| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
22,731 |
21,024 |
$10.62M |
| 99284 |
|
28,321 |
26,276 |
$8.40M |
| 99283 |
|
20,957 |
19,411 |
$4.71M |
| 74177 |
|
3,522 |
3,344 |
$3.88M |
| H0047 |
Alcohol/drug abuse svc nos |
9,370 |
605 |
$2.34M |
| G0378 |
Hospital observation per hr |
2,545 |
1,767 |
$2.06M |
| 70450 |
|
2,671 |
2,528 |
$1.62M |
| 97110 |
|
15,049 |
4,797 |
$1.30M |
| 93005 |
|
11,292 |
9,883 |
$1.12M |
| 74176 |
|
1,065 |
1,013 |
$1.05M |
| 71046 |
|
5,648 |
5,312 |
$921K |
| 93306 |
|
2,142 |
2,095 |
$834K |
| 90837 |
|
6,603 |
2,810 |
$715K |
| 71275 |
|
629 |
604 |
$698K |
| 70553 |
|
745 |
729 |
$695K |
| 90853 |
|
10,788 |
1,695 |
$683K |
| 99282 |
|
4,541 |
4,301 |
$654K |
| 96365 |
|
4,608 |
3,432 |
$590K |
| 71260 |
|
866 |
844 |
$514K |
| 96374 |
|
8,487 |
7,456 |
$508K |
| 71045 |
|
4,668 |
4,238 |
$489K |
| 88305 |
|
3,657 |
3,515 |
$483K |
| 97140 |
|
7,145 |
2,579 |
$482K |
| 96361 |
|
6,110 |
5,035 |
$449K |
| H0015 |
Alcohol and/or drug services |
8,370 |
1,061 |
$397K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,670 |
7,170 |
$357K |
| 97602 |
|
6,331 |
1,626 |
$337K |
| 76856 |
|
1,272 |
1,229 |
$333K |
| 96375 |
|
7,917 |
6,356 |
$327K |
| 97112 |
|
2,890 |
1,145 |
$314K |
| 96413 |
|
1,663 |
1,058 |
$299K |
| 73562 |
|
1,636 |
1,577 |
$299K |
| 73030 |
|
1,703 |
1,519 |
$276K |
| 73630 |
|
1,480 |
1,267 |
$268K |
| 87633 |
|
644 |
625 |
$262K |
| 80053 |
|
31,623 |
26,169 |
$260K |
| 72100 |
|
1,730 |
1,676 |
$248K |
| 76705 |
|
1,696 |
1,584 |
$246K |
| 73610 |
|
1,191 |
1,057 |
$230K |
| 92507 |
|
1,713 |
545 |
$218K |
| 85025 |
|
35,557 |
28,924 |
$216K |
| 96360 |
|
1,620 |
1,407 |
$214K |
| H2015 |
Comp comm supp svc, 15 min |
4,431 |
1,200 |
$209K |
| 41899 |
|
63 |
60 |
$206K |
| 72125 |
|
333 |
323 |
$187K |
| 94640 |
|
2,284 |
1,743 |
$186K |
| 77067 |
|
1,519 |
1,481 |
$179K |
| 45380 |
|
252 |
243 |
$176K |
| 43239 |
|
240 |
232 |
$176K |
| 72148 |
|
228 |
223 |
$170K |
| S9484 |
Crisis intervention per hour |
1,472 |
944 |
$159K |
| 73130 |
|
804 |
692 |
$157K |
| H0007 |
Alcohol and/or drug services |
3,099 |
588 |
$156K |
| 96372 |
|
4,622 |
3,474 |
$155K |
| 11721 |
|
4,085 |
3,980 |
$148K |
| 87635 |
|
3,443 |
3,098 |
$145K |
| 99214 |
|
1,364 |
1,226 |
$143K |
| 76830 |
|
1,193 |
1,145 |
$142K |
| 71250 |
|
331 |
318 |
$137K |
| 84443 |
|
9,494 |
8,879 |
$135K |
| 93971 |
|
450 |
428 |
$129K |
| 73110 |
|
784 |
673 |
$124K |
| 0241U |
|
1,040 |
1,011 |
$121K |
| 97161 |
|
1,335 |
1,285 |
$121K |
| H0031 |
Mh health assess by non-md |
278 |
259 |
$117K |
| 96376 |
|
2,780 |
2,075 |
$113K |
| J7120 |
Ringers lactate infusion |
8,037 |
7,246 |
$112K |
| A9579 |
Gad-base mr contrast nos,1ml |
2,205 |
2,124 |
$108K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,455 |
1,319 |
$98K |
| 76700 |
|
454 |
441 |
$95K |
| 97530 |
|
1,121 |
615 |
$94K |
| 77063 |
|
1,517 |
1,479 |
$89K |
| 73502 |
|
650 |
605 |
$84K |
| 82306 |
|
3,189 |
3,049 |
$83K |
| 87591 |
|
2,448 |
2,253 |
$82K |
| 87491 |
|
2,446 |
2,253 |
$82K |
| 80074 |
|
1,847 |
1,717 |
$80K |
| 87507 |
|
179 |
165 |
$75K |
| 90832 |
|
1,365 |
883 |
$73K |
| 72110 |
|
448 |
434 |
$72K |
| J7030 |
Normal saline solution infus |
7,591 |
6,292 |
$71K |
| J7050 |
Normal saline solution infus |
8,344 |
3,789 |
$70K |
| 99215 |
Prolong outpt/office vis |
358 |
331 |
$67K |
| 80307 |
|
1,794 |
1,527 |
$65K |
| 84484 |
|
8,635 |
5,787 |
$62K |
| 99291 |
|
73 |
67 |
$60K |
| 99211 |
|
811 |
637 |
$59K |
| 72040 |
|
332 |
317 |
$58K |
| 76536 |
|
287 |
274 |
$55K |
| 99281 |
|
522 |
494 |
$46K |
| 87631 |
|
344 |
329 |
$45K |
| 96366 |
|
697 |
525 |
$44K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
16 |
15 |
$43K |
| 80061 |
|
3,662 |
3,509 |
$43K |
| 80306 |
|
2,938 |
2,652 |
$42K |
| 76642 |
|
296 |
271 |
$41K |
| 99213 |
|
683 |
584 |
$41K |
| J2405 |
Ondansetron hcl injection |
8,142 |
6,630 |
$39K |
| J1885 |
Ketorolac tromethamine inj |
7,122 |
6,164 |
$39K |
| 97162 |
|
468 |
451 |
$38K |
| 76770 |
|
250 |
240 |
$38K |
| 83880 |
|
1,887 |
1,729 |
$37K |
| 73721 |
|
43 |
40 |
$36K |
| 45385 |
|
57 |
53 |
$35K |
| 83036 |
|
4,158 |
3,993 |
$34K |
| 83690 |
|
6,211 |
5,534 |
$33K |
| 87806 |
|
1,182 |
1,110 |
$33K |
| 87522 |
Neg quan hep c or qual rna |
807 |
745 |
$32K |
| 80048 |
|
5,046 |
4,376 |
$32K |
| J2704 |
Inj, propofol, 10 mg |
6,313 |
5,620 |
$31K |
| 86140 |
|
7,268 |
6,548 |
$30K |
| 87086 |
|
4,414 |
4,055 |
$30K |
| 99152 |
|
268 |
241 |
$28K |
| 81001 |
|
10,387 |
9,259 |
$27K |
| 87389 |
|
1,126 |
1,049 |
$26K |
| 87798 |
|
716 |
687 |
$26K |
| 82077 |
|
1,954 |
1,699 |
$25K |
| 86780 |
|
2,089 |
1,936 |
$25K |
| 82728 |
|
2,081 |
1,970 |
$24K |
| G0279 |
Tomosynthesis, mammo |
487 |
466 |
$23K |
| J3010 |
Fentanyl citrate injection |
4,501 |
3,543 |
$23K |
| 82607 |
|
1,806 |
1,726 |
$23K |
| 93017 |
|
107 |
98 |
$22K |
| J1100 |
Dexamethasone sodium phos |
4,844 |
4,049 |
$22K |
| 87486 |
|
645 |
625 |
$22K |
| 87581 |
|
646 |
625 |
$22K |
| 84439 |
|
2,788 |
2,597 |
$22K |
| 82803 |
|
1,402 |
1,188 |
$21K |
| 83605 |
|
2,807 |
2,320 |
$21K |
| 90834 |
|
237 |
166 |
$21K |
| 87077 |
|
2,475 |
2,308 |
$19K |
| 88312 |
|
178 |
172 |
$19K |
| 78452 |
|
49 |
40 |
$18K |
| 84703 |
|
2,482 |
2,317 |
$18K |
| H0046 |
Mental health service, nos |
467 |
462 |
$18K |
| 93880 |
|
62 |
57 |
$17K |
| 83735 |
|
3,967 |
3,147 |
$17K |
| 87186 |
|
2,203 |
2,023 |
$17K |
| 93010 |
|
9,157 |
8,242 |
$17K |
| 96367 |
|
274 |
193 |
$16K |
| 81025 |
|
2,056 |
1,930 |
$16K |
| J2001 |
Lidocaine injection |
4,424 |
3,805 |
$16K |
| 84702 |
|
1,034 |
713 |
$15K |
| 86850 |
|
2,065 |
1,888 |
$15K |
| J1170 |
Hydromorphone injection |
2,686 |
2,012 |
$15K |
| 72050 |
|
74 |
74 |
$14K |
| 45378 |
|
12 |
12 |
$14K |
| J0690 |
Cefazolin sodium injection |
1,997 |
1,761 |
$14K |
| 87081 |
|
2,041 |
1,964 |
$13K |
| 87040 |
|
1,762 |
947 |
$13K |
| 80143 |
|
780 |
700 |
$12K |
| 12001 |
|
80 |
77 |
$12K |
| 74018 |
|
88 |
81 |
$12K |
| 85379 |
|
1,556 |
1,481 |
$12K |
| 80179 |
|
720 |
650 |
$11K |
| 73140 |
|
71 |
67 |
$11K |
| 90715 |
|
458 |
439 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
2,094 |
1,643 |
$10K |
| 86803 |
|
731 |
694 |
$9K |
| 83540 |
|
1,673 |
1,572 |
$9K |
| 85610 |
|
2,792 |
2,414 |
$9K |
| 36591 |
|
201 |
151 |
$9K |
| 36415 |
|
22,330 |
18,948 |
$8K |
| 94726 |
|
41 |
41 |
$8K |
| 76805 |
|
27 |
24 |
$8K |
| 85027 |
|
1,528 |
1,400 |
$8K |
| 82746 |
|
613 |
594 |
$8K |
| J3490 |
Drugs unclassified injection |
171 |
156 |
$7K |
| 87070 |
|
852 |
792 |
$7K |
| J2060 |
Lorazepam injection |
1,192 |
919 |
$7K |
| 73590 |
|
31 |
27 |
$7K |
| 84403 |
|
295 |
279 |
$6K |
| H0001 |
Alcohol and/or drug assess |
27 |
26 |
$6K |
| 85652 |
|
2,695 |
2,529 |
$6K |
| 94060 |
|
28 |
28 |
$6K |
| 82948 |
|
2,065 |
1,201 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
365 |
278 |
$6K |
| 83550 |
|
814 |
759 |
$6K |
| 88307 |
|
48 |
46 |
$6K |
| C1769 |
Guide wire |
13 |
13 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
1,269 |
1,157 |
$5K |
| 82947 |
|
2,210 |
1,338 |
$5K |
| A9500 |
Tc99m sestamibi |
60 |
41 |
$5K |
| 86901 |
|
2,129 |
1,916 |
$5K |
| 86900 |
|
2,132 |
1,915 |
$5K |
| 87510 |
|
301 |
271 |
$5K |
| 87660 |
|
299 |
269 |
$5K |
| 86038 |
|
465 |
437 |
$5K |
| 87480 |
|
287 |
259 |
$5K |
| J2710 |
Neostigmine methylslfte inj |
473 |
443 |
$5K |
| 84145 |
|
302 |
275 |
$5K |
| 87880 |
|
304 |
290 |
$4K |
| 94729 |
|
51 |
51 |
$4K |
| J2270 |
Morphine sulfate injection |
1,058 |
918 |
$4K |
| T1023 |
Program intake assessment |
114 |
112 |
$4K |
| G0480 |
Drug test def 1-7 classes |
47 |
43 |
$4K |
| J3475 |
Inj magnesium sulfate |
520 |
393 |
$4K |
| 99203 |
|
81 |
81 |
$4K |
| 87340 |
|
476 |
447 |
$4K |
| 81003 |
|
2,205 |
2,045 |
$4K |
| J1790 |
Droperidol injection |
674 |
602 |
$4K |
| 93970 |
|
13 |
12 |
$4K |
| J2795 |
Ropivacaine hcl injection |
743 |
498 |
$4K |
| 87205 |
|
878 |
789 |
$3K |
| 86703 |
|
230 |
214 |
$3K |
| 76775 |
|
24 |
24 |
$3K |
| 97597 |
|
38 |
26 |
$3K |
| J2370 |
Phenylephrine hcl injection |
681 |
651 |
$3K |
| 84100 |
|
891 |
773 |
$3K |
| M0243 |
Casirivi and imdevi inj |
36 |
21 |
$3K |
| 82570 |
|
629 |
560 |
$3K |
| 77002 |
|
38 |
38 |
$3K |
| Q9969 |
Non-heu tc-99m add-on/dose |
572 |
557 |
$3K |
| 00811 |
|
12 |
12 |
$3K |
| 99212 |
|
16 |
15 |
$2K |
| 88142 |
|
141 |
131 |
$2K |
| 11042 |
|
20 |
12 |
$2K |
| 86200 |
|
173 |
165 |
$2K |
| J7040 |
Normal saline solution infus |
308 |
274 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
37 |
37 |
$2K |
| 84481 |
|
97 |
96 |
$2K |
| 96415 |
|
33 |
25 |
$2K |
| 82550 |
|
280 |
247 |
$2K |
| 82533 |
|
125 |
96 |
$1K |
| 97116 |
|
26 |
12 |
$1K |
| 73560 |
|
15 |
13 |
$1K |
| 84153 |
|
97 |
95 |
$1K |
| 88342 |
|
27 |
26 |
$1K |
| T1016 |
Case management |
20 |
13 |
$1K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
332 |
314 |
$1K |
| 85730 |
|
280 |
270 |
$1K |
| 83615 |
|
217 |
156 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 84466 |
|
92 |
92 |
$974.76 |
| J2550 |
Promethazine hcl injection |
195 |
181 |
$961.02 |
| 94760 |
|
40 |
24 |
$917.79 |
| 88304 |
|
38 |
37 |
$860.62 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
165 |
149 |
$822.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
501 |
438 |
$818.25 |
| 83970 |
|
14 |
13 |
$758.72 |
| C9113 |
Inj pantoprazole sodium, via |
144 |
113 |
$755.12 |
| 0202U |
|
2,346 |
2,260 |
$720.87 |
| J3301 |
Triamcinolone acet inj nos |
94 |
91 |
$675.86 |
| 83090 |
|
38 |
37 |
$674.36 |
| J0780 |
Prochlorperazine injection |
52 |
51 |
$570.59 |
| J3411 |
Thiamine hcl 100 mg |
94 |
81 |
$555.07 |
| 82565 |
|
167 |
165 |
$471.59 |
| 82784 |
|
29 |
27 |
$409.58 |
| 84550 |
|
106 |
99 |
$386.55 |
| 87624 |
|
20 |
14 |
$366.74 |
| J2765 |
Metoclopramide hcl injection |
72 |
57 |
$338.30 |
| 86762 |
|
26 |
26 |
$338.16 |
| 82670 |
|
13 |
13 |
$321.28 |
| 82043 |
|
71 |
66 |
$309.76 |
| J0330 |
Succinycholine chloride inj |
45 |
41 |
$269.32 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
39 |
38 |
$252.73 |
| 82378 |
|
15 |
13 |
$235.08 |
| J1630 |
Haloperidol injection |
45 |
37 |
$225.84 |
| 83921 |
|
12 |
12 |
$222.71 |
| 84156 |
|
70 |
59 |
$189.65 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$158.70 |
| 86431 |
|
27 |
27 |
$129.64 |
| C9803 |
Hopd covid-19 spec collect |
215 |
202 |
$128.86 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$107.90 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
26 |
21 |
$107.32 |
| J2469 |
Palonosetron hcl |
17 |
12 |
$103.74 |
| 86706 |
|
13 |
12 |
$102.00 |
| 85018 |
|
43 |
38 |
$95.15 |
| 87210 |
|
14 |
14 |
$80.90 |
| J0131 |
Inj, acetaminophen (nos) |
15 |
15 |
$70.52 |
| 90471 |
|
602 |
577 |
$27.84 |
| J8540 |
Oral dexamethasone |
15 |
15 |
$16.72 |
| 0353U |
|
740 |
654 |
$12.92 |
| G1004 |
Cdsm ndsc |
6,156 |
5,367 |
$6.16 |
| G8979 |
Mobility goal status |
154 |
136 |
$0.00 |
| G8978 |
Mobility current status |
79 |
73 |
$0.00 |
| A9270 |
Non-covered item or service |
13,089 |
2,963 |
$0.00 |
| 0352U |
|
140 |
125 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
12 |
$0.00 |