95004 |
|
222 |
206 |
$41K |
| 97010 |
|
1,247 |
502 |
$40K |
| 87430 |
|
9,837 |
9,045 |
$40K |
| 76642 |
|
277 |
237 |
$38K |
| 77067 |
|
922 |
857 |
$37K |
| 93017 |
|
397 |
339 |
$37K |
| 97161 |
|
686 |
626 |
$36K |
| 87591 |
|
2,108 |
1,896 |
$36K |
| 85027 |
|
8,040 |
6,878 |
$36K |
| 0241U |
|
647 |
624 |
$36K |
| 84439 |
|
2,005 |
1,737 |
$36K |
| 59025 |
|
311 |
248 |
$35K |
| 80076 |
|
2,423 |
2,206 |
$35K |
| 72148 |
|
193 |
173 |
$34K |
| 97533 |
|
480 |
188 |
$33K |
| 84484 |
|
10,339 |
8,469 |
$31K |
| 97150 |
|
1,177 |
509 |
$31K |
| 97530 |
|
601 |
251 |
$31K |
| 73110 |
|
658 |
569 |
$30K |
| 73030 |
|
1,056 |
908 |
$30K |
| 86803 |
|
1,346 |
1,241 |
$30K |
| 93971 |
|
371 |
324 |
$30K |
| 36591 |
|
1,596 |
786 |
$30K |
| 94729 |
|
606 |
540 |
$29K |
| 81003 |
|
25,978 |
22,927 |
$29K |
| 90677 |
|
1,088 |
1,029 |
$29K |
| 83540 |
|
3,100 |
2,689 |
$29K |
| 90460 |
|
6,846 |
5,903 |
$28K |
| 87389 |
|
1,379 |
1,239 |
$28K |
| 74018 |
|
902 |
785 |
$28K |
| 97162 |
|
553 |
500 |
$27K |
| 86850 |
|
1,502 |
1,260 |
$27K |
| 94726 |
|
503 |
441 |
$26K |
| G0482 |
Drug test def 15-21 classes |
639 |
555 |
$26K |
| 73130 |
|
1,093 |
965 |
$25K |
| 73610 |
|
1,082 |
951 |
$25K |
| 71045 |
|
12,710 |
10,898 |
$25K |
| 72100 |
|
921 |
803 |
$24K |
| 83970 |
|
842 |
783 |
$23K |
| 87070 |
|
3,629 |
3,110 |
$22K |
| 96372 |
|
15,333 |
12,273 |
$22K |
| 83550 |
|
3,035 |
2,638 |
$22K |
| 76830 |
|
401 |
336 |
$21K |
| 76857 |
|
367 |
296 |
$21K |
| 83735 |
|
8,806 |
6,639 |
$20K |
| 76536 |
|
164 |
153 |
$20K |
| 92136 |
|
670 |
583 |
$20K |
| 85610 |
|
4,476 |
2,991 |
$20K |
| 59050 |
|
468 |
409 |
$19K |
| 82570 |
|
1,881 |
1,712 |
$19K |
| J3490 |
Drugs unclassified injection |
7,684 |
4,028 |
$18K |
| 94200 |
|
417 |
382 |
$18K |
| 72125 |
|
658 |
547 |
$18K |
| 92567 |
|
1,210 |
1,127 |
$18K |
| 73502 |
|
581 |
511 |
$17K |
| 83655 |
|
894 |
807 |
$17K |
| 86140 |
|
1,814 |
1,535 |
$17K |
| U0005 |
Infec agen detec ampli probe |
729 |
693 |
$17K |
| 80320 |
|
1,716 |
1,349 |
$17K |
| 86900 |
|
1,499 |
1,258 |
$16K |
| 86901 |
|
1,432 |
1,201 |
$15K |
| 62323 |
|
70 |
68 |
$15K |
| 12001 |
|
94 |
78 |
$15K |
| 70551 |
|
86 |
79 |
$15K |
| 99381 |
|
129 |
117 |
$14K |
| 84436 |
|
907 |
848 |
$14K |
| 90698 |
|
2,044 |
1,777 |
$13K |
| 90715 |
|
1,032 |
864 |
$12K |
| 83615 |
|
1,662 |
1,298 |
$12K |
| 84153 |
|
622 |
567 |
$12K |
| 77063 |
|
217 |
196 |
$12K |
| 82805 |
|
421 |
359 |
$12K |
| 51798 |
|
256 |
209 |
$12K |
| 90670 |
|
1,198 |
975 |
$12K |
| 69210 |
|
395 |
349 |
$11K |
| 87480 |
|
822 |
742 |
$11K |
| 82746 |
|
1,549 |
1,368 |
$11K |
| 97113 |
|
132 |
37 |
$10K |
| 86592 |
|
529 |
464 |
$10K |
| 45378 |
|
18 |
12 |
$10K |
| 86038 |
|
444 |
396 |
$10K |
| 90686 |
|
1,242 |
958 |
$10K |
| 31231 |
|
44 |
42 |
$10K |
| 76811 |
|
149 |
145 |
$9K |
| 82043 |
|
1,457 |
1,338 |
$9K |
| 84702 |
|
648 |
490 |
$9K |
| 87510 |
|
822 |
742 |
$9K |
| 95811 |
|
13 |
13 |
$9K |
| 90633 |
|
1,089 |
936 |
$8K |
| 92083 |
|
245 |
212 |
$8K |
| 70486 |
|
128 |
109 |
$8K |
| 90681 |
|
788 |
693 |
$8K |
| 80069 |
|
321 |
279 |
$8K |
| 87660 |
|
840 |
759 |
$8K |
| 88305 |
|
4,552 |
3,957 |
$8K |
| 90651 |
|
950 |
803 |
$7K |
| 64615 |
|
30 |
28 |
$7K |
| G0481 |
Drug test def 8-14 classes |
102 |
91 |
$7K |
| 73221 |
|
30 |
28 |
$7K |
| 87634 |
|
520 |
495 |
$7K |
| 83520 |
|
251 |
209 |
$7K |
| 84550 |
|
1,133 |
1,037 |
$7K |
| 84480 |
|
690 |
624 |
$6K |
| 90619 |
|
806 |
686 |
$6K |
| J1097 |
Phenylep ketorolac opth soln |
45 |
24 |
$6K |
| 36600 |
|
435 |
369 |
$6K |
| 90471 |
|
972 |
829 |
$6K |
| 87186 |
|
1,808 |
1,460 |
$6K |
| 82550 |
|
3,389 |
2,850 |
$6K |
| 87338 |
|
230 |
207 |
$6K |
| 90672 |
|
687 |
529 |
$6K |
| 84100 |
|
904 |
633 |
$5K |
| 81025 |
|
7,852 |
7,078 |
$5K |
| 86706 |
|
216 |
196 |
$5K |
| 73140 |
|
185 |
158 |
$5K |
| 84703 |
|
734 |
607 |
$5K |
| 76801 |
|
123 |
108 |
$5K |
| G0279 |
Tomosynthesis, mammo |
174 |
151 |
$5K |
| 83880 |
|
986 |
812 |
$5K |
| 85652 |
|
1,260 |
1,080 |
$5K |
| 91320 |
|
84 |
78 |
$5K |
| 87521 |
Neg quan hep c or qual rna |
110 |
87 |
$5K |
| 87340 |
|
436 |
395 |
$5K |
| 87081 |
|
1,900 |
1,719 |
$5K |
| 90744 |
|
965 |
852 |
$5K |
| 82553 |
|
515 |
432 |
$5K |
| 72050 |
|
80 |
62 |
$4K |
| 87040 |
|
1,132 |
890 |
$4K |
| 87088 |
|
1,012 |
840 |
$4K |
| 73590 |
|
218 |
177 |
$4K |
| 73070 |
|
116 |
109 |
$4K |
| 96367 |
|
35 |
24 |
$4K |
| 86003 |
|
205 |
182 |
$4K |
| 82375 |
|
479 |
408 |
$4K |
| U0001 |
2019-ncov diagnostic p |
127 |
118 |
$4K |
| 84146 |
|
288 |
264 |
$4K |
| 90696 |
|
520 |
456 |
$4K |
| 10060 |
|
19 |
18 |
$4K |
| 97750 |
|
118 |
99 |
$4K |
| 83690 |
|
4,992 |
4,195 |
$4K |
| 73090 |
|
158 |
124 |
$4K |
| 85379 |
|
1,299 |
1,073 |
$4K |
| 84156 |
|
572 |
514 |
$3K |
| 96374 |
|
13,660 |
11,554 |
$3K |
| 82575 |
|
279 |
265 |
$3K |
| 99396 |
|
33 |
31 |
$3K |
| 98925 |
|
75 |
69 |
$3K |
| 93970 |
|
17 |
14 |
$3K |
| 83001 |
|
163 |
155 |
$3K |
| 90480 |
|
299 |
232 |
$3K |
| C1780 |
Lens, intraocular (new tech) |
483 |
336 |
$3K |
| 90707 |
|
431 |
379 |
$3K |
| 83993 |
|
144 |
131 |
$3K |
| 73560 |
|
198 |
174 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
19 |
19 |
$3K |
| 84460 |
|
434 |
414 |
$3K |
| 76700 |
|
18 |
12 |
$3K |
| 99406 |
|
68 |
66 |
$3K |
| 72141 |
|
15 |
12 |
$3K |
| G0480 |
Drug test def 1-7 classes |
182 |
163 |
$3K |
| 92250 |
|
93 |
83 |
$3K |
| 85018 |
|
675 |
557 |
$3K |
| 97116 |
|
77 |
28 |
$2K |
| 84403 |
|
122 |
115 |
$2K |
| 85014 |
|
410 |
356 |
$2K |
| 90710 |
|
549 |
471 |
$2K |
| J1756 |
Iron sucrose injection |
225 |
107 |
$2K |
| 85046 |
|
535 |
436 |
$2K |
| 86431 |
|
142 |
121 |
$2K |
| J7050 |
Normal saline solution infus |
2,657 |
1,252 |
$2K |
| 96375 |
|
7,292 |
5,569 |
$2K |
| 72040 |
|
55 |
42 |
$2K |
| 90716 |
|
368 |
323 |
$2K |
| 83002 |
|
129 |
123 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
110 |
87 |
$2K |
| 20553 |
|
17 |
12 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
97 |
96 |
$2K |
| 82784 |
|
141 |
126 |
$2K |
| 82150 |
|
1,915 |
1,637 |
$2K |
| 82950 |
|
208 |
199 |
$2K |
| 72110 |
|
84 |
70 |
$2K |
| 83605 |
|
763 |
608 |
$2K |
| 90658 |
|
121 |
114 |
$2K |
| 93880 |
|
31 |
27 |
$2K |
| 86762 |
|
232 |
213 |
$2K |
| 71101 |
|
112 |
95 |
$2K |
| 92523 |
|
20 |
15 |
$2K |
| 80074 |
|
108 |
82 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
9,335 |
7,806 |
$2K |
| 82670 |
|
56 |
52 |
$2K |
| 87880 |
|
4,855 |
4,653 |
$2K |
| 87077 |
|
628 |
545 |
$2K |
| 86663 |
|
113 |
99 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,141 |
796 |
$1K |
| 90656 |
|
221 |
216 |
$1K |
| 97165 |
|
18 |
13 |
$1K |
| 90660 |
|
183 |
183 |
$1K |
| 86308 |
|
92 |
75 |
$1K |
| 85730 |
|
594 |
469 |
$1K |
| 86664 |
|
113 |
99 |
$1K |
| 86665 |
|
113 |
99 |
$1K |
| 86480 |
|
29 |
28 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
2,676 |
1,041 |
$1K |
| 96376 |
|
573 |
399 |
$1K |
| 86694 |
|
41 |
37 |
$1K |
| 87449 |
|
79 |
68 |
$989.84 |
| 76805 |
|
26 |
19 |
$988.41 |
| 86787 |
|
38 |
32 |
$965.28 |
| 87045 |
|
49 |
39 |
$964.17 |
| 87328 |
|
53 |
44 |
$940.21 |
| 87426 |
|
754 |
713 |
$919.92 |
| 86701 |
|
157 |
147 |
$912.82 |
| J1815 |
Insulin injection |
91 |
55 |
$899.87 |
| 90662 |
|
246 |
230 |
$868.14 |
| 86765 |
|
34 |
28 |
$857.73 |
| 86735 |
|
19 |
16 |
$854.00 |
| J1100 |
Dexamethasone sodium phos |
2,058 |
1,361 |
$715.89 |
| 76870 |
|
12 |
12 |
$714.38 |
| 81001 |
|
229 |
222 |
$658.10 |
| J2270 |
Morphine sulfate injection |
851 |
535 |
$625.01 |
| 80329 |
|
68 |
54 |
$589.22 |
| J3420 |
Vitamin b12 injection |
777 |
587 |
$584.40 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$530.60 |
| J7060 |
5% dextrose/water |
1,420 |
656 |
$528.35 |
| 82533 |
|
29 |
27 |
$523.90 |
| 86695 |
|
41 |
37 |
$513.74 |
| 96127 |
|
13 |
13 |
$511.72 |
| 96523 |
|
15 |
13 |
$508.62 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,004 |
3,311 |
$505.36 |
| J2704 |
Inj, propofol, 10 mg |
3,499 |
2,836 |
$492.43 |
| 84481 |
|
30 |
27 |
$459.97 |
| 82962 |
|
445 |
349 |
$455.54 |
| 95165 |
|
43 |
35 |
$436.97 |
| 86618 |
|
25 |
25 |
$434.48 |
| 72072 |
|
16 |
12 |
$421.20 |
| 72070 |
|
13 |
12 |
$410.69 |
| 51702 |
|
32 |
17 |
$408.22 |
| 97166 |
|
14 |
13 |
$398.82 |
| 88304 |
|
155 |
123 |
$397.89 |
| 92133 |
|
12 |
12 |
$387.85 |
| 00731 |
|
358 |
294 |
$383.12 |
| 00142 |
|
718 |
480 |
$381.37 |
| 74019 |
|
28 |
28 |
$342.00 |
| J1200 |
Diphenhydramine hcl injectio |
911 |
642 |
$322.56 |
| J2543 |
Piperacillin/tazobactam |
108 |
53 |
$304.08 |
| C9113 |
Inj pantoprazole sodium, via |
116 |
71 |
$286.24 |
| C9257 |
Bevacizumab injection |
49 |
41 |
$264.41 |
| J2930 |
Methylprednisolone injection |
454 |
319 |
$259.95 |
| J8499 |
Oral prescrip drug non chemo |
2,646 |
1,884 |
$239.79 |
| Q0163 |
Diphenhydramine hcl 50mg |
106 |
65 |
$227.05 |
| 88312 |
|
397 |
367 |
$220.74 |
| 82542 |
|
29 |
24 |
$209.34 |
| 84144 |
|
14 |
12 |
$208.46 |
| 86780 |
|
14 |
12 |
$197.38 |
| 82977 |
|
21 |
13 |
$197.34 |
| 84402 |
|
14 |
14 |
$195.32 |
| J3410 |
Hydroxyzine hcl injection |
16 |
13 |
$192.65 |
| 87076 |
|
87 |
74 |
$172.75 |
| J3370 |
Vancomycin hcl injection |
120 |
54 |
$171.87 |
| J2360 |
Orphenadrine injection |
897 |
726 |
$160.25 |
| J0780 |
Prochlorperazine injection |
289 |
217 |
$154.23 |
| 85045 |
|
30 |
30 |
$139.20 |
| J3301 |
Triamcinolone acet inj nos |
2,545 |
2,286 |
$137.30 |
| 86141 |
|
55 |
53 |
$133.68 |
| 76856 |
|
15 |
14 |
$125.95 |
| 73100 |
|
13 |
13 |
$118.47 |
| J3010 |
Fentanyl citrate injection |
4,261 |
3,102 |
$112.65 |
| J0690 |
Cefazolin sodium injection |
553 |
332 |
$105.54 |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$103.31 |
| J2405 |
Ondansetron hcl injection |
4,754 |
3,610 |
$97.33 |
| 82248 |
|
14 |
13 |
$90.15 |
| G0008 |
Admin influenza virus vac |
629 |
555 |
$84.77 |
| G2023 |
Specimen collect covid-19 |
81 |
78 |
$73.20 |
| J2919 |
Inj, methylpred sod succ 5mg |
172 |
144 |
$66.98 |
| J2250 |
Inj midazolam hydrochloride |
3,206 |
2,557 |
$54.77 |
| J1170 |
Hydromorphone injection |
54 |
28 |
$53.41 |
| J1644 |
Inj heparin sodium per 1000u |
180 |
68 |
$46.63 |
| G0103 |
Psa screening |
44 |
42 |
$45.01 |
| 90461 |
|
141 |
141 |
$44.88 |
| 87205 |
|
36 |
34 |
$43.94 |
| 82077 |
|
70 |
67 |
$39.19 |
| J0171 |
Adrenalin epinephrine inject |
301 |
209 |
$33.70 |
| J2300 |
Inj nalbuphine hydrochloride |
143 |
114 |
$32.65 |
| G0009 |
Admin pneumococcal vaccine |
218 |
195 |
$30.86 |
| J2469 |
Palonosetron hcl |
73 |
37 |
$26.74 |
| J1040 |
Methylprednisolone 80 mg inj |
74 |
59 |
$25.70 |
| J3475 |
Inj magnesium sulfate |
72 |
51 |
$21.89 |
| J2060 |
Lorazepam injection |
158 |
129 |
$18.33 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
716 |
623 |
$17.81 |
| J3480 |
Inj potassium chloride |
85 |
56 |
$17.78 |
| 94761 |
|
1,989 |
1,608 |
$14.94 |
| J2001 |
Lidocaine injection |
840 |
689 |
$13.68 |
| J2710 |
Neostigmine methylslfte inj |
133 |
95 |
$12.48 |
| J2765 |
Metoclopramide hcl injection |
197 |
168 |
$10.01 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$5.99 |
| Q0169 |
Promethazine hcl 12.5mg oral |
41 |
38 |
$3.72 |
| J7613 |
Albuterol non-comp unit |
91 |
89 |
$1.24 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
31 |
30 |
$1.03 |
| J2785 |
Regadenoson injection |
57 |
46 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
420 |
357 |
$0.00 |
| 00126 |
|
107 |
98 |
$0.00 |
| 94760 |
|
122 |
77 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
36 |
25 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
12 |
$0.00 |
| 00813 |
|
16 |
13 |
$0.00 |
| 91319 |
|
44 |
26 |
$0.00 |
| 01992 |
|
164 |
145 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
131 |
114 |
$0.00 |
| 00811 |
|
194 |
165 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
264 |
219 |
$0.00 |
| 82009 |
|
38 |
27 |
$0.00 |
| 96417 |
|
27 |
13 |
$0.00 |
| 95912 |
|
12 |
12 |
$0.00 |
| 00812 |
|
17 |
12 |
$0.00 |
| 94664 |
|
14 |
12 |
$0.00 |