| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
40,151 |
34,804 |
$6.42M |
| 99284 |
|
24,722 |
20,237 |
$3.73M |
| 96361 |
|
14,335 |
10,146 |
$3.41M |
| 99282 |
|
14,160 |
12,758 |
$2.15M |
| 99285 |
|
12,907 |
10,315 |
$1.92M |
| 74177 |
|
7,158 |
6,207 |
$1.37M |
| 70450 |
|
4,965 |
4,149 |
$845K |
| 74176 |
|
2,706 |
2,324 |
$489K |
| G0378 |
Hospital observation per hr |
2,885 |
1,982 |
$449K |
| 96360 |
|
3,428 |
2,814 |
$421K |
| 71275 |
|
1,562 |
1,411 |
$382K |
| 29581 |
|
1,853 |
660 |
$263K |
| 96365 |
|
2,986 |
2,170 |
$260K |
| 96413 |
|
1,867 |
989 |
$219K |
| 0240U |
|
3,668 |
3,461 |
$218K |
| 93306 |
|
873 |
759 |
$216K |
| 0241U |
|
3,018 |
2,864 |
$211K |
| 76705 |
|
2,279 |
2,066 |
$190K |
| 80053 |
|
43,568 |
33,765 |
$159K |
| 96366 |
|
609 |
400 |
$139K |
| 76830 |
|
1,546 |
1,390 |
$126K |
| 94640 |
|
4,350 |
2,661 |
$125K |
| 43239 |
|
194 |
168 |
$122K |
| 70553 |
|
380 |
333 |
$117K |
| 76856 |
|
1,743 |
1,567 |
$117K |
| 93971 |
|
1,370 |
1,179 |
$117K |
| J3490 |
Drugs unclassified injection |
110,266 |
29,554 |
$107K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,131 |
2,817 |
$101K |
| 97110 |
|
1,878 |
749 |
$98K |
| 77063 |
|
2,358 |
2,242 |
$96K |
| 71046 |
|
9,680 |
8,260 |
$93K |
| 71260 |
|
829 |
756 |
$88K |
| 77067 |
|
2,874 |
2,701 |
$83K |
| 95810 |
|
109 |
100 |
$73K |
| 59025 |
|
462 |
334 |
$73K |
| 93976 |
|
1,028 |
907 |
$71K |
| 76642 |
|
550 |
466 |
$57K |
| 84443 |
|
8,332 |
7,431 |
$51K |
| 97161 |
|
864 |
717 |
$47K |
| 70496 |
|
186 |
166 |
$46K |
| 76801 |
|
1,092 |
912 |
$46K |
| 80048 |
|
13,128 |
9,647 |
$44K |
| 93005 |
|
18,882 |
15,026 |
$43K |
| 87491 |
|
3,763 |
3,432 |
$41K |
| 71250 |
|
609 |
551 |
$41K |
| 87591 |
|
3,769 |
3,439 |
$40K |
| 85025 |
|
40,324 |
30,298 |
$39K |
| 87651 |
|
4,770 |
4,433 |
$37K |
| 72148 |
|
188 |
173 |
$35K |
| 99213 |
|
275 |
191 |
$31K |
| 80061 |
|
5,098 |
4,741 |
$31K |
| 87635 |
|
448 |
407 |
$30K |
| 73630 |
|
2,720 |
2,370 |
$29K |
| 97530 |
|
1,492 |
609 |
$29K |
| 85027 |
|
14,992 |
12,006 |
$28K |
| 99214 |
|
270 |
213 |
$28K |
| 83880 |
|
3,733 |
2,918 |
$28K |
| 73721 |
|
129 |
128 |
$28K |
| 82306 |
|
1,478 |
1,375 |
$27K |
| 12001 |
|
109 |
102 |
$26K |
| 70551 |
|
122 |
104 |
$26K |
| G0463 |
Hospital outpt clinic visit |
1,530 |
989 |
$25K |
| 72125 |
|
815 |
725 |
$25K |
| 97602 |
|
76 |
42 |
$24K |
| G0480 |
Drug test def 1-7 classes |
2,285 |
1,436 |
$24K |
| 71271 |
|
213 |
207 |
$23K |
| 83036 |
|
5,299 |
4,844 |
$22K |
| 96374 |
|
19,931 |
15,727 |
$22K |
| 29125 |
|
160 |
138 |
$22K |
| 87502 |
|
1,732 |
1,480 |
$22K |
| 97165 |
|
526 |
445 |
$22K |
| 87040 |
|
4,183 |
1,937 |
$20K |
| 73564 |
|
2,409 |
2,005 |
$20K |
| 96375 |
|
14,633 |
10,811 |
$19K |
| 81025 |
|
13,414 |
11,612 |
$19K |
| 73030 |
|
1,523 |
1,310 |
$17K |
| 73610 |
|
2,392 |
2,126 |
$17K |
| 95806 |
|
128 |
121 |
$17K |
| 84484 |
|
15,691 |
9,535 |
$16K |
| 71045 |
|
8,609 |
7,217 |
$16K |
| 76817 |
|
571 |
484 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
2,418 |
2,304 |
$16K |
| 85379 |
|
3,785 |
3,337 |
$15K |
| 87086 |
|
11,777 |
9,900 |
$14K |
| 59050 |
|
58 |
41 |
$14K |
| 82728 |
|
2,142 |
1,939 |
$13K |
| 82607 |
|
1,473 |
1,330 |
$13K |
| 97597 |
|
146 |
78 |
$13K |
| 90715 |
|
546 |
513 |
$12K |
| 86703 |
|
1,147 |
1,077 |
$12K |
| 73130 |
|
1,585 |
1,412 |
$12K |
| 96372 |
|
9,733 |
6,063 |
$11K |
| 73110 |
|
1,414 |
1,269 |
$11K |
| 97535 |
|
954 |
600 |
$11K |
| 87510 |
|
1,397 |
1,251 |
$11K |
| 99291 |
|
49 |
43 |
$10K |
| 88142 |
|
748 |
702 |
$10K |
| 97116 |
|
611 |
325 |
$10K |
| 93296 |
|
491 |
434 |
$9K |
| 11042 |
|
79 |
38 |
$9K |
| 93922 |
|
154 |
131 |
$9K |
| 72110 |
|
386 |
343 |
$9K |
| 87077 |
|
3,500 |
3,027 |
$8K |
| 84439 |
|
1,559 |
1,420 |
$8K |
| 82962 |
|
13,646 |
4,660 |
$8K |
| 10060 |
|
106 |
90 |
$8K |
| 73502 |
|
841 |
740 |
$8K |
| 96376 |
|
6,384 |
3,613 |
$7K |
| 94799 |
|
1,615 |
936 |
$7K |
| 36415 |
|
5,445 |
4,678 |
$7K |
| 87660 |
|
1,397 |
1,251 |
$7K |
| 83605 |
|
7,295 |
5,545 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,571 |
10,291 |
$7K |
| 72100 |
|
500 |
447 |
$7K |
| 84100 |
|
1,458 |
990 |
$7K |
| 93017 |
|
62 |
50 |
$6K |
| 83735 |
|
7,881 |
5,588 |
$6K |
| 86803 |
|
644 |
595 |
$6K |
| 81001 |
|
23,727 |
19,576 |
$6K |
| 85610 |
|
3,718 |
2,730 |
$6K |
| G0279 |
Tomosynthesis, mammo |
468 |
427 |
$6K |
| 87186 |
|
3,349 |
2,891 |
$6K |
| 99212 |
|
40 |
37 |
$6K |
| 73140 |
|
488 |
461 |
$6K |
| 84702 |
|
2,475 |
1,990 |
$6K |
| 87653 |
|
298 |
278 |
$5K |
| 74018 |
|
282 |
220 |
$5K |
| 12002 |
|
27 |
27 |
$5K |
| 84145 |
|
597 |
461 |
$5K |
| 83550 |
|
1,487 |
1,352 |
$5K |
| 77065 |
Tomosynthesis, mammo |
139 |
129 |
$5K |
| 97140 |
|
418 |
204 |
$5K |
| J8540 |
Oral dexamethasone |
1,822 |
1,239 |
$5K |
| 82746 |
|
809 |
737 |
$5K |
| 83690 |
|
12,743 |
10,291 |
$5K |
| 76536 |
|
39 |
38 |
$4K |
| 83540 |
|
1,634 |
1,489 |
$4K |
| 90471 |
|
802 |
685 |
$4K |
| 77066 |
Tomosynthesis, mammo |
114 |
102 |
$4K |
| 87624 |
|
259 |
248 |
$4K |
| 36592 |
|
185 |
131 |
$4K |
| 84153 |
|
349 |
329 |
$4K |
| 87070 |
|
867 |
765 |
$4K |
| 82565 |
|
1,553 |
1,299 |
$4K |
| 93925 |
|
25 |
25 |
$4K |
| J2405 |
Ondansetron hcl injection |
14,006 |
10,577 |
$4K |
| 86140 |
|
1,160 |
1,017 |
$4K |
| 80050 |
|
153 |
152 |
$4K |
| 87480 |
|
1,388 |
1,242 |
$3K |
| 80305 |
|
2,795 |
2,395 |
$3K |
| 76770 |
|
29 |
24 |
$2K |
| J1756 |
Iron sucrose injection |
37 |
13 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
8,944 |
7,278 |
$2K |
| 88305 |
|
1,818 |
1,570 |
$2K |
| 87081 |
|
347 |
325 |
$2K |
| 87205 |
|
886 |
763 |
$2K |
| 80076 |
|
885 |
796 |
$2K |
| 99281 |
|
14 |
14 |
$2K |
| 93970 |
|
15 |
12 |
$2K |
| 86780 |
|
194 |
181 |
$2K |
| 70498 |
|
188 |
165 |
$2K |
| 85652 |
|
999 |
889 |
$2K |
| 82951 |
|
190 |
160 |
$1K |
| 86901 |
|
1,621 |
1,308 |
$1K |
| 73080 |
|
304 |
266 |
$1K |
| 82043 |
|
384 |
360 |
$1K |
| 70486 |
|
28 |
25 |
$1K |
| J2550 |
Promethazine hcl injection |
1,667 |
1,194 |
$1K |
| Q0162 |
Ondansetron oral |
4,275 |
3,629 |
$1K |
| 86618 |
|
61 |
54 |
$1K |
| 70491 |
|
14 |
12 |
$952.74 |
| 80055 |
|
56 |
51 |
$936.27 |
| 86900 |
|
1,619 |
1,308 |
$912.57 |
| U0005 |
Infec agen detec ampli probe |
206 |
196 |
$863.83 |
| 99234 |
|
27 |
26 |
$804.90 |
| 93246 |
|
14 |
13 |
$770.33 |
| 90686 |
|
49 |
45 |
$713.96 |
| 83615 |
|
291 |
238 |
$686.19 |
| 86850 |
|
570 |
484 |
$602.98 |
| 87661 |
|
259 |
249 |
$565.56 |
| 73590 |
|
49 |
41 |
$565.03 |
| 81003 |
|
1,526 |
1,256 |
$540.73 |
| 97162 |
|
28 |
24 |
$490.68 |
| 74022 |
|
22 |
13 |
$461.59 |
| 80143 |
|
118 |
104 |
$450.85 |
| 97166 |
|
14 |
12 |
$416.24 |
| 85018 |
|
263 |
197 |
$390.49 |
| J1200 |
Diphenhydramine hcl injectio |
2,930 |
2,241 |
$386.82 |
| 87634 |
|
31 |
26 |
$386.39 |
| J2250 |
Inj midazolam hydrochloride |
2,532 |
2,262 |
$382.44 |
| 83516 |
|
25 |
14 |
$380.27 |
| J3010 |
Fentanyl citrate injection |
4,754 |
3,759 |
$368.77 |
| J2930 |
Methylprednisolone injection |
401 |
309 |
$350.13 |
| J1170 |
Hydromorphone injection |
4,769 |
2,900 |
$337.80 |
| J0696 |
Ceftriaxone sodium injection |
3,290 |
2,355 |
$325.03 |
| 85730 |
|
959 |
749 |
$305.62 |
| J2270 |
Morphine sulfate injection |
3,645 |
2,578 |
$304.05 |
| J7613 |
Albuterol non-comp unit |
728 |
558 |
$299.30 |
| 82077 |
|
1,053 |
917 |
$263.82 |
| 87340 |
|
61 |
54 |
$260.57 |
| 84403 |
|
13 |
12 |
$246.27 |
| 82784 |
|
40 |
27 |
$244.87 |
| J1100 |
Dexamethasone sodium phos |
2,447 |
2,132 |
$237.44 |
| 80179 |
|
101 |
92 |
$234.60 |
| 87150 |
|
12 |
12 |
$227.05 |
| J1650 |
Inj enoxaparin sodium |
1,611 |
703 |
$214.47 |
| 73090 |
|
26 |
24 |
$196.65 |
| J1644 |
Inj heparin sodium per 1000u |
3,068 |
1,339 |
$190.46 |
| 87880 |
|
595 |
511 |
$188.20 |
| J2060 |
Lorazepam injection |
1,128 |
842 |
$168.41 |
| 82950 |
|
47 |
46 |
$164.49 |
| 87185 |
|
131 |
110 |
$146.66 |
| 88304 |
|
102 |
91 |
$133.92 |
| J7030 |
Normal saline solution infus |
1,092 |
561 |
$128.11 |
| 82550 |
|
88 |
72 |
$126.39 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,296 |
950 |
$121.99 |
| 84550 |
|
120 |
106 |
$113.04 |
| 87804 |
|
571 |
398 |
$100.22 |
| J0690 |
Cefazolin sodium injection |
1,662 |
1,101 |
$71.88 |
| 73660 |
|
12 |
12 |
$71.37 |
| J2704 |
Inj, propofol, 10 mg |
2,768 |
2,531 |
$69.69 |
| 71101 |
|
14 |
12 |
$60.35 |
| J0780 |
Prochlorperazine injection |
1,008 |
780 |
$49.33 |
| 97112 |
|
38 |
13 |
$47.08 |
| C1769 |
Guide wire |
836 |
647 |
$39.01 |
| J1642 |
Inj heparin sodium per 10 u |
700 |
322 |
$22.80 |
| J1815 |
Insulin injection |
126 |
81 |
$20.08 |
| J2272 |
Inj, morphine (fresenius) |
1,546 |
1,166 |
$17.67 |
| 85014 |
|
19 |
12 |
$15.24 |
| Q9969 |
Non-heu tc-99m add-on/dose |
254 |
230 |
$14.70 |
| G0008 |
Admin influenza virus vac |
14 |
12 |
$11.46 |
| J3535 |
Metered dose inhaler drug |
87 |
77 |
$11.03 |
| J2360 |
Orphenadrine injection |
137 |
125 |
$7.05 |
| J1630 |
Haloperidol injection |
112 |
92 |
$5.79 |
| J3370 |
Vancomycin hcl injection |
156 |
114 |
$5.48 |
| 82009 |
|
87 |
79 |
$5.46 |
| J2765 |
Metoclopramide hcl injection |
196 |
163 |
$4.83 |
| 94760 |
|
661 |
453 |
$1.33 |
| J7620 |
Albuterol ipratrop non-comp |
376 |
287 |
$1.00 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
830 |
274 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
247 |
80 |
$0.00 |
| A9585 |
Gadobutrol injection |
332 |
243 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
1,649 |
506 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
153 |
121 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
120 |
47 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
346 |
278 |
$0.00 |
| 87637 |
|
28 |
26 |
$0.00 |
| J3480 |
Inj potassium chloride |
19 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
42 |
36 |
$0.00 |
| A9500 |
Tc99m sestamibi |
15 |
12 |
$0.00 |
| 88342 |
|
56 |
39 |
$0.00 |
| 84703 |
|
39 |
39 |
$0.00 |
| J1940 |
Furosemide injection |
29 |
12 |
$0.00 |
| 87449 |
|
13 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
135 |
102 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
112 |
97 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
595 |
240 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,270 |
1,076 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
45 |
43 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
30 |
28 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
100 |
78 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
44 |
29 |
$0.00 |
| A9552 |
F18 fdg |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
175 |
110 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
135 |
95 |
$0.00 |
| G8978 |
Mobility current status |
44 |
29 |
$0.00 |
| 84450 |
|
16 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
17 |
12 |
$0.00 |