| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
71,763 |
65,439 |
$6.37M |
| 99284 |
|
61,219 |
52,623 |
$5.66M |
| 36415 |
|
93,267 |
63,135 |
$2.03M |
| 99285 |
|
25,740 |
20,886 |
$1.85M |
| 59899 |
|
5,456 |
3,997 |
$1.34M |
| 99282 |
|
15,260 |
14,089 |
$1.27M |
| 70450 |
|
10,317 |
8,632 |
$1.17M |
| 80053 |
|
78,346 |
60,569 |
$1.12M |
| G0463 |
Hospital outpt clinic visit |
13,007 |
10,278 |
$1.00M |
| 74177 |
|
4,981 |
4,323 |
$797K |
| G0378 |
Hospital observation per hr |
23,523 |
11,233 |
$731K |
| 87631 |
|
4,933 |
4,718 |
$666K |
| 96361 |
|
11,502 |
9,351 |
$639K |
| 85025 |
|
109,694 |
80,160 |
$540K |
| G0257 |
Unsched dialysis esrd pt hos |
1,784 |
508 |
$509K |
| 97110 |
|
6,314 |
1,873 |
$398K |
| 59025 |
|
3,394 |
1,783 |
$371K |
| 96374 |
|
24,479 |
19,998 |
$361K |
| 76805 |
|
7,836 |
6,679 |
$339K |
| 80307 |
|
10,839 |
9,148 |
$324K |
| 96413 |
|
4,602 |
2,243 |
$310K |
| 96372 |
|
10,065 |
7,692 |
$294K |
| 97530 |
|
5,258 |
1,656 |
$251K |
| 92507 |
|
2,649 |
834 |
$242K |
| 96365 |
|
4,731 |
3,846 |
$240K |
| 69436 |
|
474 |
453 |
$238K |
| 99212 |
|
2,599 |
1,976 |
$232K |
| 87086 |
|
21,382 |
19,058 |
$227K |
| 74176 |
|
1,690 |
1,448 |
$219K |
| 96360 |
|
5,751 |
4,990 |
$201K |
| 96375 |
|
16,967 |
12,497 |
$190K |
| 81001 |
|
41,607 |
36,127 |
$184K |
| 71275 |
|
1,176 |
1,053 |
$178K |
| 71046 |
|
20,718 |
18,916 |
$177K |
| 80048 |
|
18,804 |
13,433 |
$153K |
| 42820 |
|
213 |
201 |
$147K |
| 76705 |
|
4,006 |
3,558 |
$134K |
| 93306 |
|
1,413 |
1,166 |
$122K |
| J2405 |
Ondansetron hcl injection |
15,474 |
11,859 |
$116K |
| 72125 |
|
3,775 |
3,017 |
$114K |
| 99214 |
|
1,246 |
1,043 |
$114K |
| 87070 |
|
8,757 |
8,286 |
$107K |
| 36430 |
|
2,265 |
1,693 |
$107K |
| J1100 |
Dexamethasone sodium phos |
8,062 |
5,743 |
$101K |
| 84443 |
|
5,559 |
4,516 |
$100K |
| 54160 |
|
107 |
81 |
$100K |
| J1642 |
Inj heparin sodium per 10 u |
4,574 |
2,258 |
$100K |
| 43239 |
|
898 |
749 |
$85K |
| 94640 |
|
9,342 |
6,133 |
$85K |
| 76819 |
|
2,849 |
2,107 |
$84K |
| 71045 |
|
18,076 |
14,259 |
$83K |
| 87635 |
|
4,611 |
3,981 |
$82K |
| 70553 |
|
502 |
452 |
$80K |
| 93005 |
|
25,898 |
20,036 |
$78K |
| 86900 |
|
13,786 |
11,505 |
$76K |
| 87426 |
|
10,200 |
8,348 |
$76K |
| 76856 |
|
2,600 |
2,381 |
$73K |
| 88305 |
|
2,950 |
2,238 |
$73K |
| U0002 |
Covid-19 lab test non-cdc |
4,326 |
3,501 |
$71K |
| 76815 |
|
2,899 |
2,572 |
$70K |
| 99281 |
|
875 |
788 |
$69K |
| 93970 |
|
1,174 |
989 |
$69K |
| 87591 |
|
3,940 |
3,578 |
$69K |
| 85610 |
|
13,376 |
10,449 |
$68K |
| 76775 |
|
1,288 |
1,184 |
$68K |
| 84702 |
|
9,611 |
7,635 |
$67K |
| 41899 |
|
323 |
293 |
$67K |
| 87804 |
|
15,259 |
8,796 |
$67K |
| 86901 |
|
13,780 |
11,500 |
$67K |
| 87340 |
|
6,870 |
6,130 |
$63K |
| 88185 |
|
4,428 |
1,264 |
$61K |
| 74018 |
|
5,374 |
4,984 |
$61K |
| 71260 |
|
1,074 |
914 |
$60K |
| 85730 |
|
10,491 |
8,245 |
$60K |
| 86592 |
|
7,400 |
6,588 |
$58K |
| A4301 |
Implantable access syst perc |
1,864 |
1,061 |
$57K |
| 76641 |
|
1,179 |
817 |
$56K |
| 54161 |
|
100 |
88 |
$56K |
| 97161 |
|
1,536 |
1,276 |
$56K |
| 70486 |
|
823 |
714 |
$56K |
| 86703 |
|
6,641 |
5,971 |
$56K |
| 84436 |
|
432 |
335 |
$55K |
| 96366 |
|
1,418 |
996 |
$53K |
| U0003 |
Cov-19 amp prb hgh thruput |
746 |
662 |
$52K |
| 87801 |
|
5,253 |
4,786 |
$51K |
| 99215 |
Prolong outpt/office vis |
533 |
456 |
$50K |
| J1200 |
Diphenhydramine hcl injectio |
6,627 |
4,399 |
$50K |
| 81025 |
|
7,640 |
6,970 |
$50K |
| 87491 |
|
3,960 |
3,593 |
$50K |
| 88142 |
|
4,197 |
3,873 |
$48K |
| 76830 |
|
1,702 |
1,547 |
$47K |
| 93971 |
|
1,784 |
1,546 |
$45K |
| J2704 |
Inj, propofol, 10 mg |
7,484 |
6,222 |
$45K |
| 70491 |
|
135 |
123 |
$44K |
| 97010 |
|
453 |
116 |
$44K |
| 86850 |
|
9,197 |
7,507 |
$44K |
| 87210 |
|
3,208 |
2,931 |
$41K |
| 86885 |
|
3,990 |
3,507 |
$40K |
| 86762 |
|
4,200 |
3,688 |
$39K |
| 77067 |
|
1,848 |
1,686 |
$38K |
| 78815 |
|
316 |
259 |
$37K |
| 85660 |
|
5,128 |
4,556 |
$37K |
| 84484 |
|
13,411 |
9,482 |
$35K |
| 82677 |
|
2,028 |
1,875 |
$34K |
| 83735 |
|
7,757 |
5,302 |
$34K |
| 82950 |
|
3,206 |
3,044 |
$31K |
| 83690 |
|
12,970 |
11,075 |
$31K |
| G0480 |
Drug test def 1-7 classes |
6,977 |
5,456 |
$30K |
| 87077 |
|
2,750 |
2,320 |
$29K |
| 78452 |
|
126 |
104 |
$28K |
| 83020 |
|
3,601 |
2,162 |
$28K |
| 82105 |
|
2,383 |
2,133 |
$28K |
| 12011 |
|
437 |
395 |
$28K |
| P9051 |
Blood, l/r, cmv-neg |
1,511 |
1,207 |
$27K |
| 73564 |
|
2,196 |
1,754 |
$27K |
| 96415 |
|
474 |
292 |
$26K |
| 73030 |
|
1,833 |
1,509 |
$26K |
| 72131 |
|
1,007 |
866 |
$26K |
| 76817 |
|
3,200 |
2,450 |
$25K |
| 96417 |
|
604 |
378 |
$25K |
| J2270 |
Morphine sulfate injection |
8,854 |
5,747 |
$25K |
| 93975 |
|
392 |
355 |
$24K |
| J0690 |
Cefazolin sodium injection |
3,115 |
2,285 |
$23K |
| 87420 |
|
1,441 |
1,380 |
$23K |
| 73610 |
|
1,754 |
1,512 |
$22K |
| 73630 |
|
2,265 |
1,865 |
$22K |
| 87486 |
|
1,528 |
1,395 |
$22K |
| 76816 |
|
373 |
345 |
$22K |
| 70551 |
|
125 |
111 |
$22K |
| J7030 |
Normal saline solution infus |
10,523 |
8,048 |
$21K |
| 73130 |
|
1,643 |
1,376 |
$21K |
| 80061 |
|
5,169 |
4,218 |
$21K |
| 86336 |
|
2,022 |
1,870 |
$20K |
| 82550 |
|
6,076 |
4,688 |
$18K |
| 76801 |
|
2,204 |
1,897 |
$18K |
| 83036 |
|
4,181 |
3,439 |
$18K |
| 87040 |
|
6,066 |
5,245 |
$17K |
| J1644 |
Inj heparin sodium per 1000u |
1,437 |
559 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
8,607 |
7,155 |
$17K |
| 76811 |
|
262 |
220 |
$16K |
| 84703 |
|
10,132 |
8,930 |
$16K |
| 73110 |
|
1,242 |
1,063 |
$16K |
| 45380 |
|
66 |
64 |
$15K |
| 93886 |
|
120 |
119 |
$14K |
| 0202U |
|
355 |
339 |
$14K |
| C1889 |
Implant/insert device, noc |
305 |
280 |
$14K |
| 83880 |
|
3,909 |
3,182 |
$13K |
| 87798 |
|
4,671 |
2,736 |
$13K |
| 84100 |
|
3,191 |
2,206 |
$13K |
| 96523 |
|
423 |
278 |
$13K |
| 86902 |
|
836 |
749 |
$13K |
| 10060 |
|
362 |
323 |
$13K |
| 88184 |
|
1,882 |
1,361 |
$13K |
| 76536 |
|
235 |
209 |
$13K |
| 99213 |
|
168 |
155 |
$13K |
| 93976 |
|
776 |
701 |
$12K |
| 87186 |
|
4,032 |
3,444 |
$12K |
| 81220 |
|
82 |
75 |
$12K |
| 88304 |
|
1,043 |
965 |
$12K |
| 84439 |
|
1,637 |
1,343 |
$11K |
| 74022 |
|
2,135 |
1,797 |
$11K |
| 86923 |
|
1,784 |
1,387 |
$11K |
| 73502 |
|
1,112 |
920 |
$11K |
| 86140 |
|
6,981 |
6,219 |
$10K |
| 73090 |
|
767 |
627 |
$10K |
| 82728 |
|
3,834 |
3,259 |
$9K |
| 72100 |
|
995 |
877 |
$9K |
| 99204 |
|
98 |
80 |
$9K |
| 87633 |
|
1,214 |
1,101 |
$8K |
| 73560 |
|
725 |
572 |
$8K |
| 87536 |
|
1,126 |
931 |
$8K |
| 87088 |
|
2,739 |
2,380 |
$8K |
| 82274 |
|
652 |
560 |
$8K |
| 12001 |
|
178 |
167 |
$8K |
| 87624 |
|
1,129 |
1,001 |
$7K |
| 82378 |
|
1,409 |
944 |
$7K |
| 83605 |
|
2,249 |
1,814 |
$7K |
| 95810 |
|
13 |
12 |
$7K |
| 87045 |
|
389 |
360 |
$6K |
| 73590 |
|
1,011 |
820 |
$6K |
| A9270 |
Non-covered item or service |
2,806 |
1,292 |
$6K |
| 82306 |
|
1,762 |
1,486 |
$6K |
| J3490 |
Drugs unclassified injection |
1,487 |
912 |
$6K |
| 77080 |
|
163 |
138 |
$6K |
| J0330 |
Succinycholine chloride inj |
1,647 |
1,397 |
$6K |
| 83615 |
|
2,811 |
2,272 |
$6K |
| 88313 |
|
1,181 |
838 |
$6K |
| 71250 |
|
156 |
122 |
$6K |
| 93017 |
|
248 |
208 |
$6K |
| 87205 |
|
1,380 |
1,148 |
$6K |
| 96376 |
|
2,491 |
1,887 |
$5K |
| 80329 |
|
482 |
356 |
$5K |
| 84550 |
|
1,241 |
1,038 |
$5K |
| 82607 |
|
1,672 |
1,329 |
$5K |
| J2060 |
Lorazepam injection |
2,011 |
1,472 |
$5K |
| 83540 |
|
1,484 |
1,140 |
$5K |
| 82947 |
|
475 |
405 |
$4K |
| 85651 |
|
1,767 |
1,483 |
$4K |
| J0360 |
Hydralazine hcl injection |
2,015 |
1,293 |
$4K |
| 84156 |
|
914 |
674 |
$4K |
| 85046 |
|
8,347 |
7,098 |
$4K |
| 82951 |
|
315 |
309 |
$4K |
| P9016 |
Rbc leukocytes reduced |
75 |
58 |
$4K |
| J2370 |
Phenylephrine hcl injection |
723 |
516 |
$4K |
| 88312 |
|
1,106 |
787 |
$4K |
| 72110 |
|
334 |
283 |
$4K |
| 87147 |
|
1,440 |
1,102 |
$4K |
| 83550 |
|
1,421 |
1,074 |
$4K |
| 76870 |
|
138 |
120 |
$4K |
| J2765 |
Metoclopramide hcl injection |
1,655 |
1,404 |
$4K |
| 82803 |
|
801 |
660 |
$4K |
| 82570 |
|
1,848 |
1,362 |
$4K |
| 73140 |
|
247 |
220 |
$4K |
| 90471 |
|
1,418 |
1,097 |
$4K |
| 87581 |
|
1,523 |
1,395 |
$3K |
| J2001 |
Lidocaine injection |
469 |
423 |
$3K |
| J1650 |
Inj enoxaparin sodium |
3,223 |
1,744 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,518 |
2,035 |
$3K |
| A9552 |
F18 fdg |
389 |
312 |
$3K |
| 73070 |
|
485 |
400 |
$3K |
| 80320 |
|
567 |
452 |
$3K |
| 87507 |
|
48 |
44 |
$3K |
| 80076 |
|
782 |
649 |
$3K |
| 90715 |
|
1,281 |
1,031 |
$3K |
| 87081 |
|
76 |
65 |
$2K |
| 82952 |
|
317 |
312 |
$2K |
| 82248 |
|
1,810 |
1,505 |
$2K |
| 86803 |
|
923 |
827 |
$2K |
| 84112 |
|
308 |
268 |
$2K |
| 81003 |
|
379 |
283 |
$2K |
| 72170 |
|
605 |
465 |
$2K |
| 00731 |
|
179 |
154 |
$2K |
| J7050 |
Normal saline solution infus |
895 |
369 |
$2K |
| 84132 |
|
774 |
609 |
$2K |
| 88342 |
|
274 |
116 |
$2K |
| 84153 |
|
469 |
362 |
$2K |
| 85379 |
|
1,399 |
1,254 |
$2K |
| 82553 |
|
453 |
254 |
$2K |
| 82746 |
|
1,227 |
966 |
$2K |
| J1815 |
Insulin injection |
110 |
56 |
$2K |
| 73100 |
|
46 |
38 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
205 |
173 |
$2K |
| 82150 |
|
582 |
532 |
$2K |
| J1170 |
Hydromorphone injection |
1,261 |
784 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
749 |
655 |
$2K |
| Q0244 |
Casirivi and imdevi 1200 mg |
38 |
34 |
$2K |
| 82247 |
|
273 |
190 |
$1K |
| 87430 |
|
1,484 |
1,399 |
$1K |
| 93308 |
|
40 |
37 |
$1K |
| J0561 |
Penicillin g benzathine inj |
61 |
60 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$1K |
| 77065 |
Tomosynthesis, mammo |
47 |
36 |
$1K |
| 86706 |
|
208 |
179 |
$1K |
| 73080 |
|
150 |
135 |
$1K |
| 87184 |
|
468 |
411 |
$1K |
| 36600 |
|
706 |
598 |
$1K |
| 85027 |
|
4,428 |
3,827 |
$1K |
| 86704 |
|
164 |
140 |
$1K |
| 80074 |
|
292 |
233 |
$1K |
| J3475 |
Inj magnesium sulfate |
853 |
603 |
$1K |
| 86922 |
|
259 |
202 |
$1K |
| 73600 |
|
68 |
63 |
$1K |
| 85007 |
|
4,207 |
3,658 |
$1K |
| M0243 |
Casirivi and imdevi inj |
91 |
69 |
$986.62 |
| 86708 |
|
127 |
106 |
$986.52 |
| 90686 |
|
197 |
132 |
$982.69 |
| 72050 |
|
61 |
52 |
$976.57 |
| 72040 |
|
83 |
76 |
$961.76 |
| 86480 |
|
134 |
123 |
$948.31 |
| C1769 |
Guide wire |
53 |
41 |
$908.28 |
| 12002 |
|
65 |
54 |
$894.64 |
| 85384 |
|
628 |
545 |
$881.80 |
| A4216 |
Sterile water/saline, 10 ml |
53 |
39 |
$857.39 |
| 97165 |
|
15 |
13 |
$847.26 |
| 82977 |
|
1,423 |
1,171 |
$835.61 |
| 73552 |
|
202 |
153 |
$818.51 |
| 82533 |
|
37 |
24 |
$804.99 |
| 72070 |
|
56 |
49 |
$797.42 |
| 71101 |
|
13 |
12 |
$763.43 |
| 29125 |
|
105 |
97 |
$738.27 |
| 84145 |
|
732 |
671 |
$682.79 |
| 87046 |
|
487 |
360 |
$673.93 |
| 73060 |
|
68 |
51 |
$665.80 |
| J1756 |
Iron sucrose injection |
85 |
41 |
$649.08 |
| J1630 |
Haloperidol injection |
699 |
569 |
$638.67 |
| 72128 |
|
201 |
172 |
$630.47 |
| J2920 |
Methylprednisolone injection |
1,027 |
588 |
$630.38 |
| 80197 |
|
406 |
196 |
$604.88 |
| 86905 |
|
650 |
591 |
$570.88 |
| 83970 |
|
157 |
98 |
$565.75 |
| 82043 |
|
293 |
260 |
$525.84 |
| 85055 |
|
59 |
26 |
$517.05 |
| J0780 |
Prochlorperazine injection |
294 |
256 |
$494.00 |
| 00170 |
|
596 |
556 |
$474.83 |
| J7510 |
Prednisolone oral per 5 mg |
1,324 |
1,212 |
$474.12 |
| 82010 |
|
528 |
449 |
$391.12 |
| J2785 |
Regadenoson injection |
88 |
72 |
$390.06 |
| 87799 |
|
88 |
27 |
$342.04 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$329.87 |
| A9500 |
Tc99m sestamibi |
128 |
106 |
$319.77 |
| J1956 |
Levofloxacin injection |
44 |
24 |
$304.11 |
| J1940 |
Furosemide injection |
263 |
144 |
$302.82 |
| C9113 |
Inj pantoprazole sodium, via |
442 |
225 |
$294.53 |
| 73620 |
|
15 |
14 |
$279.38 |
| 97116 |
|
179 |
110 |
$267.06 |
| 94150 |
|
20 |
15 |
$265.15 |
| 94664 |
|
782 |
735 |
$263.90 |
| 83883 |
|
37 |
12 |
$250.76 |
| 82784 |
|
225 |
107 |
$229.27 |
| 82525 |
|
56 |
55 |
$192.00 |
| 84630 |
|
111 |
109 |
$179.51 |
| 51701 |
|
449 |
426 |
$171.67 |
| 86300 |
|
42 |
24 |
$155.80 |
| 86870 |
|
40 |
34 |
$139.43 |
| 84403 |
|
26 |
12 |
$135.33 |
| S0119 |
Ondansetron 4 mg |
3,652 |
3,464 |
$102.12 |
| 87497 |
|
25 |
14 |
$99.80 |
| 74019 |
|
78 |
71 |
$95.91 |
| 84446 |
|
68 |
67 |
$93.70 |
| 84590 |
|
68 |
67 |
$93.70 |
| 00813 |
|
30 |
24 |
$89.18 |
| 94729 |
|
18 |
13 |
$88.42 |
| J3370 |
Vancomycin hcl injection |
206 |
125 |
$88.12 |
| J1953 |
Levetiracetam injection |
225 |
163 |
$73.99 |
| J2250 |
Inj midazolam hydrochloride |
170 |
120 |
$65.20 |
| 84481 |
|
37 |
28 |
$51.08 |
| 88300 |
|
73 |
56 |
$36.84 |
| 70360 |
|
77 |
71 |
$36.77 |
| J7120 |
Ringers lactate infusion |
555 |
417 |
$28.57 |
| 96411 |
|
21 |
12 |
$27.08 |
| 00126 |
|
80 |
78 |
$27.08 |
| 85652 |
|
53 |
51 |
$24.05 |
| 94726 |
|
18 |
13 |
$21.92 |
| 86308 |
|
38 |
37 |
$17.40 |
| C9399 |
Unclassified drugs or biolog |
65 |
40 |
$15.05 |
| 73120 |
|
19 |
17 |
$13.54 |
| J3105 |
Terbutaline sulfate inj |
29 |
25 |
$13.54 |
| 83921 |
|
72 |
51 |
$7.80 |
| 87206 |
|
28 |
25 |
$7.61 |
| 82542 |
|
27 |
27 |
$6.68 |
| J8540 |
Oral dexamethasone |
1,946 |
1,726 |
$0.00 |
| 86701 |
|
30 |
27 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
121 |
79 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
280 |
133 |
$0.00 |
| J1790 |
Droperidol injection |
28 |
25 |
$0.00 |
| Q0162 |
Ondansetron oral |
24 |
24 |
$0.00 |
| J1741 |
Ibuprofen injection |
126 |
121 |
$0.00 |
| 88307 |
|
18 |
14 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
46 |
31 |
$0.00 |
| 76820 |
|
25 |
15 |
$0.00 |
| A4351 |
Straight tip urine catheter |
12 |
12 |
$0.00 |
| 36591 |
|
43 |
27 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
22 |
22 |
$0.00 |
| 42830 |
|
15 |
14 |
$0.00 |
| 96368 |
|
15 |
12 |
$0.00 |
| 36416 |
|
14 |
13 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
20 |
20 |
$0.00 |
| 87425 |
|
13 |
13 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
110 |
102 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
161 |
152 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
60 |
59 |
$0.00 |
| 96367 |
|
30 |
26 |
$0.00 |
| 81401 |
|
13 |
13 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
24 |
12 |
$0.00 |
| 00920 |
|
97 |
97 |
$0.00 |
| 29515 |
|
17 |
14 |
$0.00 |
| J7040 |
Normal saline solution infus |
68 |
43 |
$0.00 |
| A4618 |
Breathing circuits |
23 |
23 |
$0.00 |
| C1887 |
Catheter, guiding |
18 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
19 |
14 |
$0.00 |