| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
80,111 |
74,447 |
$6.65M |
| 99284 |
|
68,487 |
61,640 |
$6.08M |
| 99211 |
|
69,599 |
52,691 |
$2.01M |
| 99285 |
|
11,569 |
10,168 |
$1.19M |
| 76811 |
|
5,838 |
5,017 |
$739K |
| 80053 |
|
86,661 |
71,894 |
$662K |
| 76816 |
|
8,821 |
7,857 |
$653K |
| 99212 |
|
21,002 |
19,035 |
$587K |
| 87635 |
|
14,912 |
13,423 |
$557K |
| 99213 |
|
16,400 |
14,794 |
$547K |
| 71045 |
|
12,047 |
10,440 |
$543K |
| G0378 |
Hospital observation per hr |
3,251 |
2,523 |
$481K |
| 87798 |
|
8,053 |
6,785 |
$466K |
| 93005 |
|
31,471 |
26,736 |
$446K |
| 99282 |
|
8,187 |
7,706 |
$445K |
| 87661 |
|
13,028 |
11,714 |
$392K |
| 85027 |
|
84,723 |
67,842 |
$389K |
| 97110 |
|
11,332 |
2,372 |
$372K |
| 99214 |
|
7,152 |
6,004 |
$360K |
| 71046 |
|
6,594 |
5,961 |
$354K |
| 87481 |
|
8,054 |
6,807 |
$350K |
| 87804 |
|
14,700 |
11,757 |
$346K |
| 87591 |
|
14,235 |
12,931 |
$345K |
| 87491 |
|
14,320 |
13,019 |
$344K |
| J7030 |
Normal saline solution infus |
12,830 |
10,397 |
$337K |
| 80307 |
|
7,266 |
6,399 |
$334K |
| 81025 |
|
44,234 |
39,596 |
$285K |
| 76819 |
|
2,835 |
2,203 |
$247K |
| 76801 |
|
2,609 |
2,294 |
$176K |
| 93306 |
|
760 |
682 |
$174K |
| 80081 |
|
2,263 |
2,024 |
$168K |
| 96374 |
|
31,407 |
22,914 |
$166K |
| A0427 |
Als1-emergency |
1,649 |
1,122 |
$164K |
| 83735 |
|
33,247 |
25,765 |
$150K |
| 84484 |
|
16,260 |
12,182 |
$148K |
| 36415 |
|
57,857 |
46,926 |
$141K |
| 83880 |
|
5,076 |
4,477 |
$123K |
| 88175 |
|
5,988 |
5,386 |
$122K |
| 76805 |
|
1,115 |
1,022 |
$111K |
| 43239 |
|
554 |
389 |
$108K |
| 81001 |
|
44,229 |
39,121 |
$106K |
| 70450 |
|
612 |
548 |
$103K |
| 85025 |
|
17,859 |
15,049 |
$89K |
| 87624 |
|
2,906 |
2,667 |
$86K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,564 |
1,464 |
$85K |
| 86480 |
|
1,672 |
1,417 |
$84K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,769 |
1,270 |
$83K |
| G0480 |
Drug test def 1-7 classes |
1,423 |
1,211 |
$81K |
| 96375 |
|
6,551 |
4,397 |
$77K |
| 87880 |
|
5,450 |
4,956 |
$75K |
| 87086 |
|
8,727 |
7,597 |
$64K |
| 87150 |
|
1,881 |
1,762 |
$63K |
| 96372 |
|
10,989 |
7,998 |
$60K |
| 72082 |
|
542 |
503 |
$59K |
| 76536 |
|
666 |
604 |
$58K |
| A0429 |
Bls-emergency |
1,063 |
713 |
$56K |
| 84443 |
|
3,854 |
3,364 |
$55K |
| 99215 |
Prolong outpt/office vis |
908 |
690 |
$43K |
| 96361 |
|
3,314 |
2,065 |
$41K |
| 31575 |
|
429 |
329 |
$39K |
| 86803 |
|
3,043 |
2,653 |
$38K |
| 93976 |
|
405 |
352 |
$37K |
| 45380 |
|
142 |
105 |
$36K |
| 83690 |
|
7,180 |
6,259 |
$36K |
| 84100 |
|
10,482 |
8,446 |
$34K |
| 84702 |
|
2,373 |
2,056 |
$32K |
| 59025 |
|
1,185 |
614 |
$31K |
| 76815 |
|
411 |
253 |
$30K |
| 76700 |
|
152 |
138 |
$30K |
| A0425 |
Ground mileage |
2,801 |
1,815 |
$28K |
| 74177 |
|
44 |
40 |
$28K |
| 99281 |
|
1,182 |
1,087 |
$27K |
| 93303 |
|
114 |
106 |
$27K |
| 86703 |
|
2,005 |
1,879 |
$23K |
| 85610 |
|
8,075 |
6,969 |
$22K |
| 99203 |
|
612 |
588 |
$21K |
| G0463 |
Hospital outpt clinic visit |
10,448 |
8,024 |
$21K |
| 92134 |
|
942 |
816 |
$19K |
| 82677 |
|
844 |
790 |
$19K |
| 36592 |
|
1,411 |
1,250 |
$18K |
| 81002 |
|
6,425 |
5,104 |
$18K |
| 93325 |
|
149 |
133 |
$18K |
| 76820 |
|
311 |
221 |
$18K |
| 36512 |
|
33 |
25 |
$18K |
| 99202 |
|
618 |
594 |
$17K |
| 80048 |
|
3,228 |
2,254 |
$16K |
| 93320 |
|
113 |
105 |
$16K |
| 92507 |
|
569 |
183 |
$16K |
| 82105 |
|
967 |
915 |
$14K |
| 11042 |
|
286 |
142 |
$14K |
| 82306 |
|
611 |
543 |
$14K |
| 0241U |
|
160 |
138 |
$14K |
| 73630 |
|
421 |
358 |
$14K |
| 87426 |
|
574 |
490 |
$13K |
| 86336 |
|
843 |
790 |
$12K |
| 87430 |
|
861 |
757 |
$11K |
| 96365 |
|
368 |
233 |
$11K |
| 92012 |
|
5,491 |
4,268 |
$11K |
| Q0162 |
Ondansetron oral |
327 |
256 |
$11K |
| 82550 |
|
2,425 |
1,943 |
$10K |
| 88142 |
|
742 |
689 |
$10K |
| 83970 |
|
326 |
283 |
$10K |
| 96413 |
|
151 |
89 |
$10K |
| 76942 |
|
197 |
181 |
$9K |
| 66984 |
|
14 |
14 |
$9K |
| 87389 |
|
369 |
350 |
$9K |
| 82950 |
|
1,997 |
1,852 |
$9K |
| 77073 |
|
129 |
108 |
$9K |
| 72190 |
|
102 |
97 |
$8K |
| 82784 |
|
359 |
256 |
$8K |
| 99204 |
|
169 |
147 |
$8K |
| 87807 |
|
669 |
622 |
$8K |
| 97530 |
|
599 |
200 |
$8K |
| 94060 |
|
170 |
146 |
$8K |
| J7120 |
Ringers lactate infusion |
1,141 |
882 |
$7K |
| 73721 |
|
16 |
15 |
$7K |
| 87077 |
|
909 |
788 |
$7K |
| 82947 |
|
1,918 |
1,644 |
$6K |
| 73564 |
|
76 |
71 |
$6K |
| 76817 |
|
87 |
67 |
$6K |
| 74240 |
|
33 |
32 |
$6K |
| 93017 |
|
45 |
38 |
$6K |
| 72081 |
|
53 |
48 |
$6K |
| 71250 |
|
14 |
12 |
$6K |
| 86592 |
|
1,262 |
1,126 |
$6K |
| 87040 |
|
562 |
421 |
$6K |
| 76830 |
|
68 |
64 |
$5K |
| 74019 |
|
91 |
81 |
$5K |
| 84425 |
|
286 |
259 |
$5K |
| 73610 |
|
167 |
148 |
$5K |
| 99173 |
|
633 |
606 |
$4K |
| 83036 |
|
642 |
576 |
$4K |
| 87340 |
|
501 |
427 |
$4K |
| 82607 |
|
329 |
293 |
$4K |
| 87081 |
|
641 |
593 |
$4K |
| 86787 |
|
356 |
300 |
$4K |
| A9502 |
Tc99m tetrofosmin |
30 |
24 |
$4K |
| 80143 |
|
366 |
321 |
$4K |
| 92133 |
|
278 |
242 |
$4K |
| 82728 |
|
315 |
292 |
$4K |
| 84207 |
|
250 |
226 |
$4K |
| 99391 |
|
1,060 |
988 |
$3K |
| 92551 |
|
480 |
463 |
$3K |
| 83605 |
|
419 |
347 |
$3K |
| 97167 |
|
102 |
85 |
$3K |
| 77336 |
|
51 |
26 |
$3K |
| 83550 |
|
438 |
403 |
$3K |
| 76856 |
|
13 |
12 |
$3K |
| 97163 |
|
91 |
78 |
$3K |
| 73030 |
|
61 |
50 |
$3K |
| 78452 |
|
30 |
24 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,431 |
979 |
$3K |
| 38222 |
|
14 |
13 |
$3K |
| 80061 |
|
287 |
242 |
$3K |
| 85730 |
|
792 |
684 |
$3K |
| G0475 |
Hiv combination assay |
666 |
490 |
$2K |
| 99392 |
|
787 |
738 |
$2K |
| 82746 |
|
210 |
180 |
$2K |
| 81003 |
|
1,517 |
1,272 |
$2K |
| 82553 |
|
332 |
232 |
$2K |
| 90837 |
|
129 |
70 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
674 |
534 |
$2K |
| 86334 |
|
203 |
167 |
$2K |
| P9016 |
Rbc leukocytes reduced |
13 |
12 |
$2K |
| 84439 |
|
245 |
226 |
$2K |
| 90686 |
|
181 |
141 |
$2K |
| 92083 |
|
141 |
120 |
$2K |
| 83521 |
|
172 |
130 |
$2K |
| 20552 |
|
109 |
92 |
$2K |
| 99395 |
|
701 |
572 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
28 |
26 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
64 |
57 |
$2K |
| 87186 |
|
225 |
191 |
$2K |
| 86850 |
|
317 |
276 |
$2K |
| 92557 |
|
82 |
74 |
$2K |
| 92504 |
|
388 |
314 |
$2K |
| 84446 |
|
137 |
119 |
$2K |
| 36593 |
|
14 |
12 |
$2K |
| 80074 |
|
97 |
57 |
$1K |
| 91200 |
|
13 |
13 |
$1K |
| 45385 |
|
20 |
16 |
$1K |
| 73562 |
|
33 |
26 |
$1K |
| 84165 |
|
232 |
192 |
$1K |
| 85651 |
|
412 |
385 |
$1K |
| 95950 |
|
12 |
12 |
$1K |
| 82747 |
|
88 |
84 |
$1K |
| 73560 |
|
60 |
53 |
$1K |
| 86235 |
|
28 |
28 |
$1K |
| 86140 |
|
352 |
307 |
$1K |
| 94729 |
|
26 |
24 |
$1K |
| 94727 |
|
30 |
24 |
$1K |
| 83540 |
|
270 |
247 |
$1K |
| 80320 |
|
2,346 |
1,709 |
$1K |
| 84703 |
|
198 |
176 |
$1K |
| 84590 |
|
116 |
111 |
$1K |
| 99393 |
|
418 |
375 |
$1K |
| 92014 |
|
833 |
758 |
$1K |
| 87210 |
|
313 |
268 |
$1K |
| 85045 |
|
268 |
228 |
$1K |
| 87070 |
|
120 |
106 |
$964.84 |
| 83021 |
|
43 |
31 |
$929.16 |
| 81229 |
|
18 |
13 |
$900.04 |
| J1650 |
Inj enoxaparin sodium |
267 |
104 |
$876.25 |
| 86900 |
|
356 |
308 |
$875.91 |
| 86901 |
|
355 |
308 |
$853.58 |
| 96360 |
|
47 |
36 |
$828.62 |
| 87651 |
|
26 |
25 |
$809.87 |
| 86780 |
|
74 |
62 |
$797.00 |
| J0696 |
Ceftriaxone sodium injection |
130 |
89 |
$762.87 |
| 73130 |
|
14 |
12 |
$726.93 |
| 99201 |
|
34 |
32 |
$721.16 |
| 83020 |
|
64 |
40 |
$696.51 |
| J1100 |
Dexamethasone sodium phos |
232 |
178 |
$693.64 |
| 90472 |
|
2,302 |
2,020 |
$693.55 |
| C1769 |
Guide wire |
598 |
405 |
$684.75 |
| 20610 |
|
84 |
55 |
$643.35 |
| 80197 |
|
189 |
123 |
$641.64 |
| 92567 |
|
56 |
52 |
$634.50 |
| J2270 |
Morphine sulfate injection |
313 |
238 |
$586.67 |
| 87563 |
|
98 |
46 |
$574.88 |
| 94664 |
|
19 |
13 |
$570.33 |
| 85018 |
|
213 |
206 |
$556.84 |
| 80050 |
|
16 |
15 |
$547.39 |
| 90471 |
|
5,255 |
4,566 |
$531.97 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$519.26 |
| 80305 |
|
58 |
50 |
$505.81 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
14 |
$480.56 |
| 86800 |
|
33 |
27 |
$455.64 |
| 86376 |
|
33 |
27 |
$419.72 |
| 84480 |
|
92 |
80 |
$406.50 |
| 84597 |
|
41 |
40 |
$390.97 |
| 87806 |
|
14 |
13 |
$385.91 |
| 82570 |
|
127 |
107 |
$376.77 |
| 83883 |
|
44 |
39 |
$360.17 |
| 86225 |
|
27 |
27 |
$347.82 |
| 86038 |
|
31 |
31 |
$342.36 |
| 99394 |
|
111 |
96 |
$335.90 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$331.33 |
| 95012 |
|
40 |
37 |
$331.32 |
| 69210 |
|
29 |
28 |
$326.80 |
| 86902 |
|
14 |
12 |
$314.60 |
| 82951 |
|
24 |
24 |
$310.44 |
| J1815 |
Insulin injection |
78 |
41 |
$297.74 |
| 76514 |
|
29 |
27 |
$272.84 |
| 81220 |
|
17 |
12 |
$256.36 |
| 84436 |
|
81 |
69 |
$255.92 |
| 88112 |
|
12 |
12 |
$229.28 |
| 88173 |
|
12 |
12 |
$223.72 |
| 84156 |
|
108 |
90 |
$222.65 |
| G0379 |
Direct refer hospital observ |
19 |
17 |
$221.65 |
| 93298 |
|
12 |
12 |
$206.82 |
| C1894 |
Intro/sheath, non-laser |
591 |
400 |
$203.04 |
| 82726 |
|
18 |
12 |
$200.15 |
| 85379 |
|
35 |
28 |
$198.90 |
| 87799 |
|
73 |
52 |
$185.91 |
| 82962 |
|
202 |
52 |
$180.61 |
| 83615 |
|
55 |
36 |
$176.47 |
| C1725 |
Cath, translumin non-laser |
349 |
234 |
$159.23 |
| 82150 |
|
29 |
27 |
$155.11 |
| 92020 |
|
46 |
45 |
$154.97 |
| G0279 |
Tomosynthesis, mammo |
28 |
24 |
$152.24 |
| 84153 |
|
14 |
12 |
$148.23 |
| 84478 |
|
26 |
24 |
$140.16 |
| 82525 |
|
22 |
12 |
$137.01 |
| 88305 |
|
632 |
529 |
$135.47 |
| 80047 |
|
13 |
12 |
$132.78 |
| 92002 |
|
30 |
27 |
$128.92 |
| 84630 |
|
22 |
12 |
$125.75 |
| J1200 |
Diphenhydramine hcl injectio |
60 |
52 |
$118.89 |
| J1170 |
Hydromorphone injection |
93 |
77 |
$113.07 |
| 82465 |
|
26 |
24 |
$98.88 |
| 80069 |
|
13 |
13 |
$86.80 |
| 82373 |
|
18 |
12 |
$86.58 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$83.49 |
| 92556 |
|
12 |
12 |
$81.64 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
12 |
$80.53 |
| 88342 |
|
89 |
81 |
$74.40 |
| 82248 |
|
68 |
40 |
$73.00 |
| 82043 |
|
12 |
12 |
$64.42 |
| 90474 |
|
212 |
193 |
$54.15 |
| 36416 |
|
27 |
26 |
$51.18 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$45.15 |
| 81000 |
|
18 |
13 |
$35.54 |
| 88313 |
|
38 |
28 |
$35.09 |
| J1644 |
Inj heparin sodium per 1000u |
316 |
212 |
$30.48 |
| 85652 |
|
12 |
12 |
$27.40 |
| S0028 |
Injection, famotidine, 20 mg |
13 |
13 |
$26.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
28 |
26 |
$23.93 |
| J0690 |
Cefazolin sodium injection |
141 |
98 |
$18.90 |
| 99406 |
|
64 |
42 |
$17.32 |
| J2250 |
Inj midazolam hydrochloride |
351 |
212 |
$16.17 |
| J2550 |
Promethazine hcl injection |
27 |
25 |
$12.54 |
| 80329 |
|
211 |
149 |
$7.73 |
| G0008 |
Admin influenza virus vac |
30 |
30 |
$5.68 |
| J3010 |
Fentanyl citrate injection |
317 |
204 |
$4.94 |
| C9803 |
Hopd covid-19 spec collect |
51 |
38 |
$0.00 |
| J7040 |
Normal saline solution infus |
63 |
41 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
12 |
12 |
$0.00 |
| 99152 |
|
32 |
26 |
$0.00 |
| 88280 |
|
13 |
12 |
$0.00 |
| 88237 |
|
14 |
13 |
$0.00 |
| S5000 |
Prescription drug, generic |
15 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
180 |
74 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
14 |
12 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
21 |
12 |
$0.00 |
| 88185 |
|
13 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
14 |
12 |
$0.00 |
| 88184 |
|
13 |
12 |
$0.00 |
| 88311 |
|
14 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
33 |
29 |
$0.00 |
| S2900 |
Robotic surgical system |
27 |
12 |
$0.00 |
| 88271 |
|
13 |
12 |
$0.00 |
| 88264 |
|
14 |
13 |
$0.00 |
| 88273 |
|
13 |
12 |
$0.00 |