| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
32,905 |
27,692 |
$4.98M |
| 99284 |
|
24,076 |
20,217 |
$4.04M |
| 99285 |
|
14,961 |
12,518 |
$2.59M |
| 96361 |
|
7,732 |
6,270 |
$2.14M |
| 99282 |
|
10,108 |
8,436 |
$1.32M |
| 74177 |
|
4,505 |
3,942 |
$1.03M |
| 97110 |
|
22,187 |
5,554 |
$872K |
| 97530 |
|
16,873 |
4,917 |
$798K |
| 59025 |
|
5,315 |
3,458 |
$796K |
| 70450 |
|
3,876 |
3,351 |
$683K |
| 96365 |
|
4,321 |
3,626 |
$376K |
| 96360 |
|
2,596 |
2,247 |
$358K |
| 96366 |
|
1,327 |
962 |
$341K |
| 74176 |
|
1,653 |
1,407 |
$325K |
| 71275 |
|
1,423 |
1,253 |
$312K |
| 93975 |
|
2,444 |
2,125 |
$247K |
| G0378 |
Hospital observation per hr |
2,058 |
1,187 |
$230K |
| 74240 |
|
2,177 |
2,004 |
$227K |
| 76705 |
|
2,283 |
2,027 |
$187K |
| 94640 |
|
3,053 |
2,003 |
$186K |
| 97162 |
|
1,669 |
1,524 |
$182K |
| 80307 |
|
4,335 |
3,698 |
$178K |
| 11042 |
|
1,022 |
458 |
$175K |
| 97112 |
|
14,226 |
3,845 |
$164K |
| 97161 |
|
1,812 |
1,593 |
$155K |
| 93005 |
|
22,059 |
17,310 |
$138K |
| 80053 |
|
30,768 |
24,638 |
$117K |
| 97535 |
|
4,174 |
2,266 |
$107K |
| 99281 |
|
909 |
811 |
$95K |
| G0463 |
Hospital outpt clinic visit |
672 |
478 |
$91K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,789 |
3,529 |
$84K |
| 76817 |
|
1,406 |
1,200 |
$54K |
| 93971 |
|
636 |
550 |
$52K |
| 93306 |
|
155 |
141 |
$49K |
| 87635 |
|
1,885 |
1,662 |
$46K |
| 97016 |
|
1,826 |
497 |
$42K |
| C1776 |
Joint device (implantable) |
345 |
268 |
$40K |
| 87591 |
|
4,893 |
4,324 |
$40K |
| 0202U |
|
971 |
914 |
$37K |
| 97116 |
|
1,670 |
926 |
$36K |
| 80048 |
|
9,220 |
7,664 |
$36K |
| 83880 |
|
2,934 |
2,471 |
$25K |
| 97602 |
|
164 |
51 |
$25K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,309 |
1,063 |
$23K |
| 71046 |
|
7,349 |
6,579 |
$22K |
| 85025 |
|
36,529 |
28,930 |
$22K |
| 76830 |
|
366 |
320 |
$20K |
| 87040 |
|
2,638 |
1,391 |
$17K |
| 36415 |
|
13,040 |
9,565 |
$15K |
| 82553 |
|
6,666 |
4,660 |
$14K |
| 71045 |
|
11,007 |
9,156 |
$14K |
| 86850 |
|
4,693 |
3,929 |
$14K |
| 49083 |
|
27 |
16 |
$14K |
| 97165 |
|
253 |
197 |
$13K |
| 80076 |
|
2,619 |
2,345 |
$13K |
| 0346T |
|
218 |
189 |
$12K |
| 85379 |
|
2,678 |
2,318 |
$12K |
| J2405 |
Ondansetron hcl injection |
15,906 |
12,030 |
$11K |
| 72125 |
|
282 |
248 |
$10K |
| 76942 |
|
211 |
190 |
$10K |
| 84484 |
|
14,256 |
9,194 |
$10K |
| 93970 |
|
70 |
66 |
$10K |
| U0005 |
Infec agen detec ampli probe |
2,971 |
2,809 |
$10K |
| 82107 |
|
432 |
402 |
$9K |
| 96374 |
|
16,138 |
13,294 |
$8K |
| 85027 |
|
3,571 |
2,776 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
848 |
703 |
$8K |
| 87491 |
|
4,803 |
4,239 |
$7K |
| 97140 |
|
1,387 |
506 |
$7K |
| 85610 |
|
4,932 |
4,015 |
$7K |
| 84703 |
|
4,921 |
4,220 |
$5K |
| 86900 |
|
5,445 |
4,600 |
$5K |
| 83036 |
|
1,949 |
1,679 |
$5K |
| 85014 |
|
1,183 |
983 |
$5K |
| 88307 |
|
459 |
365 |
$5K |
| J7030 |
Normal saline solution infus |
13,227 |
10,618 |
$5K |
| 87521 |
Neg quan hep c or qual rna |
276 |
238 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
7,305 |
5,821 |
$4K |
| 87636 |
|
4,618 |
4,158 |
$4K |
| J1170 |
Hydromorphone injection |
4,796 |
2,958 |
$4K |
| 87641 |
|
413 |
355 |
$4K |
| 82728 |
|
688 |
630 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
10,221 |
8,215 |
$4K |
| J3490 |
Drugs unclassified injection |
10,399 |
5,728 |
$4K |
| 88305 |
|
2,061 |
1,692 |
$4K |
| 81025 |
|
13,268 |
11,317 |
$4K |
| 81001 |
|
16,736 |
14,044 |
$3K |
| J7120 |
Ringers lactate infusion |
14,135 |
8,125 |
$3K |
| 73630 |
|
923 |
834 |
$3K |
| 82962 |
|
8,993 |
4,287 |
$3K |
| 93976 |
|
53 |
47 |
$3K |
| 87086 |
|
6,136 |
5,175 |
$3K |
| 96375 |
|
12,291 |
9,635 |
$3K |
| 87661 |
|
1,671 |
1,477 |
$3K |
| 96372 |
|
6,875 |
5,042 |
$3K |
| 86901 |
|
5,442 |
4,599 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
332 |
262 |
$3K |
| 84443 |
|
770 |
684 |
$3K |
| 83540 |
|
830 |
745 |
$3K |
| 83605 |
|
2,533 |
1,966 |
$2K |
| 90715 |
|
141 |
134 |
$2K |
| 83735 |
|
8,485 |
6,554 |
$2K |
| J7040 |
Normal saline solution infus |
2,424 |
1,980 |
$2K |
| 81003 |
|
11,624 |
9,594 |
$2K |
| 80143 |
|
386 |
333 |
$2K |
| 80179 |
|
374 |
321 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,708 |
2,174 |
$2K |
| 74018 |
|
788 |
708 |
$2K |
| 72110 |
|
192 |
174 |
$2K |
| 83690 |
|
11,524 |
9,487 |
$2K |
| 96376 |
|
3,683 |
2,185 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
320 |
262 |
$2K |
| 84702 |
|
2,909 |
2,289 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,304 |
2,639 |
$2K |
| 99218 |
|
149 |
118 |
$1K |
| J2270 |
Morphine sulfate injection |
5,229 |
3,647 |
$1K |
| 85018 |
|
1,109 |
920 |
$1K |
| 73610 |
|
625 |
555 |
$1K |
| 82550 |
|
7,281 |
5,169 |
$1K |
| 85730 |
|
2,712 |
2,219 |
$1K |
| 87804 |
|
5,135 |
2,348 |
$1K |
| J2930 |
Methylprednisolone injection |
1,108 |
851 |
$1K |
| 73130 |
|
369 |
319 |
$1K |
| 87880 |
|
4,681 |
4,138 |
$996.02 |
| J2060 |
Lorazepam injection |
613 |
483 |
$983.67 |
| 82607 |
|
132 |
129 |
$967.20 |
| 73030 |
|
408 |
354 |
$922.82 |
| J2765 |
Metoclopramide hcl injection |
2,405 |
1,964 |
$906.84 |
| J3010 |
Fentanyl citrate injection |
8,491 |
5,701 |
$879.18 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,615 |
6,553 |
$866.77 |
| 82731 |
|
42 |
36 |
$762.86 |
| 73564 |
|
535 |
457 |
$725.09 |
| 80050 |
|
142 |
132 |
$704.18 |
| 82077 |
|
2,150 |
1,786 |
$700.24 |
| 87070 |
|
4,239 |
3,679 |
$680.58 |
| 87210 |
|
3,840 |
3,368 |
$624.06 |
| 90471 |
|
372 |
330 |
$613.58 |
| 87077 |
|
2,126 |
1,754 |
$584.86 |
| 84439 |
|
146 |
133 |
$528.45 |
| J1100 |
Dexamethasone sodium phos |
5,689 |
4,430 |
$492.20 |
| J8597 |
Antiemetic drug oral nos |
16 |
12 |
$441.68 |
| 87081 |
|
1,010 |
915 |
$395.80 |
| C9399 |
Unclassified drugs or biolog |
70 |
55 |
$383.48 |
| 84112 |
|
77 |
61 |
$380.93 |
| J0690 |
Cefazolin sodium injection |
4,381 |
2,894 |
$367.95 |
| 86704 |
|
59 |
51 |
$359.24 |
| 82746 |
|
95 |
93 |
$351.22 |
| 74022 |
|
188 |
157 |
$332.08 |
| 87186 |
|
1,836 |
1,499 |
$315.57 |
| 84425 |
|
26 |
26 |
$314.14 |
| 82306 |
|
28 |
26 |
$313.65 |
| J0500 |
Dicyclomine injection |
90 |
78 |
$309.61 |
| J2550 |
Promethazine hcl injection |
1,289 |
916 |
$299.71 |
| 87807 |
|
587 |
564 |
$288.11 |
| A9577 |
Inj multihance |
151 |
146 |
$284.82 |
| 85652 |
|
292 |
259 |
$280.50 |
| 86708 |
|
73 |
63 |
$279.31 |
| C9113 |
Inj pantoprazole sodium, via |
1,003 |
663 |
$272.87 |
| 86706 |
|
74 |
64 |
$260.50 |
| 74220 |
|
15 |
12 |
$254.12 |
| J0171 |
Adrenalin epinephrine inject |
767 |
604 |
$230.32 |
| 80061 |
|
63 |
51 |
$230.30 |
| 83550 |
|
76 |
63 |
$228.33 |
| 73562 |
|
304 |
260 |
$223.28 |
| 87340 |
|
70 |
60 |
$206.43 |
| 90686 |
|
16 |
14 |
$198.82 |
| 97166 |
|
15 |
12 |
$195.24 |
| 94762 |
|
194 |
172 |
$153.37 |
| 71260 |
|
13 |
12 |
$147.93 |
| 0100U |
|
40 |
27 |
$142.42 |
| 86677 |
|
18 |
14 |
$133.27 |
| J2001 |
Lidocaine injection |
1,476 |
1,154 |
$131.64 |
| J2710 |
Neostigmine methylslfte inj |
611 |
478 |
$120.89 |
| 76981 |
|
273 |
246 |
$113.82 |
| J1815 |
Insulin injection |
42 |
26 |
$106.72 |
| 73502 |
|
15 |
12 |
$89.30 |
| 80047 |
|
12 |
12 |
$85.41 |
| J2704 |
Inj, propofol, 10 mg |
7,426 |
5,268 |
$83.87 |
| 84132 |
|
70 |
54 |
$78.84 |
| J1650 |
Inj enoxaparin sodium |
777 |
348 |
$72.73 |
| 84550 |
|
105 |
79 |
$69.25 |
| J1644 |
Inj heparin sodium per 1000u |
839 |
376 |
$67.61 |
| 88304 |
|
22 |
18 |
$63.12 |
| J2370 |
Phenylephrine hcl injection |
825 |
673 |
$62.70 |
| 87147 |
|
806 |
546 |
$47.82 |
| 82140 |
|
17 |
14 |
$41.29 |
| J7050 |
Normal saline solution infus |
1,733 |
1,123 |
$36.87 |
| J2795 |
Ropivacaine hcl injection |
732 |
542 |
$32.21 |
| 87205 |
|
168 |
139 |
$31.54 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
706 |
586 |
$30.78 |
| 73090 |
|
13 |
12 |
$29.63 |
| J2272 |
Inj, morphine (fresenius) |
504 |
423 |
$26.80 |
| 87088 |
|
58 |
57 |
$19.60 |
| J3475 |
Inj magnesium sulfate |
284 |
206 |
$14.85 |
| J7510 |
Prednisolone oral per 5 mg |
86 |
81 |
$13.42 |
| J0330 |
Succinycholine chloride inj |
312 |
235 |
$11.23 |
| 82570 |
|
35 |
26 |
$6.01 |
| J0780 |
Prochlorperazine injection |
126 |
115 |
$5.57 |
| J1790 |
Droperidol injection |
217 |
182 |
$4.87 |
| 84156 |
|
57 |
36 |
$2.68 |
| 83615 |
|
16 |
12 |
$2.68 |
| C1769 |
Guide wire |
126 |
104 |
$2.50 |
| J3360 |
Diazepam injection |
35 |
27 |
$0.54 |
| 73110 |
|
95 |
62 |
$0.00 |
| 99152 |
|
18 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
288 |
253 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
428 |
343 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
173 |
148 |
$0.00 |
| C1729 |
Cath, drainage |
24 |
14 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
82 |
79 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
123 |
58 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
55 |
26 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
114 |
94 |
$0.00 |
| 96367 |
|
15 |
13 |
$0.00 |
| A4641 |
Radiopharm dx agent noc |
13 |
12 |
$0.00 |
| 89051 |
|
62 |
26 |
$0.00 |
| 88313 |
|
13 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
356 |
294 |
$0.00 |
| A9270 |
Non-covered item or service |
1,039 |
346 |
$0.00 |
| J3480 |
Inj potassium chloride |
16 |
15 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
222 |
172 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
540 |
382 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
127 |
91 |
$0.00 |
| Q0162 |
Ondansetron oral |
291 |
260 |
$0.00 |
| 82803 |
|
92 |
73 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
25 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
74 |
66 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
86 |
65 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
40 |
$0.00 |
| 94760 |
|
67 |
56 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
12 |
$0.00 |
| 87651 |
|
189 |
183 |
$0.00 |