| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
70,209 |
61,032 |
$12.74M |
| 99284 |
|
45,707 |
38,469 |
$8.39M |
| 96361 |
|
24,008 |
17,764 |
$7.20M |
| 99285 |
|
25,950 |
21,372 |
$4.64M |
| 99282 |
|
17,575 |
15,817 |
$2.90M |
| 74177 |
|
10,118 |
8,903 |
$2.44M |
| 70450 |
|
10,382 |
8,930 |
$2.05M |
| 92507 |
|
8,086 |
2,185 |
$1.48M |
| G0378 |
Hospital observation per hr |
4,717 |
3,241 |
$940K |
| 71275 |
|
3,406 |
3,056 |
$907K |
| 96360 |
|
6,129 |
5,431 |
$901K |
| 59025 |
|
3,645 |
2,660 |
$785K |
| 74176 |
|
3,323 |
2,906 |
$723K |
| J3490 |
Drugs unclassified injection |
207,433 |
67,681 |
$562K |
| 97110 |
|
11,469 |
2,890 |
$513K |
| 96365 |
|
4,934 |
3,820 |
$512K |
| 94640 |
|
9,622 |
5,604 |
$457K |
| 80307 |
|
8,419 |
7,035 |
$441K |
| 96366 |
|
1,700 |
1,129 |
$404K |
| 0241U |
|
5,173 |
4,925 |
$371K |
| 76830 |
|
3,847 |
3,485 |
$363K |
| 76856 |
|
4,669 |
4,260 |
$351K |
| 76705 |
|
3,256 |
2,989 |
$306K |
| 76815 |
|
4,175 |
3,605 |
$287K |
| 0240U |
|
4,474 |
4,196 |
$287K |
| 76700 |
|
2,048 |
1,862 |
$270K |
| 71046 |
|
24,833 |
22,087 |
$266K |
| 93306 |
|
894 |
800 |
$257K |
| 76805 |
|
2,434 |
2,220 |
$250K |
| 76770 |
|
1,752 |
1,596 |
$223K |
| 93971 |
|
2,320 |
1,971 |
$212K |
| 43239 |
|
425 |
355 |
$208K |
| 76801 |
|
3,971 |
3,227 |
$197K |
| 12001 |
|
806 |
753 |
$191K |
| 99281 |
|
968 |
760 |
$180K |
| 97530 |
|
5,694 |
2,243 |
$173K |
| 11042 |
|
735 |
336 |
$167K |
| 97161 |
|
1,768 |
1,585 |
$158K |
| 77067 |
|
3,819 |
3,607 |
$156K |
| 93976 |
|
2,681 |
2,405 |
$154K |
| 70496 |
|
666 |
617 |
$154K |
| 70551 |
|
731 |
656 |
$150K |
| 80048 |
|
32,353 |
24,827 |
$148K |
| 12011 |
|
611 |
565 |
$147K |
| 93970 |
|
1,152 |
1,029 |
$143K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,706 |
3,165 |
$142K |
| 72148 |
|
704 |
659 |
$140K |
| 76642 |
|
1,157 |
926 |
$136K |
| 97112 |
|
5,341 |
1,647 |
$119K |
| 97162 |
|
788 |
719 |
$116K |
| G0283 |
Elec stim other than wound |
4,273 |
1,240 |
$115K |
| 72125 |
|
2,472 |
2,189 |
$114K |
| 29125 |
|
626 |
576 |
$108K |
| 70553 |
|
249 |
240 |
$106K |
| 80053 |
|
24,948 |
20,276 |
$105K |
| 87635 |
|
1,493 |
1,275 |
$100K |
| 80047 |
|
21,684 |
18,480 |
$99K |
| 77063 |
|
2,668 |
2,531 |
$97K |
| 76536 |
|
786 |
727 |
$94K |
| G0108 |
Diab manage trn per indiv |
1,510 |
943 |
$86K |
| 70498 |
|
657 |
605 |
$86K |
| 71260 |
|
1,050 |
950 |
$78K |
| 85025 |
|
62,591 |
48,483 |
$74K |
| 71250 |
|
876 |
789 |
$68K |
| 97140 |
|
3,502 |
1,178 |
$64K |
| 72110 |
|
2,856 |
2,552 |
$64K |
| 10060 |
|
352 |
309 |
$64K |
| 93005 |
|
33,837 |
27,374 |
$61K |
| 76817 |
|
2,415 |
1,956 |
$59K |
| 97165 |
|
767 |
688 |
$56K |
| 97535 |
|
1,893 |
1,202 |
$52K |
| 87591 |
|
4,903 |
4,328 |
$52K |
| 73564 |
|
3,958 |
3,185 |
$51K |
| 76819 |
|
1,448 |
920 |
$50K |
| 80076 |
|
16,748 |
14,344 |
$50K |
| 74018 |
|
3,579 |
3,165 |
$49K |
| 76775 |
|
556 |
519 |
$48K |
| 87040 |
|
6,742 |
3,393 |
$48K |
| 96374 |
|
32,168 |
26,303 |
$47K |
| 71045 |
|
13,349 |
11,370 |
$46K |
| 69436 |
|
31 |
26 |
$44K |
| 84484 |
|
27,564 |
17,104 |
$42K |
| 70486 |
|
805 |
745 |
$41K |
| 85027 |
|
12,820 |
9,798 |
$41K |
| 73721 |
|
184 |
163 |
$40K |
| 84703 |
|
22,713 |
19,439 |
$40K |
| 73630 |
|
3,446 |
2,911 |
$38K |
| 90715 |
|
1,760 |
1,603 |
$36K |
| 97116 |
|
1,493 |
874 |
$36K |
| 73030 |
|
2,946 |
2,500 |
$35K |
| 85379 |
|
6,069 |
5,446 |
$35K |
| 73610 |
|
3,381 |
2,980 |
$34K |
| G0480 |
Drug test def 1-7 classes |
4,556 |
2,303 |
$31K |
| 83880 |
|
3,966 |
3,263 |
$29K |
| 70491 |
|
139 |
122 |
$29K |
| 76870 |
|
286 |
266 |
$29K |
| 87636 |
|
3,155 |
2,984 |
$29K |
| 94799 |
|
5,756 |
2,346 |
$28K |
| 96372 |
|
15,010 |
8,928 |
$27K |
| U0002 |
Covid-19 lab test non-cdc |
4,507 |
4,126 |
$26K |
| 73130 |
|
2,746 |
2,304 |
$26K |
| 82962 |
|
19,074 |
6,481 |
$25K |
| 92523 |
|
150 |
133 |
$24K |
| 59050 |
|
156 |
133 |
$24K |
| 77066 |
Tomosynthesis, mammo |
578 |
531 |
$23K |
| 97129 |
|
678 |
257 |
$23K |
| 73110 |
|
2,044 |
1,788 |
$21K |
| 84443 |
|
4,850 |
4,301 |
$20K |
| 82306 |
|
1,079 |
976 |
$20K |
| 73502 |
|
1,513 |
1,229 |
$19K |
| 83036 |
|
4,226 |
3,795 |
$19K |
| 96375 |
|
21,896 |
16,609 |
$18K |
| 77080 |
|
246 |
240 |
$17K |
| 72050 |
|
654 |
585 |
$17K |
| 29515 |
|
83 |
78 |
$17K |
| 80143 |
|
4,085 |
3,430 |
$16K |
| 83605 |
|
8,706 |
6,816 |
$16K |
| 87502 |
|
1,152 |
1,047 |
$16K |
| 80061 |
|
3,931 |
3,543 |
$16K |
| 12002 |
|
71 |
66 |
$15K |
| 87086 |
|
14,516 |
12,386 |
$15K |
| 86850 |
|
2,979 |
2,541 |
$15K |
| 45380 |
|
36 |
28 |
$15K |
| 73560 |
|
829 |
599 |
$14K |
| 81003 |
|
22,363 |
19,488 |
$12K |
| 81001 |
|
29,558 |
25,093 |
$11K |
| 83690 |
|
18,134 |
15,159 |
$11K |
| 97803 |
|
41 |
40 |
$11K |
| 76820 |
|
150 |
100 |
$10K |
| 99212 |
|
65 |
55 |
$9K |
| 86900 |
|
5,048 |
4,204 |
$9K |
| J2405 |
Ondansetron hcl injection |
18,393 |
14,387 |
$9K |
| 80179 |
|
4,065 |
3,415 |
$8K |
| 84439 |
|
1,170 |
1,051 |
$8K |
| 72100 |
|
553 |
505 |
$8K |
| 90471 |
|
2,026 |
1,658 |
$8K |
| 73140 |
|
1,059 |
955 |
$8K |
| G0279 |
Tomosynthesis, mammo |
621 |
580 |
$8K |
| 96376 |
|
8,797 |
4,735 |
$8K |
| 29130 |
|
27 |
27 |
$8K |
| 72131 |
|
108 |
99 |
$8K |
| 87880 |
|
14,333 |
13,125 |
$7K |
| 74019 |
|
165 |
158 |
$7K |
| 97166 |
|
94 |
85 |
$7K |
| 85610 |
|
7,135 |
5,804 |
$7K |
| 73590 |
|
959 |
809 |
$7K |
| 93017 |
|
55 |
41 |
$7K |
| 99214 |
|
45 |
38 |
$7K |
| 72072 |
|
398 |
363 |
$6K |
| 84702 |
|
6,107 |
5,052 |
$6K |
| 87491 |
|
4,789 |
4,220 |
$6K |
| 88304 |
|
741 |
663 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,334 |
14,738 |
$6K |
| 36415 |
|
4,075 |
3,233 |
$6K |
| 86140 |
|
1,771 |
1,544 |
$6K |
| 72141 |
|
24 |
24 |
$6K |
| G0463 |
Hospital outpt clinic visit |
227 |
138 |
$5K |
| 87804 |
|
5,020 |
4,161 |
$5K |
| 87631 |
|
291 |
264 |
$5K |
| 87637 |
|
859 |
826 |
$5K |
| 90675 |
|
37 |
13 |
$5K |
| 87186 |
|
3,903 |
3,251 |
$5K |
| 74174 |
|
30 |
25 |
$5K |
| 97533 |
|
67 |
27 |
$5K |
| J3010 |
Fentanyl citrate injection |
7,892 |
6,289 |
$5K |
| 82607 |
|
562 |
507 |
$4K |
| 77065 |
Tomosynthesis, mammo |
96 |
92 |
$4K |
| 73080 |
|
607 |
552 |
$4K |
| 99213 |
|
32 |
26 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
16,873 |
14,143 |
$4K |
| 97750 |
|
211 |
177 |
$4K |
| 82553 |
|
969 |
601 |
$4K |
| 90791 |
|
16 |
15 |
$4K |
| Q0162 |
Ondansetron oral |
7,070 |
6,429 |
$4K |
| 85730 |
|
5,173 |
4,412 |
$4K |
| 85014 |
|
6,106 |
5,126 |
$4K |
| 87634 |
|
211 |
196 |
$3K |
| 82565 |
|
2,191 |
1,871 |
$3K |
| 83735 |
|
6,470 |
4,814 |
$3K |
| 88305 |
|
2,701 |
2,277 |
$3K |
| J1100 |
Dexamethasone sodium phos |
7,219 |
6,419 |
$3K |
| 73090 |
|
736 |
648 |
$3K |
| 86901 |
|
5,050 |
4,205 |
$3K |
| 78452 |
|
15 |
12 |
$3K |
| 87661 |
|
1,232 |
1,127 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
4,603 |
4,108 |
$3K |
| 86803 |
|
195 |
182 |
$3K |
| 85652 |
|
1,417 |
1,213 |
$3K |
| 86703 |
|
318 |
304 |
$3K |
| 87081 |
|
2,051 |
1,931 |
$3K |
| J2270 |
Morphine sulfate injection |
11,281 |
7,385 |
$3K |
| 17250 |
|
22 |
14 |
$2K |
| 87077 |
|
4,549 |
3,849 |
$2K |
| 87210 |
|
3,502 |
3,068 |
$2K |
| J2765 |
Metoclopramide hcl injection |
4,267 |
3,584 |
$2K |
| 95819 |
|
12 |
12 |
$2K |
| 87205 |
|
1,241 |
1,002 |
$2K |
| 82247 |
|
299 |
220 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
4,986 |
4,525 |
$2K |
| 82728 |
|
271 |
245 |
$2K |
| P9016 |
Rbc leukocytes reduced |
16 |
13 |
$2K |
| 82077 |
|
5,991 |
4,800 |
$2K |
| J7613 |
Albuterol non-comp unit |
3,172 |
2,499 |
$2K |
| 96367 |
|
105 |
86 |
$2K |
| 82310 |
|
3,393 |
3,019 |
$2K |
| 72081 |
|
27 |
26 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
5,443 |
3,977 |
$1K |
| J2060 |
Lorazepam injection |
3,108 |
2,229 |
$1K |
| 82330 |
|
2,738 |
2,434 |
$1K |
| 73562 |
|
66 |
50 |
$1K |
| 82248 |
|
509 |
379 |
$1K |
| 87070 |
|
2,702 |
2,296 |
$1K |
| J2930 |
Methylprednisolone injection |
1,654 |
1,231 |
$1K |
| 81025 |
|
4,576 |
4,072 |
$1K |
| J2550 |
Promethazine hcl injection |
1,305 |
923 |
$1K |
| 97597 |
|
76 |
25 |
$1K |
| 74022 |
|
403 |
357 |
$1K |
| J1650 |
Inj enoxaparin sodium |
1,000 |
470 |
$923.55 |
| 83550 |
|
207 |
186 |
$913.22 |
| 83540 |
|
308 |
280 |
$894.37 |
| 97035 |
|
32 |
13 |
$882.10 |
| 73552 |
|
72 |
63 |
$875.83 |
| 97802 |
|
14 |
13 |
$834.57 |
| 82803 |
|
2,145 |
1,610 |
$833.75 |
| J1644 |
Inj heparin sodium per 1000u |
8,160 |
3,024 |
$798.64 |
| J1200 |
Diphenhydramine hcl injectio |
4,926 |
3,852 |
$773.60 |
| 84100 |
|
1,809 |
1,397 |
$755.37 |
| 82550 |
|
1,813 |
1,437 |
$726.83 |
| 90686 |
|
80 |
67 |
$688.22 |
| J0690 |
Cefazolin sodium injection |
2,424 |
1,853 |
$663.57 |
| 71101 |
|
153 |
142 |
$615.62 |
| 84153 |
|
43 |
42 |
$577.93 |
| 82043 |
|
232 |
217 |
$521.59 |
| 70360 |
|
42 |
40 |
$513.01 |
| 87807 |
|
1,520 |
1,362 |
$492.35 |
| J1817 |
Insulin for insulin pump use |
239 |
112 |
$425.21 |
| 82746 |
|
72 |
64 |
$365.15 |
| J0561 |
Penicillin g benzathine inj |
27 |
25 |
$305.60 |
| 36000 |
|
47 |
40 |
$292.99 |
| 84550 |
|
240 |
217 |
$284.81 |
| 80069 |
|
93 |
68 |
$283.46 |
| J1170 |
Hydromorphone injection |
1,987 |
1,310 |
$277.42 |
| 72040 |
|
13 |
12 |
$251.54 |
| 73070 |
|
34 |
30 |
$230.68 |
| 87340 |
|
75 |
64 |
$222.30 |
| 73620 |
|
17 |
14 |
$215.04 |
| 76937 |
|
27 |
25 |
$211.88 |
| G0328 |
Fecal blood scrn immunoassay |
168 |
153 |
$202.02 |
| U0005 |
Infec agen detec ampli probe |
285 |
260 |
$184.99 |
| 86923 |
|
30 |
25 |
$176.56 |
| J7611 |
Albuterol non-comp con |
286 |
261 |
$174.75 |
| 86780 |
|
14 |
13 |
$167.47 |
| 86038 |
|
25 |
24 |
$164.10 |
| J1815 |
Insulin injection |
852 |
399 |
$150.86 |
| 85018 |
|
87 |
66 |
$126.91 |
| J8597 |
Antiemetic drug oral nos |
858 |
674 |
$119.39 |
| 73100 |
|
18 |
13 |
$113.21 |
| A9585 |
Gadobutrol injection |
185 |
161 |
$86.70 |
| 73660 |
|
30 |
26 |
$82.84 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,474 |
996 |
$82.43 |
| 84112 |
|
26 |
26 |
$79.46 |
| J1630 |
Haloperidol injection |
658 |
500 |
$78.62 |
| 73060 |
|
42 |
37 |
$72.11 |
| 72170 |
|
12 |
12 |
$67.41 |
| J7030 |
Normal saline solution infus |
534 |
410 |
$62.22 |
| 82570 |
|
96 |
88 |
$62.04 |
| 82274 |
|
69 |
56 |
$58.59 |
| 87426 |
|
539 |
507 |
$56.90 |
| J3535 |
Metered dose inhaler drug |
69 |
49 |
$53.40 |
| 88342 |
|
49 |
42 |
$35.34 |
| J2543 |
Piperacillin/tazobactam |
1,044 |
467 |
$29.21 |
| 84156 |
|
28 |
25 |
$26.01 |
| 82150 |
|
15 |
14 |
$25.68 |
| J3370 |
Vancomycin hcl injection |
373 |
216 |
$21.65 |
| 87185 |
|
18 |
12 |
$13.87 |
| 83615 |
|
78 |
65 |
$11.82 |
| 85384 |
|
28 |
25 |
$9.32 |
| J8540 |
Oral dexamethasone |
116 |
109 |
$9.24 |
| 87150 |
|
14 |
12 |
$9.19 |
| J2360 |
Orphenadrine injection |
62 |
55 |
$8.59 |
| J0456 |
Azithromycin |
29 |
13 |
$5.87 |
| J0692 |
Cefepime hcl for injection |
35 |
13 |
$5.36 |
| J0780 |
Prochlorperazine injection |
224 |
184 |
$5.07 |
| J0360 |
Hydralazine hcl injection |
305 |
209 |
$4.36 |
| J3360 |
Diazepam injection |
157 |
126 |
$3.25 |
| J3480 |
Inj potassium chloride |
71 |
48 |
$2.85 |
| J7644 |
Ipratropium bromide non-comp |
12 |
12 |
$1.94 |
| C1769 |
Guide wire |
511 |
455 |
$1.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
358 |
312 |
$0.73 |
| 82374 |
|
15 |
12 |
$0.71 |
| J3475 |
Inj magnesium sulfate |
276 |
241 |
$0.00 |
| C1729 |
Cath, drainage |
513 |
458 |
$0.00 |
| G1004 |
Cdsm ndsc |
311 |
268 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
187 |
180 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
285 |
196 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
408 |
356 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
73 |
66 |
$0.00 |
| J1953 |
Levetiracetam injection |
279 |
200 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
62 |
28 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
207 |
116 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
218 |
211 |
$0.00 |
| 84145 |
|
46 |
37 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
92 |
78 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
31 |
21 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
91 |
88 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
49 |
45 |
$0.00 |
| 36416 |
|
417 |
323 |
$0.00 |
| 86308 |
|
26 |
25 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
470 |
361 |
$0.00 |
| J1940 |
Furosemide injection |
79 |
36 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
25 |
14 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
21 |
13 |
$0.00 |