| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
82,161 |
66,387 |
$8.97M |
| G0378 |
Hospital observation per hr |
44,823 |
29,830 |
$4.96M |
| 99284 |
|
38,581 |
34,012 |
$3.58M |
| 74177 |
|
12,603 |
10,565 |
$3.20M |
| 70450 |
|
20,537 |
17,384 |
$2.17M |
| 99283 |
|
34,431 |
28,255 |
$1.81M |
| 74176 |
|
8,568 |
7,268 |
$1.69M |
| 78452 |
|
2,722 |
2,321 |
$1.34M |
| 71275 |
|
4,572 |
3,844 |
$1.27M |
| 80307 |
|
51,198 |
39,932 |
$1.13M |
| 96361 |
|
45,300 |
32,858 |
$1.05M |
| 96374 |
|
56,110 |
43,610 |
$882K |
| 96375 |
|
53,837 |
37,161 |
$865K |
| 72125 |
|
4,477 |
3,904 |
$683K |
| 93306 |
|
4,763 |
3,889 |
$634K |
| 11042 |
|
10,878 |
4,435 |
$508K |
| 96365 |
|
17,684 |
13,906 |
$477K |
| 96372 |
|
38,958 |
22,943 |
$459K |
| 96376 |
|
28,272 |
14,206 |
$374K |
| 96360 |
|
11,888 |
10,468 |
$353K |
| 85025 |
|
130,944 |
83,747 |
$353K |
| 72131 |
|
2,075 |
1,800 |
$314K |
| 93005 |
|
68,583 |
51,238 |
$304K |
| 80053 |
|
71,188 |
56,202 |
$298K |
| 84484 |
|
70,656 |
35,683 |
$288K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,148 |
17,225 |
$257K |
| J2785 |
Regadenoson injection |
2,594 |
2,205 |
$257K |
| 70496 |
|
847 |
706 |
$254K |
| 71045 |
|
47,192 |
37,512 |
$253K |
| 11045 |
|
1,514 |
688 |
$252K |
| 96366 |
|
8,667 |
5,262 |
$239K |
| 0450 |
|
5,248 |
4,557 |
$235K |
| 99282 |
|
6,974 |
6,231 |
$234K |
| 70498 |
|
829 |
694 |
$231K |
| 95819 |
|
1,422 |
1,035 |
$203K |
| 87636 |
|
3,267 |
3,057 |
$200K |
| A9500 |
Tc99m sestamibi |
2,712 |
2,316 |
$199K |
| 36415 |
|
154,698 |
90,186 |
$199K |
| 97162 |
|
6,398 |
5,270 |
$194K |
| 70551 |
|
946 |
747 |
$179K |
| 80048 |
|
48,266 |
35,418 |
$168K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,292 |
4,398 |
$166K |
| 93970 |
|
2,957 |
2,436 |
$155K |
| 84702 |
|
25,776 |
21,571 |
$151K |
| 70486 |
|
1,432 |
1,328 |
$150K |
| 76856 |
|
2,657 |
2,310 |
$149K |
| 97530 |
|
11,195 |
6,097 |
$144K |
| 76830 |
|
1,935 |
1,708 |
$134K |
| 83880 |
|
13,697 |
10,943 |
$128K |
| 76705 |
|
2,912 |
2,551 |
$127K |
| 97535 |
|
9,139 |
5,488 |
$124K |
| 93971 |
|
3,087 |
2,667 |
$119K |
| 70553 |
|
453 |
321 |
$115K |
| 71046 |
|
10,132 |
8,864 |
$115K |
| J2270 |
Morphine sulfate injection |
35,692 |
21,992 |
$93K |
| 83605 |
|
25,305 |
17,971 |
$93K |
| 83690 |
|
34,230 |
27,407 |
$91K |
| 71250 |
|
896 |
720 |
$89K |
| 83735 |
|
46,372 |
24,324 |
$81K |
| 97166 |
|
2,638 |
2,234 |
$81K |
| 76801 |
|
1,280 |
1,126 |
$76K |
| 90715 |
|
2,192 |
1,988 |
$73K |
| 99281 |
|
2,963 |
2,737 |
$68K |
| 87040 |
|
16,056 |
8,409 |
$65K |
| 94640 |
|
9,007 |
7,235 |
$64K |
| 87502 |
|
2,206 |
1,781 |
$61K |
| 87635 |
|
3,034 |
2,223 |
$57K |
| 81001 |
|
45,702 |
37,743 |
$52K |
| 73564 |
|
3,034 |
2,714 |
$50K |
| 99291 |
|
295 |
261 |
$50K |
| J3486 |
Ziprasidone mesylate |
2,196 |
1,712 |
$50K |
| 85730 |
|
30,766 |
23,602 |
$50K |
| 87641 |
|
7,640 |
5,948 |
$50K |
| J3370 |
Vancomycin hcl injection |
5,541 |
2,921 |
$49K |
| 87086 |
|
17,140 |
14,395 |
$49K |
| 43239 |
|
289 |
223 |
$49K |
| 96367 |
|
3,929 |
2,947 |
$45K |
| 93017 |
|
2,713 |
2,309 |
$43K |
| 82550 |
|
19,190 |
14,474 |
$43K |
| 87651 |
|
2,561 |
2,258 |
$43K |
| 85610 |
|
36,170 |
27,642 |
$40K |
| 87491 |
|
2,516 |
2,136 |
$39K |
| 97161 |
|
1,305 |
1,048 |
$39K |
| 84443 |
|
10,544 |
8,561 |
$39K |
| 87591 |
|
2,502 |
2,124 |
$39K |
| 97116 |
|
4,590 |
2,893 |
$38K |
| 73630 |
|
2,769 |
2,476 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
14,603 |
9,853 |
$35K |
| 81025 |
|
13,801 |
11,937 |
$35K |
| 94060 |
|
878 |
815 |
$33K |
| 99213 |
|
1,144 |
781 |
$33K |
| 82962 |
|
44,720 |
14,323 |
$31K |
| 73610 |
|
2,151 |
1,933 |
$31K |
| 85379 |
|
8,374 |
7,079 |
$31K |
| 97163 |
|
1,133 |
923 |
$30K |
| 97110 |
|
3,065 |
1,754 |
$30K |
| 73130 |
|
1,869 |
1,688 |
$30K |
| 80069 |
|
22,625 |
10,870 |
$29K |
| 80076 |
|
10,491 |
7,750 |
$29K |
| 10060 |
|
412 |
381 |
$27K |
| 76817 |
|
488 |
431 |
$27K |
| 0241U |
|
2,181 |
1,946 |
$27K |
| 92610 |
|
1,113 |
898 |
$27K |
| G0257 |
Unsched dialysis esrd pt hos |
474 |
231 |
$27K |
| 87186 |
|
8,793 |
6,106 |
$26K |
| 74022 |
|
1,386 |
1,182 |
$26K |
| 73030 |
|
2,140 |
1,903 |
$25K |
| A9585 |
Gadobutrol injection |
1,272 |
953 |
$24K |
| 0250 |
|
1,496 |
547 |
$24K |
| 72100 |
|
1,871 |
1,652 |
$24K |
| J2930 |
Methylprednisolone injection |
4,103 |
2,995 |
$23K |
| 80074 |
|
2,592 |
2,103 |
$23K |
| 84145 |
|
3,912 |
2,890 |
$22K |
| 90471 |
|
2,162 |
1,944 |
$22K |
| J0360 |
Hydralazine hcl injection |
5,804 |
3,945 |
$22K |
| 93880 |
|
324 |
266 |
$21K |
| 94729 |
|
858 |
796 |
$21K |
| 82803 |
|
4,415 |
3,046 |
$21K |
| 47563 |
|
14 |
13 |
$20K |
| 76700 |
|
643 |
509 |
$20K |
| J2405 |
Ondansetron hcl injection |
44,021 |
31,499 |
$20K |
| 73110 |
|
1,068 |
972 |
$20K |
| 97165 |
|
810 |
622 |
$19K |
| 85027 |
|
9,133 |
5,790 |
$19K |
| Z7502 |
|
521 |
445 |
$19K |
| J2358 |
Olanzapine long-acting inj |
1,104 |
819 |
$19K |
| 70491 |
|
121 |
109 |
$19K |
| 0762 |
|
18 |
13 |
$19K |
| 80061 |
|
4,571 |
3,815 |
$18K |
| 0270 |
|
1,638 |
944 |
$18K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
748 |
623 |
$18K |
| J1644 |
Inj heparin sodium per 1000u |
17,798 |
7,384 |
$18K |
| J1953 |
Levetiracetam injection |
2,599 |
1,455 |
$17K |
| J2543 |
Piperacillin/tazobactam |
3,311 |
1,833 |
$17K |
| 97167 |
|
542 |
449 |
$17K |
| 83036 |
|
6,692 |
5,645 |
$17K |
| 97602 |
|
1,298 |
981 |
$16K |
| 73502 |
|
1,282 |
1,103 |
$15K |
| 82140 |
|
4,094 |
3,069 |
$15K |
| P9016 |
Rbc leukocytes reduced |
270 |
193 |
$15K |
| 81003 |
|
18,212 |
15,118 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
11,387 |
9,415 |
$13K |
| C9803 |
Hopd covid-19 spec collect |
11,003 |
9,071 |
$13K |
| 74174 |
|
31 |
26 |
$13K |
| J3010 |
Fentanyl citrate injection |
11,674 |
9,225 |
$13K |
| 94726 |
|
481 |
453 |
$12K |
| C1781 |
Mesh (implantable) |
145 |
131 |
$12K |
| J1170 |
Hydromorphone injection |
7,675 |
4,980 |
$12K |
| J1650 |
Inj enoxaparin sodium |
4,582 |
2,040 |
$12K |
| 94660 |
|
119 |
55 |
$12K |
| 87077 |
|
2,901 |
2,187 |
$11K |
| 87661 |
|
613 |
572 |
$11K |
| 99203 |
|
237 |
226 |
$11K |
| J0780 |
Prochlorperazine injection |
1,839 |
1,496 |
$10K |
| 86140 |
|
6,856 |
5,078 |
$10K |
| 96368 |
|
1,226 |
1,017 |
$9K |
| J3490 |
Drugs unclassified injection |
709 |
447 |
$9K |
| 76775 |
|
656 |
543 |
$9K |
| J1100 |
Dexamethasone sodium phos |
12,225 |
10,098 |
$9K |
| 74018 |
|
1,115 |
828 |
$9K |
| J3475 |
Inj magnesium sulfate |
4,871 |
3,632 |
$8K |
| 71101 |
|
513 |
465 |
$8K |
| 82607 |
|
2,339 |
1,899 |
$8K |
| U0005 |
Infec agen detec ampli probe |
2,888 |
2,377 |
$8K |
| 87389 |
|
1,781 |
1,460 |
$8K |
| J0692 |
Cefepime hcl for injection |
1,928 |
907 |
$8K |
| J1790 |
Droperidol injection |
642 |
554 |
$8K |
| J1815 |
Insulin injection |
1,397 |
902 |
$7K |
| 87070 |
|
3,900 |
2,927 |
$7K |
| 84439 |
|
5,478 |
4,353 |
$7K |
| J2060 |
Lorazepam injection |
11,478 |
8,455 |
$6K |
| C9113 |
Inj pantoprazole sodium, via |
5,336 |
2,813 |
$6K |
| 36600 |
|
2,256 |
1,683 |
$6K |
| 87798 |
|
940 |
465 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
9,344 |
6,734 |
$6K |
| 82330 |
|
1,564 |
1,258 |
$6K |
| 84481 |
|
3,711 |
2,907 |
$6K |
| J0456 |
Azithromycin |
2,905 |
1,851 |
$6K |
| 87205 |
|
5,361 |
3,877 |
$6K |
| J2765 |
Metoclopramide hcl injection |
7,501 |
5,488 |
$6K |
| 73080 |
|
369 |
340 |
$6K |
| 73590 |
|
545 |
492 |
$6K |
| J3480 |
Inj potassium chloride |
2,300 |
1,523 |
$6K |
| 76805 |
|
69 |
62 |
$6K |
| J2800 |
Methocarbamol injection |
1,187 |
933 |
$5K |
| 72128 |
|
78 |
68 |
$5K |
| 99199 |
|
112 |
66 |
$5K |
| 86901 |
|
6,428 |
5,297 |
$5K |
| 82010 |
|
1,811 |
1,490 |
$5K |
| 82746 |
|
1,699 |
1,374 |
$5K |
| 86900 |
|
6,257 |
5,135 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
9,072 |
7,340 |
$5K |
| J0690 |
Cefazolin sodium injection |
5,017 |
3,737 |
$5K |
| 11043 |
|
29 |
17 |
$5K |
| J7030 |
Normal saline solution infus |
633 |
521 |
$5K |
| 97597 |
|
716 |
482 |
$5K |
| 94664 |
|
704 |
494 |
$5K |
| 99070 |
|
610 |
238 |
$5K |
| 82728 |
|
2,282 |
1,747 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,127 |
2,212 |
$4K |
| 73700 |
|
31 |
25 |
$4K |
| J1940 |
Furosemide injection |
4,097 |
2,001 |
$4K |
| 86850 |
|
5,209 |
4,213 |
$4K |
| 72040 |
|
339 |
287 |
$4K |
| 84132 |
|
3,731 |
2,871 |
$4K |
| 36430 |
|
327 |
234 |
$4K |
| J3411 |
Thiamine hcl 100 mg |
977 |
628 |
$4K |
| J2920 |
Methylprednisolone injection |
635 |
308 |
$4K |
| 94644 |
|
235 |
194 |
$4K |
| 94727 |
|
291 |
264 |
$4K |
| J1630 |
Haloperidol injection |
2,529 |
1,891 |
$4K |
| 84100 |
|
4,683 |
3,530 |
$4K |
| J1756 |
Iron sucrose injection |
100 |
25 |
$4K |
| 87486 |
|
571 |
445 |
$3K |
| 87581 |
|
571 |
445 |
$3K |
| G0008 |
Admin influenza virus vac |
692 |
549 |
$3K |
| 87633 |
|
563 |
437 |
$3K |
| 99212 |
|
231 |
198 |
$3K |
| J2359 |
Inj. olanzapine, 0.5mg |
266 |
167 |
$3K |
| 86923 |
|
469 |
360 |
$3K |
| J2001 |
Lidocaine injection |
5,548 |
4,528 |
$3K |
| 80202 |
|
486 |
268 |
$3K |
| 87210 |
|
1,498 |
1,239 |
$3K |
| 86780 |
|
434 |
375 |
$3K |
| 83550 |
|
2,311 |
1,821 |
$3K |
| 85652 |
|
3,688 |
2,825 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
364 |
256 |
$3K |
| 76870 |
|
92 |
81 |
$2K |
| G0463 |
Hospital outpt clinic visit |
112 |
88 |
$2K |
| 87075 |
|
739 |
608 |
$2K |
| 83540 |
|
2,296 |
1,827 |
$2K |
| 91200 |
|
116 |
109 |
$2K |
| J0500 |
Dicyclomine injection |
121 |
110 |
$2K |
| 73090 |
|
152 |
141 |
$2K |
| 90686 |
|
690 |
555 |
$2K |
| 87563 |
|
125 |
120 |
$2K |
| 84295 |
|
1,559 |
1,241 |
$2K |
| 85014 |
|
3,081 |
2,133 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
404 |
310 |
$1K |
| J2795 |
Ropivacaine hcl injection |
1,424 |
1,258 |
$1K |
| 82805 |
|
138 |
125 |
$1K |
| 64721 |
|
13 |
12 |
$1K |
| C1769 |
Guide wire |
1,092 |
821 |
$1K |
| 82570 |
|
1,660 |
1,109 |
$1K |
| 85046 |
|
1,427 |
1,052 |
$1K |
| 12001 |
|
42 |
42 |
$1K |
| 85018 |
|
3,135 |
2,172 |
$1K |
| Z7610 |
|
113 |
31 |
$1K |
| 76377 |
|
33 |
24 |
$1K |
| 29125 |
|
69 |
53 |
$1K |
| 87449 |
|
523 |
439 |
$1K |
| 72072 |
|
85 |
68 |
$994.45 |
| 87081 |
|
778 |
570 |
$979.20 |
| J0131 |
Inj, acetaminophen (nos) |
216 |
196 |
$917.77 |
| J2250 |
Inj midazolam hydrochloride |
6,329 |
5,105 |
$904.76 |
| 83615 |
|
897 |
640 |
$856.61 |
| P9046 |
Albumin (human), 25%, 20 ml |
35 |
13 |
$845.35 |
| 87276 |
|
380 |
333 |
$817.12 |
| 84300 |
|
1,449 |
1,086 |
$791.99 |
| J2916 |
Na ferric gluconate complex |
55 |
26 |
$784.02 |
| 83930 |
|
863 |
643 |
$780.64 |
| 87275 |
|
381 |
333 |
$777.62 |
| 88305 |
|
821 |
553 |
$674.60 |
| J2470 |
Inj pantoprazole sodium 40mg |
280 |
177 |
$619.91 |
| 80164 |
|
232 |
142 |
$600.20 |
| 87184 |
|
328 |
271 |
$581.22 |
| 85520 |
|
124 |
55 |
$579.54 |
| J0330 |
Succinycholine chloride inj |
996 |
829 |
$517.16 |
| 87631 |
|
206 |
181 |
$506.77 |
| J8540 |
Oral dexamethasone |
274 |
220 |
$468.17 |
| 99152 |
|
58 |
51 |
$457.78 |
| J0171 |
Adrenalin epinephrine inject |
70 |
51 |
$409.44 |
| J1920 |
Inj, labetalol hcl, 5mg |
1,160 |
654 |
$327.77 |
| 72170 |
|
48 |
39 |
$299.92 |
| J3360 |
Diazepam injection |
39 |
28 |
$258.94 |
| U0001 |
2019-ncov diagnostic p |
21 |
18 |
$251.38 |
| 73140 |
|
14 |
14 |
$227.73 |
| 84550 |
|
168 |
147 |
$223.70 |
| 82947 |
|
107 |
92 |
$217.34 |
| J1836 |
Inj, metronidazole, 10 mg |
355 |
178 |
$217.14 |
| 82542 |
|
53 |
39 |
$195.91 |
| 83935 |
|
267 |
193 |
$191.73 |
| 73552 |
|
12 |
12 |
$155.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
190 |
151 |
$149.20 |
| 87899 |
|
205 |
169 |
$148.15 |
| 83970 |
|
19 |
12 |
$118.55 |
| 85384 |
|
184 |
114 |
$110.01 |
| J0744 |
Ciprofloxacin iv |
21 |
15 |
$107.23 |
| 84540 |
|
406 |
302 |
$100.69 |
| A4217 |
Sterile water/saline, 500 ml |
14 |
13 |
$100.43 |
| A9270 |
Non-covered item or service |
49,871 |
7,001 |
$100.30 |
| 84156 |
|
157 |
109 |
$92.50 |
| J0736 |
Inj, clindamycin phosp 300mg |
98 |
72 |
$87.97 |
| 84133 |
|
177 |
122 |
$76.65 |
| 82248 |
|
53 |
40 |
$72.63 |
| 82436 |
|
154 |
105 |
$68.86 |
| 87430 |
|
76 |
70 |
$68.31 |
| 82565 |
|
29 |
24 |
$64.29 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
930 |
631 |
$57.79 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
28 |
15 |
$34.85 |
| 83010 |
|
38 |
26 |
$34.32 |
| 84155 |
|
16 |
14 |
$23.28 |
| 84520 |
|
14 |
12 |
$21.60 |
| 83520 |
|
20 |
12 |
$17.66 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
106 |
101 |
$11.03 |
| J0612 |
Inj, calcium gluconate, nos |
12 |
12 |
$9.38 |
| 89051 |
|
17 |
12 |
$7.52 |
| 87181 |
|
15 |
12 |
$7.02 |
| 85007 |
|
102 |
48 |
$2.59 |
| G8989 |
Self care d/c status |
100 |
83 |
$0.01 |
| G8997 |
Swallow goal status |
58 |
54 |
$0.01 |
| G8996 |
Swallow current status |
57 |
53 |
$0.01 |
| G8987 |
Self care current status |
403 |
285 |
$0.01 |
| G8988 |
Self care goal status |
403 |
285 |
$0.01 |
| C1729 |
Cath, drainage |
45 |
39 |
$0.00 |
| 0353U |
|
712 |
668 |
$0.00 |
| G8979 |
Mobility goal status |
432 |
295 |
$0.00 |
| G8978 |
Mobility current status |
435 |
297 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
295 |
225 |
$0.00 |
| 88312 |
|
39 |
25 |
$0.00 |
| 0202U |
|
33 |
30 |
$0.00 |
| G8980 |
Mobility d/c status |
51 |
38 |
$0.00 |
| C1889 |
Implant/insert device, noc |
13 |
13 |
$0.00 |
| G8998 |
Swallow d/c status |
12 |
12 |
$0.00 |