| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
20,494 |
19,400 |
$2.81M |
| 99284 |
|
16,381 |
15,430 |
$2.24M |
| 74176 |
|
3,882 |
3,800 |
$1.55M |
| 99285 |
|
9,869 |
9,363 |
$1.37M |
| 87637 |
|
15,552 |
12,784 |
$1.32M |
| 96361 |
|
6,209 |
5,548 |
$1.14M |
| 99213 |
|
11,669 |
8,806 |
$1.13M |
| 80053 |
|
47,328 |
32,406 |
$902K |
| 70450 |
|
2,799 |
2,746 |
$823K |
| 97110 |
|
10,712 |
3,524 |
$705K |
| 11042 |
|
2,596 |
1,207 |
$661K |
| H0005 |
Alcohol and/or drug services |
11,113 |
2,320 |
$657K |
| 74177 |
|
1,554 |
1,532 |
$584K |
| G0397 |
Alcohol/subs interv >30 min |
4,159 |
2,470 |
$562K |
| 76856 |
|
1,610 |
1,588 |
$370K |
| 99282 |
|
2,690 |
2,630 |
$341K |
| G0396 |
Alcohol/subs interv 15-30mn |
3,238 |
2,222 |
$332K |
| 99281 |
|
2,526 |
2,464 |
$326K |
| 80307 |
|
6,830 |
6,131 |
$288K |
| 99214 |
|
2,806 |
2,689 |
$256K |
| 96365 |
|
2,280 |
2,188 |
$256K |
| 96360 |
|
1,747 |
1,696 |
$231K |
| 36415 |
|
34,703 |
19,399 |
$226K |
| 99212 |
|
1,871 |
1,390 |
$191K |
| 70553 |
|
410 |
410 |
$187K |
| 77067 |
|
2,468 |
2,468 |
$179K |
| 87491 |
|
5,712 |
5,605 |
$158K |
| 76816 |
|
2,657 |
2,492 |
$152K |
| 96372 |
|
7,115 |
6,393 |
$149K |
| 59025 |
|
3,647 |
1,795 |
$148K |
| 82306 |
|
4,034 |
4,019 |
$142K |
| 76830 |
|
1,955 |
1,915 |
$140K |
| 85025 |
|
36,188 |
32,164 |
$138K |
| 87591 |
|
5,697 |
5,588 |
$130K |
| 71275 |
|
380 |
376 |
$130K |
| 76815 |
|
2,760 |
1,950 |
$130K |
| 93005 |
|
11,178 |
10,356 |
$128K |
| 86850 |
|
4,631 |
4,380 |
$125K |
| 76801 |
|
1,284 |
1,188 |
$114K |
| 97161 |
|
1,482 |
1,464 |
$114K |
| 76770 |
|
740 |
723 |
$108K |
| 96366 |
|
877 |
712 |
$108K |
| 88305 |
|
2,185 |
2,128 |
$107K |
| 84443 |
|
10,318 |
10,061 |
$107K |
| 71046 |
|
6,939 |
6,747 |
$104K |
| 72125 |
|
892 |
880 |
$100K |
| 76641 |
|
1,706 |
1,660 |
$96K |
| 76705 |
|
1,371 |
1,354 |
$94K |
| 93306 |
|
408 |
406 |
$90K |
| 87635 |
|
2,163 |
2,099 |
$89K |
| 71250 |
|
572 |
571 |
$86K |
| 86901 |
|
4,646 |
4,397 |
$83K |
| 76805 |
|
1,206 |
1,206 |
$81K |
| 76700 |
|
699 |
697 |
$80K |
| 80061 |
|
8,083 |
8,027 |
$69K |
| 86900 |
|
4,641 |
4,393 |
$67K |
| 84484 |
|
6,275 |
5,663 |
$66K |
| U0002 |
Covid-19 lab test non-cdc |
1,359 |
1,303 |
$66K |
| S9480 |
Intensive outpatient psychia |
625 |
135 |
$66K |
| 76817 |
|
748 |
627 |
$65K |
| 92507 |
|
648 |
192 |
$61K |
| 83036 |
|
5,712 |
5,667 |
$61K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,935 |
2,877 |
$60K |
| 96374 |
|
6,332 |
5,955 |
$60K |
| 43239 |
|
108 |
108 |
$57K |
| 97140 |
|
1,895 |
751 |
$57K |
| 88175 |
|
1,844 |
1,844 |
$57K |
| 96375 |
|
4,959 |
4,479 |
$54K |
| 87086 |
|
9,001 |
8,306 |
$54K |
| 12001 |
|
148 |
148 |
$53K |
| 93971 |
|
607 |
589 |
$49K |
| 87660 |
|
3,689 |
3,619 |
$48K |
| 77065 |
Tomosynthesis, mammo |
447 |
447 |
$44K |
| 71045 |
|
4,997 |
4,779 |
$43K |
| 80048 |
|
3,400 |
3,185 |
$42K |
| 87480 |
|
3,351 |
3,286 |
$41K |
| 84439 |
|
4,050 |
4,026 |
$41K |
| 87510 |
|
3,250 |
3,186 |
$40K |
| 87624 |
|
1,164 |
1,164 |
$37K |
| 70486 |
|
286 |
285 |
$36K |
| 81001 |
|
13,135 |
12,118 |
$36K |
| G0378 |
Hospital observation per hr |
518 |
506 |
$35K |
| 84702 |
|
3,749 |
3,158 |
$35K |
| 87389 |
|
2,399 |
2,388 |
$34K |
| 87502 |
|
704 |
697 |
$34K |
| 81025 |
|
5,151 |
4,955 |
$33K |
| 82607 |
|
2,342 |
2,326 |
$33K |
| H0002 |
Alcohol and/or drug screenin |
193 |
193 |
$32K |
| 97162 |
|
325 |
324 |
$32K |
| 77066 |
Tomosynthesis, mammo |
380 |
380 |
$31K |
| 90715 |
|
1,098 |
1,090 |
$30K |
| 83880 |
|
931 |
857 |
$30K |
| 73564 |
|
1,011 |
993 |
$29K |
| 76536 |
|
579 |
574 |
$28K |
| 83655 |
|
1,858 |
1,843 |
$28K |
| 83735 |
|
7,151 |
6,433 |
$27K |
| 82746 |
|
1,922 |
1,912 |
$27K |
| 87077 |
|
3,210 |
3,073 |
$27K |
| 73630 |
|
1,521 |
1,422 |
$26K |
| G0463 |
Hospital outpt clinic visit |
843 |
658 |
$24K |
| 73130 |
|
1,596 |
1,436 |
$24K |
| 83690 |
|
8,107 |
7,621 |
$24K |
| 82728 |
|
1,530 |
1,520 |
$24K |
| 11045 |
|
19 |
13 |
$23K |
| 72110 |
|
608 |
606 |
$23K |
| 85610 |
|
4,621 |
4,194 |
$23K |
| 73030 |
|
1,126 |
1,067 |
$23K |
| 97112 |
|
814 |
385 |
$23K |
| 73110 |
|
1,177 |
1,031 |
$22K |
| 73610 |
|
1,438 |
1,317 |
$21K |
| 74018 |
|
1,558 |
1,477 |
$21K |
| 94060 |
|
500 |
497 |
$21K |
| 77063 |
|
2,470 |
2,470 |
$20K |
| 84403 |
|
627 |
620 |
$19K |
| 85730 |
|
3,701 |
3,526 |
$18K |
| 82248 |
|
3,386 |
3,292 |
$17K |
| 87040 |
|
1,668 |
1,595 |
$17K |
| 86803 |
|
1,961 |
1,954 |
$17K |
| 97165 |
|
290 |
287 |
$17K |
| 94640 |
|
1,948 |
1,271 |
$16K |
| 87430 |
|
4,222 |
4,143 |
$15K |
| G0279 |
Tomosynthesis, mammo |
400 |
400 |
$15K |
| 81420 |
|
28 |
28 |
$15K |
| 87081 |
|
5,261 |
5,165 |
$14K |
| 90834 |
|
102 |
98 |
$14K |
| 84100 |
|
4,845 |
4,498 |
$13K |
| 85027 |
|
3,187 |
3,016 |
$13K |
| 86762 |
|
1,244 |
1,241 |
$13K |
| 76376 |
|
301 |
300 |
$12K |
| 96376 |
|
1,077 |
753 |
$12K |
| 83540 |
|
2,032 |
2,018 |
$12K |
| 87340 |
|
1,538 |
1,533 |
$12K |
| 84703 |
|
2,754 |
2,691 |
$12K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
491 |
485 |
$12K |
| 84480 |
|
1,534 |
1,527 |
$11K |
| 94726 |
|
359 |
359 |
$11K |
| 87150 |
|
288 |
285 |
$11K |
| 86592 |
|
4,439 |
4,287 |
$10K |
| 93017 |
|
78 |
78 |
$10K |
| 94729 |
|
352 |
352 |
$10K |
| 99393 |
|
93 |
93 |
$9K |
| 84153 |
|
408 |
407 |
$9K |
| 83550 |
|
1,381 |
1,371 |
$8K |
| 82570 |
|
1,637 |
1,562 |
$8K |
| 81220 |
|
29 |
29 |
$8K |
| 81329 |
|
63 |
63 |
$8K |
| 86140 |
|
1,698 |
1,411 |
$8K |
| 80076 |
|
932 |
913 |
$7K |
| 99391 |
|
66 |
64 |
$7K |
| 82043 |
|
1,218 |
1,213 |
$7K |
| G8510 |
Scr dep neg, no plan reqd |
714 |
708 |
$7K |
| 87075 |
|
794 |
761 |
$7K |
| 92526 |
|
72 |
29 |
$7K |
| 62323 |
|
12 |
12 |
$7K |
| 85379 |
|
1,233 |
1,202 |
$5K |
| 83605 |
|
1,723 |
1,590 |
$5K |
| 84146 |
|
234 |
231 |
$5K |
| 83001 |
|
225 |
224 |
$5K |
| 12011 |
|
13 |
13 |
$5K |
| 85651 |
|
1,641 |
1,534 |
$5K |
| 87801 |
|
93 |
93 |
$5K |
| 12002 |
|
12 |
12 |
$5K |
| 84402 |
|
155 |
154 |
$5K |
| 81003 |
|
7,051 |
6,540 |
$5K |
| 82950 |
|
1,314 |
1,312 |
$5K |
| 80299 |
|
1,357 |
1,270 |
$4K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$4K |
| 73502 |
|
175 |
171 |
$4K |
| 87070 |
|
575 |
569 |
$4K |
| 73721 |
|
13 |
13 |
$4K |
| 83002 |
|
176 |
175 |
$4K |
| 90471 |
|
1,606 |
1,573 |
$4K |
| 73080 |
|
159 |
144 |
$4K |
| 87186 |
|
687 |
667 |
$4K |
| 97116 |
|
105 |
69 |
$4K |
| 86618 |
|
174 |
174 |
$3K |
| 99394 |
|
31 |
31 |
$3K |
| 90674 |
|
147 |
147 |
$3K |
| 86703 |
|
200 |
198 |
$3K |
| 29125 |
|
13 |
13 |
$3K |
| 70496 |
|
13 |
12 |
$3K |
| 76870 |
|
61 |
61 |
$3K |
| 99392 |
|
25 |
25 |
$3K |
| 88142 |
|
93 |
93 |
$3K |
| 90756 |
|
107 |
107 |
$3K |
| 71260 |
|
13 |
13 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
341 |
312 |
$3K |
| 82105 |
|
365 |
364 |
$2K |
| 88304 |
|
61 |
60 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,796 |
6,227 |
$2K |
| G0480 |
Drug test def 1-7 classes |
48 |
37 |
$2K |
| 83021 |
|
95 |
95 |
$2K |
| J1100 |
Dexamethasone sodium phos |
3,770 |
3,695 |
$2K |
| 82550 |
|
767 |
717 |
$2K |
| 97530 |
|
89 |
39 |
$2K |
| 72052 |
|
67 |
67 |
$2K |
| 83020 |
|
225 |
225 |
$2K |
| 59430 |
|
65 |
65 |
$2K |
| 71271 |
|
54 |
54 |
$2K |
| G0108 |
Diab manage trn per indiv |
48 |
48 |
$2K |
| 87153 |
|
27 |
27 |
$2K |
| 80143 |
|
957 |
884 |
$2K |
| 76642 |
|
55 |
54 |
$2K |
| 88342 |
|
26 |
26 |
$2K |
| 99395 |
|
16 |
16 |
$2K |
| 80179 |
|
942 |
875 |
$2K |
| 94760 |
|
273 |
221 |
$2K |
| J0330 |
Succinycholine chloride inj |
856 |
850 |
$2K |
| 87800 |
|
59 |
59 |
$2K |
| 97010 |
|
101 |
64 |
$2K |
| 84550 |
|
413 |
381 |
$2K |
| 84436 |
|
581 |
581 |
$1K |
| A9573 |
Inj, gadopiclenol, 1 ml |
74 |
72 |
$1K |
| 82670 |
|
44 |
43 |
$1K |
| 86787 |
|
301 |
301 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
1,331 |
1,305 |
$1K |
| 87653 |
|
52 |
52 |
$1K |
| 96367 |
|
28 |
25 |
$1K |
| 0011A |
|
84 |
84 |
$1K |
| H0038 |
Self-help/peer svc per 15min |
23 |
13 |
$1K |
| 82150 |
|
161 |
160 |
$1K |
| 86038 |
|
159 |
159 |
$1K |
| 86308 |
|
303 |
296 |
$1K |
| 84481 |
|
97 |
96 |
$1K |
| 0012A |
|
66 |
66 |
$1K |
| 84630 |
|
101 |
101 |
$940.57 |
| J2930 |
Methylprednisolone injection |
264 |
244 |
$855.35 |
| J1097 |
Phenylep ketorolac opth soln |
12 |
12 |
$639.75 |
| J2270 |
Morphine sulfate injection |
1,940 |
1,717 |
$603.16 |
| 87420 |
|
114 |
112 |
$571.81 |
| 99204 |
|
12 |
12 |
$562.94 |
| 90661 |
|
25 |
25 |
$558.80 |
| 90656 |
|
42 |
42 |
$546.39 |
| 73090 |
|
41 |
39 |
$537.92 |
| 82803 |
|
28 |
25 |
$536.73 |
| 87210 |
|
87 |
87 |
$532.92 |
| 83615 |
|
123 |
110 |
$526.29 |
| 73565 |
|
15 |
15 |
$519.12 |
| J1200 |
Diphenhydramine hcl injectio |
1,297 |
1,197 |
$515.38 |
| J2360 |
Orphenadrine injection |
277 |
272 |
$486.38 |
| 73562 |
|
12 |
12 |
$481.44 |
| J3010 |
Fentanyl citrate injection |
2,273 |
2,205 |
$477.06 |
| G0103 |
Psa screening |
41 |
41 |
$475.12 |
| J0690 |
Cefazolin sodium injection |
1,317 |
1,164 |
$470.77 |
| 90686 |
|
16 |
16 |
$441.18 |
| 99401 |
|
14 |
14 |
$426.24 |
| 84145 |
|
15 |
13 |
$424.64 |
| J0696 |
Ceftriaxone sodium injection |
551 |
515 |
$403.38 |
| 80349 |
|
203 |
202 |
$398.00 |
| J2405 |
Ondansetron hcl injection |
5,240 |
4,833 |
$354.14 |
| 99211 |
|
19 |
15 |
$336.02 |
| 82627 |
|
12 |
12 |
$313.28 |
| J1650 |
Inj enoxaparin sodium |
446 |
312 |
$310.16 |
| 84156 |
|
103 |
89 |
$281.23 |
| 82784 |
|
12 |
12 |
$262.07 |
| 73560 |
|
15 |
13 |
$257.63 |
| 72100 |
|
13 |
13 |
$256.66 |
| 80074 |
|
14 |
13 |
$256.39 |
| 84425 |
|
14 |
14 |
$256.09 |
| J2765 |
Metoclopramide hcl injection |
1,884 |
1,785 |
$244.90 |
| 82375 |
|
15 |
13 |
$182.50 |
| G8431 |
Pos clin depres scrn f/u doc |
29 |
27 |
$181.50 |
| 99406 |
|
17 |
17 |
$173.90 |
| J2250 |
Inj midazolam hydrochloride |
1,518 |
1,502 |
$171.12 |
| 87205 |
|
65 |
63 |
$170.49 |
| 86141 |
|
13 |
13 |
$164.71 |
| 86706 |
|
14 |
14 |
$161.64 |
| 74021 |
|
13 |
13 |
$154.78 |
| 90671 |
|
12 |
12 |
$150.60 |
| 73590 |
|
15 |
14 |
$123.78 |
| 82677 |
|
12 |
12 |
$109.86 |
| 84479 |
|
241 |
241 |
$97.34 |
| 82247 |
|
15 |
12 |
$86.80 |
| 86709 |
|
25 |
25 |
$78.87 |
| 86431 |
|
12 |
12 |
$76.64 |
| J2543 |
Piperacillin/tazobactam |
15 |
12 |
$75.50 |
| C9113 |
Inj pantoprazole sodium, via |
169 |
135 |
$71.49 |
| 82565 |
|
12 |
12 |
$70.44 |
| 86336 |
|
14 |
14 |
$69.17 |
| J2001 |
Lidocaine injection |
1,539 |
1,523 |
$62.67 |
| G1013 |
Cdsm evidencecare |
3,043 |
2,950 |
$59.88 |
| 93356 |
|
25 |
25 |
$57.77 |
| J2060 |
Lorazepam injection |
466 |
401 |
$51.50 |
| J8540 |
Oral dexamethasone |
162 |
150 |
$46.79 |
| 86705 |
|
22 |
22 |
$45.59 |
| J1630 |
Haloperidol injection |
56 |
51 |
$38.83 |
| J2919 |
Inj, methylpred sod succ 5mg |
37 |
28 |
$34.18 |
| J1644 |
Inj heparin sodium per 1000u |
53 |
41 |
$25.56 |
| J3370 |
Vancomycin hcl injection |
19 |
12 |
$22.72 |
| J3301 |
Triamcinolone acet inj nos |
60 |
60 |
$18.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
115 |
109 |
$14.11 |
| 90658 |
|
25 |
25 |
$11.80 |
| 85660 |
|
12 |
12 |
$10.53 |
| 90472 |
|
12 |
12 |
$8.71 |
| J1170 |
Hydromorphone injection |
31 |
25 |
$4.41 |
| Q0177 |
Hydroxyzine pamoate 25mg |
31 |
27 |
$1.99 |