| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
32,038 |
26,294 |
$8.90M |
| 99283 |
|
44,362 |
41,015 |
$5.07M |
| G0463 |
Hospital outpt clinic visit |
73,110 |
49,829 |
$3.98M |
| 99284 |
|
45,501 |
41,569 |
$3.70M |
| 99285 |
|
54,115 |
48,194 |
$2.93M |
| 74177 |
|
11,210 |
10,632 |
$1.79M |
| 96365 |
|
17,398 |
12,881 |
$1.54M |
| 70450 |
|
10,468 |
9,914 |
$1.36M |
| 96366 |
|
7,722 |
4,743 |
$1.29M |
| 93306 |
|
5,980 |
5,871 |
$1.20M |
| 99282 |
|
10,454 |
9,848 |
$1.12M |
| 96360 |
|
9,288 |
8,061 |
$1.05M |
| 87635 |
|
28,156 |
25,451 |
$744K |
| 87631 |
|
12,896 |
12,248 |
$694K |
| 78452 |
|
2,244 |
2,174 |
$635K |
| 97110 |
|
30,320 |
14,590 |
$625K |
| 74176 |
|
3,692 |
3,523 |
$565K |
| 11042 |
|
5,567 |
2,196 |
$561K |
| 71275 |
|
2,581 |
2,506 |
$391K |
| 76705 |
|
4,219 |
4,082 |
$379K |
| 80307 |
|
8,759 |
7,698 |
$359K |
| 80053 |
|
86,476 |
71,164 |
$354K |
| 97140 |
|
17,999 |
9,153 |
$319K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,981 |
1,937 |
$316K |
| 12001 |
|
1,608 |
1,578 |
$306K |
| J9271 |
Inj pembrolizumab |
115 |
76 |
$285K |
| 96415 |
|
1,434 |
1,005 |
$279K |
| 10060 |
|
1,644 |
1,544 |
$277K |
| 43239 |
|
1,174 |
1,141 |
$251K |
| 96413 |
|
5,581 |
3,072 |
$224K |
| J0585 |
Injection,onabotulinumtoxina |
1,072 |
797 |
$222K |
| 93017 |
|
3,297 |
3,158 |
$220K |
| 95886 |
|
1,401 |
1,380 |
$216K |
| 97530 |
|
9,282 |
4,891 |
$200K |
| 93971 |
|
2,393 |
2,293 |
$177K |
| 93321 |
|
1,275 |
1,233 |
$174K |
| 12002 |
|
976 |
948 |
$169K |
| 70496 |
|
1,176 |
1,128 |
$168K |
| 96367 |
|
4,595 |
3,185 |
$160K |
| 12011 |
|
705 |
692 |
$159K |
| 97535 |
|
9,118 |
6,830 |
$148K |
| 97162 |
|
3,992 |
3,904 |
$147K |
| G0378 |
Hospital observation per hr |
8,333 |
7,211 |
$133K |
| 64615 |
|
532 |
498 |
$133K |
| 97161 |
|
3,552 |
3,440 |
$127K |
| 84484 |
|
34,896 |
21,460 |
$122K |
| 87633 |
|
1,885 |
1,819 |
$114K |
| 44970 |
|
39 |
39 |
$110K |
| 97112 |
|
5,828 |
3,226 |
$109K |
| J2469 |
Palonosetron hcl |
2,322 |
1,344 |
$108K |
| 76830 |
|
1,427 |
1,383 |
$107K |
| 93458 |
|
108 |
108 |
$99K |
| 76856 |
|
1,900 |
1,837 |
$96K |
| G0480 |
Drug test def 1-7 classes |
17,884 |
15,147 |
$95K |
| 97113 |
|
2,318 |
1,170 |
$90K |
| J1453 |
Fosaprepitant injection |
1,329 |
800 |
$80K |
| 99281 |
|
668 |
636 |
$71K |
| 93970 |
|
858 |
838 |
$68K |
| 83605 |
|
12,143 |
10,858 |
$67K |
| 95819 |
|
361 |
338 |
$59K |
| 20610 |
|
608 |
432 |
$59K |
| 29125 |
|
425 |
414 |
$58K |
| 92507 |
|
1,822 |
885 |
$57K |
| 76801 |
|
1,346 |
1,237 |
$55K |
| 70551 |
|
334 |
330 |
$49K |
| 45385 |
|
120 |
119 |
$47K |
| 90715 |
|
2,877 |
2,804 |
$47K |
| 93005 |
|
44,046 |
38,647 |
$46K |
| 97165 |
|
1,414 |
1,379 |
$46K |
| 93325 |
|
1,642 |
1,594 |
$44K |
| 71260 |
|
1,367 |
1,333 |
$44K |
| 29581 |
|
482 |
183 |
$42K |
| J1756 |
Iron sucrose injection |
2,806 |
1,144 |
$41K |
| P9016 |
Rbc leukocytes reduced |
157 |
105 |
$40K |
| 87502 |
|
3,023 |
2,901 |
$37K |
| 97116 |
|
3,641 |
2,217 |
$37K |
| 80048 |
|
10,438 |
8,304 |
$35K |
| 93922 |
|
955 |
913 |
$34K |
| 85379 |
|
7,842 |
7,501 |
$34K |
| 70491 |
|
178 |
176 |
$33K |
| 36430 |
|
317 |
194 |
$33K |
| 87040 |
|
4,126 |
3,796 |
$31K |
| 97597 |
|
1,110 |
510 |
$31K |
| 45380 |
|
169 |
161 |
$30K |
| 47563 |
|
13 |
13 |
$29K |
| 72125 |
|
3,757 |
3,594 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
374 |
368 |
$28K |
| 93246 |
|
1,010 |
864 |
$27K |
| 83880 |
|
7,271 |
6,655 |
$27K |
| 70498 |
|
1,237 |
1,187 |
$26K |
| 85025 |
|
94,346 |
74,912 |
$26K |
| 77336 |
|
471 |
202 |
$24K |
| 87591 |
|
2,373 |
2,303 |
$22K |
| 94640 |
|
3,905 |
2,838 |
$21K |
| 96374 |
|
34,629 |
29,800 |
$21K |
| 36415 |
|
97,886 |
75,291 |
$20K |
| 96372 |
|
19,204 |
12,741 |
$20K |
| 93798 |
|
3,043 |
681 |
$20K |
| 93880 |
|
423 |
418 |
$20K |
| 70486 |
|
830 |
815 |
$18K |
| 93308 |
|
77 |
74 |
$17K |
| 76817 |
|
865 |
799 |
$16K |
| 97163 |
|
359 |
358 |
$16K |
| 71046 |
|
11,413 |
10,780 |
$16K |
| 96416 |
|
46 |
24 |
$15K |
| 93976 |
|
1,007 |
975 |
$15K |
| 87486 |
|
1,879 |
1,813 |
$14K |
| 71045 |
|
19,770 |
18,134 |
$12K |
| 97166 |
|
331 |
319 |
$11K |
| 93225 |
|
342 |
288 |
$10K |
| 96368 |
|
2,079 |
1,654 |
$9K |
| 87798 |
|
2,053 |
1,974 |
$9K |
| 76870 |
|
102 |
96 |
$8K |
| 96375 |
|
34,606 |
26,938 |
$8K |
| 87581 |
|
1,884 |
1,817 |
$7K |
| 85610 |
|
18,243 |
14,633 |
$7K |
| 84443 |
|
16,155 |
14,407 |
$6K |
| 83735 |
|
23,505 |
19,701 |
$6K |
| 84703 |
|
23,097 |
20,761 |
$6K |
| 93296 |
|
985 |
659 |
$6K |
| 93242 |
|
185 |
167 |
$6K |
| 80305 |
|
10,222 |
8,988 |
$6K |
| 76770 |
|
62 |
62 |
$6K |
| 88307 |
|
420 |
408 |
$5K |
| 0296T |
|
326 |
281 |
$5K |
| 74230 |
|
86 |
86 |
$5K |
| 93226 |
|
290 |
286 |
$5K |
| 72148 |
|
45 |
41 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,248 |
1,218 |
$5K |
| 92526 |
|
241 |
188 |
$5K |
| 77334 |
|
65 |
39 |
$5K |
| 83690 |
|
30,967 |
27,672 |
$4K |
| 77300 |
|
102 |
90 |
$4K |
| 73610 |
|
2,487 |
2,380 |
$4K |
| 93271 |
|
64 |
52 |
$4K |
| 87636 |
|
229 |
226 |
$4K |
| 76937 |
|
100 |
97 |
$4K |
| 86923 |
|
219 |
139 |
$4K |
| 88305 |
|
3,407 |
3,292 |
$4K |
| 73130 |
|
2,102 |
2,033 |
$4K |
| 81001 |
|
33,271 |
30,315 |
$3K |
| 76942 |
|
210 |
209 |
$3K |
| 86850 |
|
3,318 |
2,848 |
$3K |
| 43235 |
|
12 |
12 |
$3K |
| 85027 |
|
5,178 |
4,321 |
$3K |
| 87420 |
|
162 |
156 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,497 |
18,126 |
$3K |
| 96376 |
|
13,748 |
9,708 |
$3K |
| 93797 |
|
796 |
191 |
$3K |
| 97760 |
|
141 |
113 |
$3K |
| 73630 |
|
2,218 |
2,136 |
$3K |
| 73560 |
|
2,463 |
2,363 |
$3K |
| 29075 |
|
14 |
13 |
$3K |
| 95911 |
|
168 |
159 |
$3K |
| J3010 |
Fentanyl citrate injection |
13,332 |
11,199 |
$2K |
| 93270 |
|
80 |
72 |
$2K |
| 73030 |
|
2,140 |
2,048 |
$2K |
| 10061 |
|
13 |
13 |
$2K |
| 99214 |
|
21 |
21 |
$2K |
| 86900 |
|
3,465 |
2,984 |
$2K |
| 90471 |
|
3,318 |
3,109 |
$2K |
| 87086 |
|
10,292 |
9,599 |
$2K |
| 95885 |
|
13 |
13 |
$2K |
| 84702 |
|
3,988 |
3,672 |
$2K |
| 73110 |
|
1,697 |
1,627 |
$2K |
| 97035 |
|
273 |
181 |
$2K |
| 82550 |
|
6,958 |
5,998 |
$2K |
| 70553 |
|
12 |
12 |
$2K |
| 80061 |
|
705 |
671 |
$2K |
| 82728 |
|
1,394 |
1,251 |
$2K |
| 76815 |
|
123 |
113 |
$2K |
| 86140 |
|
5,169 |
4,759 |
$2K |
| 84439 |
|
5,474 |
5,125 |
$1K |
| 74018 |
|
1,195 |
1,121 |
$1K |
| 86901 |
|
4,166 |
3,646 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
18,756 |
14,374 |
$1K |
| J0881 |
Darbepoetin alfa, non-esrd |
55 |
40 |
$1K |
| 36591 |
|
175 |
138 |
$1K |
| 87491 |
|
2,374 |
2,304 |
$1K |
| 73090 |
|
575 |
550 |
$1K |
| 83036 |
|
1,260 |
1,205 |
$1K |
| 73080 |
|
873 |
843 |
$1K |
| 87205 |
|
3,428 |
3,146 |
$1K |
| 87147 |
|
3,112 |
2,932 |
$1K |
| 72100 |
|
1,117 |
1,085 |
$1K |
| 71250 |
|
39 |
37 |
$1K |
| J2405 |
Ondansetron hcl injection |
29,375 |
24,168 |
$1K |
| 90686 |
|
153 |
146 |
$1K |
| J3475 |
Inj magnesium sulfate |
3,576 |
2,741 |
$951.73 |
| J2060 |
Lorazepam injection |
7,125 |
6,100 |
$900.97 |
| 36600 |
|
1,383 |
1,267 |
$891.69 |
| Q9957 |
Inj perflutren lip micros,ml |
2,538 |
2,478 |
$865.63 |
| 95909 |
|
58 |
50 |
$859.24 |
| 87081 |
|
2,950 |
2,874 |
$837.54 |
| 82803 |
|
3,481 |
3,220 |
$824.25 |
| J9190 |
Fluorouracil injection |
102 |
38 |
$810.68 |
| J0696 |
Ceftriaxone sodium injection |
9,253 |
6,987 |
$802.08 |
| 73502 |
|
985 |
932 |
$775.13 |
| J0561 |
Penicillin g benzathine inj |
14 |
13 |
$764.35 |
| J1170 |
Hydromorphone injection |
18,357 |
13,454 |
$753.43 |
| 80164 |
|
117 |
105 |
$740.12 |
| 72131 |
|
37 |
37 |
$697.08 |
| 76000 |
|
422 |
407 |
$690.03 |
| 87070 |
|
1,693 |
1,576 |
$629.16 |
| 96523 |
|
13 |
13 |
$626.15 |
| 93351 |
|
31 |
30 |
$619.40 |
| 73700 |
|
15 |
14 |
$602.80 |
| 73140 |
|
837 |
816 |
$598.22 |
| 93925 |
|
13 |
13 |
$591.43 |
| 87430 |
|
2,560 |
2,493 |
$590.36 |
| 85652 |
|
4,023 |
3,627 |
$578.78 |
| J1644 |
Inj heparin sodium per 1000u |
4,921 |
2,534 |
$574.72 |
| 99152 |
|
1,449 |
1,364 |
$564.20 |
| J1200 |
Diphenhydramine hcl injectio |
8,247 |
6,863 |
$559.98 |
| 85730 |
|
4,029 |
3,760 |
$557.74 |
| 84100 |
|
2,863 |
2,430 |
$538.66 |
| 99153 |
Mod sedat endo service >5yrs |
751 |
711 |
$524.05 |
| 82075 |
|
1,755 |
1,581 |
$519.92 |
| J2250 |
Inj midazolam hydrochloride |
8,462 |
7,758 |
$512.50 |
| 87075 |
|
766 |
713 |
$508.65 |
| 88342 |
|
144 |
138 |
$507.00 |
| J2704 |
Inj, propofol, 10 mg |
13,381 |
11,529 |
$498.12 |
| 73590 |
|
918 |
881 |
$487.27 |
| 87186 |
|
4,041 |
3,821 |
$483.33 |
| 93280 |
|
106 |
60 |
$470.11 |
| C1769 |
Guide wire |
2,334 |
2,206 |
$409.98 |
| J0690 |
Cefazolin sodium injection |
5,075 |
4,332 |
$388.30 |
| 74022 |
|
203 |
191 |
$386.03 |
| 96402 |
|
55 |
50 |
$368.50 |
| 87340 |
|
567 |
544 |
$355.26 |
| J2270 |
Morphine sulfate injection |
5,079 |
3,985 |
$354.35 |
| C1894 |
Intro/sheath, non-laser |
1,920 |
1,829 |
$346.48 |
| 88304 |
|
1,131 |
1,115 |
$342.31 |
| C1760 |
Closure dev, vasc |
170 |
165 |
$339.21 |
| 0202U |
|
562 |
547 |
$333.42 |
| J1100 |
Dexamethasone sodium phos |
14,375 |
11,791 |
$326.22 |
| 86780 |
|
27 |
27 |
$316.69 |
| 85007 |
|
435 |
401 |
$313.30 |
| 87077 |
|
2,244 |
2,132 |
$308.23 |
| 83550 |
|
770 |
710 |
$299.49 |
| A9500 |
Tc99m sestamibi |
67 |
56 |
$279.31 |
| 83540 |
|
850 |
776 |
$274.61 |
| 81025 |
|
1,911 |
1,884 |
$250.53 |
| 92610 |
|
12 |
12 |
$249.60 |
| 96417 |
|
1,218 |
751 |
$235.87 |
| J3411 |
Thiamine hcl 100 mg |
612 |
475 |
$234.80 |
| J2930 |
Methylprednisolone injection |
2,001 |
1,616 |
$232.91 |
| 82565 |
|
525 |
442 |
$219.61 |
| 87210 |
|
700 |
690 |
$217.46 |
| J2785 |
Regadenoson injection |
2,103 |
2,042 |
$196.65 |
| 86803 |
|
363 |
348 |
$195.47 |
| J2765 |
Metoclopramide hcl injection |
3,809 |
3,448 |
$186.24 |
| 89051 |
|
41 |
37 |
$185.50 |
| 87808 |
|
576 |
566 |
$177.58 |
| J3370 |
Vancomycin hcl injection |
1,204 |
681 |
$172.71 |
| 76376 |
|
1,054 |
643 |
$163.67 |
| Q0162 |
Ondansetron oral |
5,640 |
5,154 |
$159.02 |
| 87389 |
|
63 |
62 |
$145.00 |
| 82607 |
|
134 |
132 |
$137.70 |
| 81003 |
|
3,476 |
3,250 |
$136.69 |
| 90632 |
|
13 |
13 |
$136.09 |
| 82140 |
|
1,163 |
1,057 |
$128.39 |
| J0330 |
Succinycholine chloride inj |
1,687 |
1,608 |
$125.59 |
| 0241U |
|
213 |
212 |
$120.00 |
| 83615 |
|
125 |
90 |
$116.97 |
| 80178 |
|
13 |
12 |
$113.67 |
| A9270 |
Non-covered item or service |
12,390 |
7,601 |
$111.28 |
| J7030 |
Normal saline solution infus |
15 |
15 |
$106.93 |
| 82330 |
|
896 |
830 |
$97.28 |
| J1630 |
Haloperidol injection |
3,224 |
2,791 |
$83.33 |
| Q3014 |
Telehealth facility fee |
79 |
43 |
$81.04 |
| 82010 |
|
1,446 |
1,268 |
$77.02 |
| A9502 |
Tc99m tetrofosmin |
1,975 |
1,726 |
$74.70 |
| 87088 |
|
949 |
899 |
$69.58 |
| 87899 |
|
287 |
277 |
$62.35 |
| J1040 |
Methylprednisolone 80 mg inj |
344 |
338 |
$58.00 |
| J0689 |
Inj cefazolin sodium, baxter |
2,048 |
1,900 |
$54.06 |
| 36592 |
|
41 |
25 |
$43.34 |
| 72170 |
|
48 |
48 |
$43.16 |
| 86705 |
|
151 |
141 |
$41.42 |
| 72072 |
|
27 |
26 |
$40.62 |
| J0780 |
Prochlorperazine injection |
3,041 |
2,703 |
$37.91 |
| 82746 |
|
38 |
38 |
$37.60 |
| 72040 |
|
53 |
53 |
$37.27 |
| 85014 |
|
60 |
46 |
$32.23 |
| 87045 |
|
120 |
116 |
$31.04 |
| P9612 |
Catheterize for urine spec |
815 |
776 |
$30.23 |
| 86308 |
|
499 |
485 |
$29.86 |
| 87015 |
|
160 |
152 |
$27.17 |
| J0131 |
Inj, acetaminophen (nos) |
970 |
904 |
$26.37 |
| 82570 |
|
261 |
230 |
$25.69 |
| 82378 |
|
20 |
13 |
$25.14 |
| J3360 |
Diazepam injection |
743 |
432 |
$23.77 |
| 84156 |
|
238 |
208 |
$22.86 |
| J2272 |
Inj, morphine (fresenius) |
1,853 |
1,552 |
$21.65 |
| 86709 |
|
78 |
76 |
$20.93 |
| J1650 |
Inj enoxaparin sodium |
3,925 |
1,585 |
$19.56 |
| 87046 |
|
121 |
117 |
$17.88 |
| 87280 |
|
34 |
32 |
$16.54 |
| 87493 |
|
86 |
83 |
$16.14 |
| 85018 |
|
63 |
47 |
$16.11 |
| J1940 |
Furosemide injection |
456 |
327 |
$14.46 |
| 82247 |
|
45 |
40 |
$13.86 |
| 84550 |
|
153 |
119 |
$13.55 |
| J1790 |
Droperidol injection |
1,139 |
1,058 |
$12.52 |
| 73562 |
|
49 |
49 |
$11.87 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
240 |
225 |
$11.11 |
| J2543 |
Piperacillin/tazobactam |
107 |
100 |
$10.92 |
| 82040 |
|
17 |
15 |
$9.94 |
| 80306 |
|
282 |
271 |
$9.15 |
| 84450 |
|
16 |
14 |
$8.60 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,445 |
2,364 |
$5.33 |
| J0360 |
Hydralazine hcl injection |
318 |
277 |
$3.74 |
| J2710 |
Neostigmine methylslfte inj |
756 |
722 |
$1.01 |
| 51798 |
|
12 |
12 |
$0.00 |
| J0456 |
Azithromycin |
31 |
29 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
94 |
93 |
$0.00 |
| 71101 |
|
28 |
27 |
$0.00 |
| G8991 |
Other pt/ot goal status |
121 |
111 |
$0.00 |
| G8988 |
Self care goal status |
69 |
66 |
$0.00 |
| G0008 |
Admin influenza virus vac |
91 |
88 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
366 |
234 |
$0.00 |
| G8980 |
Mobility d/c status |
251 |
246 |
$0.00 |
| C1781 |
Mesh (implantable) |
61 |
61 |
$0.00 |
| G8987 |
Self care current status |
55 |
54 |
$0.00 |
| 11045 |
|
22 |
12 |
$0.00 |
| 96411 |
|
41 |
25 |
$0.00 |
| 73660 |
|
16 |
14 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
26 |
26 |
$0.00 |
| G8982 |
Body pos goal status |
28 |
26 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
13 |
13 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
70 |
67 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
83 |
73 |
$0.00 |
| 99291 |
|
15 |
14 |
$0.00 |
| J1439 |
Inj ferric carboxymaltos 1mg |
40 |
25 |
$0.00 |
| G8981 |
Body pos current status |
14 |
12 |
$0.00 |
| G8978 |
Mobility current status |
747 |
717 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
229 |
107 |
$0.00 |
| G8979 |
Mobility goal status |
870 |
817 |
$0.00 |
| A4565 |
Slings |
514 |
501 |
$0.00 |
| G8990 |
Other pt/ot current status |
102 |
95 |
$0.00 |
| G8984 |
Carry current status |
74 |
73 |
$0.00 |
| G8985 |
Carry goal status |
169 |
163 |
$0.00 |
| 87150 |
|
112 |
100 |
$0.00 |
| 90662 |
|
24 |
24 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
58 |
26 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
51 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
269 |
193 |
$0.00 |
| 96549 |
|
119 |
75 |
$0.00 |
| C1887 |
Catheter, guiding |
99 |
95 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
31 |
29 |
$0.00 |
| 92611 |
|
13 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
125 |
111 |
$0.00 |
| G8997 |
Swallow goal status |
55 |
49 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
13 |
12 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
13 |
$0.00 |
| G8996 |
Swallow current status |
39 |
36 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
28 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
373 |
283 |
$0.00 |
| 74300 |
|
13 |
13 |
$0.00 |
| 84112 |
|
15 |
13 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
45 |
42 |
$0.00 |
| C1758 |
Catheter, ureteral |
13 |
13 |
$0.00 |
| J1953 |
Levetiracetam injection |
12 |
12 |
$0.00 |