| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
31,362 |
23,838 |
$11.35M |
| 99283 |
|
38,796 |
33,110 |
$9.57M |
| 99285 |
|
11,548 |
8,432 |
$4.86M |
| 74177 |
|
6,771 |
5,750 |
$3.66M |
| G0463 |
Hospital outpt clinic visit |
43,101 |
36,149 |
$1.87M |
| 99282 |
|
13,193 |
11,730 |
$1.82M |
| 74176 |
|
3,500 |
2,936 |
$1.62M |
| G0378 |
Hospital observation per hr |
9,847 |
6,072 |
$1.40M |
| 97110 |
|
16,659 |
5,580 |
$1.23M |
| 80307 |
|
23,955 |
18,129 |
$1.04M |
| 70450 |
|
4,606 |
3,852 |
$1.03M |
| 93005 |
|
19,492 |
15,337 |
$962K |
| 43239 |
|
2,901 |
2,223 |
$961K |
| 93306 |
|
2,203 |
1,856 |
$864K |
| 96375 |
|
21,383 |
14,515 |
$861K |
| 96374 |
|
22,210 |
15,166 |
$859K |
| 0202U |
|
3,639 |
3,247 |
$829K |
| 96413 |
|
6,091 |
2,822 |
$761K |
| 96365 |
|
11,462 |
6,496 |
$744K |
| 87633 |
|
1,723 |
1,537 |
$658K |
| 58662 |
|
630 |
406 |
$648K |
| G0480 |
Drug test def 1-7 classes |
11,792 |
8,127 |
$622K |
| 80053 |
|
47,522 |
37,258 |
$581K |
| 71045 |
|
12,199 |
9,978 |
$573K |
| 76830 |
|
2,379 |
2,191 |
$538K |
| 97140 |
|
7,780 |
3,118 |
$524K |
| 71275 |
|
1,442 |
1,218 |
$497K |
| 95810 |
|
710 |
639 |
$495K |
| 72125 |
|
1,407 |
1,235 |
$493K |
| 59025 |
|
5,457 |
3,542 |
$460K |
| 71046 |
|
7,362 |
6,282 |
$453K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
636 |
424 |
$417K |
| 96372 |
|
13,792 |
7,902 |
$415K |
| 85025 |
|
52,233 |
40,348 |
$387K |
| 76705 |
|
1,476 |
1,314 |
$380K |
| 96361 |
|
14,892 |
9,196 |
$355K |
| 36415 |
|
70,806 |
43,620 |
$345K |
| 70553 |
|
663 |
541 |
$298K |
| G0481 |
Drug test def 8-14 classes |
2,737 |
2,479 |
$276K |
| 72131 |
|
782 |
685 |
$273K |
| 73630 |
|
3,540 |
3,192 |
$270K |
| 96360 |
|
4,898 |
2,601 |
$243K |
| 58558 |
|
201 |
184 |
$237K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,739 |
10,038 |
$235K |
| 73130 |
|
2,984 |
2,647 |
$230K |
| 93458 |
|
367 |
120 |
$224K |
| 0241U |
|
2,739 |
2,259 |
$218K |
| 73030 |
|
2,594 |
2,209 |
$209K |
| 87635 |
|
5,310 |
4,669 |
$203K |
| 71260 |
|
722 |
565 |
$201K |
| 76642 |
|
2,502 |
2,264 |
$199K |
| 70551 |
|
590 |
525 |
$193K |
| 73610 |
|
2,485 |
2,205 |
$190K |
| 72100 |
|
2,061 |
1,795 |
$188K |
| 77067 |
|
3,921 |
3,743 |
$177K |
| 69436 |
|
361 |
335 |
$166K |
| 88305 |
|
1,328 |
1,178 |
$160K |
| 96376 |
|
5,419 |
3,550 |
$159K |
| 96367 |
|
4,297 |
1,500 |
$158K |
| 83880 |
|
5,389 |
4,291 |
$150K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,274 |
1,851 |
$132K |
| 87651 |
|
4,672 |
4,305 |
$129K |
| 93971 |
|
981 |
847 |
$126K |
| 84484 |
|
11,320 |
8,754 |
$123K |
| C1776 |
Joint device (implantable) |
134 |
59 |
$122K |
| 76817 |
|
1,281 |
1,133 |
$117K |
| 84703 |
|
14,134 |
12,230 |
$117K |
| 72148 |
|
375 |
331 |
$114K |
| 73560 |
|
1,474 |
1,280 |
$113K |
| 87507 |
|
343 |
300 |
$112K |
| 0240U |
|
1,742 |
1,542 |
$108K |
| 45385 |
|
264 |
187 |
$107K |
| 95811 |
|
143 |
135 |
$105K |
| 73110 |
|
1,510 |
1,290 |
$103K |
| 93017 |
|
337 |
296 |
$101K |
| 62323 |
|
745 |
453 |
$98K |
| 74240 |
|
645 |
562 |
$97K |
| 84443 |
|
5,985 |
5,169 |
$91K |
| 96366 |
|
3,030 |
1,994 |
$90K |
| 83970 |
|
2,579 |
2,383 |
$88K |
| 97162 |
|
1,551 |
1,242 |
$87K |
| 47562 |
|
46 |
42 |
$86K |
| J2704 |
Inj, propofol, 10 mg |
13,154 |
10,448 |
$86K |
| 87491 |
|
2,930 |
2,638 |
$85K |
| 87591 |
|
2,904 |
2,623 |
$84K |
| 74018 |
|
1,503 |
1,334 |
$83K |
| 87804 |
|
5,364 |
2,569 |
$83K |
| 82306 |
|
3,594 |
3,225 |
$83K |
| 73562 |
|
966 |
858 |
$83K |
| G0279 |
Tomosynthesis, mammo |
1,491 |
1,194 |
$81K |
| C1769 |
Guide wire |
1,264 |
677 |
$78K |
| 77063 |
|
4,505 |
3,913 |
$72K |
| 81001 |
|
24,818 |
21,143 |
$72K |
| J7030 |
Normal saline solution infus |
17,167 |
13,342 |
$71K |
| 84702 |
|
5,420 |
4,646 |
$70K |
| 80048 |
|
7,854 |
5,981 |
$70K |
| 83690 |
|
11,975 |
10,353 |
$68K |
| 96116 |
|
670 |
473 |
$67K |
| 97161 |
|
1,580 |
1,075 |
$64K |
| 83735 |
|
10,814 |
8,997 |
$64K |
| 77065 |
Tomosynthesis, mammo |
1,707 |
1,442 |
$60K |
| 64493 |
|
494 |
268 |
$60K |
| 83605 |
|
6,404 |
5,203 |
$59K |
| 94640 |
|
2,845 |
1,879 |
$59K |
| J0696 |
Ceftriaxone sodium injection |
5,668 |
4,606 |
$57K |
| 87086 |
|
8,422 |
7,226 |
$56K |
| 96415 |
|
1,087 |
722 |
$56K |
| 82728 |
|
4,373 |
3,936 |
$54K |
| 87486 |
|
1,528 |
1,378 |
$54K |
| 80076 |
|
3,731 |
2,433 |
$54K |
| 84145 |
|
2,515 |
2,193 |
$53K |
| 96136 |
|
810 |
704 |
$53K |
| 87798 |
|
1,551 |
1,399 |
$53K |
| 82947 |
|
10,816 |
5,585 |
$52K |
| 72040 |
|
671 |
561 |
$52K |
| 73564 |
|
780 |
690 |
$50K |
| J2795 |
Ropivacaine hcl injection |
2,904 |
2,310 |
$50K |
| 96137 |
|
820 |
713 |
$49K |
| 77066 |
Tomosynthesis, mammo |
1,434 |
1,190 |
$48K |
| 78452 |
|
171 |
89 |
$47K |
| 99152 |
|
1,355 |
929 |
$45K |
| 83921 |
|
2,536 |
2,371 |
$43K |
| 87040 |
|
3,708 |
2,210 |
$41K |
| J3010 |
Fentanyl citrate injection |
12,914 |
8,536 |
$41K |
| Q0163 |
Diphenhydramine hcl 50mg |
1,766 |
1,005 |
$40K |
| 85027 |
|
6,764 |
5,720 |
$39K |
| 99281 |
|
410 |
361 |
$39K |
| 97535 |
|
1,348 |
916 |
$38K |
| 80061 |
|
3,320 |
2,607 |
$38K |
| J1100 |
Dexamethasone sodium phos |
13,480 |
10,379 |
$38K |
| 95806 |
|
195 |
176 |
$37K |
| G0283 |
Elec stim other than wound |
1,407 |
494 |
$37K |
| 73502 |
|
686 |
594 |
$35K |
| 73721 |
|
82 |
78 |
$34K |
| 87581 |
|
1,522 |
1,377 |
$33K |
| J7050 |
Normal saline solution infus |
5,104 |
2,907 |
$33K |
| 90715 |
|
1,141 |
1,062 |
$32K |
| 82330 |
|
2,143 |
1,479 |
$32K |
| 82565 |
|
3,557 |
2,303 |
$32K |
| 85610 |
|
7,809 |
6,396 |
$31K |
| U0005 |
Infec agen detec ampli probe |
1,577 |
1,372 |
$31K |
| 71250 |
|
172 |
118 |
$31K |
| 82747 |
|
2,102 |
1,950 |
$31K |
| A9579 |
Gad-base mr contrast nos,1ml |
928 |
850 |
$30K |
| 88307 |
|
223 |
159 |
$30K |
| 81025 |
|
4,223 |
3,671 |
$28K |
| 73080 |
|
372 |
336 |
$28K |
| 83036 |
|
3,684 |
3,218 |
$28K |
| 84112 |
|
394 |
338 |
$27K |
| 87880 |
|
1,663 |
1,604 |
$27K |
| J0694 |
Cefoxitin sodium injection |
2,025 |
1,524 |
$27K |
| 85730 |
|
5,878 |
4,932 |
$26K |
| 97530 |
|
645 |
441 |
$26K |
| 64494 |
|
102 |
95 |
$26K |
| J1642 |
Inj heparin sodium per 10 u |
3,944 |
1,761 |
$26K |
| C1894 |
Intro/sheath, non-laser |
668 |
412 |
$26K |
| G0399 |
Home sleep test/type 3 porta |
169 |
148 |
$26K |
| 96132 |
|
432 |
374 |
$25K |
| 84439 |
|
1,834 |
1,470 |
$25K |
| C1725 |
Cath, translumin non-laser |
934 |
183 |
$25K |
| J2469 |
Palonosetron hcl |
148 |
66 |
$25K |
| G0483 |
Drug test def 22+ classes |
204 |
168 |
$24K |
| J1170 |
Hydromorphone injection |
7,153 |
4,978 |
$24K |
| C9803 |
Hopd covid-19 spec collect |
2,632 |
2,072 |
$24K |
| 87661 |
|
1,018 |
930 |
$24K |
| 45380 |
|
41 |
38 |
$23K |
| 83540 |
|
4,267 |
3,910 |
$23K |
| 76770 |
|
136 |
125 |
$23K |
| 85379 |
|
2,722 |
2,426 |
$22K |
| 99212 |
|
425 |
359 |
$22K |
| 88304 |
|
401 |
377 |
$22K |
| J2930 |
Methylprednisolone injection |
1,947 |
1,492 |
$22K |
| 12001 |
|
135 |
121 |
$22K |
| J2710 |
Neostigmine methylslfte inj |
3,088 |
2,486 |
$21K |
| 42820 |
|
32 |
30 |
$21K |
| 87081 |
|
3,172 |
2,843 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
10,514 |
8,523 |
$21K |
| 94761 |
|
279 |
203 |
$20K |
| J2405 |
Ondansetron hcl injection |
21,620 |
16,148 |
$19K |
| J7120 |
Ringers lactate infusion |
4,982 |
4,161 |
$19K |
| 81003 |
|
8,032 |
7,035 |
$19K |
| 70486 |
|
66 |
61 |
$18K |
| 99213 |
|
321 |
265 |
$18K |
| 87186 |
|
1,929 |
1,722 |
$18K |
| 86140 |
|
3,930 |
3,333 |
$17K |
| J0690 |
Cefazolin sodium injection |
2,845 |
2,075 |
$17K |
| C1762 |
Conn tiss, human(inc fascia) |
16 |
12 |
$16K |
| 86850 |
|
2,254 |
1,770 |
$16K |
| 87502 |
|
221 |
189 |
$15K |
| 36591 |
|
597 |
345 |
$15K |
| J7040 |
Normal saline solution infus |
5,273 |
2,380 |
$14K |
| 84520 |
|
2,011 |
1,454 |
$14K |
| 76536 |
|
108 |
88 |
$14K |
| 90471 |
|
1,073 |
1,001 |
$13K |
| 84436 |
|
2,381 |
2,105 |
$13K |
| 85014 |
|
1,234 |
793 |
$13K |
| J2270 |
Morphine sulfate injection |
5,881 |
4,408 |
$13K |
| M0243 |
Casirivi and imdevi inj |
88 |
82 |
$13K |
| J2001 |
Lidocaine injection |
9,913 |
7,884 |
$13K |
| 83550 |
|
1,624 |
1,456 |
$12K |
| 87077 |
|
1,211 |
1,078 |
$12K |
| 10060 |
|
88 |
83 |
$12K |
| 84132 |
|
2,240 |
1,624 |
$11K |
| 87088 |
|
1,354 |
1,218 |
$11K |
| 64635 |
|
54 |
40 |
$11K |
| J0171 |
Adrenalin epinephrine inject |
708 |
562 |
$11K |
| A4213 |
20+ cc syringe only |
1,298 |
982 |
$10K |
| 74022 |
|
122 |
114 |
$10K |
| 82435 |
|
1,943 |
1,393 |
$10K |
| 84295 |
|
1,944 |
1,394 |
$10K |
| 87070 |
|
1,951 |
1,044 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
375 |
303 |
$10K |
| A9502 |
Tc99m tetrofosmin |
57 |
51 |
$10K |
| 82550 |
|
1,702 |
1,431 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
4,951 |
3,250 |
$9K |
| J2550 |
Promethazine hcl injection |
5,187 |
3,823 |
$9K |
| A9577 |
Inj multihance |
148 |
113 |
$9K |
| 97116 |
|
356 |
193 |
$9K |
| J3475 |
Inj magnesium sulfate |
1,994 |
1,433 |
$9K |
| 72141 |
|
26 |
25 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
2,723 |
1,260 |
$9K |
| 86900 |
|
3,254 |
2,683 |
$9K |
| 82607 |
|
645 |
565 |
$9K |
| 80050 |
|
283 |
221 |
$9K |
| 86901 |
|
3,263 |
2,691 |
$8K |
| 77080 |
|
94 |
80 |
$8K |
| 77061 |
|
357 |
293 |
$8K |
| 96417 |
|
268 |
148 |
$8K |
| 73120 |
|
99 |
82 |
$8K |
| 83615 |
|
1,468 |
1,189 |
$7K |
| 77062 |
|
290 |
229 |
$7K |
| J2060 |
Lorazepam injection |
1,816 |
1,426 |
$7K |
| 85049 |
|
375 |
296 |
$7K |
| 72202 |
|
91 |
80 |
$7K |
| J1040 |
Methylprednisolone 80 mg inj |
598 |
527 |
$7K |
| 64636 |
|
61 |
39 |
$7K |
| 80320 |
|
129 |
104 |
$7K |
| 73090 |
|
85 |
81 |
$7K |
| 85652 |
|
2,496 |
2,160 |
$7K |
| 99203 |
|
105 |
97 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
5,973 |
4,597 |
$6K |
| 82803 |
|
305 |
253 |
$6K |
| 64450 |
|
122 |
85 |
$6K |
| 80047 |
|
204 |
156 |
$6K |
| 97112 |
|
172 |
79 |
$6K |
| 72070 |
|
87 |
73 |
$6K |
| 88312 |
|
135 |
123 |
$5K |
| 87210 |
|
1,249 |
848 |
$5K |
| 82784 |
|
32 |
12 |
$5K |
| 84550 |
|
1,278 |
1,037 |
$5K |
| M0245 |
Bamlan and etesev infusion |
22 |
19 |
$5K |
| J3411 |
Thiamine hcl 100 mg |
1,019 |
701 |
$5K |
| J2785 |
Regadenoson injection |
28 |
25 |
$5K |
| 99211 |
|
206 |
172 |
$5K |
| J3490 |
Drugs unclassified injection |
1,007 |
305 |
$4K |
| 70498 |
|
15 |
13 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
916 |
634 |
$4K |
| 73590 |
|
59 |
55 |
$4K |
| 72128 |
|
15 |
12 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
537 |
482 |
$4K |
| 87205 |
|
949 |
822 |
$4K |
| J3370 |
Vancomycin hcl injection |
369 |
224 |
$4K |
| 20610 |
|
25 |
16 |
$4K |
| 96102 |
|
43 |
29 |
$4K |
| J1815 |
Insulin injection |
1,051 |
158 |
$3K |
| 84207 |
|
149 |
141 |
$3K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
500 |
447 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
80 |
66 |
$3K |
| 80074 |
|
94 |
73 |
$3K |
| 94760 |
|
266 |
153 |
$3K |
| 87807 |
|
236 |
218 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,795 |
1,309 |
$3K |
| J1630 |
Haloperidol injection |
686 |
557 |
$3K |
| 82948 |
|
530 |
352 |
$3K |
| 87641 |
|
97 |
88 |
$3K |
| 82731 |
|
45 |
36 |
$3K |
| 84425 |
|
151 |
144 |
$3K |
| 82985 |
|
198 |
182 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
261 |
230 |
$3K |
| 99406 |
|
154 |
130 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
120 |
88 |
$2K |
| 29125 |
|
27 |
25 |
$2K |
| 82746 |
|
201 |
188 |
$2K |
| 73522 |
|
27 |
25 |
$2K |
| 76775 |
|
18 |
15 |
$2K |
| 76870 |
|
13 |
13 |
$2K |
| 80179 |
|
189 |
165 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
222 |
192 |
$2K |
| 84100 |
|
454 |
328 |
$2K |
| 36416 |
|
341 |
292 |
$2K |
| 82378 |
|
114 |
87 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,440 |
1,161 |
$2K |
| 90688 |
|
129 |
104 |
$2K |
| 94729 |
|
36 |
28 |
$2K |
| 96368 |
|
118 |
68 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
23 |
20 |
$2K |
| 72110 |
|
13 |
12 |
$2K |
| 80323 |
|
14 |
12 |
$2K |
| 76000 |
|
30 |
26 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
643 |
548 |
$1K |
| Q9968 |
Visualization adjunct |
15 |
13 |
$1K |
| J2543 |
Piperacillin/tazobactam |
77 |
41 |
$1K |
| G0008 |
Admin influenza virus vac |
107 |
87 |
$1K |
| J8540 |
Oral dexamethasone |
376 |
343 |
$1K |
| 71101 |
|
33 |
24 |
$1K |
| 97035 |
|
58 |
12 |
$1K |
| 93880 |
|
14 |
12 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
12 |
$1K |
| 12011 |
|
12 |
12 |
$1K |
| 81257 |
|
14 |
13 |
$1K |
| J7060 |
5% dextrose/water |
343 |
207 |
$1K |
| 82533 |
|
50 |
39 |
$971.69 |
| J0735 |
Clonidine hydrochloride |
716 |
581 |
$952.62 |
| 73140 |
|
13 |
13 |
$867.31 |
| J1650 |
Inj enoxaparin sodium |
118 |
51 |
$863.51 |
| J1626 |
Granisetron hcl injection |
99 |
71 |
$857.68 |
| 80143 |
|
59 |
54 |
$814.70 |
| J2919 |
Inj, methylpred sod succ 5mg |
133 |
99 |
$807.10 |
| 73060 |
|
12 |
12 |
$784.97 |
| 84460 |
|
171 |
132 |
$782.36 |
| 82150 |
|
141 |
123 |
$778.74 |
| 84450 |
|
168 |
131 |
$757.64 |
| 94664 |
|
128 |
113 |
$730.27 |
| 84134 |
|
68 |
63 |
$670.76 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
603 |
515 |
$654.39 |
| 94060 |
|
17 |
12 |
$649.65 |
| J0330 |
Succinycholine chloride inj |
61 |
55 |
$648.47 |
| Q0169 |
Promethazine hcl 12.5mg oral |
396 |
206 |
$644.29 |
| 90837 |
|
14 |
13 |
$601.57 |
| J0360 |
Hydralazine hcl injection |
50 |
36 |
$507.36 |
| 82140 |
|
28 |
24 |
$443.55 |
| J1453 |
Fosaprepitant injection |
18 |
12 |
$431.38 |
| 96523 |
|
38 |
37 |
$365.79 |
| 86308 |
|
44 |
39 |
$318.31 |
| J1720 |
Hydrocortisone sodium succ i |
15 |
12 |
$301.88 |
| 87389 |
|
13 |
12 |
$244.40 |
| 81015 |
|
496 |
432 |
$236.14 |
| J1956 |
Levofloxacin injection |
31 |
25 |
$226.72 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
218 |
180 |
$215.19 |
| 82570 |
|
95 |
81 |
$207.42 |
| J0780 |
Prochlorperazine injection |
27 |
24 |
$197.38 |
| 87075 |
|
17 |
15 |
$171.91 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
62 |
43 |
$148.99 |
| 85018 |
|
129 |
77 |
$131.33 |
| J0595 |
Butorphanol tartrate 1 mg |
47 |
40 |
$130.45 |
| J7510 |
Prednisolone oral per 5 mg |
97 |
95 |
$122.86 |
| J3105 |
Terbutaline sulfate inj |
42 |
37 |
$117.53 |
| 84156 |
|
60 |
51 |
$97.63 |
| J3360 |
Diazepam injection |
12 |
12 |
$86.08 |
| J2470 |
Inj pantoprazole sodium 40mg |
14 |
13 |
$81.27 |
| J3480 |
Inj potassium chloride |
25 |
14 |
$68.10 |
| 82374 |
|
34 |
24 |
$29.72 |
| 82962 |
|
34 |
24 |
$26.61 |
| J2370 |
Phenylephrine hcl injection |
15 |
12 |
$7.16 |
| J2305 |
Inj, nitroglycerin, 5 mg |
17 |
13 |
$2.46 |
| Q0239 |
Bamlanivimab-xxxx |
13 |
12 |
$0.24 |
| Q0244 |
Casirivi and imdevi 1200 mg |
34 |
34 |
$0.00 |
| A9270 |
Non-covered item or service |
901 |
155 |
$0.00 |