| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
53,566 |
38,973 |
$4.17M |
| 99284 |
|
28,925 |
26,083 |
$3.66M |
| 99283 |
|
28,026 |
25,659 |
$3.16M |
| 99285 |
|
16,334 |
14,357 |
$2.49M |
| 99212 |
|
30,346 |
21,523 |
$1.98M |
| 43239 |
|
3,615 |
3,335 |
$1.25M |
| 90834 |
|
8,139 |
4,111 |
$1.22M |
| 97110 |
|
16,614 |
4,424 |
$1.09M |
| 70450 |
|
4,546 |
4,104 |
$1.03M |
| 80053 |
|
56,197 |
48,169 |
$922K |
| 0241U |
|
6,222 |
5,465 |
$752K |
| 74176 |
|
2,224 |
1,995 |
$559K |
| 74177 |
|
2,296 |
1,999 |
$556K |
| 99214 |
|
4,584 |
3,644 |
$489K |
| G0463 |
Hospital outpt clinic visit |
11,194 |
9,571 |
$484K |
| 99282 |
|
4,968 |
4,606 |
$477K |
| 90853 |
|
4,954 |
699 |
$445K |
| 93306 |
|
1,882 |
1,759 |
$428K |
| 80307 |
|
15,444 |
10,900 |
$420K |
| 36415 |
|
55,546 |
46,316 |
$400K |
| 78452 |
|
1,049 |
989 |
$395K |
| G0382 |
Lev 3 hosp type b ed visit |
3,158 |
3,010 |
$330K |
| G0378 |
Hospital observation per hr |
5,299 |
2,267 |
$319K |
| 97014 |
|
7,145 |
2,008 |
$298K |
| 85025 |
|
61,316 |
49,310 |
$278K |
| 96365 |
|
1,548 |
914 |
$271K |
| 80048 |
|
13,966 |
11,156 |
$269K |
| 84443 |
|
14,157 |
12,978 |
$256K |
| 45378 |
|
585 |
519 |
$230K |
| 90791 |
|
1,031 |
951 |
$221K |
| 82306 |
|
7,575 |
7,125 |
$204K |
| 71046 |
|
13,309 |
11,413 |
$183K |
| 96361 |
|
572 |
455 |
$182K |
| G0381 |
Lev 2 hosp type b ed visit |
1,964 |
1,885 |
$179K |
| 80061 |
|
11,368 |
10,607 |
$155K |
| 93458 |
|
299 |
263 |
$154K |
| 90832 |
|
1,502 |
977 |
$146K |
| 96413 |
|
1,862 |
1,040 |
$127K |
| 83036 |
|
7,689 |
7,195 |
$121K |
| 71275 |
|
472 |
417 |
$120K |
| 96367 |
|
924 |
458 |
$109K |
| 94640 |
|
1,112 |
671 |
$103K |
| 78815 |
|
233 |
219 |
$100K |
| 72148 |
|
521 |
475 |
$99K |
| 85027 |
|
8,075 |
6,937 |
$97K |
| U0002 |
Covid-19 lab test non-cdc |
5,517 |
5,369 |
$91K |
| 36591 |
|
3,964 |
2,219 |
$90K |
| 71260 |
|
569 |
514 |
$86K |
| 84439 |
|
4,261 |
3,985 |
$86K |
| J1885 |
Ketorolac tromethamine inj |
16,095 |
11,364 |
$85K |
| J9271 |
Inj pembrolizumab |
15 |
12 |
$85K |
| 73721 |
|
337 |
300 |
$82K |
| 0202U |
|
517 |
478 |
$80K |
| 93017 |
|
959 |
895 |
$80K |
| 93005 |
|
20,268 |
17,292 |
$76K |
| 97140 |
|
2,700 |
733 |
$73K |
| 84484 |
|
13,535 |
11,293 |
$72K |
| 96366 |
|
229 |
149 |
$72K |
| J2405 |
Ondansetron hcl injection |
12,161 |
9,917 |
$70K |
| 70551 |
|
325 |
306 |
$68K |
| 87491 |
|
2,224 |
1,985 |
$65K |
| 72110 |
|
1,556 |
1,390 |
$64K |
| 87086 |
|
10,292 |
9,081 |
$62K |
| 97161 |
|
1,146 |
1,051 |
$61K |
| 71250 |
|
687 |
625 |
$61K |
| 45380 |
|
190 |
174 |
$59K |
| 87081 |
|
6,570 |
6,033 |
$59K |
| 82607 |
|
2,988 |
2,775 |
$58K |
| 76642 |
|
444 |
388 |
$58K |
| 76705 |
|
579 |
530 |
$58K |
| 87070 |
|
6,569 |
6,174 |
$56K |
| 87591 |
|
2,260 |
2,017 |
$55K |
| 80076 |
|
3,528 |
3,308 |
$53K |
| 95885 |
|
203 |
185 |
$52K |
| 96374 |
|
19,093 |
16,549 |
$52K |
| 96372 |
|
11,710 |
9,607 |
$49K |
| 77063 |
|
874 |
807 |
$49K |
| 73564 |
|
2,070 |
1,710 |
$48K |
| 73610 |
|
2,096 |
1,745 |
$48K |
| 96375 |
|
11,863 |
9,560 |
$48K |
| 95810 |
|
64 |
55 |
$46K |
| 97012 |
|
1,209 |
363 |
$46K |
| 91200 |
|
430 |
412 |
$45K |
| 97162 |
|
938 |
844 |
$45K |
| G0383 |
Lev 4 hosp type b ed visit |
364 |
354 |
$44K |
| 81001 |
|
18,128 |
16,201 |
$44K |
| 97112 |
|
1,727 |
427 |
$43K |
| 45385 |
|
100 |
84 |
$43K |
| 76830 |
|
431 |
393 |
$42K |
| 70496 |
|
182 |
162 |
$41K |
| 86850 |
|
1,804 |
1,569 |
$40K |
| 93880 |
|
538 |
504 |
$40K |
| 73630 |
|
2,197 |
1,854 |
$40K |
| 87635 |
|
3,952 |
3,528 |
$39K |
| 76801 |
|
197 |
176 |
$38K |
| 82728 |
|
3,421 |
3,151 |
$38K |
| J7030 |
Normal saline solution infus |
1,449 |
1,099 |
$38K |
| 93454 |
|
53 |
44 |
$37K |
| 76815 |
|
227 |
210 |
$37K |
| 76536 |
|
330 |
314 |
$36K |
| 87502 |
|
1,983 |
1,894 |
$36K |
| 72050 |
|
644 |
584 |
$34K |
| 76805 |
|
179 |
164 |
$34K |
| 99211 |
|
237 |
195 |
$34K |
| 96523 |
|
946 |
694 |
$33K |
| 73030 |
|
1,374 |
1,183 |
$31K |
| J2704 |
Inj, propofol, 10 mg |
8,497 |
7,561 |
$28K |
| 99215 |
Prolong outpt/office vis |
244 |
138 |
$28K |
| 88142 |
|
1,123 |
1,054 |
$26K |
| 85610 |
|
5,640 |
4,136 |
$25K |
| 71045 |
|
7,251 |
6,294 |
$25K |
| 86140 |
|
1,585 |
1,325 |
$25K |
| 70486 |
|
322 |
290 |
$25K |
| 74018 |
|
631 |
554 |
$25K |
| 94060 |
|
267 |
249 |
$25K |
| 81220 |
|
121 |
111 |
$24K |
| 83970 |
|
686 |
643 |
$24K |
| 76856 |
|
106 |
94 |
$24K |
| 73502 |
|
813 |
718 |
$23K |
| 73130 |
|
1,413 |
1,177 |
$23K |
| 83735 |
|
4,574 |
3,521 |
$23K |
| 70553 |
|
81 |
74 |
$23K |
| 81025 |
|
6,411 |
5,594 |
$22K |
| 12001 |
|
144 |
138 |
$22K |
| 86900 |
|
1,889 |
1,592 |
$22K |
| 86592 |
|
993 |
922 |
$22K |
| 81003 |
|
6,170 |
5,568 |
$21K |
| 76770 |
|
114 |
106 |
$21K |
| 87077 |
|
4,002 |
3,544 |
$21K |
| 70491 |
|
61 |
55 |
$20K |
| 72141 |
|
112 |
107 |
$20K |
| 71271 |
|
103 |
92 |
$20K |
| 82565 |
|
1,967 |
1,762 |
$20K |
| 87389 |
|
911 |
832 |
$20K |
| 80074 |
|
731 |
671 |
$19K |
| 90837 |
|
112 |
73 |
$19K |
| 88305 |
|
4,419 |
3,956 |
$19K |
| 99204 |
|
217 |
185 |
$18K |
| 93970 |
|
145 |
128 |
$18K |
| J7120 |
Ringers lactate infusion |
8,517 |
7,097 |
$17K |
| 83550 |
|
2,609 |
2,404 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
3,281 |
2,734 |
$17K |
| 93971 |
|
225 |
212 |
$16K |
| 83690 |
|
6,092 |
5,274 |
$16K |
| 84153 |
|
808 |
735 |
$16K |
| 87040 |
|
2,096 |
1,703 |
$16K |
| 77067 |
|
936 |
862 |
$16K |
| 73110 |
|
879 |
732 |
$15K |
| 96360 |
|
64 |
57 |
$15K |
| 96376 |
|
2,936 |
1,634 |
$14K |
| 82570 |
|
1,327 |
1,205 |
$14K |
| 73562 |
|
310 |
266 |
$14K |
| 86762 |
|
423 |
392 |
$14K |
| 0002A |
|
416 |
393 |
$14K |
| 70498 |
|
296 |
268 |
$13K |
| 43235 |
|
39 |
38 |
$13K |
| 97116 |
|
794 |
341 |
$13K |
| 0001A |
|
433 |
413 |
$13K |
| 87624 |
|
270 |
233 |
$12K |
| 93925 |
|
122 |
113 |
$12K |
| 87186 |
|
3,341 |
2,917 |
$12K |
| 84436 |
|
726 |
665 |
$12K |
| 86038 |
|
490 |
454 |
$12K |
| J3010 |
Fentanyl citrate injection |
2,548 |
2,030 |
$11K |
| 86901 |
|
1,884 |
1,592 |
$11K |
| 87633 |
|
342 |
332 |
$11K |
| 84403 |
|
475 |
433 |
$11K |
| J1170 |
Hydromorphone injection |
3,541 |
2,565 |
$11K |
| 77336 |
|
170 |
66 |
$11K |
| 87880 |
|
8,342 |
7,614 |
$10K |
| 86480 |
|
190 |
177 |
$10K |
| 83605 |
|
2,194 |
1,834 |
$10K |
| 82947 |
|
3,102 |
2,057 |
$10K |
| 84702 |
|
791 |
539 |
$10K |
| 94726 |
|
198 |
185 |
$9K |
| 94664 |
|
1,925 |
1,656 |
$9K |
| 86618 |
|
573 |
481 |
$9K |
| 86803 |
|
325 |
295 |
$9K |
| 85652 |
|
1,545 |
1,299 |
$8K |
| 87486 |
|
333 |
324 |
$8K |
| 94729 |
|
215 |
199 |
$8K |
| 72125 |
|
915 |
809 |
$8K |
| 90715 |
|
478 |
423 |
$8K |
| 87804 |
|
2,641 |
2,232 |
$8K |
| 84481 |
|
524 |
478 |
$8K |
| 82533 |
|
376 |
326 |
$8K |
| 83516 |
|
231 |
209 |
$8K |
| 85014 |
|
1,220 |
1,051 |
$8K |
| 87661 |
|
651 |
565 |
$8K |
| 95811 |
|
16 |
15 |
$8K |
| 87522 |
Neg quan hep c or qual rna |
178 |
157 |
$8K |
| A9552 |
F18 fdg |
256 |
242 |
$8K |
| 82043 |
|
1,041 |
971 |
$8K |
| 82962 |
|
1,878 |
1,269 |
$7K |
| 77062 |
|
169 |
149 |
$7K |
| 82746 |
|
1,089 |
986 |
$7K |
| 81513 |
|
51 |
41 |
$7K |
| 73590 |
|
371 |
321 |
$7K |
| 84100 |
|
2,045 |
1,600 |
$7K |
| 87340 |
|
265 |
235 |
$7K |
| 88304 |
|
348 |
293 |
$6K |
| 99203 |
|
59 |
55 |
$6K |
| 82553 |
|
415 |
382 |
$6K |
| 97530 |
|
464 |
174 |
$6K |
| 82248 |
|
527 |
478 |
$6K |
| J1756 |
Iron sucrose injection |
260 |
65 |
$6K |
| 84156 |
|
1,850 |
1,683 |
$6K |
| 73221 |
|
28 |
27 |
$6K |
| 73700 |
|
36 |
28 |
$5K |
| 72100 |
|
214 |
178 |
$5K |
| 99202 |
|
66 |
64 |
$5K |
| 64493 |
|
12 |
12 |
$5K |
| 86376 |
|
239 |
212 |
$5K |
| 73080 |
|
341 |
298 |
$5K |
| 84480 |
|
477 |
425 |
$5K |
| 84550 |
|
698 |
589 |
$5K |
| 77065 |
Tomosynthesis, mammo |
268 |
226 |
$5K |
| 87205 |
|
1,127 |
977 |
$4K |
| 86704 |
|
138 |
122 |
$4K |
| 77334 |
|
19 |
12 |
$4K |
| 87581 |
|
333 |
324 |
$4K |
| 87798 |
|
334 |
324 |
$4K |
| 86431 |
|
237 |
216 |
$4K |
| 73100 |
|
66 |
55 |
$4K |
| 82550 |
|
1,074 |
838 |
$4K |
| 77066 |
Tomosynthesis, mammo |
333 |
298 |
$4K |
| 86706 |
|
189 |
175 |
$4K |
| 72070 |
|
83 |
70 |
$4K |
| 82784 |
|
316 |
273 |
$4K |
| 83540 |
|
329 |
291 |
$4K |
| 83880 |
|
784 |
696 |
$4K |
| 96415 |
|
29 |
14 |
$4K |
| 83615 |
|
1,654 |
1,447 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,832 |
4,932 |
$3K |
| 85007 |
|
396 |
358 |
$3K |
| 90471 |
|
624 |
520 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
18 |
18 |
$3K |
| 84520 |
|
823 |
720 |
$3K |
| 85730 |
|
1,241 |
930 |
$3K |
| 73560 |
|
176 |
134 |
$3K |
| 88342 |
|
1,623 |
1,439 |
$3K |
| Q0138 |
Ferumoxytol, non-esrd |
38 |
24 |
$3K |
| 87480 |
|
117 |
113 |
$3K |
| 85018 |
|
962 |
814 |
$3K |
| 82670 |
|
81 |
51 |
$3K |
| 73090 |
|
212 |
181 |
$3K |
| J2270 |
Morphine sulfate injection |
3,711 |
2,693 |
$3K |
| 82977 |
|
284 |
241 |
$3K |
| A9500 |
Tc99m sestamibi |
1,039 |
980 |
$2K |
| 80164 |
|
117 |
103 |
$2K |
| 36600 |
|
381 |
330 |
$2K |
| 86709 |
|
83 |
77 |
$2K |
| 72131 |
|
50 |
43 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,437 |
942 |
$2K |
| 87660 |
|
117 |
113 |
$2K |
| 97166 |
|
116 |
86 |
$2K |
| 84460 |
|
292 |
260 |
$2K |
| 86800 |
|
100 |
93 |
$2K |
| 94799 |
|
163 |
78 |
$2K |
| 94618 |
|
12 |
12 |
$2K |
| J2785 |
Regadenoson injection |
642 |
605 |
$2K |
| 99152 |
|
522 |
472 |
$2K |
| 83655 |
|
54 |
49 |
$2K |
| 83921 |
|
153 |
142 |
$2K |
| 86308 |
|
179 |
154 |
$2K |
| 84132 |
|
426 |
346 |
$2K |
| 82803 |
|
449 |
383 |
$1K |
| 84703 |
|
1,189 |
1,013 |
$1K |
| 84165 |
|
179 |
162 |
$1K |
| 85379 |
|
720 |
641 |
$1K |
| 88300 |
|
110 |
92 |
$1K |
| 93270 |
|
13 |
12 |
$1K |
| 97113 |
|
70 |
14 |
$1K |
| 96417 |
|
15 |
12 |
$1K |
| 80051 |
|
57 |
53 |
$1K |
| 81002 |
|
2,233 |
2,035 |
$1K |
| 36592 |
|
348 |
297 |
$1K |
| 87510 |
|
117 |
113 |
$1K |
| 87481 |
|
51 |
41 |
$1K |
| 85045 |
|
715 |
630 |
$1K |
| 80050 |
|
29 |
15 |
$1K |
| 82040 |
|
77 |
65 |
$1K |
| G0480 |
Drug test def 1-7 classes |
266 |
237 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
728 |
379 |
$921.82 |
| 77061 |
|
13 |
12 |
$838.72 |
| 80177 |
|
53 |
45 |
$815.81 |
| 84450 |
|
116 |
105 |
$793.95 |
| 72128 |
|
14 |
13 |
$754.92 |
| 99396 |
|
12 |
12 |
$727.32 |
| J1644 |
Inj heparin sodium per 1000u |
3,241 |
1,459 |
$600.79 |
| 84146 |
|
33 |
25 |
$545.38 |
| 71101 |
|
64 |
53 |
$534.23 |
| 83883 |
|
28 |
25 |
$521.99 |
| 72040 |
|
13 |
12 |
$478.92 |
| 90686 |
|
57 |
56 |
$468.40 |
| 86606 |
|
13 |
12 |
$467.78 |
| J2543 |
Piperacillin/tazobactam |
83 |
40 |
$464.61 |
| 82140 |
|
54 |
43 |
$460.02 |
| J2930 |
Methylprednisolone injection |
1,742 |
1,522 |
$443.49 |
| 0031A |
|
12 |
12 |
$427.28 |
| J0696 |
Ceftriaxone sodium injection |
1,392 |
1,049 |
$420.16 |
| 87430 |
|
1,441 |
1,375 |
$407.05 |
| 86617 |
|
12 |
12 |
$393.12 |
| 86256 |
|
12 |
12 |
$391.86 |
| J1650 |
Inj enoxaparin sodium |
486 |
228 |
$387.33 |
| 80354 |
|
17 |
15 |
$360.50 |
| 87385 |
|
12 |
12 |
$333.83 |
| 80143 |
|
314 |
256 |
$332.34 |
| 86920 |
|
26 |
24 |
$331.26 |
| 85049 |
|
233 |
207 |
$317.35 |
| J1010 |
Inj, methylpred acetate 1 mg |
383 |
347 |
$310.62 |
| 86300 |
|
73 |
61 |
$304.02 |
| 83001 |
|
13 |
12 |
$301.17 |
| 82948 |
|
104 |
58 |
$299.66 |
| 82103 |
|
12 |
12 |
$286.93 |
| 73140 |
|
13 |
12 |
$281.48 |
| 90756 |
|
16 |
15 |
$273.70 |
| J1100 |
Dexamethasone sodium phos |
3,084 |
2,030 |
$270.29 |
| 90460 |
|
29 |
26 |
$235.79 |
| 86331 |
|
12 |
12 |
$233.82 |
| 83002 |
|
17 |
12 |
$225.48 |
| 80179 |
|
303 |
248 |
$204.62 |
| J3370 |
Vancomycin hcl injection |
152 |
75 |
$204.59 |
| J2919 |
Inj, methylpred sod succ 5mg |
399 |
287 |
$201.41 |
| J1030 |
Methylprednisolone 40 mg inj |
1,399 |
1,214 |
$191.31 |
| J0690 |
Cefazolin sodium injection |
1,574 |
1,032 |
$181.80 |
| A9577 |
Inj multihance |
543 |
506 |
$166.41 |
| 82105 |
|
15 |
12 |
$146.09 |
| 82164 |
|
12 |
12 |
$143.49 |
| 82785 |
|
12 |
12 |
$143.49 |
| 87400 |
|
307 |
271 |
$134.61 |
| J1200 |
Diphenhydramine hcl injectio |
1,531 |
1,199 |
$132.14 |
| 84425 |
|
12 |
12 |
$132.01 |
| 82668 |
|
47 |
41 |
$130.19 |
| 84155 |
|
78 |
73 |
$123.71 |
| 82310 |
|
14 |
14 |
$109.41 |
| J2060 |
Lorazepam injection |
620 |
444 |
$99.99 |
| 91300 |
|
854 |
720 |
$90.63 |
| 82150 |
|
70 |
67 |
$83.99 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
132 |
104 |
$82.00 |
| 88311 |
|
21 |
12 |
$68.04 |
| J0171 |
Adrenalin epinephrine inject |
174 |
82 |
$67.10 |
| 82378 |
|
16 |
13 |
$64.02 |
| J0780 |
Prochlorperazine injection |
151 |
122 |
$63.98 |
| J3480 |
Inj potassium chloride |
168 |
105 |
$54.94 |
| 87807 |
|
70 |
68 |
$54.78 |
| G0283 |
Elec stim other than wound |
1,177 |
341 |
$54.72 |
| J0330 |
Succinycholine chloride inj |
61 |
47 |
$47.23 |
| J7050 |
Normal saline solution infus |
301 |
192 |
$42.80 |
| 87075 |
|
20 |
17 |
$36.58 |
| J2470 |
Inj pantoprazole sodium 40mg |
125 |
81 |
$34.28 |
| J2765 |
Metoclopramide hcl injection |
161 |
129 |
$27.88 |
| J3475 |
Inj magnesium sulfate |
47 |
40 |
$21.71 |
| J2710 |
Neostigmine methylslfte inj |
635 |
524 |
$20.70 |
| J2370 |
Phenylephrine hcl injection |
142 |
115 |
$19.85 |
| 83721 |
|
28 |
27 |
$17.71 |
| J2550 |
Promethazine hcl injection |
124 |
109 |
$12.39 |
| J7040 |
Normal saline solution infus |
232 |
170 |
$8.13 |
| J1630 |
Haloperidol injection |
49 |
36 |
$6.50 |
| J3490 |
Drugs unclassified injection |
49 |
37 |
$6.36 |
| J0360 |
Hydralazine hcl injection |
17 |
13 |
$5.78 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
102 |
57 |
$1.20 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
467 |
407 |
$0.77 |
| 91303 |
|
12 |
12 |
$0.11 |
| C1769 |
Guide wire |
758 |
670 |
$0.00 |
| G0103 |
Psa screening |
15 |
12 |
$0.00 |
| 94760 |
|
66 |
39 |
$0.00 |
| J2360 |
Orphenadrine injection |
64 |
62 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
131 |
70 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
611 |
539 |
$0.00 |
| C1887 |
Catheter, guiding |
532 |
476 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
51 |
40 |
$0.00 |
| 69209 |
|
26 |
26 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
67 |
66 |
$0.00 |
| G8979 |
Mobility goal status |
16 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
315 |
216 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
42 |
38 |
$0.00 |
| G8978 |
Mobility current status |
14 |
12 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
14 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
1,072 |
707 |
$-0.42 |