| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
36,069 |
32,406 |
$8.82M |
| 99284 |
|
30,832 |
26,974 |
$7.97M |
| 99285 |
|
20,223 |
17,356 |
$5.91M |
| 96361 |
|
11,814 |
9,823 |
$2.94M |
| 74177 |
|
6,928 |
6,203 |
$2.15M |
| 70450 |
|
7,344 |
6,342 |
$1.68M |
| 99282 |
|
7,772 |
7,070 |
$1.57M |
| 96365 |
|
7,633 |
4,569 |
$1.38M |
| 92507 |
|
9,167 |
2,890 |
$1.15M |
| 0241U |
|
8,139 |
7,589 |
$988K |
| G0378 |
Hospital observation per hr |
7,998 |
3,452 |
$987K |
| 96360 |
|
4,851 |
4,226 |
$913K |
| 71275 |
|
1,813 |
1,665 |
$658K |
| 80307 |
|
8,842 |
6,977 |
$466K |
| 0223U |
|
2,530 |
2,381 |
$456K |
| 97110 |
|
8,422 |
2,514 |
$448K |
| 74176 |
|
1,712 |
1,523 |
$447K |
| 76705 |
|
2,967 |
2,734 |
$354K |
| 93306 |
|
551 |
518 |
$341K |
| 96366 |
|
1,121 |
852 |
$325K |
| 99281 |
|
975 |
907 |
$314K |
| 76856 |
|
1,968 |
1,837 |
$297K |
| 97530 |
|
4,637 |
1,888 |
$277K |
| 76700 |
|
1,399 |
1,330 |
$266K |
| 71046 |
|
8,245 |
7,518 |
$205K |
| 94640 |
|
3,677 |
3,138 |
$194K |
| 41899 |
|
172 |
150 |
$191K |
| 77067 |
|
2,769 |
2,681 |
$167K |
| 0202U |
|
2,506 |
2,429 |
$156K |
| C9803 |
Hopd covid-19 spec collect |
7,953 |
6,946 |
$155K |
| 76830 |
|
1,615 |
1,512 |
$151K |
| 87635 |
|
1,348 |
1,143 |
$151K |
| 80053 |
|
38,956 |
31,562 |
$147K |
| 76770 |
|
834 |
796 |
$146K |
| 93971 |
|
1,006 |
907 |
$116K |
| 70496 |
|
272 |
245 |
$114K |
| 76642 |
|
566 |
525 |
$109K |
| 77063 |
|
1,222 |
1,190 |
$82K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,650 |
1,452 |
$81K |
| 99213 |
|
259 |
225 |
$78K |
| 76801 |
|
1,417 |
1,228 |
$72K |
| 97161 |
|
973 |
849 |
$67K |
| 43239 |
|
99 |
84 |
$65K |
| J3490 |
Drugs unclassified injection |
85,602 |
30,716 |
$65K |
| 76536 |
|
378 |
360 |
$64K |
| 71260 |
|
604 |
550 |
$64K |
| 72148 |
|
298 |
283 |
$63K |
| 93976 |
|
276 |
255 |
$55K |
| 74018 |
|
2,051 |
1,832 |
$54K |
| 72110 |
|
826 |
772 |
$44K |
| 12001 |
|
167 |
155 |
$44K |
| 72125 |
|
2,164 |
1,934 |
$42K |
| 73564 |
|
1,114 |
962 |
$35K |
| G0463 |
Hospital outpt clinic visit |
297 |
185 |
$34K |
| 71045 |
|
13,922 |
12,097 |
$34K |
| 93005 |
|
17,517 |
14,387 |
$32K |
| 73030 |
|
1,681 |
1,503 |
$31K |
| 80048 |
|
8,788 |
6,397 |
$30K |
| 73630 |
|
1,627 |
1,492 |
$30K |
| 99291 |
|
55 |
49 |
$29K |
| 93975 |
|
727 |
672 |
$29K |
| 73610 |
|
1,761 |
1,619 |
$28K |
| 12011 |
|
115 |
112 |
$28K |
| 45380 |
|
29 |
28 |
$28K |
| 73562 |
|
809 |
708 |
$27K |
| 87420 |
|
1,370 |
1,294 |
$27K |
| 97165 |
|
395 |
343 |
$26K |
| 76805 |
|
212 |
197 |
$26K |
| 76817 |
|
1,236 |
1,076 |
$25K |
| 76815 |
|
427 |
380 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
3,849 |
3,383 |
$24K |
| 87040 |
|
3,336 |
1,939 |
$24K |
| 76870 |
|
148 |
139 |
$24K |
| 97533 |
|
478 |
157 |
$23K |
| 92521 |
|
66 |
60 |
$23K |
| 73130 |
|
1,225 |
1,103 |
$22K |
| 92523 |
|
120 |
113 |
$19K |
| 85025 |
|
40,420 |
32,320 |
$19K |
| 72100 |
|
629 |
598 |
$19K |
| 97162 |
|
78 |
71 |
$18K |
| 59025 |
|
82 |
67 |
$18K |
| 77062 |
|
168 |
162 |
$17K |
| 80143 |
|
3,736 |
3,126 |
$17K |
| H0015 |
Alcohol and/or drug services |
65 |
15 |
$17K |
| 70486 |
|
288 |
272 |
$17K |
| 70551 |
|
79 |
75 |
$17K |
| 83880 |
|
2,329 |
1,994 |
$16K |
| 84484 |
|
14,414 |
9,497 |
$16K |
| G0480 |
Drug test def 1-7 classes |
2,222 |
1,849 |
$15K |
| 73110 |
|
975 |
901 |
$15K |
| 80299 |
|
3,360 |
2,564 |
$15K |
| 87502 |
|
1,106 |
976 |
$15K |
| 87591 |
|
1,380 |
1,244 |
$14K |
| J8597 |
Antiemetic drug oral nos |
4,331 |
3,853 |
$13K |
| 93970 |
|
54 |
50 |
$13K |
| 85379 |
|
2,679 |
2,432 |
$13K |
| 90715 |
|
579 |
539 |
$12K |
| 87631 |
|
863 |
775 |
$11K |
| 97140 |
|
815 |
291 |
$11K |
| 77066 |
Tomosynthesis, mammo |
225 |
217 |
$11K |
| 96374 |
|
17,785 |
15,077 |
$11K |
| 70553 |
|
30 |
27 |
$11K |
| 73502 |
|
467 |
426 |
$11K |
| 88305 |
|
2,293 |
1,451 |
$10K |
| 96372 |
|
7,555 |
5,473 |
$10K |
| 71250 |
|
126 |
111 |
$9K |
| 70491 |
|
12 |
12 |
$9K |
| 80179 |
|
4,501 |
3,814 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
602 |
438 |
$9K |
| 85027 |
|
8,425 |
6,285 |
$9K |
| 87633 |
|
115 |
96 |
$7K |
| 97166 |
|
30 |
29 |
$7K |
| J7030 |
Normal saline solution infus |
19,748 |
15,210 |
$7K |
| 77080 |
|
55 |
53 |
$6K |
| 70498 |
|
271 |
243 |
$6K |
| 73721 |
|
12 |
12 |
$6K |
| 96367 |
|
308 |
154 |
$5K |
| 84443 |
|
2,084 |
1,844 |
$5K |
| 73080 |
|
359 |
335 |
$5K |
| 87086 |
|
11,775 |
10,313 |
$4K |
| 97112 |
|
130 |
66 |
$4K |
| J2405 |
Ondansetron hcl injection |
12,940 |
10,173 |
$4K |
| 29125 |
|
43 |
40 |
$4K |
| 90791 |
|
12 |
12 |
$4K |
| 87507 |
|
36 |
28 |
$4K |
| 83605 |
|
3,690 |
2,801 |
$4K |
| 83735 |
|
10,963 |
8,449 |
$4K |
| 87186 |
|
3,515 |
2,848 |
$4K |
| 87798 |
|
211 |
169 |
$4K |
| 73140 |
|
192 |
183 |
$3K |
| J7120 |
Ringers lactate infusion |
5,231 |
3,990 |
$3K |
| 83036 |
|
1,726 |
1,511 |
$3K |
| 81001 |
|
11,665 |
10,113 |
$3K |
| 96375 |
|
13,324 |
10,397 |
$3K |
| 90471 |
|
793 |
664 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
10,845 |
8,822 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,441 |
9,814 |
$3K |
| J7050 |
Normal saline solution infus |
10,830 |
3,646 |
$3K |
| 83690 |
|
10,072 |
8,525 |
$2K |
| 97535 |
|
65 |
41 |
$2K |
| 97116 |
|
109 |
51 |
$2K |
| J2270 |
Morphine sulfate injection |
7,078 |
5,165 |
$2K |
| 73590 |
|
162 |
155 |
$2K |
| 72141 |
|
13 |
12 |
$2K |
| 72131 |
|
50 |
49 |
$2K |
| 74174 |
|
12 |
12 |
$2K |
| 87430 |
|
3,596 |
3,360 |
$2K |
| 82962 |
|
5,631 |
3,178 |
$2K |
| 36415 |
|
3,421 |
3,007 |
$2K |
| 81025 |
|
7,388 |
6,539 |
$2K |
| 85610 |
|
4,979 |
4,073 |
$2K |
| 84702 |
|
2,774 |
2,373 |
$2K |
| 87491 |
|
1,320 |
1,192 |
$2K |
| 81003 |
|
9,223 |
8,189 |
$2K |
| 84703 |
|
7,842 |
7,000 |
$2K |
| 80061 |
|
359 |
318 |
$2K |
| 74019 |
|
66 |
61 |
$2K |
| 86140 |
|
1,123 |
982 |
$2K |
| J3010 |
Fentanyl citrate injection |
4,915 |
3,776 |
$1K |
| 87070 |
|
4,039 |
3,659 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
214 |
171 |
$1K |
| 87804 |
|
3,546 |
3,269 |
$1K |
| 86850 |
|
1,441 |
1,216 |
$1K |
| U0005 |
Infec agen detec ampli probe |
1,469 |
1,296 |
$1K |
| 73090 |
|
181 |
158 |
$1K |
| J7040 |
Normal saline solution infus |
1,886 |
1,634 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
4,059 |
3,336 |
$1K |
| 77065 |
Tomosynthesis, mammo |
27 |
25 |
$1K |
| 86900 |
|
1,831 |
1,460 |
$1K |
| 87486 |
|
129 |
109 |
$1K |
| 76882 |
|
13 |
13 |
$1K |
| 86901 |
|
2,740 |
2,241 |
$959.20 |
| 96376 |
|
5,388 |
3,360 |
$958.55 |
| 87581 |
|
115 |
96 |
$927.88 |
| 80076 |
|
372 |
326 |
$925.49 |
| 72040 |
|
12 |
12 |
$845.39 |
| 72050 |
|
14 |
14 |
$749.74 |
| 85007 |
|
396 |
337 |
$726.23 |
| 87634 |
|
28 |
28 |
$693.92 |
| 72081 |
|
14 |
14 |
$692.42 |
| 84112 |
|
32 |
30 |
$669.33 |
| 72070 |
|
41 |
36 |
$615.17 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,227 |
899 |
$576.87 |
| J1200 |
Diphenhydramine hcl injectio |
2,460 |
2,107 |
$576.27 |
| 84145 |
|
138 |
123 |
$536.42 |
| 85652 |
|
858 |
750 |
$507.42 |
| J2060 |
Lorazepam injection |
1,055 |
818 |
$496.50 |
| 87184 |
|
1,397 |
1,136 |
$485.66 |
| 86923 |
|
21 |
12 |
$469.70 |
| 72072 |
|
13 |
12 |
$450.43 |
| 85730 |
|
2,475 |
2,089 |
$435.34 |
| J1100 |
Dexamethasone sodium phos |
5,159 |
4,528 |
$432.28 |
| 84439 |
|
108 |
99 |
$417.77 |
| J0696 |
Ceftriaxone sodium injection |
4,426 |
2,672 |
$380.97 |
| 84100 |
|
713 |
516 |
$361.00 |
| J3360 |
Diazepam injection |
588 |
357 |
$352.37 |
| 93010 |
|
74 |
50 |
$342.32 |
| 88304 |
|
220 |
195 |
$337.59 |
| J1815 |
Insulin injection |
1,637 |
656 |
$337.51 |
| 87150 |
|
395 |
212 |
$302.14 |
| 82550 |
|
1,733 |
1,401 |
$276.19 |
| J2550 |
Promethazine hcl injection |
713 |
531 |
$258.79 |
| 87210 |
|
720 |
654 |
$255.55 |
| 97802 |
|
12 |
12 |
$216.00 |
| J2543 |
Piperacillin/tazobactam |
954 |
466 |
$211.64 |
| J1644 |
Inj heparin sodium per 1000u |
1,601 |
706 |
$185.56 |
| 82570 |
|
104 |
98 |
$184.22 |
| 82248 |
|
42 |
24 |
$178.54 |
| 87081 |
|
1,149 |
951 |
$146.23 |
| 71101 |
|
13 |
12 |
$134.83 |
| 87205 |
|
454 |
332 |
$130.60 |
| A9270 |
Non-covered item or service |
12,942 |
2,343 |
$128.96 |
| 87637 |
|
12 |
12 |
$119.42 |
| J1170 |
Hydromorphone injection |
762 |
516 |
$110.95 |
| J3475 |
Inj magnesium sulfate |
795 |
628 |
$110.87 |
| J2930 |
Methylprednisolone injection |
377 |
318 |
$106.99 |
| J1650 |
Inj enoxaparin sodium |
1,302 |
645 |
$103.64 |
| J0690 |
Cefazolin sodium injection |
1,571 |
1,241 |
$101.69 |
| J1642 |
Inj heparin sodium per 10 u |
959 |
284 |
$100.08 |
| 87880 |
|
1,995 |
1,928 |
$93.84 |
| 88342 |
|
82 |
62 |
$85.98 |
| 87077 |
|
449 |
346 |
$78.59 |
| 82565 |
|
85 |
81 |
$68.44 |
| 82803 |
|
163 |
137 |
$59.59 |
| J2765 |
Metoclopramide hcl injection |
1,196 |
1,027 |
$54.33 |
| J2704 |
Inj, propofol, 10 mg |
4,599 |
3,690 |
$47.31 |
| 84156 |
|
45 |
40 |
$34.62 |
| J7620 |
Albuterol ipratrop non-comp |
607 |
466 |
$34.57 |
| J7510 |
Prednisolone oral per 5 mg |
241 |
239 |
$33.46 |
| 82150 |
|
124 |
101 |
$28.39 |
| C9113 |
Inj pantoprazole sodium, via |
308 |
169 |
$24.43 |
| J7613 |
Albuterol non-comp unit |
451 |
369 |
$20.68 |
| J0780 |
Prochlorperazine injection |
505 |
470 |
$17.46 |
| C1751 |
Cath, inf, per/cent/midline |
288 |
199 |
$6.49 |
| J3370 |
Vancomycin hcl injection |
153 |
84 |
$5.75 |
| J2710 |
Neostigmine methylslfte inj |
136 |
115 |
$5.72 |
| J1630 |
Haloperidol injection |
31 |
25 |
$2.28 |
| J0330 |
Succinycholine chloride inj |
14 |
12 |
$1.44 |
| G1004 |
Cdsm ndsc |
1,512 |
1,037 |
$0.86 |
| Q0163 |
Diphenhydramine hcl 50mg |
13 |
12 |
$0.76 |
| J8499 |
Oral prescrip drug non chemo |
429 |
190 |
$0.35 |
| A9585 |
Gadobutrol injection |
721 |
660 |
$0.00 |
| 94760 |
|
19 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
134 |
122 |
$0.00 |
| J7999 |
Compounded drug, noc |
366 |
294 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,336 |
1,261 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
154 |
134 |
$0.00 |
| C1769 |
Guide wire |
212 |
164 |
$0.00 |
| J3480 |
Inj potassium chloride |
39 |
27 |
$0.00 |
| J8540 |
Oral dexamethasone |
35 |
27 |
$0.00 |
| P9612 |
Catheterize for urine spec |
31 |
27 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
27 |
27 |
$0.00 |
| J1940 |
Furosemide injection |
20 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
15 |
12 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
18 |
14 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
273 |
239 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
63 |
54 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
92 |
74 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
352 |
310 |
$0.00 |
| 82805 |
|
73 |
67 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
89 |
60 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
16 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
28 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
85 |
31 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
12 |
12 |
$0.00 |