| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
37,627 |
33,832 |
$11.87M |
| 99283 |
|
42,994 |
40,225 |
$11.73M |
| G0378 |
Hospital observation per hr |
6,111 |
5,197 |
$4.89M |
| 99282 |
|
14,717 |
13,951 |
$2.52M |
| 97110 |
|
36,434 |
7,640 |
$2.32M |
| 99285 |
|
8,829 |
8,096 |
$1.90M |
| 96413 |
|
1,729 |
1,031 |
$1.26M |
| 97140 |
|
14,561 |
4,220 |
$807K |
| 93306 |
|
1,031 |
983 |
$713K |
| 97112 |
|
13,643 |
4,353 |
$645K |
| 11042 |
|
1,622 |
622 |
$624K |
| 96375 |
|
15,454 |
12,981 |
$622K |
| 74177 |
|
5,847 |
5,536 |
$527K |
| 93005 |
|
25,185 |
22,200 |
$438K |
| 96365 |
|
6,146 |
4,993 |
$414K |
| 96361 |
|
13,580 |
12,000 |
$387K |
| 96374 |
|
19,939 |
17,886 |
$381K |
| 99281 |
|
2,925 |
2,796 |
$367K |
| 70450 |
|
8,107 |
7,502 |
$306K |
| 43239 |
|
393 |
375 |
$286K |
| 80053 |
|
47,319 |
37,149 |
$265K |
| 96360 |
|
4,734 |
4,270 |
$231K |
| 74176 |
|
3,583 |
3,392 |
$209K |
| 99291 |
|
535 |
493 |
$200K |
| 85025 |
|
54,525 |
41,092 |
$195K |
| 0241U |
|
10,776 |
9,730 |
$188K |
| 96372 |
|
10,972 |
8,018 |
$179K |
| OP370 |
|
3,185 |
2,831 |
$178K |
| 93971 |
|
1,749 |
1,623 |
$155K |
| 93970 |
|
1,120 |
1,059 |
$153K |
| 77067 |
|
2,104 |
2,050 |
$150K |
| 97162 |
|
2,739 |
2,555 |
$144K |
| 0202U |
|
3,275 |
3,170 |
$143K |
| 71045 |
|
15,777 |
14,407 |
$139K |
| OP710 |
|
1,619 |
1,450 |
$132K |
| 97010 |
|
17,617 |
4,171 |
$131K |
| 96367 |
|
1,019 |
731 |
$130K |
| 87635 |
|
4,093 |
3,944 |
$121K |
| 92507 |
|
1,608 |
461 |
$118K |
| 71046 |
|
9,496 |
9,156 |
$117K |
| 76830 |
|
2,188 |
2,105 |
$102K |
| 97530 |
|
2,472 |
1,103 |
$94K |
| 70553 |
|
217 |
213 |
$93K |
| 71275 |
|
1,368 |
1,305 |
$82K |
| 76705 |
|
3,150 |
3,003 |
$80K |
| 78815 |
|
107 |
105 |
$80K |
| 93017 |
|
84 |
79 |
$79K |
| 97161 |
|
1,181 |
1,117 |
$79K |
| 95810 |
|
51 |
50 |
$79K |
| 76819 |
|
949 |
746 |
$76K |
| 80307 |
|
8,273 |
6,564 |
$72K |
| 36415 |
|
44,718 |
35,665 |
$69K |
| 96366 |
|
1,600 |
1,309 |
$62K |
| 84484 |
|
17,215 |
12,858 |
$61K |
| 72125 |
|
1,591 |
1,474 |
$59K |
| OP272 |
|
5,510 |
4,669 |
$55K |
| 76642 |
|
1,044 |
965 |
$55K |
| 96376 |
|
3,808 |
2,917 |
$52K |
| 36591 |
|
476 |
293 |
$51K |
| 80048 |
|
9,949 |
8,128 |
$50K |
| 71250 |
|
602 |
570 |
$50K |
| OP250 |
|
69,059 |
38,454 |
$49K |
| 84443 |
|
5,367 |
4,846 |
$49K |
| 94640 |
|
5,308 |
4,523 |
$47K |
| 97150 |
|
1,101 |
429 |
$46K |
| 77063 |
|
1,744 |
1,692 |
$46K |
| OP379 |
|
415 |
410 |
$44K |
| 76700 |
|
637 |
624 |
$42K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,602 |
5,910 |
$42K |
| 76816 |
|
688 |
618 |
$40K |
| 97164 |
|
559 |
542 |
$39K |
| 97116 |
|
2,369 |
1,308 |
$39K |
| 90791 |
|
2,659 |
2,257 |
$38K |
| 95800 |
|
147 |
143 |
$36K |
| 80061 |
|
3,372 |
3,185 |
$34K |
| 86885 |
|
3,570 |
3,196 |
$33K |
| 72110 |
|
1,514 |
1,455 |
$31K |
| 82306 |
|
1,098 |
1,019 |
$31K |
| 96415 |
|
96 |
53 |
$29K |
| 81003 |
|
10,529 |
9,752 |
$29K |
| 85610 |
|
10,027 |
8,871 |
$29K |
| OP279 |
|
1,416 |
1,310 |
$29K |
| 76817 |
|
582 |
510 |
$28K |
| 86901 |
|
4,285 |
3,706 |
$28K |
| 88305 |
|
1,618 |
1,472 |
$27K |
| 86900 |
|
4,254 |
3,688 |
$26K |
| 81025 |
|
14,935 |
13,532 |
$26K |
| 83690 |
|
10,137 |
9,212 |
$23K |
| G0480 |
Drug test def 1-7 classes |
1,356 |
1,173 |
$23K |
| 76536 |
|
430 |
405 |
$22K |
| 0002A |
|
766 |
760 |
$22K |
| U0002 |
Covid-19 lab test non-cdc |
3,580 |
3,227 |
$22K |
| 76770 |
|
504 |
475 |
$22K |
| 71260 |
|
204 |
191 |
$22K |
| 76815 |
|
520 |
468 |
$21K |
| 73630 |
|
2,455 |
2,345 |
$21K |
| G0279 |
Tomosynthesis, mammo |
715 |
678 |
$21K |
| 85730 |
|
7,049 |
6,415 |
$20K |
| 0001A |
|
728 |
726 |
$20K |
| 81001 |
|
16,780 |
15,127 |
$20K |
| J1439 |
Inj ferric carboxymaltos 1mg |
25 |
12 |
$20K |
| 93976 |
|
107 |
102 |
$19K |
| 73610 |
|
2,285 |
2,184 |
$19K |
| OP259 |
|
8,087 |
5,889 |
$19K |
| OP258 |
|
33,026 |
22,625 |
$19K |
| 76856 |
|
413 |
401 |
$18K |
| 87070 |
|
6,024 |
5,775 |
$18K |
| 87040 |
|
1,879 |
1,643 |
$18K |
| 73030 |
|
1,820 |
1,754 |
$18K |
| J2405 |
Ondansetron hcl injection |
12,389 |
9,726 |
$17K |
| 83735 |
|
8,257 |
5,795 |
$17K |
| 70551 |
|
171 |
156 |
$17K |
| 82077 |
|
4,842 |
4,073 |
$16K |
| 74018 |
|
1,759 |
1,694 |
$15K |
| 73562 |
|
1,262 |
1,216 |
$15K |
| 83036 |
|
2,593 |
2,404 |
$15K |
| 85027 |
|
4,004 |
3,445 |
$14K |
| 90715 |
|
1,492 |
1,423 |
$14K |
| 93975 |
|
252 |
248 |
$14K |
| J0131 |
Inj, acetaminophen (nos) |
3,284 |
2,814 |
$14K |
| 80076 |
|
2,340 |
2,157 |
$14K |
| 77065 |
Tomosynthesis, mammo |
197 |
179 |
$13K |
| 84439 |
|
1,977 |
1,785 |
$13K |
| 73130 |
|
1,643 |
1,574 |
$13K |
| 82962 |
|
7,231 |
4,390 |
$13K |
| 84702 |
|
3,169 |
2,826 |
$13K |
| 83880 |
|
2,364 |
2,158 |
$13K |
| 87086 |
|
6,199 |
5,682 |
$12K |
| J2270 |
Morphine sulfate injection |
5,176 |
3,736 |
$12K |
| 36430 |
|
35 |
25 |
$11K |
| 77066 |
Tomosynthesis, mammo |
109 |
103 |
$11K |
| 73110 |
|
1,138 |
1,086 |
$11K |
| J1170 |
Hydromorphone injection |
2,691 |
1,587 |
$10K |
| 83605 |
|
2,624 |
2,276 |
$10K |
| 80143 |
|
3,154 |
2,682 |
$10K |
| 80179 |
|
3,115 |
2,653 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
3,005 |
2,190 |
$9K |
| J1100 |
Dexamethasone sodium phos |
4,922 |
3,896 |
$9K |
| 82728 |
|
1,170 |
975 |
$9K |
| 73564 |
|
679 |
648 |
$9K |
| 97535 |
|
969 |
677 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
129 |
125 |
$8K |
| 73502 |
|
905 |
848 |
$8K |
| 82607 |
|
1,205 |
1,081 |
$8K |
| J2060 |
Lorazepam injection |
2,890 |
2,115 |
$8K |
| 87804 |
|
3,021 |
2,983 |
$7K |
| 10060 |
|
228 |
218 |
$7K |
| 95819 |
|
12 |
12 |
$7K |
| J3010 |
Fentanyl citrate injection |
2,297 |
2,045 |
$7K |
| 70491 |
|
51 |
49 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
2,464 |
2,202 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
11,162 |
9,689 |
$6K |
| 83789 |
|
1,944 |
1,732 |
$6K |
| 87088 |
|
1,108 |
1,082 |
$6K |
| 78452 |
|
42 |
37 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
3,091 |
2,606 |
$6K |
| 70486 |
|
199 |
193 |
$6K |
| 85379 |
|
2,535 |
2,369 |
$6K |
| 72100 |
|
418 |
405 |
$6K |
| 97166 |
|
319 |
266 |
$5K |
| 87880 |
|
4,187 |
4,034 |
$5K |
| 90792 |
|
393 |
330 |
$5K |
| 87636 |
|
600 |
574 |
$5K |
| 83550 |
|
1,009 |
852 |
$5K |
| M0222 |
Bebtelovimab injection |
57 |
57 |
$5K |
| 77336 |
|
34 |
14 |
$5K |
| 12001 |
|
381 |
370 |
$5K |
| 84100 |
|
3,666 |
2,451 |
$5K |
| 96417 |
|
15 |
12 |
$4K |
| 87186 |
|
1,503 |
1,364 |
$4K |
| 29125 |
|
492 |
479 |
$4K |
| J3370 |
Vancomycin hcl injection |
167 |
109 |
$4K |
| 73080 |
|
433 |
419 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
2,049 |
850 |
$4K |
| 59025 |
|
30 |
26 |
$4K |
| G0463 |
Hospital outpt clinic visit |
174 |
133 |
$4K |
| 72052 |
|
194 |
191 |
$4K |
| 92550 |
|
27 |
26 |
$4K |
| 87077 |
|
1,750 |
1,548 |
$4K |
| 90471 |
|
1,752 |
1,585 |
$4K |
| 73140 |
|
558 |
537 |
$4K |
| J3490 |
Drugs unclassified injection |
1,906 |
1,496 |
$4K |
| 0004A |
|
103 |
103 |
$4K |
| 72148 |
|
18 |
14 |
$3K |
| 80047 |
|
3,308 |
3,070 |
$3K |
| 76775 |
|
90 |
90 |
$3K |
| J2930 |
Methylprednisolone injection |
1,489 |
1,344 |
$3K |
| 87491 |
|
422 |
411 |
$3K |
| M0243 |
Casirivi and imdevi inj |
107 |
107 |
$3K |
| 87591 |
|
422 |
411 |
$3K |
| 86140 |
|
1,605 |
1,450 |
$3K |
| 87426 |
|
812 |
765 |
$3K |
| OP229 |
|
58 |
56 |
$3K |
| A9585 |
Gadobutrol injection |
327 |
313 |
$3K |
| 88313 |
|
360 |
336 |
$3K |
| 74022 |
|
113 |
111 |
$3K |
| OP270 |
|
1,491 |
1,335 |
$3K |
| 72050 |
|
140 |
140 |
$3K |
| 77080 |
|
42 |
41 |
$2K |
| 73590 |
|
222 |
212 |
$2K |
| 82248 |
|
318 |
291 |
$2K |
| 76870 |
|
80 |
75 |
$2K |
| M0247 |
Sotrovimab infusion |
45 |
43 |
$2K |
| 83540 |
|
895 |
735 |
$2K |
| 87205 |
|
239 |
235 |
$2K |
| A9552 |
F18 fdg |
72 |
70 |
$2K |
| 0031A |
|
60 |
60 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
824 |
743 |
$2K |
| 82550 |
|
742 |
652 |
$2K |
| 82746 |
|
525 |
442 |
$2K |
| 84703 |
|
908 |
886 |
$2K |
| 72170 |
|
101 |
101 |
$2K |
| 99211 |
|
13 |
13 |
$2K |
| 0012A |
|
57 |
57 |
$2K |
| 0064A |
|
57 |
54 |
$2K |
| 85651 |
|
384 |
368 |
$2K |
| J0690 |
Cefazolin sodium injection |
1,214 |
829 |
$2K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
85 |
85 |
$1K |
| 82570 |
|
958 |
639 |
$1K |
| J1650 |
Inj enoxaparin sodium |
2,171 |
847 |
$1K |
| 29515 |
|
96 |
96 |
$1K |
| 99213 |
|
14 |
12 |
$1K |
| 80320 |
|
339 |
311 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
4,400 |
3,180 |
$1K |
| 88342 |
|
106 |
103 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,878 |
1,569 |
$1K |
| 88312 |
|
205 |
192 |
$1K |
| J3475 |
Inj magnesium sulfate |
534 |
369 |
$1K |
| 82150 |
|
302 |
292 |
$1K |
| 73090 |
|
137 |
134 |
$1K |
| 0011A |
|
39 |
39 |
$1K |
| 12002 |
|
63 |
63 |
$1K |
| G1004 |
Cdsm ndsc |
1,044 |
779 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,523 |
1,124 |
$979.14 |
| J3480 |
Inj potassium chloride |
131 |
88 |
$939.77 |
| C1769 |
Guide wire |
133 |
110 |
$911.16 |
| J7030 |
Normal saline solution infus |
623 |
290 |
$897.32 |
| C9113 |
Inj pantoprazole sodium, via |
889 |
496 |
$891.18 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
300 |
277 |
$885.36 |
| 87999 |
|
561 |
555 |
$872.10 |
| 71101 |
|
129 |
127 |
$869.78 |
| 76801 |
|
13 |
12 |
$851.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
560 |
223 |
$811.42 |
| 87633 |
|
38 |
38 |
$735.84 |
| 85652 |
|
638 |
544 |
$709.44 |
| 0072A |
|
14 |
14 |
$693.53 |
| 82378 |
|
124 |
95 |
$651.41 |
| 84145 |
|
138 |
121 |
$649.62 |
| 87420 |
|
366 |
364 |
$630.64 |
| 74019 |
|
102 |
100 |
$617.98 |
| 97165 |
|
77 |
63 |
$609.77 |
| 86923 |
|
43 |
37 |
$593.86 |
| 0071A |
|
12 |
12 |
$582.26 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
294 |
259 |
$567.42 |
| G8978 |
Mobility current status |
55 |
51 |
$552.07 |
| G8979 |
Mobility goal status |
61 |
55 |
$552.07 |
| J0134 |
Inj acetaminophen -fresenius |
248 |
212 |
$550.99 |
| J0136 |
Inj, acetaminophen (b braun) |
457 |
388 |
$538.90 |
| 85378 |
|
187 |
185 |
$519.51 |
| C1887 |
Catheter, guiding |
36 |
24 |
$479.59 |
| 87147 |
|
401 |
390 |
$460.23 |
| J2919 |
Inj, methylpred sod succ 5mg |
271 |
224 |
$458.97 |
| 85014 |
|
138 |
115 |
$457.29 |
| 81002 |
|
1,445 |
1,311 |
$399.07 |
| 82803 |
|
109 |
96 |
$387.98 |
| 0124A |
|
28 |
24 |
$381.05 |
| 84156 |
|
339 |
175 |
$380.12 |
| 0054A |
|
16 |
16 |
$359.72 |
| C9290 |
Inj, bupivacaine liposome |
78 |
70 |
$350.29 |
| 83615 |
|
160 |
124 |
$349.71 |
| J0360 |
Hydralazine hcl injection |
508 |
348 |
$325.53 |
| 86308 |
|
263 |
259 |
$298.49 |
| M0245 |
Bamlan and etesev infusion |
21 |
21 |
$296.35 |
| J3360 |
Diazepam injection |
163 |
139 |
$290.13 |
| 86618 |
|
27 |
26 |
$271.87 |
| 72072 |
|
16 |
14 |
$221.29 |
| 82043 |
|
95 |
85 |
$204.91 |
| 87798 |
|
50 |
50 |
$177.68 |
| A9500 |
Tc99m sestamibi |
44 |
40 |
$177.35 |
| 88304 |
|
63 |
57 |
$173.38 |
| 87389 |
|
12 |
12 |
$169.19 |
| J1815 |
Insulin injection |
502 |
169 |
$166.05 |
| 86617 |
|
29 |
29 |
$163.98 |
| J3411 |
Thiamine hcl 100 mg |
28 |
25 |
$160.98 |
| C1894 |
Intro/sheath, non-laser |
31 |
24 |
$152.52 |
| J2543 |
Piperacillin/tazobactam |
59 |
43 |
$132.68 |
| J7510 |
Prednisolone oral per 5 mg |
662 |
636 |
$132.41 |
| 29130 |
|
42 |
39 |
$129.59 |
| 12011 |
|
26 |
26 |
$113.60 |
| 87581 |
|
38 |
38 |
$96.68 |
| 87486 |
|
38 |
38 |
$96.68 |
| J0689 |
Inj cefazolin sodium, baxter |
151 |
101 |
$91.41 |
| C1729 |
Cath, drainage |
22 |
12 |
$88.44 |
| 84436 |
|
37 |
37 |
$83.62 |
| J0780 |
Prochlorperazine injection |
62 |
53 |
$82.25 |
| 84153 |
|
13 |
12 |
$80.74 |
| J1630 |
Haloperidol injection |
301 |
203 |
$60.78 |
| J2920 |
Methylprednisolone injection |
41 |
24 |
$51.97 |
| OP255 |
|
29 |
29 |
$46.96 |
| 86592 |
|
12 |
12 |
$42.81 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
44 |
$41.43 |
| OP637 |
|
16,062 |
2,162 |
$28.52 |
| J2470 |
Inj pantoprazole sodium 40mg |
85 |
60 |
$23.36 |
| 84550 |
|
13 |
12 |
$21.88 |
| J7620 |
Albuterol ipratrop non-comp |
266 |
247 |
$21.30 |
| J0137 |
Inj, acetaminophen (hikma) |
19 |
18 |
$19.84 |
| 85018 |
|
20 |
13 |
$15.84 |
| 86803 |
|
14 |
13 |
$14.27 |
| 87340 |
|
16 |
13 |
$13.41 |
| G0008 |
Admin influenza virus vac |
19 |
16 |
$10.76 |
| 90686 |
|
15 |
12 |
$8.98 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
30 |
26 |
$6.44 |
| J7613 |
Albuterol non-comp unit |
88 |
71 |
$6.00 |
| J3590 |
Unclassified biologics |
28 |
27 |
$3.21 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
15 |
14 |
$3.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
46 |
33 |
$2.55 |
| Q0247 |
Sotrovimab |
38 |
36 |
$1.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
102 |
85 |
$1.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
83 |
40 |
$0.13 |
| 91300 |
|
1,372 |
1,234 |
$0.01 |
| Q0222 |
Bebtelovimab 175 mg |
58 |
58 |
$0.00 |
| 91305 |
|
36 |
35 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
25 |
19 |
$0.00 |
| 91301 |
|
93 |
93 |
$0.00 |
| 91303 |
|
47 |
47 |
$0.00 |
| 91307 |
|
36 |
34 |
$0.00 |
| 91306 |
|
50 |
48 |
$0.00 |
| 91312 |
|
28 |
24 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
20 |
20 |
$0.00 |
| 80164 |
|
17 |
13 |
$0.00 |