| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
47,859 |
41,792 |
$9.30M |
| 99284 |
|
34,150 |
29,401 |
$7.40M |
| 96361 |
|
20,171 |
15,719 |
$6.24M |
| 99285 |
|
14,722 |
13,093 |
$3.33M |
| G0378 |
Hospital observation per hr |
7,617 |
6,447 |
$2.28M |
| 92507 |
|
14,490 |
4,439 |
$1.45M |
| 70450 |
|
8,155 |
7,213 |
$1.44M |
| 97530 |
|
28,753 |
8,736 |
$1.23M |
| 74177 |
|
6,794 |
6,167 |
$1.14M |
| 96360 |
|
6,446 |
5,837 |
$860K |
| 99282 |
|
5,103 |
4,592 |
$813K |
| 93306 |
|
1,805 |
1,673 |
$603K |
| 71275 |
|
2,542 |
2,366 |
$575K |
| 99291 |
|
1,740 |
1,625 |
$572K |
| 96365 |
|
5,643 |
4,422 |
$500K |
| 97110 |
|
12,195 |
3,865 |
$488K |
| 0241U |
|
6,610 |
6,263 |
$479K |
| G0463 |
Hospital outpt clinic visit |
3,515 |
2,439 |
$475K |
| 59025 |
|
2,033 |
1,146 |
$415K |
| 96366 |
|
2,372 |
1,469 |
$399K |
| 76705 |
|
4,082 |
3,738 |
$361K |
| 80307 |
|
6,087 |
5,214 |
$335K |
| 76816 |
|
3,390 |
2,974 |
$322K |
| 94640 |
|
5,771 |
4,640 |
$307K |
| 97112 |
|
8,642 |
2,814 |
$303K |
| 74176 |
|
1,959 |
1,761 |
$294K |
| 76856 |
|
3,046 |
2,829 |
$287K |
| 76811 |
|
2,393 |
2,256 |
$269K |
| 97161 |
|
2,124 |
1,920 |
$214K |
| 76830 |
|
2,322 |
2,142 |
$212K |
| 0202U |
|
1,513 |
1,463 |
$188K |
| 80053 |
|
44,124 |
34,585 |
$181K |
| 87400 |
|
13,518 |
8,507 |
$156K |
| 76805 |
|
1,611 |
1,535 |
$154K |
| 92526 |
|
3,729 |
1,419 |
$150K |
| 93976 |
|
2,015 |
1,848 |
$141K |
| 76815 |
|
2,046 |
1,516 |
$131K |
| 76801 |
|
2,390 |
2,003 |
$116K |
| 70553 |
|
242 |
228 |
$99K |
| 97162 |
|
627 |
591 |
$99K |
| 76770 |
|
714 |
690 |
$96K |
| G0379 |
Direct refer hospital observ |
429 |
376 |
$93K |
| 93971 |
|
1,012 |
933 |
$90K |
| 70496 |
|
378 |
360 |
$88K |
| 71046 |
|
8,759 |
7,905 |
$85K |
| 11042 |
|
370 |
208 |
$82K |
| 97165 |
|
941 |
862 |
$81K |
| 76819 |
|
1,143 |
829 |
$76K |
| G0480 |
Drug test def 1-7 classes |
6,191 |
5,078 |
$72K |
| 93970 |
|
572 |
539 |
$70K |
| 70551 |
|
503 |
464 |
$68K |
| 87420 |
|
3,863 |
3,509 |
$63K |
| 76700 |
|
379 |
360 |
$60K |
| 12001 |
|
284 |
278 |
$56K |
| 87636 |
|
11,428 |
10,830 |
$55K |
| 76817 |
|
2,367 |
1,932 |
$54K |
| 92610 |
|
426 |
391 |
$47K |
| 87040 |
|
7,274 |
4,647 |
$43K |
| 72125 |
|
2,592 |
2,332 |
$42K |
| 87505 |
|
491 |
457 |
$40K |
| 78452 |
|
43 |
43 |
$37K |
| 88305 |
|
3,022 |
1,779 |
$36K |
| 92523 |
|
291 |
267 |
$36K |
| 87491 |
|
2,648 |
2,448 |
$34K |
| J3490 |
Drugs unclassified injection |
15,339 |
7,525 |
$34K |
| 12011 |
|
161 |
156 |
$34K |
| 97140 |
|
1,930 |
622 |
$33K |
| 72131 |
|
651 |
615 |
$31K |
| 83880 |
|
4,207 |
3,618 |
$30K |
| 85025 |
|
47,590 |
36,971 |
$30K |
| 71045 |
|
14,170 |
12,352 |
$29K |
| 74018 |
|
1,979 |
1,780 |
$28K |
| 93005 |
|
23,277 |
17,929 |
$28K |
| 70486 |
|
596 |
563 |
$27K |
| 71250 |
|
463 |
433 |
$26K |
| 80048 |
|
7,484 |
5,801 |
$26K |
| 71260 |
|
165 |
161 |
$25K |
| 87591 |
|
2,668 |
2,467 |
$24K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,913 |
1,230 |
$22K |
| 96374 |
|
20,839 |
17,766 |
$22K |
| 73564 |
|
1,662 |
1,365 |
$21K |
| 85379 |
|
4,693 |
4,234 |
$21K |
| 87081 |
|
16,394 |
14,887 |
$20K |
| 70498 |
|
428 |
404 |
$20K |
| 36415 |
|
12,071 |
9,127 |
$19K |
| 73721 |
|
71 |
66 |
$19K |
| 84484 |
|
16,149 |
12,198 |
$19K |
| 73630 |
|
1,968 |
1,717 |
$17K |
| 76536 |
|
142 |
137 |
$16K |
| 85027 |
|
6,988 |
5,444 |
$16K |
| 73610 |
|
1,931 |
1,729 |
$16K |
| 76820 |
|
627 |
388 |
$16K |
| 87389 |
|
829 |
806 |
$15K |
| 72148 |
|
85 |
81 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
5,351 |
4,684 |
$14K |
| 77063 |
|
264 |
251 |
$14K |
| 87661 |
|
635 |
605 |
$13K |
| 90715 |
|
593 |
572 |
$13K |
| 87086 |
|
12,127 |
10,879 |
$13K |
| 84443 |
|
5,913 |
5,297 |
$12K |
| 73030 |
|
1,409 |
1,237 |
$12K |
| 96376 |
|
6,444 |
3,775 |
$12K |
| 76870 |
|
164 |
159 |
$12K |
| 73080 |
|
620 |
564 |
$11K |
| 70491 |
|
62 |
59 |
$11K |
| J8540 |
Oral dexamethasone |
801 |
686 |
$9K |
| 87430 |
|
15,755 |
14,707 |
$9K |
| 80143 |
|
2,403 |
2,077 |
$9K |
| 73560 |
|
644 |
522 |
$8K |
| 86780 |
|
1,347 |
1,285 |
$8K |
| 73130 |
|
1,128 |
955 |
$8K |
| 96375 |
|
15,334 |
11,993 |
$7K |
| 73590 |
|
641 |
566 |
$7K |
| 83036 |
|
2,551 |
2,322 |
$6K |
| 73110 |
|
798 |
734 |
$6K |
| 82728 |
|
683 |
641 |
$6K |
| 77067 |
|
398 |
375 |
$6K |
| 86140 |
|
3,796 |
3,333 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,939 |
9,778 |
$6K |
| 80061 |
|
1,783 |
1,621 |
$6K |
| 43239 |
|
14 |
12 |
$6K |
| 93798 |
|
65 |
12 |
$6K |
| 97163 |
|
35 |
33 |
$6K |
| 96372 |
|
7,991 |
5,177 |
$6K |
| 81003 |
|
8,576 |
7,624 |
$6K |
| 84702 |
|
3,094 |
2,516 |
$5K |
| 74019 |
|
1,365 |
1,274 |
$5K |
| 76642 |
|
57 |
39 |
$5K |
| 81001 |
|
20,155 |
17,744 |
$5K |
| 74183 |
|
13 |
13 |
$5K |
| 82950 |
|
1,076 |
1,043 |
$5K |
| J7030 |
Normal saline solution infus |
5,244 |
3,919 |
$5K |
| 73090 |
|
360 |
311 |
$5K |
| 87635 |
|
256 |
226 |
$5K |
| 86900 |
|
4,840 |
3,997 |
$5K |
| M0245 |
Bamlan and etesev infusion |
20 |
19 |
$5K |
| 83735 |
|
13,285 |
10,075 |
$5K |
| 80179 |
|
2,310 |
2,016 |
$5K |
| 83690 |
|
13,784 |
11,724 |
$5K |
| 82248 |
|
1,826 |
1,184 |
$4K |
| 96367 |
|
472 |
411 |
$4K |
| 97116 |
|
281 |
84 |
$4K |
| 83605 |
|
3,722 |
3,068 |
$4K |
| 86762 |
|
807 |
788 |
$4K |
| 85610 |
|
8,966 |
7,239 |
$4K |
| 86850 |
|
4,306 |
3,859 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
471 |
317 |
$4K |
| 84703 |
|
10,663 |
9,255 |
$4K |
| 74174 |
|
15 |
14 |
$4K |
| S0028 |
Injection, famotidine, 20 mg |
2,761 |
2,342 |
$3K |
| 29125 |
|
14 |
12 |
$3K |
| 97113 |
|
78 |
24 |
$3K |
| 72141 |
|
18 |
18 |
$3K |
| 84439 |
|
520 |
482 |
$3K |
| 12002 |
|
14 |
14 |
$3K |
| 90471 |
|
952 |
849 |
$3K |
| 86803 |
|
853 |
825 |
$3K |
| 85014 |
|
1,235 |
1,049 |
$3K |
| 82247 |
|
631 |
361 |
$3K |
| S0119 |
Ondansetron 4 mg |
9,428 |
8,345 |
$2K |
| 93017 |
|
55 |
54 |
$2K |
| 83550 |
|
610 |
575 |
$2K |
| J2405 |
Ondansetron hcl injection |
14,040 |
11,331 |
$2K |
| 85652 |
|
4,531 |
4,067 |
$2K |
| 87077 |
|
3,938 |
3,410 |
$2K |
| 86901 |
|
4,835 |
3,996 |
$2K |
| 72128 |
|
77 |
74 |
$2K |
| 87340 |
|
1,109 |
1,069 |
$2K |
| 84100 |
|
4,126 |
3,198 |
$2K |
| 73140 |
|
308 |
289 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
344 |
297 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
3,657 |
3,266 |
$2K |
| 83540 |
|
635 |
598 |
$2K |
| U0005 |
Infec agen detec ampli probe |
1,473 |
919 |
$2K |
| 85730 |
|
7,603 |
6,366 |
$2K |
| 81025 |
|
4,054 |
3,674 |
$2K |
| 82105 |
|
77 |
76 |
$2K |
| 82550 |
|
2,219 |
1,856 |
$1K |
| 82306 |
|
121 |
117 |
$1K |
| 87624 |
|
13 |
13 |
$1K |
| 82570 |
|
797 |
684 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
10,954 |
9,140 |
$1K |
| 87186 |
|
3,203 |
2,570 |
$1K |
| G0008 |
Admin influenza virus vac |
68 |
66 |
$997.81 |
| 73502 |
|
61 |
56 |
$937.02 |
| J7040 |
Normal saline solution infus |
760 |
665 |
$870.78 |
| 85018 |
|
562 |
468 |
$858.87 |
| 72100 |
|
39 |
39 |
$840.94 |
| 84156 |
|
668 |
557 |
$723.86 |
| J2270 |
Morphine sulfate injection |
5,550 |
4,155 |
$722.51 |
| 88175 |
|
49 |
46 |
$653.05 |
| J7120 |
Ringers lactate infusion |
1,459 |
1,163 |
$635.14 |
| 87205 |
|
1,444 |
1,192 |
$632.38 |
| 82607 |
|
73 |
71 |
$627.20 |
| 87070 |
|
1,450 |
1,205 |
$621.73 |
| 72110 |
|
14 |
12 |
$602.39 |
| J0696 |
Ceftriaxone sodium injection |
3,847 |
2,964 |
$509.61 |
| J3010 |
Fentanyl citrate injection |
3,424 |
2,704 |
$509.14 |
| 88304 |
|
221 |
191 |
$467.95 |
| 84550 |
|
780 |
630 |
$447.11 |
| J3535 |
Metered dose inhaler drug |
927 |
822 |
$442.40 |
| 87210 |
|
964 |
891 |
$427.84 |
| 86141 |
|
2,097 |
1,952 |
$377.24 |
| J2060 |
Lorazepam injection |
895 |
674 |
$327.69 |
| 83615 |
|
689 |
553 |
$317.36 |
| 36416 |
|
416 |
272 |
$317.23 |
| 87563 |
|
180 |
172 |
$303.34 |
| J1650 |
Inj enoxaparin sodium |
2,057 |
1,031 |
$295.23 |
| 96110 |
|
12 |
12 |
$282.45 |
| 97535 |
|
15 |
12 |
$274.90 |
| J7050 |
Normal saline solution infus |
1,523 |
701 |
$271.81 |
| C1894 |
Intro/sheath, non-laser |
387 |
351 |
$264.40 |
| J1170 |
Hydromorphone injection |
2,471 |
1,602 |
$253.77 |
| 87486 |
|
12 |
12 |
$247.34 |
| 85049 |
|
102 |
101 |
$238.19 |
| J7613 |
Albuterol non-comp unit |
2,268 |
1,736 |
$231.66 |
| C1769 |
Guide wire |
517 |
465 |
$225.20 |
| J0690 |
Cefazolin sodium injection |
1,845 |
1,256 |
$210.43 |
| 82565 |
|
180 |
150 |
$190.92 |
| 87798 |
|
14 |
13 |
$188.30 |
| 90686 |
|
15 |
14 |
$184.59 |
| 82951 |
|
13 |
13 |
$177.46 |
| 83655 |
|
16 |
16 |
$172.72 |
| 84450 |
|
193 |
154 |
$171.88 |
| 87581 |
|
12 |
12 |
$154.86 |
| 73501 |
|
13 |
12 |
$154.68 |
| 86038 |
|
15 |
12 |
$151.27 |
| 86308 |
|
506 |
487 |
$149.81 |
| 72170 |
|
64 |
62 |
$146.49 |
| J1100 |
Dexamethasone sodium phos |
1,653 |
1,411 |
$136.32 |
| 73552 |
|
47 |
43 |
$134.82 |
| 88342 |
|
57 |
52 |
$134.08 |
| J3475 |
Inj magnesium sulfate |
1,006 |
769 |
$132.68 |
| 99152 |
|
180 |
164 |
$114.13 |
| 80076 |
|
13 |
12 |
$103.08 |
| 86665 |
|
186 |
107 |
$101.08 |
| 84145 |
|
679 |
624 |
$100.87 |
| 82746 |
|
13 |
13 |
$99.64 |
| 84460 |
|
199 |
160 |
$99.29 |
| J7644 |
Ipratropium bromide non-comp |
994 |
891 |
$98.28 |
| J1200 |
Diphenhydramine hcl injectio |
1,061 |
913 |
$95.94 |
| 86664 |
|
99 |
94 |
$91.17 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
854 |
792 |
$88.49 |
| 87328 |
|
182 |
177 |
$83.38 |
| J2550 |
Promethazine hcl injection |
803 |
627 |
$82.83 |
| 86317 |
|
12 |
12 |
$72.49 |
| J7042 |
5% dextrose/normal saline |
221 |
157 |
$69.87 |
| J2704 |
Inj, propofol, 10 mg |
2,081 |
1,694 |
$55.42 |
| 87633 |
|
12 |
12 |
$48.64 |
| J7512 |
Prednisone ir or dr oral 1mg |
276 |
245 |
$48.45 |
| 84112 |
|
74 |
67 |
$42.03 |
| J7510 |
Prednisolone oral per 5 mg |
188 |
169 |
$40.17 |
| 94664 |
|
203 |
173 |
$38.30 |
| A9585 |
Gadobutrol injection |
230 |
205 |
$21.98 |
| 85007 |
|
153 |
141 |
$21.24 |
| 87425 |
|
86 |
83 |
$19.62 |
| J7620 |
Albuterol ipratrop non-comp |
191 |
140 |
$17.52 |
| J2930 |
Methylprednisolone injection |
204 |
179 |
$14.51 |
| J2765 |
Metoclopramide hcl injection |
582 |
497 |
$14.18 |
| 82805 |
|
89 |
79 |
$14.12 |
| 87329 |
|
50 |
50 |
$10.12 |
| J7060 |
5% dextrose/water |
21 |
12 |
$7.04 |
| 86618 |
|
37 |
36 |
$6.16 |
| J1815 |
Insulin injection |
88 |
25 |
$5.78 |
| 87075 |
|
17 |
12 |
$5.23 |
| J0688 |
Inj cefazolin sodium, hikma |
492 |
329 |
$4.24 |
| J0780 |
Prochlorperazine injection |
305 |
260 |
$2.85 |
| J7611 |
Albuterol non-comp con |
96 |
90 |
$1.25 |
| C9113 |
Inj pantoprazole sodium, via |
455 |
246 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
306 |
162 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
273 |
249 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
16 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
220 |
199 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
254 |
166 |
$0.00 |
| G8979 |
Mobility goal status |
127 |
81 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,489 |
1,060 |
$0.00 |
| J1756 |
Iron sucrose injection |
24 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
76 |
54 |
$0.00 |
| G8978 |
Mobility current status |
102 |
67 |
$0.00 |
| S5010 |
5% dextrose and 0.45% saline |
16 |
13 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
57 |
55 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
21 |
20 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
104 |
65 |
$0.00 |
| J7699 |
Inhalation solution for dme |
31 |
28 |
$0.00 |
| J3480 |
Inj potassium chloride |
133 |
96 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
365 |
123 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
123 |
104 |
$0.00 |
| J3360 |
Diazepam injection |
115 |
101 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
84 |
54 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
67 |
52 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
24 |
18 |
$0.00 |
| 99292 |
|
55 |
52 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
39 |
39 |
$0.00 |
| 73060 |
|
25 |
25 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
64 |
39 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| 87637 |
|
33 |
33 |
$0.00 |
| 80047 |
|
47 |
43 |
$0.00 |
| 87493 |
|
14 |
13 |
$0.00 |