| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
42,395 |
36,650 |
$5.92M |
| 99284 |
|
25,690 |
20,828 |
$4.23M |
| 96361 |
|
7,786 |
5,711 |
$3.24M |
| 99282 |
|
21,845 |
19,591 |
$3.20M |
| 96365 |
|
7,976 |
5,351 |
$1.87M |
| 74177 |
|
4,833 |
4,293 |
$1.47M |
| 70450 |
|
4,881 |
4,363 |
$1.37M |
| 99285 |
|
5,536 |
4,423 |
$1.01M |
| 99281 |
|
4,439 |
3,950 |
$695K |
| 96366 |
|
1,895 |
1,269 |
$512K |
| 96360 |
|
1,944 |
1,575 |
$495K |
| 94640 |
|
4,310 |
3,112 |
$470K |
| 41899 |
|
328 |
262 |
$464K |
| 11042 |
|
1,771 |
831 |
$415K |
| 74176 |
|
1,455 |
1,302 |
$380K |
| 71275 |
|
1,197 |
1,066 |
$374K |
| 80048 |
|
41,827 |
30,765 |
$363K |
| 99211 |
|
2,259 |
1,329 |
$354K |
| 97110 |
|
11,526 |
4,047 |
$283K |
| 87635 |
|
6,288 |
5,543 |
$279K |
| 71260 |
|
885 |
798 |
$246K |
| 72125 |
|
2,091 |
1,909 |
$231K |
| 87631 |
|
2,208 |
1,953 |
$212K |
| 43239 |
|
253 |
234 |
$210K |
| 85025 |
|
37,573 |
28,310 |
$205K |
| 96367 |
|
994 |
770 |
$189K |
| 99291 |
|
640 |
487 |
$149K |
| 97530 |
|
5,128 |
2,916 |
$147K |
| 93306 |
|
367 |
349 |
$146K |
| 97140 |
|
6,670 |
2,694 |
$141K |
| 12001 |
|
535 |
464 |
$140K |
| G0378 |
Hospital observation per hr |
3,911 |
1,946 |
$137K |
| 71046 |
|
5,790 |
5,152 |
$133K |
| 76705 |
|
993 |
889 |
$131K |
| 80076 |
|
21,826 |
17,253 |
$123K |
| 77067 |
|
1,674 |
1,585 |
$105K |
| 84443 |
|
7,566 |
6,794 |
$96K |
| G0480 |
Drug test def 1-7 classes |
1,837 |
1,546 |
$88K |
| 81025 |
|
6,257 |
5,456 |
$87K |
| 80306 |
|
5,969 |
5,156 |
$85K |
| 84484 |
|
11,825 |
7,386 |
$76K |
| 76856 |
|
370 |
335 |
$75K |
| 87502 |
|
989 |
888 |
$74K |
| 87651 |
|
2,101 |
1,924 |
$69K |
| 87804 |
|
4,379 |
2,054 |
$67K |
| 99215 |
Prolong outpt/office vis |
320 |
240 |
$67K |
| 97112 |
|
2,394 |
1,206 |
$62K |
| 73564 |
|
1,940 |
1,754 |
$55K |
| 73610 |
|
1,978 |
1,718 |
$51K |
| 80061 |
|
4,603 |
4,321 |
$51K |
| 87491 |
|
1,516 |
1,369 |
$50K |
| 76801 |
|
535 |
436 |
$50K |
| 87086 |
|
6,414 |
5,642 |
$49K |
| 81001 |
|
14,915 |
12,653 |
$47K |
| 87591 |
|
1,529 |
1,384 |
$47K |
| 45385 |
|
57 |
54 |
$46K |
| 99212 |
|
253 |
195 |
$46K |
| 83690 |
|
8,802 |
7,299 |
$43K |
| 97162 |
|
1,288 |
1,196 |
$43K |
| 83880 |
|
3,032 |
2,459 |
$42K |
| 73110 |
|
1,230 |
1,019 |
$41K |
| 92507 |
|
783 |
306 |
$41K |
| 83036 |
|
4,704 |
4,374 |
$39K |
| 73630 |
|
1,782 |
1,587 |
$39K |
| 96368 |
|
174 |
122 |
$38K |
| 77063 |
|
641 |
606 |
$36K |
| 73030 |
|
1,348 |
1,199 |
$34K |
| 0202U |
|
3,993 |
3,559 |
$34K |
| 96372 |
|
7,625 |
5,532 |
$34K |
| 74018 |
|
1,252 |
1,134 |
$32K |
| 93971 |
|
237 |
218 |
$32K |
| 83735 |
|
7,710 |
6,172 |
$31K |
| 87070 |
|
2,845 |
2,604 |
$30K |
| 76830 |
|
197 |
182 |
$30K |
| 83605 |
|
5,106 |
4,041 |
$28K |
| 82077 |
|
2,837 |
2,280 |
$28K |
| 72100 |
|
954 |
874 |
$28K |
| 87040 |
|
6,117 |
2,910 |
$26K |
| 76805 |
|
214 |
195 |
$25K |
| 70498 |
|
64 |
59 |
$25K |
| C9803 |
Hopd covid-19 spec collect |
800 |
743 |
$22K |
| 85610 |
|
8,228 |
5,807 |
$22K |
| 81003 |
|
8,314 |
7,073 |
$20K |
| 73130 |
|
1,124 |
992 |
$19K |
| 82948 |
|
3,814 |
1,855 |
$19K |
| 96413 |
|
61 |
36 |
$17K |
| 87650 |
|
489 |
453 |
$16K |
| 85380 |
|
2,593 |
2,288 |
$16K |
| 70496 |
|
44 |
43 |
$16K |
| 87186 |
|
2,713 |
2,431 |
$15K |
| 90715 |
|
527 |
467 |
$15K |
| 82306 |
|
697 |
637 |
$15K |
| 80143 |
|
1,261 |
1,087 |
$14K |
| 87633 |
|
50 |
43 |
$14K |
| 80179 |
|
1,222 |
1,058 |
$14K |
| 93005 |
|
13,607 |
10,558 |
$13K |
| 12002 |
|
43 |
39 |
$13K |
| 86140 |
|
3,731 |
2,825 |
$13K |
| 85730 |
|
3,423 |
2,997 |
$12K |
| 80053 |
|
1,194 |
1,026 |
$11K |
| 85027 |
|
2,701 |
2,165 |
$11K |
| 87088 |
|
2,322 |
2,097 |
$11K |
| 82805 |
|
605 |
500 |
$11K |
| 94060 |
|
108 |
104 |
$11K |
| 70486 |
|
85 |
74 |
$11K |
| 71045 |
|
8,500 |
7,187 |
$10K |
| 87880 |
|
662 |
613 |
$10K |
| 73502 |
|
394 |
357 |
$10K |
| 87807 |
|
620 |
565 |
$10K |
| 87210 |
|
1,558 |
1,401 |
$9K |
| 96374 |
|
13,626 |
11,164 |
$9K |
| 97035 |
|
818 |
376 |
$8K |
| 84439 |
|
1,056 |
949 |
$8K |
| 93010 |
|
3,614 |
2,985 |
$7K |
| 73721 |
|
30 |
25 |
$7K |
| G0330 |
Facility svs dental rehab |
41 |
40 |
$6K |
| 87634 |
|
94 |
83 |
$6K |
| 36415 |
|
22,486 |
16,979 |
$6K |
| 82947 |
|
2,066 |
1,345 |
$6K |
| 82728 |
|
551 |
502 |
$6K |
| 71250 |
|
57 |
54 |
$6K |
| 87389 |
|
276 |
235 |
$5K |
| 84702 |
|
355 |
251 |
$5K |
| 85651 |
|
1,552 |
1,276 |
$5K |
| 72148 |
|
30 |
24 |
$5K |
| 70553 |
|
12 |
12 |
$5K |
| 86850 |
|
821 |
701 |
$5K |
| 85379 |
|
598 |
552 |
$4K |
| 87150 |
|
157 |
143 |
$4K |
| 99213 |
|
14 |
12 |
$4K |
| 90471 |
|
647 |
529 |
$3K |
| 29125 |
|
60 |
56 |
$3K |
| 73080 |
|
112 |
94 |
$3K |
| 82570 |
|
799 |
722 |
$3K |
| 87081 |
|
525 |
481 |
$3K |
| 12011 |
|
19 |
12 |
$3K |
| 96375 |
|
12,167 |
9,421 |
$3K |
| 86900 |
|
995 |
840 |
$3K |
| 76770 |
|
15 |
12 |
$3K |
| 88720 |
|
251 |
153 |
$3K |
| 73140 |
|
113 |
93 |
$3K |
| 93017 |
|
15 |
13 |
$3K |
| 76642 |
|
13 |
12 |
$2K |
| 82962 |
|
1,398 |
646 |
$2K |
| 86901 |
|
995 |
840 |
$2K |
| 93225 |
|
28 |
26 |
$2K |
| 97161 |
|
53 |
52 |
$2K |
| 85652 |
|
900 |
734 |
$2K |
| J0561 |
Penicillin g benzathine inj |
15 |
15 |
$2K |
| 82550 |
|
439 |
341 |
$2K |
| 86618 |
|
99 |
67 |
$2K |
| 83550 |
|
297 |
273 |
$2K |
| 76817 |
|
28 |
25 |
$2K |
| 36592 |
|
1,069 |
649 |
$1K |
| 94729 |
|
93 |
80 |
$1K |
| 87340 |
|
177 |
147 |
$1K |
| 87486 |
|
50 |
43 |
$1K |
| 83540 |
|
334 |
304 |
$1K |
| 87798 |
|
51 |
44 |
$1K |
| 87581 |
|
50 |
43 |
$1K |
| 88305 |
|
1,329 |
1,197 |
$1K |
| 82043 |
|
226 |
211 |
$1K |
| 82607 |
|
100 |
90 |
$936.78 |
| 87624 |
|
28 |
24 |
$929.58 |
| 82565 |
|
235 |
199 |
$853.47 |
| 97166 |
|
38 |
37 |
$840.79 |
| 86780 |
|
82 |
74 |
$741.95 |
| 84703 |
|
100 |
94 |
$692.48 |
| A9577 |
Inj multihance |
542 |
476 |
$669.57 |
| 86703 |
|
39 |
31 |
$585.97 |
| J7120 |
Ringers lactate infusion |
2,388 |
1,858 |
$515.98 |
| 73590 |
|
56 |
50 |
$514.93 |
| 85014 |
|
218 |
169 |
$494.43 |
| 93226 |
|
12 |
12 |
$480.66 |
| 82150 |
|
94 |
89 |
$479.46 |
| 74019 |
|
43 |
39 |
$458.85 |
| J1885 |
Ketorolac tromethamine inj |
9,405 |
7,754 |
$440.19 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,436 |
6,535 |
$428.51 |
| 83655 |
|
28 |
26 |
$419.11 |
| 84100 |
|
121 |
89 |
$415.01 |
| 96376 |
|
3,623 |
2,592 |
$385.14 |
| 97163 |
|
12 |
12 |
$380.99 |
| G1004 |
Cdsm ndsc |
8,223 |
6,637 |
$351.38 |
| G0500 |
Mod sedat endo service >5yrs |
566 |
518 |
$349.77 |
| 85018 |
|
204 |
160 |
$330.49 |
| 72040 |
|
13 |
13 |
$304.84 |
| 51702 |
|
18 |
12 |
$301.05 |
| J2405 |
Ondansetron hcl injection |
10,227 |
7,907 |
$250.25 |
| 80055 |
|
12 |
12 |
$229.31 |
| 71101 |
|
41 |
37 |
$217.69 |
| 82274 |
|
28 |
25 |
$207.70 |
| 94726 |
|
27 |
27 |
$206.41 |
| J2704 |
Inj, propofol, 10 mg |
2,721 |
2,206 |
$204.65 |
| 0100U |
|
15 |
14 |
$171.01 |
| 84460 |
|
30 |
25 |
$153.46 |
| J0696 |
Ceftriaxone sodium injection |
3,689 |
2,433 |
$142.46 |
| 82553 |
|
36 |
27 |
$138.56 |
| J3010 |
Fentanyl citrate injection |
4,574 |
3,660 |
$137.26 |
| 84550 |
|
28 |
25 |
$129.33 |
| J1100 |
Dexamethasone sodium phos |
4,264 |
3,486 |
$121.58 |
| 87147 |
|
29 |
25 |
$114.22 |
| U0002 |
Covid-19 lab test non-cdc |
283 |
244 |
$105.57 |
| 88738 |
|
16 |
16 |
$92.71 |
| 82950 |
|
14 |
13 |
$86.43 |
| 84145 |
|
13 |
12 |
$84.85 |
| 82272 |
|
28 |
26 |
$83.96 |
| J2250 |
Inj midazolam hydrochloride |
1,171 |
999 |
$78.81 |
| J2930 |
Methylprednisolone injection |
899 |
664 |
$77.12 |
| 36591 |
|
25 |
12 |
$69.57 |
| 82010 |
|
12 |
12 |
$67.77 |
| 87077 |
|
15 |
15 |
$66.69 |
| J1170 |
Hydromorphone injection |
2,874 |
2,086 |
$64.36 |
| J1200 |
Diphenhydramine hcl injectio |
2,416 |
1,886 |
$46.07 |
| J2270 |
Morphine sulfate injection |
2,215 |
1,692 |
$34.78 |
| J7050 |
Normal saline solution infus |
9,549 |
4,635 |
$32.55 |
| J2060 |
Lorazepam injection |
1,472 |
1,144 |
$29.44 |
| J2360 |
Orphenadrine injection |
383 |
346 |
$27.65 |
| 36416 |
|
21 |
14 |
$27.13 |
| J0780 |
Prochlorperazine injection |
718 |
582 |
$24.46 |
| J2765 |
Metoclopramide hcl injection |
1,003 |
775 |
$21.79 |
| J3490 |
Drugs unclassified injection |
692 |
555 |
$15.87 |
| A9270 |
Non-covered item or service |
1,719 |
1,257 |
$14.47 |
| J3475 |
Inj magnesium sulfate |
474 |
382 |
$14.00 |
| J1650 |
Inj enoxaparin sodium |
434 |
190 |
$13.55 |
| J7512 |
Prednisone ir or dr oral 1mg |
978 |
761 |
$7.49 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
13 |
13 |
$6.56 |
| J2919 |
Inj, methylpred sod succ 5mg |
160 |
131 |
$6.14 |
| J1642 |
Inj heparin sodium per 10 u |
100 |
49 |
$3.56 |
| J1940 |
Furosemide injection |
114 |
82 |
$1.59 |
| J0134 |
Inj acetaminophen -fresenius |
33 |
23 |
$0.93 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
121 |
99 |
$0.91 |
| P9612 |
Catheterize for urine spec |
365 |
317 |
$0.59 |
| J0690 |
Cefazolin sodium injection |
478 |
385 |
$0.46 |
| G1010 |
Cdsm stanson |
2,603 |
2,136 |
$0.01 |
| J3480 |
Inj potassium chloride |
120 |
64 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
414 |
231 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
105 |
94 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
182 |
123 |
$0.00 |
| J3360 |
Diazepam injection |
33 |
24 |
$0.00 |
| 88304 |
|
31 |
24 |
$0.00 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
27 |
15 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
35 |
25 |
$0.00 |
| 94760 |
|
178 |
80 |
$0.00 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
15 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
30 |
12 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
109 |
106 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
42 |
29 |
$0.00 |
| G8979 |
Mobility goal status |
108 |
80 |
$0.00 |
| J7030 |
Normal saline solution infus |
70 |
61 |
$0.00 |
| G8978 |
Mobility current status |
16 |
14 |
$0.00 |