| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
10,434 |
7,797 |
$456K |
| 74177 |
|
2,816 |
2,601 |
$397K |
| 99284 |
|
14,905 |
11,306 |
$204K |
| 99283 |
|
31,051 |
20,156 |
$203K |
| 70450 |
|
2,944 |
2,632 |
$188K |
| A0427 |
Als1-emergency |
4,838 |
4,247 |
$172K |
| 93306 |
|
1,042 |
1,003 |
$150K |
| A0429 |
Bls-emergency |
4,614 |
3,958 |
$130K |
| A0425 |
Ground mileage |
12,589 |
9,208 |
$111K |
| 90834 |
|
28,043 |
9,110 |
$106K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,334 |
3,902 |
$104K |
| 96365 |
|
5,120 |
3,719 |
$97K |
| 99214 |
|
22,713 |
15,428 |
$91K |
| 93005 |
|
9,554 |
8,337 |
$67K |
| 96374 |
|
6,871 |
5,650 |
$63K |
| 71045 |
|
4,357 |
3,834 |
$62K |
| 71046 |
|
3,947 |
3,691 |
$60K |
| 96361 |
|
5,769 |
4,305 |
$55K |
| 71260 |
|
415 |
383 |
$45K |
| 99282 |
|
9,748 |
7,783 |
$41K |
| 74176 |
|
432 |
400 |
$40K |
| 99213 |
|
18,328 |
10,656 |
$40K |
| A0428 |
Bls |
2,081 |
1,531 |
$39K |
| 97110 |
|
7,164 |
2,472 |
$36K |
| 80053 |
|
28,480 |
24,231 |
$34K |
| 96375 |
|
5,739 |
4,553 |
$33K |
| G0378 |
Hospital observation per hr |
478 |
278 |
$30K |
| 96366 |
|
1,764 |
1,203 |
$28K |
| 76705 |
|
908 |
877 |
$27K |
| 96372 |
|
4,931 |
3,785 |
$26K |
| 20610 |
|
2,173 |
1,147 |
$22K |
| 72100 |
|
1,276 |
1,222 |
$22K |
| 90837 |
|
4,098 |
1,283 |
$21K |
| 71275 |
|
264 |
242 |
$21K |
| 96360 |
|
1,915 |
1,306 |
$20K |
| 85025 |
|
31,504 |
25,288 |
$19K |
| 90832 |
|
4,849 |
3,055 |
$19K |
| 73564 |
|
1,224 |
1,085 |
$18K |
| 73030 |
|
1,089 |
974 |
$18K |
| 84443 |
|
11,904 |
11,318 |
$15K |
| J3301 |
Triamcinolone acet inj nos |
1,282 |
1,218 |
$15K |
| 88305 |
|
444 |
393 |
$14K |
| 99203 |
|
2,860 |
1,491 |
$12K |
| 99442 |
|
1,276 |
1,209 |
$11K |
| 99212 |
|
5,187 |
3,079 |
$11K |
| 97140 |
|
1,742 |
666 |
$10K |
| 73630 |
|
809 |
709 |
$10K |
| 99215 |
Prolong outpt/office vis |
1,335 |
870 |
$10K |
| 83735 |
|
13,011 |
10,102 |
$9K |
| 76830 |
|
510 |
503 |
$9K |
| 83036 |
|
8,714 |
8,452 |
$9K |
| 80048 |
|
7,358 |
6,026 |
$8K |
| 84484 |
|
6,223 |
4,976 |
$8K |
| 73610 |
|
684 |
623 |
$8K |
| 96376 |
|
1,451 |
1,137 |
$8K |
| 72148 |
|
132 |
128 |
$7K |
| 83880 |
|
2,740 |
2,342 |
$7K |
| 76641 |
|
332 |
319 |
$7K |
| 82306 |
|
3,304 |
3,217 |
$6K |
| 36415 |
|
39,213 |
30,086 |
$6K |
| 71250 |
|
80 |
76 |
$6K |
| 73721 |
|
106 |
103 |
$6K |
| 90791 |
|
1,136 |
698 |
$6K |
| 73502 |
|
280 |
262 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
2,488 |
1,955 |
$6K |
| 70551 |
|
84 |
79 |
$5K |
| 99239 |
|
187 |
175 |
$5K |
| 51798 |
|
283 |
274 |
$5K |
| 87040 |
|
2,456 |
2,022 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
1,030 |
688 |
$4K |
| T1015 |
Clinic service |
2,766 |
2,281 |
$4K |
| 80306 |
|
4,013 |
3,462 |
$4K |
| 93971 |
|
97 |
94 |
$4K |
| 82607 |
|
3,027 |
2,931 |
$4K |
| 87636 |
|
3,856 |
3,547 |
$4K |
| 96367 |
|
452 |
343 |
$4K |
| 97162 |
|
376 |
340 |
$4K |
| 87086 |
|
5,507 |
4,893 |
$4K |
| 99232 |
|
214 |
101 |
$4K |
| 93017 |
|
88 |
85 |
$3K |
| 93010 |
|
8,853 |
7,669 |
$3K |
| G0108 |
Diab manage trn per indiv |
493 |
485 |
$3K |
| 82728 |
|
2,645 |
2,545 |
$3K |
| 72125 |
|
71 |
70 |
$3K |
| 82803 |
|
2,104 |
1,730 |
$3K |
| 99204 |
|
533 |
283 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
580 |
494 |
$3K |
| 71271 |
|
283 |
279 |
$3K |
| 83605 |
|
3,273 |
2,728 |
$3K |
| 99443 |
|
206 |
194 |
$2K |
| 80061 |
|
9,251 |
8,988 |
$2K |
| 84439 |
|
1,855 |
1,784 |
$2K |
| 87077 |
|
2,901 |
2,486 |
$2K |
| 82570 |
|
2,170 |
2,065 |
$2K |
| 82043 |
|
1,922 |
1,891 |
$2K |
| 73130 |
|
212 |
181 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
4,461 |
3,759 |
$2K |
| 85610 |
|
6,243 |
3,818 |
$2K |
| 85027 |
|
1,795 |
1,446 |
$2K |
| 93225 |
|
75 |
75 |
$2K |
| 82948 |
|
2,808 |
1,774 |
$1K |
| 87631 |
|
1,595 |
1,509 |
$1K |
| 81015 |
|
5,355 |
4,732 |
$1K |
| 83690 |
|
4,257 |
3,708 |
$1K |
| 83550 |
|
2,081 |
2,015 |
$1K |
| 86140 |
|
3,855 |
3,420 |
$1K |
| 87168 |
|
1,472 |
1,351 |
$1K |
| 73221 |
|
38 |
37 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
1,467 |
550 |
$1K |
| J2001 |
Lidocaine injection |
2,024 |
1,694 |
$1K |
| 76775 |
|
42 |
40 |
$1K |
| 83037 |
|
332 |
330 |
$1K |
| 83540 |
|
2,657 |
2,565 |
$1K |
| 99211 |
|
348 |
289 |
$1K |
| 97161 |
|
116 |
108 |
$1K |
| 73110 |
|
133 |
115 |
$1K |
| 81003 |
|
8,684 |
7,045 |
$1K |
| 86803 |
|
998 |
971 |
$1K |
| 85379 |
|
2,048 |
1,861 |
$1K |
| J3010 |
Fentanyl citrate injection |
2,252 |
1,745 |
$1K |
| 99205 |
Prolong outpt/office vis |
133 |
67 |
$999.66 |
| G0279 |
Tomosynthesis, mammo |
389 |
382 |
$998.91 |
| J0134 |
Inj acetaminophen -fresenius |
172 |
129 |
$941.96 |
| 85651 |
|
2,198 |
1,985 |
$904.82 |
| 76536 |
|
51 |
51 |
$889.19 |
| 85730 |
|
1,594 |
1,347 |
$850.89 |
| 90847 |
|
1,202 |
511 |
$805.00 |
| J3475 |
Inj magnesium sulfate |
420 |
284 |
$801.95 |
| J3490 |
Drugs unclassified injection |
312 |
245 |
$793.91 |
| J2405 |
Ondansetron hcl injection |
4,619 |
3,595 |
$792.19 |
| 99291 |
|
21 |
12 |
$692.55 |
| 82077 |
|
847 |
757 |
$640.70 |
| 97602 |
|
68 |
27 |
$609.13 |
| 82746 |
|
586 |
554 |
$571.30 |
| J1100 |
Dexamethasone sodium phos |
1,724 |
1,458 |
$570.36 |
| 74018 |
|
53 |
51 |
$530.15 |
| J0690 |
Cefazolin sodium injection |
250 |
198 |
$523.41 |
| 85007 |
|
1,351 |
1,068 |
$486.30 |
| A0434 |
Specialty care transport |
27 |
25 |
$481.09 |
| G0283 |
Elec stim other than wound |
102 |
42 |
$463.69 |
| A0426 |
Als 1 |
30 |
26 |
$461.70 |
| J2250 |
Inj midazolam hydrochloride |
1,171 |
972 |
$455.92 |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$445.95 |
| 95251 |
|
267 |
259 |
$438.24 |
| 86850 |
|
260 |
215 |
$427.29 |
| 90792 |
|
133 |
93 |
$397.15 |
| 77065 |
Tomosynthesis, mammo |
24 |
24 |
$383.32 |
| J7040 |
Normal saline solution infus |
362 |
261 |
$373.00 |
| 36600 |
|
65 |
50 |
$322.95 |
| 77067 |
|
2,562 |
2,535 |
$317.22 |
| 51702 |
|
16 |
13 |
$308.17 |
| 87081 |
|
2,887 |
2,744 |
$302.57 |
| 90471 |
|
442 |
390 |
$290.78 |
| 81025 |
|
3,411 |
3,004 |
$279.30 |
| J2930 |
Methylprednisolone injection |
132 |
114 |
$273.84 |
| 94010 |
|
14 |
13 |
$273.56 |
| J2920 |
Methylprednisolone injection |
119 |
108 |
$255.04 |
| 95806 |
|
14 |
13 |
$244.59 |
| 82550 |
|
464 |
391 |
$228.69 |
| 90853 |
|
222 |
52 |
$214.05 |
| 94727 |
|
13 |
12 |
$213.17 |
| 87205 |
|
1,341 |
1,256 |
$212.20 |
| 80305 |
|
2,642 |
1,953 |
$209.79 |
| 99281 |
|
21 |
19 |
$207.52 |
| 86900 |
|
185 |
142 |
$206.56 |
| 86901 |
|
185 |
142 |
$201.57 |
| G0103 |
Psa screening |
482 |
469 |
$191.30 |
| 72070 |
|
12 |
12 |
$178.80 |
| 87430 |
|
1,318 |
1,279 |
$177.81 |
| U0004 |
Cov-19 test non-cdc hgh thru |
741 |
718 |
$177.26 |
| 90849 |
|
317 |
190 |
$162.60 |
| J0136 |
Inj, acetaminophen (b braun) |
71 |
62 |
$157.69 |
| 87591 |
|
2,242 |
2,142 |
$151.87 |
| 81002 |
|
1,850 |
1,539 |
$147.93 |
| 84550 |
|
192 |
178 |
$146.18 |
| 76816 |
|
87 |
78 |
$137.40 |
| 87798 |
|
86 |
81 |
$133.04 |
| J1200 |
Diphenhydramine hcl injectio |
577 |
479 |
$128.17 |
| J1050 |
Medroxyprogesterone acetate |
51 |
50 |
$120.00 |
| 97035 |
|
95 |
27 |
$118.65 |
| 86618 |
|
109 |
99 |
$118.58 |
| 82150 |
|
552 |
507 |
$118.06 |
| 99202 |
|
25 |
15 |
$113.12 |
| 80320 |
|
141 |
122 |
$100.25 |
| 97166 |
|
14 |
14 |
$93.31 |
| 87635 |
|
982 |
946 |
$91.48 |
| 93016 |
|
90 |
86 |
$91.22 |
| J2060 |
Lorazepam injection |
416 |
303 |
$87.58 |
| 87389 |
|
134 |
132 |
$86.08 |
| A4216 |
Sterile water/saline, 10 ml |
424 |
173 |
$79.05 |
| 93018 |
|
89 |
85 |
$76.96 |
| 77080 |
|
53 |
53 |
$76.89 |
| 83615 |
|
107 |
104 |
$74.28 |
| G0008 |
Admin influenza virus vac |
31 |
30 |
$72.11 |
| U0005 |
Infec agen detec ampli probe |
1,090 |
1,049 |
$67.45 |
| 87070 |
|
143 |
139 |
$67.21 |
| 84156 |
|
93 |
88 |
$64.00 |
| 98968 |
|
39 |
36 |
$60.80 |
| 87880 |
|
689 |
655 |
$58.67 |
| 77063 |
|
1,331 |
1,320 |
$54.51 |
| U0002 |
Covid-19 lab test non-cdc |
198 |
193 |
$51.26 |
| 87186 |
|
270 |
252 |
$46.37 |
| 84100 |
|
48 |
37 |
$46.29 |
| 84702 |
|
376 |
276 |
$43.48 |
| 85018 |
|
105 |
79 |
$41.04 |
| 84403 |
|
27 |
26 |
$39.91 |
| 99441 |
|
26 |
25 |
$39.84 |
| 97112 |
|
21 |
12 |
$38.42 |
| 80076 |
|
145 |
136 |
$36.38 |
| 99459 |
|
24 |
12 |
$35.61 |
| G0480 |
Drug test def 1-7 classes |
863 |
712 |
$33.89 |
| Q0162 |
Ondansetron oral |
278 |
236 |
$28.77 |
| 81001 |
|
775 |
710 |
$26.52 |
| 80074 |
|
16 |
15 |
$26.11 |
| 82652 |
|
89 |
86 |
$23.35 |
| 59025 |
|
422 |
200 |
$21.51 |
| 90662 |
|
15 |
15 |
$18.01 |
| J1170 |
Hydromorphone injection |
64 |
39 |
$16.86 |
| 86703 |
|
58 |
57 |
$16.61 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
55 |
54 |
$15.42 |
| 80143 |
|
62 |
56 |
$15.23 |
| 87275 |
|
305 |
293 |
$11.36 |
| 87276 |
|
305 |
293 |
$11.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
178 |
172 |
$10.97 |
| 82947 |
|
177 |
168 |
$9.55 |
| 85014 |
|
116 |
92 |
$8.86 |
| J2274 |
Inj morphine pf epid ithc |
20 |
13 |
$7.55 |
| J0330 |
Succinycholine chloride inj |
15 |
12 |
$7.50 |
| 82272 |
|
12 |
12 |
$6.71 |
| 85045 |
|
18 |
17 |
$6.58 |
| 80069 |
|
14 |
12 |
$6.56 |
| P9604 |
One-way allow prorated trip |
230 |
172 |
$5.15 |
| A9270 |
Non-covered item or service |
1,001 |
478 |
$4.10 |
| J2470 |
Inj pantoprazole sodium 40mg |
18 |
14 |
$3.52 |
| 80179 |
|
43 |
39 |
$3.33 |
| 90674 |
|
14 |
13 |
$1.36 |
| J7620 |
Albuterol ipratrop non-comp |
152 |
124 |
$0.66 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$0.49 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
21 |
12 |
$0.19 |
| 87660 |
|
261 |
253 |
$0.00 |
| 82565 |
|
27 |
26 |
$0.00 |
| 87491 |
|
453 |
437 |
$0.00 |
| 0002A |
|
30 |
30 |
$0.00 |
| G8979 |
Mobility goal status |
14 |
13 |
$0.00 |
| 73140 |
|
13 |
12 |
$0.00 |
| 80164 |
|
14 |
13 |
$0.00 |
| 83970 |
|
16 |
14 |
$0.00 |
| 82140 |
|
15 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
18 |
12 |
$0.00 |
| 83655 |
|
39 |
39 |
$0.00 |
| 91300 |
|
66 |
66 |
$0.00 |
| 84481 |
|
13 |
13 |
$0.00 |
| G8978 |
Mobility current status |
12 |
12 |
$0.00 |
| 86787 |
|
26 |
25 |
$0.00 |
| 86038 |
|
18 |
17 |
$0.00 |
| 84146 |
|
12 |
12 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| 87807 |
|
232 |
222 |
$0.00 |
| 87661 |
|
74 |
72 |
$0.00 |
| 86592 |
|
41 |
40 |
$0.00 |
| 90686 |
|
35 |
30 |
$0.00 |
| 76817 |
|
68 |
61 |
$0.00 |
| 0001A |
|
33 |
33 |
$0.00 |
| G8982 |
Body pos goal status |
31 |
26 |
$0.00 |
| G8981 |
Body pos current status |
12 |
12 |
$0.00 |
| 86430 |
|
14 |
13 |
$0.00 |
| 84153 |
|
12 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
14 |
12 |
$0.00 |