| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
26,698 |
21,181 |
$4.67M |
| 99283 |
|
21,967 |
17,771 |
$2.92M |
| 99285 |
|
11,935 |
9,326 |
$2.29M |
| 92507 |
|
21,939 |
4,770 |
$1.19M |
| G0378 |
Hospital observation per hr |
2,986 |
2,026 |
$1.13M |
| 96372 |
|
16,941 |
13,564 |
$679K |
| 97110 |
|
17,805 |
3,244 |
$620K |
| 97530 |
|
17,384 |
3,572 |
$602K |
| 96374 |
|
7,498 |
5,985 |
$600K |
| 71045 |
|
15,344 |
11,747 |
$532K |
| 94640 |
|
4,845 |
3,244 |
$479K |
| 59025 |
|
4,557 |
2,292 |
$458K |
| 96365 |
|
5,521 |
4,037 |
$427K |
| 74177 |
|
2,451 |
1,973 |
$413K |
| 70450 |
|
7,005 |
5,786 |
$386K |
| 37229 |
|
189 |
163 |
$316K |
| 54161 |
|
270 |
232 |
$297K |
| 74176 |
|
3,158 |
2,557 |
$286K |
| 93005 |
|
15,371 |
11,044 |
$280K |
| 99282 |
|
3,312 |
2,880 |
$271K |
| 87635 |
|
7,621 |
6,065 |
$237K |
| D2930 |
|
1,570 |
1,068 |
$218K |
| 96361 |
|
5,171 |
3,785 |
$212K |
| D7140 |
|
730 |
184 |
$208K |
| 85025 |
|
40,135 |
27,477 |
$199K |
| 80053 |
|
28,539 |
19,709 |
$195K |
| 41899 |
|
1,499 |
1,209 |
$177K |
| 71046 |
|
4,126 |
3,317 |
$159K |
| 11042 |
|
1,318 |
824 |
$157K |
| 96375 |
|
6,076 |
4,731 |
$138K |
| 96360 |
|
1,353 |
1,124 |
$137K |
| C9803 |
Hopd covid-19 spec collect |
9,825 |
7,667 |
$135K |
| 80307 |
|
4,333 |
2,812 |
$132K |
| 86900 |
|
2,233 |
1,644 |
$111K |
| 87804 |
|
8,850 |
7,571 |
$108K |
| U0002 |
Covid-19 lab test non-cdc |
3,560 |
2,795 |
$101K |
| 86710 |
|
8,867 |
7,583 |
$99K |
| 83880 |
|
4,897 |
3,360 |
$95K |
| 87430 |
|
7,067 |
6,088 |
$89K |
| 84484 |
|
9,707 |
6,572 |
$68K |
| 87040 |
|
7,591 |
4,160 |
$60K |
| 80048 |
|
9,406 |
7,276 |
$59K |
| 37225 |
|
48 |
42 |
$58K |
| 74018 |
|
1,308 |
1,050 |
$57K |
| 72125 |
|
1,152 |
960 |
$49K |
| 36415 |
|
23,341 |
18,183 |
$49K |
| 77067 |
|
613 |
563 |
$49K |
| 86850 |
|
2,041 |
1,516 |
$48K |
| D3220 |
|
816 |
317 |
$41K |
| 36600 |
|
903 |
716 |
$38K |
| 96366 |
|
1,384 |
994 |
$38K |
| 70486 |
|
510 |
464 |
$35K |
| 73560 |
|
1,030 |
752 |
$34K |
| 86901 |
|
2,228 |
1,645 |
$34K |
| 71275 |
|
556 |
448 |
$34K |
| 84703 |
|
6,096 |
4,810 |
$33K |
| 87420 |
|
2,779 |
2,402 |
$30K |
| 87186 |
|
4,631 |
3,200 |
$30K |
| 97533 |
|
814 |
242 |
$30K |
| 81003 |
|
19,946 |
15,506 |
$29K |
| D0350 |
|
1,232 |
981 |
$26K |
| 97162 |
|
633 |
543 |
$26K |
| 87086 |
|
5,559 |
4,224 |
$24K |
| 71250 |
|
585 |
475 |
$23K |
| 93970 |
|
328 |
261 |
$22K |
| 97112 |
|
774 |
180 |
$22K |
| 73630 |
|
608 |
455 |
$22K |
| J1610 |
Glucagon hydrochloride/1 mg |
470 |
415 |
$21K |
| 82553 |
|
2,372 |
1,999 |
$21K |
| 69436 |
|
16 |
15 |
$19K |
| 92523 |
|
147 |
121 |
$19K |
| 83690 |
|
4,495 |
3,419 |
$19K |
| 87070 |
|
2,585 |
1,720 |
$19K |
| 85379 |
|
3,388 |
2,747 |
$19K |
| G0463 |
Hospital outpt clinic visit |
2,837 |
1,311 |
$18K |
| 83735 |
|
5,363 |
3,303 |
$18K |
| 87075 |
|
2,044 |
1,302 |
$17K |
| 82962 |
|
8,343 |
2,734 |
$16K |
| 84702 |
|
1,504 |
1,001 |
$16K |
| 73130 |
|
345 |
299 |
$15K |
| 11043 |
|
88 |
57 |
$15K |
| 82150 |
|
3,146 |
2,464 |
$14K |
| 76815 |
|
188 |
132 |
$14K |
| 87088 |
|
1,753 |
1,491 |
$14K |
| D0140 |
|
1,330 |
1,071 |
$13K |
| 84443 |
|
1,286 |
1,032 |
$13K |
| 36430 |
|
141 |
90 |
$12K |
| 82803 |
|
955 |
728 |
$12K |
| 85730 |
|
3,845 |
2,916 |
$12K |
| 73030 |
|
305 |
259 |
$11K |
| 97010 |
|
3,914 |
929 |
$11K |
| 83605 |
|
1,724 |
1,309 |
$11K |
| 73610 |
|
243 |
190 |
$11K |
| D2330 |
|
751 |
264 |
$10K |
| 82550 |
|
1,882 |
1,600 |
$10K |
| 80061 |
|
846 |
726 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
180 |
153 |
$10K |
| 72100 |
|
211 |
165 |
$9K |
| 45378 |
|
35 |
25 |
$9K |
| 74022 |
|
129 |
111 |
$9K |
| 85610 |
|
3,897 |
2,926 |
$9K |
| 86140 |
|
2,047 |
1,586 |
$8K |
| 71260 |
|
95 |
78 |
$8K |
| 86920 |
|
164 |
71 |
$7K |
| 86921 |
|
162 |
71 |
$7K |
| P9016 |
Rbc leukocytes reduced |
86 |
52 |
$6K |
| 72131 |
|
129 |
110 |
$6K |
| 88305 |
|
188 |
151 |
$6K |
| D1206 |
|
753 |
673 |
$5K |
| 76770 |
|
175 |
130 |
$5K |
| 83655 |
|
373 |
356 |
$5K |
| 97113 |
|
95 |
28 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,164 |
4,196 |
$4K |
| 83615 |
|
915 |
794 |
$4K |
| 83721 |
|
849 |
728 |
$3K |
| U0005 |
Infec agen detec ampli probe |
180 |
153 |
$3K |
| 97161 |
|
72 |
67 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
9,400 |
7,412 |
$3K |
| 76801 |
|
53 |
41 |
$3K |
| 90471 |
|
129 |
117 |
$3K |
| C1894 |
Intro/sheath, non-laser |
276 |
225 |
$3K |
| C1760 |
Closure dev, vasc |
339 |
281 |
$3K |
| 86922 |
|
78 |
38 |
$3K |
| 72148 |
|
37 |
36 |
$3K |
| 82306 |
|
227 |
165 |
$3K |
| 83036 |
|
461 |
360 |
$2K |
| 92651 |
|
23 |
23 |
$2K |
| 80305 |
|
301 |
248 |
$2K |
| 96376 |
|
951 |
714 |
$2K |
| 97140 |
|
33 |
12 |
$2K |
| M0243 |
Casirivi and imdevi inj |
23 |
15 |
$2K |
| 97597 |
|
19 |
18 |
$2K |
| 99213 |
|
48 |
26 |
$2K |
| 73110 |
|
31 |
27 |
$2K |
| J2405 |
Ondansetron hcl injection |
10,301 |
7,654 |
$2K |
| 73502 |
|
46 |
36 |
$1K |
| 93925 |
|
17 |
15 |
$1K |
| 73590 |
|
33 |
24 |
$1K |
| J7030 |
Normal saline solution infus |
1,773 |
1,154 |
$1K |
| 82728 |
|
162 |
121 |
$1K |
| 76856 |
|
15 |
14 |
$1K |
| 77065 |
Tomosynthesis, mammo |
28 |
25 |
$997.19 |
| 76817 |
|
12 |
12 |
$947.47 |
| 82607 |
|
79 |
68 |
$929.41 |
| 99214 |
|
23 |
12 |
$872.99 |
| 93922 |
|
18 |
16 |
$745.64 |
| 84550 |
|
168 |
138 |
$602.97 |
| G0283 |
Elec stim other than wound |
48 |
13 |
$536.75 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$527.86 |
| 76642 |
|
12 |
12 |
$492.75 |
| J1100 |
Dexamethasone sodium phos |
6,415 |
5,176 |
$454.31 |
| J2270 |
Morphine sulfate injection |
3,668 |
2,803 |
$437.34 |
| J7120 |
Ringers lactate infusion |
1,163 |
820 |
$434.19 |
| J1885 |
Ketorolac tromethamine inj |
9,524 |
7,584 |
$411.97 |
| 85651 |
|
108 |
96 |
$344.94 |
| 82270 |
|
125 |
107 |
$331.77 |
| 84153 |
|
50 |
42 |
$311.36 |
| A9270 |
Non-covered item or service |
5,387 |
4,259 |
$280.05 |
| J0690 |
Cefazolin sodium injection |
1,774 |
1,331 |
$279.70 |
| 84156 |
|
155 |
112 |
$260.58 |
| D1351 |
|
52 |
15 |
$256.16 |
| 82565 |
|
62 |
54 |
$245.27 |
| 97116 |
|
35 |
13 |
$206.48 |
| J2930 |
Methylprednisolone injection |
1,315 |
922 |
$178.56 |
| 80076 |
|
20 |
16 |
$156.94 |
| 97535 |
|
269 |
190 |
$149.98 |
| 85045 |
|
44 |
26 |
$146.61 |
| J3010 |
Fentanyl citrate injection |
3,660 |
2,928 |
$144.91 |
| 82570 |
|
59 |
39 |
$114.53 |
| J1644 |
Inj heparin sodium per 1000u |
847 |
584 |
$83.72 |
| J7510 |
Prednisolone oral per 5 mg |
897 |
752 |
$65.19 |
| 83540 |
|
24 |
12 |
$64.02 |
| 82247 |
|
15 |
12 |
$63.55 |
| 82248 |
|
15 |
12 |
$63.55 |
| J2550 |
Promethazine hcl injection |
1,180 |
813 |
$59.23 |
| 85014 |
|
31 |
29 |
$54.33 |
| J2001 |
Lidocaine injection |
5,441 |
4,577 |
$53.32 |
| 82009 |
|
17 |
12 |
$40.70 |
| J1170 |
Hydromorphone injection |
2,654 |
1,385 |
$40.63 |
| J1815 |
Insulin injection |
399 |
265 |
$35.25 |
| J1200 |
Diphenhydramine hcl injectio |
1,133 |
766 |
$31.14 |
| 85018 |
|
14 |
14 |
$27.93 |
| J2919 |
Inj, methylpred sod succ 5mg |
204 |
140 |
$27.91 |
| J2250 |
Inj midazolam hydrochloride |
887 |
731 |
$23.44 |
| 93010 |
|
398 |
346 |
$20.88 |
| J1650 |
Inj enoxaparin sodium |
410 |
225 |
$17.23 |
| P9612 |
Catheterize for urine spec |
43 |
40 |
$0.37 |
| C1724 |
Cath, trans atherec,rotation |
183 |
156 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
95 |
44 |
$0.00 |
| G8978 |
Mobility current status |
88 |
83 |
$0.00 |
| 76937 |
|
315 |
245 |
$0.00 |
| G8979 |
Mobility goal status |
175 |
151 |
$0.00 |
| 90715 |
|
127 |
116 |
$0.00 |
| J7040 |
Normal saline solution infus |
363 |
276 |
$0.00 |
| C1887 |
Catheter, guiding |
237 |
202 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
21 |
13 |
$0.00 |
| C1885 |
Cath, translumin angio laser |
12 |
12 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
18 |
16 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
149 |
124 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,760 |
1,359 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
820 |
626 |
$0.00 |
| C1769 |
Guide wire |
403 |
328 |
$0.00 |
| G0379 |
Direct refer hospital observ |
17 |
13 |
$0.00 |
| J1940 |
Furosemide injection |
550 |
353 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,828 |
2,163 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
345 |
269 |
$0.00 |
| J2360 |
Orphenadrine injection |
118 |
104 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
195 |
172 |
$0.00 |
| J7050 |
Normal saline solution infus |
125 |
52 |
$0.00 |
| 37233 |
|
50 |
40 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
15 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
151 |
116 |
$0.00 |
| 96368 |
|
22 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
258 |
138 |
$0.00 |
| 77063 |
|
65 |
46 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
121 |
68 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
72 |
61 |
$0.00 |
| C1733 |
Cath, ep, othr than cool-tip |
32 |
21 |
$0.00 |
| J2920 |
Methylprednisolone injection |
33 |
30 |
$0.00 |
| J0461 |
Atropine sulfate injection |
56 |
54 |
$0.00 |
| Q0162 |
Ondansetron oral |
49 |
40 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
14 |
$0.00 |
| 99406 |
|
23 |
14 |
$0.00 |