| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
20,239 |
17,682 |
$2.27M |
| 96361 |
|
6,943 |
4,915 |
$1.93M |
| 99283 |
|
12,594 |
11,837 |
$1.22M |
| 99284 |
|
10,512 |
9,399 |
$1.08M |
| 0241U |
|
6,489 |
5,721 |
$687K |
| 74177 |
|
2,379 |
2,012 |
$486K |
| 70450 |
|
2,146 |
1,783 |
$445K |
| G0378 |
Hospital observation per hr |
4,364 |
2,069 |
$330K |
| 74176 |
|
999 |
867 |
$225K |
| 96365 |
|
2,206 |
1,792 |
$222K |
| 43239 |
|
565 |
439 |
$183K |
| 96360 |
|
1,042 |
917 |
$183K |
| 96366 |
|
1,414 |
778 |
$181K |
| 45380 |
|
420 |
318 |
$161K |
| 71260 |
|
876 |
729 |
$155K |
| 76770 |
|
933 |
854 |
$133K |
| 76705 |
|
1,700 |
1,509 |
$130K |
| 80053 |
|
24,288 |
20,090 |
$125K |
| U0003 |
Cov-19 amp prb hgh thruput |
966 |
825 |
$119K |
| 94640 |
|
1,091 |
884 |
$98K |
| 99282 |
|
815 |
745 |
$76K |
| C9803 |
Hopd covid-19 spec collect |
2,211 |
2,058 |
$73K |
| 93975 |
|
507 |
439 |
$50K |
| 71046 |
|
3,336 |
2,991 |
$46K |
| 93306 |
|
194 |
167 |
$40K |
| 76642 |
|
367 |
324 |
$38K |
| 76536 |
|
388 |
357 |
$37K |
| 93971 |
|
695 |
618 |
$36K |
| 70498 |
|
208 |
171 |
$36K |
| 70551 |
|
289 |
250 |
$33K |
| 85025 |
|
24,740 |
21,029 |
$31K |
| 84443 |
|
2,548 |
2,252 |
$29K |
| 71250 |
|
365 |
329 |
$28K |
| 70553 |
|
125 |
115 |
$26K |
| 36415 |
|
28,331 |
20,035 |
$26K |
| 80048 |
|
4,569 |
3,188 |
$25K |
| 82306 |
|
1,271 |
1,134 |
$23K |
| 80061 |
|
1,975 |
1,762 |
$21K |
| 76830 |
|
544 |
480 |
$21K |
| 99281 |
|
172 |
161 |
$20K |
| 45385 |
|
49 |
38 |
$20K |
| 72100 |
|
694 |
625 |
$18K |
| 86850 |
|
1,050 |
870 |
$18K |
| 85027 |
|
5,301 |
3,763 |
$17K |
| 72125 |
|
711 |
605 |
$16K |
| 80307 |
|
1,225 |
956 |
$16K |
| 83036 |
|
1,405 |
1,212 |
$15K |
| 73721 |
|
71 |
68 |
$14K |
| 73564 |
|
442 |
376 |
$13K |
| 82728 |
|
897 |
784 |
$13K |
| 86140 |
|
1,785 |
1,452 |
$13K |
| 82607 |
|
757 |
653 |
$13K |
| 84439 |
|
728 |
650 |
$13K |
| 77063 |
|
309 |
295 |
$13K |
| 73630 |
|
838 |
732 |
$13K |
| 71045 |
|
4,084 |
3,556 |
$12K |
| 96367 |
|
526 |
394 |
$12K |
| 77067 |
|
551 |
512 |
$11K |
| 74018 |
|
626 |
543 |
$11K |
| 84702 |
|
1,963 |
1,516 |
$11K |
| 70491 |
|
47 |
43 |
$11K |
| 93799 |
|
2,655 |
1,025 |
$11K |
| 72131 |
|
164 |
138 |
$10K |
| 73030 |
|
593 |
500 |
$10K |
| 93970 |
|
96 |
83 |
$9K |
| 86900 |
|
1,061 |
877 |
$9K |
| 83540 |
|
985 |
856 |
$9K |
| 73130 |
|
520 |
454 |
$8K |
| 87086 |
|
2,271 |
1,910 |
$8K |
| 84484 |
|
7,366 |
4,385 |
$8K |
| 86780 |
|
552 |
462 |
$7K |
| 87631 |
|
57 |
52 |
$7K |
| 83550 |
|
978 |
848 |
$7K |
| 83735 |
|
9,262 |
7,063 |
$7K |
| 86803 |
|
401 |
338 |
$7K |
| 71275 |
|
21 |
21 |
$7K |
| 96374 |
|
8,469 |
7,136 |
$6K |
| 88305 |
|
1,352 |
1,093 |
$6K |
| 87491 |
|
588 |
513 |
$6K |
| 85610 |
|
1,745 |
1,269 |
$6K |
| 73502 |
|
390 |
319 |
$6K |
| 81001 |
|
9,347 |
7,899 |
$6K |
| 72148 |
|
57 |
55 |
$6K |
| 87340 |
|
324 |
262 |
$6K |
| 74183 |
|
37 |
30 |
$6K |
| 76857 |
|
476 |
409 |
$5K |
| A9270 |
Non-covered item or service |
1,276 |
631 |
$5K |
| 82962 |
|
5,556 |
1,975 |
$5K |
| 82570 |
|
532 |
483 |
$5K |
| 73610 |
|
525 |
466 |
$5K |
| 87389 |
|
329 |
278 |
$5K |
| 93005 |
|
1,129 |
888 |
$5K |
| 83880 |
|
1,589 |
1,326 |
$4K |
| 70486 |
|
90 |
86 |
$4K |
| 73221 |
|
16 |
12 |
$4K |
| 86901 |
|
1,059 |
877 |
$4K |
| 80076 |
|
259 |
207 |
$4K |
| 73110 |
|
335 |
284 |
$4K |
| 87591 |
|
588 |
513 |
$4K |
| 80069 |
|
253 |
214 |
$3K |
| 96376 |
|
1,952 |
1,028 |
$3K |
| 90715 |
|
241 |
185 |
$3K |
| 77061 |
|
102 |
88 |
$3K |
| 96372 |
|
2,329 |
1,527 |
$3K |
| 83970 |
|
123 |
109 |
$3K |
| 70496 |
|
257 |
213 |
$3K |
| 77062 |
|
100 |
91 |
$3K |
| 85652 |
|
675 |
569 |
$3K |
| 87077 |
|
859 |
735 |
$2K |
| 78264 |
|
15 |
13 |
$2K |
| 96375 |
|
4,173 |
2,972 |
$2K |
| 82043 |
|
346 |
314 |
$2K |
| 83690 |
|
4,651 |
3,805 |
$2K |
| 81513 |
|
13 |
13 |
$2K |
| 82784 |
|
135 |
109 |
$2K |
| 87661 |
|
446 |
382 |
$2K |
| 12001 |
|
13 |
12 |
$2K |
| 84100 |
|
581 |
384 |
$2K |
| 84403 |
|
117 |
104 |
$2K |
| 97116 |
|
77 |
40 |
$2K |
| 82550 |
|
520 |
406 |
$2K |
| 77065 |
Tomosynthesis, mammo |
168 |
138 |
$2K |
| 86706 |
|
102 |
82 |
$2K |
| 73560 |
|
250 |
218 |
$2K |
| 76815 |
|
193 |
140 |
$1K |
| 73140 |
|
61 |
55 |
$1K |
| 87505 |
|
23 |
16 |
$1K |
| 76870 |
|
95 |
80 |
$1K |
| 86038 |
|
47 |
36 |
$1K |
| 97535 |
|
56 |
30 |
$1K |
| 86480 |
|
32 |
26 |
$1K |
| 87186 |
|
647 |
559 |
$1K |
| 83605 |
|
1,870 |
1,341 |
$1K |
| 82746 |
|
157 |
129 |
$1K |
| U0005 |
Infec agen detec ampli probe |
748 |
617 |
$977.10 |
| 85730 |
|
627 |
461 |
$967.42 |
| 77066 |
Tomosynthesis, mammo |
179 |
155 |
$945.48 |
| 99214 |
|
27 |
27 |
$910.62 |
| 84481 |
|
76 |
67 |
$888.09 |
| 74019 |
|
14 |
13 |
$865.67 |
| 76817 |
|
97 |
76 |
$832.72 |
| 00811 |
|
520 |
399 |
$822.84 |
| 85379 |
|
1,659 |
1,400 |
$813.48 |
| 72050 |
|
15 |
14 |
$778.37 |
| 97161 |
|
124 |
88 |
$755.21 |
| 87481 |
|
16 |
14 |
$742.04 |
| 82077 |
|
830 |
614 |
$727.69 |
| 87502 |
|
29 |
26 |
$692.94 |
| 81025 |
|
4,133 |
3,390 |
$681.21 |
| 99252 |
|
28 |
26 |
$662.18 |
| 73590 |
|
109 |
102 |
$653.80 |
| 97802 |
|
15 |
12 |
$649.22 |
| 84146 |
|
26 |
25 |
$637.01 |
| 81003 |
|
1,877 |
1,573 |
$618.16 |
| 86762 |
|
15 |
13 |
$564.83 |
| 86308 |
|
152 |
127 |
$551.39 |
| 99231 |
|
46 |
24 |
$544.39 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,062 |
3,384 |
$530.81 |
| 99213 |
|
27 |
26 |
$517.46 |
| 84153 |
|
32 |
30 |
$512.24 |
| 88304 |
|
221 |
173 |
$483.84 |
| J2270 |
Morphine sulfate injection |
1,908 |
1,191 |
$482.02 |
| 87070 |
|
260 |
207 |
$471.85 |
| 87040 |
|
448 |
351 |
$420.85 |
| 83001 |
|
15 |
14 |
$409.54 |
| 87635 |
|
195 |
148 |
$393.05 |
| 84550 |
|
71 |
65 |
$379.11 |
| 86704 |
|
23 |
13 |
$366.47 |
| 99221 |
|
14 |
13 |
$358.60 |
| 73080 |
|
38 |
30 |
$356.36 |
| 90471 |
|
201 |
143 |
$344.82 |
| 87205 |
|
272 |
213 |
$319.86 |
| 99152 |
|
134 |
110 |
$316.02 |
| 99212 |
|
25 |
25 |
$314.83 |
| 84156 |
|
58 |
51 |
$304.71 |
| J1885 |
Ketorolac tromethamine inj |
6,228 |
4,858 |
$301.46 |
| 00731 |
|
485 |
376 |
$287.29 |
| 83002 |
|
14 |
13 |
$260.96 |
| J1170 |
Hydromorphone injection |
723 |
457 |
$232.06 |
| 82565 |
|
17 |
12 |
$222.02 |
| 72128 |
|
12 |
12 |
$192.23 |
| 83615 |
|
35 |
27 |
$175.15 |
| J2704 |
Inj, propofol, 10 mg |
3,361 |
2,586 |
$167.50 |
| J3490 |
Drugs unclassified injection |
60 |
43 |
$132.85 |
| J1644 |
Inj heparin sodium per 1000u |
872 |
353 |
$117.32 |
| 87493 |
|
18 |
12 |
$114.16 |
| 76801 |
|
28 |
27 |
$111.79 |
| J2919 |
Inj, methylpred sod succ 5mg |
166 |
129 |
$95.80 |
| 97530 |
|
21 |
14 |
$93.62 |
| J0696 |
Ceftriaxone sodium injection |
1,305 |
801 |
$90.72 |
| J3010 |
Fentanyl citrate injection |
3,405 |
2,071 |
$86.32 |
| 87880 |
|
372 |
322 |
$83.34 |
| J0780 |
Prochlorperazine injection |
522 |
381 |
$76.24 |
| J2405 |
Ondansetron hcl injection |
5,705 |
4,032 |
$69.40 |
| 84132 |
|
64 |
50 |
$67.93 |
| 88342 |
|
36 |
28 |
$64.98 |
| C1769 |
Guide wire |
390 |
304 |
$64.58 |
| J1815 |
Insulin injection |
24 |
18 |
$54.00 |
| J2930 |
Methylprednisolone injection |
328 |
252 |
$49.89 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,029 |
604 |
$45.69 |
| J2060 |
Lorazepam injection |
279 |
200 |
$44.40 |
| J7120 |
Ringers lactate infusion |
583 |
432 |
$44.13 |
| 84145 |
|
63 |
50 |
$42.56 |
| J1200 |
Diphenhydramine hcl injectio |
819 |
633 |
$38.17 |
| J0690 |
Cefazolin sodium injection |
1,342 |
851 |
$30.72 |
| C9113 |
Inj pantoprazole sodium, via |
46 |
25 |
$28.95 |
| J1100 |
Dexamethasone sodium phos |
1,782 |
1,340 |
$24.09 |
| J2765 |
Metoclopramide hcl injection |
666 |
517 |
$18.91 |
| J1940 |
Furosemide injection |
97 |
51 |
$16.83 |
| J2250 |
Inj midazolam hydrochloride |
2,188 |
1,577 |
$16.56 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
121 |
100 |
$16.48 |
| J3475 |
Inj magnesium sulfate |
827 |
607 |
$15.27 |
| J1790 |
Droperidol injection |
260 |
201 |
$14.60 |
| J2795 |
Ropivacaine hcl injection |
246 |
188 |
$10.50 |
| J2543 |
Piperacillin/tazobactam |
18 |
12 |
$9.77 |
| J2001 |
Lidocaine injection |
2,106 |
1,537 |
$9.11 |
| J7030 |
Normal saline solution infus |
549 |
400 |
$7.66 |
| J1650 |
Inj enoxaparin sodium |
27 |
12 |
$6.29 |
| J3370 |
Vancomycin hcl injection |
57 |
42 |
$5.72 |
| J2360 |
Orphenadrine injection |
30 |
26 |
$4.07 |
| J3480 |
Inj potassium chloride |
163 |
120 |
$2.40 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
56 |
46 |
$0.45 |
| 3078F |
|
15 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
566 |
504 |
$0.00 |
| G1004 |
Cdsm ndsc |
130 |
119 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
19 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
31 |
31 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
91 |
79 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
65 |
55 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
66 |
52 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
17 |
15 |
$0.00 |
| 82365 |
|
33 |
25 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
15 |
13 |
$0.00 |
| 94760 |
|
1,496 |
858 |
$0.00 |
| 3074F |
|
19 |
15 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
485 |
408 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
89 |
59 |
$0.00 |
| C1889 |
Implant/insert device, noc |
29 |
29 |
$0.00 |
| 00813 |
|
39 |
32 |
$0.00 |
| 82803 |
|
55 |
42 |
$0.00 |
| 74022 |
|
16 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
29 |
28 |
$0.00 |