| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
23,376 |
20,474 |
$5.53M |
| 99284 |
|
20,983 |
17,458 |
$4.68M |
| 99285 |
|
16,035 |
13,175 |
$3.50M |
| 96361 |
|
10,667 |
8,000 |
$3.28M |
| 74177 |
|
4,465 |
3,882 |
$1.40M |
| 97110 |
|
26,752 |
6,257 |
$1.31M |
| 70450 |
|
5,866 |
4,943 |
$1.21M |
| 92507 |
|
6,198 |
1,569 |
$1.10M |
| 99282 |
|
4,182 |
3,817 |
$893K |
| 93306 |
|
2,557 |
2,170 |
$864K |
| 74176 |
|
3,193 |
2,666 |
$809K |
| 99281 |
|
2,664 |
2,473 |
$714K |
| G0378 |
Hospital observation per hr |
4,230 |
2,478 |
$697K |
| 59025 |
|
2,348 |
1,346 |
$631K |
| 96366 |
|
2,315 |
1,613 |
$621K |
| 96365 |
|
6,395 |
4,959 |
$582K |
| 96360 |
|
3,102 |
2,628 |
$467K |
| 80307 |
|
6,627 |
5,420 |
$441K |
| 96413 |
|
2,995 |
1,593 |
$402K |
| 97530 |
|
7,196 |
3,444 |
$399K |
| 97140 |
|
11,651 |
3,358 |
$382K |
| 71275 |
|
765 |
677 |
$285K |
| 97161 |
|
2,263 |
1,917 |
$269K |
| 78452 |
|
288 |
253 |
$234K |
| 94640 |
|
3,215 |
1,789 |
$228K |
| 77067 |
|
3,672 |
3,471 |
$201K |
| 87633 |
|
1,941 |
1,777 |
$188K |
| 80053 |
|
36,324 |
27,151 |
$184K |
| 87635 |
|
4,872 |
3,500 |
$179K |
| 70553 |
|
347 |
309 |
$168K |
| J9271 |
Inj pembrolizumab |
33 |
24 |
$165K |
| 76830 |
|
1,120 |
1,025 |
$153K |
| 45385 |
|
499 |
282 |
$150K |
| 59899 |
|
211 |
148 |
$147K |
| 76856 |
|
1,095 |
1,002 |
$127K |
| G0463 |
Hospital outpt clinic visit |
2,159 |
1,510 |
$115K |
| 77063 |
|
2,725 |
2,582 |
$112K |
| 97113 |
|
1,341 |
445 |
$110K |
| 71260 |
|
1,312 |
1,163 |
$105K |
| 76705 |
|
680 |
612 |
$96K |
| 97035 |
|
1,933 |
567 |
$93K |
| 71250 |
|
1,126 |
1,018 |
$93K |
| 87632 |
|
657 |
629 |
$82K |
| 76642 |
|
533 |
433 |
$76K |
| 87491 |
|
4,253 |
3,681 |
$71K |
| 71046 |
|
4,366 |
3,869 |
$71K |
| 87591 |
|
4,283 |
3,705 |
$67K |
| 81220 |
|
106 |
86 |
$59K |
| 72125 |
|
1,118 |
1,003 |
$56K |
| 85025 |
|
40,829 |
29,715 |
$54K |
| 76805 |
|
510 |
416 |
$54K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,784 |
1,843 |
$54K |
| 80048 |
|
12,307 |
8,645 |
$52K |
| 66984 |
|
61 |
49 |
$48K |
| 87637 |
|
4,249 |
3,897 |
$45K |
| 72148 |
|
142 |
134 |
$43K |
| 97112 |
|
1,590 |
466 |
$40K |
| 84443 |
|
4,687 |
3,968 |
$39K |
| 85027 |
|
9,988 |
7,341 |
$37K |
| 97162 |
|
220 |
179 |
$36K |
| 76801 |
|
471 |
403 |
$35K |
| 93971 |
|
288 |
254 |
$35K |
| 36415 |
|
17,569 |
13,305 |
$34K |
| 83880 |
|
3,438 |
2,842 |
$33K |
| 70498 |
|
73 |
66 |
$33K |
| 94726 |
|
402 |
363 |
$31K |
| 94727 |
|
525 |
480 |
$29K |
| 96367 |
|
818 |
596 |
$27K |
| 87661 |
|
1,738 |
1,517 |
$24K |
| 93017 |
|
375 |
331 |
$24K |
| 97165 |
|
323 |
272 |
$23K |
| 87086 |
|
7,339 |
6,116 |
$23K |
| 88305 |
|
2,224 |
1,724 |
$23K |
| 84702 |
|
3,020 |
2,375 |
$22K |
| 87798 |
|
2,306 |
2,151 |
$22K |
| 96372 |
|
11,015 |
6,973 |
$22K |
| 64483 |
|
17 |
13 |
$21K |
| 81420 |
|
30 |
26 |
$20K |
| 94729 |
|
464 |
423 |
$20K |
| 93005 |
|
15,877 |
12,460 |
$20K |
| 87502 |
|
1,095 |
997 |
$19K |
| 43235 |
|
109 |
82 |
$19K |
| 71045 |
|
11,026 |
8,974 |
$19K |
| 99212 |
|
150 |
127 |
$19K |
| 87040 |
|
2,139 |
1,645 |
$18K |
| 88142 |
|
872 |
700 |
$18K |
| 96374 |
|
14,466 |
11,379 |
$17K |
| 83036 |
|
3,111 |
2,755 |
$17K |
| 99291 |
|
95 |
86 |
$15K |
| 82948 |
|
11,748 |
3,385 |
$15K |
| 80061 |
|
2,964 |
2,660 |
$15K |
| 94060 |
|
186 |
172 |
$15K |
| 86780 |
|
1,331 |
1,205 |
$15K |
| 99214 |
|
111 |
87 |
$14K |
| 96523 |
|
226 |
162 |
$14K |
| 84484 |
|
11,722 |
8,757 |
$14K |
| 70486 |
|
174 |
163 |
$14K |
| 87486 |
|
2,301 |
2,147 |
$13K |
| 78815 |
|
14 |
12 |
$13K |
| 90715 |
|
498 |
468 |
$13K |
| G0472 |
Hep c screen high risk/other |
288 |
269 |
$13K |
| 82306 |
|
768 |
685 |
$13K |
| 99215 |
Prolong outpt/office vis |
120 |
87 |
$12K |
| 43239 |
|
35 |
21 |
$12K |
| 76536 |
|
81 |
78 |
$12K |
| 87581 |
|
2,300 |
2,146 |
$12K |
| 73030 |
|
878 |
737 |
$12K |
| 83735 |
|
13,332 |
8,605 |
$11K |
| 86803 |
|
622 |
516 |
$11K |
| 87631 |
|
859 |
744 |
$10K |
| 97116 |
|
408 |
184 |
$10K |
| 86900 |
|
3,213 |
2,611 |
$10K |
| 87340 |
|
1,697 |
1,448 |
$10K |
| 36430 |
|
14 |
12 |
$10K |
| 99213 |
|
79 |
64 |
$9K |
| 81025 |
|
9,886 |
8,179 |
$9K |
| 85379 |
|
1,956 |
1,698 |
$9K |
| 71271 |
|
74 |
67 |
$9K |
| 81001 |
|
20,817 |
16,776 |
$9K |
| 92523 |
|
31 |
30 |
$8K |
| J7030 |
Normal saline solution infus |
15,706 |
11,082 |
$8K |
| 74018 |
|
444 |
390 |
$8K |
| 86850 |
|
2,885 |
2,367 |
$8K |
| 87624 |
|
313 |
254 |
$8K |
| 81003 |
|
5,217 |
4,125 |
$8K |
| 36591 |
|
1,559 |
784 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
476 |
371 |
$7K |
| 84145 |
|
502 |
408 |
$7K |
| 73630 |
|
806 |
700 |
$7K |
| 12001 |
|
29 |
25 |
$7K |
| 87634 |
|
239 |
226 |
$7K |
| 87389 |
|
1,293 |
1,090 |
$7K |
| 93799 |
|
1,582 |
655 |
$7K |
| G0123 |
Screen cerv/vag thin layer |
228 |
205 |
$6K |
| 81329 |
|
180 |
146 |
$6K |
| 87653 |
|
145 |
130 |
$6K |
| 87081 |
|
3,400 |
3,075 |
$6K |
| G0476 |
Hpv combo assay ca screen |
114 |
108 |
$6K |
| 72100 |
|
249 |
224 |
$6K |
| 83605 |
|
4,820 |
3,823 |
$6K |
| 85610 |
|
5,430 |
3,789 |
$6K |
| 80320 |
|
1,933 |
1,644 |
$5K |
| 96375 |
|
11,997 |
8,694 |
$5K |
| J1610 |
Glucagon hydrochloride/1 mg |
197 |
129 |
$5K |
| 86140 |
|
771 |
695 |
$5K |
| 86901 |
|
3,212 |
2,611 |
$5K |
| 82607 |
|
567 |
509 |
$5K |
| 73610 |
|
692 |
622 |
$5K |
| J2405 |
Ondansetron hcl injection |
10,081 |
7,460 |
$5K |
| 82728 |
|
496 |
440 |
$5K |
| 77066 |
Tomosynthesis, mammo |
102 |
97 |
$5K |
| 80143 |
|
672 |
588 |
$4K |
| 0064U |
|
337 |
284 |
$4K |
| 45378 |
|
20 |
14 |
$4K |
| 70551 |
|
15 |
13 |
$4K |
| 76775 |
|
41 |
38 |
$4K |
| 94618 |
|
27 |
24 |
$4K |
| J7120 |
Ringers lactate infusion |
5,346 |
3,714 |
$4K |
| 80329 |
|
261 |
202 |
$4K |
| G0475 |
Hiv combination assay |
363 |
344 |
$4K |
| 73130 |
|
375 |
325 |
$4K |
| P9016 |
Rbc leukocytes reduced |
15 |
12 |
$4K |
| 85652 |
|
1,035 |
908 |
$3K |
| 73502 |
|
245 |
224 |
$3K |
| 87880 |
|
3,352 |
2,998 |
$3K |
| 82950 |
|
401 |
367 |
$3K |
| U0005 |
Infec agen detec ampli probe |
798 |
425 |
$3K |
| 83021 |
|
367 |
305 |
$3K |
| 86787 |
|
305 |
250 |
$3K |
| 96376 |
|
4,534 |
2,414 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
9,243 |
7,415 |
$3K |
| 80076 |
|
541 |
359 |
$3K |
| 77080 |
|
46 |
38 |
$3K |
| 84153 |
|
253 |
229 |
$3K |
| 87077 |
|
2,538 |
2,134 |
$2K |
| 84100 |
|
3,442 |
1,909 |
$2K |
| 36600 |
|
420 |
328 |
$2K |
| 96415 |
|
93 |
39 |
$2K |
| 80179 |
|
631 |
555 |
$2K |
| 83690 |
|
7,288 |
5,975 |
$2K |
| 83540 |
|
514 |
454 |
$2K |
| 82248 |
|
2,053 |
1,446 |
$2K |
| 86762 |
|
314 |
266 |
$2K |
| 84466 |
|
321 |
285 |
$2K |
| 87205 |
|
631 |
522 |
$2K |
| 87102 |
|
124 |
117 |
$2K |
| J7040 |
Normal saline solution infus |
3,299 |
2,485 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
5,200 |
3,373 |
$2K |
| 85730 |
|
3,721 |
2,960 |
$2K |
| 76817 |
|
57 |
52 |
$2K |
| 73564 |
|
357 |
305 |
$2K |
| J2001 |
Lidocaine injection |
3,174 |
2,259 |
$2K |
| 87184 |
|
1,864 |
1,563 |
$2K |
| 94010 |
|
62 |
56 |
$2K |
| 74022 |
|
415 |
354 |
$2K |
| 82105 |
|
111 |
95 |
$2K |
| 82746 |
|
188 |
172 |
$1K |
| A9270 |
Non-covered item or service |
629 |
471 |
$1K |
| 82565 |
|
979 |
869 |
$1K |
| J3010 |
Fentanyl citrate injection |
3,874 |
2,733 |
$1K |
| 84550 |
|
475 |
358 |
$1K |
| Q0162 |
Ondansetron oral |
2,014 |
1,405 |
$1K |
| 84156 |
|
286 |
222 |
$1K |
| 73562 |
|
83 |
68 |
$1K |
| 82550 |
|
819 |
644 |
$950.77 |
| 90471 |
|
629 |
560 |
$917.71 |
| 70496 |
|
47 |
42 |
$892.63 |
| 82077 |
|
1,022 |
874 |
$783.83 |
| 97535 |
|
61 |
39 |
$763.08 |
| 82805 |
|
1,240 |
1,003 |
$756.10 |
| A9500 |
Tc99m sestamibi |
362 |
292 |
$706.52 |
| 82150 |
|
372 |
310 |
$684.35 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$649.02 |
| 87088 |
|
649 |
527 |
$622.89 |
| 73110 |
|
114 |
97 |
$571.35 |
| 86336 |
|
34 |
29 |
$544.63 |
| 76000 |
|
153 |
133 |
$530.40 |
| 73560 |
|
29 |
26 |
$520.40 |
| 84132 |
|
814 |
658 |
$518.12 |
| J1650 |
Inj enoxaparin sodium |
1,271 |
466 |
$515.29 |
| J1644 |
Inj heparin sodium per 1000u |
2,965 |
1,031 |
$510.71 |
| 87210 |
|
657 |
568 |
$502.58 |
| 96402 |
|
13 |
12 |
$498.15 |
| J0696 |
Ceftriaxone sodium injection |
3,627 |
2,681 |
$496.41 |
| J3490 |
Drugs unclassified injection |
6,210 |
3,477 |
$473.69 |
| 77062 |
|
14 |
12 |
$471.72 |
| 86038 |
|
29 |
28 |
$462.07 |
| J7050 |
Normal saline solution infus |
6,079 |
2,607 |
$455.45 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,705 |
4,146 |
$435.62 |
| G0103 |
Psa screening |
42 |
35 |
$414.85 |
| J2060 |
Lorazepam injection |
1,071 |
728 |
$393.38 |
| J0171 |
Adrenalin epinephrine inject |
327 |
263 |
$392.36 |
| 94761 |
|
1,392 |
1,113 |
$381.46 |
| J1100 |
Dexamethasone sodium phos |
3,889 |
2,816 |
$379.16 |
| Q0163 |
Diphenhydramine hcl 50mg |
761 |
477 |
$367.06 |
| J2360 |
Orphenadrine injection |
433 |
359 |
$355.25 |
| 86480 |
|
15 |
13 |
$345.94 |
| 87070 |
|
145 |
119 |
$345.30 |
| 82677 |
|
34 |
29 |
$341.20 |
| J2270 |
Morphine sulfate injection |
3,384 |
2,257 |
$300.72 |
| 72040 |
|
13 |
13 |
$282.43 |
| J1815 |
Insulin injection |
1,165 |
449 |
$271.51 |
| 84439 |
|
29 |
25 |
$255.11 |
| J1200 |
Diphenhydramine hcl injectio |
1,752 |
1,373 |
$252.94 |
| J3475 |
Inj magnesium sulfate |
3,003 |
1,990 |
$252.91 |
| 86592 |
|
27 |
24 |
$233.99 |
| J8540 |
Oral dexamethasone |
425 |
185 |
$172.20 |
| J2930 |
Methylprednisolone injection |
979 |
771 |
$168.48 |
| 83615 |
|
85 |
62 |
$164.47 |
| J1170 |
Hydromorphone injection |
2,361 |
1,406 |
$162.16 |
| J0690 |
Cefazolin sodium injection |
2,159 |
1,377 |
$160.16 |
| 90686 |
|
22 |
18 |
$159.77 |
| 80050 |
|
25 |
23 |
$153.93 |
| 87220 |
|
351 |
294 |
$148.34 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,077 |
803 |
$145.44 |
| 87147 |
|
141 |
135 |
$134.28 |
| 88342 |
|
19 |
13 |
$121.82 |
| J1642 |
Inj heparin sodium per 10 u |
854 |
340 |
$117.19 |
| 83718 |
|
15 |
14 |
$113.21 |
| J2175 |
Meperidine hydrochl /100 mg |
1,201 |
787 |
$106.61 |
| 82553 |
|
108 |
73 |
$94.73 |
| J2765 |
Metoclopramide hcl injection |
1,220 |
991 |
$91.78 |
| 86706 |
|
13 |
13 |
$72.48 |
| C9399 |
Unclassified drugs or biolog |
19 |
12 |
$70.69 |
| 82465 |
|
15 |
14 |
$61.88 |
| 82784 |
|
18 |
12 |
$57.36 |
| J2795 |
Ropivacaine hcl injection |
285 |
238 |
$38.17 |
| J0330 |
Succinycholine chloride inj |
367 |
241 |
$37.79 |
| 88304 |
|
17 |
14 |
$33.80 |
| J2550 |
Promethazine hcl injection |
236 |
189 |
$31.95 |
| 84478 |
|
15 |
14 |
$31.52 |
| A9577 |
Inj multihance |
498 |
452 |
$29.28 |
| 86403 |
|
39 |
31 |
$28.19 |
| J1030 |
Methylprednisolone 40 mg inj |
292 |
257 |
$21.36 |
| J0780 |
Prochlorperazine injection |
488 |
386 |
$20.48 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
471 |
265 |
$19.59 |
| J2704 |
Inj, propofol, 10 mg |
3,646 |
2,744 |
$15.81 |
| J3370 |
Vancomycin hcl injection |
76 |
49 |
$7.52 |
| A4600 |
Sleeve, inter limb comp dev |
194 |
130 |
$7.31 |
| J2920 |
Methylprednisolone injection |
96 |
50 |
$7.27 |
| J1940 |
Furosemide injection |
165 |
104 |
$6.60 |
| C9113 |
Inj pantoprazole sodium, via |
458 |
262 |
$5.60 |
| J7613 |
Albuterol non-comp unit |
100 |
92 |
$1.92 |
| J1630 |
Haloperidol injection |
20 |
12 |
$1.38 |
| J7510 |
Prednisolone oral per 5 mg |
16 |
14 |
$1.38 |
| 90662 |
|
17 |
14 |
$0.97 |
| J2543 |
Piperacillin/tazobactam |
325 |
68 |
$0.43 |
| J1010 |
Inj, methylpred acetate 1 mg |
28 |
28 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
112 |
94 |
$0.00 |
| J2785 |
Regadenoson injection |
172 |
145 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
111 |
101 |
$0.00 |
| A9585 |
Gadobutrol injection |
202 |
179 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
89 |
53 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
75 |
62 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
17 |
14 |
$0.00 |
| J3480 |
Inj potassium chloride |
58 |
38 |
$0.00 |
| 94760 |
|
41 |
12 |
$0.00 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
14 |
14 |
$0.00 |
| 82140 |
|
13 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
569 |
460 |
$0.00 |
| G8979 |
Mobility goal status |
176 |
125 |
$0.00 |
| 94664 |
|
29 |
25 |
$0.00 |
| G8978 |
Mobility current status |
114 |
87 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
209 |
155 |
$0.00 |
| A4550 |
Surgical trays |
114 |
90 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
36 |
$0.00 |
| A9700 |
Echocardiography contrast |
16 |
12 |
$0.00 |
| J7342 |
Ciprofloxacin otic susp 6 mg |
34 |
25 |
$0.00 |
| J1953 |
Levetiracetam injection |
14 |
12 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
14 |
14 |
$0.00 |
| A9552 |
F18 fdg |
27 |
24 |
$0.00 |
| 82247 |
|
36 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
19 |
13 |
$0.00 |