| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
20,889 |
18,432 |
$4.79M |
| 99283 |
|
20,007 |
18,318 |
$4.25M |
| 74177 |
|
5,536 |
5,154 |
$3.61M |
| 99285 |
|
8,687 |
7,730 |
$2.66M |
| G0378 |
Hospital observation per hr |
7,876 |
5,336 |
$1.36M |
| 97110 |
|
44,168 |
13,545 |
$1.20M |
| 70450 |
|
4,972 |
4,483 |
$636K |
| 74176 |
|
1,417 |
1,315 |
$546K |
| 0202U |
|
2,645 |
2,541 |
$543K |
| 71275 |
|
1,421 |
1,326 |
$477K |
| 72125 |
|
1,443 |
1,330 |
$448K |
| 99282 |
|
4,272 |
4,051 |
$388K |
| 93306 |
|
1,519 |
1,452 |
$313K |
| 97140 |
|
23,189 |
8,292 |
$261K |
| 71046 |
|
8,323 |
7,828 |
$238K |
| 87633 |
|
823 |
772 |
$226K |
| 43239 |
|
336 |
296 |
$214K |
| 72100 |
|
2,856 |
2,759 |
$201K |
| 76830 |
|
1,528 |
1,484 |
$183K |
| 92507 |
|
3,652 |
1,403 |
$174K |
| 45380 |
|
337 |
291 |
$153K |
| 73564 |
|
1,888 |
1,079 |
$137K |
| 97530 |
|
7,709 |
3,618 |
$133K |
| 88305 |
|
2,412 |
2,222 |
$127K |
| 72148 |
|
815 |
777 |
$125K |
| 70551 |
|
469 |
447 |
$123K |
| 73110 |
|
2,488 |
2,111 |
$115K |
| 76700 |
|
1,369 |
1,334 |
$112K |
| 72040 |
|
1,437 |
1,383 |
$110K |
| 73610 |
|
2,491 |
2,223 |
$105K |
| 77067 |
|
2,947 |
2,869 |
$102K |
| 73030 |
|
3,049 |
2,642 |
$101K |
| 80053 |
|
28,264 |
23,191 |
$101K |
| 59025 |
|
1,186 |
863 |
$99K |
| 97112 |
|
6,422 |
2,531 |
$95K |
| 70553 |
|
246 |
236 |
$94K |
| 73562 |
|
3,007 |
2,529 |
$88K |
| 73630 |
|
2,939 |
2,569 |
$87K |
| 73130 |
|
2,575 |
2,154 |
$80K |
| 97161 |
|
4,206 |
3,999 |
$78K |
| 94726 |
|
205 |
200 |
$77K |
| 71260 |
|
480 |
455 |
$74K |
| U0003 |
Cov-19 amp prb hgh thruput |
914 |
865 |
$73K |
| 73721 |
|
441 |
409 |
$72K |
| 76705 |
|
1,997 |
1,882 |
$65K |
| 76536 |
|
762 |
742 |
$60K |
| 73502 |
|
1,748 |
1,627 |
$59K |
| 97597 |
|
834 |
282 |
$58K |
| 74018 |
|
1,538 |
1,427 |
$55K |
| 78452 |
|
67 |
63 |
$52K |
| 77080 |
|
979 |
947 |
$52K |
| 71250 |
|
519 |
499 |
$48K |
| 93005 |
|
13,631 |
11,970 |
$44K |
| 93010 |
|
7,495 |
6,471 |
$38K |
| 97535 |
|
3,573 |
2,196 |
$37K |
| 76642 |
|
531 |
512 |
$36K |
| 72072 |
|
516 |
497 |
$34K |
| 93971 |
|
1,108 |
1,028 |
$34K |
| 87635 |
|
1,685 |
1,576 |
$34K |
| 76770 |
|
411 |
393 |
$28K |
| 97162 |
|
1,698 |
1,573 |
$26K |
| 95811 |
|
39 |
36 |
$25K |
| 76641 |
|
177 |
158 |
$23K |
| 96365 |
|
5,362 |
2,994 |
$22K |
| 87637 |
|
2,953 |
2,784 |
$21K |
| 73221 |
|
127 |
114 |
$21K |
| 72141 |
|
132 |
126 |
$21K |
| J7050 |
Normal saline solution infus |
4,968 |
2,406 |
$18K |
| 96361 |
|
9,559 |
8,258 |
$16K |
| 71045 |
|
8,109 |
7,352 |
$16K |
| 97165 |
|
658 |
632 |
$15K |
| 73080 |
|
418 |
372 |
$13K |
| 70486 |
|
199 |
190 |
$13K |
| 93017 |
|
252 |
239 |
$12K |
| 84443 |
|
3,151 |
2,888 |
$11K |
| 12001 |
|
93 |
92 |
$11K |
| 87641 |
|
614 |
587 |
$11K |
| 96374 |
|
13,520 |
11,710 |
$8K |
| 76856 |
|
1,770 |
1,715 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
2,498 |
1,658 |
$7K |
| 76937 |
|
59 |
51 |
$7K |
| 77336 |
|
47 |
24 |
$6K |
| 99214 |
|
444 |
233 |
$6K |
| 73140 |
|
215 |
196 |
$6K |
| 96360 |
|
3,162 |
2,832 |
$6K |
| 99460 |
|
82 |
81 |
$5K |
| 87186 |
|
1,450 |
1,315 |
$5K |
| 73090 |
|
206 |
179 |
$5K |
| 97116 |
|
1,328 |
642 |
$5K |
| 87502 |
|
236 |
233 |
$5K |
| 97750 |
|
349 |
310 |
$5K |
| 99215 |
Prolong outpt/office vis |
177 |
162 |
$5K |
| 99213 |
|
330 |
181 |
$4K |
| 80048 |
|
5,203 |
4,512 |
$4K |
| 97166 |
|
70 |
66 |
$4K |
| 99211 |
|
100 |
62 |
$4K |
| 99281 |
|
57 |
53 |
$4K |
| 87798 |
|
622 |
577 |
$4K |
| 97032 |
|
1,555 |
743 |
$4K |
| J3490 |
Drugs unclassified injection |
3,701 |
2,306 |
$4K |
| 87040 |
|
1,974 |
1,796 |
$4K |
| 85025 |
|
33,053 |
26,638 |
$4K |
| G0480 |
Drug test def 1-7 classes |
1,587 |
1,376 |
$4K |
| G0379 |
Direct refer hospital observ |
1,636 |
1,188 |
$4K |
| 72110 |
|
42 |
40 |
$4K |
| 96375 |
|
9,667 |
8,142 |
$4K |
| 96366 |
|
944 |
673 |
$3K |
| 99238 |
|
51 |
51 |
$3K |
| 80307 |
|
5,669 |
5,053 |
$3K |
| 94060 |
|
187 |
184 |
$3K |
| 93880 |
|
41 |
37 |
$3K |
| 90715 |
|
740 |
700 |
$3K |
| 73590 |
|
110 |
95 |
$3K |
| 70496 |
|
14 |
14 |
$2K |
| 94640 |
|
2,333 |
1,649 |
$2K |
| 70498 |
|
42 |
40 |
$2K |
| 87631 |
|
688 |
657 |
$2K |
| 96413 |
|
216 |
123 |
$2K |
| 72131 |
|
26 |
24 |
$2K |
| J2270 |
Morphine sulfate injection |
4,116 |
3,012 |
$2K |
| 87077 |
|
1,450 |
1,312 |
$2K |
| J7030 |
Normal saline solution infus |
5,754 |
4,873 |
$2K |
| 76801 |
|
66 |
59 |
$2K |
| 83880 |
|
1,997 |
1,809 |
$2K |
| G0463 |
Hospital outpt clinic visit |
151 |
122 |
$1K |
| 87088 |
|
5,249 |
4,777 |
$1K |
| 36415 |
|
37,532 |
28,543 |
$1K |
| J1815 |
Insulin injection |
18 |
12 |
$1K |
| 73700 |
|
14 |
13 |
$1K |
| 80329 |
|
2,117 |
1,652 |
$1K |
| 95812 |
|
14 |
13 |
$1K |
| J2930 |
Methylprednisolone injection |
276 |
236 |
$1K |
| 97035 |
|
422 |
195 |
$1K |
| 96372 |
|
4,163 |
3,630 |
$1K |
| 74019 |
|
39 |
39 |
$1K |
| 84484 |
|
7,727 |
6,610 |
$1K |
| 77066 |
Tomosynthesis, mammo |
305 |
301 |
$1K |
| 83690 |
|
8,091 |
7,202 |
$838.30 |
| 71271 |
|
12 |
12 |
$824.29 |
| J2060 |
Lorazepam injection |
1,774 |
1,488 |
$774.51 |
| 83605 |
|
6,063 |
5,289 |
$767.05 |
| 81025 |
|
4,943 |
4,600 |
$746.77 |
| J1170 |
Hydromorphone injection |
1,164 |
901 |
$732.28 |
| 85610 |
|
7,201 |
6,192 |
$725.89 |
| 86141 |
|
209 |
171 |
$598.97 |
| 86140 |
|
464 |
389 |
$597.23 |
| 84703 |
|
2,576 |
2,425 |
$554.60 |
| 81001 |
|
10,620 |
9,645 |
$537.54 |
| 87651 |
|
416 |
390 |
$527.67 |
| 83735 |
|
5,137 |
3,993 |
$519.76 |
| 94729 |
|
230 |
224 |
$475.20 |
| 83036 |
|
504 |
472 |
$473.42 |
| J1885 |
Ketorolac tromethamine inj |
6,238 |
5,587 |
$434.67 |
| 85379 |
|
1,640 |
1,547 |
$433.94 |
| 77065 |
Tomosynthesis, mammo |
55 |
50 |
$421.92 |
| J2405 |
Ondansetron hcl injection |
7,032 |
6,010 |
$387.17 |
| 85730 |
|
2,109 |
1,880 |
$382.60 |
| 87086 |
|
2,676 |
2,462 |
$365.45 |
| 84702 |
|
551 |
500 |
$324.99 |
| J7120 |
Ringers lactate infusion |
28 |
24 |
$305.00 |
| 82803 |
|
570 |
512 |
$262.36 |
| 87070 |
|
254 |
233 |
$244.82 |
| 74022 |
|
12 |
12 |
$242.86 |
| 96376 |
|
2,689 |
2,352 |
$226.81 |
| 80061 |
|
300 |
284 |
$216.01 |
| A9270 |
Non-covered item or service |
2,916 |
786 |
$210.23 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,229 |
7,564 |
$204.67 |
| 88342 |
|
98 |
94 |
$187.21 |
| 87426 |
|
244 |
224 |
$154.89 |
| 82140 |
|
31 |
27 |
$151.03 |
| 86900 |
|
1,035 |
865 |
$139.09 |
| 80320 |
|
3,997 |
3,513 |
$137.69 |
| 81003 |
|
5,186 |
4,808 |
$137.68 |
| 97803 |
|
13 |
13 |
$109.65 |
| G0108 |
Diab manage trn per indiv |
16 |
14 |
$92.27 |
| 82962 |
|
3,984 |
2,700 |
$89.39 |
| J1100 |
Dexamethasone sodium phos |
1,395 |
1,123 |
$87.98 |
| 90471 |
|
891 |
822 |
$81.27 |
| J3010 |
Fentanyl citrate injection |
2,545 |
2,216 |
$80.48 |
| 86901 |
|
763 |
655 |
$70.75 |
| 82550 |
|
1,216 |
1,071 |
$65.31 |
| 82150 |
|
237 |
223 |
$58.18 |
| J1200 |
Diphenhydramine hcl injectio |
1,798 |
1,568 |
$56.82 |
| 84100 |
|
1,747 |
1,192 |
$56.17 |
| J3480 |
Inj potassium chloride |
94 |
81 |
$54.09 |
| 86850 |
|
462 |
395 |
$53.23 |
| 96367 |
|
43 |
24 |
$49.42 |
| 82776 |
|
12 |
12 |
$47.80 |
| 97016 |
|
5,254 |
1,631 |
$46.56 |
| 87581 |
|
586 |
552 |
$45.75 |
| 87486 |
|
586 |
552 |
$45.75 |
| J2765 |
Metoclopramide hcl injection |
1,079 |
981 |
$45.33 |
| U0005 |
Infec agen detec ampli probe |
912 |
863 |
$25.00 |
| 84145 |
|
148 |
136 |
$17.77 |
| J1644 |
Inj heparin sodium per 1000u |
296 |
135 |
$12.82 |
| J1630 |
Haloperidol injection |
68 |
57 |
$6.31 |
| S0164 |
Injection pantroprazole |
92 |
80 |
$5.00 |
| 87205 |
|
262 |
239 |
$4.01 |
| J7040 |
Normal saline solution infus |
351 |
318 |
$2.48 |
| 85652 |
|
472 |
370 |
$1.73 |
| S0028 |
Injection, famotidine, 20 mg |
305 |
270 |
$0.95 |
| 77063 |
|
2,709 |
2,637 |
$0.36 |
| G8985 |
Carry goal status |
150 |
125 |
$0.02 |
| 94760 |
|
1,448 |
1,078 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
877 |
827 |
$0.00 |
| G8980 |
Mobility d/c status |
104 |
87 |
$0.00 |
| G8987 |
Self care current status |
28 |
24 |
$0.00 |
| J2360 |
Orphenadrine injection |
146 |
133 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
95 |
79 |
$0.00 |
| J1790 |
Droperidol injection |
80 |
69 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
147 |
130 |
$0.00 |
| A9500 |
Tc99m sestamibi |
83 |
79 |
$0.00 |
| G8988 |
Self care goal status |
61 |
50 |
$0.00 |
| 88738 |
|
71 |
69 |
$0.00 |
| 97014 |
|
30 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
34 |
20 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
65 |
53 |
$0.00 |
| G8982 |
Body pos goal status |
42 |
30 |
$0.00 |
| 85027 |
|
50 |
40 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
57 |
32 |
$0.00 |
| G8981 |
Body pos current status |
17 |
15 |
$0.00 |
| 76817 |
|
15 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
12 |
$0.00 |
| 87591 |
|
20 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
13 |
12 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
15 |
12 |
$0.00 |
| 82270 |
|
27 |
26 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,200 |
2,716 |
$0.00 |
| J0780 |
Prochlorperazine injection |
203 |
188 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
84 |
82 |
$0.00 |
| 84439 |
|
64 |
60 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
360 |
292 |
$0.00 |
| G8979 |
Mobility goal status |
618 |
483 |
$0.00 |
| G8978 |
Mobility current status |
493 |
398 |
$0.00 |
| 94799 |
|
36 |
29 |
$0.00 |
| S4991 |
Nicotine patch nonlegend |
15 |
12 |
$0.00 |
| 77061 |
|
12 |
12 |
$0.00 |
| 77062 |
|
38 |
38 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
16 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
47 |
38 |
$0.00 |
| 29125 |
|
14 |
13 |
$0.00 |
| G8984 |
Carry current status |
63 |
56 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
40 |
18 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
35 |
29 |
$0.00 |
| 76376 |
|
43 |
41 |
$0.00 |