| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
44,716 |
38,860 |
$4.67M |
| 99283 |
|
33,560 |
29,984 |
$3.56M |
| 99285 |
|
32,529 |
28,807 |
$3.46M |
| 99211 |
|
18,831 |
15,692 |
$2.84M |
| 96361 |
|
8,723 |
6,767 |
$2.15M |
| 41899 |
|
714 |
676 |
$1.22M |
| 43239 |
|
1,285 |
1,251 |
$671K |
| 99282 |
|
6,198 |
5,868 |
$626K |
| 74177 |
|
5,428 |
5,111 |
$587K |
| 97110 |
|
11,189 |
4,329 |
$552K |
| S9485 |
Crisis intervention mental h |
1,212 |
861 |
$531K |
| 70450 |
|
4,968 |
4,588 |
$467K |
| 96365 |
|
4,372 |
3,742 |
$421K |
| 96413 |
|
1,978 |
1,245 |
$262K |
| 80307 |
|
9,142 |
7,530 |
$253K |
| 11042 |
|
1,814 |
803 |
$238K |
| G0463 |
Hospital outpt clinic visit |
8,487 |
7,137 |
$237K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,357 |
3,658 |
$215K |
| 99291 |
|
1,405 |
1,292 |
$210K |
| 96366 |
|
1,298 |
1,086 |
$207K |
| 74176 |
|
1,575 |
1,511 |
$195K |
| 76705 |
|
2,216 |
2,111 |
$193K |
| 71275 |
|
1,029 |
989 |
$174K |
| 93306 |
|
1,344 |
1,309 |
$165K |
| 85025 |
|
41,653 |
33,219 |
$165K |
| 96360 |
|
2,057 |
1,819 |
$163K |
| 99392 |
|
978 |
976 |
$162K |
| 92507 |
|
1,931 |
710 |
$161K |
| 76856 |
|
1,609 |
1,559 |
$155K |
| 99393 |
|
908 |
906 |
$152K |
| 99391 |
|
963 |
915 |
$150K |
| 97140 |
|
4,839 |
1,942 |
$147K |
| 96372 |
|
6,342 |
4,490 |
$142K |
| 87635 |
|
4,765 |
4,324 |
$142K |
| 76830 |
|
1,483 |
1,444 |
$132K |
| 77063 |
|
2,599 |
2,559 |
$119K |
| 93971 |
|
788 |
753 |
$118K |
| G0378 |
Hospital observation per hr |
3,772 |
3,449 |
$116K |
| 87631 |
|
1,725 |
1,665 |
$116K |
| 97161 |
|
2,365 |
2,242 |
$113K |
| G2023 |
Specimen collect covid-19 |
7,574 |
6,338 |
$111K |
| 99394 |
|
683 |
683 |
$107K |
| 71046 |
|
10,696 |
9,948 |
$107K |
| 0241U |
|
6,631 |
5,657 |
$101K |
| 94640 |
|
2,088 |
1,867 |
$97K |
| 45385 |
|
169 |
161 |
$78K |
| 99395 |
|
547 |
542 |
$73K |
| 84484 |
|
11,594 |
9,431 |
$63K |
| 71260 |
|
1,372 |
1,262 |
$63K |
| 99396 |
|
471 |
464 |
$63K |
| 84702 |
|
6,038 |
5,368 |
$62K |
| 45380 |
|
143 |
135 |
$61K |
| 96374 |
|
12,404 |
10,864 |
$60K |
| 96375 |
|
10,816 |
8,519 |
$47K |
| 83880 |
|
3,370 |
3,071 |
$47K |
| 77067 |
|
2,784 |
2,740 |
$47K |
| 83605 |
|
7,979 |
7,077 |
$46K |
| 97162 |
|
983 |
932 |
$45K |
| 84443 |
|
5,856 |
5,417 |
$45K |
| 83690 |
|
10,955 |
9,634 |
$41K |
| ATP14 |
|
5,599 |
4,148 |
$41K |
| 12001 |
|
274 |
262 |
$39K |
| 99215 |
Prolong outpt/office vis |
258 |
223 |
$36K |
| ATP07 |
|
5,236 |
4,201 |
$35K |
| 93975 |
|
425 |
408 |
$29K |
| 97035 |
|
699 |
300 |
$29K |
| 71250 |
|
654 |
628 |
$29K |
| 87591 |
|
1,208 |
1,176 |
$28K |
| 87491 |
|
1,195 |
1,163 |
$28K |
| 80053 |
|
12,023 |
10,341 |
$27K |
| 87040 |
|
4,367 |
2,721 |
$27K |
| ATP08 |
|
4,728 |
3,573 |
$27K |
| 81025 |
|
5,100 |
4,689 |
$27K |
| 94060 |
|
383 |
367 |
$27K |
| 76642 |
|
303 |
291 |
$25K |
| 87880 |
|
2,411 |
2,229 |
$25K |
| ATP11 |
|
3,400 |
2,687 |
$24K |
| G0297 |
Ldct for lung ca screen |
259 |
258 |
$24K |
| 83735 |
|
6,659 |
5,342 |
$22K |
| 73630 |
|
1,618 |
1,555 |
$21K |
| 87086 |
|
4,542 |
4,178 |
$21K |
| V5266 |
Battery for hearing device |
303 |
290 |
$20K |
| 86850 |
|
3,156 |
2,940 |
$20K |
| 93005 |
|
18,109 |
15,679 |
$19K |
| 87088 |
|
2,225 |
1,818 |
$18K |
| 78452 |
|
54 |
52 |
$17K |
| G0480 |
Drug test def 1-7 classes |
459 |
420 |
$16K |
| 70496 |
|
186 |
173 |
$16K |
| 93017 |
|
274 |
268 |
$16K |
| 85027 |
|
4,893 |
4,092 |
$16K |
| 94727 |
|
430 |
415 |
$16K |
| 76770 |
|
108 |
107 |
$15K |
| 85379 |
|
2,586 |
2,451 |
$14K |
| 73130 |
|
1,023 |
962 |
$14K |
| 81001 |
|
8,024 |
7,242 |
$14K |
| 92567 |
|
505 |
495 |
$14K |
| 73030 |
|
1,093 |
1,039 |
$13K |
| J2405 |
Ondansetron hcl injection |
11,093 |
9,579 |
$13K |
| 73560 |
|
1,285 |
1,197 |
$13K |
| 73610 |
|
1,221 |
1,154 |
$12K |
| 72125 |
|
1,564 |
1,434 |
$12K |
| 90460 |
|
2,177 |
2,147 |
$12K |
| 80048 |
|
10,755 |
9,264 |
$11K |
| 86780 |
|
1,081 |
1,050 |
$11K |
| 0002A |
|
429 |
408 |
$11K |
| 0001A |
|
459 |
439 |
$11K |
| 71271 |
|
615 |
589 |
$11K |
| 80051 |
|
19,588 |
15,979 |
$10K |
| 92557 |
|
194 |
189 |
$10K |
| 85610 |
|
6,074 |
4,777 |
$10K |
| 90715 |
|
835 |
822 |
$10K |
| J3010 |
Fentanyl citrate injection |
5,089 |
4,791 |
$9K |
| 72100 |
|
484 |
466 |
$9K |
| 71045 |
|
4,580 |
4,176 |
$9K |
| 87340 |
|
1,093 |
1,055 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
5,955 |
5,602 |
$9K |
| 83036 |
|
2,219 |
2,155 |
$8K |
| J1100 |
Dexamethasone sodium phos |
3,837 |
3,523 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
7,530 |
6,552 |
$8K |
| 81015 |
|
5,049 |
4,491 |
$8K |
| 87081 |
|
1,608 |
1,444 |
$8K |
| 90791 |
|
52 |
52 |
$8K |
| 76801 |
|
127 |
113 |
$7K |
| 94729 |
|
387 |
374 |
$7K |
| 59025 |
|
26 |
15 |
$7K |
| 74018 |
|
229 |
210 |
$7K |
| 76816 |
|
164 |
149 |
$7K |
| 86140 |
|
2,380 |
2,078 |
$7K |
| 90471 |
|
1,847 |
1,703 |
$7K |
| 73110 |
|
467 |
429 |
$7K |
| 87389 |
|
364 |
351 |
$6K |
| 73502 |
|
479 |
455 |
$6K |
| 86900 |
|
3,142 |
2,935 |
$6K |
| 86901 |
|
3,142 |
2,935 |
$6K |
| 88305 |
|
3,842 |
3,565 |
$6K |
| 82565 |
|
20,744 |
16,953 |
$6K |
| 82306 |
|
420 |
404 |
$5K |
| 99212 |
|
46 |
43 |
$5K |
| 82947 |
|
16,433 |
14,218 |
$5K |
| 87186 |
|
1,128 |
1,069 |
$5K |
| 81513 |
|
61 |
59 |
$5K |
| 86762 |
|
368 |
353 |
$4K |
| 76942 |
|
28 |
27 |
$4K |
| 87070 |
|
725 |
674 |
$4K |
| 90686 |
|
837 |
825 |
$4K |
| 85730 |
|
1,509 |
1,396 |
$4K |
| 88175 |
|
203 |
200 |
$4K |
| 84520 |
|
19,891 |
16,515 |
$4K |
| 97012 |
|
95 |
39 |
$4K |
| 29125 |
|
27 |
26 |
$4K |
| 84439 |
|
868 |
830 |
$4K |
| M0247 |
Sotrovimab infusion |
28 |
15 |
$4K |
| 82728 |
|
544 |
499 |
$4K |
| ATP10 |
|
641 |
546 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,233 |
1,064 |
$3K |
| 93970 |
|
26 |
26 |
$3K |
| 90633 |
|
209 |
209 |
$3K |
| 86803 |
|
340 |
329 |
$3K |
| 87624 |
|
146 |
143 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,402 |
1,313 |
$3K |
| 85652 |
|
2,010 |
1,779 |
$3K |
| ATP17 |
|
463 |
428 |
$3K |
| ATP15 |
|
457 |
323 |
$3K |
| ATP06 |
|
406 |
305 |
$2K |
| 90834 |
|
26 |
25 |
$2K |
| 84460 |
|
9,433 |
8,142 |
$2K |
| J2543 |
Piperacillin/tazobactam |
102 |
68 |
$2K |
| 90480 |
|
47 |
47 |
$2K |
| 73140 |
|
94 |
90 |
$2K |
| 84450 |
|
9,227 |
7,964 |
$2K |
| 94618 |
|
16 |
14 |
$2K |
| 96415 |
|
16 |
13 |
$2K |
| 82607 |
|
345 |
339 |
$2K |
| 83655 |
|
163 |
162 |
$2K |
| J1170 |
Hydromorphone injection |
2,172 |
1,474 |
$2K |
| 95806 |
|
12 |
12 |
$2K |
| J2270 |
Morphine sulfate injection |
2,814 |
2,183 |
$2K |
| ATP09 |
|
263 |
204 |
$2K |
| 87147 |
|
435 |
399 |
$2K |
| 99202 |
|
13 |
13 |
$2K |
| 93308 |
|
13 |
13 |
$2K |
| 90651 |
|
304 |
304 |
$2K |
| 36415 |
|
39,853 |
32,503 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| 86618 |
|
170 |
162 |
$2K |
| 87481 |
|
63 |
59 |
$2K |
| J1650 |
Inj enoxaparin sodium |
353 |
223 |
$2K |
| 87205 |
|
555 |
511 |
$1K |
| 90677 |
|
279 |
278 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
44 |
44 |
$1K |
| J3490 |
Drugs unclassified injection |
1,067 |
768 |
$1K |
| 90675 |
|
23 |
13 |
$1K |
| 87661 |
|
67 |
65 |
$1K |
| 82247 |
|
7,839 |
6,782 |
$1K |
| 87077 |
|
624 |
577 |
$1K |
| 84075 |
|
7,197 |
6,339 |
$1K |
| 90656 |
|
78 |
78 |
$1K |
| 81003 |
|
1,021 |
931 |
$1K |
| 86003 |
|
26 |
26 |
$1K |
| 82570 |
|
429 |
404 |
$1K |
| 76819 |
|
28 |
14 |
$1K |
| ATP02 |
|
345 |
308 |
$1K |
| Q3014 |
Telehealth facility fee |
473 |
440 |
$963.45 |
| 77065 |
Tomosynthesis, mammo |
42 |
40 |
$953.74 |
| ATP03 |
|
397 |
338 |
$870.55 |
| 84153 |
|
96 |
92 |
$815.28 |
| J1630 |
Haloperidol injection |
890 |
752 |
$789.78 |
| J1200 |
Diphenhydramine hcl injectio |
1,776 |
1,391 |
$788.64 |
| 0124A |
|
32 |
32 |
$779.79 |
| 97803 |
|
12 |
12 |
$765.50 |
| 83550 |
|
137 |
126 |
$739.83 |
| C9803 |
Hopd covid-19 spec collect |
3,853 |
3,428 |
$734.90 |
| 96367 |
|
37 |
28 |
$698.13 |
| 83540 |
|
174 |
162 |
$693.93 |
| 87798 |
|
40 |
37 |
$669.18 |
| 51798 |
|
484 |
476 |
$655.82 |
| 80061 |
|
2,057 |
2,008 |
$652.04 |
| 70486 |
|
24 |
24 |
$637.50 |
| 73562 |
|
25 |
25 |
$630.32 |
| J0696 |
Ceftriaxone sodium injection |
778 |
636 |
$593.11 |
| 76536 |
|
13 |
13 |
$564.80 |
| 90474 |
|
354 |
353 |
$547.64 |
| 70498 |
|
184 |
171 |
$537.00 |
| 76817 |
|
19 |
15 |
$514.59 |
| 82746 |
|
74 |
72 |
$506.67 |
| ATP12 |
|
73 |
55 |
$502.20 |
| 80164 |
|
104 |
92 |
$492.81 |
| 77080 |
|
27 |
27 |
$464.94 |
| 73590 |
|
26 |
25 |
$425.81 |
| 72110 |
|
13 |
12 |
$413.45 |
| J2060 |
Lorazepam injection |
2,463 |
1,968 |
$400.03 |
| 76805 |
|
15 |
14 |
$369.20 |
| 83516 |
|
34 |
29 |
$367.62 |
| U0005 |
Infec agen detec ampli probe |
38 |
35 |
$325.00 |
| 97597 |
|
16 |
12 |
$281.76 |
| 86704 |
|
39 |
37 |
$274.75 |
| 90714 |
|
15 |
14 |
$269.38 |
| 90670 |
|
273 |
272 |
$253.80 |
| 73080 |
|
17 |
16 |
$237.09 |
| 82043 |
|
123 |
121 |
$233.36 |
| 80076 |
|
928 |
857 |
$229.24 |
| 87476 |
|
15 |
13 |
$216.65 |
| 82784 |
|
30 |
30 |
$214.48 |
| J3370 |
Vancomycin hcl injection |
130 |
80 |
$202.72 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,832 |
8,751 |
$186.07 |
| 82550 |
|
940 |
830 |
$176.16 |
| 80178 |
|
48 |
44 |
$170.50 |
| 90674 |
|
13 |
13 |
$163.92 |
| 85018 |
|
86 |
80 |
$156.75 |
| 82010 |
|
46 |
41 |
$154.21 |
| 94664 |
|
499 |
448 |
$149.44 |
| J0131 |
Inj, acetaminophen (nos) |
85 |
85 |
$141.47 |
| J2272 |
Inj, morphine (fresenius) |
277 |
225 |
$141.47 |
| 91320 |
|
12 |
12 |
$131.10 |
| 86038 |
|
15 |
15 |
$124.60 |
| 86706 |
|
14 |
14 |
$118.69 |
| J3475 |
Inj magnesium sulfate |
119 |
99 |
$100.07 |
| ATP16 |
|
17 |
16 |
$98.01 |
| 96376 |
|
4,682 |
3,194 |
$93.06 |
| 90734 |
|
51 |
51 |
$86.82 |
| 90671 |
|
28 |
28 |
$86.82 |
| 82950 |
|
13 |
13 |
$63.57 |
| 86308 |
|
13 |
12 |
$58.74 |
| 84156 |
|
20 |
15 |
$52.78 |
| 82800 |
|
13 |
13 |
$48.78 |
| J0171 |
Adrenalin epinephrine inject |
74 |
70 |
$45.73 |
| ATP04 |
|
15 |
12 |
$43.44 |
| J1644 |
Inj heparin sodium per 1000u |
147 |
79 |
$42.38 |
| J3301 |
Triamcinolone acet inj nos |
162 |
161 |
$27.02 |
| 82962 |
|
5,826 |
3,781 |
$25.63 |
| 84100 |
|
976 |
767 |
$9.19 |
| 90662 |
|
70 |
70 |
$6.03 |
| 83615 |
|
114 |
88 |
$5.33 |
| 82310 |
|
94 |
76 |
$5.33 |
| 90839 |
|
48 |
43 |
$2.96 |
| Q0247 |
Sotrovimab |
24 |
15 |
$0.01 |
| 90723 |
|
367 |
365 |
$0.00 |
| 94760 |
|
566 |
421 |
$0.00 |
| 94644 |
|
491 |
442 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90680 |
|
288 |
287 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
112 |
104 |
$0.00 |
| 90697 |
|
30 |
30 |
$0.00 |
| 82040 |
|
224 |
193 |
$0.00 |
| G8980 |
Mobility d/c status |
250 |
233 |
$0.00 |
| G0008 |
Admin influenza virus vac |
257 |
255 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
57 |
50 |
$0.00 |
| 70320 |
|
15 |
14 |
$0.00 |
| 90632 |
|
12 |
12 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 87478 |
|
14 |
12 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 87468 |
|
14 |
12 |
$0.00 |
| 82248 |
|
229 |
195 |
$0.00 |
| 70310 |
|
99 |
99 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
315 |
285 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
38 |
36 |
$0.00 |
| J2930 |
Methylprednisolone injection |
162 |
134 |
$0.00 |
| 90710 |
|
50 |
50 |
$0.00 |
| 90648 |
|
537 |
536 |
$0.00 |
| G8978 |
Mobility current status |
468 |
438 |
$0.00 |
| 80143 |
|
248 |
227 |
$0.00 |
| J0780 |
Prochlorperazine injection |
89 |
76 |
$0.00 |
| 87469 |
|
14 |
12 |
$0.00 |
| 80179 |
|
161 |
151 |
$0.00 |
| G8979 |
Mobility goal status |
517 |
462 |
$0.00 |
| 90461 |
|
204 |
203 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
97 |
90 |
$0.00 |
| 84155 |
|
79 |
65 |
$0.00 |
| 91308 |
|
18 |
16 |
$0.00 |
| 84550 |
|
33 |
27 |
$0.00 |
| 91300 |
|
520 |
466 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
14 |
$0.00 |