| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
20,919 |
16,153 |
$2.61M |
| 99284 |
|
10,764 |
8,295 |
$2.19M |
| 99285 |
|
7,497 |
3,903 |
$2.17M |
| 74176 |
|
6,607 |
4,377 |
$1.37M |
| 70450 |
|
5,266 |
3,260 |
$509K |
| 43239 |
|
1,668 |
1,016 |
$317K |
| 96374 |
|
4,487 |
3,480 |
$275K |
| G0378 |
Hospital observation per hr |
2,960 |
1,442 |
$240K |
| 71046 |
|
5,666 |
3,909 |
$236K |
| 71250 |
|
2,662 |
1,623 |
$221K |
| G0463 |
Hospital outpt clinic visit |
4,802 |
2,088 |
$192K |
| 96365 |
|
2,660 |
1,595 |
$182K |
| 72125 |
|
1,558 |
1,234 |
$177K |
| 71045 |
|
7,935 |
3,826 |
$164K |
| 11042 |
|
1,714 |
817 |
$159K |
| 80053 |
|
29,626 |
21,292 |
$155K |
| 97110 |
|
4,103 |
1,092 |
$148K |
| 93005 |
|
8,080 |
6,099 |
$148K |
| 99282 |
|
1,823 |
1,577 |
$142K |
| 72131 |
|
1,526 |
1,107 |
$142K |
| 99281 |
|
3,381 |
2,900 |
$140K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,059 |
1,839 |
$139K |
| 80307 |
|
4,013 |
3,420 |
$138K |
| 96372 |
|
13,358 |
9,101 |
$133K |
| 36415 |
|
48,888 |
20,930 |
$132K |
| 96375 |
|
3,637 |
2,831 |
$131K |
| 80061 |
|
7,061 |
5,811 |
$107K |
| G0483 |
Drug test def 22+ classes |
818 |
638 |
$104K |
| 82306 |
|
4,369 |
3,921 |
$98K |
| 84443 |
|
7,250 |
6,525 |
$97K |
| 85025 |
|
23,944 |
19,460 |
$96K |
| 76705 |
|
1,251 |
1,089 |
$94K |
| 72110 |
|
1,176 |
961 |
$87K |
| 96361 |
|
3,202 |
1,748 |
$83K |
| 77067 |
|
1,355 |
1,199 |
$73K |
| 70486 |
|
326 |
280 |
$70K |
| J1885 |
Ketorolac tromethamine inj |
2,782 |
2,372 |
$68K |
| 73630 |
|
1,409 |
1,198 |
$63K |
| 72128 |
|
424 |
324 |
$63K |
| 93306 |
|
286 |
243 |
$61K |
| 73564 |
|
1,222 |
982 |
$60K |
| U0002 |
Covid-19 lab test non-cdc |
1,801 |
1,338 |
$57K |
| 74177 |
|
210 |
131 |
$56K |
| 82607 |
|
3,991 |
3,586 |
$49K |
| 73130 |
|
1,113 |
968 |
$48K |
| 73030 |
|
1,196 |
950 |
$47K |
| 97161 |
|
750 |
682 |
$45K |
| 72148 |
|
166 |
160 |
$44K |
| 93975 |
|
406 |
336 |
$43K |
| 73610 |
|
1,175 |
959 |
$40K |
| 80074 |
|
1,034 |
896 |
$39K |
| 78452 |
|
133 |
93 |
$37K |
| 82746 |
|
2,968 |
2,676 |
$37K |
| J2405 |
Ondansetron hcl injection |
3,680 |
2,919 |
$36K |
| 83036 |
|
4,715 |
4,215 |
$35K |
| 45378 |
|
173 |
129 |
$33K |
| 87086 |
|
5,610 |
4,688 |
$32K |
| J0696 |
Ceftriaxone sodium injection |
2,526 |
2,065 |
$32K |
| 43202 |
|
87 |
46 |
$29K |
| J2704 |
Inj, propofol, 10 mg |
1,935 |
1,617 |
$28K |
| 87804 |
|
3,078 |
2,761 |
$27K |
| 77080 |
|
406 |
363 |
$26K |
| 72072 |
|
273 |
220 |
$26K |
| J7030 |
Normal saline solution infus |
4,038 |
2,911 |
$25K |
| 87070 |
|
4,985 |
3,731 |
$25K |
| 84484 |
|
5,880 |
4,247 |
$24K |
| 87040 |
|
3,323 |
2,737 |
$24K |
| 84681 |
|
1,239 |
1,117 |
$20K |
| 86738 |
|
2,692 |
2,379 |
$19K |
| 73110 |
|
586 |
467 |
$19K |
| G0480 |
Drug test def 1-7 classes |
640 |
523 |
$19K |
| 94640 |
|
2,572 |
1,766 |
$19K |
| 96360 |
|
274 |
201 |
$18K |
| J7120 |
Ringers lactate infusion |
1,699 |
1,369 |
$16K |
| 83735 |
|
5,421 |
4,530 |
$16K |
| 96376 |
|
1,003 |
676 |
$16K |
| 83880 |
|
1,251 |
995 |
$15K |
| 84439 |
|
2,079 |
1,856 |
$15K |
| 81001 |
|
5,915 |
5,205 |
$15K |
| 96366 |
|
657 |
386 |
$14K |
| 72100 |
|
217 |
173 |
$14K |
| 87430 |
|
2,292 |
2,107 |
$14K |
| 72050 |
|
309 |
240 |
$13K |
| 85027 |
|
4,500 |
3,502 |
$13K |
| 86140 |
|
3,092 |
2,758 |
$13K |
| 83525 |
|
1,408 |
1,275 |
$13K |
| 84550 |
|
3,394 |
3,052 |
$12K |
| 80048 |
|
3,022 |
2,346 |
$12K |
| 85651 |
|
3,837 |
3,432 |
$12K |
| 84703 |
|
3,855 |
3,315 |
$12K |
| 84403 |
|
598 |
534 |
$12K |
| 66984 |
|
17 |
12 |
$12K |
| 87081 |
|
2,700 |
2,263 |
$12K |
| 83690 |
|
4,088 |
3,448 |
$11K |
| J2550 |
Promethazine hcl injection |
2,488 |
2,028 |
$10K |
| 76536 |
|
103 |
90 |
$10K |
| 99213 |
|
696 |
372 |
$10K |
| 74018 |
|
235 |
214 |
$10K |
| 85730 |
|
4,066 |
3,337 |
$10K |
| 86038 |
|
818 |
741 |
$9K |
| 82150 |
|
3,444 |
2,936 |
$9K |
| 83550 |
|
1,194 |
1,034 |
$9K |
| 85610 |
|
4,773 |
3,579 |
$9K |
| 95913 |
|
32 |
28 |
$9K |
| J3490 |
Drugs unclassified injection |
1,388 |
619 |
$8K |
| 93225 |
|
105 |
88 |
$8K |
| 83540 |
|
1,350 |
1,161 |
$7K |
| 73080 |
|
161 |
129 |
$7K |
| J2270 |
Morphine sulfate injection |
3,314 |
2,509 |
$7K |
| 87186 |
|
1,389 |
1,216 |
$7K |
| 87075 |
|
1,051 |
801 |
$7K |
| 82803 |
|
869 |
700 |
$7K |
| 94760 |
|
889 |
474 |
$7K |
| 36600 |
|
1,242 |
733 |
$6K |
| 97010 |
|
611 |
125 |
$6K |
| 81003 |
|
5,879 |
5,069 |
$6K |
| 87077 |
|
1,546 |
1,040 |
$5K |
| 84402 |
|
241 |
220 |
$5K |
| 82962 |
|
2,359 |
1,530 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,894 |
1,678 |
$5K |
| 93017 |
|
106 |
91 |
$5K |
| 90714 |
|
615 |
514 |
$5K |
| J0595 |
Butorphanol tartrate 1 mg |
988 |
813 |
$5K |
| 73090 |
|
103 |
85 |
$5K |
| 82043 |
|
932 |
845 |
$5K |
| 86431 |
|
843 |
760 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
261 |
240 |
$4K |
| 84702 |
|
536 |
463 |
$4K |
| 94664 |
|
523 |
448 |
$4K |
| 90471 |
|
575 |
497 |
$4K |
| 83605 |
|
903 |
726 |
$4K |
| 71275 |
|
14 |
12 |
$3K |
| 82728 |
|
359 |
297 |
$3K |
| 93971 |
|
43 |
39 |
$3K |
| 73562 |
|
62 |
60 |
$3K |
| 84480 |
|
221 |
205 |
$3K |
| J2930 |
Methylprednisolone injection |
1,126 |
913 |
$3K |
| 82553 |
|
842 |
689 |
$3K |
| 82550 |
|
1,238 |
1,040 |
$3K |
| 84481 |
|
186 |
174 |
$3K |
| 73560 |
|
81 |
66 |
$3K |
| 85378 |
|
883 |
759 |
$3K |
| 73590 |
|
96 |
81 |
$3K |
| 72040 |
|
31 |
30 |
$3K |
| J1020 |
Methylprednisolone 20 mg inj |
557 |
506 |
$2K |
| J0690 |
Cefazolin sodium injection |
267 |
207 |
$2K |
| 87426 |
|
220 |
121 |
$2K |
| 87205 |
|
936 |
800 |
$2K |
| 86677 |
|
112 |
106 |
$2K |
| J2785 |
Regadenoson injection |
70 |
61 |
$2K |
| G0481 |
Drug test def 8-14 classes |
138 |
130 |
$2K |
| A9500 |
Tc99m sestamibi |
88 |
76 |
$2K |
| J2060 |
Lorazepam injection |
338 |
281 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,847 |
1,511 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
400 |
295 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,501 |
1,249 |
$1K |
| 87420 |
|
142 |
133 |
$1K |
| G0103 |
Psa screening |
181 |
99 |
$1K |
| 93226 |
|
63 |
60 |
$1K |
| 72192 |
|
12 |
12 |
$1K |
| 84436 |
|
181 |
164 |
$1K |
| 87076 |
|
266 |
205 |
$1K |
| 0012A |
|
74 |
55 |
$1K |
| J7040 |
Normal saline solution infus |
209 |
186 |
$903.42 |
| 84154 |
|
80 |
73 |
$900.74 |
| 80320 |
|
80 |
66 |
$826.13 |
| 76642 |
|
17 |
13 |
$823.41 |
| 82140 |
|
86 |
67 |
$816.04 |
| J0171 |
Adrenalin epinephrine inject |
95 |
79 |
$815.12 |
| 0011A |
|
60 |
53 |
$781.87 |
| G0482 |
Drug test def 15-21 classes |
132 |
121 |
$768.23 |
| 86318 |
|
65 |
53 |
$707.63 |
| 86701 |
|
58 |
50 |
$701.86 |
| 72220 |
|
15 |
15 |
$693.02 |
| 12001 |
|
83 |
65 |
$682.60 |
| 77065 |
Tomosynthesis, mammo |
17 |
12 |
$594.67 |
| 80299 |
|
130 |
105 |
$589.20 |
| C1780 |
Lens, intraocular (new tech) |
17 |
12 |
$568.41 |
| 76775 |
|
15 |
13 |
$543.77 |
| 96367 |
|
61 |
33 |
$520.53 |
| J1956 |
Levofloxacin injection |
34 |
25 |
$486.59 |
| J2300 |
Inj nalbuphine hydrochloride |
82 |
67 |
$440.99 |
| 73502 |
|
12 |
12 |
$420.66 |
| J1200 |
Diphenhydramine hcl injectio |
274 |
241 |
$397.70 |
| J7050 |
Normal saline solution infus |
84 |
54 |
$387.79 |
| 80076 |
|
65 |
58 |
$363.79 |
| J2360 |
Orphenadrine injection |
173 |
153 |
$348.38 |
| J2920 |
Methylprednisolone injection |
38 |
24 |
$327.87 |
| 84100 |
|
159 |
121 |
$291.87 |
| 84153 |
|
23 |
13 |
$198.62 |
| 86592 |
|
58 |
52 |
$178.66 |
| 73565 |
|
32 |
20 |
$161.30 |
| 95885 |
|
34 |
27 |
$160.00 |
| J0330 |
Succinycholine chloride inj |
57 |
48 |
$156.52 |
| 99214 |
|
12 |
12 |
$132.28 |
| G0008 |
Admin influenza virus vac |
20 |
12 |
$115.81 |
| 80346 |
|
16 |
16 |
$107.82 |
| 90686 |
|
34 |
24 |
$96.28 |
| 80335 |
|
15 |
15 |
$89.55 |
| G1004 |
Cdsm ndsc |
281 |
239 |
$83.97 |
| 80329 |
|
13 |
13 |
$82.30 |
| 80348 |
|
13 |
13 |
$79.66 |
| 80372 |
|
13 |
13 |
$79.30 |
| 80367 |
|
13 |
13 |
$76.66 |
| 80361 |
|
13 |
13 |
$76.66 |
| 80354 |
|
13 |
13 |
$76.66 |
| 80365 |
|
13 |
13 |
$76.66 |
| 80362 |
|
13 |
13 |
$76.66 |
| 80373 |
|
13 |
13 |
$76.66 |
| 80338 |
|
13 |
13 |
$74.34 |
| 80332 |
|
13 |
13 |
$74.34 |
| 80369 |
|
13 |
13 |
$73.42 |
| 80368 |
|
13 |
13 |
$73.38 |
| 80366 |
|
13 |
13 |
$71.34 |
| 83992 |
|
41 |
40 |
$66.56 |
| 80342 |
|
13 |
13 |
$66.46 |
| 80358 |
|
13 |
13 |
$66.02 |
| 80324 |
|
16 |
16 |
$62.90 |
| 80353 |
|
13 |
13 |
$62.02 |
| 80339 |
|
13 |
13 |
$60.58 |
| 80357 |
|
13 |
13 |
$60.46 |
| 80359 |
|
13 |
13 |
$53.02 |
| 80371 |
|
13 |
13 |
$50.02 |
| 80360 |
|
13 |
13 |
$50.02 |
| 80375 |
|
13 |
13 |
$47.50 |
| J2710 |
Neostigmine methylslfte inj |
17 |
14 |
$42.73 |
| J1644 |
Inj heparin sodium per 1000u |
55 |
42 |
$35.34 |
| J2780 |
Ranitidine hydrochloride inj |
19 |
17 |
$32.85 |
| 86308 |
|
13 |
13 |
$25.22 |
| J1580 |
Garamycin gentamicin inj |
17 |
12 |
$11.65 |
| C9399 |
Unclassified drugs or biolog |
80 |
57 |
$0.00 |
| A9270 |
Non-covered item or service |
77 |
29 |
$0.00 |