| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,153 |
12,243 |
$1.44M |
| 96361 |
|
5,894 |
4,287 |
$1.35M |
| 99283 |
|
12,193 |
11,356 |
$1.31M |
| 74177 |
|
2,998 |
2,831 |
$949K |
| 96365 |
|
4,289 |
3,159 |
$644K |
| 59025 |
|
2,930 |
2,246 |
$460K |
| 70450 |
|
2,177 |
2,041 |
$443K |
| 76816 |
|
4,952 |
4,402 |
$411K |
| 76815 |
|
4,919 |
3,079 |
$397K |
| 99285 |
|
3,901 |
3,589 |
$384K |
| 87491 |
|
8,962 |
8,508 |
$327K |
| 74176 |
|
938 |
899 |
$284K |
| 80053 |
|
46,272 |
40,668 |
$266K |
| 99282 |
|
3,145 |
2,993 |
$255K |
| 76819 |
|
4,898 |
2,512 |
$244K |
| 96360 |
|
1,374 |
1,262 |
$237K |
| G0463 |
Hospital outpt clinic visit |
13,576 |
10,480 |
$219K |
| 87591 |
|
8,954 |
8,500 |
$217K |
| 96366 |
|
908 |
509 |
$188K |
| 84443 |
|
16,609 |
16,072 |
$184K |
| G0378 |
Hospital observation per hr |
2,758 |
1,865 |
$161K |
| 71260 |
|
761 |
725 |
$150K |
| 71275 |
|
544 |
509 |
$147K |
| 76811 |
|
1,740 |
1,639 |
$144K |
| 58661 |
|
27 |
24 |
$119K |
| 76817 |
|
2,092 |
1,532 |
$114K |
| 84439 |
|
9,405 |
8,945 |
$114K |
| J3490 |
Drugs unclassified injection |
26,909 |
10,394 |
$99K |
| 94640 |
|
1,814 |
1,125 |
$99K |
| 87635 |
|
1,988 |
1,916 |
$91K |
| 88305 |
|
4,140 |
3,585 |
$88K |
| 80061 |
|
13,449 |
13,072 |
$86K |
| 87086 |
|
11,968 |
11,062 |
$82K |
| 82306 |
|
3,059 |
2,988 |
$78K |
| 88142 |
|
3,535 |
3,382 |
$75K |
| U0002 |
Covid-19 lab test non-cdc |
1,929 |
1,850 |
$73K |
| 36591 |
|
2,144 |
1,244 |
$72K |
| 80307 |
|
2,661 |
2,454 |
$68K |
| 71046 |
|
2,077 |
1,981 |
$67K |
| 80055 |
|
2,586 |
2,419 |
$67K |
| 85025 |
|
29,507 |
25,180 |
$66K |
| 87631 |
|
568 |
544 |
$66K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,014 |
963 |
$62K |
| 84702 |
|
4,628 |
3,152 |
$60K |
| 99213 |
|
3,565 |
2,666 |
$60K |
| 96374 |
|
8,705 |
7,832 |
$59K |
| J7120 |
Ringers lactate infusion |
6,433 |
5,582 |
$58K |
| G0476 |
Hpv combo assay ca screen |
1,819 |
1,692 |
$56K |
| 76820 |
|
1,153 |
627 |
$55K |
| 87624 |
|
1,672 |
1,617 |
$53K |
| 43239 |
|
96 |
87 |
$53K |
| J7030 |
Normal saline solution infus |
5,555 |
4,555 |
$51K |
| 96375 |
|
7,161 |
5,730 |
$50K |
| 87653 |
|
1,274 |
1,248 |
$49K |
| 93005 |
|
7,808 |
6,921 |
$48K |
| 87502 |
|
1,560 |
1,509 |
$47K |
| 76856 |
|
257 |
241 |
$47K |
| 80048 |
|
9,413 |
7,976 |
$46K |
| 93971 |
|
350 |
333 |
$41K |
| 70553 |
|
104 |
101 |
$37K |
| 97110 |
|
703 |
254 |
$36K |
| 77063 |
|
512 |
507 |
$34K |
| 96372 |
|
5,054 |
3,300 |
$34K |
| 80050 |
|
2,215 |
1,959 |
$33K |
| 86141 |
|
4,320 |
3,861 |
$32K |
| 86803 |
|
3,180 |
3,022 |
$32K |
| 96376 |
|
3,295 |
1,893 |
$31K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,898 |
4,517 |
$30K |
| 71045 |
|
4,154 |
3,773 |
$28K |
| 71250 |
|
323 |
315 |
$27K |
| 93306 |
|
91 |
88 |
$25K |
| 86703 |
|
1,871 |
1,766 |
$24K |
| 82607 |
|
2,095 |
2,043 |
$24K |
| 83880 |
|
1,758 |
1,619 |
$23K |
| 86769 |
|
622 |
607 |
$23K |
| 76801 |
|
270 |
252 |
$23K |
| 87081 |
|
2,977 |
2,921 |
$23K |
| 87077 |
|
3,587 |
3,248 |
$21K |
| 86900 |
|
2,093 |
1,925 |
$18K |
| G0123 |
Screen cerv/vag thin layer |
2,604 |
2,532 |
$17K |
| 82728 |
|
1,706 |
1,640 |
$17K |
| 76642 |
|
107 |
102 |
$16K |
| 83550 |
|
2,538 |
2,444 |
$16K |
| 97161 |
|
404 |
375 |
$16K |
| 88307 |
|
331 |
310 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
893 |
704 |
$15K |
| 76830 |
|
381 |
365 |
$15K |
| 87389 |
|
2,384 |
2,261 |
$15K |
| 76705 |
|
93 |
93 |
$14K |
| 87186 |
|
3,309 |
3,082 |
$14K |
| 93976 |
|
208 |
199 |
$14K |
| 84144 |
|
788 |
666 |
$14K |
| 76821 |
|
253 |
128 |
$13K |
| 86780 |
|
1,159 |
1,127 |
$13K |
| 83655 |
|
747 |
738 |
$12K |
| G0480 |
Drug test def 1-7 classes |
1,366 |
1,199 |
$12K |
| 84703 |
|
1,941 |
1,830 |
$12K |
| 83540 |
|
2,635 |
2,538 |
$12K |
| 87661 |
|
440 |
426 |
$11K |
| 86850 |
|
1,152 |
1,037 |
$11K |
| 70491 |
|
41 |
37 |
$11K |
| 84484 |
|
4,092 |
3,489 |
$10K |
| J8499 |
Oral prescrip drug non chemo |
32,375 |
8,055 |
$10K |
| 83690 |
|
4,298 |
3,900 |
$10K |
| 84145 |
|
1,745 |
1,591 |
$9K |
| 99211 |
|
335 |
323 |
$9K |
| 83735 |
|
3,284 |
2,337 |
$8K |
| 76700 |
|
52 |
50 |
$8K |
| J1170 |
Hydromorphone injection |
2,716 |
1,943 |
$8K |
| 84481 |
|
1,000 |
890 |
$8K |
| 72148 |
|
55 |
53 |
$7K |
| 84153 |
|
664 |
637 |
$7K |
| 82570 |
|
1,723 |
1,472 |
$7K |
| 83036 |
|
1,003 |
966 |
$7K |
| 85027 |
|
2,920 |
2,178 |
$7K |
| 81001 |
|
6,483 |
5,947 |
$7K |
| 36415 |
|
2,549 |
2,196 |
$7K |
| 82746 |
|
786 |
767 |
$6K |
| 82962 |
|
5,784 |
3,169 |
$6K |
| 88304 |
|
499 |
482 |
$6K |
| 87634 |
|
857 |
826 |
$6K |
| 80074 |
|
485 |
469 |
$6K |
| 85007 |
|
2,739 |
1,902 |
$6K |
| 77336 |
|
46 |
13 |
$6K |
| 87651 |
|
303 |
290 |
$5K |
| U0005 |
Infec agen detec ampli probe |
304 |
284 |
$5K |
| 85379 |
|
1,718 |
1,624 |
$5K |
| J1756 |
Iron sucrose injection |
79 |
38 |
$5K |
| 97597 |
|
24 |
12 |
$5K |
| J8501 |
Oral aprepitant |
35 |
31 |
$5K |
| 84156 |
|
1,751 |
1,431 |
$5K |
| 97140 |
|
86 |
27 |
$5K |
| 86038 |
|
432 |
414 |
$5K |
| 87205 |
|
1,669 |
1,574 |
$5K |
| 99156 |
|
1,470 |
1,374 |
$4K |
| 84146 |
|
350 |
330 |
$4K |
| 87088 |
|
614 |
588 |
$4K |
| 83605 |
|
1,884 |
1,642 |
$4K |
| 85610 |
|
2,691 |
2,345 |
$4K |
| G0103 |
Psa screening |
407 |
396 |
$4K |
| 82565 |
|
1,515 |
1,442 |
$4K |
| 97530 |
|
409 |
208 |
$4K |
| J2270 |
Morphine sulfate injection |
1,871 |
1,390 |
$4K |
| 86901 |
|
2,022 |
1,857 |
$4K |
| J2405 |
Ondansetron hcl injection |
5,747 |
4,528 |
$4K |
| 87040 |
|
1,000 |
786 |
$4K |
| 87147 |
|
624 |
609 |
$3K |
| 81003 |
|
4,216 |
3,907 |
$3K |
| J7040 |
Normal saline solution infus |
1,290 |
1,079 |
$3K |
| 82247 |
|
532 |
392 |
$3K |
| 45380 |
|
15 |
13 |
$3K |
| 82784 |
|
358 |
307 |
$3K |
| J7050 |
Normal saline solution infus |
3,501 |
2,716 |
$3K |
| 90715 |
|
118 |
116 |
$3K |
| 82533 |
|
218 |
181 |
$3K |
| 87070 |
|
605 |
561 |
$3K |
| 96367 |
|
129 |
95 |
$3K |
| 83615 |
|
977 |
749 |
$3K |
| 85651 |
|
700 |
634 |
$2K |
| 82105 |
|
198 |
181 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,457 |
2,215 |
$2K |
| 83001 |
|
202 |
194 |
$2K |
| 90471 |
|
272 |
257 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
2,402 |
2,213 |
$2K |
| 82465 |
|
388 |
382 |
$2K |
| 80081 |
|
192 |
177 |
$2K |
| 85730 |
|
1,197 |
1,107 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
5,145 |
3,274 |
$2K |
| 86787 |
|
193 |
184 |
$2K |
| 87340 |
|
283 |
272 |
$2K |
| J3010 |
Fentanyl citrate injection |
2,314 |
2,168 |
$2K |
| 74018 |
|
48 |
48 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| 82670 |
|
116 |
94 |
$2K |
| 84403 |
|
167 |
159 |
$2K |
| 80076 |
|
214 |
205 |
$1K |
| 88342 |
|
194 |
178 |
$1K |
| 99281 |
|
12 |
12 |
$1K |
| 76813 |
|
25 |
24 |
$1K |
| 97165 |
|
25 |
25 |
$1K |
| 71271 |
|
14 |
13 |
$1K |
| 82378 |
|
115 |
88 |
$1K |
| 97535 |
|
79 |
44 |
$1K |
| 83516 |
|
92 |
88 |
$1K |
| 86376 |
|
102 |
97 |
$961.90 |
| 88341 |
|
29 |
28 |
$954.00 |
| 87880 |
|
64 |
60 |
$937.36 |
| 86431 |
|
141 |
134 |
$860.19 |
| 76000 |
|
13 |
13 |
$807.42 |
| 97116 |
|
41 |
27 |
$778.15 |
| 94799 |
|
342 |
205 |
$771.76 |
| 73630 |
|
28 |
28 |
$722.32 |
| 87529 |
|
27 |
27 |
$712.66 |
| 77065 |
Tomosynthesis, mammo |
14 |
13 |
$705.96 |
| 82550 |
|
200 |
169 |
$645.21 |
| 86592 |
|
61 |
59 |
$636.23 |
| 77067 |
|
542 |
537 |
$622.71 |
| 99157 |
|
765 |
721 |
$547.33 |
| 82950 |
|
93 |
92 |
$539.60 |
| 82150 |
|
109 |
103 |
$499.46 |
| 73610 |
|
39 |
37 |
$490.89 |
| 82248 |
|
116 |
95 |
$488.04 |
| J1100 |
Dexamethasone sodium phos |
323 |
280 |
$460.03 |
| 84100 |
|
287 |
211 |
$452.60 |
| 81025 |
|
3,399 |
3,113 |
$418.61 |
| J0690 |
Cefazolin sodium injection |
1,412 |
1,158 |
$395.94 |
| 84550 |
|
109 |
106 |
$383.19 |
| J2930 |
Methylprednisolone injection |
69 |
59 |
$374.42 |
| 72125 |
|
40 |
39 |
$317.04 |
| 73562 |
|
56 |
54 |
$271.25 |
| J7620 |
Albuterol ipratrop non-comp |
366 |
238 |
$266.77 |
| 86762 |
|
43 |
42 |
$258.44 |
| 83970 |
|
14 |
13 |
$249.05 |
| 83002 |
|
25 |
25 |
$220.23 |
| 86800 |
|
25 |
25 |
$219.72 |
| 80143 |
|
428 |
387 |
$216.67 |
| 99212 |
|
97 |
82 |
$204.10 |
| 94760 |
|
882 |
499 |
$200.76 |
| 80179 |
|
402 |
364 |
$192.24 |
| 83525 |
|
13 |
12 |
$184.40 |
| A9585 |
Gadobutrol injection |
321 |
309 |
$177.84 |
| 73030 |
|
28 |
25 |
$167.01 |
| Q0162 |
Ondansetron oral |
695 |
644 |
$159.75 |
| 84681 |
|
13 |
13 |
$143.52 |
| 84270 |
|
17 |
15 |
$143.31 |
| J1644 |
Inj heparin sodium per 1000u |
314 |
229 |
$137.46 |
| 82947 |
|
27 |
27 |
$132.55 |
| J3535 |
Metered dose inhaler drug |
134 |
120 |
$132.16 |
| J1200 |
Diphenhydramine hcl injectio |
560 |
431 |
$127.44 |
| 87210 |
|
99 |
90 |
$122.56 |
| J2765 |
Metoclopramide hcl injection |
147 |
130 |
$117.27 |
| J0131 |
Inj, acetaminophen (nos) |
1,184 |
1,074 |
$103.39 |
| 80069 |
|
13 |
13 |
$99.55 |
| 85018 |
|
47 |
43 |
$91.28 |
| 80177 |
|
14 |
13 |
$87.45 |
| 82043 |
|
21 |
20 |
$74.67 |
| J1815 |
Insulin injection |
715 |
325 |
$73.49 |
| 88302 |
|
107 |
93 |
$71.36 |
| 73502 |
|
15 |
13 |
$66.96 |
| 86364 |
|
12 |
12 |
$58.10 |
| 86304 |
|
14 |
12 |
$52.24 |
| 80164 |
|
12 |
12 |
$47.61 |
| 82077 |
|
108 |
82 |
$42.31 |
| J2550 |
Promethazine hcl injection |
339 |
278 |
$34.95 |
| J1650 |
Inj enoxaparin sodium |
522 |
233 |
$29.48 |
| 87075 |
|
13 |
13 |
$28.82 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
140 |
129 |
$24.36 |
| 82010 |
|
12 |
12 |
$14.29 |
| 73130 |
|
13 |
12 |
$12.94 |
| Q0111 |
Wet mounts/ w preparations |
153 |
147 |
$11.43 |
| J2272 |
Inj, morphine (fresenius) |
15 |
14 |
$11.18 |
| J2060 |
Lorazepam injection |
384 |
284 |
$10.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
114 |
76 |
$9.20 |
| J0696 |
Ceftriaxone sodium injection |
440 |
323 |
$8.02 |
| J2250 |
Inj midazolam hydrochloride |
261 |
237 |
$7.16 |
| C1751 |
Cath, inf, per/cent/midline |
519 |
485 |
$0.00 |
| G1004 |
Cdsm ndsc |
154 |
145 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
81 |
70 |
$0.00 |
| 93770 |
|
139 |
121 |
$0.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
63 |
26 |
$0.00 |
| A4311 |
Catheter w/o bag 2-way latex |
61 |
52 |
$0.00 |
| 82800 |
|
13 |
13 |
$0.00 |
| C1758 |
Catheter, ureteral |
15 |
13 |
$0.00 |
| 72100 |
|
14 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
456 |
406 |
$0.00 |
| C1769 |
Guide wire |
477 |
432 |
$0.00 |
| 94761 |
|
423 |
205 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
43 |
34 |
$0.00 |
| 82803 |
|
14 |
13 |
$0.00 |
| 99214 |
|
12 |
12 |
$0.00 |
| 74022 |
|
12 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
27 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
59 |
52 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
13 |
$0.00 |
| A4364 |
Adhesive, liquid or equal |
18 |
15 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
14 |
14 |
$0.00 |