| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
14,551 |
13,623 |
$2.20M |
| G0378 |
Hospital observation per hr |
1,698 |
1,546 |
$1.50M |
| 99284 |
|
9,740 |
9,393 |
$1.48M |
| 99283 |
|
8,969 |
8,649 |
$1.22M |
| A0431 |
Rotary wing air transport |
126 |
120 |
$374K |
| T1015 |
Clinic service |
7,149 |
3,409 |
$324K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,855 |
3,676 |
$308K |
| 87536 |
|
1,257 |
1,236 |
$168K |
| 74177 |
|
1,571 |
1,513 |
$157K |
| 0002A |
|
3,091 |
3,065 |
$131K |
| 0001A |
|
3,274 |
3,257 |
$117K |
| 87661 |
|
2,836 |
2,745 |
$115K |
| 80053 |
|
14,517 |
12,863 |
$111K |
| 87491 |
|
4,011 |
3,841 |
$106K |
| 87591 |
|
3,843 |
3,680 |
$97K |
| 85025 |
|
26,535 |
23,115 |
$93K |
| 96374 |
|
7,190 |
6,754 |
$90K |
| A0436 |
Rotary wing air mileage |
130 |
125 |
$86K |
| 70450 |
|
1,838 |
1,742 |
$65K |
| 97110 |
|
3,990 |
1,341 |
$64K |
| 70553 |
|
243 |
234 |
$54K |
| 84443 |
|
2,019 |
1,939 |
$49K |
| 87502 |
|
719 |
691 |
$47K |
| 99282 |
|
392 |
377 |
$46K |
| U0005 |
Infec agen detec ampli probe |
2,465 |
2,336 |
$45K |
| 80048 |
|
8,958 |
7,816 |
$45K |
| 71275 |
|
471 |
453 |
$45K |
| 80050 |
|
827 |
798 |
$44K |
| 80061 |
|
2,770 |
2,681 |
$43K |
| 87389 |
|
1,691 |
1,649 |
$42K |
| 93005 |
|
8,619 |
7,940 |
$41K |
| 77067 |
|
419 |
408 |
$41K |
| 80307 |
|
1,096 |
1,010 |
$40K |
| 88175 |
|
985 |
977 |
$39K |
| 93306 |
|
706 |
679 |
$39K |
| 97161 |
|
966 |
900 |
$34K |
| G0476 |
Hpv combo assay ca screen |
684 |
677 |
$32K |
| 82306 |
|
869 |
850 |
$32K |
| 71260 |
|
556 |
543 |
$32K |
| A0426 |
Als 1 |
116 |
114 |
$31K |
| 88184 |
|
743 |
733 |
$31K |
| 0225U |
|
186 |
181 |
$30K |
| 0241U |
|
622 |
604 |
$30K |
| 88185 |
|
950 |
704 |
$28K |
| 70496 |
|
312 |
295 |
$27K |
| 72125 |
|
661 |
634 |
$27K |
| 87481 |
|
526 |
514 |
$26K |
| 86803 |
|
1,501 |
1,465 |
$25K |
| 29581 |
|
1,667 |
447 |
$25K |
| 96375 |
|
2,678 |
2,408 |
$23K |
| 0031A |
|
644 |
641 |
$23K |
| 99281 |
|
199 |
186 |
$22K |
| 70498 |
|
289 |
278 |
$21K |
| A0428 |
Bls |
140 |
132 |
$21K |
| 84484 |
|
3,500 |
3,013 |
$18K |
| 88305 |
|
1,388 |
1,290 |
$18K |
| 84702 |
|
2,235 |
2,060 |
$17K |
| 71250 |
|
302 |
294 |
$16K |
| 83036 |
|
2,211 |
2,146 |
$16K |
| 73721 |
|
55 |
55 |
$16K |
| 97140 |
|
903 |
324 |
$16K |
| 87798 |
|
587 |
568 |
$16K |
| 72148 |
|
101 |
100 |
$15K |
| 71045 |
|
4,080 |
3,794 |
$15K |
| 87637 |
|
214 |
211 |
$14K |
| 86780 |
|
766 |
719 |
$13K |
| 83735 |
|
2,647 |
1,869 |
$13K |
| 93971 |
|
262 |
252 |
$13K |
| 71046 |
|
1,408 |
1,347 |
$13K |
| 87522 |
Neg quan hep c or qual rna |
296 |
279 |
$12K |
| 76642 |
|
261 |
218 |
$12K |
| 97165 |
|
539 |
494 |
$12K |
| 86834 |
|
42 |
36 |
$12K |
| 74176 |
|
267 |
256 |
$11K |
| 83880 |
|
622 |
583 |
$11K |
| 96365 |
|
682 |
641 |
$11K |
| 86835 |
|
42 |
36 |
$10K |
| 84466 |
|
632 |
596 |
$10K |
| 84439 |
|
1,034 |
987 |
$9K |
| 36415 |
|
10,133 |
8,715 |
$9K |
| 85610 |
|
3,469 |
2,837 |
$9K |
| 72141 |
|
40 |
39 |
$9K |
| 87340 |
|
527 |
513 |
$9K |
| 85027 |
|
1,440 |
1,284 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
60 |
55 |
$9K |
| 96361 |
|
1,189 |
1,072 |
$9K |
| 77063 |
|
335 |
327 |
$9K |
| 82607 |
|
807 |
780 |
$9K |
| 76705 |
|
304 |
299 |
$9K |
| 87086 |
|
1,243 |
1,163 |
$8K |
| 95886 |
|
148 |
145 |
$8K |
| 80076 |
|
1,185 |
1,107 |
$8K |
| 93970 |
|
129 |
120 |
$8K |
| 87205 |
|
1,518 |
1,456 |
$7K |
| 70486 |
|
177 |
174 |
$7K |
| 84153 |
|
280 |
266 |
$7K |
| 84403 |
|
207 |
198 |
$7K |
| 82728 |
|
627 |
590 |
$7K |
| 87633 |
|
46 |
43 |
$6K |
| 86850 |
|
1,105 |
1,059 |
$6K |
| 97162 |
|
261 |
248 |
$6K |
| 83970 |
|
136 |
128 |
$6K |
| 0100U |
|
161 |
153 |
$6K |
| 84100 |
|
1,314 |
882 |
$5K |
| 82570 |
|
671 |
646 |
$5K |
| 87636 |
|
57 |
55 |
$5K |
| 86360 |
|
77 |
77 |
$5K |
| 83540 |
|
650 |
617 |
$5K |
| 87040 |
|
403 |
384 |
$5K |
| 82043 |
|
499 |
488 |
$5K |
| 85730 |
|
1,511 |
1,382 |
$5K |
| 83690 |
|
1,957 |
1,791 |
$5K |
| G0328 |
Fecal blood scrn immunoassay |
212 |
209 |
$5K |
| 78452 |
|
64 |
62 |
$4K |
| 96376 |
|
752 |
609 |
$4K |
| 82784 |
|
173 |
161 |
$4K |
| 77336 |
|
97 |
54 |
$4K |
| 96360 |
|
328 |
311 |
$4K |
| 81001 |
|
2,491 |
2,369 |
$4K |
| 70551 |
|
42 |
42 |
$4K |
| 43239 |
|
36 |
34 |
$4K |
| 96372 |
|
1,314 |
979 |
$4K |
| 80299 |
|
236 |
228 |
$4K |
| 82805 |
|
252 |
232 |
$4K |
| 86359 |
|
77 |
77 |
$4K |
| 73610 |
|
336 |
311 |
$4K |
| 83615 |
|
659 |
457 |
$4K |
| 82550 |
|
777 |
647 |
$4K |
| 87070 |
|
639 |
604 |
$4K |
| 88342 |
|
110 |
103 |
$4K |
| 74174 |
|
15 |
14 |
$3K |
| 86357 |
|
77 |
77 |
$3K |
| 73030 |
|
350 |
325 |
$3K |
| 86355 |
|
77 |
77 |
$3K |
| 73560 |
|
441 |
410 |
$3K |
| 90715 |
|
1,050 |
962 |
$3K |
| 87186 |
|
506 |
482 |
$3K |
| 86706 |
|
221 |
212 |
$3K |
| 93975 |
|
41 |
40 |
$3K |
| 86900 |
|
1,110 |
1,062 |
$3K |
| 86901 |
|
1,105 |
1,058 |
$3K |
| 96366 |
|
317 |
271 |
$3K |
| 84999 |
|
788 |
728 |
$3K |
| 73130 |
|
373 |
330 |
$3K |
| 73630 |
|
440 |
384 |
$3K |
| 86038 |
|
153 |
148 |
$3K |
| 83605 |
|
834 |
728 |
$3K |
| 0202U |
|
24 |
23 |
$3K |
| 86762 |
|
102 |
102 |
$3K |
| 87081 |
|
560 |
544 |
$3K |
| 85379 |
|
559 |
533 |
$3K |
| 84550 |
|
444 |
298 |
$3K |
| 81003 |
|
1,177 |
1,128 |
$2K |
| 83001 |
|
99 |
98 |
$2K |
| 87075 |
|
309 |
287 |
$2K |
| 80197 |
|
223 |
143 |
$2K |
| 0003A |
|
109 |
106 |
$2K |
| 77066 |
Tomosynthesis, mammo |
33 |
33 |
$2K |
| 86140 |
|
876 |
810 |
$2K |
| 72100 |
|
137 |
132 |
$2K |
| 77334 |
|
23 |
14 |
$2K |
| 86480 |
|
26 |
26 |
$2K |
| 76856 |
|
61 |
59 |
$2K |
| 86255 |
|
79 |
74 |
$2K |
| 76536 |
|
39 |
38 |
$2K |
| 76830 |
|
42 |
41 |
$2K |
| 84402 |
|
61 |
59 |
$2K |
| 93922 |
|
76 |
71 |
$2K |
| 86592 |
|
401 |
390 |
$2K |
| 70491 |
|
43 |
42 |
$2K |
| 86704 |
|
102 |
97 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
7,055 |
4,422 |
$2K |
| 85652 |
|
782 |
729 |
$2K |
| 93017 |
|
118 |
117 |
$2K |
| 87077 |
|
325 |
312 |
$2K |
| J3490 |
Drugs unclassified injection |
4,602 |
3,360 |
$2K |
| 73502 |
|
174 |
157 |
$2K |
| 72040 |
|
127 |
125 |
$2K |
| J7030 |
Normal saline solution infus |
9,127 |
6,569 |
$2K |
| 82565 |
|
295 |
283 |
$2K |
| 62323 |
|
13 |
13 |
$2K |
| 82746 |
|
183 |
172 |
$2K |
| 76942 |
|
138 |
126 |
$1K |
| 73590 |
|
184 |
169 |
$1K |
| 72131 |
|
42 |
41 |
$1K |
| 73110 |
|
201 |
185 |
$1K |
| 82962 |
|
1,720 |
1,190 |
$1K |
| 86618 |
|
56 |
54 |
$1K |
| 80320 |
|
208 |
198 |
$1K |
| 88341 |
|
16 |
13 |
$1K |
| 74018 |
|
173 |
162 |
$1K |
| 84146 |
|
41 |
40 |
$1K |
| 80348 |
|
23 |
21 |
$1K |
| 81025 |
|
744 |
715 |
$1K |
| A9270 |
Non-covered item or service |
34,581 |
10,164 |
$1K |
| C1769 |
Guide wire |
252 |
224 |
$992.87 |
| 97164 |
|
27 |
26 |
$971.68 |
| J2270 |
Morphine sulfate injection |
2,747 |
1,654 |
$961.56 |
| 97597 |
|
28 |
13 |
$955.73 |
| 84145 |
|
150 |
131 |
$934.35 |
| 82553 |
|
228 |
212 |
$890.65 |
| 76775 |
|
26 |
25 |
$841.85 |
| 83516 |
|
71 |
70 |
$816.19 |
| 72128 |
|
24 |
24 |
$791.71 |
| 87147 |
|
271 |
252 |
$786.93 |
| J7120 |
Ringers lactate infusion |
6,363 |
5,005 |
$753.30 |
| 88312 |
|
15 |
14 |
$723.85 |
| 87486 |
|
46 |
43 |
$683.23 |
| 88142 |
|
30 |
30 |
$680.28 |
| 90471 |
|
306 |
292 |
$636.15 |
| J2785 |
Regadenoson injection |
17 |
12 |
$632.26 |
| 87624 |
|
12 |
12 |
$627.21 |
| 82533 |
|
40 |
36 |
$617.82 |
| 97112 |
|
83 |
26 |
$607.79 |
| 76937 |
|
129 |
119 |
$558.52 |
| J3010 |
Fentanyl citrate injection |
7,422 |
5,180 |
$556.99 |
| 82248 |
|
98 |
93 |
$556.20 |
| 77300 |
|
15 |
12 |
$542.89 |
| 84156 |
|
110 |
101 |
$537.62 |
| A0425 |
Ground mileage |
378 |
364 |
$535.33 |
| J0690 |
Cefazolin sodium injection |
3,104 |
2,014 |
$505.96 |
| 87631 |
|
13 |
13 |
$500.09 |
| 86708 |
|
26 |
26 |
$493.36 |
| 94640 |
|
261 |
145 |
$488.56 |
| 99152 |
|
164 |
156 |
$431.11 |
| 73090 |
|
65 |
60 |
$419.58 |
| 84480 |
|
53 |
52 |
$411.02 |
| 99153 |
Mod sedat endo service >5yrs |
148 |
133 |
$400.51 |
| C1894 |
Intro/sheath, non-laser |
204 |
189 |
$384.78 |
| 77062 |
|
13 |
13 |
$378.59 |
| 0296T |
|
14 |
14 |
$352.28 |
| 84481 |
|
12 |
12 |
$348.59 |
| J1644 |
Inj heparin sodium per 1000u |
4,408 |
1,875 |
$336.29 |
| 82950 |
|
41 |
38 |
$326.95 |
| J1040 |
Methylprednisolone 80 mg inj |
27 |
27 |
$320.61 |
| 86160 |
|
14 |
14 |
$307.06 |
| J3370 |
Vancomycin hcl injection |
605 |
334 |
$302.87 |
| 87880 |
|
140 |
134 |
$300.65 |
| J0780 |
Prochlorperazine injection |
621 |
438 |
$288.47 |
| 84134 |
|
28 |
26 |
$282.17 |
| 83002 |
|
12 |
12 |
$266.93 |
| 86787 |
|
14 |
13 |
$266.31 |
| J1885 |
Ketorolac tromethamine inj |
6,823 |
4,626 |
$261.35 |
| 88304 |
|
70 |
64 |
$260.09 |
| 97166 |
|
28 |
25 |
$258.01 |
| J0696 |
Ceftriaxone sodium injection |
1,371 |
1,013 |
$255.75 |
| 93246 |
|
13 |
13 |
$255.47 |
| 87088 |
|
45 |
40 |
$235.70 |
| 84165 |
|
13 |
12 |
$221.74 |
| J1100 |
Dexamethasone sodium phos |
3,596 |
2,848 |
$213.30 |
| J1650 |
Inj enoxaparin sodium |
1,704 |
790 |
$199.10 |
| 86593 |
|
24 |
24 |
$193.86 |
| 82947 |
|
39 |
37 |
$184.05 |
| J1815 |
Insulin injection |
1,614 |
589 |
$182.14 |
| J2405 |
Ondansetron hcl injection |
7,723 |
5,731 |
$176.14 |
| 73562 |
|
25 |
25 |
$173.44 |
| 85045 |
|
40 |
29 |
$162.61 |
| J1030 |
Methylprednisolone 40 mg inj |
25 |
25 |
$150.42 |
| 83525 |
|
13 |
13 |
$147.62 |
| 80349 |
|
13 |
13 |
$142.60 |
| J2710 |
Neostigmine methylslfte inj |
159 |
98 |
$141.35 |
| 0064A |
|
43 |
43 |
$137.50 |
| 87581 |
|
46 |
43 |
$132.24 |
| 84425 |
|
12 |
12 |
$120.24 |
| 86431 |
|
12 |
12 |
$112.68 |
| 80329 |
|
20 |
20 |
$112.44 |
| 84436 |
|
14 |
14 |
$107.89 |
| 88307 |
|
29 |
26 |
$107.22 |
| 82977 |
|
14 |
12 |
$107.02 |
| J7040 |
Normal saline solution infus |
853 |
621 |
$103.28 |
| 82150 |
|
16 |
13 |
$94.45 |
| 73070 |
|
13 |
13 |
$92.52 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
456 |
269 |
$88.95 |
| J7999 |
Compounded drug, noc |
795 |
690 |
$87.93 |
| 85396 |
|
12 |
12 |
$83.55 |
| 82010 |
|
46 |
41 |
$82.73 |
| J1200 |
Diphenhydramine hcl injectio |
1,655 |
1,220 |
$75.63 |
| J0330 |
Succinycholine chloride inj |
606 |
454 |
$69.61 |
| 97116 |
|
25 |
12 |
$68.60 |
| A9500 |
Tc99m sestamibi |
42 |
40 |
$67.20 |
| J2060 |
Lorazepam injection |
404 |
254 |
$62.08 |
| J2250 |
Inj midazolam hydrochloride |
4,416 |
3,673 |
$53.89 |
| 89051 |
|
19 |
14 |
$47.96 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
314 |
273 |
$39.19 |
| A9585 |
Gadobutrol injection |
24 |
24 |
$38.39 |
| J2001 |
Lidocaine injection |
3,627 |
3,013 |
$36.70 |
| J2765 |
Metoclopramide hcl injection |
302 |
223 |
$34.23 |
| J3475 |
Inj magnesium sulfate |
560 |
436 |
$33.09 |
| J1170 |
Hydromorphone injection |
90 |
67 |
$31.59 |
| G0463 |
Hospital outpt clinic visit |
540 |
425 |
$28.16 |
| J2795 |
Ropivacaine hcl injection |
50 |
39 |
$26.40 |
| 82077 |
|
28 |
24 |
$24.64 |
| C9113 |
Inj pantoprazole sodium, via |
152 |
82 |
$17.04 |
| J2930 |
Methylprednisolone injection |
39 |
25 |
$5.45 |
| J7050 |
Normal saline solution infus |
206 |
156 |
$4.68 |
| 81002 |
|
18 |
17 |
$3.87 |
| J0360 |
Hydralazine hcl injection |
58 |
49 |
$1.68 |
| G1004 |
Cdsm ndsc |
2,996 |
2,370 |
$0.11 |
| J2370 |
Phenylephrine hcl injection |
200 |
137 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |
| 0051A |
|
21 |
21 |
$0.00 |
| 0052A |
|
13 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
309 |
267 |
$0.00 |
| 0071A |
|
34 |
34 |
$0.00 |
| 0004A |
|
27 |
27 |
$0.00 |
| 0054A |
|
31 |
31 |
$0.00 |