| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
12,833 |
11,256 |
$11.42M |
| 99284 |
|
16,410 |
14,519 |
$8.03M |
| 99283 |
|
19,949 |
18,318 |
$7.34M |
| 74177 |
|
3,471 |
3,211 |
$3.03M |
| 99282 |
|
5,125 |
4,808 |
$1.48M |
| 74176 |
|
1,671 |
1,548 |
$927K |
| 99291 |
|
613 |
555 |
$915K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,817 |
5,311 |
$374K |
| 80061 |
|
7,314 |
6,892 |
$299K |
| 80307 |
|
4,486 |
3,815 |
$263K |
| 77067 |
|
2,716 |
2,676 |
$255K |
| G0463 |
Hospital outpt clinic visit |
4,269 |
3,540 |
$244K |
| 93306 |
|
3,235 |
2,886 |
$229K |
| 87491 |
|
4,032 |
3,843 |
$223K |
| 96365 |
|
6,544 |
3,316 |
$184K |
| 97110 |
|
6,404 |
2,222 |
$171K |
| 87340 |
|
1,226 |
1,154 |
$171K |
| 70450 |
|
3,699 |
3,360 |
$137K |
| 71046 |
|
5,062 |
4,756 |
$124K |
| 88305 |
|
2,222 |
1,922 |
$98K |
| 99281 |
|
479 |
456 |
$90K |
| 97140 |
|
2,968 |
1,118 |
$83K |
| 78452 |
|
79 |
79 |
$66K |
| 99233 |
Prolong inpt eval add15 m |
970 |
416 |
$64K |
| J0696 |
Ceftriaxone sodium injection |
2,760 |
1,549 |
$61K |
| 80076 |
|
6,927 |
5,937 |
$55K |
| 80053 |
|
22,180 |
18,939 |
$54K |
| 87086 |
|
5,504 |
5,038 |
$50K |
| 84443 |
|
6,869 |
6,410 |
$49K |
| 87502 |
|
3,257 |
3,055 |
$43K |
| 99232 |
|
954 |
367 |
$42K |
| 99214 |
|
753 |
660 |
$40K |
| 82306 |
|
967 |
909 |
$38K |
| 76700 |
|
451 |
445 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
314 |
296 |
$37K |
| 99215 |
Prolong outpt/office vis |
402 |
369 |
$35K |
| 93005 |
|
14,108 |
11,567 |
$34K |
| 87624 |
|
549 |
524 |
$33K |
| 96361 |
|
7,246 |
6,131 |
$33K |
| 96360 |
|
3,177 |
2,481 |
$33K |
| 96366 |
|
461 |
237 |
$32K |
| G0378 |
Hospital observation per hr |
483 |
258 |
$29K |
| 72125 |
|
694 |
637 |
$29K |
| 76705 |
|
877 |
824 |
$26K |
| 73562 |
|
1,688 |
1,599 |
$26K |
| 86803 |
|
1,369 |
1,291 |
$25K |
| 99239 |
|
329 |
309 |
$24K |
| 70551 |
|
85 |
83 |
$24K |
| 87186 |
|
1,868 |
1,738 |
$22K |
| 85025 |
|
37,748 |
31,091 |
$22K |
| 73630 |
|
2,116 |
1,983 |
$20K |
| 81514 |
|
160 |
149 |
$19K |
| 0352U |
|
207 |
193 |
$19K |
| 73610 |
|
1,637 |
1,505 |
$18K |
| 73030 |
|
1,345 |
1,249 |
$17K |
| 80048 |
|
16,399 |
13,901 |
$17K |
| 87653 |
|
433 |
416 |
$17K |
| 76830 |
|
510 |
494 |
$16K |
| 71275 |
|
177 |
167 |
$15K |
| 73130 |
|
1,386 |
1,280 |
$14K |
| 86850 |
|
1,931 |
1,750 |
$14K |
| 83880 |
|
2,974 |
2,595 |
$14K |
| 99213 |
|
504 |
445 |
$13K |
| 76770 |
|
223 |
203 |
$11K |
| 83970 |
|
177 |
174 |
$11K |
| 93010 |
|
2,183 |
1,658 |
$11K |
| 73110 |
|
953 |
865 |
$10K |
| 87635 |
|
4,444 |
4,069 |
$9K |
| 97162 |
|
196 |
182 |
$9K |
| 88142 |
|
1,926 |
1,855 |
$9K |
| 76642 |
|
523 |
503 |
$7K |
| 72100 |
|
351 |
330 |
$7K |
| 96374 |
|
12,062 |
10,071 |
$7K |
| 70486 |
|
99 |
98 |
$7K |
| 82378 |
|
1,187 |
913 |
$7K |
| 76856 |
|
703 |
676 |
$6K |
| 97161 |
|
129 |
121 |
$6K |
| 72110 |
|
117 |
115 |
$5K |
| 70491 |
|
24 |
24 |
$5K |
| 71260 |
|
203 |
195 |
$5K |
| 87637 |
|
918 |
894 |
$5K |
| 84466 |
|
518 |
488 |
$4K |
| 71045 |
|
9,010 |
7,908 |
$4K |
| 84702 |
|
780 |
641 |
$4K |
| 90833 |
|
140 |
129 |
$4K |
| 96367 |
|
1,504 |
687 |
$4K |
| 99211 |
|
269 |
219 |
$4K |
| 76805 |
|
54 |
51 |
$4K |
| 96372 |
|
4,965 |
4,077 |
$4K |
| 93017 |
|
297 |
281 |
$4K |
| 87660 |
|
1,787 |
1,629 |
$4K |
| 97112 |
|
152 |
80 |
$3K |
| 82728 |
|
1,191 |
1,130 |
$3K |
| 87591 |
|
4,093 |
3,902 |
$3K |
| 87070 |
|
1,390 |
1,272 |
$2K |
| 85027 |
|
2,384 |
2,039 |
$2K |
| 93016 |
|
124 |
122 |
$2K |
| 99212 |
|
44 |
37 |
$2K |
| 31575 |
|
26 |
24 |
$2K |
| 83036 |
|
6,977 |
6,601 |
$2K |
| 90656 |
|
95 |
95 |
$2K |
| 87077 |
|
1,049 |
966 |
$2K |
| 86481 |
|
39 |
35 |
$2K |
| 87631 |
|
337 |
321 |
$2K |
| 73140 |
|
234 |
220 |
$2K |
| 87651 |
|
450 |
428 |
$2K |
| 90715 |
|
1,322 |
1,258 |
$2K |
| 87389 |
|
2,087 |
1,985 |
$2K |
| 93018 |
|
124 |
122 |
$1K |
| 71250 |
|
13 |
13 |
$1K |
| 85610 |
|
4,745 |
4,174 |
$1K |
| J3490 |
Drugs unclassified injection |
10,711 |
3,815 |
$1K |
| 84484 |
|
9,051 |
6,673 |
$1K |
| 82570 |
|
789 |
678 |
$1K |
| 81001 |
|
11,231 |
10,040 |
$1K |
| 87798 |
|
41 |
39 |
$1K |
| 86787 |
|
173 |
161 |
$1K |
| 96375 |
|
8,644 |
6,592 |
$1K |
| 73502 |
|
86 |
78 |
$1K |
| 76536 |
|
27 |
27 |
$1K |
| 96413 |
|
339 |
182 |
$1K |
| 82950 |
|
793 |
764 |
$1K |
| 82043 |
|
1,614 |
1,533 |
$1K |
| 73080 |
|
126 |
115 |
$1K |
| 87040 |
|
3,978 |
2,065 |
$976.51 |
| 84403 |
|
61 |
61 |
$940.45 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$874.53 |
| 73564 |
|
18 |
16 |
$830.67 |
| 72050 |
|
12 |
12 |
$789.82 |
| 94729 |
|
24 |
24 |
$769.40 |
| 86038 |
|
12 |
12 |
$742.81 |
| 87205 |
|
490 |
429 |
$735.99 |
| 83001 |
|
26 |
24 |
$714.41 |
| 82550 |
|
2,695 |
2,373 |
$708.54 |
| 93971 |
|
50 |
50 |
$704.67 |
| 97530 |
|
84 |
52 |
$661.88 |
| 36415 |
|
40,255 |
32,064 |
$657.51 |
| 87088 |
|
1,789 |
1,625 |
$647.35 |
| 87150 |
|
12 |
12 |
$634.58 |
| 87481 |
|
41 |
41 |
$632.33 |
| 76801 |
|
13 |
13 |
$614.57 |
| 82803 |
|
1,882 |
1,498 |
$584.44 |
| 82607 |
|
791 |
747 |
$582.38 |
| 83605 |
|
4,213 |
3,284 |
$579.83 |
| 99203 |
|
14 |
13 |
$563.95 |
| 84703 |
|
2,243 |
2,084 |
$542.51 |
| 86900 |
|
2,252 |
2,026 |
$501.70 |
| 94640 |
|
2,089 |
1,418 |
$489.97 |
| 86706 |
|
16 |
15 |
$475.03 |
| 93000 |
|
86 |
79 |
$464.26 |
| C1769 |
Guide wire |
211 |
153 |
$459.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,972 |
5,360 |
$420.98 |
| 83735 |
|
7,701 |
6,678 |
$417.05 |
| 84153 |
|
27 |
25 |
$405.67 |
| 82274 |
|
57 |
56 |
$395.28 |
| 81025 |
|
4,161 |
3,777 |
$349.50 |
| 83690 |
|
7,753 |
6,906 |
$327.85 |
| 87480 |
|
12 |
12 |
$319.05 |
| 81003 |
|
3,656 |
3,402 |
$318.30 |
| 73590 |
|
54 |
50 |
$267.26 |
| 85379 |
|
1,153 |
1,079 |
$256.80 |
| 82746 |
|
26 |
26 |
$254.72 |
| 71101 |
|
30 |
28 |
$248.60 |
| 86592 |
|
1,059 |
995 |
$238.47 |
| 84550 |
|
1,316 |
1,237 |
$221.17 |
| 99204 |
|
29 |
29 |
$219.22 |
| J2405 |
Ondansetron hcl injection |
8,564 |
6,664 |
$201.05 |
| 88175 |
|
45 |
45 |
$193.45 |
| 86780 |
|
667 |
651 |
$164.66 |
| 83540 |
|
1,369 |
1,285 |
$161.30 |
| 80179 |
|
15 |
12 |
$151.45 |
| 93246 |
|
13 |
13 |
$147.78 |
| 87880 |
|
464 |
444 |
$133.65 |
| 93880 |
|
13 |
12 |
$105.64 |
| U0005 |
Infec agen detec ampli probe |
2,652 |
2,351 |
$100.00 |
| 87210 |
|
63 |
53 |
$97.66 |
| 90471 |
|
1,379 |
1,317 |
$97.10 |
| J2270 |
Morphine sulfate injection |
4,444 |
3,315 |
$96.67 |
| J1885 |
Ketorolac tromethamine inj |
6,777 |
5,949 |
$93.83 |
| 73090 |
|
60 |
53 |
$90.18 |
| 85651 |
|
1,252 |
1,049 |
$88.25 |
| 88304 |
|
13 |
12 |
$75.44 |
| 83718 |
|
13 |
13 |
$70.58 |
| G0103 |
Psa screening |
248 |
237 |
$70.49 |
| J7030 |
Normal saline solution infus |
3,134 |
2,723 |
$69.47 |
| 85014 |
|
690 |
531 |
$65.80 |
| J1100 |
Dexamethasone sodium phos |
4,180 |
3,024 |
$47.78 |
| J0131 |
Inj, acetaminophen (nos) |
1,114 |
967 |
$46.46 |
| 85730 |
|
3,331 |
3,020 |
$42.54 |
| 82962 |
|
1,710 |
1,067 |
$30.22 |
| J1170 |
Hydromorphone injection |
956 |
676 |
$28.23 |
| 80143 |
|
16 |
13 |
$27.30 |
| 87804 |
|
186 |
157 |
$25.39 |
| J3010 |
Fentanyl citrate injection |
3,985 |
3,102 |
$23.95 |
| C9803 |
Hopd covid-19 spec collect |
243 |
175 |
$22.99 |
| A9579 |
Gad-base mr contrast nos,1ml |
177 |
171 |
$22.80 |
| J2704 |
Inj, propofol, 10 mg |
2,639 |
2,117 |
$17.04 |
| 84100 |
|
1,480 |
1,322 |
$16.40 |
| 82948 |
|
1,846 |
1,261 |
$15.34 |
| 86762 |
|
524 |
495 |
$14.68 |
| J2060 |
Lorazepam injection |
1,184 |
925 |
$13.73 |
| 84439 |
|
2,731 |
2,571 |
$13.69 |
| J0690 |
Cefazolin sodium injection |
1,869 |
1,282 |
$13.42 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
113 |
93 |
$10.46 |
| 76817 |
|
14 |
13 |
$9.18 |
| 85007 |
|
1,633 |
1,351 |
$8.94 |
| 86901 |
|
2,254 |
2,027 |
$7.58 |
| J1200 |
Diphenhydramine hcl injectio |
2,102 |
1,352 |
$7.43 |
| J2765 |
Metoclopramide hcl injection |
870 |
789 |
$5.52 |
| J1630 |
Haloperidol injection |
89 |
67 |
$5.37 |
| J1644 |
Inj heparin sodium per 1000u |
325 |
181 |
$5.14 |
| 86140 |
|
1,450 |
1,188 |
$4.63 |
| 81002 |
|
72 |
67 |
$3.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
891 |
785 |
$0.98 |
| J8540 |
Oral dexamethasone |
262 |
238 |
$0.08 |
| 1159F |
|
3,645 |
3,261 |
$0.01 |
| 1160F |
|
2,213 |
1,992 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
68 |
51 |
$0.00 |
| 84156 |
|
465 |
405 |
$0.00 |
| 84450 |
|
15 |
13 |
$0.00 |
| 82465 |
|
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
197 |
132 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
236 |
217 |
$0.00 |
| 3078F |
|
80 |
79 |
$0.00 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$0.00 |
| 97116 |
|
22 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
63 |
55 |
$0.00 |
| J7040 |
Normal saline solution infus |
139 |
127 |
$0.00 |
| 94664 |
|
108 |
89 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
93 |
92 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
22 |
19 |
$0.00 |
| 87400 |
|
80 |
73 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
44 |
25 |
$0.00 |
| 99152 |
|
141 |
113 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
66 |
50 |
$0.00 |
| 82248 |
|
14 |
12 |
$0.00 |
| 94726 |
|
12 |
12 |
$0.00 |
| 77063 |
|
1,572 |
1,538 |
$0.00 |
| 96376 |
|
2,351 |
1,706 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
2,234 |
1,804 |
$0.00 |
| 3008F |
|
992 |
923 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
99 |
95 |
$0.00 |
| 51798 |
|
173 |
158 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
314 |
286 |
$0.00 |
| 83550 |
|
401 |
377 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
121 |
113 |
$0.00 |
| J1940 |
Furosemide injection |
66 |
51 |
$0.00 |
| G0008 |
Admin influenza virus vac |
62 |
62 |
$0.00 |
| 83615 |
|
52 |
38 |
$0.00 |
| 12001 |
|
81 |
78 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
95 |
67 |
$0.00 |
| 12002 |
|
25 |
25 |
$0.00 |
| 87510 |
|
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
40 |
40 |
$0.00 |
| 85018 |
|
291 |
204 |
$0.00 |
| 97035 |
|
121 |
51 |
$0.00 |
| 3074F |
|
88 |
84 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
16 |
14 |
$0.00 |
| 86317 |
|
12 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
16 |
12 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 3079F |
|
30 |
27 |
$0.00 |
| J7050 |
Normal saline solution infus |
29 |
26 |
$0.00 |
| 84132 |
|
15 |
13 |
$0.00 |