| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
124,387 |
117,343 |
$37.34M |
| 99282 |
|
41,456 |
39,158 |
$10.67M |
| 41899 |
|
2,628 |
2,409 |
$6.22M |
| 95810 |
|
3,401 |
3,044 |
$4.70M |
| 92507 |
|
23,456 |
8,431 |
$4.63M |
| G0382 |
Lev 3 hosp type b ed visit |
26,263 |
24,867 |
$4.31M |
| 95782 |
|
1,663 |
1,575 |
$2.51M |
| 92014 |
|
15,399 |
14,664 |
$2.47M |
| 97110 |
|
42,956 |
18,182 |
$2.28M |
| 99281 |
|
8,599 |
8,283 |
$2.15M |
| 97803 |
|
12,307 |
11,261 |
$2.14M |
| 99284 |
|
6,175 |
5,798 |
$1.94M |
| 92012 |
|
10,952 |
10,115 |
$1.57M |
| 97530 |
|
34,122 |
13,390 |
$1.41M |
| G0381 |
Lev 2 hosp type b ed visit |
9,403 |
8,970 |
$1.41M |
| 93303 |
|
2,922 |
2,739 |
$1.30M |
| U0003 |
Cov-19 amp prb hgh thruput |
10,483 |
9,945 |
$1.15M |
| 90471 |
|
27,230 |
25,468 |
$972K |
| J0475 |
Baclofen 10 mg injection |
1,000 |
915 |
$971K |
| 92609 |
|
5,264 |
2,099 |
$969K |
| 93306 |
|
1,624 |
1,537 |
$912K |
| C9803 |
Hopd covid-19 spec collect |
23,456 |
22,300 |
$865K |
| 92004 |
|
5,526 |
5,250 |
$783K |
| 92508 |
|
7,497 |
2,774 |
$768K |
| 93005 |
|
13,209 |
12,223 |
$700K |
| 76770 |
|
2,413 |
2,274 |
$683K |
| 95004 |
|
2,354 |
2,269 |
$668K |
| 93325 |
|
4,723 |
4,226 |
$649K |
| 96125 |
|
860 |
438 |
$635K |
| 96118 |
|
709 |
532 |
$577K |
| 87591 |
|
9,547 |
8,924 |
$549K |
| 0241U |
|
3,574 |
3,487 |
$540K |
| 99213 |
|
192,039 |
176,484 |
$491K |
| G0378 |
Hospital observation per hr |
848 |
776 |
$447K |
| 97802 |
|
1,720 |
1,648 |
$428K |
| 85025 |
|
29,512 |
22,492 |
$422K |
| 92523 |
|
1,753 |
1,673 |
$420K |
| 87491 |
|
9,547 |
8,924 |
$405K |
| 94010 |
|
3,990 |
3,745 |
$386K |
| 80053 |
|
9,786 |
7,318 |
$382K |
| 97535 |
|
4,160 |
1,999 |
$360K |
| 81025 |
|
4,454 |
4,188 |
$358K |
| 97161 |
|
5,108 |
4,799 |
$343K |
| U0005 |
Infec agen detec ampli probe |
6,285 |
6,039 |
$318K |
| 11900 |
|
609 |
580 |
$292K |
| 92526 |
|
1,778 |
826 |
$292K |
| 74018 |
|
3,310 |
2,507 |
$288K |
| 82306 |
|
6,556 |
5,746 |
$286K |
| 36415 |
|
31,372 |
27,198 |
$283K |
| 90472 |
|
10,854 |
9,853 |
$270K |
| 97760 |
|
5,727 |
3,941 |
$263K |
| 51798 |
|
1,764 |
1,660 |
$263K |
| 80197 |
|
2,923 |
1,838 |
$245K |
| 96132 |
|
270 |
233 |
$232K |
| 92587 |
|
1,162 |
1,103 |
$217K |
| 42820 |
|
81 |
81 |
$212K |
| 94060 |
|
1,290 |
1,230 |
$180K |
| 97165 |
|
1,452 |
1,344 |
$179K |
| 95816 |
|
490 |
451 |
$175K |
| 99173 |
|
1,920 |
1,742 |
$158K |
| 81001 |
|
2,611 |
2,146 |
$156K |
| 99215 |
Prolong outpt/office vis |
15,657 |
13,659 |
$152K |
| 92551 |
|
3,335 |
3,087 |
$152K |
| 71046 |
|
1,397 |
1,211 |
$150K |
| J0585 |
Injection,onabotulinumtoxina |
112 |
107 |
$145K |
| 97166 |
|
1,637 |
1,530 |
$143K |
| 87635 |
|
1,512 |
1,420 |
$141K |
| 92610 |
|
798 |
736 |
$140K |
| 93225 |
|
1,485 |
1,407 |
$136K |
| 69436 |
|
52 |
50 |
$134K |
| 90686 |
|
2,905 |
2,684 |
$130K |
| 99499 |
|
251 |
107 |
$125K |
| 72082 |
|
912 |
852 |
$123K |
| J3490 |
Drugs unclassified injection |
21,335 |
11,756 |
$122K |
| 96116 |
|
189 |
172 |
$118K |
| 82728 |
|
6,267 |
5,411 |
$116K |
| 95012 |
|
1,552 |
1,480 |
$115K |
| D9223 |
|
150 |
150 |
$113K |
| 97162 |
|
1,850 |
1,706 |
$112K |
| 80069 |
|
3,141 |
2,499 |
$112K |
| 84510 |
|
1,915 |
1,263 |
$112K |
| 95811 |
|
72 |
68 |
$111K |
| P9016 |
Rbc leukocytes reduced |
160 |
130 |
$107K |
| 91300 |
|
7,308 |
6,316 |
$103K |
| 0002A |
|
4,177 |
3,820 |
$102K |
| 93226 |
|
1,485 |
1,407 |
$92K |
| 96156 |
|
531 |
468 |
$90K |
| 97140 |
|
5,286 |
2,878 |
$90K |
| 90378 |
|
87 |
75 |
$89K |
| 96040 |
|
1,679 |
1,561 |
$88K |
| H0035 |
Mh partial hosp tx under 24h |
194 |
24 |
$87K |
| 96000 |
|
197 |
184 |
$83K |
| 93320 |
|
3,055 |
2,863 |
$79K |
| 51736 |
|
888 |
844 |
$79K |
| 80076 |
|
1,691 |
1,513 |
$79K |
| 97112 |
|
3,345 |
1,690 |
$78K |
| 0001A |
|
3,131 |
2,884 |
$76K |
| 96133 |
|
345 |
284 |
$71K |
| 80061 |
|
2,047 |
1,883 |
$66K |
| 99212 |
|
58,557 |
54,027 |
$64K |
| 87631 |
|
445 |
434 |
$59K |
| 70360 |
|
373 |
363 |
$59K |
| 83735 |
|
2,519 |
1,702 |
$56K |
| 62370 |
|
268 |
245 |
$50K |
| 85046 |
|
5,950 |
5,055 |
$49K |
| 84030 |
|
1,917 |
1,263 |
$48K |
| 94621 |
|
145 |
134 |
$44K |
| 54161 |
|
14 |
13 |
$44K |
| 99214 |
|
14,192 |
13,405 |
$43K |
| 17110 |
|
199 |
185 |
$42K |
| 83036 |
|
3,229 |
2,939 |
$41K |
| 73140 |
|
443 |
380 |
$39K |
| 92585 |
|
88 |
83 |
$39K |
| 88305 |
|
169 |
157 |
$39K |
| 95819 |
|
117 |
115 |
$38K |
| 90837 |
|
290 |
133 |
$37K |
| 31575 |
|
81 |
81 |
$36K |
| 93296 |
|
481 |
466 |
$35K |
| 36430 |
|
165 |
140 |
$34K |
| 84443 |
|
3,157 |
2,321 |
$32K |
| J1100 |
Dexamethasone sodium phos |
6,935 |
6,222 |
$31K |
| 31622 |
|
15 |
13 |
$31K |
| 90791 |
|
106 |
97 |
$30K |
| 91200 |
|
106 |
98 |
$30K |
| S0119 |
Ondansetron 4 mg |
6,829 |
6,596 |
$30K |
| 72081 |
|
182 |
169 |
$29K |
| 87661 |
|
1,705 |
1,615 |
$28K |
| 99285 |
|
87 |
80 |
$28K |
| 51741 |
|
74 |
67 |
$27K |
| J2704 |
Inj, propofol, 10 mg |
11,231 |
8,205 |
$27K |
| 29075 |
|
146 |
138 |
$27K |
| 77072 |
|
166 |
157 |
$27K |
| 74230 |
|
165 |
152 |
$26K |
| 96136 |
|
192 |
174 |
$26K |
| 93271 |
|
91 |
83 |
$25K |
| 83655 |
|
409 |
397 |
$25K |
| 97150 |
|
3,347 |
1,149 |
$25K |
| 95076 |
|
103 |
71 |
$25K |
| 82977 |
|
3,276 |
2,468 |
$23K |
| 80320 |
|
127 |
119 |
$22K |
| 76816 |
|
193 |
77 |
$22K |
| 43239 |
|
29 |
24 |
$20K |
| 0296T |
|
251 |
235 |
$20K |
| J2405 |
Ondansetron hcl injection |
7,778 |
7,022 |
$20K |
| 96158 |
|
339 |
161 |
$20K |
| 70551 |
|
25 |
25 |
$19K |
| 82610 |
|
639 |
598 |
$19K |
| 87799 |
|
502 |
385 |
$19K |
| 83970 |
|
564 |
485 |
$18K |
| 90474 |
|
869 |
826 |
$18K |
| 96137 |
|
162 |
154 |
$17K |
| 95079 |
|
85 |
42 |
$17K |
| 72170 |
|
197 |
196 |
$17K |
| 84436 |
|
1,286 |
918 |
$17K |
| 86140 |
|
983 |
919 |
$16K |
| J8540 |
Oral dexamethasone |
361 |
244 |
$15K |
| 95715 |
|
12 |
12 |
$15K |
| 0297T |
|
251 |
235 |
$15K |
| 97164 |
|
310 |
281 |
$14K |
| 82784 |
|
841 |
402 |
$14K |
| 82570 |
|
850 |
635 |
$14K |
| 97763 |
|
337 |
223 |
$14K |
| 0202U |
|
100 |
93 |
$14K |
| 99201 |
|
13,822 |
13,453 |
$13K |
| 90834 |
|
156 |
78 |
$13K |
| J3010 |
Fentanyl citrate injection |
4,324 |
3,644 |
$13K |
| 83516 |
|
852 |
280 |
$13K |
| 92524 |
|
139 |
127 |
$13K |
| 91307 |
|
784 |
732 |
$12K |
| 86850 |
|
442 |
347 |
$12K |
| 92567 |
|
1,828 |
1,689 |
$12K |
| 95991 |
|
204 |
180 |
$11K |
| 87536 |
|
98 |
78 |
$11K |
| 96409 |
|
55 |
49 |
$11K |
| 85027 |
|
587 |
554 |
$11K |
| 64642 |
|
55 |
55 |
$10K |
| 80307 |
|
111 |
106 |
$10K |
| 0071A |
|
420 |
418 |
$10K |
| 96167 |
|
1,484 |
1,328 |
$10K |
| 97799 |
|
879 |
526 |
$9K |
| 77073 |
|
77 |
77 |
$9K |
| 92579 |
|
342 |
325 |
$9K |
| 73521 |
|
70 |
68 |
$9K |
| 87389 |
|
358 |
346 |
$9K |
| 73130 |
|
98 |
88 |
$9K |
| 99204 |
|
1,354 |
1,250 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
3,065 |
2,759 |
$9K |
| 99202 |
|
2,571 |
2,496 |
$8K |
| 96119 |
|
30 |
27 |
$8K |
| 0072A |
|
336 |
334 |
$8K |
| 87497 |
|
210 |
160 |
$8K |
| G2023 |
Specimen collect covid-19 |
154 |
154 |
$8K |
| 85652 |
|
1,150 |
1,056 |
$8K |
| 92522 |
|
43 |
35 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
81 |
81 |
$7K |
| 96152 |
|
44 |
28 |
$7K |
| 87086 |
|
176 |
164 |
$6K |
| 62322 |
|
39 |
36 |
$6K |
| 90656 |
|
214 |
205 |
$6K |
| 20560 |
|
356 |
219 |
$6K |
| 93246 |
|
49 |
44 |
$6K |
| 81003 |
|
1,063 |
1,021 |
$6K |
| 86364 |
|
333 |
323 |
$6K |
| 96900 |
|
45 |
12 |
$6K |
| 87070 |
|
421 |
399 |
$6K |
| 87808 |
|
142 |
133 |
$6K |
| 86832 |
|
160 |
145 |
$6K |
| 73110 |
|
68 |
63 |
$5K |
| 92557 |
|
154 |
145 |
$5K |
| 86901 |
|
457 |
362 |
$5K |
| J7120 |
Ringers lactate infusion |
2,198 |
2,034 |
$5K |
| 86900 |
|
458 |
362 |
$5K |
| 95951 |
|
13 |
12 |
$5K |
| 93247 |
|
49 |
44 |
$5K |
| 90715 |
|
28 |
28 |
$5K |
| 83540 |
|
558 |
349 |
$5K |
| 95700 |
|
12 |
12 |
$4K |
| 73100 |
|
30 |
24 |
$4K |
| 73560 |
|
35 |
28 |
$4K |
| V5020 |
Conformity evaluation |
186 |
149 |
$4K |
| 93270 |
|
42 |
41 |
$4K |
| 87081 |
|
522 |
486 |
$4K |
| 86592 |
|
282 |
269 |
$4K |
| 82248 |
|
179 |
129 |
$4K |
| 83550 |
|
555 |
346 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
944 |
695 |
$4K |
| 73090 |
|
28 |
25 |
$4K |
| 84100 |
|
827 |
558 |
$4K |
| 31526 |
|
19 |
16 |
$4K |
| 96154 |
|
678 |
565 |
$4K |
| 84478 |
|
573 |
523 |
$4K |
| 83020 |
|
107 |
85 |
$3K |
| 93243 |
|
17 |
15 |
$3K |
| 85018 |
|
260 |
240 |
$3K |
| 86833 |
|
160 |
145 |
$3K |
| 84460 |
|
840 |
782 |
$3K |
| 43762 |
|
12 |
12 |
$3K |
| 96372 |
|
121 |
116 |
$3K |
| 84403 |
|
94 |
82 |
$3K |
| 64615 |
|
15 |
12 |
$3K |
| 76825 |
|
29 |
26 |
$3K |
| 92555 |
|
168 |
162 |
$3K |
| 93242 |
|
17 |
15 |
$3K |
| 97750 |
|
68 |
67 |
$3K |
| 87633 |
|
27 |
27 |
$3K |
| 73564 |
|
17 |
16 |
$3K |
| 87205 |
|
77 |
74 |
$3K |
| 92552 |
|
122 |
117 |
$3K |
| G0383 |
Lev 4 hosp type b ed visit |
25 |
25 |
$3K |
| 84305 |
|
296 |
165 |
$3K |
| 93356 |
|
150 |
136 |
$3K |
| 84270 |
|
41 |
38 |
$3K |
| 82785 |
|
90 |
88 |
$3K |
| 86003 |
|
77 |
75 |
$3K |
| 97116 |
|
85 |
45 |
$3K |
| 87502 |
|
36 |
30 |
$3K |
| J0690 |
Cefazolin sodium injection |
572 |
466 |
$2K |
| 90480 |
|
93 |
92 |
$2K |
| 96138 |
|
14 |
13 |
$2K |
| 76885 |
|
12 |
12 |
$2K |
| 92060 |
|
255 |
250 |
$2K |
| 84156 |
|
300 |
267 |
$2K |
| 76819 |
|
21 |
13 |
$2K |
| 92595 |
|
56 |
47 |
$2K |
| 92652 |
|
40 |
37 |
$2K |
| 92015 |
|
594 |
401 |
$2K |
| 84439 |
|
391 |
126 |
$2K |
| 87899 |
|
76 |
75 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
201 |
100 |
$2K |
| U0001 |
2019-ncov diagnostic p |
15 |
13 |
$2K |
| 91320 |
|
49 |
48 |
$2K |
| 0003A |
|
87 |
85 |
$2K |
| 96150 |
|
13 |
13 |
$2K |
| 82652 |
|
38 |
27 |
$2K |
| 96374 |
|
16 |
14 |
$2K |
| 83520 |
|
136 |
64 |
$2K |
| 76827 |
|
29 |
26 |
$2K |
| 87486 |
|
27 |
27 |
$2K |
| J7050 |
Normal saline solution infus |
431 |
259 |
$2K |
| 87503 |
|
36 |
30 |
$2K |
| 86762 |
|
27 |
27 |
$2K |
| 81321 |
|
24 |
24 |
$2K |
| 92611 |
|
401 |
377 |
$1K |
| 81302 |
|
12 |
12 |
$1K |
| 83993 |
|
16 |
13 |
$1K |
| 87077 |
|
163 |
138 |
$1K |
| 69210 |
|
13 |
12 |
$1K |
| 92133 |
|
24 |
24 |
$1K |
| 0124A |
|
33 |
32 |
$1K |
| G0463 |
Hospital outpt clinic visit |
3,014 |
1,850 |
$1K |
| 90911 |
|
648 |
296 |
$1K |
| 36416 |
|
2,282 |
1,906 |
$1K |
| 86923 |
|
28 |
24 |
$1K |
| D1120 |
|
24 |
24 |
$1K |
| 98976 |
|
27 |
24 |
$1K |
| 90832 |
|
22 |
12 |
$1K |
| L3030 |
Foot arch support remov prem |
646 |
556 |
$1K |
| 85397 |
|
14 |
14 |
$1K |
| 87181 |
|
195 |
171 |
$1K |
| 92025 |
|
14 |
14 |
$995.42 |
| 86255 |
|
47 |
28 |
$973.60 |
| 87184 |
|
194 |
178 |
$939.23 |
| 81405 |
|
25 |
25 |
$860.45 |
| 81407 |
|
25 |
25 |
$860.45 |
| 76000 |
|
14 |
13 |
$850.40 |
| 64643 |
|
40 |
40 |
$845.00 |
| 90912 |
|
730 |
421 |
$842.09 |
| J1050 |
Medroxyprogesterone acetate |
27 |
27 |
$832.78 |
| 96155 |
|
163 |
146 |
$812.80 |
| 81406 |
|
25 |
25 |
$798.98 |
| 85610 |
|
80 |
63 |
$796.74 |
| 84402 |
|
41 |
38 |
$795.24 |
| D1206 |
|
24 |
24 |
$792.00 |
| 81408 |
|
25 |
25 |
$768.25 |
| 87798 |
|
27 |
27 |
$749.32 |
| 87581 |
|
27 |
27 |
$749.32 |
| 81404 |
|
24 |
24 |
$737.52 |
| 92591 |
|
14 |
12 |
$717.53 |
| 82542 |
|
12 |
12 |
$700.37 |
| V5011 |
Hearing aid fitting/checking |
35 |
32 |
$633.28 |
| 80047 |
|
13 |
12 |
$608.92 |
| A9577 |
Inj multihance |
42 |
38 |
$607.32 |
| 86376 |
|
113 |
43 |
$605.48 |
| 92582 |
|
227 |
220 |
$604.27 |
| 91312 |
|
33 |
32 |
$576.53 |
| 99211 |
|
221 |
210 |
$551.70 |
| J0171 |
Adrenalin epinephrine inject |
47 |
43 |
$525.64 |
| D0120 |
|
15 |
15 |
$510.00 |
| 87071 |
|
15 |
12 |
$505.68 |
| 85014 |
|
43 |
33 |
$495.00 |
| 87340 |
|
28 |
28 |
$493.86 |
| 86902 |
|
92 |
83 |
$479.79 |
| 82272 |
|
105 |
102 |
$469.79 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
44 |
31 |
$461.64 |
| 96002 |
|
123 |
116 |
$448.04 |
| 92556 |
|
91 |
89 |
$409.75 |
| 82950 |
|
51 |
51 |
$371.13 |
| 83615 |
|
55 |
39 |
$333.79 |
| J9370 |
Vincristine sulfate 1 mg inj |
102 |
91 |
$282.55 |
| 96168 |
|
255 |
211 |
$246.47 |
| 85240 |
|
14 |
14 |
$237.75 |
| 86920 |
|
94 |
85 |
$231.54 |
| 90913 |
|
401 |
247 |
$221.60 |
| 99203 |
|
242 |
238 |
$196.80 |
| 89051 |
|
15 |
12 |
$194.04 |
| 86677 |
|
14 |
12 |
$169.84 |
| 84450 |
|
48 |
44 |
$135.98 |
| J3535 |
Metered dose inhaler drug |
116 |
112 |
$135.11 |
| 86800 |
|
66 |
16 |
$127.94 |
| 80048 |
|
13 |
13 |
$112.65 |
| 82340 |
|
32 |
25 |
$104.98 |
| 96164 |
|
70 |
55 |
$97.37 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13 |
12 |
$89.94 |
| 88108 |
|
27 |
24 |
$86.38 |
| 36591 |
|
29 |
25 |
$84.02 |
| 82043 |
|
61 |
16 |
$76.64 |
| V5266 |
Battery for hearing device |
393 |
363 |
$65.70 |
| J2795 |
Ropivacaine hcl injection |
143 |
91 |
$51.68 |
| J1170 |
Hydromorphone injection |
58 |
50 |
$46.38 |
| 82947 |
|
14 |
14 |
$43.50 |
| A4364 |
Adhesive, liquid or equal |
56 |
50 |
$39.56 |
| 96165 |
|
51 |
42 |
$26.95 |
| 82803 |
|
26 |
24 |
$25.40 |
| A4627 |
Spacer bag/reservoir |
188 |
186 |
$6.75 |
| 96159 |
|
219 |
113 |
$0.00 |
| V5257 |
Hearing aid, digit, mon, bte |
153 |
115 |
$0.00 |
| L1832 |
Ko adj jnt pos r sup pre cst |
28 |
28 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
14 |
12 |
$0.00 |
| C1769 |
Guide wire |
14 |
12 |
$0.00 |
| V5264 |
Ear mold/insert |
154 |
101 |
$0.00 |
| 96171 |
|
14 |
13 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 96170 |
|
29 |
28 |
$0.00 |
| 96139 |
|
14 |
13 |
$0.00 |
| 96151 |
|
28 |
28 |
$0.00 |
| J9250 |
Methotrexate sodium inj |
15 |
12 |
$0.00 |