| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
27,487 |
26,265 |
$3.85M |
| 0202U |
|
11,702 |
11,255 |
$2.49M |
| 99284 |
|
20,204 |
19,403 |
$2.12M |
| G0378 |
Hospital observation per hr |
2,278 |
1,349 |
$1.84M |
| 99283 |
|
22,056 |
21,400 |
$1.62M |
| 80307 |
|
19,053 |
15,505 |
$1.15M |
| G0480 |
Drug test def 1-7 classes |
17,131 |
14,107 |
$1.00M |
| 74177 |
|
4,370 |
4,217 |
$812K |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,260 |
5,778 |
$592K |
| 80053 |
|
56,994 |
52,870 |
$588K |
| 87631 |
|
3,564 |
3,407 |
$475K |
| 70450 |
|
5,395 |
5,259 |
$399K |
| 85025 |
|
57,455 |
53,473 |
$300K |
| 71046 |
|
13,991 |
13,568 |
$236K |
| 87637 |
|
1,810 |
1,704 |
$209K |
| 93306 |
|
2,400 |
2,362 |
$207K |
| 96374 |
|
7,222 |
6,946 |
$202K |
| 84443 |
|
8,205 |
8,001 |
$176K |
| 0100U |
|
460 |
402 |
$174K |
| 96413 |
|
1,532 |
1,101 |
$158K |
| 93005 |
|
18,290 |
17,442 |
$157K |
| 96365 |
|
4,184 |
3,360 |
$146K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,636 |
1,533 |
$118K |
| 84484 |
|
10,351 |
8,389 |
$105K |
| 74176 |
|
941 |
900 |
$105K |
| 71275 |
|
451 |
448 |
$101K |
| 82306 |
|
2,386 |
2,352 |
$92K |
| 80061 |
|
6,699 |
6,586 |
$85K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
156 |
149 |
$84K |
| 96375 |
|
4,749 |
4,529 |
$81K |
| 96361 |
|
5,863 |
5,623 |
$81K |
| U0005 |
Infec agen detec ampli probe |
6,001 |
5,069 |
$80K |
| 78815 |
|
90 |
79 |
$79K |
| 72125 |
|
958 |
925 |
$77K |
| 87481 |
|
1,004 |
975 |
$69K |
| 70553 |
|
227 |
223 |
$58K |
| 87661 |
|
1,410 |
1,365 |
$57K |
| 87491 |
|
2,210 |
2,166 |
$53K |
| 83690 |
|
10,454 |
9,923 |
$48K |
| 99291 |
|
412 |
391 |
$48K |
| 87591 |
|
2,015 |
1,974 |
$46K |
| 99282 |
|
1,346 |
1,320 |
$45K |
| 300 |
Patient transfer system <300 |
529 |
147 |
$44K |
| 93971 |
|
563 |
547 |
$41K |
| 71260 |
|
430 |
418 |
$41K |
| 87389 |
|
1,470 |
1,453 |
$40K |
| T1015 |
Clinic service |
1,241 |
732 |
$40K |
| 87430 |
|
6,131 |
5,922 |
$39K |
| 84702 |
|
2,415 |
2,171 |
$39K |
| 76705 |
|
793 |
772 |
$39K |
| 43239 |
|
343 |
342 |
$38K |
| 85027 |
|
6,042 |
5,220 |
$38K |
| 81001 |
|
13,813 |
13,181 |
$38K |
| 36415 |
|
32,322 |
28,160 |
$38K |
| J1756 |
Iron sucrose injection |
3,400 |
1,886 |
$37K |
| 80048 |
|
4,771 |
4,042 |
$37K |
| 96372 |
|
2,633 |
2,397 |
$35K |
| 76830 |
|
564 |
552 |
$35K |
| 87086 |
|
4,443 |
4,283 |
$34K |
| 71250 |
|
367 |
364 |
$32K |
| 83036 |
|
5,072 |
4,968 |
$32K |
| 93970 |
|
286 |
286 |
$30K |
| 81025 |
|
8,028 |
7,639 |
$30K |
| 70551 |
|
118 |
117 |
$29K |
| 78452 |
|
122 |
121 |
$29K |
| 82728 |
|
2,451 |
2,385 |
$28K |
| 83605 |
|
4,067 |
3,751 |
$27K |
| 88175 |
|
872 |
867 |
$27K |
| 86803 |
|
1,391 |
1,376 |
$26K |
| 82607 |
|
2,133 |
2,113 |
$26K |
| 450 |
Pov group 1 hd 301-450 lbs |
71 |
38 |
$26K |
| 87624 |
|
619 |
618 |
$24K |
| 88305 |
|
1,270 |
1,026 |
$24K |
| 84439 |
|
3,054 |
2,975 |
$24K |
| 76770 |
|
348 |
346 |
$23K |
| 73721 |
|
76 |
73 |
$22K |
| Q3014 |
Telehealth facility fee |
1,625 |
1,597 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,146 |
7,795 |
$21K |
| 76817 |
|
288 |
261 |
$21K |
| 83540 |
|
2,634 |
2,561 |
$21K |
| 72148 |
|
95 |
95 |
$20K |
| 83880 |
|
662 |
617 |
$20K |
| 95886 |
|
261 |
260 |
$20K |
| 76536 |
|
305 |
301 |
$19K |
| 93017 |
|
466 |
464 |
$19K |
| 88342 |
|
459 |
424 |
$19K |
| 87522 |
Neg quan hep c or qual rna |
466 |
452 |
$18K |
| 76700 |
|
230 |
226 |
$17K |
| 94729 |
|
569 |
565 |
$16K |
| 86850 |
|
2,147 |
2,030 |
$16K |
| 80050 |
|
359 |
345 |
$16K |
| 71045 |
|
1,679 |
1,584 |
$15K |
| 94640 |
|
297 |
214 |
$15K |
| 73610 |
|
660 |
601 |
$14K |
| 95910 |
|
112 |
112 |
$14K |
| 86480 |
|
202 |
195 |
$14K |
| 86317 |
|
598 |
588 |
$14K |
| 87340 |
|
904 |
894 |
$13K |
| 94726 |
|
475 |
471 |
$13K |
| 86901 |
|
2,397 |
2,128 |
$12K |
| 86900 |
|
2,397 |
2,128 |
$12K |
| 83970 |
|
291 |
286 |
$12K |
| 87635 |
|
458 |
439 |
$12K |
| 96360 |
|
440 |
424 |
$11K |
| 83550 |
|
2,476 |
2,412 |
$11K |
| 87511 |
|
558 |
548 |
$11K |
| 73564 |
|
421 |
388 |
$11K |
| 87150 |
|
221 |
219 |
$11K |
| 87641 |
|
293 |
288 |
$11K |
| 0241U |
|
103 |
99 |
$11K |
| 93296 |
|
770 |
766 |
$10K |
| 73630 |
|
749 |
664 |
$10K |
| 70486 |
|
104 |
103 |
$10K |
| 82805 |
|
319 |
296 |
$10K |
| 84481 |
|
425 |
420 |
$10K |
| 97110 |
|
726 |
220 |
$10K |
| 85610 |
|
3,055 |
2,371 |
$10K |
| 86003 |
|
77 |
76 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
320 |
315 |
$10K |
| 87040 |
|
493 |
431 |
$9K |
| 76870 |
|
150 |
145 |
$9K |
| 85379 |
|
860 |
849 |
$9K |
| 90715 |
|
849 |
822 |
$8K |
| A9585 |
Gadobutrol injection |
1,723 |
1,670 |
$8K |
| 83735 |
|
1,471 |
1,026 |
$8K |
| 70498 |
|
39 |
38 |
$8K |
| 86618 |
|
353 |
351 |
$8K |
| 95909 |
|
84 |
84 |
$8K |
| C1769 |
Guide wire |
285 |
261 |
$8K |
| J2785 |
Regadenoson injection |
138 |
136 |
$8K |
| 84153 |
|
330 |
325 |
$8K |
| 82570 |
|
1,106 |
1,037 |
$8K |
| 87506 |
|
57 |
55 |
$7K |
| 82746 |
|
632 |
624 |
$7K |
| 97112 |
|
391 |
116 |
$7K |
| 84403 |
|
254 |
245 |
$7K |
| 72100 |
|
244 |
237 |
$7K |
| 97140 |
|
314 |
95 |
$6K |
| 94060 |
|
637 |
632 |
$6K |
| 73130 |
|
428 |
397 |
$6K |
| 73030 |
|
333 |
313 |
$6K |
| 82043 |
|
822 |
792 |
$6K |
| 80074 |
|
117 |
117 |
$6K |
| 96376 |
|
162 |
144 |
$6K |
| 82784 |
|
289 |
278 |
$6K |
| 84146 |
|
221 |
218 |
$5K |
| 87186 |
|
709 |
668 |
$5K |
| 90686 |
|
513 |
504 |
$5K |
| X0592 |
|
132 |
131 |
$5K |
| 85652 |
|
1,773 |
1,694 |
$5K |
| 83655 |
|
475 |
463 |
$5K |
| 93350 |
|
106 |
106 |
$5K |
| 86140 |
|
1,589 |
1,501 |
$5K |
| 83520 |
|
269 |
258 |
$4K |
| 93923 |
|
82 |
79 |
$4K |
| 95908 |
|
51 |
51 |
$4K |
| 73590 |
|
215 |
197 |
$4K |
| 74018 |
|
252 |
242 |
$4K |
| 86038 |
|
266 |
263 |
$4K |
| 82962 |
|
2,389 |
1,584 |
$4K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$4K |
| 85730 |
|
629 |
615 |
$4K |
| 93880 |
|
46 |
45 |
$4K |
| 29125 |
|
164 |
157 |
$4K |
| 12001 |
|
155 |
147 |
$4K |
| 45385 |
|
13 |
13 |
$4K |
| 96366 |
|
149 |
127 |
$4K |
| 88341 |
|
52 |
37 |
$4K |
| 80164 |
|
202 |
187 |
$4K |
| 81003 |
|
1,193 |
1,164 |
$4K |
| 73110 |
|
231 |
216 |
$3K |
| 83525 |
|
314 |
309 |
$3K |
| 84100 |
|
735 |
538 |
$3K |
| 70496 |
|
15 |
15 |
$3K |
| 87077 |
|
465 |
422 |
$3K |
| 99281 |
|
159 |
152 |
$3K |
| 11042 |
|
196 |
126 |
$3K |
| 73502 |
|
142 |
135 |
$3K |
| 82248 |
|
448 |
418 |
$3K |
| J2270 |
Morphine sulfate injection |
2,216 |
1,911 |
$3K |
| 86780 |
|
176 |
176 |
$3K |
| J1170 |
Hydromorphone injection |
2,436 |
2,016 |
$3K |
| 80325 |
|
168 |
152 |
$3K |
| 97161 |
|
70 |
68 |
$3K |
| 80076 |
|
318 |
305 |
$3K |
| 84270 |
|
102 |
87 |
$3K |
| 85007 |
|
614 |
541 |
$3K |
| 81513 |
|
30 |
30 |
$2K |
| 76815 |
|
47 |
45 |
$2K |
| 76801 |
|
30 |
30 |
$2K |
| 87088 |
|
293 |
282 |
$2K |
| 87902 |
|
13 |
13 |
$2K |
| 94618 |
|
141 |
141 |
$2K |
| 85046 |
|
378 |
367 |
$2K |
| 82375 |
|
442 |
419 |
$2K |
| 12011 |
|
62 |
58 |
$2K |
| 82105 |
|
103 |
102 |
$2K |
| 82550 |
|
317 |
298 |
$2K |
| 95911 |
|
12 |
12 |
$2K |
| 17110 |
|
44 |
41 |
$2K |
| 90471 |
|
220 |
179 |
$2K |
| G0008 |
Admin influenza virus vac |
220 |
217 |
$2K |
| 95885 |
|
41 |
41 |
$2K |
| 86592 |
|
475 |
465 |
$2K |
| 29515 |
|
58 |
54 |
$2K |
| C1894 |
Intro/sheath, non-laser |
14 |
13 |
$2K |
| 86431 |
|
228 |
227 |
$2K |
| 82077 |
|
136 |
126 |
$2K |
| 86762 |
|
86 |
85 |
$2K |
| 83001 |
|
101 |
99 |
$2K |
| 97162 |
|
77 |
72 |
$2K |
| 93246 |
|
56 |
55 |
$2K |
| 43235 |
|
13 |
13 |
$2K |
| 95819 |
|
126 |
124 |
$2K |
| 83002 |
|
96 |
94 |
$2K |
| J7040 |
Normal saline solution infus |
7,011 |
4,411 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
4,633 |
4,190 |
$2K |
| 86160 |
|
56 |
51 |
$2K |
| 36591 |
|
25 |
16 |
$1K |
| 86704 |
|
93 |
92 |
$1K |
| 82150 |
|
326 |
314 |
$1K |
| 86376 |
|
182 |
182 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
1,094 |
1,067 |
$1K |
| 84550 |
|
241 |
231 |
$1K |
| 96417 |
|
22 |
12 |
$1K |
| 73090 |
|
91 |
88 |
$1K |
| G2066 |
Inter devc remote 30d |
56 |
56 |
$1K |
| 73700 |
|
15 |
13 |
$1K |
| 97124 |
|
98 |
41 |
$1K |
| 86708 |
|
88 |
87 |
$1K |
| 82565 |
|
219 |
216 |
$1K |
| 88304 |
|
218 |
203 |
$1K |
| 87070 |
|
194 |
186 |
$1K |
| J0690 |
Cefazolin sodium injection |
3,021 |
2,700 |
$1K |
| 86039 |
|
86 |
84 |
$1K |
| 73552 |
|
57 |
56 |
$1K |
| 80069 |
|
161 |
133 |
$1K |
| 80179 |
|
101 |
100 |
$1K |
| 84630 |
|
77 |
77 |
$1K |
| 82785 |
|
60 |
59 |
$1K |
| 85018 |
|
310 |
300 |
$1K |
| 76856 |
|
17 |
17 |
$1K |
| 82533 |
|
86 |
82 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
6,191 |
5,727 |
$998.89 |
| 99152 |
|
115 |
113 |
$997.06 |
| 70491 |
|
12 |
12 |
$988.79 |
| 84156 |
|
238 |
225 |
$978.96 |
| 86800 |
|
52 |
50 |
$954.78 |
| 82040 |
|
270 |
261 |
$942.93 |
| 97165 |
|
30 |
29 |
$935.68 |
| J2405 |
Ondansetron hcl injection |
11,718 |
10,341 |
$902.78 |
| 95816 |
|
73 |
73 |
$871.01 |
| 85014 |
|
262 |
255 |
$868.21 |
| 84145 |
|
61 |
58 |
$864.49 |
| J7050 |
Normal saline solution infus |
8,103 |
5,052 |
$842.48 |
| 82670 |
|
40 |
39 |
$841.80 |
| J1100 |
Dexamethasone sodium phos |
5,698 |
5,291 |
$787.90 |
| J3010 |
Fentanyl citrate injection |
5,776 |
5,086 |
$783.33 |
| 83050 |
|
319 |
296 |
$781.02 |
| J1650 |
Inj enoxaparin sodium |
1,783 |
1,071 |
$775.81 |
| 74240 |
|
13 |
13 |
$748.20 |
| J8501 |
Oral aprepitant |
704 |
686 |
$732.27 |
| 93298 |
|
14 |
14 |
$727.94 |
| 83721 |
|
66 |
66 |
$726.25 |
| 84480 |
|
94 |
93 |
$697.80 |
| 73080 |
|
41 |
40 |
$691.49 |
| 99153 |
Mod sedat endo service >5yrs |
100 |
98 |
$685.44 |
| 86225 |
|
49 |
49 |
$682.63 |
| 97803 |
|
12 |
12 |
$672.61 |
| 84460 |
|
92 |
90 |
$639.02 |
| J0330 |
Succinycholine chloride inj |
530 |
514 |
$634.96 |
| 82627 |
|
29 |
29 |
$634.83 |
| 73560 |
|
38 |
35 |
$634.06 |
| 86235 |
|
19 |
12 |
$621.36 |
| 88312 |
|
18 |
14 |
$602.17 |
| 87075 |
|
64 |
59 |
$569.33 |
| G0463 |
Hospital outpt clinic visit |
620 |
576 |
$567.23 |
| 77002 |
|
15 |
14 |
$559.66 |
| 84520 |
|
109 |
109 |
$552.60 |
| 97802 |
|
12 |
12 |
$543.75 |
| 87205 |
|
132 |
124 |
$524.53 |
| 93320 |
|
12 |
12 |
$518.04 |
| J7060 |
5% dextrose/water |
1,667 |
1,203 |
$515.32 |
| J1200 |
Diphenhydramine hcl injectio |
2,626 |
2,427 |
$514.14 |
| 84425 |
|
72 |
72 |
$513.82 |
| 88307 |
|
17 |
13 |
$512.07 |
| 84165 |
|
36 |
36 |
$509.08 |
| J0696 |
Ceftriaxone sodium injection |
1,048 |
963 |
$504.58 |
| 82950 |
|
77 |
77 |
$503.37 |
| 83516 |
|
50 |
49 |
$484.10 |
| 84402 |
|
18 |
18 |
$471.50 |
| 84590 |
|
33 |
32 |
$451.23 |
| J2930 |
Methylprednisolone injection |
420 |
378 |
$427.54 |
| 84450 |
|
61 |
60 |
$427.00 |
| J3475 |
Inj magnesium sulfate |
1,172 |
938 |
$423.50 |
| 12002 |
|
14 |
13 |
$415.05 |
| 80178 |
|
59 |
52 |
$413.71 |
| 73100 |
|
30 |
25 |
$396.26 |
| 93325 |
|
26 |
26 |
$388.50 |
| 86200 |
|
27 |
27 |
$376.04 |
| 0296T |
|
14 |
13 |
$371.52 |
| 76942 |
|
27 |
27 |
$371.52 |
| J1630 |
Haloperidol injection |
644 |
571 |
$361.80 |
| 94010 |
|
47 |
47 |
$340.22 |
| J2060 |
Lorazepam injection |
1,360 |
1,173 |
$311.97 |
| 82247 |
|
42 |
41 |
$303.20 |
| A9552 |
F18 fdg |
27 |
27 |
$302.27 |
| J3370 |
Vancomycin hcl injection |
453 |
380 |
$290.69 |
| J1644 |
Inj heparin sodium per 1000u |
545 |
381 |
$277.64 |
| 83615 |
|
44 |
42 |
$267.35 |
| 80143 |
|
20 |
20 |
$246.80 |
| 94664 |
|
20 |
19 |
$246.70 |
| 84134 |
|
12 |
12 |
$237.29 |
| 99406 |
|
30 |
30 |
$227.10 |
| J0780 |
Prochlorperazine injection |
593 |
575 |
$216.22 |
| 82947 |
|
54 |
53 |
$212.96 |
| 82977 |
|
29 |
27 |
$208.36 |
| 76000 |
|
37 |
36 |
$196.25 |
| 73060 |
|
13 |
12 |
$195.25 |
| 80177 |
|
13 |
13 |
$189.24 |
| 84075 |
|
24 |
24 |
$157.44 |
| G0103 |
Psa screening |
15 |
14 |
$139.08 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,374 |
1,275 |
$134.24 |
| 87046 |
|
56 |
54 |
$131.92 |
| 84436 |
|
14 |
14 |
$131.43 |
| J2250 |
Inj midazolam hydrochloride |
5,256 |
5,037 |
$122.75 |
| 84155 |
|
24 |
24 |
$115.44 |
| J7030 |
Normal saline solution infus |
300 |
203 |
$106.82 |
| 83718 |
|
14 |
14 |
$94.77 |
| 84478 |
|
13 |
13 |
$90.20 |
| 82465 |
|
15 |
15 |
$87.55 |
| J2765 |
Metoclopramide hcl injection |
530 |
507 |
$82.91 |
| 82140 |
|
14 |
12 |
$71.75 |
| J1815 |
Insulin injection |
1,014 |
424 |
$69.90 |
| 87206 |
|
12 |
12 |
$52.32 |
| J1790 |
Droperidol injection |
303 |
283 |
$51.86 |
| S0020 |
Injection, bupivicaine hydro |
115 |
114 |
$16.61 |
| J7510 |
Prednisolone oral per 5 mg |
311 |
305 |
$9.24 |
| J3490 |
Drugs unclassified injection |
44 |
40 |
$7.09 |
| J2370 |
Phenylephrine hcl injection |
117 |
110 |
$6.95 |
| C9290 |
Inj, bupivacaine liposome |
486 |
479 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
246 |
183 |
$0.00 |
| J3420 |
Vitamin b12 injection |
204 |
142 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
122 |
122 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
161 |
150 |
$0.00 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
174 |
172 |
$0.00 |
| 90656 |
|
84 |
84 |
$0.00 |
| J0173 |
Inj, epinephrine (belcher) |
55 |
49 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
62 |
41 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
28 |
27 |
$0.00 |
| J3480 |
Inj potassium chloride |
17 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
155 |
149 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
74 |
71 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
161 |
161 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
191 |
183 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
185 |
184 |
$0.00 |
| J1750 |
Inj iron dextran |
21 |
15 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
883 |
822 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
32 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
199 |
172 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
28 |
13 |
$0.00 |