| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
33,081 |
30,657 |
$6.63M |
| 99285 |
|
25,725 |
24,089 |
$6.43M |
| 99283 |
|
28,696 |
26,163 |
$4.19M |
| 74177 |
|
6,735 |
6,474 |
$2.16M |
| G0463 |
Hospital outpt clinic visit |
23,278 |
22,064 |
$1.92M |
| 93306 |
|
5,711 |
5,595 |
$1.74M |
| 93005 |
|
36,487 |
31,077 |
$1.57M |
| 70450 |
|
6,456 |
6,179 |
$1.07M |
| 78452 |
|
2,021 |
1,938 |
$993K |
| 80053 |
|
45,461 |
38,369 |
$974K |
| G0378 |
Hospital observation per hr |
2,646 |
2,421 |
$969K |
| 93458 |
|
490 |
483 |
$840K |
| 80307 |
|
5,821 |
5,498 |
$597K |
| 96374 |
|
18,756 |
16,995 |
$597K |
| 85025 |
|
52,313 |
43,041 |
$561K |
| 74176 |
|
2,342 |
2,250 |
$552K |
| 93017 |
|
3,163 |
3,064 |
$496K |
| 96375 |
|
11,746 |
10,265 |
$493K |
| G0480 |
Drug test def 1-7 classes |
6,900 |
6,261 |
$484K |
| 87636 |
|
7,811 |
7,434 |
$475K |
| 96361 |
|
6,462 |
5,637 |
$471K |
| 71275 |
|
1,695 |
1,638 |
$427K |
| 70553 |
|
926 |
894 |
$405K |
| 49083 |
|
1,126 |
531 |
$361K |
| 71045 |
|
11,058 |
10,075 |
$356K |
| 71046 |
|
7,707 |
7,439 |
$344K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,120 |
1,065 |
$333K |
| 96365 |
|
3,119 |
2,669 |
$295K |
| C1776 |
Joint device (implantable) |
195 |
195 |
$289K |
| 84484 |
|
17,722 |
13,196 |
$260K |
| 72125 |
|
1,340 |
1,312 |
$247K |
| 70551 |
|
834 |
821 |
$224K |
| 96372 |
|
7,355 |
6,398 |
$221K |
| 36415 |
|
56,629 |
45,176 |
$217K |
| 94640 |
|
2,408 |
1,941 |
$208K |
| 76705 |
|
2,212 |
2,141 |
$193K |
| 83690 |
|
12,688 |
11,730 |
$183K |
| 99282 |
|
1,990 |
1,922 |
$172K |
| 84703 |
|
10,116 |
9,576 |
$167K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,098 |
13,106 |
$164K |
| 99152 |
|
3,027 |
2,896 |
$161K |
| 93976 |
|
1,343 |
1,321 |
$149K |
| 87040 |
|
5,464 |
3,036 |
$149K |
| 71250 |
|
1,050 |
1,025 |
$146K |
| 87086 |
|
9,078 |
8,546 |
$135K |
| 96360 |
|
1,812 |
1,755 |
$133K |
| 99281 |
|
2,400 |
2,288 |
$125K |
| 82962 |
|
16,570 |
7,528 |
$124K |
| 70486 |
|
651 |
638 |
$123K |
| 80048 |
|
8,984 |
6,425 |
$120K |
| 71260 |
|
635 |
620 |
$120K |
| 81001 |
|
18,083 |
16,911 |
$117K |
| 99153 |
Mod sedat endo service >5yrs |
1,954 |
1,862 |
$114K |
| C1769 |
Guide wire |
3,766 |
3,543 |
$114K |
| 96366 |
|
872 |
612 |
$105K |
| 73562 |
|
1,575 |
1,468 |
$105K |
| 83605 |
|
5,191 |
3,913 |
$105K |
| J2785 |
Regadenoson injection |
1,595 |
1,526 |
$104K |
| 93970 |
|
905 |
873 |
$104K |
| 93971 |
|
1,339 |
1,300 |
$103K |
| 73030 |
|
1,518 |
1,413 |
$101K |
| 99291 |
|
279 |
269 |
$101K |
| Q9957 |
Inj perflutren lip micros,ml |
1,006 |
955 |
$97K |
| 72148 |
|
341 |
339 |
$94K |
| 83735 |
|
9,948 |
7,523 |
$90K |
| 83880 |
|
3,719 |
3,349 |
$87K |
| C9290 |
Inj, bupivacaine liposome |
331 |
325 |
$87K |
| 96376 |
|
3,296 |
2,496 |
$86K |
| 87631 |
|
1,048 |
1,022 |
$85K |
| 93296 |
|
4,024 |
3,886 |
$81K |
| 93350 |
|
224 |
224 |
$76K |
| 85610 |
|
11,953 |
9,848 |
$74K |
| A9502 |
Tc99m tetrofosmin |
1,959 |
1,868 |
$73K |
| 76856 |
|
658 |
647 |
$65K |
| 73610 |
|
916 |
884 |
$65K |
| 73130 |
|
1,195 |
1,142 |
$64K |
| 43239 |
|
209 |
205 |
$61K |
| 84443 |
|
2,947 |
2,766 |
$54K |
| 73630 |
|
952 |
917 |
$54K |
| 97163 |
|
1,104 |
1,055 |
$53K |
| C1887 |
Catheter, guiding |
1,265 |
1,199 |
$51K |
| J7030 |
Normal saline solution infus |
9,578 |
8,342 |
$49K |
| 97167 |
|
911 |
884 |
$47K |
| 93925 |
|
558 |
542 |
$47K |
| C1894 |
Intro/sheath, non-laser |
2,953 |
2,804 |
$45K |
| 87651 |
|
1,944 |
1,911 |
$45K |
| A9577 |
Inj multihance |
2,006 |
1,953 |
$43K |
| 93246 |
|
814 |
797 |
$40K |
| 94761 |
|
3,197 |
1,415 |
$39K |
| 86850 |
|
3,852 |
3,677 |
$39K |
| 72131 |
|
231 |
226 |
$39K |
| U0003 |
Cov-19 amp prb hgh thruput |
637 |
613 |
$37K |
| 85379 |
|
2,410 |
2,283 |
$35K |
| J7120 |
Ringers lactate infusion |
6,282 |
5,407 |
$35K |
| 76536 |
|
353 |
347 |
$34K |
| 99490 |
Ccm add 20min |
1,036 |
1,035 |
$34K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
286 |
281 |
$33K |
| 72100 |
|
429 |
420 |
$32K |
| 87186 |
|
2,091 |
1,911 |
$31K |
| 87077 |
|
2,885 |
2,622 |
$31K |
| 93880 |
|
293 |
287 |
$31K |
| 76830 |
|
323 |
319 |
$30K |
| U0002 |
Covid-19 lab test non-cdc |
660 |
646 |
$30K |
| 93922 |
|
444 |
432 |
$29K |
| 73502 |
|
662 |
637 |
$29K |
| 90471 |
|
1,417 |
1,385 |
$28K |
| 67113 |
|
12 |
12 |
$28K |
| 85730 |
|
3,655 |
3,393 |
$28K |
| J2704 |
Inj, propofol, 10 mg |
4,362 |
4,012 |
$26K |
| 64635 |
|
57 |
54 |
$26K |
| 93325 |
|
423 |
409 |
$25K |
| 86900 |
|
4,038 |
3,841 |
$25K |
| 81003 |
|
6,742 |
6,438 |
$24K |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
53 |
52 |
$23K |
| 87081 |
|
1,651 |
1,619 |
$23K |
| 84702 |
|
946 |
913 |
$22K |
| 76700 |
|
232 |
230 |
$22K |
| 73110 |
|
404 |
389 |
$21K |
| Q9950 |
Inj sulf hexa lipid microsph |
287 |
274 |
$20K |
| 93320 |
|
285 |
280 |
$19K |
| 87491 |
|
515 |
503 |
$18K |
| 87591 |
|
517 |
505 |
$18K |
| 82803 |
|
947 |
749 |
$18K |
| J1644 |
Inj heparin sodium per 1000u |
3,475 |
1,441 |
$17K |
| 83036 |
|
2,125 |
1,996 |
$17K |
| G2066 |
Inter devc remote 30d |
1,974 |
1,873 |
$16K |
| 66984 |
|
12 |
12 |
$16K |
| 86901 |
|
4,039 |
3,841 |
$16K |
| 75625 |
|
13 |
13 |
$16K |
| 90715 |
|
1,265 |
1,243 |
$15K |
| 75574 |
|
62 |
61 |
$14K |
| 74018 |
|
363 |
310 |
$14K |
| 72114 |
|
151 |
149 |
$14K |
| 76942 |
|
241 |
239 |
$14K |
| C1729 |
Cath, drainage |
2,400 |
1,365 |
$14K |
| 80143 |
|
1,510 |
1,395 |
$13K |
| 80179 |
|
1,482 |
1,369 |
$13K |
| 12001 |
|
140 |
137 |
$13K |
| 80061 |
|
1,015 |
888 |
$13K |
| 84439 |
|
846 |
804 |
$12K |
| 10060 |
|
125 |
121 |
$12K |
| 64636 |
|
30 |
30 |
$12K |
| J3010 |
Fentanyl citrate injection |
6,210 |
5,250 |
$11K |
| 85027 |
|
2,341 |
1,557 |
$10K |
| 76770 |
|
123 |
122 |
$10K |
| 97530 |
|
509 |
223 |
$10K |
| C1725 |
Cath, translumin non-laser |
144 |
136 |
$10K |
| 87070 |
|
991 |
837 |
$10K |
| 74183 |
|
25 |
25 |
$10K |
| J2405 |
Ondansetron hcl injection |
7,235 |
6,413 |
$9K |
| 64447 |
|
12 |
12 |
$8K |
| 99406 |
|
516 |
505 |
$8K |
| 87880 |
|
466 |
457 |
$8K |
| 43235 |
|
26 |
24 |
$8K |
| 87075 |
|
684 |
569 |
$8K |
| 87650 |
|
291 |
286 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
4,604 |
4,079 |
$7K |
| 72040 |
|
87 |
87 |
$7K |
| 82150 |
|
540 |
528 |
$7K |
| 76937 |
|
125 |
121 |
$7K |
| 73700 |
|
41 |
40 |
$7K |
| 73560 |
|
129 |
126 |
$6K |
| J7050 |
Normal saline solution infus |
1,231 |
734 |
$6K |
| J2795 |
Ropivacaine hcl injection |
571 |
391 |
$6K |
| P9047 |
Albumin (human), 25%, 50ml |
48 |
24 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
3,149 |
3,038 |
$5K |
| 73080 |
|
104 |
102 |
$5K |
| J1100 |
Dexamethasone sodium phos |
3,660 |
3,412 |
$5K |
| 87632 |
|
37 |
35 |
$5K |
| 86140 |
|
787 |
686 |
$5K |
| 77334 |
|
19 |
15 |
$5K |
| J0690 |
Cefazolin sodium injection |
3,587 |
2,699 |
$5K |
| A9552 |
F18 fdg |
39 |
37 |
$5K |
| 93242 |
|
155 |
147 |
$5K |
| 93280 |
|
262 |
256 |
$5K |
| 94760 |
|
275 |
237 |
$5K |
| 87205 |
|
961 |
804 |
$5K |
| 99439 |
|
271 |
271 |
$4K |
| 82140 |
|
211 |
172 |
$4K |
| 97162 |
|
118 |
116 |
$4K |
| A9555 |
Rb82 rubidium |
12 |
12 |
$4K |
| 72141 |
|
13 |
13 |
$4K |
| J3473 |
Hyaluronidase recombinant |
533 |
512 |
$4K |
| J2270 |
Morphine sulfate injection |
2,473 |
1,970 |
$4K |
| 71101 |
|
53 |
52 |
$4K |
| 70496 |
|
12 |
12 |
$4K |
| 84481 |
|
198 |
191 |
$3K |
| 93297 |
|
474 |
465 |
$3K |
| 97116 |
|
206 |
133 |
$3K |
| C1726 |
Cath, bal dil, non-vascular |
28 |
26 |
$3K |
| C1760 |
Closure dev, vasc |
49 |
45 |
$3K |
| 82330 |
|
270 |
162 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
1,243 |
865 |
$3K |
| 85347 |
|
528 |
351 |
$3K |
| 97535 |
|
112 |
66 |
$3K |
| 85014 |
|
797 |
582 |
$3K |
| 82550 |
|
311 |
263 |
$3K |
| C1759 |
Cath, intra echocardiography |
25 |
25 |
$3K |
| 84132 |
|
534 |
357 |
$3K |
| A9270 |
Non-covered item or service |
5,916 |
1,866 |
$3K |
| 82553 |
|
201 |
169 |
$2K |
| 87634 |
|
69 |
67 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,678 |
1,501 |
$2K |
| 84100 |
|
490 |
203 |
$2K |
| 72110 |
|
25 |
24 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,359 |
1,236 |
$2K |
| 85652 |
|
374 |
357 |
$2K |
| 88305 |
|
47 |
36 |
$2K |
| J1170 |
Hydromorphone injection |
886 |
719 |
$2K |
| J0561 |
Penicillin g benzathine inj |
31 |
31 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
80 |
80 |
$1K |
| 73590 |
|
28 |
26 |
$1K |
| A9578 |
Inj multihance multipack |
47 |
46 |
$1K |
| 72170 |
|
25 |
25 |
$1K |
| 85018 |
|
432 |
259 |
$1K |
| 86923 |
|
32 |
16 |
$1K |
| 72070 |
|
13 |
13 |
$1K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
421 |
373 |
$1K |
| J2060 |
Lorazepam injection |
877 |
768 |
$1K |
| J7040 |
Normal saline solution infus |
282 |
255 |
$1K |
| 76870 |
|
13 |
12 |
$1K |
| 71271 |
|
13 |
13 |
$1K |
| J1815 |
Insulin injection |
906 |
375 |
$1K |
| 85007 |
|
292 |
269 |
$1K |
| J0330 |
Succinycholine chloride inj |
438 |
429 |
$1K |
| 81025 |
|
146 |
143 |
$1K |
| 76801 |
|
13 |
13 |
$1K |
| 93284 |
|
65 |
63 |
$1K |
| 0296T |
|
13 |
13 |
$981.21 |
| 12002 |
|
12 |
12 |
$980.02 |
| J0780 |
Prochlorperazine injection |
403 |
358 |
$953.83 |
| J0131 |
Inj, acetaminophen (nos) |
88 |
83 |
$910.84 |
| 93298 |
|
176 |
170 |
$898.78 |
| 72050 |
|
13 |
12 |
$891.73 |
| 84295 |
|
121 |
97 |
$888.52 |
| J3475 |
Inj magnesium sulfate |
153 |
141 |
$790.93 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
726 |
711 |
$778.51 |
| J3370 |
Vancomycin hcl injection |
122 |
110 |
$748.10 |
| 80050 |
|
24 |
23 |
$683.03 |
| 93978 |
|
12 |
12 |
$670.11 |
| J2765 |
Metoclopramide hcl injection |
480 |
444 |
$669.69 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
383 |
316 |
$654.99 |
| C1766 |
Intro/sheath,strble,non-peel |
12 |
12 |
$484.98 |
| 97802 |
|
28 |
28 |
$467.83 |
| J3371 |
Inj, vancomycin hcl (mylan) |
186 |
176 |
$466.31 |
| A4615 |
Cannula nasal |
1,917 |
1,849 |
$464.96 |
| 80076 |
|
31 |
29 |
$459.89 |
| J3480 |
Inj potassium chloride |
70 |
52 |
$424.00 |
| 82565 |
|
99 |
95 |
$412.37 |
| J2305 |
Inj, nitroglycerin, 5 mg |
165 |
161 |
$361.37 |
| 84134 |
|
27 |
26 |
$352.80 |
| J0687 |
Inj cefazolin (wg crit care) |
236 |
174 |
$343.41 |
| J1790 |
Droperidol injection |
281 |
266 |
$343.07 |
| J0171 |
Adrenalin epinephrine inject |
124 |
120 |
$321.05 |
| J7512 |
Prednisone ir or dr oral 1mg |
572 |
463 |
$313.25 |
| 87641 |
|
17 |
12 |
$312.73 |
| J1940 |
Furosemide injection |
312 |
245 |
$311.04 |
| J1650 |
Inj enoxaparin sodium |
233 |
115 |
$299.95 |
| J3490 |
Drugs unclassified injection |
13 |
13 |
$229.23 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
132 |
130 |
$177.18 |
| J0137 |
Inj, acetaminophen (hikma) |
55 |
53 |
$146.11 |
| J2930 |
Methylprednisolone injection |
29 |
27 |
$134.05 |
| S0119 |
Ondansetron 4 mg |
230 |
223 |
$131.52 |
| 99487 |
Ccm add 20min |
15 |
15 |
$114.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
29 |
25 |
$113.76 |
| 89051 |
|
20 |
13 |
$94.49 |
| Q0162 |
Ondansetron oral |
150 |
138 |
$93.80 |
| 84145 |
|
15 |
12 |
$90.11 |
| J3360 |
Diazepam injection |
36 |
35 |
$87.21 |
| J2470 |
Inj pantoprazole sodium 40mg |
114 |
99 |
$86.46 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
30 |
25 |
$68.16 |
| J2800 |
Methocarbamol injection |
12 |
12 |
$64.48 |
| J2360 |
Orphenadrine injection |
26 |
26 |
$60.82 |
| J2370 |
Phenylephrine hcl injection |
80 |
80 |
$49.70 |
| J1630 |
Haloperidol injection |
27 |
26 |
$30.69 |
| J0360 |
Hydralazine hcl injection |
14 |
13 |
$20.53 |
| J2720 |
Inj protamine sulfate/10 mg |
25 |
25 |
$20.31 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$19.64 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
12 |
$17.44 |
| G1004 |
Cdsm ndsc |
1,067 |
847 |
$0.01 |
| G8978 |
Mobility current status |
204 |
199 |
$0.00 |
| G8979 |
Mobility goal status |
203 |
198 |
$0.00 |
| G8989 |
Self care d/c status |
84 |
82 |
$0.00 |
| G8987 |
Self care current status |
137 |
132 |
$0.00 |
| G8980 |
Mobility d/c status |
203 |
198 |
$0.00 |
| G8988 |
Self care goal status |
136 |
131 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
15 |
15 |
$0.00 |
| 77001 |
|
13 |
12 |
$0.00 |
| 99489 |
Ccm add 20min |
15 |
15 |
$0.00 |