| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
31,170 |
26,458 |
$2.00M |
| 96361 |
|
17,872 |
11,787 |
$1.91M |
| 99284 |
|
26,290 |
21,660 |
$1.36M |
| 99285 |
|
24,440 |
18,890 |
$1.09M |
| 80053 |
|
54,031 |
39,657 |
$993K |
| 99282 |
|
7,007 |
6,114 |
$505K |
| 74177 |
|
7,342 |
5,815 |
$462K |
| 96360 |
|
6,139 |
4,487 |
$450K |
| G0378 |
Hospital observation per hr |
8,062 |
5,202 |
$422K |
| 96365 |
|
6,409 |
4,344 |
$394K |
| 87502 |
|
3,749 |
3,152 |
$337K |
| 70450 |
|
5,670 |
4,607 |
$330K |
| 87491 |
|
9,399 |
7,923 |
$317K |
| 84443 |
|
20,107 |
16,316 |
$294K |
| 80048 |
|
20,774 |
15,362 |
$293K |
| 99213 |
|
6,102 |
4,421 |
$291K |
| H2012 |
Behav hlth day treat, per hr |
10,222 |
416 |
$277K |
| 87591 |
|
9,136 |
7,700 |
$277K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,257 |
3,374 |
$272K |
| 96413 |
|
4,420 |
2,380 |
$206K |
| G0306 |
Cbc/diffwbc w/o platelet |
22,817 |
15,554 |
$195K |
| G0480 |
Drug test def 1-7 classes |
4,584 |
3,237 |
$194K |
| 43239 |
|
1,518 |
1,258 |
$189K |
| 80061 |
|
14,919 |
12,824 |
$178K |
| 85025 |
|
30,904 |
22,811 |
$166K |
| 80306 |
|
10,349 |
7,582 |
$162K |
| 99281 |
|
1,986 |
1,782 |
$157K |
| 82306 |
|
6,477 |
5,428 |
$151K |
| 93306 |
|
1,750 |
1,458 |
$148K |
| 99212 |
|
2,350 |
1,849 |
$138K |
| 94640 |
|
3,000 |
2,203 |
$135K |
| 87631 |
|
1,001 |
853 |
$134K |
| 87635 |
|
3,251 |
2,607 |
$129K |
| 74176 |
|
2,102 |
1,775 |
$125K |
| 71275 |
|
1,868 |
1,482 |
$125K |
| 87086 |
|
12,901 |
10,459 |
$125K |
| 99214 |
|
3,087 |
2,126 |
$118K |
| 88175 |
|
4,651 |
4,081 |
$116K |
| 81001 |
|
25,114 |
19,570 |
$114K |
| 84702 |
|
4,775 |
2,911 |
$113K |
| 99001 |
|
5,356 |
4,569 |
$107K |
| 99211 |
|
1,803 |
1,432 |
$103K |
| H0005 |
Alcohol and/or drug services |
4,712 |
1,116 |
$95K |
| 87653 |
|
2,540 |
2,162 |
$90K |
| 87389 |
|
4,681 |
3,723 |
$89K |
| 84484 |
|
10,455 |
7,615 |
$87K |
| 83036 |
|
10,103 |
8,478 |
$85K |
| 96366 |
|
1,018 |
635 |
$80K |
| 0241U |
|
1,990 |
1,609 |
$79K |
| 96415 |
|
1,126 |
627 |
$74K |
| 88305 |
|
6,543 |
5,337 |
$72K |
| 87634 |
|
1,366 |
1,092 |
$69K |
| 82728 |
|
5,202 |
4,269 |
$65K |
| 85610 |
|
14,419 |
9,291 |
$65K |
| 76705 |
|
1,847 |
1,557 |
$64K |
| 83690 |
|
12,180 |
9,421 |
$64K |
| 87880 |
|
3,432 |
3,009 |
$63K |
| 97110 |
|
4,927 |
1,610 |
$62K |
| 81025 |
|
5,535 |
4,495 |
$61K |
| 70553 |
|
740 |
599 |
$61K |
| 77067 |
|
2,441 |
2,151 |
$60K |
| 78452 |
|
480 |
361 |
$57K |
| 84703 |
|
8,013 |
6,367 |
$57K |
| 72125 |
|
2,187 |
1,818 |
$52K |
| 45385 |
|
277 |
249 |
$52K |
| 0240U |
|
1,608 |
1,346 |
$50K |
| 87081 |
|
1,768 |
1,531 |
$49K |
| 82947 |
|
8,023 |
4,972 |
$48K |
| 97530 |
|
1,668 |
719 |
$47K |
| G0379 |
Direct refer hospital observ |
1,314 |
855 |
$47K |
| 90853 |
|
1,492 |
411 |
$46K |
| 90834 |
|
2,308 |
985 |
$45K |
| 82607 |
|
3,498 |
2,868 |
$44K |
| 82565 |
|
3,808 |
3,019 |
$43K |
| U0005 |
Infec agen detec ampli probe |
3,360 |
2,721 |
$43K |
| 87210 |
|
5,414 |
4,515 |
$42K |
| 85027 |
|
8,617 |
6,255 |
$42K |
| 84439 |
|
3,630 |
2,976 |
$42K |
| 80076 |
|
3,677 |
2,905 |
$42K |
| 71046 |
|
4,039 |
3,370 |
$42K |
| 71260 |
|
1,020 |
770 |
$41K |
| G0307 |
Cbc without platelet |
6,947 |
5,244 |
$41K |
| 83735 |
|
8,595 |
5,907 |
$39K |
| 86803 |
|
3,671 |
2,856 |
$39K |
| 73721 |
|
600 |
504 |
$38K |
| 86780 |
|
4,413 |
3,497 |
$38K |
| 83880 |
|
2,133 |
1,684 |
$37K |
| 80307 |
|
841 |
504 |
$37K |
| 90791 |
|
1,019 |
674 |
$36K |
| 72148 |
|
505 |
444 |
$34K |
| 93017 |
|
826 |
651 |
$34K |
| C9803 |
Hopd covid-19 spec collect |
1,740 |
1,488 |
$34K |
| J9271 |
Inj pembrolizumab |
30 |
24 |
$33K |
| 83655 |
|
2,256 |
2,047 |
$32K |
| 45380 |
|
212 |
185 |
$31K |
| 86762 |
|
2,319 |
1,775 |
$31K |
| 87340 |
|
3,963 |
3,105 |
$31K |
| H0022 |
Alcohol and/or drug interven |
1,462 |
757 |
$31K |
| 84145 |
|
1,980 |
1,460 |
$30K |
| 85379 |
|
3,837 |
3,166 |
$30K |
| 97597 |
|
945 |
413 |
$29K |
| 12001 |
|
373 |
325 |
$28K |
| 70551 |
|
418 |
339 |
$28K |
| 82950 |
|
2,645 |
2,306 |
$28K |
| 87506 |
|
165 |
125 |
$28K |
| 84153 |
|
1,389 |
1,219 |
$27K |
| 87077 |
|
2,620 |
2,183 |
$27K |
| 86140 |
|
5,840 |
4,565 |
$27K |
| 82962 |
|
3,318 |
2,139 |
$26K |
| 11042 |
|
395 |
184 |
$25K |
| 87186 |
|
3,726 |
3,114 |
$25K |
| 99215 |
Prolong outpt/office vis |
636 |
483 |
$24K |
| 86850 |
|
4,462 |
3,358 |
$24K |
| 93005 |
|
18,909 |
14,429 |
$24K |
| 74018 |
|
2,467 |
1,901 |
$24K |
| 97140 |
|
2,304 |
743 |
$23K |
| 83605 |
|
2,847 |
2,108 |
$22K |
| 82247 |
|
957 |
520 |
$22K |
| 77063 |
|
1,992 |
1,748 |
$22K |
| 93971 |
|
571 |
482 |
$21K |
| 93226 |
|
939 |
815 |
$20K |
| 80143 |
|
1,873 |
1,456 |
$20K |
| 80179 |
|
1,844 |
1,438 |
$19K |
| 76642 |
|
480 |
407 |
$18K |
| 83540 |
|
3,492 |
2,859 |
$18K |
| 96372 |
|
7,763 |
5,824 |
$17K |
| U0004 |
Cov-19 test non-cdc hgh thru |
466 |
400 |
$17K |
| 87070 |
|
1,618 |
1,320 |
$17K |
| 41899 |
|
56 |
42 |
$16K |
| 87040 |
|
1,486 |
1,155 |
$16K |
| 84481 |
|
1,106 |
929 |
$15K |
| 82077 |
|
1,773 |
1,319 |
$15K |
| 83550 |
|
2,381 |
1,978 |
$15K |
| 86787 |
|
2,416 |
1,857 |
$14K |
| 86481 |
|
169 |
132 |
$14K |
| 82043 |
|
2,682 |
2,322 |
$14K |
| 86038 |
|
1,340 |
1,108 |
$13K |
| 96374 |
|
19,590 |
14,929 |
$13K |
| 85730 |
|
3,537 |
2,386 |
$13K |
| 12011 |
|
109 |
90 |
$12K |
| 83970 |
|
392 |
296 |
$12K |
| 82550 |
|
2,214 |
1,693 |
$12K |
| 76770 |
|
220 |
193 |
$12K |
| 82746 |
|
1,179 |
933 |
$12K |
| 66984 |
|
129 |
82 |
$12K |
| 85018 |
|
2,988 |
2,542 |
$11K |
| 84460 |
|
2,521 |
2,098 |
$11K |
| 97112 |
|
799 |
343 |
$11K |
| 84450 |
|
2,210 |
1,868 |
$11K |
| 69436 |
|
38 |
26 |
$11K |
| 85007 |
|
3,459 |
2,611 |
$10K |
| 80164 |
|
383 |
316 |
$10K |
| 86900 |
|
3,767 |
2,813 |
$10K |
| 76830 |
|
246 |
209 |
$10K |
| 97162 |
|
406 |
295 |
$9K |
| 71250 |
|
403 |
340 |
$9K |
| 90832 |
|
631 |
214 |
$9K |
| 30140 |
|
17 |
12 |
$9K |
| G0463 |
Hospital outpt clinic visit |
3,415 |
2,118 |
$8K |
| 86901 |
|
3,769 |
2,819 |
$8K |
| 59025 |
|
115 |
99 |
$8K |
| 86618 |
|
491 |
273 |
$8K |
| 92507 |
|
277 |
141 |
$8K |
| 96367 |
|
103 |
63 |
$8K |
| 85652 |
|
3,184 |
2,489 |
$8K |
| 83718 |
|
906 |
795 |
$7K |
| 82465 |
|
1,177 |
1,030 |
$7K |
| 84146 |
|
402 |
303 |
$7K |
| 80050 |
|
164 |
145 |
$7K |
| 82570 |
|
1,454 |
1,072 |
$7K |
| 93458 |
|
17 |
12 |
$7K |
| 87088 |
|
1,082 |
923 |
$7K |
| 84466 |
|
786 |
620 |
$7K |
| 95806 |
|
100 |
84 |
$6K |
| 99460 |
|
74 |
64 |
$6K |
| 80178 |
|
277 |
223 |
$6K |
| 71045 |
|
12,864 |
10,241 |
$6K |
| 45378 |
|
14 |
14 |
$6K |
| 87205 |
|
1,525 |
1,235 |
$6K |
| 82803 |
|
384 |
296 |
$5K |
| 84132 |
|
866 |
545 |
$5K |
| 82150 |
|
661 |
476 |
$5K |
| 84156 |
|
1,327 |
973 |
$5K |
| 96375 |
|
15,107 |
10,508 |
$5K |
| 90715 |
|
745 |
649 |
$5K |
| 80074 |
|
145 |
121 |
$4K |
| 84144 |
|
148 |
106 |
$4K |
| 86706 |
|
455 |
372 |
$4K |
| 70486 |
|
142 |
120 |
$4K |
| 86480 |
|
65 |
56 |
$4K |
| 84550 |
|
841 |
644 |
$4K |
| 70496 |
|
60 |
44 |
$4K |
| 87636 |
|
104 |
82 |
$4K |
| 81015 |
|
140 |
114 |
$4K |
| 94060 |
|
181 |
158 |
$4K |
| 85014 |
|
756 |
575 |
$3K |
| 82784 |
|
239 |
199 |
$3K |
| 36591 |
|
388 |
232 |
$3K |
| 81003 |
|
936 |
804 |
$3K |
| 72141 |
|
62 |
50 |
$3K |
| J1745 |
Infliximab not biosimil 10mg |
18 |
14 |
$3K |
| 82040 |
|
304 |
261 |
$3K |
| 70498 |
|
60 |
44 |
$3K |
| 83001 |
|
211 |
162 |
$3K |
| 76536 |
|
58 |
51 |
$3K |
| 87147 |
|
608 |
496 |
$3K |
| 36415 |
|
54,846 |
39,253 |
$2K |
| 88307 |
|
201 |
136 |
$2K |
| 99238 |
|
73 |
68 |
$2K |
| 73630 |
|
1,225 |
1,019 |
$2K |
| 97116 |
|
270 |
113 |
$2K |
| 94729 |
|
132 |
106 |
$2K |
| 93225 |
|
131 |
93 |
$2K |
| 93975 |
|
52 |
41 |
$2K |
| 99462 |
|
74 |
57 |
$2K |
| 82951 |
|
69 |
52 |
$2K |
| 73030 |
|
714 |
606 |
$2K |
| 99291 |
|
76 |
52 |
$2K |
| 84403 |
|
70 |
60 |
$2K |
| 87272 |
|
54 |
40 |
$2K |
| 84100 |
|
524 |
330 |
$1K |
| 73110 |
|
509 |
417 |
$1K |
| 86200 |
|
140 |
122 |
$1K |
| 88304 |
|
657 |
489 |
$1K |
| 76817 |
|
73 |
57 |
$1K |
| 94770 |
|
125 |
86 |
$1K |
| 70491 |
|
31 |
14 |
$1K |
| 86364 |
|
133 |
121 |
$1K |
| 97166 |
|
40 |
28 |
$1K |
| 77066 |
Tomosynthesis, mammo |
51 |
42 |
$1K |
| 97035 |
|
110 |
50 |
$1K |
| 76856 |
|
34 |
25 |
$1K |
| 72040 |
|
18 |
15 |
$1K |
| 86258 |
|
111 |
101 |
$995.15 |
| 73130 |
|
665 |
574 |
$949.59 |
| 96417 |
|
94 |
25 |
$945.35 |
| 87661 |
|
26 |
18 |
$942.76 |
| 73610 |
|
1,329 |
1,130 |
$923.00 |
| 76942 |
|
141 |
96 |
$834.89 |
| 74019 |
|
82 |
74 |
$834.43 |
| 73564 |
|
645 |
542 |
$753.67 |
| 72100 |
|
214 |
197 |
$740.54 |
| J2469 |
Palonosetron hcl |
76 |
37 |
$733.12 |
| 73221 |
|
14 |
12 |
$723.02 |
| 73502 |
|
111 |
95 |
$718.33 |
| A9500 |
Tc99m sestamibi |
500 |
376 |
$713.94 |
| 99203 |
|
13 |
13 |
$685.61 |
| 83002 |
|
54 |
38 |
$649.12 |
| 82670 |
|
35 |
24 |
$622.68 |
| 94726 |
|
89 |
70 |
$571.35 |
| 82533 |
|
14 |
12 |
$565.37 |
| 87449 |
|
36 |
27 |
$539.02 |
| 82330 |
|
21 |
12 |
$529.24 |
| J1750 |
Inj iron dextran |
50 |
24 |
$523.24 |
| 97161 |
|
12 |
12 |
$516.31 |
| 97163 |
|
21 |
15 |
$474.80 |
| 90471 |
|
719 |
590 |
$401.33 |
| 73140 |
|
138 |
121 |
$391.31 |
| 96376 |
|
3,694 |
2,314 |
$319.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,779 |
6,555 |
$275.08 |
| 82010 |
|
47 |
37 |
$258.62 |
| J2405 |
Ondansetron hcl injection |
15,844 |
11,029 |
$233.35 |
| 86318 |
|
13 |
12 |
$195.00 |
| 80329 |
|
53 |
38 |
$173.10 |
| 88312 |
|
54 |
44 |
$169.97 |
| 80320 |
|
846 |
724 |
$164.11 |
| 83615 |
|
35 |
31 |
$151.37 |
| 83874 |
|
15 |
13 |
$143.67 |
| 77065 |
Tomosynthesis, mammo |
18 |
14 |
$142.26 |
| A9585 |
Gadobutrol injection |
1,394 |
1,073 |
$130.01 |
| 97165 |
|
15 |
12 |
$125.32 |
| 86705 |
|
21 |
12 |
$123.54 |
| 73560 |
|
85 |
64 |
$103.96 |
| 87075 |
|
37 |
24 |
$97.32 |
| 82952 |
|
34 |
27 |
$95.54 |
| 99152 |
|
728 |
562 |
$90.78 |
| U0002 |
Covid-19 lab test non-cdc |
29 |
25 |
$90.00 |
| J0696 |
Ceftriaxone sodium injection |
1,786 |
1,338 |
$79.77 |
| 85049 |
|
33 |
25 |
$74.67 |
| J1885 |
Ketorolac tromethamine inj |
15,446 |
11,419 |
$69.85 |
| 93010 |
|
15 |
15 |
$58.80 |
| 88342 |
|
59 |
46 |
$58.64 |
| J1100 |
Dexamethasone sodium phos |
10,325 |
6,836 |
$57.48 |
| 87324 |
|
19 |
15 |
$56.13 |
| G0279 |
Tomosynthesis, mammo |
65 |
56 |
$52.78 |
| C9113 |
Inj pantoprazole sodium, via |
402 |
268 |
$51.39 |
| 82248 |
|
13 |
12 |
$48.61 |
| J1642 |
Inj heparin sodium per 10 u |
5,137 |
1,938 |
$48.25 |
| J0690 |
Cefazolin sodium injection |
5,600 |
3,281 |
$47.72 |
| J3010 |
Fentanyl citrate injection |
10,928 |
5,858 |
$36.35 |
| J1170 |
Hydromorphone injection |
4,458 |
2,865 |
$36.24 |
| A9270 |
Non-covered item or service |
16,985 |
11,675 |
$35.35 |
| J2710 |
Neostigmine methylslfte inj |
1,552 |
1,055 |
$32.66 |
| G0103 |
Psa screening |
14 |
13 |
$31.48 |
| 73090 |
|
19 |
13 |
$26.92 |
| J2930 |
Methylprednisolone injection |
1,304 |
862 |
$22.83 |
| J7050 |
Normal saline solution infus |
1,896 |
1,151 |
$17.65 |
| J2270 |
Morphine sulfate injection |
3,691 |
2,516 |
$14.45 |
| C1769 |
Guide wire |
1,013 |
719 |
$11.35 |
| J2765 |
Metoclopramide hcl injection |
2,751 |
2,041 |
$11.19 |
| J2250 |
Inj midazolam hydrochloride |
6,380 |
4,328 |
$8.11 |
| 73080 |
|
44 |
39 |
$8.09 |
| J1200 |
Diphenhydramine hcl injectio |
2,747 |
1,842 |
$7.97 |
| A9579 |
Gad-base mr contrast nos,1ml |
267 |
227 |
$5.62 |
| J2370 |
Phenylephrine hcl injection |
672 |
407 |
$4.44 |
| J2060 |
Lorazepam injection |
2,227 |
1,639 |
$3.57 |
| G0475 |
Hiv combination assay |
17 |
16 |
$2.96 |
| 99153 |
Mod sedat endo service >5yrs |
211 |
165 |
$1.93 |
| P9612 |
Catheterize for urine spec |
184 |
147 |
$1.20 |
| J3490 |
Drugs unclassified injection |
261 |
210 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,662 |
1,672 |
$0.00 |
| 74022 |
|
13 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
205 |
158 |
$0.00 |
| J2001 |
Lidocaine injection |
57 |
41 |
$0.00 |
| 94644 |
|
26 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
82 |
67 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
167 |
105 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
56 |
37 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
154 |
117 |
$0.00 |
| 36416 |
|
44 |
29 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
13 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
14 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
17 |
13 |
$0.00 |
| J3360 |
Diazepam injection |
17 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
217 |
164 |
$0.00 |
| J0780 |
Prochlorperazine injection |
311 |
233 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
436 |
312 |
$0.00 |
| G1004 |
Cdsm ndsc |
127 |
107 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
261 |
184 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
930 |
518 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
740 |
284 |
$0.00 |
| A4212 |
Non coring needle or stylet |
347 |
100 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
201 |
138 |
$0.00 |
| 76000 |
|
37 |
27 |
$0.00 |
| J1756 |
Iron sucrose injection |
145 |
63 |
$0.00 |
| G8978 |
Mobility current status |
21 |
16 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
35 |
26 |
$0.00 |
| C1887 |
Catheter, guiding |
73 |
49 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
45 |
44 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
97 |
48 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
34 |
31 |
$0.00 |
| G8979 |
Mobility goal status |
25 |
16 |
$0.00 |