| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
32,079 |
29,545 |
$3.67M |
| 99284 |
|
20,912 |
18,917 |
$2.73M |
| 96361 |
|
9,530 |
6,521 |
$2.69M |
| 29581 |
|
13,116 |
3,442 |
$1.30M |
| 99285 |
|
6,798 |
5,688 |
$846K |
| G0463 |
Hospital outpt clinic visit |
9,851 |
7,816 |
$732K |
| 70450 |
|
3,084 |
2,597 |
$720K |
| 74177 |
|
2,646 |
2,240 |
$632K |
| 74176 |
|
2,130 |
1,787 |
$549K |
| 43239 |
|
811 |
738 |
$413K |
| 99282 |
|
2,519 |
2,348 |
$308K |
| 62323 |
|
725 |
636 |
$287K |
| G0378 |
Hospital observation per hr |
4,148 |
2,264 |
$279K |
| 96360 |
|
1,349 |
1,211 |
$274K |
| G0260 |
Inj for sacroiliac jt anesth |
1,216 |
844 |
$256K |
| 96365 |
|
2,339 |
1,811 |
$249K |
| H2020 |
Ther behav svc, per diem |
1,623 |
301 |
$207K |
| 71275 |
|
717 |
632 |
$195K |
| 96366 |
|
1,314 |
733 |
$189K |
| 97110 |
|
2,709 |
1,225 |
$184K |
| 80048 |
|
29,476 |
25,217 |
$159K |
| 94640 |
|
1,454 |
1,199 |
$156K |
| 99281 |
|
1,246 |
1,119 |
$152K |
| 11042 |
|
1,210 |
860 |
$146K |
| 64493 |
|
199 |
159 |
$141K |
| 95810 |
|
220 |
211 |
$136K |
| 64483 |
|
270 |
225 |
$121K |
| 87502 |
|
6,754 |
5,994 |
$114K |
| C9803 |
Hopd covid-19 spec collect |
2,920 |
2,616 |
$106K |
| 76642 |
|
824 |
768 |
$104K |
| 62321 |
|
229 |
204 |
$103K |
| 93306 |
|
670 |
605 |
$101K |
| 71260 |
|
456 |
421 |
$87K |
| G0238 |
Oth resp proc, indiv |
525 |
484 |
$76K |
| 77063 |
|
1,592 |
1,504 |
$73K |
| 71250 |
|
646 |
579 |
$58K |
| 76705 |
|
736 |
644 |
$55K |
| 76830 |
|
660 |
605 |
$54K |
| 71046 |
|
3,183 |
2,918 |
$52K |
| 80053 |
|
4,378 |
3,544 |
$50K |
| 70496 |
|
180 |
158 |
$49K |
| 99291 |
|
434 |
375 |
$43K |
| 93971 |
|
645 |
585 |
$37K |
| 72131 |
|
687 |
570 |
$34K |
| 85025 |
|
36,560 |
29,413 |
$31K |
| 97162 |
|
834 |
685 |
$31K |
| 95811 |
|
41 |
41 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
161 |
161 |
$30K |
| 20610 |
|
154 |
144 |
$29K |
| 80307 |
|
2,266 |
1,765 |
$29K |
| 71271 |
|
175 |
164 |
$27K |
| 97161 |
|
438 |
383 |
$22K |
| 77065 |
Tomosynthesis, mammo |
611 |
525 |
$22K |
| 84443 |
|
3,067 |
2,679 |
$21K |
| 82805 |
|
969 |
774 |
$20K |
| 64635 |
|
39 |
27 |
$20K |
| 12001 |
|
130 |
120 |
$20K |
| 82306 |
|
1,164 |
1,040 |
$19K |
| 93356 |
|
86 |
81 |
$19K |
| 93970 |
|
172 |
154 |
$18K |
| 73030 |
|
920 |
797 |
$18K |
| 72125 |
|
1,268 |
1,081 |
$18K |
| 80061 |
|
1,836 |
1,679 |
$17K |
| 71045 |
|
7,879 |
6,743 |
$17K |
| 77067 |
|
1,783 |
1,700 |
$17K |
| 72100 |
|
530 |
486 |
$17K |
| 93005 |
|
12,525 |
10,453 |
$17K |
| 97166 |
|
527 |
406 |
$17K |
| 74018 |
|
467 |
418 |
$16K |
| 36415 |
|
11,215 |
7,345 |
$16K |
| 97140 |
|
821 |
414 |
$16K |
| 77066 |
Tomosynthesis, mammo |
432 |
406 |
$16K |
| 82607 |
|
1,259 |
1,096 |
$16K |
| 73630 |
|
1,098 |
949 |
$15K |
| 84484 |
|
10,175 |
5,703 |
$14K |
| 80076 |
|
8,809 |
7,375 |
$14K |
| 73562 |
|
567 |
488 |
$14K |
| 86850 |
|
719 |
617 |
$13K |
| J3490 |
Drugs unclassified injection |
3,820 |
2,630 |
$12K |
| 82728 |
|
1,115 |
957 |
$11K |
| 96367 |
|
493 |
334 |
$11K |
| 97116 |
|
477 |
211 |
$11K |
| 84439 |
|
886 |
785 |
$11K |
| 83036 |
|
1,782 |
1,559 |
$11K |
| 73130 |
|
787 |
689 |
$10K |
| 86900 |
|
923 |
760 |
$10K |
| 80069 |
|
2,056 |
1,073 |
$10K |
| 96374 |
|
11,923 |
10,148 |
$10K |
| 90791 |
|
84 |
80 |
$9K |
| 76817 |
|
271 |
232 |
$9K |
| 72110 |
|
152 |
140 |
$9K |
| 73610 |
|
757 |
678 |
$9K |
| 73560 |
|
623 |
512 |
$9K |
| 70486 |
|
303 |
269 |
$9K |
| 70551 |
|
47 |
38 |
$8K |
| 97535 |
|
331 |
151 |
$8K |
| 64494 |
|
361 |
155 |
$8K |
| 90715 |
|
545 |
467 |
$8K |
| G0279 |
Tomosynthesis, mammo |
723 |
677 |
$8K |
| 93017 |
|
97 |
78 |
$7K |
| 43235 |
|
13 |
12 |
$7K |
| 96372 |
|
7,549 |
5,275 |
$7K |
| 96375 |
|
7,818 |
5,946 |
$7K |
| 73502 |
|
438 |
396 |
$7K |
| 83540 |
|
1,150 |
986 |
$7K |
| 90471 |
|
545 |
466 |
$6K |
| 76536 |
|
54 |
47 |
$6K |
| 70553 |
|
25 |
25 |
$6K |
| 73110 |
|
506 |
454 |
$5K |
| 27096 |
|
27 |
25 |
$5K |
| 83550 |
|
1,110 |
961 |
$5K |
| J0500 |
Dicyclomine injection |
369 |
269 |
$5K |
| 88307 |
|
33 |
28 |
$5K |
| 78452 |
|
21 |
13 |
$5K |
| 72128 |
|
241 |
202 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
7,003 |
6,118 |
$4K |
| 83735 |
|
3,354 |
2,294 |
$4K |
| 85027 |
|
1,419 |
1,146 |
$4K |
| 81001 |
|
12,198 |
10,505 |
$4K |
| 72040 |
|
110 |
108 |
$4K |
| 10060 |
|
26 |
25 |
$4K |
| J1610 |
Glucagon hydrochloride/1 mg |
19 |
12 |
$4K |
| 87086 |
|
2,053 |
1,726 |
$3K |
| 96376 |
|
1,989 |
1,146 |
$3K |
| 87651 |
|
2,852 |
2,550 |
$3K |
| 82746 |
|
1,058 |
910 |
$3K |
| 87491 |
|
1,015 |
914 |
$3K |
| 85610 |
|
2,209 |
1,753 |
$3K |
| 87529 |
|
1,656 |
887 |
$2K |
| 73590 |
|
243 |
208 |
$2K |
| 81025 |
|
6,715 |
5,867 |
$2K |
| 84425 |
|
469 |
416 |
$2K |
| 76700 |
|
15 |
14 |
$2K |
| 84590 |
|
443 |
413 |
$2K |
| 83880 |
|
1,053 |
845 |
$2K |
| 87591 |
|
1,015 |
914 |
$2K |
| 88341 |
|
15 |
14 |
$2K |
| 97165 |
|
34 |
28 |
$2K |
| 84702 |
|
572 |
475 |
$2K |
| 87661 |
|
974 |
879 |
$1K |
| 73080 |
|
153 |
134 |
$1K |
| 94060 |
|
12 |
12 |
$1K |
| 83690 |
|
7,060 |
5,834 |
$1K |
| 0202U |
|
31 |
27 |
$1K |
| 77002 |
|
284 |
245 |
$1K |
| 71101 |
|
107 |
101 |
$1K |
| 87077 |
|
1,225 |
972 |
$1K |
| 86803 |
|
32 |
27 |
$1K |
| 85007 |
|
694 |
574 |
$1K |
| J1650 |
Inj enoxaparin sodium |
1,957 |
817 |
$1K |
| 81003 |
|
1,980 |
1,700 |
$1K |
| 94726 |
|
12 |
12 |
$979.16 |
| 85651 |
|
593 |
511 |
$976.66 |
| 73090 |
|
86 |
77 |
$911.25 |
| 84100 |
|
540 |
356 |
$882.24 |
| 85378 |
|
1,570 |
1,354 |
$870.88 |
| 86140 |
|
114 |
105 |
$866.55 |
| J7999 |
Compounded drug, noc |
361 |
249 |
$846.95 |
| 88305 |
|
1,436 |
1,123 |
$842.87 |
| 70498 |
|
175 |
156 |
$834.86 |
| 94729 |
|
13 |
13 |
$811.20 |
| 83605 |
|
1,999 |
1,338 |
$803.21 |
| 72050 |
|
12 |
12 |
$792.45 |
| 82550 |
|
589 |
466 |
$740.93 |
| 29125 |
|
404 |
368 |
$740.33 |
| 87634 |
|
334 |
302 |
$732.86 |
| 87210 |
|
623 |
565 |
$673.27 |
| 84436 |
|
379 |
346 |
$668.11 |
| 92610 |
|
33 |
28 |
$617.45 |
| J2543 |
Piperacillin/tazobactam |
232 |
111 |
$612.90 |
| 87186 |
|
914 |
728 |
$590.31 |
| 82248 |
|
214 |
151 |
$569.63 |
| 84145 |
|
1,068 |
841 |
$536.16 |
| 86901 |
|
923 |
760 |
$529.98 |
| J1170 |
Hydromorphone injection |
1,281 |
795 |
$516.27 |
| J2800 |
Methocarbamol injection |
177 |
149 |
$412.67 |
| 72072 |
|
12 |
12 |
$402.38 |
| 87040 |
|
1,712 |
767 |
$393.11 |
| 73140 |
|
62 |
61 |
$381.74 |
| 82043 |
|
69 |
66 |
$370.66 |
| J1885 |
Ketorolac tromethamine inj |
9,342 |
7,474 |
$356.81 |
| J0744 |
Ciprofloxacin iv |
358 |
311 |
$323.97 |
| 76870 |
|
15 |
12 |
$320.81 |
| 84550 |
|
54 |
50 |
$309.82 |
| J2405 |
Ondansetron hcl injection |
7,393 |
5,681 |
$272.48 |
| J3301 |
Triamcinolone acet inj nos |
3,679 |
3,174 |
$268.07 |
| J3010 |
Fentanyl citrate injection |
3,992 |
2,908 |
$265.59 |
| 84132 |
|
495 |
359 |
$253.91 |
| J2270 |
Morphine sulfate injection |
1,514 |
1,140 |
$222.09 |
| 96368 |
|
12 |
12 |
$207.89 |
| 86141 |
|
81 |
57 |
$201.14 |
| J2310 |
Inj naloxone hydrochloride |
21 |
15 |
$190.33 |
| 73552 |
|
17 |
14 |
$166.55 |
| 84153 |
|
12 |
12 |
$158.28 |
| J2550 |
Promethazine hcl injection |
939 |
634 |
$129.53 |
| J2919 |
Inj, methylpred sod succ 5mg |
260 |
206 |
$111.26 |
| 72170 |
|
31 |
26 |
$111.02 |
| J2930 |
Methylprednisolone injection |
356 |
286 |
$107.97 |
| U0005 |
Infec agen detec ampli probe |
146 |
145 |
$105.18 |
| 82330 |
|
69 |
53 |
$103.95 |
| 82570 |
|
14 |
13 |
$103.37 |
| J2360 |
Orphenadrine injection |
380 |
326 |
$101.51 |
| J2704 |
Inj, propofol, 10 mg |
1,411 |
1,218 |
$91.97 |
| J1100 |
Dexamethasone sodium phos |
3,512 |
2,854 |
$91.75 |
| 84703 |
|
135 |
124 |
$87.29 |
| 87070 |
|
226 |
204 |
$83.85 |
| 80320 |
|
18 |
12 |
$80.28 |
| J1644 |
Inj heparin sodium per 1000u |
1,144 |
599 |
$65.44 |
| 85730 |
|
484 |
426 |
$62.08 |
| 85014 |
|
19 |
13 |
$58.00 |
| J0696 |
Ceftriaxone sodium injection |
1,436 |
912 |
$57.93 |
| 82010 |
|
174 |
155 |
$50.33 |
| J1200 |
Diphenhydramine hcl injectio |
1,241 |
986 |
$44.56 |
| 87205 |
|
34 |
26 |
$44.49 |
| 85018 |
|
19 |
13 |
$42.43 |
| J1790 |
Droperidol injection |
518 |
408 |
$41.49 |
| 88342 |
|
892 |
766 |
$39.36 |
| J0780 |
Prochlorperazine injection |
371 |
298 |
$36.94 |
| 01999 |
|
289 |
258 |
$36.35 |
| J3475 |
Inj magnesium sulfate |
872 |
665 |
$31.90 |
| 82140 |
|
59 |
50 |
$31.22 |
| J2272 |
Inj, morphine (fresenius) |
48 |
36 |
$23.15 |
| J2060 |
Lorazepam injection |
384 |
270 |
$21.95 |
| J2765 |
Metoclopramide hcl injection |
312 |
272 |
$12.00 |
| J3360 |
Diazepam injection |
33 |
12 |
$11.56 |
| 87880 |
|
181 |
169 |
$9.68 |
| J0690 |
Cefazolin sodium injection |
886 |
654 |
$9.45 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,483 |
1,217 |
$9.10 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
111 |
77 |
$5.01 |
| J2470 |
Inj pantoprazole sodium 40mg |
118 |
94 |
$3.85 |
| J0330 |
Succinycholine chloride inj |
228 |
169 |
$3.00 |
| J3480 |
Inj potassium chloride |
202 |
149 |
$2.53 |
| J1940 |
Furosemide injection |
36 |
27 |
$2.34 |
| J2250 |
Inj midazolam hydrochloride |
1,261 |
1,006 |
$1.79 |
| Q0177 |
Hydroxyzine pamoate 25mg |
140 |
94 |
$0.37 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
369 |
298 |
$0.12 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
87 |
78 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
58 |
43 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
496 |
449 |
$0.00 |
| 00731 |
|
432 |
392 |
$0.00 |
| G1004 |
Cdsm ndsc |
36 |
24 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
34 |
30 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
171 |
118 |
$0.00 |
| 64636 |
|
37 |
25 |
$0.00 |
| 00797 |
|
27 |
13 |
$0.00 |
| C1776 |
Joint device (implantable) |
13 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
21 |
13 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
410 |
397 |
$0.00 |
| 88304 |
|
220 |
174 |
$0.00 |
| 00813 |
|
28 |
27 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
79 |
68 |
$0.00 |
| A4648 |
Implantable tissue marker |
248 |
211 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
167 |
116 |
$0.00 |
| 94760 |
|
83 |
55 |
$0.00 |
| 88311 |
|
16 |
15 |
$0.00 |
| C1769 |
Guide wire |
19 |
12 |
$0.00 |