| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
|
38,669 |
10,880 |
$1.61M |
| 74177 |
|
6,335 |
5,799 |
$825K |
| 70450 |
|
6,848 |
6,231 |
$599K |
| 80053 |
|
28,167 |
23,354 |
$501K |
| 11042 |
|
4,043 |
2,017 |
$499K |
| 96365 |
|
5,642 |
4,125 |
$433K |
| 93306 |
|
3,537 |
3,316 |
$399K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,566 |
5,228 |
$390K |
| 0241U |
|
3,306 |
3,160 |
$357K |
| 85025 |
|
45,982 |
35,975 |
$321K |
| U0002 |
Covid-19 lab test non-cdc |
6,109 |
5,841 |
$279K |
| 80048 |
|
18,326 |
14,489 |
$274K |
| 71275 |
|
1,614 |
1,508 |
$263K |
| 36415 |
|
19,650 |
14,370 |
$250K |
| 72148 |
|
1,076 |
1,007 |
$238K |
| 70553 |
|
675 |
629 |
$236K |
| 72125 |
|
1,978 |
1,821 |
$201K |
| 93005 |
|
18,482 |
15,820 |
$180K |
| 97530 |
|
8,770 |
2,900 |
$174K |
| 59025 |
|
1,017 |
825 |
$174K |
| 97161 |
|
3,013 |
2,824 |
$157K |
| 78452 |
|
939 |
871 |
$145K |
| 99283 |
|
2,634 |
2,222 |
$141K |
| 93976 |
|
2,461 |
2,290 |
$135K |
| 87591 |
|
3,142 |
2,865 |
$128K |
| 87491 |
|
3,152 |
2,875 |
$128K |
| 43239 |
|
1,111 |
1,010 |
$126K |
| 74176 |
|
1,910 |
1,771 |
$122K |
| 99285 |
|
5,003 |
4,268 |
$118K |
| 71045 |
|
14,144 |
12,603 |
$115K |
| 87086 |
|
13,923 |
12,527 |
$112K |
| 71260 |
|
864 |
812 |
$105K |
| 87428 |
|
1,710 |
1,643 |
$104K |
| 83880 |
|
4,559 |
4,075 |
$101K |
| 87081 |
|
11,317 |
10,781 |
$96K |
| 69436 |
|
453 |
444 |
$94K |
| 84484 |
|
11,100 |
7,664 |
$90K |
| 81025 |
|
9,923 |
8,937 |
$82K |
| 87653 |
|
1,855 |
1,739 |
$81K |
| 77067 |
|
1,781 |
1,725 |
$81K |
| 80306 |
|
4,958 |
4,442 |
$81K |
| 99284 |
|
2,425 |
2,152 |
$79K |
| 80050 |
|
2,202 |
2,054 |
$77K |
| 83690 |
|
11,274 |
9,877 |
$75K |
| 71046 |
|
4,370 |
4,154 |
$73K |
| T1015 |
Clinic service |
9,026 |
7,259 |
$72K |
| 82947 |
|
4,769 |
3,049 |
$68K |
| 87502 |
|
698 |
660 |
$68K |
| 86901 |
|
3,392 |
2,979 |
$66K |
| 70551 |
|
350 |
325 |
$66K |
| 81001 |
|
19,642 |
17,421 |
$65K |
| 92507 |
|
1,258 |
238 |
$62K |
| 97001 |
|
1,965 |
1,829 |
$60K |
| 87804 |
|
2,988 |
2,578 |
$56K |
| 80307 |
|
805 |
724 |
$54K |
| 87880 |
|
4,471 |
4,302 |
$52K |
| 70498 |
|
354 |
329 |
$51K |
| 82565 |
|
3,502 |
3,232 |
$50K |
| 12001 |
|
256 |
242 |
$50K |
| 80081 |
|
586 |
539 |
$50K |
| 87070 |
|
4,359 |
3,986 |
$49K |
| 70496 |
|
347 |
325 |
$49K |
| J2405 |
Ondansetron hcl injection |
17,228 |
14,292 |
$48K |
| 76801 |
|
1,503 |
1,296 |
$47K |
| 87077 |
|
5,760 |
5,297 |
$46K |
| 76856 |
|
1,402 |
1,302 |
$45K |
| A9502 |
Tc99m tetrofosmin |
944 |
876 |
$44K |
| 76705 |
|
2,587 |
2,460 |
$43K |
| 73721 |
|
157 |
143 |
$43K |
| 76805 |
|
879 |
826 |
$40K |
| 76830 |
|
779 |
727 |
$39K |
| A9577 |
Inj multihance |
1,822 |
1,599 |
$39K |
| 72141 |
|
179 |
171 |
$37K |
| 82962 |
|
5,470 |
3,342 |
$35K |
| 86140 |
|
7,335 |
6,008 |
$34K |
| 73562 |
|
1,129 |
1,061 |
$34K |
| 87186 |
|
5,741 |
5,278 |
$33K |
| 80076 |
|
3,194 |
2,951 |
$33K |
| 73630 |
|
1,263 |
1,192 |
$32K |
| 83735 |
|
6,704 |
5,574 |
$32K |
| 82803 |
|
1,959 |
1,725 |
$32K |
| 71250 |
|
530 |
511 |
$32K |
| 0240U |
|
271 |
268 |
$32K |
| 83605 |
|
3,284 |
2,905 |
$31K |
| 87040 |
|
2,349 |
1,787 |
$30K |
| 85610 |
|
9,879 |
8,522 |
$30K |
| 72100 |
|
1,148 |
1,102 |
$29K |
| 82077 |
|
2,071 |
1,796 |
$29K |
| 93971 |
|
816 |
766 |
$29K |
| 88305 |
|
451 |
409 |
$28K |
| G0283 |
Elec stim other than wound |
1,845 |
530 |
$27K |
| 84443 |
|
2,480 |
2,294 |
$27K |
| 94060 |
|
772 |
754 |
$27K |
| 73610 |
|
1,288 |
1,222 |
$27K |
| 86850 |
|
2,673 |
2,345 |
$27K |
| 85379 |
|
2,931 |
2,721 |
$26K |
| 97162 |
|
383 |
361 |
$26K |
| J2785 |
Regadenoson injection |
581 |
536 |
$25K |
| J0696 |
Ceftriaxone sodium injection |
4,176 |
3,176 |
$25K |
| 42820 |
|
86 |
79 |
$24K |
| 73030 |
|
983 |
924 |
$24K |
| 87389 |
|
927 |
872 |
$24K |
| 81003 |
|
9,430 |
8,636 |
$24K |
| 76817 |
|
597 |
524 |
$24K |
| J1100 |
Dexamethasone sodium phos |
7,847 |
6,963 |
$24K |
| 12011 |
|
105 |
101 |
$23K |
| J1650 |
Inj enoxaparin sodium |
1,170 |
792 |
$23K |
| 45380 |
|
175 |
168 |
$23K |
| 97165 |
|
502 |
469 |
$22K |
| 84112 |
|
306 |
265 |
$22K |
| 73130 |
|
902 |
863 |
$21K |
| 84145 |
|
1,129 |
1,012 |
$21K |
| 80143 |
|
1,180 |
1,066 |
$21K |
| 84702 |
|
2,120 |
1,830 |
$20K |
| 83655 |
|
1,332 |
1,294 |
$20K |
| 80320 |
|
1,609 |
1,407 |
$19K |
| 86900 |
|
3,278 |
2,874 |
$19K |
| 80179 |
|
1,119 |
1,014 |
$19K |
| 77063 |
|
1,781 |
1,725 |
$19K |
| 80074 |
|
411 |
386 |
$18K |
| 73110 |
|
806 |
743 |
$18K |
| 76642 |
|
680 |
656 |
$17K |
| 95810 |
|
166 |
160 |
$17K |
| 11043 |
|
108 |
63 |
$17K |
| 87147 |
|
1,885 |
1,745 |
$17K |
| 70486 |
|
157 |
142 |
$17K |
| 87426 |
|
410 |
398 |
$16K |
| J1815 |
Insulin injection |
1,423 |
1,053 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
7,858 |
6,385 |
$16K |
| 93017 |
|
1,079 |
1,001 |
$14K |
| 74018 |
|
665 |
620 |
$14K |
| 83036 |
|
2,427 |
2,247 |
$14K |
| J7030 |
Normal saline solution infus |
6,631 |
5,310 |
$14K |
| 80061 |
|
1,827 |
1,677 |
$13K |
| G0463 |
Hospital outpt clinic visit |
1,640 |
1,409 |
$13K |
| 74022 |
|
553 |
520 |
$13K |
| 87631 |
|
142 |
137 |
$12K |
| 87807 |
|
1,001 |
954 |
$12K |
| 94729 |
|
650 |
634 |
$12K |
| 94726 |
|
646 |
632 |
$11K |
| 87075 |
|
1,086 |
922 |
$11K |
| 85652 |
|
4,994 |
3,973 |
$11K |
| 85730 |
|
2,214 |
2,062 |
$11K |
| 85027 |
|
1,774 |
1,393 |
$10K |
| 90715 |
|
703 |
659 |
$10K |
| 80329 |
|
916 |
783 |
$10K |
| 87210 |
|
1,844 |
1,695 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
11,891 |
7,440 |
$9K |
| 82550 |
|
1,601 |
1,205 |
$8K |
| 76536 |
|
210 |
205 |
$8K |
| 71020 |
|
589 |
548 |
$8K |
| 87641 |
|
453 |
417 |
$8K |
| 73502 |
|
217 |
209 |
$8K |
| 62323 |
|
53 |
51 |
$7K |
| 87205 |
|
2,168 |
1,917 |
$7K |
| 87088 |
|
860 |
805 |
$7K |
| 82306 |
|
715 |
672 |
$7K |
| 87493 |
|
243 |
230 |
$7K |
| 87899 |
|
729 |
584 |
$7K |
| 84146 |
|
334 |
304 |
$7K |
| 87636 |
|
72 |
72 |
$6K |
| 93226 |
|
176 |
167 |
$6K |
| 72040 |
|
214 |
206 |
$6K |
| 83970 |
|
238 |
223 |
$5K |
| 87634 |
|
62 |
61 |
$5K |
| J3010 |
Fentanyl citrate injection |
11,362 |
9,895 |
$5K |
| 97003 |
|
256 |
234 |
$5K |
| 97140 |
|
2,093 |
687 |
$5K |
| 97112 |
|
1,186 |
399 |
$5K |
| 96374 |
|
9,597 |
8,168 |
$5K |
| 87340 |
|
395 |
369 |
$4K |
| 71010 |
|
622 |
565 |
$4K |
| 94640 |
|
1,549 |
1,033 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
6,751 |
5,950 |
$4K |
| 77066 |
Tomosynthesis, mammo |
72 |
63 |
$4K |
| 87045 |
|
389 |
369 |
$4K |
| J0690 |
Cefazolin sodium injection |
3,256 |
2,695 |
$4K |
| 86039 |
|
395 |
365 |
$3K |
| 87637 |
|
31 |
30 |
$3K |
| 12002 |
|
12 |
12 |
$3K |
| 29125 |
|
15 |
15 |
$3K |
| 36600 |
|
221 |
189 |
$3K |
| 95811 |
|
25 |
24 |
$3K |
| 77080 |
|
58 |
55 |
$3K |
| 87046 |
|
391 |
370 |
$3K |
| 96361 |
|
103 |
91 |
$3K |
| 90471 |
|
427 |
402 |
$3K |
| 86592 |
|
595 |
561 |
$3K |
| 96360 |
|
187 |
171 |
$3K |
| 93225 |
|
144 |
141 |
$2K |
| 83516 |
|
202 |
178 |
$2K |
| 87400 |
|
140 |
136 |
$2K |
| 76770 |
|
62 |
60 |
$2K |
| 99152 |
|
403 |
363 |
$2K |
| J2060 |
Lorazepam injection |
2,831 |
2,460 |
$2K |
| 86762 |
|
138 |
130 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
4,156 |
3,532 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,858 |
8,019 |
$2K |
| 84439 |
|
214 |
191 |
$2K |
| 73090 |
|
81 |
79 |
$2K |
| 86038 |
|
157 |
148 |
$2K |
| J2930 |
Methylprednisolone injection |
1,031 |
888 |
$2K |
| 76816 |
|
128 |
122 |
$2K |
| 80164 |
|
218 |
185 |
$2K |
| 84156 |
|
564 |
482 |
$2K |
| 82150 |
|
292 |
263 |
$2K |
| 82570 |
|
437 |
404 |
$2K |
| 82010 |
|
273 |
222 |
$2K |
| 76700 |
|
44 |
41 |
$2K |
| 94761 |
|
552 |
497 |
$2K |
| 82784 |
|
213 |
194 |
$2K |
| 87798 |
|
40 |
36 |
$2K |
| 93975 |
|
28 |
27 |
$2K |
| 73560 |
|
30 |
30 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
1,147 |
1,004 |
$2K |
| 51798 |
|
14 |
14 |
$1K |
| 94760 |
|
269 |
177 |
$1K |
| J1170 |
Hydromorphone injection |
3,985 |
3,148 |
$1K |
| 96375 |
|
7,202 |
5,864 |
$1K |
| J2270 |
Morphine sulfate injection |
4,640 |
3,910 |
$1K |
| 82140 |
|
234 |
188 |
$1K |
| A9270 |
Non-covered item or service |
4,298 |
3,064 |
$1K |
| J0780 |
Prochlorperazine injection |
2,712 |
2,378 |
$1K |
| G0279 |
Tomosynthesis, mammo |
138 |
134 |
$945.16 |
| J7120 |
Ringers lactate infusion |
3,889 |
3,343 |
$929.59 |
| 97597 |
|
51 |
37 |
$915.42 |
| 86003 |
|
13 |
12 |
$887.74 |
| 74000 |
|
54 |
51 |
$880.50 |
| 73590 |
|
37 |
37 |
$860.15 |
| P9612 |
Catheterize for urine spec |
53 |
52 |
$838.25 |
| G0480 |
Drug test def 1-7 classes |
26 |
25 |
$800.83 |
| 0202U |
|
2,144 |
2,077 |
$778.96 |
| 73070 |
|
44 |
41 |
$770.47 |
| 82607 |
|
145 |
131 |
$756.90 |
| 86803 |
|
56 |
51 |
$749.94 |
| C1769 |
Guide wire |
15 |
14 |
$746.59 |
| J2272 |
Inj, morphine (fresenius) |
1,171 |
982 |
$706.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
225 |
196 |
$697.39 |
| J1644 |
Inj heparin sodium per 1000u |
1,990 |
1,196 |
$696.95 |
| 73140 |
|
31 |
27 |
$616.39 |
| 99213 |
|
55 |
39 |
$552.62 |
| 86481 |
|
12 |
12 |
$552.47 |
| 82397 |
|
31 |
27 |
$545.26 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$534.79 |
| 84100 |
|
193 |
154 |
$530.94 |
| 86200 |
|
56 |
53 |
$530.37 |
| 82728 |
|
49 |
46 |
$486.50 |
| 87635 |
|
65 |
64 |
$478.98 |
| C9803 |
Hopd covid-19 spec collect |
175 |
165 |
$436.08 |
| 71101 |
|
12 |
12 |
$425.32 |
| 87328 |
|
38 |
38 |
$425.17 |
| 87329 |
|
38 |
38 |
$416.85 |
| C1894 |
Intro/sheath, non-laser |
37 |
36 |
$401.21 |
| 89055 |
|
37 |
37 |
$398.00 |
| 84402 |
|
12 |
12 |
$386.69 |
| 84703 |
|
28 |
28 |
$367.75 |
| 74230 |
|
13 |
12 |
$367.05 |
| 82105 |
|
31 |
27 |
$364.77 |
| 84403 |
|
12 |
12 |
$358.70 |
| 72170 |
|
17 |
14 |
$344.36 |
| C1887 |
Catheter, guiding |
12 |
12 |
$340.52 |
| 86696 |
|
12 |
12 |
$311.50 |
| J2765 |
Metoclopramide hcl injection |
636 |
569 |
$310.79 |
| J3370 |
Vancomycin hcl injection |
104 |
71 |
$308.01 |
| 0353U |
|
376 |
357 |
$303.24 |
| 83540 |
|
107 |
101 |
$286.75 |
| 92611 |
|
13 |
12 |
$281.22 |
| 83615 |
|
48 |
46 |
$280.47 |
| J3475 |
Inj magnesium sulfate |
214 |
174 |
$268.14 |
| 82746 |
|
81 |
72 |
$255.12 |
| 82533 |
|
14 |
13 |
$225.30 |
| 83520 |
|
15 |
15 |
$221.88 |
| 87425 |
|
16 |
15 |
$180.18 |
| Q3014 |
Telehealth facility fee |
113 |
101 |
$169.55 |
| S0164 |
Injection pantroprazole |
318 |
260 |
$156.67 |
| 86695 |
|
12 |
12 |
$152.71 |
| 97014 |
|
1,142 |
318 |
$144.15 |
| 82247 |
|
22 |
15 |
$143.40 |
| 86923 |
|
14 |
12 |
$135.80 |
| 82330 |
|
15 |
13 |
$132.09 |
| 76815 |
|
15 |
13 |
$130.00 |
| 87185 |
|
29 |
25 |
$128.82 |
| J0360 |
Hydralazine hcl injection |
208 |
181 |
$128.06 |
| J0171 |
Adrenalin epinephrine inject |
140 |
122 |
$125.42 |
| 85014 |
|
31 |
26 |
$112.67 |
| 80177 |
|
14 |
13 |
$108.54 |
| 87640 |
|
12 |
12 |
$101.34 |
| S0028 |
Injection, famotidine, 20 mg |
470 |
404 |
$100.08 |
| 93242 |
|
12 |
12 |
$88.02 |
| J2370 |
Phenylephrine hcl injection |
601 |
381 |
$75.75 |
| J2919 |
Inj, methylpred sod succ 5mg |
153 |
125 |
$72.88 |
| 82248 |
|
15 |
12 |
$71.70 |
| 85018 |
|
15 |
12 |
$68.52 |
| J1940 |
Furosemide injection |
55 |
42 |
$54.35 |
| 96372 |
|
2,486 |
1,915 |
$49.59 |
| J1642 |
Inj heparin sodium per 10 u |
94 |
63 |
$49.05 |
| 96376 |
|
1,719 |
1,341 |
$43.87 |
| J0694 |
Cefoxitin sodium injection |
17 |
12 |
$43.52 |
| 84550 |
|
14 |
14 |
$42.90 |
| G0378 |
Hospital observation per hr |
235 |
214 |
$41.78 |
| 36416 |
|
18 |
13 |
$40.00 |
| J3480 |
Inj potassium chloride |
38 |
27 |
$37.57 |
| U0005 |
Infec agen detec ampli probe |
417 |
358 |
$23.65 |
| J2550 |
Promethazine hcl injection |
47 |
46 |
$21.76 |
| 76981 |
|
12 |
12 |
$19.48 |
| J3360 |
Diazepam injection |
29 |
26 |
$19.36 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
142 |
119 |
$18.09 |
| J2001 |
Lidocaine injection |
710 |
539 |
$17.60 |
| J7040 |
Normal saline solution infus |
761 |
675 |
$11.53 |
| J2300 |
Inj nalbuphine hydrochloride |
27 |
25 |
$11.40 |
| J0687 |
Inj cefazolin (wg crit care) |
55 |
39 |
$11.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
41 |
31 |
$10.38 |
| S0020 |
Injection, bupivicaine hydro |
141 |
134 |
$8.74 |
| 97010 |
|
711 |
216 |
$8.37 |
| J1920 |
Inj, labetalol hcl, 5mg |
28 |
25 |
$7.68 |
| J2175 |
Meperidine hydrochl /100 mg |
217 |
205 |
$2.19 |
| G8979 |
Mobility goal status |
283 |
248 |
$0.26 |
| G8978 |
Mobility current status |
253 |
224 |
$0.20 |
| J0136 |
Inj, acetaminophen (b braun) |
74 |
59 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
85 |
46 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
16 |
14 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
31 |
26 |
$0.00 |
| J1956 |
Levofloxacin injection |
12 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
44 |
41 |
$0.00 |
| 97116 |
|
19 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
138 |
137 |
$0.00 |
| J7050 |
Normal saline solution infus |
142 |
110 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
37 |
30 |
$0.00 |
| J8540 |
Oral dexamethasone |
53 |
51 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
247 |
238 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
220 |
167 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
92 |
71 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
35 |
29 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
153 |
143 |
$0.00 |
| 97016 |
|
38 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
13 |
13 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
41 |
20 |
$0.00 |