| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
19,931 |
18,120 |
$3.32M |
| G0463 |
Hospital outpt clinic visit |
50,787 |
36,552 |
$2.78M |
| A0425 |
Ground mileage |
18,075 |
13,671 |
$1.86M |
| 99283 |
|
12,456 |
11,850 |
$1.44M |
| 99285 |
|
4,636 |
4,326 |
$1.38M |
| A0427 |
Als1-emergency |
6,711 |
5,940 |
$1.34M |
| A0429 |
Bls-emergency |
4,343 |
3,788 |
$824K |
| A0428 |
Bls |
5,371 |
4,373 |
$588K |
| 96374 |
|
6,200 |
5,536 |
$567K |
| 99282 |
|
7,214 |
6,825 |
$565K |
| 97110 |
|
22,243 |
8,046 |
$508K |
| 74177 |
|
3,354 |
3,215 |
$422K |
| 96365 |
|
5,297 |
3,403 |
$354K |
| 97530 |
|
7,443 |
3,307 |
$274K |
| 93306 |
|
1,811 |
1,620 |
$260K |
| 70450 |
|
3,101 |
2,924 |
$237K |
| 71046 |
|
6,780 |
6,442 |
$233K |
| 99214 |
|
6,797 |
6,402 |
$213K |
| 77067 |
|
4,019 |
3,957 |
$208K |
| 87636 |
|
2,703 |
2,610 |
$185K |
| 96360 |
|
2,013 |
1,835 |
$178K |
| 96361 |
|
5,329 |
4,559 |
$170K |
| 97140 |
|
10,675 |
4,382 |
$158K |
| 99213 |
|
6,885 |
6,139 |
$157K |
| 96375 |
|
5,159 |
4,375 |
$145K |
| 74176 |
|
1,704 |
1,652 |
$143K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,619 |
2,353 |
$128K |
| A0434 |
Specialty care transport |
283 |
271 |
$126K |
| G0480 |
Drug test def 1-7 classes |
4,270 |
3,704 |
$115K |
| 90471 |
|
5,050 |
4,506 |
$106K |
| 96413 |
|
910 |
596 |
$104K |
| 76705 |
|
1,528 |
1,489 |
$101K |
| 80053 |
|
37,785 |
33,332 |
$100K |
| 97161 |
|
2,739 |
2,681 |
$98K |
| 76856 |
|
1,375 |
1,327 |
$93K |
| 99291 |
|
208 |
197 |
$90K |
| 84443 |
|
13,205 |
12,734 |
$90K |
| 80061 |
|
12,233 |
11,990 |
$90K |
| 71045 |
|
3,009 |
2,821 |
$88K |
| 77063 |
|
3,633 |
3,577 |
$82K |
| 94060 |
|
815 |
799 |
$79K |
| 71260 |
|
918 |
896 |
$77K |
| 76816 |
|
1,134 |
1,037 |
$76K |
| 86900 |
|
1,795 |
1,649 |
$76K |
| 76830 |
|
996 |
972 |
$72K |
| 87491 |
|
3,834 |
3,717 |
$67K |
| 87591 |
|
3,833 |
3,716 |
$67K |
| 92507 |
|
1,565 |
663 |
$64K |
| 93005 |
|
13,420 |
11,900 |
$60K |
| 85025 |
|
37,905 |
32,096 |
$60K |
| 82306 |
|
3,967 |
3,871 |
$56K |
| 96372 |
|
4,784 |
3,966 |
$52K |
| A0426 |
Als 1 |
280 |
269 |
$52K |
| 83036 |
|
11,938 |
11,640 |
$49K |
| 70551 |
|
404 |
400 |
$48K |
| 72148 |
|
497 |
494 |
$48K |
| 97162 |
|
1,466 |
1,416 |
$47K |
| 87481 |
|
2,055 |
1,015 |
$43K |
| 73630 |
|
2,184 |
1,907 |
$42K |
| 76770 |
|
652 |
641 |
$39K |
| C9803 |
Hopd covid-19 spec collect |
7,024 |
6,441 |
$38K |
| 43239 |
|
127 |
121 |
$37K |
| 73564 |
|
1,685 |
1,583 |
$36K |
| 73030 |
|
2,028 |
1,814 |
$36K |
| 36415 |
|
46,742 |
38,890 |
$32K |
| 73610 |
|
1,707 |
1,519 |
$31K |
| 88305 |
|
2,984 |
2,865 |
$29K |
| 87635 |
|
1,284 |
1,179 |
$28K |
| 71250 |
|
697 |
686 |
$27K |
| 99215 |
Prolong outpt/office vis |
485 |
440 |
$26K |
| 87624 |
|
1,464 |
1,444 |
$25K |
| 0012A |
|
1,565 |
1,563 |
$24K |
| 72100 |
|
684 |
675 |
$24K |
| 80306 |
|
6,444 |
5,314 |
$24K |
| U0005 |
Infec agen detec ampli probe |
1,668 |
1,555 |
$24K |
| 20610 |
|
312 |
278 |
$23K |
| 87389 |
|
2,140 |
2,107 |
$22K |
| 0011A |
|
1,571 |
1,567 |
$22K |
| 71275 |
|
271 |
265 |
$22K |
| 73110 |
|
1,216 |
1,041 |
$21K |
| 88142 |
|
1,530 |
1,509 |
$21K |
| 87086 |
|
9,655 |
8,840 |
$21K |
| 87511 |
|
1,055 |
1,015 |
$21K |
| G0008 |
Admin influenza virus vac |
1,567 |
1,521 |
$21K |
| 78452 |
|
71 |
61 |
$20K |
| 73130 |
|
1,222 |
1,054 |
$20K |
| 76642 |
|
440 |
434 |
$20K |
| 90837 |
|
316 |
204 |
$19K |
| 87661 |
|
1,055 |
1,015 |
$19K |
| 83655 |
|
2,040 |
1,845 |
$19K |
| 82728 |
|
3,014 |
2,872 |
$19K |
| 99392 |
|
334 |
329 |
$18K |
| 80048 |
|
9,384 |
7,594 |
$18K |
| 93971 |
|
339 |
330 |
$17K |
| 87880 |
|
4,477 |
4,235 |
$17K |
| 96366 |
|
800 |
558 |
$17K |
| 82607 |
|
2,362 |
2,312 |
$16K |
| 87070 |
|
4,606 |
4,429 |
$16K |
| 73502 |
|
961 |
909 |
$16K |
| 99281 |
|
393 |
381 |
$16K |
| 45385 |
|
24 |
24 |
$16K |
| 86803 |
|
2,249 |
2,208 |
$15K |
| 86780 |
|
1,216 |
1,187 |
$14K |
| 96161 |
|
784 |
578 |
$13K |
| 80305 |
|
1,908 |
1,506 |
$13K |
| 76805 |
|
161 |
151 |
$13K |
| 76819 |
|
153 |
70 |
$13K |
| 74018 |
|
558 |
526 |
$12K |
| 76817 |
|
253 |
209 |
$12K |
| 99393 |
|
199 |
199 |
$11K |
| 81025 |
|
3,254 |
3,005 |
$11K |
| 76815 |
|
376 |
238 |
$11K |
| 85610 |
|
8,603 |
5,164 |
$10K |
| 87804 |
|
2,182 |
1,390 |
$10K |
| 71271 |
|
206 |
195 |
$10K |
| 84439 |
|
1,891 |
1,815 |
$9K |
| 83550 |
|
2,371 |
2,278 |
$9K |
| 82746 |
|
1,358 |
1,331 |
$9K |
| 90686 |
|
2,504 |
2,435 |
$9K |
| 96127 |
|
1,896 |
1,701 |
$9K |
| 88175 |
|
392 |
385 |
$8K |
| 73562 |
|
255 |
241 |
$8K |
| 96160 |
|
361 |
338 |
$8K |
| 83735 |
|
11,113 |
8,913 |
$8K |
| 73721 |
|
55 |
55 |
$8K |
| 83540 |
|
2,666 |
2,559 |
$8K |
| 70496 |
|
55 |
55 |
$8K |
| 90834 |
|
103 |
71 |
$8K |
| 97803 |
|
239 |
219 |
$8K |
| 85027 |
|
3,344 |
2,937 |
$7K |
| 11721 |
|
890 |
830 |
$7K |
| 99232 |
|
354 |
145 |
$7K |
| 87798 |
|
337 |
331 |
$7K |
| 83970 |
|
488 |
465 |
$7K |
| 87186 |
|
3,134 |
2,969 |
$7K |
| 76536 |
|
112 |
107 |
$7K |
| 66984 |
|
17 |
13 |
$6K |
| 86140 |
|
4,841 |
4,302 |
$6K |
| A0433 |
Als 2 |
13 |
12 |
$5K |
| 82043 |
|
2,392 |
2,357 |
$5K |
| 93017 |
|
186 |
183 |
$5K |
| 81003 |
|
7,441 |
6,969 |
$5K |
| G0009 |
Admin pneumococcal vaccine |
659 |
477 |
$5K |
| 73140 |
|
185 |
165 |
$5K |
| 87077 |
|
3,234 |
3,063 |
$5K |
| 99391 |
|
81 |
81 |
$5K |
| 86618 |
|
811 |
795 |
$5K |
| 81001 |
|
9,780 |
8,917 |
$5K |
| 72125 |
|
918 |
874 |
$5K |
| 90670 |
|
1,177 |
986 |
$5K |
| M0243 |
Casirivi and imdevi inj |
19 |
19 |
$4K |
| C8928 |
Tte w or w/o fol w/con,stres |
17 |
17 |
$4K |
| 97166 |
|
170 |
161 |
$4K |
| 97802 |
|
75 |
70 |
$4K |
| 76700 |
|
52 |
51 |
$4K |
| G0279 |
Tomosynthesis, mammo |
182 |
169 |
$4K |
| 29581 |
|
97 |
25 |
$4K |
| 84403 |
|
220 |
211 |
$4K |
| 96367 |
|
157 |
108 |
$4K |
| 52000 |
|
46 |
40 |
$4K |
| 99396 |
|
100 |
66 |
$4K |
| 45380 |
|
12 |
12 |
$4K |
| 72110 |
|
100 |
100 |
$4K |
| G0103 |
Psa screening |
492 |
482 |
$4K |
| 83880 |
|
1,701 |
1,557 |
$3K |
| 94640 |
|
2,216 |
1,789 |
$3K |
| 94726 |
|
178 |
171 |
$3K |
| 85018 |
|
2,413 |
2,179 |
$3K |
| 84153 |
|
530 |
511 |
$3K |
| 99395 |
|
84 |
55 |
$3K |
| 87502 |
|
224 |
221 |
$3K |
| 87340 |
|
1,082 |
1,058 |
$3K |
| 85652 |
|
3,192 |
2,856 |
$3K |
| 90473 |
|
311 |
281 |
$3K |
| Q3014 |
Telehealth facility fee |
180 |
157 |
$2K |
| 83690 |
|
4,776 |
4,351 |
$2K |
| 80050 |
|
104 |
102 |
$2K |
| 97535 |
|
147 |
109 |
$2K |
| 73080 |
|
105 |
92 |
$2K |
| 87088 |
|
1,655 |
1,518 |
$2K |
| 17110 |
|
41 |
39 |
$2K |
| 84702 |
|
420 |
339 |
$2K |
| 86038 |
|
300 |
293 |
$2K |
| 87469 |
|
236 |
230 |
$2K |
| 87468 |
|
236 |
230 |
$2K |
| 96415 |
|
38 |
27 |
$2K |
| 82950 |
|
382 |
375 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
405 |
279 |
$2K |
| 88304 |
|
183 |
181 |
$2K |
| 0002A |
|
42 |
42 |
$2K |
| 82784 |
|
370 |
354 |
$2K |
| 99203 |
|
62 |
58 |
$1K |
| D0145 |
|
98 |
76 |
$1K |
| 76801 |
|
16 |
12 |
$1K |
| 84100 |
|
1,385 |
1,131 |
$1K |
| 82570 |
|
797 |
759 |
$1K |
| 97112 |
|
37 |
12 |
$1K |
| 72040 |
|
44 |
41 |
$1K |
| 96110 |
|
168 |
138 |
$1K |
| D1206 |
|
124 |
109 |
$1K |
| 73590 |
|
121 |
107 |
$1K |
| 90732 |
|
42 |
38 |
$1K |
| 83921 |
|
176 |
175 |
$1K |
| 77080 |
|
73 |
73 |
$1K |
| 97165 |
|
40 |
40 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,737 |
5,451 |
$1K |
| 93010 |
|
985 |
891 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$1K |
| 80076 |
|
271 |
256 |
$976.44 |
| 99212 |
|
109 |
104 |
$938.69 |
| G0399 |
Home sleep test/type 3 porta |
13 |
12 |
$881.53 |
| J2704 |
Inj, propofol, 10 mg |
3,726 |
3,387 |
$880.49 |
| 86762 |
|
562 |
551 |
$867.29 |
| 36591 |
|
58 |
36 |
$850.74 |
| 99238 |
|
45 |
44 |
$847.99 |
| 84703 |
|
3,169 |
2,956 |
$847.11 |
| 99177 |
|
274 |
224 |
$828.00 |
| 87522 |
Neg quan hep c or qual rna |
25 |
25 |
$709.83 |
| J1100 |
Dexamethasone sodium phos |
2,436 |
2,136 |
$708.22 |
| 90651 |
|
414 |
358 |
$688.16 |
| 87081 |
|
879 |
851 |
$668.09 |
| 87205 |
|
686 |
655 |
$655.76 |
| 87210 |
|
370 |
361 |
$644.98 |
| J3010 |
Fentanyl citrate injection |
3,224 |
2,766 |
$642.53 |
| 99394 |
|
13 |
13 |
$642.07 |
| 80081 |
|
14 |
12 |
$632.42 |
| G0378 |
Hospital observation per hr |
993 |
832 |
$614.34 |
| 85730 |
|
805 |
736 |
$606.96 |
| J2405 |
Ondansetron hcl injection |
5,247 |
4,566 |
$593.11 |
| 86850 |
|
1,825 |
1,699 |
$590.37 |
| 86706 |
|
76 |
75 |
$584.55 |
| J0690 |
Cefazolin sodium injection |
1,459 |
1,221 |
$516.93 |
| 0001A |
|
15 |
15 |
$510.51 |
| U0002 |
Covid-19 lab test non-cdc |
28 |
28 |
$475.22 |
| 87040 |
|
1,484 |
1,293 |
$471.47 |
| 76870 |
|
12 |
12 |
$462.28 |
| 82550 |
|
512 |
481 |
$459.59 |
| 84484 |
|
8,130 |
5,510 |
$446.06 |
| 86364 |
|
60 |
58 |
$444.74 |
| 87400 |
|
526 |
505 |
$442.98 |
| J1885 |
Ketorolac tromethamine inj |
3,383 |
2,987 |
$429.15 |
| 85379 |
|
1,461 |
1,404 |
$427.69 |
| J1200 |
Diphenhydramine hcl injectio |
1,096 |
864 |
$422.33 |
| 93242 |
|
42 |
42 |
$419.40 |
| 0064A |
|
67 |
67 |
$391.80 |
| 87420 |
|
299 |
290 |
$389.61 |
| 99239 |
|
12 |
12 |
$384.48 |
| 93225 |
|
14 |
14 |
$381.64 |
| 84156 |
|
270 |
241 |
$355.71 |
| 84460 |
|
125 |
120 |
$351.94 |
| 87147 |
|
212 |
206 |
$328.27 |
| 84550 |
|
173 |
168 |
$319.99 |
| 92583 |
|
16 |
16 |
$315.36 |
| 88112 |
|
14 |
14 |
$304.97 |
| 70498 |
|
72 |
70 |
$297.76 |
| 83605 |
|
2,223 |
1,979 |
$293.81 |
| 90734 |
|
446 |
381 |
$292.47 |
| 84146 |
|
25 |
24 |
$291.23 |
| 84402 |
|
17 |
14 |
$288.93 |
| 73090 |
|
30 |
26 |
$286.88 |
| 82948 |
|
5,931 |
2,758 |
$277.50 |
| 80069 |
|
100 |
93 |
$268.67 |
| 88342 |
|
12 |
12 |
$245.12 |
| 51798 |
|
65 |
59 |
$240.66 |
| J8540 |
Oral dexamethasone |
159 |
106 |
$238.86 |
| 86431 |
|
70 |
69 |
$228.12 |
| 90715 |
|
1,463 |
1,363 |
$207.93 |
| 85014 |
|
289 |
244 |
$180.45 |
| 81002 |
|
172 |
154 |
$177.00 |
| 99202 |
|
13 |
13 |
$169.38 |
| 99188 |
|
27 |
14 |
$168.00 |
| J2250 |
Inj midazolam hydrochloride |
1,752 |
1,650 |
$154.82 |
| J1050 |
Medroxyprogesterone acetate |
464 |
393 |
$150.00 |
| 82565 |
|
124 |
108 |
$149.45 |
| 80164 |
|
24 |
24 |
$147.94 |
| 90662 |
|
165 |
161 |
$123.23 |
| 82805 |
|
292 |
267 |
$116.00 |
| 51741 |
|
29 |
28 |
$108.15 |
| 97116 |
|
18 |
12 |
$102.31 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
356 |
352 |
$100.00 |
| 86901 |
|
1,888 |
1,737 |
$96.25 |
| 86200 |
|
14 |
13 |
$95.99 |
| 84450 |
|
30 |
30 |
$94.51 |
| 73552 |
|
13 |
13 |
$90.66 |
| 93226 |
|
14 |
14 |
$81.67 |
| 90716 |
|
188 |
151 |
$81.67 |
| 83615 |
|
79 |
77 |
$72.48 |
| 83721 |
|
13 |
13 |
$67.13 |
| 87071 |
|
18 |
18 |
$57.84 |
| 85378 |
|
170 |
164 |
$50.87 |
| 94729 |
|
285 |
273 |
$48.97 |
| J0134 |
Inj acetaminophen -fresenius |
15 |
13 |
$46.44 |
| 0072A |
|
97 |
97 |
$39.27 |
| 81015 |
|
31 |
28 |
$37.68 |
| 82150 |
|
111 |
102 |
$32.60 |
| J1644 |
Inj heparin sodium per 1000u |
52 |
24 |
$31.81 |
| 82272 |
|
50 |
49 |
$27.53 |
| 90744 |
|
233 |
227 |
$26.92 |
| 86308 |
|
28 |
27 |
$26.45 |
| 36416 |
|
1,925 |
1,388 |
$23.31 |
| 74022 |
|
46 |
43 |
$22.47 |
| J1790 |
Droperidol injection |
631 |
572 |
$15.63 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
147 |
140 |
$10.76 |
| J2270 |
Morphine sulfate injection |
770 |
623 |
$8.57 |
| J2060 |
Lorazepam injection |
477 |
408 |
$7.63 |
| 96376 |
|
1,062 |
918 |
$6.00 |
| J0696 |
Ceftriaxone sodium injection |
1,938 |
1,265 |
$5.63 |
| 82140 |
|
13 |
12 |
$5.00 |
| 85007 |
|
36 |
34 |
$2.46 |
| G1004 |
Cdsm ndsc |
1,300 |
1,038 |
$0.02 |
| 90648 |
|
229 |
163 |
$0.00 |
| 90710 |
|
135 |
123 |
$0.00 |
| 90707 |
|
159 |
129 |
$0.00 |
| 90472 |
|
2,145 |
1,822 |
$0.00 |
| J7120 |
Ringers lactate infusion |
660 |
576 |
$0.00 |
| 90633 |
|
656 |
556 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
61 |
54 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
255 |
162 |
$0.00 |
| 87806 |
|
19 |
19 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
431 |
400 |
$0.00 |
| G8978 |
Mobility current status |
249 |
238 |
$0.00 |
| J2550 |
Promethazine hcl injection |
47 |
39 |
$0.00 |
| J2930 |
Methylprednisolone injection |
55 |
49 |
$0.00 |
| G8979 |
Mobility goal status |
322 |
287 |
$0.00 |
| 0071A |
|
126 |
126 |
$0.00 |
| 69209 |
|
13 |
13 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
15 |
15 |
$0.00 |
| 90685 |
|
211 |
211 |
$0.00 |
| 91300 |
|
49 |
45 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
22 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
14 |
$0.00 |
| 90723 |
|
204 |
142 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,039 |
745 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
118 |
115 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
31 |
31 |
$0.00 |
| 94760 |
|
418 |
378 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,149 |
1,034 |
$0.00 |
| 90680 |
|
680 |
547 |
$0.00 |
| 90474 |
|
313 |
214 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
30 |
28 |
$0.00 |
| J2001 |
Lidocaine injection |
327 |
319 |
$0.00 |
| 90698 |
|
750 |
656 |
$0.00 |
| A9500 |
Tc99m sestamibi |
60 |
59 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
29 |
25 |
$0.00 |
| 91301 |
|
1,341 |
1,302 |
$0.00 |
| 90696 |
|
129 |
118 |
$0.00 |
| 86317 |
|
71 |
69 |
$0.00 |
| G8980 |
Mobility d/c status |
14 |
13 |
$0.00 |
| J1815 |
Insulin injection |
336 |
214 |
$0.00 |
| J2785 |
Regadenoson injection |
28 |
28 |
$0.00 |
| J3490 |
Drugs unclassified injection |
70 |
65 |
$0.00 |
| J3420 |
Vitamin b12 injection |
15 |
13 |
$0.00 |
| 82803 |
|
29 |
26 |
$0.00 |
| J1630 |
Haloperidol injection |
29 |
24 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
22 |
15 |
$0.00 |