| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
17,811 |
16,709 |
$5.63M |
| G0463 |
Hospital outpt clinic visit |
51,260 |
44,064 |
$3.13M |
| 99284 |
|
9,945 |
9,465 |
$1.73M |
| 99283 |
|
9,476 |
9,169 |
$1.10M |
| G0378 |
Hospital observation per hr |
3,564 |
3,249 |
$1.03M |
| 96374 |
|
9,796 |
9,238 |
$907K |
| 96361 |
|
10,146 |
8,511 |
$537K |
| 74177 |
|
3,579 |
3,512 |
$421K |
| 96360 |
|
3,143 |
3,086 |
$322K |
| 59025 |
|
3,845 |
1,762 |
$320K |
| 87636 |
|
3,683 |
3,623 |
$259K |
| 70553 |
|
1,078 |
1,062 |
$241K |
| 42820 |
|
79 |
79 |
$238K |
| 70450 |
|
2,541 |
2,457 |
$194K |
| 71046 |
|
5,346 |
5,223 |
$182K |
| 96365 |
|
2,157 |
2,082 |
$175K |
| 76816 |
|
3,839 |
3,494 |
$159K |
| 96375 |
|
7,003 |
6,012 |
$158K |
| 99282 |
|
2,188 |
2,171 |
$156K |
| 74176 |
|
1,507 |
1,464 |
$136K |
| 77067 |
|
2,409 |
2,403 |
$119K |
| 76830 |
|
2,036 |
2,006 |
$116K |
| 76856 |
|
2,165 |
2,134 |
$110K |
| 71260 |
|
775 |
766 |
$94K |
| 71045 |
|
2,709 |
2,604 |
$91K |
| 76811 |
|
759 |
758 |
$90K |
| 43239 |
|
254 |
254 |
$81K |
| 76801 |
|
1,238 |
1,159 |
$71K |
| 92507 |
|
1,701 |
748 |
$68K |
| 96372 |
|
5,748 |
4,431 |
$63K |
| 86900 |
|
5,341 |
5,052 |
$61K |
| 80061 |
|
2,374 |
2,352 |
$51K |
| 87491 |
|
4,682 |
4,611 |
$47K |
| 87591 |
|
4,645 |
4,577 |
$46K |
| 76700 |
|
690 |
689 |
$39K |
| U0002 |
Covid-19 lab test non-cdc |
2,205 |
2,133 |
$39K |
| 76805 |
|
621 |
620 |
$38K |
| Q3014 |
Telehealth facility fee |
2,317 |
2,256 |
$37K |
| 71275 |
|
500 |
491 |
$37K |
| 93306 |
|
190 |
190 |
$36K |
| 76815 |
|
1,316 |
1,163 |
$33K |
| 97110 |
|
1,784 |
599 |
$31K |
| 93975 |
|
297 |
289 |
$31K |
| 76642 |
|
787 |
779 |
$28K |
| 99395 |
|
431 |
427 |
$28K |
| 72148 |
|
311 |
311 |
$28K |
| 97161 |
|
661 |
649 |
$28K |
| 80053 |
|
12,834 |
11,370 |
$27K |
| 70496 |
|
221 |
215 |
$27K |
| 20610 |
|
181 |
168 |
$23K |
| 76705 |
|
434 |
417 |
$23K |
| 77063 |
|
1,702 |
1,698 |
$22K |
| 86780 |
|
2,537 |
2,514 |
$22K |
| 70551 |
|
164 |
164 |
$20K |
| 93971 |
|
401 |
380 |
$20K |
| 99281 |
|
231 |
228 |
$20K |
| 80048 |
|
17,818 |
14,643 |
$19K |
| 96366 |
|
649 |
501 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
4,317 |
4,222 |
$17K |
| 84443 |
|
3,809 |
3,760 |
$17K |
| 77065 |
Tomosynthesis, mammo |
393 |
370 |
$16K |
| Q0111 |
Wet mounts/ w preparations |
1,800 |
1,746 |
$16K |
| 85025 |
|
25,048 |
21,972 |
$16K |
| 87624 |
|
800 |
798 |
$14K |
| 82306 |
|
1,229 |
1,222 |
$12K |
| 76881 |
|
207 |
190 |
$12K |
| C8929 |
Tte w or wo fol wcon,doppler |
50 |
50 |
$12K |
| 87389 |
|
3,072 |
3,044 |
$11K |
| 76882 |
|
262 |
237 |
$11K |
| 74183 |
|
25 |
25 |
$11K |
| 72125 |
|
748 |
735 |
$11K |
| G0279 |
Tomosynthesis, mammo |
908 |
895 |
$11K |
| G0123 |
Screen cerv/vag thin layer |
869 |
867 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
377 |
360 |
$10K |
| 97530 |
|
734 |
409 |
$10K |
| 83036 |
|
2,924 |
2,897 |
$9K |
| 72141 |
|
69 |
69 |
$9K |
| 76819 |
|
139 |
93 |
$8K |
| 84702 |
|
5,635 |
5,013 |
$8K |
| 95700 |
|
61 |
61 |
$8K |
| 77066 |
Tomosynthesis, mammo |
120 |
119 |
$7K |
| 93005 |
|
11,150 |
9,647 |
$7K |
| 85027 |
|
8,750 |
7,688 |
$6K |
| 90471 |
|
696 |
685 |
$6K |
| 88175 |
|
492 |
492 |
$6K |
| 95713 |
|
24 |
24 |
$6K |
| 51798 |
|
1,905 |
1,517 |
$6K |
| 87808 |
|
3,189 |
3,086 |
$6K |
| 76536 |
|
103 |
103 |
$5K |
| 80307 |
|
2,167 |
2,111 |
$5K |
| 88305 |
|
2,727 |
2,702 |
$5K |
| 83735 |
|
13,873 |
10,955 |
$5K |
| 31231 |
|
53 |
52 |
$5K |
| 82728 |
|
1,222 |
1,108 |
$4K |
| 85610 |
|
10,349 |
8,921 |
$4K |
| 83880 |
|
2,523 |
2,369 |
$4K |
| 99396 |
|
65 |
65 |
$4K |
| 82607 |
|
1,154 |
1,148 |
$4K |
| 72197 |
|
13 |
13 |
$4K |
| G0328 |
Fecal blood scrn immunoassay |
388 |
370 |
$4K |
| 92557 |
|
669 |
666 |
$4K |
| 72100 |
|
514 |
508 |
$4K |
| 84439 |
|
1,013 |
989 |
$3K |
| 82962 |
|
6,080 |
4,479 |
$3K |
| 29580 |
|
43 |
12 |
$3K |
| 73610 |
|
1,016 |
983 |
$3K |
| 97112 |
|
160 |
77 |
$3K |
| 73562 |
|
1,213 |
1,195 |
$3K |
| 72131 |
|
68 |
68 |
$3K |
| 82947 |
|
1,187 |
1,180 |
$3K |
| 93017 |
|
128 |
128 |
$3K |
| 83550 |
|
891 |
819 |
$3K |
| 71250 |
|
63 |
62 |
$2K |
| 87086 |
|
4,533 |
4,332 |
$2K |
| 73630 |
|
1,001 |
980 |
$2K |
| 76770 |
|
40 |
40 |
$2K |
| 82248 |
|
7,346 |
6,497 |
$2K |
| 83540 |
|
998 |
924 |
$2K |
| 80074 |
|
182 |
179 |
$2K |
| G0480 |
Drug test def 1-7 classes |
838 |
754 |
$2K |
| G0008 |
Admin influenza virus vac |
253 |
252 |
$2K |
| 82746 |
|
634 |
629 |
$2K |
| 76817 |
|
3,064 |
2,764 |
$2K |
| 87340 |
|
1,619 |
1,607 |
$2K |
| 73030 |
|
816 |
795 |
$2K |
| 92550 |
|
107 |
107 |
$2K |
| 93970 |
|
25 |
25 |
$2K |
| 36415 |
|
1,444 |
1,289 |
$2K |
| 73721 |
|
15 |
15 |
$2K |
| 81025 |
|
6,498 |
6,325 |
$1K |
| 81001 |
|
9,057 |
8,602 |
$1K |
| 90688 |
|
75 |
75 |
$1K |
| 82570 |
|
1,055 |
917 |
$1K |
| 85730 |
|
8,300 |
7,748 |
$1K |
| 88342 |
|
628 |
623 |
$1K |
| 86140 |
|
1,655 |
1,515 |
$1K |
| 86592 |
|
351 |
347 |
$949.35 |
| 86803 |
|
492 |
492 |
$938.67 |
| 84100 |
|
3,303 |
2,190 |
$891.70 |
| U0005 |
Infec agen detec ampli probe |
59 |
59 |
$881.81 |
| 96127 |
|
171 |
171 |
$845.12 |
| 88341 |
|
26 |
26 |
$753.22 |
| 86762 |
|
916 |
915 |
$712.48 |
| 73502 |
|
133 |
130 |
$655.58 |
| 86787 |
|
779 |
778 |
$621.84 |
| 77080 |
|
12 |
12 |
$589.59 |
| 73130 |
|
198 |
197 |
$570.65 |
| 82105 |
|
173 |
169 |
$555.07 |
| 87210 |
|
1,196 |
1,117 |
$538.35 |
| 81003 |
|
4,614 |
4,460 |
$523.33 |
| 88307 |
|
92 |
92 |
$481.02 |
| 74022 |
|
505 |
488 |
$479.53 |
| 85651 |
|
602 |
574 |
$468.00 |
| 97116 |
|
162 |
121 |
$453.42 |
| 90658 |
|
28 |
28 |
$452.56 |
| 87081 |
|
2,450 |
2,430 |
$442.83 |
| 87186 |
|
572 |
560 |
$422.21 |
| 85007 |
|
917 |
773 |
$403.41 |
| 99406 |
|
26 |
26 |
$391.54 |
| 90792 |
|
15 |
13 |
$383.74 |
| 70498 |
|
167 |
162 |
$365.14 |
| 83615 |
|
497 |
431 |
$346.17 |
| 94640 |
|
1,005 |
802 |
$341.78 |
| 83690 |
|
5,110 |
4,790 |
$318.32 |
| 86850 |
|
5,288 |
5,000 |
$303.92 |
| 85652 |
|
510 |
476 |
$259.90 |
| 82550 |
|
588 |
524 |
$223.34 |
| 58300 |
|
12 |
12 |
$215.00 |
| 87502 |
|
957 |
939 |
$201.75 |
| 84484 |
|
6,881 |
6,149 |
$193.78 |
| 87661 |
|
125 |
123 |
$188.60 |
| J0131 |
Inj, acetaminophen (nos) |
918 |
748 |
$158.98 |
| 84460 |
|
113 |
111 |
$158.58 |
| 84156 |
|
384 |
326 |
$155.91 |
| 83605 |
|
2,178 |
2,014 |
$154.46 |
| 82565 |
|
151 |
147 |
$154.35 |
| 84450 |
|
102 |
98 |
$136.27 |
| 87077 |
|
218 |
214 |
$110.19 |
| 86901 |
|
5,329 |
5,041 |
$93.42 |
| 92567 |
|
293 |
288 |
$91.35 |
| J3490 |
Drugs unclassified injection |
2,697 |
1,821 |
$89.64 |
| 82077 |
|
1,106 |
1,048 |
$86.12 |
| 80076 |
|
42 |
39 |
$84.58 |
| 87634 |
|
166 |
166 |
$83.53 |
| 85379 |
|
2,431 |
2,357 |
$77.43 |
| 84425 |
|
12 |
12 |
$71.52 |
| 72050 |
|
12 |
12 |
$65.05 |
| 72110 |
|
26 |
26 |
$65.05 |
| 87430 |
|
1,571 |
1,555 |
$63.90 |
| 87205 |
|
364 |
338 |
$63.47 |
| 72170 |
|
24 |
24 |
$59.64 |
| J1200 |
Diphenhydramine hcl injectio |
1,461 |
1,273 |
$56.68 |
| 88304 |
|
430 |
430 |
$55.84 |
| 72040 |
|
37 |
36 |
$51.99 |
| 73080 |
|
13 |
12 |
$51.15 |
| 87070 |
|
242 |
222 |
$47.38 |
| S0077 |
Injection, clindamycin phosp |
15 |
12 |
$46.65 |
| J1100 |
Dexamethasone sodium phos |
5,794 |
5,380 |
$44.88 |
| 87040 |
|
655 |
587 |
$38.04 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
603 |
597 |
$37.15 |
| C1729 |
Cath, drainage |
151 |
93 |
$32.73 |
| 73560 |
|
13 |
13 |
$31.59 |
| 82043 |
|
12 |
12 |
$29.53 |
| 82150 |
|
84 |
82 |
$24.85 |
| 90715 |
|
202 |
201 |
$20.10 |
| 83020 |
|
27 |
27 |
$19.72 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
414 |
383 |
$18.06 |
| 84145 |
|
220 |
208 |
$16.60 |
| 87088 |
|
12 |
12 |
$11.28 |
| J2001 |
Lidocaine injection |
2,556 |
2,499 |
$10.79 |
| J1885 |
Ketorolac tromethamine inj |
1,155 |
1,028 |
$2.46 |
| G1004 |
Cdsm ndsc |
9,345 |
8,008 |
$0.93 |
| J2704 |
Inj, propofol, 10 mg |
1,679 |
1,621 |
$0.27 |
| J2405 |
Ondansetron hcl injection |
2,285 |
1,993 |
$0.05 |
| J2250 |
Inj midazolam hydrochloride |
1,272 |
1,198 |
$0.05 |
| J3010 |
Fentanyl citrate injection |
1,637 |
1,477 |
$0.05 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
33 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
315 |
313 |
$0.00 |
| 87631 |
|
226 |
221 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
133 |
128 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
584 |
398 |
$0.00 |
| 87420 |
|
244 |
242 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
16 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
29 |
29 |
$0.00 |
| 80143 |
|
80 |
78 |
$0.00 |
| 99152 |
|
111 |
107 |
$0.00 |
| 73110 |
|
32 |
32 |
$0.00 |
| C1765 |
Adhesion barrier |
477 |
477 |
$0.00 |
| C1776 |
Joint device (implantable) |
12 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
39 |
30 |
$0.00 |
| J7120 |
Ringers lactate infusion |
91 |
84 |
$0.00 |
| 93325 |
|
54 |
53 |
$0.00 |
| 89051 |
|
13 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
46 |
36 |
$0.00 |
| 80179 |
|
13 |
13 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
28 |
28 |
$0.00 |
| 96376 |
|
3,879 |
2,488 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
49 |
42 |
$0.00 |
| 95886 |
|
754 |
752 |
$0.00 |
| C1769 |
Guide wire |
251 |
242 |
$0.00 |
| 89060 |
|
52 |
48 |
$0.00 |
| 82803 |
|
309 |
300 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
176 |
170 |
$0.00 |
| A9585 |
Gadobutrol injection |
60 |
60 |
$0.00 |
| J1630 |
Haloperidol injection |
12 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
151 |
150 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
65 |
56 |
$0.00 |
| J1170 |
Hydromorphone injection |
61 |
57 |
$0.00 |
| 76820 |
|
28 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
19 |
12 |
$0.00 |