| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
68,908 |
58,679 |
$11.14M |
| 99284 |
|
53,108 |
42,686 |
$8.17M |
| 96361 |
|
24,367 |
17,943 |
$6.63M |
| 99285 |
|
31,793 |
25,417 |
$4.83M |
| 99282 |
|
20,257 |
17,903 |
$3.08M |
| 97110 |
|
49,334 |
12,402 |
$2.48M |
| 74177 |
|
13,812 |
11,769 |
$2.37M |
| 70450 |
|
12,853 |
10,760 |
$2.10M |
| 71275 |
|
4,896 |
4,263 |
$1.10M |
| G0378 |
Hospital observation per hr |
4,234 |
3,013 |
$785K |
| 96360 |
|
6,321 |
5,464 |
$764K |
| 97530 |
|
19,687 |
6,801 |
$723K |
| 92507 |
|
2,857 |
630 |
$672K |
| 74176 |
|
4,201 |
3,600 |
$665K |
| 93306 |
|
2,430 |
2,159 |
$649K |
| 59025 |
|
3,003 |
2,236 |
$553K |
| 97161 |
|
4,963 |
4,496 |
$548K |
| 78452 |
|
823 |
725 |
$458K |
| 94640 |
|
10,702 |
6,405 |
$442K |
| 96366 |
|
1,903 |
1,354 |
$403K |
| 80307 |
|
9,107 |
7,451 |
$399K |
| 96365 |
|
4,541 |
3,834 |
$376K |
| J3490 |
Drugs unclassified injection |
200,976 |
62,970 |
$317K |
| 70553 |
|
1,075 |
975 |
$302K |
| 72148 |
|
1,556 |
1,448 |
$302K |
| 97112 |
|
19,389 |
5,702 |
$291K |
| 80048 |
|
69,660 |
50,899 |
$258K |
| 76705 |
|
2,867 |
2,573 |
$239K |
| 97162 |
|
2,810 |
2,477 |
$223K |
| 97140 |
|
14,267 |
5,286 |
$217K |
| 71046 |
|
32,441 |
27,593 |
$209K |
| 70551 |
|
1,115 |
983 |
$199K |
| 77067 |
|
5,995 |
5,654 |
$197K |
| 99281 |
|
1,212 |
1,126 |
$190K |
| 0240U |
|
3,064 |
2,829 |
$186K |
| G0463 |
Hospital outpt clinic visit |
13,258 |
8,446 |
$174K |
| 93971 |
|
2,290 |
1,957 |
$174K |
| 76642 |
|
1,651 |
1,331 |
$169K |
| 77063 |
|
4,515 |
4,281 |
$164K |
| 71260 |
|
2,514 |
2,194 |
$164K |
| 76830 |
|
2,136 |
1,895 |
$160K |
| 10060 |
|
1,464 |
1,269 |
$155K |
| 11042 |
|
1,284 |
614 |
$150K |
| 0241U |
|
1,761 |
1,666 |
$132K |
| 99291 |
|
675 |
588 |
$130K |
| 87635 |
|
2,550 |
2,156 |
$126K |
| 76817 |
|
3,236 |
2,557 |
$126K |
| 72141 |
|
602 |
566 |
$125K |
| 93017 |
|
1,658 |
1,446 |
$125K |
| 73721 |
|
596 |
538 |
$123K |
| 70491 |
|
741 |
680 |
$122K |
| 93005 |
|
45,722 |
36,407 |
$109K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,890 |
4,288 |
$104K |
| 87591 |
|
11,984 |
10,479 |
$100K |
| 93970 |
|
987 |
857 |
$99K |
| 72125 |
|
3,419 |
2,875 |
$97K |
| 76770 |
|
819 |
732 |
$90K |
| 59050 |
|
533 |
350 |
$90K |
| G0283 |
Elec stim other than wound |
4,479 |
1,506 |
$87K |
| 97597 |
|
1,670 |
759 |
$73K |
| 80047 |
|
19,024 |
15,949 |
$72K |
| 12001 |
|
345 |
317 |
$71K |
| 83880 |
|
8,727 |
6,886 |
$65K |
| 29125 |
|
486 |
430 |
$63K |
| 71250 |
|
1,161 |
1,051 |
$61K |
| 85025 |
|
74,489 |
56,119 |
$55K |
| 99214 |
|
486 |
434 |
$53K |
| 70486 |
|
1,212 |
1,069 |
$52K |
| 97165 |
|
556 |
497 |
$52K |
| 97016 |
|
1,937 |
609 |
$51K |
| 71045 |
|
14,958 |
12,503 |
$43K |
| 76815 |
|
785 |
697 |
$42K |
| 84703 |
|
17,811 |
15,303 |
$41K |
| 97535 |
|
1,640 |
1,161 |
$40K |
| 96374 |
|
37,309 |
29,713 |
$39K |
| 77065 |
Tomosynthesis, mammo |
895 |
764 |
$38K |
| 85379 |
|
8,803 |
7,622 |
$38K |
| 73030 |
|
3,693 |
3,107 |
$37K |
| 80076 |
|
22,882 |
18,589 |
$37K |
| U0002 |
Covid-19 lab test non-cdc |
4,233 |
3,949 |
$36K |
| 90715 |
|
1,976 |
1,740 |
$36K |
| 97166 |
|
518 |
451 |
$35K |
| 87636 |
|
6,163 |
5,684 |
$35K |
| 77066 |
Tomosynthesis, mammo |
925 |
852 |
$34K |
| G0480 |
Drug test def 1-7 classes |
3,617 |
2,414 |
$34K |
| 97116 |
|
1,596 |
835 |
$34K |
| 84484 |
|
29,012 |
17,048 |
$33K |
| 45385 |
|
42 |
39 |
$33K |
| 72110 |
|
1,951 |
1,723 |
$32K |
| 87040 |
|
6,135 |
2,737 |
$30K |
| 73564 |
|
4,113 |
3,272 |
$29K |
| 80053 |
|
5,479 |
4,427 |
$27K |
| 73130 |
|
3,299 |
2,705 |
$25K |
| 93798 |
|
466 |
84 |
$24K |
| 73630 |
|
4,189 |
3,493 |
$24K |
| 73562 |
|
1,688 |
1,271 |
$23K |
| 12011 |
|
127 |
118 |
$20K |
| 87502 |
|
1,291 |
1,150 |
$20K |
| 73502 |
|
2,417 |
2,006 |
$20K |
| 87661 |
|
7,414 |
6,595 |
$20K |
| 76856 |
|
294 |
271 |
$20K |
| 96372 |
|
15,337 |
9,680 |
$20K |
| 76536 |
|
193 |
184 |
$20K |
| 76942 |
|
433 |
374 |
$19K |
| 82962 |
|
19,110 |
7,507 |
$18K |
| G0279 |
Tomosynthesis, mammo |
1,437 |
1,328 |
$17K |
| 99211 |
|
173 |
114 |
$17K |
| 72100 |
|
1,544 |
1,369 |
$17K |
| 73610 |
|
3,399 |
2,935 |
$17K |
| 93976 |
|
673 |
568 |
$16K |
| 85027 |
|
10,351 |
7,884 |
$15K |
| 64450 |
|
96 |
83 |
$15K |
| 81001 |
|
37,200 |
30,488 |
$14K |
| J3010 |
Fentanyl citrate injection |
5,501 |
4,550 |
$14K |
| 73110 |
|
1,990 |
1,707 |
$14K |
| 96375 |
|
25,393 |
19,293 |
$14K |
| 85610 |
|
8,593 |
6,443 |
$13K |
| J2405 |
Ondansetron hcl injection |
23,823 |
18,673 |
$13K |
| 88304 |
|
391 |
339 |
$13K |
| 76801 |
|
188 |
155 |
$12K |
| 71271 |
|
115 |
106 |
$11K |
| 36430 |
|
51 |
38 |
$10K |
| 74018 |
|
1,218 |
980 |
$10K |
| 72050 |
|
474 |
438 |
$10K |
| 87086 |
|
15,222 |
12,614 |
$10K |
| 94799 |
|
2,248 |
1,328 |
$9K |
| 76870 |
|
121 |
106 |
$9K |
| 70496 |
|
46 |
41 |
$9K |
| 83605 |
|
7,879 |
5,978 |
$9K |
| 86900 |
|
4,117 |
3,405 |
$8K |
| 87491 |
|
11,904 |
10,397 |
$8K |
| 36415 |
|
8,170 |
6,639 |
$7K |
| 84443 |
|
4,469 |
3,863 |
$7K |
| 73560 |
|
326 |
220 |
$7K |
| 85014 |
|
9,552 |
7,805 |
$6K |
| 87081 |
|
5,161 |
4,537 |
$6K |
| 73140 |
|
885 |
801 |
$6K |
| 81003 |
|
21,088 |
17,980 |
$6K |
| 82306 |
|
655 |
565 |
$6K |
| 87070 |
|
635 |
529 |
$6K |
| 83690 |
|
19,594 |
15,835 |
$6K |
| 96376 |
|
9,554 |
5,360 |
$6K |
| 82565 |
|
3,687 |
3,044 |
$6K |
| 83036 |
|
2,545 |
2,155 |
$5K |
| 81025 |
|
15,906 |
13,826 |
$5K |
| 80061 |
|
2,220 |
1,861 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
19 |
14 |
$5K |
| 93880 |
|
55 |
49 |
$5K |
| 84702 |
|
5,205 |
3,973 |
$5K |
| 99234 |
|
109 |
98 |
$5K |
| 12002 |
|
27 |
26 |
$5K |
| 83735 |
|
6,780 |
4,876 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
13,771 |
11,524 |
$5K |
| 74183 |
|
16 |
14 |
$5K |
| 73080 |
|
849 |
739 |
$4K |
| 97163 |
|
68 |
62 |
$4K |
| 77080 |
|
54 |
53 |
$4K |
| 77336 |
|
65 |
25 |
$4K |
| 86850 |
|
2,579 |
2,147 |
$4K |
| 87637 |
|
1,949 |
1,856 |
$3K |
| 90471 |
|
2,114 |
1,831 |
$3K |
| 87077 |
|
6,445 |
5,265 |
$3K |
| 88305 |
|
2,501 |
2,157 |
$3K |
| 29130 |
|
13 |
12 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
24,611 |
18,535 |
$3K |
| 29515 |
|
16 |
13 |
$3K |
| 86901 |
|
4,124 |
3,405 |
$3K |
| 76937 |
|
124 |
95 |
$3K |
| J2550 |
Promethazine hcl injection |
3,021 |
2,239 |
$3K |
| 87880 |
|
6,691 |
6,055 |
$2K |
| 87210 |
|
10,042 |
8,721 |
$2K |
| 90935 |
|
18 |
12 |
$2K |
| 73590 |
|
888 |
716 |
$2K |
| Q0162 |
Ondansetron oral |
7,264 |
6,378 |
$2K |
| J1170 |
Hydromorphone injection |
8,596 |
5,433 |
$2K |
| 87186 |
|
4,266 |
3,372 |
$2K |
| 85730 |
|
3,393 |
2,687 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
291 |
258 |
$2K |
| J2270 |
Morphine sulfate injection |
10,719 |
7,939 |
$2K |
| 97113 |
|
47 |
16 |
$2K |
| 72040 |
|
71 |
70 |
$2K |
| 82077 |
|
5,520 |
4,575 |
$2K |
| 73090 |
|
347 |
302 |
$2K |
| 80143 |
|
234 |
215 |
$2K |
| 97750 |
|
87 |
68 |
$2K |
| 74022 |
|
689 |
555 |
$1K |
| 82553 |
|
447 |
291 |
$1K |
| 82607 |
|
233 |
205 |
$1K |
| 87631 |
|
71 |
62 |
$1K |
| P9016 |
Rbc leukocytes reduced |
22 |
13 |
$1K |
| 84145 |
|
446 |
373 |
$1K |
| J2930 |
Methylprednisolone injection |
2,046 |
1,533 |
$1K |
| 70498 |
|
33 |
30 |
$1K |
| 84100 |
|
1,186 |
840 |
$1K |
| 83970 |
|
187 |
156 |
$1K |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,284 |
1,126 |
$1K |
| 73221 |
|
15 |
12 |
$1K |
| 74174 |
|
15 |
12 |
$1K |
| 92610 |
|
16 |
12 |
$1K |
| J3535 |
Metered dose inhaler drug |
233 |
184 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
7,517 |
3,301 |
$961.64 |
| 87804 |
|
2,207 |
1,635 |
$945.98 |
| J1200 |
Diphenhydramine hcl injectio |
4,715 |
3,854 |
$904.69 |
| 87634 |
|
69 |
67 |
$805.99 |
| 88307 |
|
78 |
63 |
$802.16 |
| J0780 |
Prochlorperazine injection |
1,781 |
1,553 |
$780.10 |
| 85018 |
|
804 |
562 |
$729.61 |
| 82310 |
|
4,348 |
3,774 |
$723.57 |
| J7613 |
Albuterol non-comp unit |
3,313 |
2,692 |
$675.47 |
| 82728 |
|
123 |
107 |
$634.95 |
| J2060 |
Lorazepam injection |
3,163 |
2,376 |
$634.25 |
| 86923 |
|
107 |
76 |
$623.81 |
| 72070 |
|
47 |
42 |
$622.59 |
| J0696 |
Ceftriaxone sodium injection |
7,080 |
5,649 |
$588.88 |
| 84439 |
|
153 |
128 |
$587.43 |
| J1100 |
Dexamethasone sodium phos |
6,962 |
6,093 |
$583.46 |
| 80069 |
|
127 |
103 |
$577.22 |
| A9500 |
Tc99m sestamibi |
875 |
771 |
$570.89 |
| 84550 |
|
1,049 |
793 |
$555.49 |
| 74019 |
|
68 |
62 |
$546.65 |
| J3370 |
Vancomycin hcl injection |
809 |
439 |
$534.79 |
| 71101 |
|
62 |
56 |
$530.98 |
| J2250 |
Inj midazolam hydrochloride |
4,468 |
3,992 |
$516.22 |
| 83615 |
|
932 |
709 |
$484.92 |
| 80179 |
|
145 |
134 |
$483.55 |
| 36600 |
|
99 |
81 |
$341.03 |
| 82550 |
|
1,431 |
1,169 |
$330.95 |
| 74220 |
|
12 |
12 |
$313.41 |
| 94729 |
|
15 |
12 |
$312.19 |
| J2765 |
Metoclopramide hcl injection |
1,831 |
1,444 |
$311.24 |
| 86140 |
|
169 |
147 |
$310.01 |
| 82803 |
|
966 |
768 |
$298.63 |
| 73060 |
|
31 |
27 |
$288.34 |
| J0690 |
Cefazolin sodium injection |
3,531 |
2,533 |
$277.00 |
| 83550 |
|
178 |
157 |
$257.18 |
| 97802 |
|
12 |
12 |
$256.85 |
| 84520 |
|
480 |
363 |
$253.23 |
| 83540 |
|
221 |
196 |
$208.22 |
| 73552 |
|
27 |
25 |
$200.83 |
| 85652 |
|
235 |
200 |
$182.51 |
| 96367 |
|
16 |
14 |
$181.56 |
| 93246 |
|
14 |
14 |
$171.34 |
| 90686 |
|
33 |
27 |
$147.73 |
| 73660 |
|
42 |
41 |
$145.15 |
| G0008 |
Admin influenza virus vac |
419 |
308 |
$134.28 |
| 84450 |
|
262 |
185 |
$132.83 |
| 73620 |
|
12 |
12 |
$128.61 |
| 84460 |
|
259 |
182 |
$120.18 |
| 82570 |
|
143 |
114 |
$113.80 |
| 87205 |
|
645 |
523 |
$113.24 |
| 82043 |
|
124 |
111 |
$105.51 |
| J2790 |
Rho d immune globulin inj |
16 |
15 |
$92.91 |
| J2543 |
Piperacillin/tazobactam |
1,370 |
540 |
$90.00 |
| 84156 |
|
101 |
78 |
$81.30 |
| 80320 |
|
86 |
75 |
$75.81 |
| J1815 |
Insulin injection |
505 |
248 |
$73.85 |
| 36000 |
|
14 |
12 |
$65.12 |
| J2704 |
Inj, propofol, 10 mg |
3,730 |
3,405 |
$60.74 |
| J1940 |
Furosemide injection |
817 |
531 |
$51.86 |
| U0005 |
Infec agen detec ampli probe |
223 |
210 |
$51.17 |
| J7030 |
Normal saline solution infus |
212 |
177 |
$27.04 |
| 84132 |
|
95 |
79 |
$26.59 |
| J3480 |
Inj potassium chloride |
355 |
255 |
$21.54 |
| J1630 |
Haloperidol injection |
264 |
200 |
$18.51 |
| J1650 |
Inj enoxaparin sodium |
549 |
216 |
$17.71 |
| 82330 |
|
66 |
54 |
$15.59 |
| 85046 |
|
237 |
156 |
$15.27 |
| 87807 |
|
100 |
89 |
$14.36 |
| 82272 |
|
352 |
303 |
$12.72 |
| A9585 |
Gadobutrol injection |
575 |
456 |
$11.91 |
| J7644 |
Ipratropium bromide non-comp |
108 |
98 |
$10.06 |
| J8597 |
Antiemetic drug oral nos |
423 |
338 |
$9.69 |
| J2795 |
Ropivacaine hcl injection |
53 |
46 |
$8.00 |
| 82746 |
|
27 |
26 |
$7.20 |
| C1769 |
Guide wire |
728 |
591 |
$7.15 |
| J3475 |
Inj magnesium sulfate |
156 |
137 |
$6.34 |
| J2175 |
Meperidine hydrochl /100 mg |
88 |
77 |
$4.12 |
| 85045 |
|
42 |
26 |
$3.67 |
| J0456 |
Azithromycin |
81 |
53 |
$2.82 |
| J2785 |
Regadenoson injection |
640 |
561 |
$2.13 |
| Q0177 |
Hydroxyzine pamoate 25mg |
343 |
247 |
$1.54 |
| J7620 |
Albuterol ipratrop non-comp |
596 |
447 |
$1.28 |
| J7512 |
Prednisone ir or dr oral 1mg |
392 |
339 |
$0.98 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
86 |
80 |
$0.31 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,075 |
1,739 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
213 |
160 |
$0.00 |
| J1953 |
Levetiracetam injection |
330 |
250 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
134 |
108 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
544 |
416 |
$0.00 |
| 90653 |
|
56 |
37 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
101 |
81 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
134 |
120 |
$0.00 |
| G8978 |
Mobility current status |
254 |
168 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
208 |
90 |
$0.00 |
| G8979 |
Mobility goal status |
307 |
190 |
$0.00 |
| A9577 |
Inj multihance |
124 |
95 |
$0.00 |
| 90756 |
|
42 |
26 |
$0.00 |
| G1004 |
Cdsm ndsc |
469 |
403 |
$0.00 |
| C1729 |
Cath, drainage |
366 |
299 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
81 |
66 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
67 |
57 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
25 |
13 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
19 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
296 |
206 |
$0.00 |
| 82009 |
|
17 |
12 |
$0.00 |
| G8990 |
Other pt/ot current status |
19 |
12 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
21 |
16 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
166 |
124 |
$0.00 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
2,732 |
807 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
155 |
84 |
$0.00 |
| 36416 |
|
295 |
139 |
$0.00 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
550 |
276 |
$0.00 |
| J3360 |
Diazepam injection |
18 |
17 |
$0.00 |
| A6022 |
Collagen drsg>16<=48 sq in |
40 |
25 |
$0.00 |
| 88342 |
|
58 |
52 |
$0.00 |
| 87426 |
|
94 |
91 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
59 |
37 |
$0.00 |
| G8991 |
Other pt/ot goal status |
24 |
14 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
18 |
12 |
$0.00 |
| 90694 |
|
14 |
12 |
$0.00 |