| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
30,837 |
21,038 |
$7.34M |
| 99283 |
|
32,833 |
25,722 |
$5.67M |
| 99285 |
|
17,450 |
6,668 |
$4.78M |
| 41899 |
|
1,349 |
1,257 |
$2.29M |
| 74176 |
|
9,218 |
5,662 |
$2.17M |
| 0240U |
|
8,898 |
6,739 |
$933K |
| 70450 |
|
6,559 |
4,126 |
$858K |
| 80074 |
|
16,046 |
12,748 |
$689K |
| 71045 |
|
23,436 |
10,100 |
$629K |
| 96374 |
|
6,466 |
5,027 |
$591K |
| 80307 |
|
12,330 |
10,021 |
$501K |
| 80053 |
|
68,740 |
41,766 |
$331K |
| 96365 |
|
4,961 |
3,075 |
$329K |
| 93005 |
|
13,498 |
10,280 |
$301K |
| G0378 |
Hospital observation per hr |
2,767 |
2,251 |
$295K |
| 99282 |
|
2,703 |
2,473 |
$290K |
| 74177 |
|
987 |
632 |
$290K |
| 96375 |
|
7,458 |
5,213 |
$273K |
| 93306 |
|
1,034 |
911 |
$265K |
| 36415 |
|
75,117 |
30,895 |
$262K |
| 85025 |
|
55,695 |
43,296 |
$248K |
| 87389 |
|
14,800 |
11,784 |
$245K |
| 96361 |
|
5,743 |
4,102 |
$242K |
| 71046 |
|
5,256 |
3,508 |
$228K |
| 87426 |
|
8,055 |
6,244 |
$215K |
| 80061 |
|
19,184 |
15,637 |
$212K |
| 96372 |
|
19,904 |
15,094 |
$190K |
| 84443 |
|
12,025 |
10,157 |
$179K |
| 71250 |
|
1,953 |
1,157 |
$169K |
| 77067 |
|
2,138 |
2,043 |
$146K |
| 87804 |
|
9,106 |
6,240 |
$140K |
| 72100 |
|
3,663 |
2,902 |
$138K |
| 97110 |
|
3,936 |
1,015 |
$125K |
| G0483 |
Drug test def 22+ classes |
1,669 |
842 |
$124K |
| 99281 |
|
2,030 |
1,904 |
$123K |
| 72125 |
|
1,104 |
878 |
$121K |
| 76705 |
|
1,382 |
1,236 |
$120K |
| C9803 |
Hopd covid-19 spec collect |
20,306 |
11,576 |
$113K |
| 87635 |
|
3,240 |
2,217 |
$111K |
| J3490 |
Drugs unclassified injection |
45,262 |
20,628 |
$108K |
| 82805 |
|
4,160 |
3,553 |
$96K |
| 82306 |
|
4,134 |
3,675 |
$94K |
| 83880 |
|
7,211 |
5,919 |
$89K |
| 96360 |
|
1,004 |
775 |
$87K |
| G0283 |
Elec stim other than wound |
5,401 |
1,202 |
$75K |
| 87880 |
|
6,548 |
6,040 |
$71K |
| 87651 |
|
8,562 |
7,893 |
$71K |
| G0482 |
Drug test def 15-21 classes |
3,366 |
656 |
$67K |
| 83036 |
|
7,677 |
6,946 |
$62K |
| 96366 |
|
1,689 |
1,037 |
$54K |
| 72148 |
|
205 |
186 |
$52K |
| 87502 |
|
2,611 |
2,392 |
$52K |
| 82607 |
|
4,178 |
3,668 |
$49K |
| 73562 |
|
2,017 |
1,512 |
$44K |
| 82803 |
|
5,583 |
3,819 |
$44K |
| 86592 |
|
14,373 |
11,359 |
$43K |
| 76536 |
|
523 |
487 |
$43K |
| 73030 |
|
2,108 |
1,543 |
$43K |
| 84484 |
|
9,371 |
6,533 |
$41K |
| 96376 |
|
1,965 |
1,296 |
$40K |
| 93971 |
|
452 |
398 |
$39K |
| 83735 |
|
11,745 |
9,300 |
$37K |
| 36600 |
|
8,250 |
3,957 |
$35K |
| G0481 |
Drug test def 8-14 classes |
391 |
233 |
$34K |
| 80048 |
|
11,613 |
7,131 |
$33K |
| 82553 |
|
8,054 |
5,764 |
$32K |
| G0480 |
Drug test def 1-7 classes |
1,255 |
646 |
$32K |
| 87040 |
|
6,208 |
3,418 |
$32K |
| 81001 |
|
17,261 |
14,846 |
$31K |
| 72040 |
|
1,017 |
819 |
$31K |
| 84703 |
|
5,540 |
4,639 |
$29K |
| 73610 |
|
1,307 |
1,129 |
$29K |
| 82746 |
|
2,332 |
2,136 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
417 |
356 |
$28K |
| 74018 |
|
1,377 |
1,135 |
$27K |
| 97161 |
|
434 |
394 |
$27K |
| 73630 |
|
1,290 |
1,124 |
$26K |
| 82728 |
|
2,193 |
2,001 |
$25K |
| 73130 |
|
1,072 |
922 |
$25K |
| 97530 |
|
204 |
96 |
$23K |
| 86677 |
|
1,768 |
1,615 |
$22K |
| 76856 |
|
208 |
202 |
$21K |
| 83690 |
|
7,280 |
6,186 |
$21K |
| 82550 |
|
8,157 |
5,837 |
$20K |
| 73110 |
|
726 |
597 |
$20K |
| 94640 |
|
2,590 |
1,303 |
$20K |
| 82375 |
|
4,379 |
3,693 |
$20K |
| J2405 |
Ondansetron hcl injection |
7,169 |
6,001 |
$18K |
| 87086 |
|
4,125 |
3,525 |
$17K |
| 83605 |
|
4,060 |
3,086 |
$17K |
| 84439 |
|
1,524 |
1,235 |
$17K |
| 82150 |
|
6,053 |
5,086 |
$17K |
| 72131 |
|
124 |
77 |
$16K |
| 70486 |
|
120 |
95 |
$16K |
| 66984 |
|
82 |
13 |
$16K |
| 97035 |
|
1,029 |
248 |
$16K |
| 87077 |
|
4,194 |
2,819 |
$15K |
| 87186 |
|
2,771 |
2,498 |
$15K |
| 85027 |
|
3,499 |
2,993 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,096 |
936 |
$14K |
| 83540 |
|
2,346 |
2,154 |
$13K |
| 76700 |
|
101 |
93 |
$13K |
| 83050 |
|
4,361 |
3,692 |
$12K |
| 83992 |
|
2,342 |
2,080 |
$11K |
| 81025 |
|
2,742 |
2,484 |
$10K |
| J3010 |
Fentanyl citrate injection |
1,803 |
1,648 |
$10K |
| 87634 |
|
628 |
589 |
$9K |
| 78452 |
|
26 |
12 |
$8K |
| 87070 |
|
1,450 |
1,102 |
$8K |
| 87807 |
|
777 |
731 |
$7K |
| Q0162 |
Ondansetron oral |
2,537 |
2,370 |
$7K |
| 72072 |
|
130 |
101 |
$6K |
| 84702 |
|
616 |
521 |
$6K |
| 82962 |
|
3,459 |
1,647 |
$6K |
| 12001 |
|
165 |
153 |
$5K |
| 73560 |
|
159 |
130 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
6,282 |
5,495 |
$5K |
| 73090 |
|
245 |
213 |
$5K |
| 73590 |
|
200 |
159 |
$5K |
| 85610 |
|
2,157 |
1,644 |
$5K |
| 80326 |
|
1,256 |
1,142 |
$4K |
| 73721 |
|
16 |
13 |
$4K |
| J1100 |
Dexamethasone sodium phos |
2,907 |
2,684 |
$4K |
| 73620 |
|
230 |
202 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
5,925 |
5,151 |
$4K |
| 73080 |
|
166 |
137 |
$4K |
| 80355 |
|
1,671 |
1,429 |
$4K |
| 86376 |
|
277 |
273 |
$4K |
| 80171 |
|
212 |
182 |
$4K |
| 73502 |
|
175 |
140 |
$4K |
| 85018 |
|
4,429 |
3,675 |
$4K |
| 80347 |
|
1,646 |
1,417 |
$4K |
| 73521 |
|
143 |
98 |
$4K |
| 80373 |
|
1,676 |
1,431 |
$4K |
| 80365 |
|
1,672 |
1,429 |
$4K |
| 80361 |
|
1,673 |
1,430 |
$4K |
| 80348 |
|
1,672 |
1,429 |
$4K |
| 80354 |
|
1,670 |
1,428 |
$3K |
| J2360 |
Orphenadrine injection |
1,447 |
1,266 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
990 |
858 |
$3K |
| 80050 |
|
176 |
139 |
$3K |
| 86140 |
|
1,005 |
810 |
$3K |
| 80366 |
|
1,672 |
1,429 |
$3K |
| 86003 |
|
113 |
84 |
$3K |
| 80358 |
|
1,672 |
1,429 |
$3K |
| 85730 |
|
1,074 |
930 |
$3K |
| 80353 |
|
1,670 |
1,428 |
$3K |
| J2930 |
Methylprednisolone injection |
2,089 |
1,799 |
$2K |
| 80359 |
|
1,672 |
1,429 |
$2K |
| J1170 |
Hydromorphone injection |
2,393 |
1,835 |
$2K |
| 90714 |
|
501 |
446 |
$2K |
| G0103 |
Psa screening |
547 |
180 |
$2K |
| 94760 |
|
702 |
301 |
$2K |
| 93017 |
|
12 |
12 |
$2K |
| 80324 |
|
1,686 |
734 |
$2K |
| 93970 |
|
14 |
12 |
$2K |
| 82140 |
|
265 |
174 |
$2K |
| 73120 |
|
85 |
66 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,543 |
1,408 |
$2K |
| 74022 |
|
77 |
73 |
$2K |
| 84403 |
|
70 |
70 |
$2K |
| 90471 |
|
811 |
726 |
$2K |
| 72170 |
|
143 |
122 |
$2K |
| 77080 |
|
40 |
31 |
$2K |
| 97166 |
|
22 |
22 |
$2K |
| 80331 |
|
758 |
670 |
$1K |
| 36416 |
|
1,406 |
1,208 |
$1K |
| 96367 |
|
42 |
30 |
$1K |
| 80364 |
|
758 |
670 |
$1K |
| 76830 |
|
13 |
12 |
$1K |
| J7030 |
Normal saline solution infus |
2,365 |
1,861 |
$1K |
| 85651 |
|
524 |
439 |
$1K |
| 12002 |
|
56 |
52 |
$1K |
| 82248 |
|
678 |
440 |
$1K |
| 80362 |
|
628 |
551 |
$1K |
| 80337 |
|
786 |
670 |
$1K |
| 76815 |
|
27 |
26 |
$1K |
| 80334 |
|
758 |
670 |
$1K |
| 84481 |
|
82 |
82 |
$1K |
| 80372 |
|
758 |
670 |
$1K |
| 80369 |
|
628 |
551 |
$1K |
| 80367 |
|
758 |
670 |
$1K |
| 80370 |
|
758 |
670 |
$1K |
| 71101 |
|
44 |
37 |
$1K |
| 80344 |
|
758 |
670 |
$1K |
| 80368 |
|
758 |
670 |
$1K |
| 80338 |
|
758 |
670 |
$1K |
| 71271 |
|
12 |
12 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
615 |
536 |
$1K |
| 80341 |
|
758 |
670 |
$1K |
| 82785 |
|
64 |
56 |
$1K |
| J2550 |
Promethazine hcl injection |
1,622 |
1,222 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
49 |
33 |
$1K |
| 80357 |
|
758 |
670 |
$974.90 |
| 85379 |
|
389 |
338 |
$936.77 |
| 80377 |
|
758 |
670 |
$858.07 |
| 80371 |
|
758 |
670 |
$818.30 |
| 80360 |
|
758 |
670 |
$818.30 |
| 80299 |
|
52 |
51 |
$797.85 |
| 84153 |
|
77 |
49 |
$788.96 |
| 76770 |
|
13 |
12 |
$750.76 |
| J2920 |
Methylprednisolone injection |
333 |
189 |
$736.22 |
| 84550 |
|
200 |
188 |
$728.31 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
197 |
94 |
$707.41 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$651.20 |
| J2060 |
Lorazepam injection |
753 |
612 |
$634.10 |
| 87591 |
|
12 |
12 |
$621.39 |
| 87491 |
|
12 |
12 |
$621.39 |
| 73140 |
|
29 |
26 |
$619.00 |
| 86757 |
|
37 |
30 |
$602.53 |
| 82043 |
|
100 |
88 |
$584.13 |
| 84100 |
|
359 |
252 |
$564.31 |
| J2274 |
Inj morphine pf epid ithc |
1,713 |
1,402 |
$547.82 |
| 85652 |
|
351 |
298 |
$537.78 |
| 83550 |
|
71 |
68 |
$536.81 |
| 92507 |
|
24 |
15 |
$517.66 |
| 82570 |
|
122 |
115 |
$515.39 |
| 84482 |
|
31 |
31 |
$483.58 |
| J1644 |
Inj heparin sodium per 1000u |
292 |
190 |
$430.14 |
| 86618 |
|
41 |
39 |
$426.22 |
| 82670 |
|
12 |
12 |
$379.94 |
| J1956 |
Levofloxacin injection |
311 |
184 |
$375.91 |
| J0690 |
Cefazolin sodium injection |
458 |
403 |
$369.03 |
| 73600 |
|
36 |
32 |
$335.95 |
| 84402 |
|
12 |
12 |
$314.28 |
| 80164 |
|
53 |
39 |
$292.64 |
| 83001 |
|
13 |
13 |
$230.87 |
| J0572 |
Bupren/nal up to 3mg bupreno |
44 |
37 |
$191.14 |
| 86258 |
|
12 |
12 |
$188.89 |
| 86364 |
|
12 |
12 |
$186.12 |
| 80177 |
|
16 |
14 |
$177.64 |
| G0463 |
Hospital outpt clinic visit |
423 |
90 |
$173.79 |
| G0475 |
Hiv combination assay |
103 |
30 |
$162.55 |
| 86231 |
|
12 |
12 |
$149.40 |
| J8499 |
Oral prescrip drug non chemo |
450 |
346 |
$143.11 |
| 86038 |
|
14 |
13 |
$139.48 |
| J1200 |
Diphenhydramine hcl injectio |
173 |
162 |
$119.71 |
| 84436 |
|
28 |
28 |
$100.48 |
| 84479 |
|
27 |
26 |
$79.82 |
| 86308 |
|
12 |
12 |
$73.13 |
| J1580 |
Garamycin gentamicin inj |
64 |
52 |
$70.81 |
| J0330 |
Succinycholine chloride inj |
321 |
280 |
$66.02 |
| J2919 |
Inj, methylpred sod succ 5mg |
171 |
160 |
$60.35 |
| J3475 |
Inj magnesium sulfate |
73 |
58 |
$51.16 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
41 |
36 |
$40.55 |
| J7040 |
Normal saline solution infus |
36 |
32 |
$39.32 |
| J2765 |
Metoclopramide hcl injection |
44 |
40 |
$22.79 |
| 82784 |
|
12 |
12 |
$9.49 |
| J0780 |
Prochlorperazine injection |
14 |
12 |
$5.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
12 |
$4.16 |
| J2270 |
Morphine sulfate injection |
282 |
208 |
$1.02 |
| A9270 |
Non-covered item or service |
258 |
91 |
$0.00 |
| 84132 |
|
14 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,304 |
1,178 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
34 |
34 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
53 |
53 |
$0.00 |