| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
27,811 |
24,179 |
$490K |
| 99284 |
|
14,608 |
12,672 |
$180K |
| 70450 |
|
3,670 |
3,171 |
$69K |
| 99285 |
|
4,609 |
4,037 |
$63K |
| 74177 |
|
3,096 |
2,834 |
$59K |
| 0202U |
|
1,041 |
979 |
$54K |
| 99282 |
|
3,161 |
2,941 |
$49K |
| G0378 |
Hospital observation per hr |
3,982 |
2,115 |
$47K |
| 74176 |
|
1,569 |
1,451 |
$32K |
| 80307 |
|
6,337 |
5,143 |
$25K |
| 72125 |
|
1,063 |
963 |
$24K |
| 80053 |
|
28,058 |
23,065 |
$23K |
| J3490 |
Drugs unclassified injection |
42,237 |
17,729 |
$23K |
| 71046 |
|
4,165 |
3,875 |
$22K |
| 96374 |
|
10,293 |
8,887 |
$19K |
| 96413 |
|
1,675 |
989 |
$19K |
| 85025 |
|
34,660 |
27,545 |
$18K |
| 87081 |
|
4,568 |
4,305 |
$18K |
| 87880 |
|
2,665 |
2,532 |
$17K |
| 0241U |
|
1,319 |
1,258 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,647 |
7,626 |
$16K |
| 96361 |
|
4,357 |
3,442 |
$16K |
| 87070 |
|
3,782 |
3,396 |
$14K |
| 71045 |
|
6,082 |
5,435 |
$12K |
| 99281 |
|
1,256 |
1,167 |
$12K |
| 96365 |
|
7,128 |
4,261 |
$11K |
| 93005 |
|
8,614 |
7,554 |
$11K |
| 81001 |
|
13,582 |
11,896 |
$10K |
| 96375 |
|
8,618 |
6,808 |
$10K |
| 87088 |
|
3,232 |
2,811 |
$9K |
| 87086 |
|
5,053 |
4,632 |
$9K |
| 73610 |
|
942 |
875 |
$9K |
| 74018 |
|
613 |
553 |
$9K |
| 82306 |
|
2,597 |
2,523 |
$9K |
| A9577 |
Inj multihance |
1,668 |
1,444 |
$8K |
| 87491 |
|
3,212 |
3,014 |
$8K |
| 87591 |
|
3,201 |
3,006 |
$8K |
| 94640 |
|
1,650 |
1,306 |
$8K |
| 97110 |
|
10,486 |
2,438 |
$7K |
| 71260 |
|
511 |
480 |
$7K |
| 86140 |
|
3,850 |
3,356 |
$7K |
| 73562 |
|
1,256 |
1,162 |
$6K |
| 87186 |
|
3,242 |
2,759 |
$6K |
| 70553 |
|
157 |
153 |
$6K |
| 87400 |
|
484 |
295 |
$6K |
| 73130 |
|
916 |
840 |
$6K |
| 87631 |
|
428 |
415 |
$6K |
| 76705 |
|
704 |
666 |
$6K |
| 73110 |
|
521 |
498 |
$5K |
| 12001 |
|
355 |
320 |
$5K |
| J7120 |
Ringers lactate infusion |
9,119 |
7,236 |
$5K |
| 84703 |
|
3,975 |
3,539 |
$5K |
| 84443 |
|
5,372 |
4,973 |
$5K |
| 83605 |
|
8,265 |
6,465 |
$5K |
| 80061 |
|
3,096 |
3,019 |
$4K |
| 73721 |
|
108 |
107 |
$4K |
| 36415 |
|
19,075 |
15,250 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
832 |
696 |
$4K |
| 76856 |
|
1,032 |
970 |
$4K |
| 96366 |
|
1,259 |
867 |
$4K |
| 80048 |
|
6,820 |
5,630 |
$4K |
| 71275 |
|
1,003 |
947 |
$4K |
| 84439 |
|
1,759 |
1,693 |
$4K |
| 83690 |
|
6,178 |
5,339 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
607 |
576 |
$4K |
| 73630 |
|
977 |
898 |
$3K |
| 73030 |
|
795 |
715 |
$3K |
| 93306 |
|
899 |
821 |
$3K |
| J7050 |
Normal saline solution infus |
7,498 |
4,239 |
$3K |
| G0472 |
Hep c screen high risk/other |
1,146 |
1,112 |
$3K |
| 87040 |
|
3,019 |
1,747 |
$3K |
| 96360 |
|
985 |
751 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
780 |
731 |
$3K |
| C1769 |
Guide wire |
554 |
480 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
4,852 |
3,959 |
$3K |
| 0352U |
|
514 |
474 |
$3K |
| 81025 |
|
2,821 |
2,463 |
$3K |
| J7030 |
Normal saline solution infus |
6,231 |
3,698 |
$2K |
| 90715 |
|
518 |
471 |
$2K |
| 87502 |
|
446 |
412 |
$2K |
| 83036 |
|
3,869 |
3,744 |
$2K |
| 93325 |
|
82 |
76 |
$2K |
| 87660 |
|
1,398 |
1,331 |
$2K |
| 87510 |
|
1,398 |
1,331 |
$2K |
| 82805 |
|
935 |
820 |
$2K |
| 87480 |
|
1,398 |
1,331 |
$2K |
| 87806 |
|
1,263 |
1,227 |
$2K |
| J1100 |
Dexamethasone sodium phos |
5,859 |
4,681 |
$2K |
| 96376 |
|
2,015 |
1,500 |
$2K |
| 88305 |
|
3,660 |
2,549 |
$2K |
| 84145 |
|
867 |
796 |
$1K |
| 74019 |
|
207 |
189 |
$1K |
| 87426 |
|
1,278 |
1,158 |
$1K |
| 76830 |
|
842 |
798 |
$1K |
| 83655 |
|
369 |
361 |
$1K |
| 72148 |
|
498 |
477 |
$1K |
| 86900 |
|
2,479 |
2,117 |
$1K |
| 70486 |
|
59 |
55 |
$1K |
| 90791 |
|
193 |
169 |
$1K |
| 87077 |
|
1,312 |
1,016 |
$1K |
| 96372 |
|
3,703 |
2,706 |
$1K |
| 84484 |
|
6,438 |
4,223 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
6,958 |
5,622 |
$1K |
| 86850 |
|
2,441 |
2,076 |
$1K |
| 85379 |
|
3,102 |
2,869 |
$1K |
| J3010 |
Fentanyl citrate injection |
5,519 |
3,787 |
$1K |
| 83735 |
|
4,018 |
3,033 |
$1K |
| 82728 |
|
592 |
570 |
$976.41 |
| J2405 |
Ondansetron hcl injection |
10,845 |
8,247 |
$970.05 |
| 73502 |
|
234 |
214 |
$947.89 |
| 86901 |
|
2,527 |
2,119 |
$869.80 |
| 86780 |
|
1,341 |
1,266 |
$848.50 |
| 11042 |
|
3,095 |
1,457 |
$816.11 |
| 85652 |
|
807 |
761 |
$799.98 |
| 87205 |
|
2,210 |
1,931 |
$783.28 |
| 85027 |
|
1,367 |
1,134 |
$776.55 |
| 12011 |
|
14 |
14 |
$771.83 |
| 83540 |
|
736 |
700 |
$752.25 |
| J2270 |
Morphine sulfate injection |
2,346 |
1,860 |
$752.10 |
| 93971 |
|
299 |
279 |
$730.11 |
| 84702 |
|
884 |
626 |
$702.28 |
| 82565 |
|
866 |
794 |
$689.50 |
| 84481 |
|
244 |
238 |
$629.65 |
| 83880 |
|
2,244 |
2,034 |
$622.95 |
| 85610 |
|
4,202 |
3,363 |
$620.61 |
| 87340 |
|
1,074 |
1,012 |
$606.41 |
| 87635 |
|
1,126 |
1,065 |
$584.04 |
| U0005 |
Infec agen detec ampli probe |
700 |
655 |
$583.17 |
| 83550 |
|
636 |
607 |
$500.41 |
| G0379 |
Direct refer hospital observ |
278 |
212 |
$455.17 |
| J2250 |
Inj midazolam hydrochloride |
4,828 |
4,045 |
$438.84 |
| J0690 |
Cefazolin sodium injection |
1,624 |
1,183 |
$435.83 |
| 90471 |
|
510 |
459 |
$415.58 |
| 85651 |
|
252 |
230 |
$392.04 |
| J2930 |
Methylprednisolone injection |
904 |
754 |
$362.78 |
| 82607 |
|
458 |
441 |
$359.44 |
| G0480 |
Drug test def 1-7 classes |
3,502 |
2,998 |
$356.91 |
| 82570 |
|
517 |
455 |
$309.12 |
| 82947 |
|
2,176 |
1,244 |
$295.78 |
| 82803 |
|
216 |
185 |
$293.22 |
| 85018 |
|
239 |
201 |
$288.02 |
| 97161 |
|
499 |
421 |
$280.87 |
| 85014 |
|
185 |
158 |
$270.61 |
| 87804 |
|
76 |
73 |
$258.92 |
| 97140 |
|
2,170 |
707 |
$254.07 |
| Q0162 |
Ondansetron oral |
1,747 |
1,543 |
$236.75 |
| 72100 |
|
280 |
272 |
$234.04 |
| J0696 |
Ceftriaxone sodium injection |
2,155 |
1,492 |
$220.35 |
| 85730 |
|
881 |
784 |
$205.89 |
| 77065 |
Tomosynthesis, mammo |
84 |
75 |
$205.75 |
| 86003 |
|
25 |
24 |
$191.35 |
| J0780 |
Prochlorperazine injection |
347 |
286 |
$180.83 |
| 76700 |
|
26 |
25 |
$175.94 |
| 82962 |
|
2,044 |
1,082 |
$173.25 |
| 73140 |
|
65 |
58 |
$155.34 |
| J1170 |
Hydromorphone injection |
1,632 |
1,196 |
$149.26 |
| G0463 |
Hospital outpt clinic visit |
6,556 |
4,444 |
$134.75 |
| 87075 |
|
256 |
220 |
$119.93 |
| 87430 |
|
24 |
22 |
$114.32 |
| 80178 |
|
15 |
12 |
$112.78 |
| J1200 |
Diphenhydramine hcl injectio |
1,889 |
1,468 |
$111.14 |
| 86803 |
|
252 |
240 |
$98.13 |
| 86762 |
|
206 |
190 |
$97.47 |
| Q9969 |
Non-heu tc-99m add-on/dose |
125 |
110 |
$90.26 |
| 96367 |
|
429 |
223 |
$88.35 |
| 97035 |
|
387 |
109 |
$80.96 |
| 82550 |
|
60 |
38 |
$75.60 |
| 86038 |
|
26 |
26 |
$74.18 |
| 93017 |
|
158 |
148 |
$73.51 |
| J2765 |
Metoclopramide hcl injection |
427 |
324 |
$70.79 |
| 81003 |
|
13 |
12 |
$67.22 |
| 80076 |
|
91 |
85 |
$56.88 |
| 84156 |
|
105 |
88 |
$47.51 |
| 84100 |
|
908 |
571 |
$32.99 |
| J2060 |
Lorazepam injection |
864 |
723 |
$32.50 |
| G0279 |
Tomosynthesis, mammo |
123 |
118 |
$29.75 |
| 97530 |
|
531 |
252 |
$25.50 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
609 |
522 |
$15.17 |
| J2550 |
Promethazine hcl injection |
350 |
305 |
$9.52 |
| Q0163 |
Diphenhydramine hcl 50mg |
94 |
80 |
$5.43 |
| J7512 |
Prednisone ir or dr oral 1mg |
176 |
154 |
$2.13 |
| J1630 |
Haloperidol injection |
15 |
13 |
$1.72 |
| U0001 |
2019-ncov diagnostic p |
783 |
760 |
$0.33 |
| 77067 |
|
1,696 |
1,664 |
$0.00 |
| G1004 |
Cdsm ndsc |
826 |
640 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
94 |
92 |
$0.00 |
| 73080 |
|
26 |
25 |
$0.00 |
| 99152 |
|
145 |
127 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
345 |
198 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
36 |
26 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
97 |
86 |
$0.00 |
| 71271 |
|
65 |
63 |
$0.00 |
| 72131 |
|
12 |
12 |
$0.00 |
| 43239 |
|
40 |
39 |
$0.00 |
| 84550 |
|
26 |
26 |
$0.00 |
| 72110 |
|
119 |
107 |
$0.00 |
| 76642 |
|
103 |
99 |
$0.00 |
| 70030 |
|
27 |
27 |
$0.00 |
| 82140 |
|
118 |
106 |
$0.00 |
| C1758 |
Catheter, ureteral |
71 |
55 |
$0.00 |
| 82248 |
|
31 |
30 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
42 |
38 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
24 |
12 |
$0.00 |
| 94726 |
|
12 |
12 |
$0.00 |
| 29125 |
|
14 |
13 |
$0.00 |
| 85007 |
|
26 |
24 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
58 |
37 |
$0.00 |
| 84146 |
|
14 |
12 |
$0.00 |
| 87633 |
|
30 |
30 |
$0.00 |
| 84403 |
|
15 |
15 |
$0.00 |
| 83516 |
|
16 |
12 |
$0.00 |
| 87798 |
|
52 |
32 |
$0.00 |
| 70551 |
|
14 |
14 |
$0.00 |
| 76770 |
|
13 |
13 |
$0.00 |
| 72050 |
|
17 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,255 |
821 |
$0.00 |
| 87624 |
|
688 |
659 |
$0.00 |
| A9270 |
Non-covered item or service |
3,286 |
1,479 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
210 |
171 |
$0.00 |
| 88142 |
|
1,249 |
1,207 |
$0.00 |
| 77063 |
|
1,692 |
1,660 |
$0.00 |
| 97112 |
|
66 |
24 |
$0.00 |
| 88304 |
|
45 |
42 |
$0.00 |
| 80050 |
|
2,447 |
2,323 |
$0.00 |
| A9585 |
Gadobutrol injection |
95 |
77 |
$0.00 |
| 71101 |
|
82 |
76 |
$0.00 |
| 82746 |
|
14 |
14 |
$0.00 |
| 82043 |
|
142 |
138 |
$0.00 |
| 45380 |
|
18 |
16 |
$0.00 |
| 82950 |
|
79 |
76 |
$0.00 |
| 94762 |
|
36 |
26 |
$0.00 |
| 15271 |
|
16 |
12 |
$0.00 |
| 97165 |
|
49 |
40 |
$0.00 |
| 87449 |
|
44 |
32 |
$0.00 |
| 97535 |
|
92 |
69 |
$0.00 |
| 70496 |
|
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
14 |
12 |
$0.00 |
| 99234 |
|
205 |
142 |
$0.00 |
| 87486 |
|
29 |
29 |
$0.00 |
| 64493 |
|
25 |
25 |
$0.00 |
| G0283 |
Elec stim other than wound |
32 |
13 |
$0.00 |
| 76815 |
|
24 |
24 |
$0.00 |
| 64483 |
|
64 |
50 |
$0.00 |
| 86706 |
|
13 |
12 |
$0.00 |
| 86364 |
|
12 |
12 |
$0.00 |
| 97597 |
|
32 |
12 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
20 |
12 |
$0.00 |
| 83001 |
|
14 |
12 |
$0.00 |
| 45378 |
|
13 |
13 |
$0.00 |
| 82150 |
|
14 |
13 |
$0.00 |
| 87581 |
|
29 |
29 |
$0.00 |
| 72072 |
|
12 |
12 |
$0.00 |
| 78452 |
|
12 |
12 |
$0.00 |