| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
25,795 |
20,154 |
$1.19M |
| 99285 |
|
22,670 |
16,977 |
$1.10M |
| 80053 |
|
44,414 |
28,803 |
$968K |
| 99283 |
|
14,943 |
12,256 |
$760K |
| 70450 |
|
8,400 |
6,479 |
$448K |
| 74177 |
|
4,429 |
3,684 |
$418K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,030 |
6,372 |
$340K |
| 11042 |
|
3,511 |
1,389 |
$237K |
| 97110 |
|
5,990 |
1,615 |
$229K |
| 74176 |
|
2,033 |
1,632 |
$171K |
| G0378 |
Hospital observation per hr |
22,791 |
8,822 |
$161K |
| 80048 |
|
12,244 |
7,674 |
$154K |
| 71275 |
|
1,513 |
1,249 |
$130K |
| 96413 |
|
4,985 |
2,473 |
$125K |
| 99282 |
|
2,194 |
1,868 |
$122K |
| 96365 |
|
1,976 |
676 |
$115K |
| G0463 |
Hospital outpt clinic visit |
4,847 |
2,516 |
$111K |
| 93306 |
|
2,444 |
2,008 |
$110K |
| 80047 |
|
7,453 |
5,994 |
$92K |
| G0257 |
Unsched dialysis esrd pt hos |
1,131 |
368 |
$82K |
| 81025 |
|
7,273 |
6,222 |
$78K |
| 99281 |
|
1,315 |
1,127 |
$76K |
| 96360 |
|
2,486 |
1,988 |
$72K |
| 36415 |
|
24,358 |
11,472 |
$71K |
| 72125 |
|
2,175 |
1,590 |
$69K |
| 84484 |
|
23,510 |
12,793 |
$68K |
| 82948 |
|
24,898 |
7,624 |
$63K |
| 94640 |
|
5,421 |
3,384 |
$55K |
| 85025 |
|
58,230 |
38,158 |
$55K |
| 97161 |
|
1,198 |
1,019 |
$54K |
| 80307 |
|
9,046 |
6,782 |
$49K |
| 96375 |
|
4,315 |
2,094 |
$47K |
| 97140 |
|
1,195 |
369 |
$47K |
| 88305 |
|
1,402 |
1,077 |
$35K |
| 78452 |
|
186 |
145 |
$34K |
| 96415 |
|
665 |
369 |
$33K |
| 87635 |
|
4,993 |
3,919 |
$33K |
| 96361 |
|
791 |
493 |
$30K |
| J1200 |
Diphenhydramine hcl injectio |
4,309 |
2,828 |
$29K |
| 87070 |
|
1,364 |
1,037 |
$28K |
| J2405 |
Ondansetron hcl injection |
12,723 |
8,400 |
$28K |
| C1729 |
Cath, drainage |
222 |
82 |
$27K |
| A9270 |
Non-covered item or service |
7,618 |
2,796 |
$24K |
| 84702 |
|
1,167 |
954 |
$23K |
| 71046 |
|
5,275 |
4,278 |
$23K |
| 11043 |
|
198 |
78 |
$22K |
| 71045 |
|
17,446 |
13,460 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,731 |
2,078 |
$19K |
| 93005 |
|
25,954 |
19,368 |
$17K |
| 99291 |
|
281 |
221 |
$16K |
| 97162 |
|
436 |
372 |
$16K |
| J3010 |
Fentanyl citrate injection |
4,814 |
3,656 |
$16K |
| 85610 |
|
12,136 |
8,575 |
$16K |
| 73562 |
|
1,675 |
1,298 |
$16K |
| 90791 |
|
2,243 |
1,745 |
$15K |
| J2001 |
Lidocaine injection |
4,893 |
3,625 |
$14K |
| 96372 |
|
2,307 |
1,203 |
$14K |
| 97750 |
|
379 |
303 |
$13K |
| 85730 |
|
7,152 |
5,372 |
$12K |
| J0690 |
Cefazolin sodium injection |
2,945 |
2,032 |
$12K |
| 96367 |
|
667 |
311 |
$12K |
| 81003 |
|
22,534 |
18,011 |
$12K |
| 87641 |
|
2,149 |
1,666 |
$11K |
| 76856 |
|
582 |
518 |
$11K |
| J7050 |
Normal saline solution infus |
4,021 |
2,171 |
$11K |
| 93971 |
|
1,192 |
1,000 |
$11K |
| J1100 |
Dexamethasone sodium phos |
5,104 |
2,999 |
$10K |
| 76642 |
|
558 |
454 |
$10K |
| 97803 |
|
124 |
117 |
$10K |
| 83735 |
|
11,871 |
7,661 |
$10K |
| 77066 |
Tomosynthesis, mammo |
179 |
154 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
3,062 |
2,359 |
$10K |
| 80074 |
|
999 |
757 |
$9K |
| 86850 |
|
2,098 |
1,592 |
$9K |
| 87631 |
|
675 |
545 |
$9K |
| 73610 |
|
531 |
429 |
$9K |
| 0241U |
|
1,909 |
1,621 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
2,904 |
1,513 |
$9K |
| 73630 |
|
934 |
772 |
$8K |
| C1894 |
Intro/sheath, non-laser |
793 |
570 |
$8K |
| 73030 |
|
1,044 |
826 |
$8K |
| 87186 |
|
2,722 |
2,066 |
$8K |
| 93970 |
|
691 |
548 |
$7K |
| C1769 |
Guide wire |
1,214 |
856 |
$7K |
| 86900 |
|
2,633 |
2,066 |
$7K |
| 86901 |
|
2,634 |
2,067 |
$7K |
| 93017 |
|
307 |
256 |
$7K |
| 87502 |
|
947 |
799 |
$7K |
| 87086 |
|
5,676 |
4,559 |
$7K |
| 71260 |
|
365 |
300 |
$7K |
| 83880 |
|
6,254 |
4,672 |
$6K |
| 96374 |
|
3,368 |
1,889 |
$6K |
| 87077 |
|
3,129 |
2,413 |
$6K |
| 85027 |
|
7,428 |
4,351 |
$5K |
| 72110 |
|
720 |
596 |
$5K |
| J1170 |
Hydromorphone injection |
3,081 |
2,081 |
$5K |
| G8979 |
Mobility goal status |
263 |
226 |
$5K |
| 87205 |
|
1,522 |
1,149 |
$5K |
| 77067 |
|
252 |
213 |
$5K |
| J2930 |
Methylprednisolone injection |
2,255 |
1,693 |
$5K |
| 97112 |
|
257 |
109 |
$5K |
| J1756 |
Iron sucrose injection |
548 |
199 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
5,288 |
3,143 |
$4K |
| G8978 |
Mobility current status |
218 |
185 |
$4K |
| 96366 |
|
444 |
237 |
$4K |
| 82330 |
|
15,375 |
12,020 |
$4K |
| 87491 |
|
2,274 |
2,081 |
$4K |
| 87651 |
|
733 |
679 |
$4K |
| 73130 |
|
363 |
304 |
$4K |
| 43239 |
|
85 |
70 |
$4K |
| J0330 |
Succinycholine chloride inj |
968 |
718 |
$4K |
| 83036 |
|
2,674 |
2,133 |
$4K |
| 72100 |
|
443 |
314 |
$4K |
| 76705 |
|
216 |
189 |
$4K |
| J7030 |
Normal saline solution infus |
698 |
380 |
$3K |
| 87640 |
|
1,131 |
874 |
$3K |
| 73110 |
|
179 |
148 |
$3K |
| J2370 |
Phenylephrine hcl injection |
758 |
534 |
$3K |
| 83615 |
|
641 |
446 |
$3K |
| 84145 |
|
1,755 |
1,241 |
$3K |
| 87591 |
|
2,279 |
2,084 |
$3K |
| 82805 |
|
916 |
703 |
$3K |
| C1751 |
Cath, inf, per/cent/midline |
34 |
25 |
$3K |
| 97802 |
|
28 |
28 |
$3K |
| 84443 |
|
3,402 |
2,725 |
$3K |
| 36430 |
|
68 |
42 |
$3K |
| 49083 |
|
72 |
28 |
$2K |
| 83605 |
|
2,176 |
1,700 |
$2K |
| 83690 |
|
7,175 |
5,778 |
$2K |
| 94060 |
|
46 |
40 |
$2K |
| 87040 |
|
2,158 |
1,726 |
$2K |
| J2270 |
Morphine sulfate injection |
4,444 |
3,077 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,617 |
5,142 |
$2K |
| J2060 |
Lorazepam injection |
3,776 |
2,551 |
$2K |
| 85018 |
|
479 |
314 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
262 |
195 |
$2K |
| 82746 |
|
1,205 |
950 |
$2K |
| 82607 |
|
1,327 |
1,037 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
940 |
691 |
$2K |
| 85014 |
|
391 |
260 |
$2K |
| 84703 |
|
3,674 |
3,207 |
$2K |
| 80061 |
|
1,983 |
1,576 |
$2K |
| 70551 |
|
14 |
12 |
$2K |
| 97530 |
|
161 |
70 |
$2K |
| J1650 |
Inj enoxaparin sodium |
5,662 |
2,556 |
$2K |
| J1453 |
Fosaprepitant injection |
111 |
67 |
$1K |
| 73502 |
|
599 |
470 |
$1K |
| 85380 |
|
2,030 |
1,722 |
$1K |
| 87510 |
|
1,929 |
1,766 |
$1K |
| 87660 |
|
1,929 |
1,766 |
$1K |
| J3370 |
Vancomycin hcl injection |
773 |
425 |
$1K |
| M0243 |
Casirivi and imdevi inj |
99 |
80 |
$1K |
| 76801 |
|
502 |
426 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,022 |
723 |
$1K |
| 80164 |
|
693 |
451 |
$1K |
| 36591 |
|
148 |
62 |
$1K |
| 82077 |
|
2,046 |
1,645 |
$1K |
| 90715 |
|
580 |
461 |
$976.12 |
| 77065 |
Tomosynthesis, mammo |
42 |
37 |
$899.72 |
| 82728 |
|
707 |
557 |
$889.25 |
| 82550 |
|
2,090 |
1,493 |
$874.94 |
| 84100 |
|
992 |
679 |
$844.48 |
| 93880 |
|
64 |
50 |
$797.78 |
| J1815 |
Insulin injection |
3,938 |
1,858 |
$756.44 |
| 72040 |
|
28 |
25 |
$717.59 |
| 76817 |
|
286 |
234 |
$704.70 |
| J2765 |
Metoclopramide hcl injection |
1,333 |
1,086 |
$660.76 |
| 71101 |
|
34 |
26 |
$658.51 |
| 71250 |
|
90 |
70 |
$656.73 |
| 74018 |
|
253 |
169 |
$634.12 |
| 81001 |
|
1,416 |
1,161 |
$633.60 |
| P9016 |
Rbc leukocytes reduced |
69 |
41 |
$604.06 |
| 0100U |
|
42 |
30 |
$603.25 |
| J3490 |
Drugs unclassified injection |
380 |
328 |
$593.46 |
| 70486 |
|
84 |
60 |
$589.04 |
| G0279 |
Tomosynthesis, mammo |
288 |
244 |
$583.76 |
| U0005 |
Infec agen detec ampli probe |
2,002 |
1,554 |
$578.22 |
| 97165 |
|
32 |
25 |
$555.96 |
| 82306 |
|
264 |
215 |
$530.57 |
| J2920 |
Methylprednisolone injection |
556 |
249 |
$512.90 |
| J0360 |
Hydralazine hcl injection |
1,557 |
1,041 |
$480.78 |
| 76830 |
|
376 |
332 |
$404.33 |
| 87075 |
|
166 |
119 |
$379.90 |
| Q0163 |
Diphenhydramine hcl 50mg |
564 |
410 |
$356.51 |
| 83550 |
|
367 |
283 |
$342.88 |
| 83540 |
|
421 |
323 |
$341.95 |
| J0456 |
Azithromycin |
130 |
84 |
$334.67 |
| 84439 |
|
454 |
355 |
$324.80 |
| 51798 |
|
116 |
76 |
$314.43 |
| 85652 |
|
1,350 |
1,071 |
$286.88 |
| 74022 |
|
213 |
175 |
$276.79 |
| J0780 |
Prochlorperazine injection |
1,121 |
906 |
$268.64 |
| 73590 |
|
14 |
12 |
$242.34 |
| 70491 |
|
15 |
12 |
$222.33 |
| J1630 |
Haloperidol injection |
820 |
614 |
$185.34 |
| 0240U |
|
203 |
120 |
$182.67 |
| 87480 |
|
1,941 |
1,777 |
$173.11 |
| 82140 |
|
767 |
533 |
$144.31 |
| 96523 |
|
17 |
12 |
$137.26 |
| 77063 |
|
166 |
136 |
$120.91 |
| J0692 |
Cefepime hcl for injection |
197 |
107 |
$113.93 |
| 72072 |
|
13 |
12 |
$104.54 |
| C9113 |
Inj pantoprazole sodium, via |
736 |
389 |
$88.10 |
| J3475 |
Inj magnesium sulfate |
513 |
386 |
$68.51 |
| 94729 |
|
45 |
40 |
$63.71 |
| 86140 |
|
708 |
515 |
$60.59 |
| 86923 |
|
24 |
17 |
$57.19 |
| J3420 |
Vitamin b12 injection |
114 |
62 |
$54.48 |
| J0500 |
Dicyclomine injection |
13 |
12 |
$37.29 |
| 86709 |
|
147 |
128 |
$25.47 |
| 97116 |
|
61 |
31 |
$21.81 |
| 94726 |
|
18 |
16 |
$21.11 |
| 97535 |
|
47 |
30 |
$20.88 |
| 00731 |
|
50 |
43 |
$20.83 |
| 87400 |
|
40 |
34 |
$19.10 |
| A9585 |
Gadobutrol injection |
163 |
135 |
$8.44 |
| 80076 |
|
18 |
12 |
$7.15 |
| 82378 |
|
33 |
25 |
$6.75 |
| 96376 |
|
17 |
12 |
$0.90 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
20 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
50 |
38 |
$0.00 |
| 82010 |
|
205 |
163 |
$0.00 |
| J1953 |
Levetiracetam injection |
61 |
40 |
$0.00 |
| 87481 |
|
80 |
57 |
$0.00 |
| 96417 |
|
396 |
214 |
$0.00 |
| 72131 |
|
58 |
28 |
$0.00 |
| 0353U |
|
90 |
84 |
$0.00 |
| 85045 |
|
31 |
13 |
$0.00 |
| 29125 |
|
31 |
27 |
$0.00 |
| 36573 |
|
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
41 |
24 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
16 |
15 |
$0.00 |
| J1790 |
Droperidol injection |
65 |
53 |
$0.00 |
| 90686 |
|
88 |
70 |
$0.00 |
| J1940 |
Furosemide injection |
128 |
78 |
$0.00 |
| J2785 |
Regadenoson injection |
118 |
92 |
$0.00 |
| J7060 |
5% dextrose/water |
344 |
145 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
478 |
218 |
$0.00 |
| 88342 |
|
133 |
105 |
$0.00 |
| A9500 |
Tc99m sestamibi |
89 |
71 |
$0.00 |
| 87430 |
|
34 |
31 |
$0.00 |
| 96411 |
|
211 |
123 |
$0.00 |
| 0352U |
|
41 |
41 |
$0.00 |
| J9045 |
Carboplatin injection |
25 |
14 |
$0.00 |
| J3480 |
Inj potassium chloride |
40 |
27 |
$0.00 |
| 88300 |
|
18 |
12 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
39 |
27 |
$0.00 |