| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
15,810 |
12,499 |
$3.40M |
| 99284 |
|
17,254 |
14,356 |
$3.20M |
| 99283 |
|
13,170 |
11,375 |
$1.40M |
| 74177 |
|
3,426 |
2,809 |
$1.26M |
| G0378 |
Hospital observation per hr |
4,412 |
3,221 |
$519K |
| 93306 |
|
2,369 |
1,905 |
$463K |
| 87637 |
|
4,223 |
3,933 |
$448K |
| 70450 |
|
3,902 |
3,008 |
$444K |
| 96361 |
|
7,600 |
4,815 |
$430K |
| 96375 |
|
9,025 |
6,015 |
$421K |
| 96374 |
|
13,169 |
9,847 |
$384K |
| 93005 |
|
19,759 |
15,516 |
$340K |
| 71046 |
|
10,345 |
8,530 |
$324K |
| 71275 |
|
1,140 |
917 |
$290K |
| 80053 |
|
45,085 |
34,367 |
$288K |
| 80307 |
|
8,367 |
5,964 |
$278K |
| 87635 |
|
5,889 |
4,856 |
$229K |
| 74176 |
|
876 |
689 |
$225K |
| 85025 |
|
45,829 |
33,800 |
$216K |
| 97110 |
|
8,303 |
2,577 |
$215K |
| G0463 |
Hospital outpt clinic visit |
24,541 |
15,042 |
$183K |
| J2785 |
Regadenoson injection |
719 |
532 |
$180K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,566 |
6,210 |
$175K |
| 96365 |
|
3,091 |
1,756 |
$169K |
| 96413 |
|
2,132 |
1,104 |
$158K |
| 95810 |
|
248 |
206 |
$142K |
| 99282 |
|
2,519 |
2,167 |
$133K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,932 |
1,584 |
$130K |
| 96360 |
|
2,625 |
1,481 |
$124K |
| 72125 |
|
946 |
718 |
$123K |
| 93017 |
|
1,149 |
875 |
$121K |
| 77067 |
|
1,274 |
1,154 |
$108K |
| 76705 |
|
1,354 |
1,113 |
$99K |
| A9500 |
Tc99m sestamibi |
737 |
541 |
$95K |
| 84484 |
|
14,288 |
8,782 |
$94K |
| 71045 |
|
3,559 |
2,634 |
$87K |
| 78452 |
|
212 |
158 |
$85K |
| 88305 |
|
2,519 |
2,024 |
$83K |
| 84443 |
|
7,809 |
6,558 |
$80K |
| 80061 |
|
7,951 |
6,881 |
$78K |
| 93351 |
|
163 |
135 |
$78K |
| 76801 |
|
816 |
664 |
$76K |
| 96372 |
|
4,931 |
2,932 |
$74K |
| 97140 |
|
3,734 |
1,222 |
$73K |
| G0480 |
Drug test def 1-7 classes |
2,441 |
1,514 |
$71K |
| 96376 |
|
2,389 |
1,335 |
$54K |
| 87491 |
|
2,694 |
2,327 |
$53K |
| 87591 |
|
2,688 |
2,322 |
$53K |
| 43239 |
|
193 |
164 |
$53K |
| 96366 |
|
938 |
477 |
$51K |
| 84703 |
|
9,478 |
7,708 |
$49K |
| 93320 |
|
608 |
475 |
$49K |
| 87389 |
|
2,061 |
1,786 |
$49K |
| 99212 |
|
4,061 |
3,467 |
$48K |
| 93325 |
|
755 |
581 |
$45K |
| 83880 |
|
2,659 |
2,097 |
$43K |
| 76856 |
|
555 |
463 |
$41K |
| 83036 |
|
5,955 |
5,010 |
$39K |
| 93971 |
|
644 |
503 |
$39K |
| 80048 |
|
7,612 |
5,171 |
$36K |
| 97161 |
|
1,155 |
980 |
$35K |
| 71260 |
|
212 |
177 |
$34K |
| 99211 |
|
2,440 |
1,947 |
$34K |
| 87631 |
|
356 |
283 |
$32K |
| 82306 |
|
1,500 |
1,290 |
$32K |
| J2704 |
Inj, propofol, 10 mg |
4,854 |
3,539 |
$31K |
| J1650 |
Inj enoxaparin sodium |
2,219 |
705 |
$29K |
| 86850 |
|
3,840 |
2,802 |
$29K |
| 87502 |
|
807 |
679 |
$29K |
| 76830 |
|
399 |
317 |
$28K |
| 87086 |
|
6,869 |
5,435 |
$28K |
| 85027 |
|
6,313 |
4,840 |
$26K |
| 88175 |
|
1,198 |
1,111 |
$25K |
| J1756 |
Iron sucrose injection |
611 |
249 |
$25K |
| 87636 |
|
206 |
140 |
$25K |
| 80074 |
|
677 |
613 |
$25K |
| 82728 |
|
2,478 |
1,988 |
$24K |
| 45380 |
|
86 |
69 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
1,597 |
955 |
$23K |
| 94640 |
|
1,863 |
1,213 |
$22K |
| 95811 |
|
44 |
36 |
$22K |
| 72100 |
|
528 |
425 |
$22K |
| 97803 |
|
1,092 |
866 |
$21K |
| 83690 |
|
5,004 |
3,979 |
$21K |
| 70551 |
|
85 |
55 |
$21K |
| 87070 |
|
3,271 |
2,792 |
$21K |
| 99281 |
|
668 |
550 |
$20K |
| 76805 |
|
219 |
207 |
$20K |
| 93246 |
|
322 |
256 |
$20K |
| 97162 |
|
755 |
552 |
$18K |
| 84702 |
|
1,492 |
1,174 |
$17K |
| 81001 |
|
8,558 |
6,829 |
$16K |
| 73630 |
|
576 |
427 |
$16K |
| 87522 |
Neg quan hep c or qual rna |
507 |
410 |
$16K |
| J2469 |
Palonosetron hcl |
189 |
82 |
$16K |
| 97597 |
|
475 |
247 |
$15K |
| 82607 |
|
1,812 |
1,471 |
$15K |
| 45385 |
|
36 |
27 |
$14K |
| 71271 |
|
56 |
43 |
$14K |
| 87040 |
|
1,673 |
938 |
$14K |
| 36591 |
|
1,839 |
903 |
$14K |
| 73030 |
|
497 |
375 |
$13K |
| 86780 |
|
1,297 |
1,093 |
$13K |
| 87186 |
|
2,244 |
1,717 |
$13K |
| 99213 |
|
1,242 |
1,062 |
$13K |
| Q9957 |
Inj perflutren lip micros,ml |
291 |
218 |
$12K |
| 87077 |
|
2,340 |
1,812 |
$12K |
| 83735 |
|
3,316 |
2,188 |
$12K |
| 94060 |
|
224 |
188 |
$12K |
| 99157 |
|
172 |
130 |
$12K |
| 84439 |
|
1,858 |
1,537 |
$12K |
| 76700 |
|
130 |
104 |
$11K |
| 83550 |
|
1,777 |
1,445 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
5,948 |
4,381 |
$10K |
| J1644 |
Inj heparin sodium per 1000u |
1,853 |
817 |
$10K |
| 85610 |
|
5,515 |
3,562 |
$10K |
| 71250 |
|
79 |
60 |
$10K |
| 87624 |
|
507 |
432 |
$10K |
| 83540 |
|
2,055 |
1,677 |
$10K |
| 36415 |
|
37,188 |
27,094 |
$9K |
| 99156 |
|
200 |
150 |
$9K |
| 73610 |
|
324 |
256 |
$9K |
| C1769 |
Guide wire |
221 |
164 |
$9K |
| 82746 |
|
880 |
726 |
$9K |
| 86803 |
|
906 |
763 |
$9K |
| 87340 |
|
1,181 |
1,007 |
$9K |
| 99214 |
|
270 |
207 |
$9K |
| 81003 |
|
8,582 |
6,935 |
$9K |
| 85379 |
|
1,321 |
1,007 |
$9K |
| 83605 |
|
1,252 |
891 |
$8K |
| 97535 |
|
551 |
317 |
$8K |
| 80076 |
|
1,290 |
1,096 |
$8K |
| 93296 |
|
1,518 |
1,142 |
$8K |
| 77063 |
|
1,129 |
1,021 |
$7K |
| J1100 |
Dexamethasone sodium phos |
3,022 |
1,937 |
$7K |
| 94726 |
|
277 |
231 |
$7K |
| J1170 |
Hydromorphone injection |
2,266 |
1,301 |
$7K |
| 94729 |
|
252 |
211 |
$7K |
| G2023 |
Specimen collect covid-19 |
264 |
149 |
$7K |
| 97802 |
|
190 |
175 |
$7K |
| 87081 |
|
1,470 |
1,316 |
$6K |
| A9585 |
Gadobutrol injection |
347 |
282 |
$6K |
| 86140 |
|
1,850 |
1,414 |
$6K |
| 96415 |
|
242 |
139 |
$6K |
| 86900 |
|
3,244 |
2,419 |
$6K |
| 86901 |
|
3,357 |
2,483 |
$6K |
| J0690 |
Cefazolin sodium injection |
1,401 |
918 |
$5K |
| 87880 |
|
653 |
575 |
$5K |
| 73564 |
|
157 |
115 |
$5K |
| J3010 |
Fentanyl citrate injection |
3,681 |
2,776 |
$5K |
| 99152 |
|
111 |
89 |
$5K |
| 82043 |
|
1,195 |
1,045 |
$5K |
| C1894 |
Intro/sheath, non-laser |
305 |
212 |
$5K |
| 90471 |
|
730 |
572 |
$5K |
| 80050 |
|
604 |
568 |
$4K |
| G0103 |
Psa screening |
271 |
233 |
$4K |
| J7030 |
Normal saline solution infus |
1,234 |
898 |
$4K |
| 85652 |
|
2,035 |
1,609 |
$4K |
| 87205 |
|
1,429 |
1,112 |
$4K |
| 86403 |
|
478 |
421 |
$4K |
| 88342 |
|
310 |
249 |
$4K |
| 86762 |
|
301 |
268 |
$3K |
| 76817 |
|
31 |
27 |
$3K |
| J2930 |
Methylprednisolone injection |
396 |
268 |
$3K |
| C1887 |
Catheter, guiding |
117 |
81 |
$3K |
| 76815 |
|
42 |
37 |
$3K |
| 70498 |
|
12 |
12 |
$3K |
| 76816 |
|
45 |
39 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
748 |
657 |
$3K |
| 86618 |
|
176 |
148 |
$3K |
| 87634 |
|
109 |
104 |
$3K |
| A9578 |
Inj multihance multipack |
119 |
105 |
$3K |
| J2405 |
Ondansetron hcl injection |
6,835 |
5,004 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,889 |
1,183 |
$3K |
| 73130 |
|
109 |
85 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
41 |
38 |
$3K |
| J2270 |
Morphine sulfate injection |
1,246 |
771 |
$3K |
| 93970 |
|
33 |
24 |
$2K |
| 76642 |
|
57 |
50 |
$2K |
| 99291 |
|
19 |
12 |
$2K |
| 99201 |
|
141 |
133 |
$2K |
| 73502 |
|
97 |
72 |
$2K |
| 73562 |
|
99 |
63 |
$2K |
| 86481 |
|
52 |
42 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
47 |
37 |
$2K |
| 86038 |
|
210 |
177 |
$2K |
| 85730 |
|
425 |
280 |
$2K |
| 97165 |
|
43 |
37 |
$2K |
| 93880 |
|
22 |
16 |
$1K |
| 83615 |
|
390 |
261 |
$1K |
| 90715 |
|
335 |
263 |
$1K |
| 0296T |
|
117 |
91 |
$1K |
| J3480 |
Inj potassium chloride |
92 |
40 |
$1K |
| 76775 |
|
20 |
13 |
$1K |
| 82550 |
|
314 |
213 |
$1K |
| J2001 |
Lidocaine injection |
440 |
316 |
$1K |
| 82950 |
|
300 |
264 |
$1K |
| 87210 |
|
504 |
418 |
$1K |
| J2765 |
Metoclopramide hcl injection |
973 |
705 |
$1K |
| 97014 |
|
55 |
27 |
$1K |
| L5695 |
Ak sleeve susp neoprene/equa |
116 |
87 |
$1K |
| 76536 |
|
13 |
12 |
$1K |
| 87902 |
|
13 |
13 |
$1K |
| 82565 |
|
336 |
259 |
$1K |
| 88313 |
|
82 |
73 |
$990.19 |
| J2250 |
Inj midazolam hydrochloride |
2,929 |
2,205 |
$937.73 |
| 96367 |
|
38 |
25 |
$858.76 |
| J2060 |
Lorazepam injection |
1,262 |
899 |
$776.32 |
| 83970 |
|
33 |
25 |
$764.29 |
| 87075 |
|
159 |
116 |
$738.57 |
| 87811 |
|
34 |
33 |
$686.10 |
| 85018 |
|
537 |
366 |
$680.41 |
| 84100 |
|
251 |
178 |
$664.06 |
| 97116 |
|
28 |
14 |
$660.94 |
| A9270 |
Non-covered item or service |
6,134 |
681 |
$583.08 |
| 88312 |
|
50 |
42 |
$581.48 |
| G0008 |
Admin influenza virus vac |
559 |
415 |
$547.70 |
| J7050 |
Normal saline solution infus |
170 |
127 |
$515.53 |
| 88304 |
|
29 |
26 |
$512.21 |
| 86706 |
|
66 |
53 |
$493.68 |
| 83655 |
|
49 |
46 |
$488.18 |
| J1630 |
Haloperidol injection |
103 |
79 |
$487.58 |
| G2066 |
Inter devc remote 30d |
142 |
139 |
$476.64 |
| 90686 |
|
339 |
261 |
$472.76 |
| P9612 |
Catheterize for urine spec |
326 |
232 |
$466.32 |
| 80320 |
|
30 |
26 |
$445.00 |
| 74018 |
|
12 |
12 |
$413.33 |
| 82803 |
|
29 |
13 |
$404.28 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
110 |
37 |
$391.25 |
| A9577 |
Inj multihance |
17 |
12 |
$327.87 |
| J3475 |
Inj magnesium sulfate |
45 |
25 |
$312.10 |
| 85014 |
|
272 |
186 |
$311.46 |
| J1642 |
Inj heparin sodium per 10 u |
2,051 |
624 |
$282.54 |
| 36416 |
|
354 |
210 |
$263.61 |
| 82570 |
|
69 |
51 |
$259.90 |
| G0108 |
Diab manage trn per indiv |
13 |
12 |
$248.13 |
| 84460 |
|
80 |
63 |
$243.30 |
| 84450 |
|
79 |
62 |
$233.31 |
| J3370 |
Vancomycin hcl injection |
35 |
12 |
$218.81 |
| 90662 |
|
249 |
185 |
$185.47 |
| 84520 |
|
105 |
65 |
$182.25 |
| 82105 |
|
12 |
12 |
$167.48 |
| 94664 |
|
29 |
18 |
$164.29 |
| J3301 |
Triamcinolone acet inj nos |
24 |
12 |
$156.26 |
| 94761 |
|
74 |
52 |
$152.73 |
| 86704 |
|
13 |
13 |
$150.06 |
| 80179 |
|
26 |
25 |
$148.29 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
28 |
12 |
$140.78 |
| J2370 |
Phenylephrine hcl injection |
16 |
12 |
$135.86 |
| 82947 |
|
34 |
24 |
$131.51 |
| 86431 |
|
24 |
24 |
$108.84 |
| 83721 |
|
27 |
24 |
$103.84 |
| J1940 |
Furosemide injection |
21 |
13 |
$90.31 |
| 90834 |
|
15 |
12 |
$78.72 |
| 94760 |
|
29 |
24 |
$75.41 |
| 84132 |
|
38 |
25 |
$73.46 |
| J2274 |
Inj morphine pf epid ithc |
25 |
14 |
$55.96 |
| 76999 |
|
14 |
12 |
$52.05 |
| 84156 |
|
16 |
12 |
$48.13 |
| 82248 |
|
22 |
14 |
$43.69 |
| J2550 |
Promethazine hcl injection |
43 |
38 |
$30.30 |
| 81015 |
|
20 |
18 |
$19.68 |
| G8980 |
Mobility d/c status |
26 |
15 |
$0.00 |
| G8978 |
Mobility current status |
62 |
40 |
$0.00 |
| G8979 |
Mobility goal status |
105 |
62 |
$0.00 |