| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
7,218 |
6,300 |
$341K |
| 74177 |
|
2,248 |
1,729 |
$264K |
| 99284 |
|
10,710 |
9,341 |
$227K |
| 93306 |
|
2,582 |
1,397 |
$210K |
| 70450 |
|
2,609 |
1,985 |
$177K |
| 99283 |
|
16,998 |
14,432 |
$177K |
| 74176 |
|
1,709 |
1,294 |
$161K |
| G0378 |
Hospital observation per hr |
1,552 |
1,239 |
$142K |
| 99213 |
|
27,155 |
19,219 |
$119K |
| 99214 |
|
16,029 |
11,405 |
$98K |
| 96361 |
|
3,226 |
1,918 |
$97K |
| 71046 |
|
7,451 |
5,817 |
$97K |
| 93005 |
|
9,905 |
8,539 |
$94K |
| 97110 |
|
16,950 |
4,978 |
$91K |
| 99212 |
|
26,724 |
21,613 |
$79K |
| A0427 |
Als1-emergency |
2,052 |
1,791 |
$65K |
| 80053 |
|
29,929 |
24,315 |
$56K |
| 78452 |
|
709 |
360 |
$50K |
| 73630 |
|
3,354 |
2,238 |
$49K |
| 96365 |
|
4,397 |
3,132 |
$48K |
| 97140 |
|
11,156 |
3,630 |
$44K |
| 96372 |
|
5,955 |
4,197 |
$40K |
| 72148 |
|
654 |
535 |
$39K |
| 94762 |
|
996 |
889 |
$38K |
| 96374 |
|
5,770 |
4,923 |
$37K |
| 11721 |
|
5,907 |
2,991 |
$37K |
| A0429 |
Bls-emergency |
1,421 |
1,237 |
$36K |
| 99282 |
|
5,123 |
4,419 |
$35K |
| 71250 |
|
485 |
369 |
$35K |
| A0425 |
Ground mileage |
4,747 |
3,760 |
$32K |
| 93017 |
|
643 |
594 |
$28K |
| 73562 |
|
1,588 |
1,120 |
$26K |
| 71045 |
|
2,743 |
1,945 |
$22K |
| 99203 |
|
4,616 |
2,808 |
$22K |
| 72100 |
|
1,308 |
1,059 |
$21K |
| 96375 |
|
5,001 |
3,863 |
$20K |
| 73030 |
|
1,364 |
1,049 |
$20K |
| 73721 |
|
356 |
286 |
$18K |
| 70551 |
|
401 |
294 |
$18K |
| 85025 |
|
30,461 |
23,781 |
$18K |
| 84443 |
|
11,452 |
10,924 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
3,489 |
3,181 |
$16K |
| 71275 |
|
175 |
132 |
$15K |
| 94760 |
|
2,737 |
2,451 |
$15K |
| A9502 |
Tc99m tetrofosmin |
378 |
345 |
$15K |
| 99215 |
Prolong outpt/office vis |
1,797 |
1,211 |
$13K |
| 96366 |
|
1,428 |
890 |
$13K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,076 |
968 |
$12K |
| 97161 |
|
1,231 |
1,138 |
$12K |
| 83036 |
|
9,250 |
8,904 |
$12K |
| 88305 |
|
702 |
638 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,869 |
1,719 |
$11K |
| 94640 |
|
800 |
592 |
$11K |
| 73610 |
|
1,070 |
764 |
$10K |
| 99204 |
|
1,677 |
1,237 |
$10K |
| 76705 |
|
481 |
341 |
$9K |
| 96376 |
|
2,197 |
1,286 |
$9K |
| 73130 |
|
767 |
452 |
$8K |
| 36415 |
|
42,725 |
34,876 |
$8K |
| 84484 |
|
6,671 |
4,918 |
$8K |
| 97162 |
|
703 |
643 |
$8K |
| 80061 |
|
10,329 |
9,929 |
$8K |
| 82306 |
|
3,935 |
3,806 |
$8K |
| 83735 |
|
11,788 |
9,557 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
1,592 |
929 |
$7K |
| 97035 |
|
2,666 |
966 |
$7K |
| 73502 |
|
395 |
318 |
$6K |
| J2405 |
Ondansetron hcl injection |
4,559 |
3,931 |
$6K |
| 80048 |
|
5,302 |
4,386 |
$5K |
| 87636 |
|
6,514 |
5,953 |
$5K |
| 93010 |
|
9,811 |
8,172 |
$5K |
| J3475 |
Inj magnesium sulfate |
1,631 |
1,215 |
$5K |
| 82043 |
|
2,068 |
1,992 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
921 |
824 |
$4K |
| 82728 |
|
2,493 |
2,329 |
$4K |
| 83880 |
|
1,555 |
1,325 |
$4K |
| 96360 |
|
403 |
358 |
$3K |
| 82607 |
|
2,451 |
2,353 |
$3K |
| 85027 |
|
3,976 |
3,735 |
$3K |
| 81001 |
|
5,380 |
4,643 |
$3K |
| J2785 |
Regadenoson injection |
113 |
101 |
$3K |
| 72125 |
|
90 |
66 |
$3K |
| 84439 |
|
2,517 |
2,380 |
$3K |
| 87077 |
|
2,638 |
2,387 |
$3K |
| 83550 |
|
2,197 |
2,069 |
$3K |
| 99281 |
|
532 |
500 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,529 |
2,279 |
$3K |
| 87086 |
|
3,773 |
3,400 |
$3K |
| 97112 |
|
750 |
333 |
$3K |
| 99202 |
|
628 |
584 |
$3K |
| 80307 |
|
1,141 |
1,081 |
$3K |
| G0480 |
Drug test def 1-7 classes |
1,463 |
1,352 |
$3K |
| 86140 |
|
3,209 |
2,790 |
$2K |
| A0428 |
Bls |
176 |
149 |
$2K |
| 76830 |
|
136 |
120 |
$2K |
| 71271 |
|
353 |
245 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
1,770 |
1,616 |
$2K |
| 71260 |
|
47 |
24 |
$2K |
| 83690 |
|
3,870 |
3,442 |
$2K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$2K |
| 81003 |
|
6,017 |
5,504 |
$2K |
| 93971 |
|
75 |
40 |
$2K |
| 83540 |
|
2,365 |
2,224 |
$2K |
| 93242 |
|
43 |
41 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
5,929 |
5,225 |
$2K |
| 82570 |
|
815 |
765 |
$2K |
| 87186 |
|
1,521 |
1,416 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
373 |
347 |
$1K |
| 85610 |
|
5,062 |
3,172 |
$1K |
| 96367 |
|
321 |
250 |
$1K |
| Q3014 |
Telehealth facility fee |
923 |
825 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
444 |
419 |
$1K |
| 82248 |
|
1,350 |
1,214 |
$1K |
| 99211 |
|
1,143 |
1,039 |
$1K |
| 83605 |
|
2,198 |
1,875 |
$1K |
| 99291 |
|
13 |
13 |
$1K |
| 85651 |
|
2,268 |
2,068 |
$1K |
| 87040 |
|
1,073 |
919 |
$1K |
| 99442 |
|
84 |
78 |
$1K |
| 87798 |
|
60 |
59 |
$983.43 |
| J2250 |
Inj midazolam hydrochloride |
1,655 |
1,473 |
$975.51 |
| 84153 |
|
243 |
234 |
$947.49 |
| 72141 |
|
13 |
12 |
$944.00 |
| 98929 |
|
110 |
65 |
$889.95 |
| J1010 |
Inj, methylpred acetate 1 mg |
130 |
118 |
$874.03 |
| 99443 |
|
44 |
42 |
$873.08 |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,476 |
2,297 |
$845.00 |
| J1815 |
Insulin injection |
399 |
240 |
$791.47 |
| J1650 |
Inj enoxaparin sodium |
122 |
41 |
$788.60 |
| 93016 |
|
588 |
551 |
$768.27 |
| J0690 |
Cefazolin sodium injection |
246 |
219 |
$744.75 |
| 90715 |
|
444 |
426 |
$686.01 |
| 82746 |
|
420 |
400 |
$683.14 |
| 87631 |
|
459 |
442 |
$676.91 |
| 97165 |
|
57 |
50 |
$656.29 |
| 93225 |
|
14 |
14 |
$653.00 |
| 80305 |
|
1,033 |
992 |
$583.82 |
| 93018 |
|
588 |
550 |
$582.33 |
| 76376 |
|
54 |
51 |
$554.84 |
| 90471 |
|
1,836 |
1,745 |
$550.81 |
| J2270 |
Morphine sulfate injection |
617 |
460 |
$527.03 |
| 77080 |
|
200 |
181 |
$525.88 |
| L4361 |
Pneuma/vac walk boot pre ots |
45 |
39 |
$522.05 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
177 |
146 |
$505.82 |
| 85379 |
|
879 |
805 |
$500.38 |
| 95886 |
|
59 |
59 |
$490.23 |
| 86618 |
|
539 |
518 |
$479.97 |
| G0439 |
Ppps, subseq visit |
490 |
463 |
$472.58 |
| J2930 |
Methylprednisolone injection |
351 |
278 |
$469.19 |
| J3370 |
Vancomycin hcl injection |
64 |
28 |
$435.49 |
| 80076 |
|
172 |
166 |
$433.25 |
| 80306 |
|
1,093 |
998 |
$417.09 |
| 01480 |
|
14 |
13 |
$413.93 |
| 77067 |
|
2,883 |
2,419 |
$366.23 |
| 82803 |
|
490 |
412 |
$350.50 |
| 87651 |
|
860 |
822 |
$346.70 |
| 99220 |
|
26 |
24 |
$315.80 |
| 20610 |
|
50 |
25 |
$287.39 |
| 87205 |
|
1,070 |
1,018 |
$277.00 |
| 83970 |
|
76 |
74 |
$268.57 |
| 82077 |
|
582 |
519 |
$257.39 |
| J1100 |
Dexamethasone sodium phos |
2,178 |
1,979 |
$255.80 |
| G0008 |
Admin influenza virus vac |
1,055 |
1,021 |
$228.53 |
| 97530 |
|
111 |
29 |
$219.79 |
| U0002 |
Covid-19 lab test non-cdc |
471 |
436 |
$218.25 |
| 82565 |
|
552 |
498 |
$217.18 |
| 43239 |
|
24 |
12 |
$216.93 |
| 84100 |
|
302 |
230 |
$207.88 |
| 95911 |
|
12 |
12 |
$207.68 |
| 76536 |
|
26 |
13 |
$204.55 |
| 99217 |
|
46 |
42 |
$197.73 |
| 87468 |
|
79 |
75 |
$191.75 |
| 93226 |
|
14 |
14 |
$182.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
593 |
570 |
$172.64 |
| 86850 |
|
31 |
27 |
$163.44 |
| 97166 |
|
14 |
13 |
$160.10 |
| 86803 |
|
235 |
229 |
$158.05 |
| U0005 |
Infec agen detec ampli probe |
1,698 |
1,605 |
$156.14 |
| 77063 |
|
2,728 |
2,272 |
$152.40 |
| 00812 |
|
14 |
13 |
$151.05 |
| 81025 |
|
3,260 |
3,042 |
$145.93 |
| 85730 |
|
361 |
300 |
$138.40 |
| 73600 |
|
29 |
14 |
$130.94 |
| 76642 |
|
14 |
13 |
$122.28 |
| C9113 |
Inj pantoprazole sodium, via |
98 |
54 |
$120.95 |
| J2920 |
Methylprednisolone injection |
24 |
18 |
$114.46 |
| J1200 |
Diphenhydramine hcl injectio |
261 |
229 |
$110.06 |
| J0692 |
Cefepime hcl for injection |
25 |
14 |
$108.23 |
| 82330 |
|
361 |
311 |
$105.35 |
| J2060 |
Lorazepam injection |
248 |
194 |
$105.23 |
| 90686 |
|
1,176 |
1,145 |
$105.08 |
| 87491 |
|
816 |
791 |
$104.65 |
| A9270 |
Non-covered item or service |
1,397 |
1,136 |
$88.37 |
| 87591 |
|
810 |
785 |
$87.63 |
| 90662 |
|
50 |
47 |
$83.75 |
| 73110 |
|
17 |
15 |
$80.87 |
| 87484 |
|
79 |
75 |
$76.79 |
| J1170 |
Hydromorphone injection |
186 |
149 |
$63.48 |
| J0736 |
Inj, clindamycin phosp 300mg |
18 |
16 |
$62.89 |
| 86901 |
|
59 |
54 |
$61.27 |
| 86900 |
|
31 |
27 |
$59.99 |
| 87478 |
|
32 |
31 |
$59.55 |
| 87635 |
|
70 |
66 |
$59.44 |
| 82435 |
|
357 |
307 |
$54.97 |
| 84132 |
|
464 |
410 |
$52.01 |
| 87502 |
|
214 |
207 |
$48.87 |
| 99396 |
|
1,180 |
621 |
$48.09 |
| 87661 |
|
288 |
278 |
$47.23 |
| P9604 |
One-way allow prorated trip |
786 |
496 |
$45.81 |
| 87469 |
|
63 |
61 |
$45.20 |
| 84550 |
|
54 |
52 |
$42.84 |
| J1644 |
Inj heparin sodium per 1000u |
90 |
42 |
$42.43 |
| 80143 |
|
55 |
49 |
$39.95 |
| 84520 |
|
360 |
310 |
$39.90 |
| 84295 |
|
363 |
311 |
$39.05 |
| J2765 |
Metoclopramide hcl injection |
133 |
122 |
$33.01 |
| J3480 |
Inj potassium chloride |
32 |
27 |
$32.06 |
| 87081 |
|
659 |
634 |
$31.81 |
| Q0162 |
Ondansetron oral |
1,175 |
1,058 |
$29.57 |
| G0103 |
Psa screening |
127 |
123 |
$27.98 |
| 93244 |
|
43 |
41 |
$24.70 |
| 93227 |
|
14 |
14 |
$21.91 |
| J7512 |
Prednisone ir or dr oral 1mg |
805 |
650 |
$17.43 |
| 87340 |
|
13 |
13 |
$16.82 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
65 |
63 |
$16.80 |
| 99397 |
|
32 |
12 |
$16.79 |
| 82550 |
|
31 |
26 |
$16.15 |
| 86430 |
|
30 |
25 |
$14.03 |
| 84703 |
|
57 |
54 |
$13.94 |
| 87804 |
|
284 |
279 |
$12.66 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
12 |
$10.84 |
| 0124A |
|
28 |
27 |
$10.71 |
| 84702 |
|
67 |
50 |
$10.59 |
| 85014 |
|
26 |
13 |
$10.23 |
| 82947 |
|
464 |
408 |
$9.41 |
| 86706 |
|
14 |
14 |
$9.37 |
| 80179 |
|
28 |
24 |
$7.20 |
| J2001 |
Lidocaine injection |
33 |
30 |
$6.20 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$5.11 |
| 99395 |
|
815 |
431 |
$4.82 |
| 87390 |
|
13 |
13 |
$3.14 |
| 84600 |
|
101 |
100 |
$2.81 |
| 90472 |
|
89 |
86 |
$2.60 |
| 86702 |
|
13 |
13 |
$2.21 |
| 86701 |
|
13 |
13 |
$2.21 |
| 85018 |
|
14 |
12 |
$2.15 |
| 81002 |
|
188 |
178 |
$1.80 |
| J7620 |
Albuterol ipratrop non-comp |
866 |
454 |
$0.66 |
| G8979 |
Mobility goal status |
211 |
181 |
$0.12 |
| G8978 |
Mobility current status |
104 |
95 |
$0.05 |
| 87880 |
|
710 |
686 |
$0.00 |
| 99393 |
|
22 |
12 |
$0.00 |
| 00170 |
|
655 |
628 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |
| 91300 |
|
42 |
38 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$0.00 |
| 99394 |
|
27 |
14 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
20 |
16 |
$0.00 |
| 72070 |
|
12 |
12 |
$0.00 |
| 86038 |
|
34 |
28 |
$0.00 |
| 73140 |
|
27 |
12 |
$0.00 |
| 41899 |
|
665 |
640 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
42 |
41 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
66 |
38 |
$0.00 |
| 0012A |
|
359 |
354 |
$0.00 |
| 91301 |
|
207 |
194 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 0011A |
|
354 |
351 |
$0.00 |
| 87637 |
|
14 |
14 |
$0.00 |
| 0001A |
|
24 |
24 |
$0.00 |
| 88142 |
|
13 |
12 |
$0.00 |