| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
46,355 |
42,671 |
$23.08M |
| 0450 |
|
63,029 |
56,427 |
$21.13M |
| 74177 |
|
15,019 |
14,589 |
$10.95M |
| 99499 |
|
22,202 |
18,039 |
$7.30M |
| 80053 |
|
117,648 |
105,066 |
$4.84M |
| 70450 |
|
17,389 |
16,714 |
$4.39M |
| 99199 |
|
5,182 |
4,231 |
$4.23M |
| 99285 |
|
8,491 |
7,635 |
$3.57M |
| 93005 |
|
53,162 |
48,241 |
$3.06M |
| 99284 |
|
11,197 |
10,113 |
$3.06M |
| 0360 |
|
2,610 |
1,609 |
$2.25M |
| 85025 |
|
120,165 |
106,415 |
$2.22M |
| 96374 |
|
27,141 |
24,884 |
$2.08M |
| 71045 |
|
45,338 |
42,585 |
$2.05M |
| 72125 |
|
7,037 |
6,818 |
$2.04M |
| 96375 |
|
19,786 |
17,739 |
$2.02M |
| 74176 |
|
4,585 |
4,470 |
$1.83M |
| 59025 |
|
12,038 |
3,831 |
$1.69M |
| 0762 |
|
3,497 |
1,713 |
$1.60M |
| 71275 |
|
3,134 |
3,040 |
$1.46M |
| 76815 |
|
11,982 |
4,539 |
$1.34M |
| 83735 |
|
63,526 |
56,305 |
$1.08M |
| 71260 |
|
2,648 |
2,587 |
$1.07M |
| 84484 |
|
32,416 |
29,572 |
$874K |
| 96361 |
|
17,217 |
15,629 |
$846K |
| 80307 |
|
11,239 |
9,854 |
$836K |
| 83690 |
|
37,713 |
34,891 |
$816K |
| 84702 |
|
23,781 |
21,770 |
$769K |
| 76856 |
|
4,264 |
4,135 |
$693K |
| 70498 |
|
1,236 |
1,207 |
$672K |
| 93306 |
|
2,066 |
1,978 |
$659K |
| Z7502 |
|
17,983 |
17,814 |
$644K |
| 70486 |
|
1,858 |
1,823 |
$578K |
| 96365 |
|
5,588 |
5,031 |
$565K |
| 76801 |
|
3,507 |
3,095 |
$559K |
| 81001 |
|
40,901 |
37,051 |
$539K |
| 85610 |
|
34,145 |
31,633 |
$517K |
| 76705 |
|
4,697 |
4,579 |
$503K |
| 76830 |
|
3,772 |
3,662 |
$490K |
| 96372 |
|
11,482 |
10,783 |
$453K |
| 87040 |
|
5,738 |
5,427 |
$453K |
| 87636 |
|
12,096 |
11,797 |
$436K |
| 97799 |
|
9,082 |
1,847 |
$403K |
| 0721 |
|
6,173 |
4,634 |
$374K |
| 82962 |
|
22,566 |
18,343 |
$374K |
| 93971 |
|
2,254 |
2,193 |
$367K |
| 96360 |
|
3,974 |
3,839 |
$365K |
| 0710 |
|
2,334 |
2,273 |
$311K |
| 76817 |
|
2,482 |
2,206 |
$295K |
| 71250 |
|
1,363 |
1,337 |
$278K |
| 0300 |
|
260 |
244 |
$263K |
| 87086 |
|
11,718 |
9,542 |
$262K |
| 97110 |
|
7,046 |
2,071 |
$258K |
| 97139 |
|
7,031 |
2,251 |
$244K |
| 0160 |
|
247 |
133 |
$224K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,672 |
4,435 |
$223K |
| 93970 |
|
1,031 |
996 |
$209K |
| 82077 |
|
5,715 |
5,373 |
$203K |
| 0250 |
|
2,926 |
2,523 |
$201K |
| 73030 |
|
3,010 |
2,840 |
$195K |
| 71046 |
|
3,469 |
3,294 |
$183K |
| 84703 |
|
13,287 |
12,568 |
$179K |
| 78452 |
|
570 |
542 |
$177K |
| 73562 |
|
3,108 |
2,813 |
$168K |
| 72100 |
|
2,510 |
2,476 |
$165K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,871 |
6,660 |
$159K |
| 94640 |
|
3,350 |
2,333 |
$158K |
| 80047 |
|
5,094 |
4,901 |
$157K |
| 0206 |
|
18 |
17 |
$150K |
| 86900 |
|
5,884 |
5,434 |
$149K |
| 76700 |
|
1,252 |
1,220 |
$148K |
| 93017 |
|
975 |
939 |
$148K |
| 85379 |
|
5,706 |
5,511 |
$147K |
| Z9725 |
|
3,408 |
3,362 |
$146K |
| 86832 |
|
2,441 |
2,408 |
$146K |
| 80048 |
|
5,270 |
4,507 |
$142K |
| 73630 |
|
2,143 |
2,029 |
$130K |
| 0760 |
|
542 |
421 |
$128K |
| 73610 |
|
2,032 |
1,931 |
$126K |
| 87491 |
|
2,273 |
2,225 |
$126K |
| 70553 |
|
168 |
168 |
$120K |
| 83880 |
|
5,400 |
5,071 |
$118K |
| 86833 |
|
2,445 |
2,409 |
$116K |
| 86901 |
|
5,873 |
5,430 |
$115K |
| 86828 |
|
1,597 |
1,567 |
$114K |
| 97530 |
|
4,109 |
1,869 |
$103K |
| G0463 |
Hospital outpt clinic visit |
6,306 |
4,604 |
$102K |
| 85730 |
|
7,691 |
7,261 |
$95K |
| 73130 |
|
1,573 |
1,479 |
$93K |
| 83605 |
|
6,560 |
6,141 |
$92K |
| 84443 |
|
6,017 |
5,728 |
$92K |
| 99281 |
|
254 |
227 |
$91K |
| 96112 |
|
585 |
583 |
$90K |
| 81003 |
|
10,490 |
10,049 |
$90K |
| 97140 |
|
4,335 |
1,852 |
$88K |
| 70551 |
|
249 |
245 |
$87K |
| 80143 |
|
2,273 |
2,168 |
$86K |
| 77067 |
|
2,575 |
2,550 |
$85K |
| 76770 |
|
944 |
907 |
$84K |
| 82550 |
|
5,001 |
4,707 |
$82K |
| 87591 |
|
2,285 |
2,235 |
$77K |
| 96376 |
|
2,336 |
2,069 |
$77K |
| J3490 |
Drugs unclassified injection |
1,576 |
1,220 |
$77K |
| 0761 |
|
2,414 |
1,751 |
$76K |
| 88305 |
|
2,044 |
1,980 |
$75K |
| G0378 |
Hospital observation per hr |
629 |
569 |
$75K |
| 78815 |
|
99 |
98 |
$74K |
| 80179 |
|
2,030 |
1,943 |
$74K |
| 87804 |
|
2,515 |
2,319 |
$73K |
| 99282 |
|
500 |
428 |
$72K |
| J2785 |
Regadenoson injection |
271 |
261 |
$65K |
| G0108 |
Diab manage trn per indiv |
2,021 |
1,629 |
$64K |
| 72131 |
|
302 |
296 |
$63K |
| 0258 |
|
4,128 |
3,657 |
$61K |
| 72170 |
|
927 |
896 |
$58K |
| 70491 |
|
134 |
132 |
$56K |
| 73502 |
|
1,241 |
1,197 |
$52K |
| 86977 |
|
1,362 |
1,318 |
$49K |
| 36415 |
|
16,597 |
13,031 |
$47K |
| 73110 |
|
777 |
723 |
$47K |
| 90471 |
|
2,047 |
1,977 |
$46K |
| 87880 |
|
1,792 |
1,744 |
$46K |
| 76642 |
|
820 |
699 |
$45K |
| 97161 |
|
951 |
907 |
$45K |
| 85027 |
|
3,535 |
3,154 |
$44K |
| 82553 |
|
1,710 |
1,543 |
$44K |
| 84145 |
|
2,420 |
2,295 |
$42K |
| 70496 |
|
74 |
73 |
$41K |
| 87081 |
|
1,856 |
1,810 |
$41K |
| J0131 |
Inj, acetaminophen (nos) |
820 |
786 |
$40K |
| A9500 |
Tc99m sestamibi |
529 |
502 |
$40K |
| 85014 |
|
4,984 |
4,797 |
$40K |
| 87186 |
|
3,802 |
3,509 |
$38K |
| 87510 |
|
2,210 |
2,149 |
$37K |
| 90715 |
|
1,947 |
1,909 |
$37K |
| 87480 |
|
2,218 |
2,157 |
$37K |
| J7030 |
Normal saline solution infus |
3,081 |
2,757 |
$36K |
| 87660 |
|
2,220 |
2,159 |
$36K |
| 77063 |
|
2,291 |
2,270 |
$36K |
| J2270 |
Morphine sulfate injection |
8,953 |
8,160 |
$36K |
| 72040 |
|
532 |
519 |
$35K |
| 66984 |
|
216 |
215 |
$34K |
| 43239 |
|
117 |
117 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
12,874 |
12,145 |
$31K |
| 73080 |
|
491 |
475 |
$31K |
| 87077 |
|
4,211 |
3,878 |
$30K |
| 86830 |
|
1,312 |
1,261 |
$29K |
| 82803 |
|
1,148 |
1,068 |
$27K |
| 99211 |
|
899 |
814 |
$27K |
| 84439 |
|
3,092 |
2,963 |
$26K |
| 86850 |
|
1,257 |
1,192 |
$26K |
| 94799 |
|
957 |
881 |
$26K |
| 97116 |
|
1,584 |
783 |
$26K |
| 99213 |
|
596 |
491 |
$25K |
| 74174 |
|
27 |
27 |
$25K |
| J1170 |
Hydromorphone injection |
5,861 |
5,157 |
$25K |
| Z7500 |
|
710 |
694 |
$24K |
| 80061 |
|
6,338 |
4,592 |
$23K |
| 86140 |
|
2,206 |
2,088 |
$22K |
| 73590 |
|
475 |
429 |
$22K |
| 96366 |
|
342 |
271 |
$22K |
| 45378 |
|
66 |
66 |
$22K |
| 77080 |
|
495 |
485 |
$22K |
| 86831 |
|
1,312 |
1,261 |
$21K |
| 97162 |
|
926 |
880 |
$21K |
| J2405 |
Ondansetron hcl injection |
17,823 |
16,177 |
$20K |
| 0324 |
|
219 |
212 |
$20K |
| 84550 |
|
6,380 |
4,301 |
$20K |
| 45380 |
|
51 |
50 |
$19K |
| 92507 |
|
420 |
102 |
$19K |
| 87631 |
|
629 |
583 |
$18K |
| 96113 |
|
251 |
250 |
$17K |
| 84100 |
|
5,923 |
3,734 |
$16K |
| 76870 |
|
111 |
107 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
4,295 |
3,986 |
$15K |
| 93976 |
|
87 |
83 |
$15K |
| 83615 |
|
1,770 |
1,450 |
$15K |
| 0270 |
|
304 |
262 |
$15K |
| 85652 |
|
2,085 |
2,002 |
$15K |
| 87641 |
|
989 |
894 |
$14K |
| 87070 |
|
1,228 |
1,177 |
$14K |
| 87635 |
|
467 |
457 |
$14K |
| 83036 |
|
3,765 |
3,570 |
$14K |
| 0730 |
|
156 |
151 |
$14K |
| 0370 |
|
580 |
577 |
$14K |
| 77066 |
Tomosynthesis, mammo |
284 |
283 |
$14K |
| 80197 |
|
5,925 |
3,619 |
$13K |
| 72148 |
|
27 |
27 |
$13K |
| J2930 |
Methylprednisolone injection |
1,413 |
1,254 |
$13K |
| 82330 |
|
1,125 |
1,031 |
$12K |
| 96413 |
|
98 |
67 |
$12K |
| J3010 |
Fentanyl citrate injection |
6,334 |
6,056 |
$11K |
| J1100 |
Dexamethasone sodium phos |
3,187 |
3,020 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
2,057 |
1,991 |
$10K |
| 82570 |
|
2,257 |
2,007 |
$9K |
| J0780 |
Prochlorperazine injection |
562 |
553 |
$9K |
| J1439 |
Inj ferric carboxymaltos 1mg |
13 |
12 |
$9K |
| U0005 |
Infec agen detec ampli probe |
2,735 |
2,650 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
4,925 |
4,748 |
$8K |
| 99212 |
|
203 |
185 |
$8K |
| Q3014 |
Telehealth facility fee |
729 |
500 |
$8K |
| 73560 |
|
201 |
168 |
$7K |
| 84132 |
|
842 |
767 |
$7K |
| 82248 |
|
671 |
663 |
$6K |
| 72128 |
|
26 |
26 |
$6K |
| M0222 |
Bebtelovimab injection |
53 |
53 |
$6K |
| J2060 |
Lorazepam injection |
3,730 |
3,347 |
$6K |
| 84295 |
|
770 |
709 |
$6K |
| 70487 |
|
12 |
12 |
$6K |
| 82728 |
|
892 |
871 |
$6K |
| 97112 |
|
352 |
169 |
$5K |
| 87799 |
|
764 |
693 |
$5K |
| J3475 |
Inj magnesium sulfate |
711 |
647 |
$5K |
| 73140 |
|
109 |
106 |
$5K |
| 87205 |
|
1,113 |
1,060 |
$5K |
| J2765 |
Metoclopramide hcl injection |
2,090 |
1,970 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,876 |
1,683 |
$4K |
| 0420 |
|
42 |
41 |
$4K |
| 88240 |
|
1,047 |
1,030 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
3,080 |
2,807 |
$4K |
| 10060 |
|
54 |
54 |
$4K |
| J2550 |
Promethazine hcl injection |
2,987 |
2,643 |
$4K |
| V2632 |
Post chmbr intraocular lens |
220 |
219 |
$4K |
| J1650 |
Inj enoxaparin sodium |
528 |
348 |
$4K |
| 87497 |
|
526 |
475 |
$4K |
| 82306 |
|
852 |
840 |
$3K |
| 83540 |
|
1,025 |
993 |
$3K |
| 93880 |
|
19 |
17 |
$3K |
| 82731 |
|
36 |
31 |
$3K |
| 86308 |
|
154 |
151 |
$3K |
| 87426 |
|
137 |
134 |
$3K |
| 87389 |
|
188 |
187 |
$3K |
| J1630 |
Haloperidol injection |
1,367 |
1,188 |
$3K |
| 97010 |
|
439 |
228 |
$3K |
| 73090 |
|
67 |
63 |
$3K |
| 77065 |
Tomosynthesis, mammo |
78 |
74 |
$3K |
| 71010 |
|
137 |
81 |
$3K |
| 83550 |
|
906 |
883 |
$3K |
| S0164 |
Injection pantroprazole |
497 |
451 |
$3K |
| 73620 |
|
58 |
51 |
$3K |
| 96367 |
|
59 |
54 |
$3K |
| J2001 |
Lidocaine injection |
1,122 |
1,053 |
$3K |
| 97035 |
|
120 |
41 |
$2K |
| 77062 |
|
86 |
86 |
$2K |
| 0272 |
|
134 |
131 |
$2K |
| 29125 |
|
25 |
25 |
$2K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
211 |
208 |
$2K |
| 83970 |
|
319 |
304 |
$2K |
| 76816 |
|
14 |
14 |
$2K |
| 82140 |
|
132 |
122 |
$1K |
| 87449 |
|
167 |
156 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
448 |
351 |
$1K |
| 97163 |
|
25 |
25 |
$1K |
| J3370 |
Vancomycin hcl injection |
109 |
98 |
$1K |
| J3410 |
Hydroxyzine hcl injection |
57 |
53 |
$1K |
| J0360 |
Hydralazine hcl injection |
102 |
89 |
$995.69 |
| 76805 |
|
12 |
12 |
$990.00 |
| J3360 |
Diazepam injection |
49 |
42 |
$981.24 |
| 88304 |
|
49 |
48 |
$941.28 |
| 73120 |
|
28 |
25 |
$918.42 |
| 72072 |
|
13 |
13 |
$917.81 |
| 86780 |
|
125 |
124 |
$857.97 |
| 97166 |
|
30 |
28 |
$828.40 |
| 80074 |
|
13 |
12 |
$816.09 |
| 73660 |
|
13 |
13 |
$803.47 |
| 82607 |
|
240 |
233 |
$801.25 |
| 72192 |
|
12 |
12 |
$753.26 |
| 97535 |
|
60 |
24 |
$724.30 |
| 76536 |
|
12 |
12 |
$721.42 |
| A9552 |
F18 fdg |
13 |
12 |
$662.74 |
| 72070 |
|
15 |
15 |
$635.74 |
| 97165 |
|
15 |
15 |
$619.48 |
| 73552 |
|
12 |
12 |
$494.00 |
| J7120 |
Ringers lactate infusion |
45 |
44 |
$458.63 |
| 87427 |
|
13 |
13 |
$357.94 |
| J1815 |
Insulin injection |
49 |
39 |
$336.28 |
| 87075 |
|
40 |
39 |
$288.46 |
| 81015 |
|
30 |
30 |
$248.61 |
| 87045 |
|
13 |
13 |
$232.49 |
| 84153 |
|
24 |
24 |
$226.73 |
| 82043 |
|
246 |
227 |
$220.87 |
| 80164 |
|
19 |
17 |
$213.06 |
| U0002 |
Covid-19 lab test non-cdc |
69 |
55 |
$206.31 |
| 80069 |
|
60 |
49 |
$204.96 |
| 82565 |
|
15 |
15 |
$184.57 |
| 90662 |
|
88 |
81 |
$176.31 |
| J1940 |
Furosemide injection |
31 |
25 |
$163.22 |
| 87046 |
|
13 |
13 |
$159.66 |
| G2012 |
Brief check in by md/qhp |
105 |
100 |
$157.73 |
| V2630 |
Anter chamber intraocul lens |
13 |
13 |
$151.55 |
| J2710 |
Neostigmine methylslfte inj |
41 |
40 |
$140.82 |
| 82009 |
|
27 |
25 |
$131.71 |
| S0020 |
Injection, bupivicaine hydro |
29 |
28 |
$122.93 |
| 88342 |
|
14 |
12 |
$104.04 |
| J2272 |
Inj, morphine (fresenius) |
27 |
26 |
$91.29 |
| 87147 |
|
14 |
13 |
$90.19 |
| 87324 |
|
12 |
12 |
$65.42 |
| G0008 |
Admin influenza virus vac |
73 |
69 |
$41.40 |
| J1642 |
Inj heparin sodium per 10 u |
44 |
28 |
$27.73 |
| 82746 |
|
12 |
12 |
$17.36 |
| G8979 |
Mobility goal status |
61 |
56 |
$9.83 |
| 84156 |
|
13 |
12 |
$1.58 |
| Q0222 |
Bebtelovimab 175 mg |
32 |
32 |
$0.00 |
| G8980 |
Mobility d/c status |
25 |
24 |
$0.00 |
| G8978 |
Mobility current status |
40 |
39 |
$0.00 |