| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
31,845 |
27,534 |
$8.03M |
| 99283 |
|
39,260 |
35,021 |
$7.13M |
| 99285 |
|
11,003 |
9,166 |
$2.77M |
| A0429 |
Bls-emergency |
87,204 |
29,629 |
$2.40M |
| 99282 |
|
12,366 |
11,300 |
$1.69M |
| 74177 |
|
3,108 |
2,686 |
$1.43M |
| 80053 |
|
19,873 |
16,437 |
$1.36M |
| 85025 |
|
35,092 |
28,183 |
$992K |
| 96374 |
|
18,476 |
15,471 |
$925K |
| 84703 |
|
17,704 |
15,464 |
$868K |
| 87636 |
|
8,086 |
7,235 |
$865K |
| 80048 |
|
23,936 |
18,127 |
$815K |
| 93005 |
|
15,666 |
12,643 |
$813K |
| 80307 |
|
15,404 |
7,935 |
$744K |
| 76801 |
|
2,531 |
1,838 |
$663K |
| 74176 |
|
2,066 |
1,777 |
$463K |
| G0480 |
Drug test def 1-7 classes |
2,056 |
746 |
$462K |
| 70450 |
|
4,065 |
3,533 |
$448K |
| G0378 |
Hospital observation per hr |
2,913 |
2,100 |
$437K |
| 36415 |
|
39,707 |
30,694 |
$434K |
| 81001 |
|
20,233 |
16,611 |
$383K |
| 76856 |
|
2,197 |
2,044 |
$370K |
| 87491 |
|
7,593 |
6,693 |
$354K |
| 80061 |
|
6,356 |
5,637 |
$321K |
| 76830 |
|
1,764 |
1,644 |
$307K |
| 87591 |
|
7,596 |
6,690 |
$273K |
| G0481 |
Drug test def 8-14 classes |
2,134 |
613 |
$223K |
| 0202U |
|
686 |
648 |
$198K |
| 96375 |
|
10,717 |
8,453 |
$192K |
| 96361 |
|
8,922 |
7,214 |
$186K |
| 72125 |
|
1,094 |
926 |
$181K |
| 71046 |
|
4,991 |
4,435 |
$172K |
| 71275 |
|
544 |
467 |
$164K |
| 84443 |
|
5,272 |
4,644 |
$164K |
| 96372 |
|
8,620 |
7,078 |
$164K |
| 93306 |
|
788 |
700 |
$159K |
| 76817 |
|
1,077 |
843 |
$159K |
| 84484 |
|
12,073 |
8,787 |
$158K |
| 87086 |
|
7,202 |
5,544 |
$157K |
| 80365 |
|
4,427 |
1,581 |
$151K |
| 80348 |
|
4,249 |
1,581 |
$150K |
| 80076 |
|
3,761 |
3,200 |
$145K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,430 |
1,274 |
$142K |
| 83036 |
|
4,868 |
4,332 |
$134K |
| 71045 |
|
7,116 |
6,067 |
$133K |
| 93976 |
|
1,780 |
1,568 |
$129K |
| 87661 |
|
3,149 |
2,834 |
$118K |
| 84702 |
|
2,275 |
1,638 |
$116K |
| 83690 |
|
8,280 |
6,949 |
$116K |
| 80050 |
|
956 |
825 |
$115K |
| 83735 |
|
8,607 |
6,736 |
$110K |
| 96365 |
|
2,745 |
1,893 |
$98K |
| 85027 |
|
12,118 |
8,971 |
$98K |
| 77067 |
|
1,561 |
1,489 |
$97K |
| 94640 |
|
2,416 |
1,577 |
$96K |
| 88305 |
|
1,843 |
1,452 |
$93K |
| 73630 |
|
2,050 |
1,792 |
$90K |
| J7030 |
Normal saline solution infus |
15,868 |
11,972 |
$88K |
| 86803 |
|
1,567 |
1,330 |
$88K |
| 83605 |
|
4,491 |
3,473 |
$81K |
| 73610 |
|
1,588 |
1,438 |
$80K |
| 93971 |
|
967 |
881 |
$78K |
| 73562 |
|
1,575 |
1,418 |
$77K |
| 86592 |
|
3,889 |
2,991 |
$76K |
| C9803 |
Hopd covid-19 spec collect |
3,323 |
2,876 |
$73K |
| 87340 |
|
2,826 |
1,984 |
$68K |
| 76705 |
|
881 |
712 |
$66K |
| 73030 |
|
1,515 |
1,353 |
$65K |
| 87389 |
|
4,309 |
2,968 |
$65K |
| 43239 |
|
140 |
124 |
$62K |
| 85610 |
|
10,692 |
8,569 |
$61K |
| 73130 |
|
1,485 |
1,323 |
$58K |
| 85730 |
|
8,465 |
7,007 |
$56K |
| 87040 |
|
2,919 |
1,441 |
$56K |
| 80320 |
|
2,436 |
1,962 |
$55K |
| 81003 |
|
7,092 |
5,885 |
$54K |
| 97803 |
|
1,007 |
966 |
$51K |
| 76805 |
|
588 |
517 |
$51K |
| 82306 |
|
1,439 |
1,190 |
$49K |
| 96360 |
|
2,095 |
1,795 |
$46K |
| 90471 |
|
1,100 |
996 |
$45K |
| 86900 |
|
4,105 |
2,889 |
$43K |
| 70486 |
|
539 |
473 |
$42K |
| 85379 |
|
2,524 |
2,233 |
$41K |
| 80074 |
|
441 |
296 |
$41K |
| 85007 |
|
5,613 |
4,671 |
$38K |
| 82043 |
|
778 |
695 |
$38K |
| 97110 |
|
2,772 |
680 |
$37K |
| 87186 |
|
1,896 |
1,613 |
$37K |
| 86901 |
|
4,105 |
2,892 |
$36K |
| 84439 |
|
1,105 |
911 |
$34K |
| 88175 |
|
1,661 |
1,474 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,773 |
3,115 |
$33K |
| 82728 |
|
1,246 |
1,065 |
$33K |
| 83880 |
|
1,744 |
1,517 |
$33K |
| 73560 |
|
1,351 |
1,187 |
$32K |
| 73565 |
|
1,216 |
1,082 |
$32K |
| 73110 |
|
839 |
744 |
$32K |
| 76642 |
|
185 |
172 |
$31K |
| 93970 |
|
289 |
263 |
$28K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
229 |
80 |
$28K |
| 86850 |
|
3,644 |
2,501 |
$28K |
| A0428 |
Bls |
2,483 |
1,874 |
$26K |
| 76815 |
|
995 |
675 |
$26K |
| 82950 |
|
1,063 |
790 |
$26K |
| 73721 |
|
94 |
90 |
$25K |
| 99281 |
|
183 |
168 |
$24K |
| 10060 |
|
542 |
508 |
$24K |
| J1885 |
Ketorolac tromethamine inj |
17,081 |
13,467 |
$24K |
| J7120 |
Ringers lactate infusion |
2,623 |
1,953 |
$22K |
| A0425 |
Ground mileage |
89,123 |
30,643 |
$22K |
| 87804 |
|
3,889 |
1,832 |
$21K |
| 72110 |
|
548 |
494 |
$20K |
| 11042 |
|
172 |
92 |
$20K |
| 82550 |
|
3,388 |
2,763 |
$19K |
| 77063 |
|
1,375 |
1,311 |
$19K |
| 71250 |
|
241 |
202 |
$19K |
| 87081 |
|
1,211 |
1,109 |
$18K |
| 99213 |
|
652 |
510 |
$18K |
| 94644 |
|
759 |
645 |
$17K |
| 87070 |
|
1,010 |
805 |
$16K |
| 84460 |
|
649 |
521 |
$15K |
| 71260 |
|
122 |
107 |
$15K |
| 96376 |
|
1,285 |
981 |
$15K |
| 83540 |
|
1,113 |
949 |
$14K |
| U0002 |
Covid-19 lab test non-cdc |
344 |
288 |
$14K |
| G0463 |
Hospital outpt clinic visit |
183 |
136 |
$13K |
| 73502 |
|
806 |
730 |
$12K |
| 97597 |
|
326 |
158 |
$12K |
| 84450 |
|
461 |
427 |
$11K |
| 87624 |
|
732 |
650 |
$11K |
| 87077 |
|
138 |
116 |
$11K |
| 87481 |
|
430 |
392 |
$11K |
| 84466 |
|
1,023 |
870 |
$10K |
| 87512 |
|
430 |
392 |
$10K |
| 86762 |
|
1,488 |
831 |
$9K |
| 82248 |
|
255 |
210 |
$9K |
| J2405 |
Ondansetron hcl injection |
9,507 |
6,612 |
$9K |
| 80069 |
|
427 |
372 |
$9K |
| J1170 |
Hydromorphone injection |
3,874 |
1,970 |
$9K |
| 90714 |
|
1,014 |
940 |
$8K |
| 80081 |
|
490 |
385 |
$8K |
| 87880 |
|
1,005 |
921 |
$8K |
| 82607 |
|
602 |
469 |
$8K |
| 82947 |
|
329 |
322 |
$8K |
| 72131 |
|
13 |
12 |
$7K |
| 96413 |
|
903 |
289 |
$7K |
| 96366 |
|
524 |
420 |
$7K |
| 93017 |
|
102 |
93 |
$7K |
| 82553 |
|
1,456 |
1,162 |
$7K |
| 88342 |
|
424 |
347 |
$6K |
| 87147 |
|
637 |
551 |
$6K |
| 82570 |
|
677 |
547 |
$6K |
| 97010 |
|
2,465 |
639 |
$6K |
| 86141 |
|
709 |
564 |
$6K |
| J3010 |
Fentanyl citrate injection |
4,139 |
2,532 |
$5K |
| J2270 |
Morphine sulfate injection |
2,516 |
1,364 |
$5K |
| 97162 |
|
275 |
246 |
$5K |
| J7050 |
Normal saline solution infus |
2,287 |
1,145 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
4,564 |
2,920 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,386 |
1,940 |
$5K |
| 87205 |
|
1,085 |
735 |
$4K |
| 72100 |
|
261 |
236 |
$4K |
| 85651 |
|
912 |
657 |
$4K |
| A0380 |
Basic life support mileage |
1,610 |
1,147 |
$4K |
| 93975 |
|
81 |
70 |
$4K |
| 73080 |
|
119 |
106 |
$4K |
| U0005 |
Infec agen detec ampli probe |
424 |
364 |
$3K |
| 62323 |
|
16 |
12 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
3,563 |
2,175 |
$3K |
| 12001 |
|
124 |
118 |
$3K |
| 78452 |
|
13 |
12 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
37 |
24 |
$3K |
| Q0138 |
Ferumoxytol, non-esrd |
186 |
106 |
$3K |
| J2060 |
Lorazepam injection |
1,196 |
839 |
$2K |
| 84480 |
|
71 |
57 |
$2K |
| G0472 |
Hep c screen high risk/other |
30 |
26 |
$2K |
| 83655 |
|
169 |
152 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,786 |
1,377 |
$2K |
| J1650 |
Inj enoxaparin sodium |
1,400 |
613 |
$2K |
| 97802 |
|
29 |
29 |
$2K |
| 94760 |
|
1,406 |
675 |
$2K |
| 99214 |
|
68 |
65 |
$2K |
| 80362 |
|
17 |
13 |
$2K |
| 76536 |
|
44 |
38 |
$2K |
| J1100 |
Dexamethasone sodium phos |
3,155 |
1,830 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
912 |
495 |
$2K |
| 96367 |
|
492 |
133 |
$2K |
| G0475 |
Hiv combination assay |
308 |
264 |
$2K |
| J2930 |
Methylprednisolone injection |
682 |
518 |
$1K |
| 83021 |
|
409 |
179 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,642 |
986 |
$1K |
| 83615 |
|
101 |
74 |
$991.95 |
| 76811 |
|
220 |
199 |
$952.28 |
| 83020 |
|
18 |
13 |
$897.59 |
| J1815 |
Insulin injection |
850 |
348 |
$874.55 |
| J1630 |
Haloperidol injection |
781 |
615 |
$865.37 |
| 84100 |
|
274 |
189 |
$861.58 |
| 99212 |
|
71 |
67 |
$843.80 |
| 97161 |
|
74 |
55 |
$828.60 |
| 86038 |
|
42 |
29 |
$818.36 |
| 72148 |
|
42 |
40 |
$779.49 |
| 76819 |
|
396 |
180 |
$728.85 |
| 82746 |
|
110 |
94 |
$710.55 |
| 87480 |
|
34 |
26 |
$675.70 |
| 76700 |
|
58 |
49 |
$669.03 |
| 82652 |
|
60 |
59 |
$642.72 |
| 87660 |
|
34 |
26 |
$640.69 |
| J3370 |
Vancomycin hcl injection |
210 |
94 |
$628.50 |
| G0103 |
Psa screening |
82 |
67 |
$622.40 |
| 87510 |
|
33 |
25 |
$618.27 |
| A9270 |
Non-covered item or service |
795 |
663 |
$618.17 |
| 29125 |
|
29 |
27 |
$612.30 |
| 84156 |
|
122 |
101 |
$604.00 |
| C1769 |
Guide wire |
393 |
136 |
$525.71 |
| J1644 |
Inj heparin sodium per 1000u |
761 |
239 |
$488.86 |
| J2543 |
Piperacillin/tazobactam |
56 |
17 |
$464.72 |
| 88304 |
|
85 |
62 |
$447.37 |
| 29515 |
|
14 |
12 |
$437.06 |
| J1642 |
Inj heparin sodium per 10 u |
1,297 |
385 |
$431.36 |
| J0690 |
Cefazolin sodium injection |
2,543 |
1,060 |
$426.85 |
| 76816 |
|
324 |
191 |
$410.68 |
| 84550 |
|
111 |
24 |
$399.24 |
| J3475 |
Inj magnesium sulfate |
277 |
199 |
$334.28 |
| 85018 |
|
40 |
38 |
$299.18 |
| 82105 |
|
15 |
13 |
$260.83 |
| 87535 |
|
92 |
81 |
$231.28 |
| 87400 |
|
162 |
129 |
$211.14 |
| 85014 |
|
40 |
38 |
$201.94 |
| 76813 |
|
95 |
13 |
$200.85 |
| 73590 |
|
64 |
55 |
$191.35 |
| 97804 |
|
13 |
13 |
$187.68 |
| 88307 |
|
16 |
13 |
$169.52 |
| 0011A |
|
43 |
24 |
$156.80 |
| 88141 |
|
125 |
116 |
$149.82 |
| A9502 |
Tc99m tetrofosmin |
26 |
24 |
$147.79 |
| J3480 |
Inj potassium chloride |
29 |
15 |
$146.07 |
| J2370 |
Phenylephrine hcl injection |
587 |
363 |
$132.95 |
| 84146 |
|
18 |
13 |
$119.23 |
| 0012A |
|
50 |
26 |
$111.30 |
| 82565 |
|
188 |
162 |
$106.43 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,991 |
1,757 |
$95.24 |
| J0360 |
Hydralazine hcl injection |
67 |
42 |
$94.72 |
| J7040 |
Normal saline solution infus |
41 |
28 |
$69.39 |
| 96415 |
|
102 |
13 |
$65.80 |
| 85045 |
|
199 |
165 |
$62.52 |
| 73140 |
|
101 |
91 |
$51.12 |
| J8597 |
Antiemetic drug oral nos |
1,424 |
1,259 |
$26.95 |
| 82247 |
|
17 |
12 |
$24.28 |
| 95886 |
|
60 |
53 |
$15.90 |
| J0780 |
Prochlorperazine injection |
49 |
40 |
$15.58 |
| J0330 |
Succinycholine chloride inj |
36 |
25 |
$12.20 |
| 81002 |
|
112 |
92 |
$11.14 |
| J2550 |
Promethazine hcl injection |
52 |
38 |
$6.26 |
| J8540 |
Oral dexamethasone |
41 |
37 |
$5.48 |
| 82977 |
|
14 |
13 |
$0.00 |
| G8978 |
Mobility current status |
33 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
51 |
38 |
$0.00 |
| 84520 |
|
36 |
36 |
$0.00 |
| J1956 |
Levofloxacin injection |
51 |
27 |
$0.00 |
| 81220 |
|
15 |
12 |
$0.00 |
| 85008 |
|
80 |
66 |
$0.00 |
| 80329 |
|
13 |
13 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
50 |
38 |
$0.00 |
| 82951 |
|
32 |
29 |
$0.00 |
| A0434 |
Specialty care transport |
68 |
13 |
$0.00 |