| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
17,797 |
13,445 |
$1.82M |
| 99284 |
|
19,865 |
17,204 |
$1.02M |
| 99283 |
|
16,307 |
14,326 |
$992K |
| 99285 |
|
22,297 |
19,105 |
$981K |
| 87637 |
|
8,607 |
7,615 |
$845K |
| 80053 |
|
47,545 |
37,579 |
$783K |
| 99282 |
|
11,816 |
10,442 |
$734K |
| 41899 |
|
1,330 |
1,167 |
$397K |
| 96360 |
|
5,338 |
4,254 |
$385K |
| 74177 |
|
5,818 |
5,228 |
$313K |
| 96365 |
|
5,978 |
3,812 |
$313K |
| 70450 |
|
5,954 |
5,316 |
$287K |
| G0480 |
Drug test def 1-7 classes |
7,158 |
5,874 |
$279K |
| 99214 |
|
6,464 |
4,965 |
$270K |
| 85025 |
|
47,909 |
37,339 |
$247K |
| 99211 |
|
4,250 |
3,257 |
$235K |
| C9803 |
Hopd covid-19 spec collect |
9,962 |
8,516 |
$235K |
| G0463 |
Hospital outpt clinic visit |
27,084 |
21,261 |
$231K |
| 87636 |
|
2,438 |
2,204 |
$216K |
| 93306 |
|
1,566 |
1,419 |
$190K |
| 87070 |
|
9,494 |
8,218 |
$184K |
| 99213 |
|
3,990 |
3,190 |
$181K |
| 99212 |
|
3,110 |
2,153 |
$164K |
| 43239 |
|
1,173 |
1,029 |
$162K |
| 76805 |
|
2,148 |
1,902 |
$157K |
| 96413 |
|
4,219 |
2,246 |
$155K |
| 76801 |
|
2,239 |
1,942 |
$140K |
| 96366 |
|
2,160 |
1,261 |
$134K |
| 80048 |
|
9,068 |
6,714 |
$125K |
| 71275 |
|
2,162 |
1,958 |
$124K |
| 84443 |
|
9,772 |
8,702 |
$114K |
| 74176 |
|
2,101 |
1,922 |
$108K |
| 81025 |
|
4,025 |
3,500 |
$106K |
| 87502 |
|
1,404 |
1,302 |
$106K |
| 71046 |
|
4,959 |
4,402 |
$103K |
| 93296 |
|
4,896 |
4,673 |
$97K |
| 70553 |
|
1,152 |
1,035 |
$95K |
| 76816 |
|
1,686 |
1,495 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,871 |
1,645 |
$92K |
| 81001 |
|
24,305 |
20,632 |
$83K |
| 86850 |
|
4,509 |
3,838 |
$81K |
| 71260 |
|
1,826 |
1,639 |
$80K |
| 76705 |
|
2,276 |
2,051 |
$77K |
| 97597 |
|
1,950 |
1,051 |
$75K |
| 80306 |
|
5,380 |
4,681 |
$67K |
| 76830 |
|
1,555 |
1,400 |
$60K |
| 96367 |
|
1,255 |
655 |
$60K |
| 83690 |
|
14,627 |
12,229 |
$59K |
| 76856 |
|
1,416 |
1,292 |
$58K |
| 87491 |
|
1,813 |
1,635 |
$57K |
| 84484 |
|
9,085 |
5,213 |
$56K |
| 84703 |
|
7,989 |
6,928 |
$55K |
| 85027 |
|
11,096 |
8,485 |
$54K |
| 77067 |
|
1,470 |
1,370 |
$54K |
| 94640 |
|
2,627 |
1,595 |
$53K |
| 80061 |
|
4,082 |
3,751 |
$52K |
| 83880 |
|
3,286 |
2,891 |
$52K |
| 87591 |
|
1,804 |
1,627 |
$51K |
| 82962 |
|
5,275 |
2,631 |
$51K |
| 72125 |
|
2,792 |
2,500 |
$48K |
| 87880 |
|
3,316 |
3,031 |
$48K |
| 87635 |
|
1,592 |
1,442 |
$48K |
| 85610 |
|
8,411 |
6,591 |
$47K |
| 87086 |
|
6,180 |
5,573 |
$46K |
| 84702 |
|
2,421 |
1,911 |
$46K |
| 87426 |
|
3,336 |
2,877 |
$45K |
| 82306 |
|
1,779 |
1,632 |
$44K |
| 82948 |
|
8,734 |
3,950 |
$42K |
| 82565 |
|
3,230 |
2,872 |
$41K |
| 29581 |
|
718 |
233 |
$41K |
| G0378 |
Hospital observation per hr |
2,465 |
1,993 |
$39K |
| 83735 |
|
10,200 |
7,254 |
$37K |
| 83036 |
|
3,956 |
3,573 |
$33K |
| 93458 |
|
88 |
78 |
$32K |
| 83605 |
|
6,488 |
5,395 |
$31K |
| 87077 |
|
4,439 |
3,672 |
$31K |
| 72148 |
|
484 |
436 |
$27K |
| 76817 |
|
1,425 |
1,145 |
$26K |
| 99291 |
|
746 |
667 |
$26K |
| 84439 |
|
1,883 |
1,733 |
$26K |
| 45380 |
|
156 |
147 |
$25K |
| 70496 |
|
389 |
354 |
$25K |
| 93976 |
|
795 |
703 |
$24K |
| 72100 |
|
1,690 |
1,540 |
$24K |
| 87631 |
|
215 |
200 |
$23K |
| 93971 |
|
750 |
684 |
$23K |
| 74018 |
|
1,928 |
1,741 |
$22K |
| 70498 |
|
349 |
319 |
$21K |
| G0399 |
Home sleep test/type 3 porta |
414 |
381 |
$21K |
| 76642 |
|
609 |
562 |
$21K |
| 87040 |
|
3,648 |
1,877 |
$19K |
| 87088 |
|
3,597 |
3,260 |
$19K |
| 82977 |
|
3,601 |
3,086 |
$18K |
| 87804 |
|
1,000 |
466 |
$18K |
| 82550 |
|
5,808 |
5,042 |
$17K |
| 11042 |
|
416 |
231 |
$17K |
| 76536 |
|
297 |
284 |
$16K |
| 87798 |
|
360 |
331 |
$16K |
| 97110 |
|
2,911 |
1,054 |
$16K |
| 87186 |
|
3,843 |
3,187 |
$16K |
| 82728 |
|
1,190 |
1,003 |
$16K |
| 96374 |
|
24,214 |
19,810 |
$16K |
| 93005 |
|
21,403 |
17,424 |
$16K |
| 96372 |
|
9,383 |
7,670 |
$15K |
| 84132 |
|
2,435 |
2,149 |
$15K |
| 87505 |
|
120 |
115 |
$14K |
| 85379 |
|
2,316 |
2,080 |
$14K |
| M0243 |
Casirivi and imdevi inj |
48 |
47 |
$13K |
| 82607 |
|
1,033 |
961 |
$13K |
| G0483 |
Drug test def 22+ classes |
98 |
90 |
$13K |
| 94060 |
|
620 |
542 |
$13K |
| 71250 |
|
450 |
406 |
$12K |
| 87210 |
|
998 |
911 |
$12K |
| 12001 |
|
131 |
125 |
$12K |
| 87807 |
|
266 |
249 |
$11K |
| 64493 |
|
49 |
48 |
$11K |
| 90715 |
|
1,079 |
1,015 |
$11K |
| 86140 |
|
2,726 |
2,371 |
$11K |
| U0005 |
Infec agen detec ampli probe |
910 |
812 |
$11K |
| 73630 |
|
1,458 |
1,319 |
$10K |
| 86900 |
|
4,515 |
3,846 |
$10K |
| 93271 |
|
801 |
677 |
$10K |
| 96415 |
|
162 |
111 |
$10K |
| 73610 |
|
1,192 |
1,077 |
$10K |
| 76770 |
|
135 |
126 |
$9K |
| 86618 |
|
578 |
536 |
$9K |
| 72040 |
|
355 |
333 |
$9K |
| 87653 |
|
208 |
197 |
$8K |
| 87389 |
|
437 |
411 |
$8K |
| 82010 |
|
1,611 |
1,262 |
$8K |
| 86901 |
|
4,515 |
3,844 |
$8K |
| 77065 |
Tomosynthesis, mammo |
385 |
309 |
$7K |
| 99215 |
Prolong outpt/office vis |
264 |
236 |
$7K |
| 71045 |
|
15,918 |
13,686 |
$7K |
| 96375 |
|
20,541 |
15,395 |
$7K |
| 76819 |
|
177 |
106 |
$7K |
| 87075 |
|
1,724 |
1,254 |
$7K |
| 85007 |
|
2,634 |
2,057 |
$6K |
| 96417 |
|
145 |
76 |
$6K |
| 94726 |
|
650 |
562 |
$6K |
| G0482 |
Drug test def 15-21 classes |
81 |
69 |
$6K |
| 86803 |
|
522 |
500 |
$6K |
| 82043 |
|
809 |
756 |
$6K |
| 83550 |
|
1,167 |
1,021 |
$6K |
| 87081 |
|
130 |
114 |
$6K |
| 87205 |
|
2,805 |
2,114 |
$5K |
| S5161 |
Emer rspns sys serv permonth |
172 |
172 |
$5K |
| 80081 |
|
97 |
93 |
$5K |
| 82746 |
|
604 |
560 |
$5K |
| 90471 |
|
1,095 |
961 |
$5K |
| 36415 |
|
29,821 |
22,258 |
$5K |
| 77063 |
|
200 |
185 |
$5K |
| 73030 |
|
1,080 |
938 |
$5K |
| 93298 |
|
342 |
342 |
$5K |
| 83540 |
|
1,275 |
1,118 |
$5K |
| 73564 |
|
1,263 |
1,117 |
$4K |
| 85652 |
|
2,221 |
1,933 |
$4K |
| 72141 |
|
64 |
64 |
$4K |
| 77336 |
|
142 |
66 |
$4K |
| 94729 |
|
661 |
583 |
$4K |
| 86480 |
|
78 |
70 |
$3K |
| 82553 |
|
973 |
811 |
$3K |
| 85049 |
|
338 |
315 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,368 |
11,744 |
$3K |
| A9577 |
Inj multihance |
4,155 |
2,662 |
$3K |
| 12011 |
|
60 |
54 |
$3K |
| 73110 |
|
336 |
314 |
$3K |
| 77066 |
Tomosynthesis, mammo |
78 |
66 |
$3K |
| 85730 |
|
595 |
524 |
$3K |
| 97140 |
|
598 |
240 |
$3K |
| 74019 |
|
446 |
396 |
$3K |
| 81514 |
|
14 |
14 |
$3K |
| 74174 |
|
61 |
54 |
$3K |
| 84481 |
|
184 |
172 |
$3K |
| 88305 |
|
3,447 |
3,058 |
$3K |
| 97112 |
|
523 |
148 |
$2K |
| 73130 |
|
685 |
617 |
$2K |
| 82950 |
|
252 |
241 |
$2K |
| 82805 |
|
114 |
102 |
$2K |
| 85018 |
|
619 |
547 |
$2K |
| 84512 |
|
390 |
351 |
$2K |
| 84153 |
|
148 |
143 |
$2K |
| 73502 |
|
545 |
489 |
$2K |
| C8929 |
Tte w or wo fol wcon,doppler |
42 |
40 |
$2K |
| 64483 |
|
13 |
12 |
$2K |
| 87468 |
|
103 |
90 |
$2K |
| 87484 |
|
103 |
90 |
$2K |
| 87469 |
|
103 |
90 |
$2K |
| J2930 |
Methylprednisolone injection |
1,806 |
1,434 |
$2K |
| 82657 |
|
136 |
109 |
$2K |
| 87340 |
|
183 |
172 |
$2K |
| 84403 |
|
57 |
56 |
$2K |
| 70551 |
|
43 |
37 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| 99204 |
|
195 |
188 |
$2K |
| 91322 |
|
35 |
35 |
$1K |
| 90677 |
|
152 |
140 |
$1K |
| 87510 |
|
89 |
81 |
$1K |
| 87480 |
|
89 |
81 |
$1K |
| 87660 |
|
89 |
81 |
$1K |
| 80050 |
|
539 |
408 |
$1K |
| 97162 |
|
229 |
205 |
$1K |
| 80074 |
|
30 |
27 |
$1K |
| 90686 |
|
457 |
422 |
$1K |
| 72197 |
|
12 |
12 |
$1K |
| G0279 |
Tomosynthesis, mammo |
366 |
329 |
$1K |
| 72110 |
|
53 |
51 |
$1K |
| 82570 |
|
267 |
237 |
$1K |
| 97530 |
|
323 |
118 |
$1K |
| 84145 |
|
101 |
79 |
$1K |
| 82784 |
|
135 |
85 |
$1K |
| 90662 |
|
183 |
175 |
$1K |
| 88307 |
|
74 |
68 |
$1K |
| 86592 |
|
282 |
263 |
$1K |
| 97161 |
|
174 |
162 |
$1K |
| 71271 |
|
25 |
24 |
$984.79 |
| 86762 |
|
77 |
69 |
$959.42 |
| 94150 |
|
115 |
107 |
$948.01 |
| 87328 |
|
65 |
63 |
$902.67 |
| 84100 |
|
408 |
246 |
$868.94 |
| 90656 |
|
128 |
128 |
$850.70 |
| 84112 |
|
13 |
12 |
$821.47 |
| 70491 |
|
13 |
12 |
$818.19 |
| 86039 |
|
65 |
60 |
$809.04 |
| 96368 |
|
17 |
12 |
$793.28 |
| 12002 |
|
14 |
12 |
$754.96 |
| J1885 |
Ketorolac tromethamine inj |
14,152 |
9,917 |
$727.81 |
| 76815 |
|
12 |
12 |
$707.68 |
| 84460 |
|
166 |
141 |
$675.32 |
| 99152 |
|
1,834 |
1,603 |
$645.06 |
| J1100 |
Dexamethasone sodium phos |
15,796 |
10,542 |
$640.39 |
| 93798 |
|
52 |
12 |
$640.29 |
| 87329 |
|
53 |
51 |
$636.48 |
| 94770 |
|
19 |
14 |
$632.76 |
| J2405 |
Ondansetron hcl injection |
23,406 |
17,432 |
$618.62 |
| 83970 |
|
21 |
15 |
$569.86 |
| 84156 |
|
222 |
189 |
$568.49 |
| 90480 |
|
38 |
38 |
$550.33 |
| 90651 |
|
12 |
12 |
$520.68 |
| 85014 |
|
252 |
235 |
$515.55 |
| A9503 |
Tc99m medronate |
84 |
78 |
$495.00 |
| 70486 |
|
29 |
25 |
$491.01 |
| 82150 |
|
13 |
12 |
$463.79 |
| 97535 |
|
175 |
108 |
$452.37 |
| 82378 |
|
88 |
65 |
$450.62 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,309 |
1,844 |
$440.16 |
| J0690 |
Cefazolin sodium injection |
6,416 |
4,427 |
$439.19 |
| 83655 |
|
26 |
26 |
$428.22 |
| 36591 |
|
791 |
386 |
$423.52 |
| 80076 |
|
18 |
16 |
$371.35 |
| 95012 |
|
14 |
12 |
$366.08 |
| C1729 |
Cath, drainage |
573 |
288 |
$354.44 |
| J2704 |
Inj, propofol, 10 mg |
15,211 |
10,135 |
$352.81 |
| S0119 |
Ondansetron 4 mg |
1,296 |
1,180 |
$332.76 |
| 78320 |
|
15 |
13 |
$330.69 |
| 99205 |
Prolong outpt/office vis |
28 |
27 |
$329.39 |
| G2066 |
Inter devc remote 30d |
18 |
14 |
$326.45 |
| 84436 |
|
43 |
41 |
$326.38 |
| 86308 |
|
12 |
12 |
$320.27 |
| 87046 |
|
106 |
103 |
$310.14 |
| J1170 |
Hydromorphone injection |
11,123 |
7,451 |
$308.37 |
| G0008 |
Admin influenza virus vac |
853 |
804 |
$299.68 |
| 82533 |
|
14 |
12 |
$288.47 |
| J1815 |
Insulin injection |
618 |
344 |
$270.25 |
| 93299 |
|
13 |
13 |
$258.84 |
| 76000 |
|
81 |
69 |
$256.84 |
| J1200 |
Diphenhydramine hcl injectio |
4,533 |
3,503 |
$238.40 |
| 73140 |
|
15 |
12 |
$233.48 |
| 96376 |
|
4,218 |
3,269 |
$221.41 |
| J3490 |
Drugs unclassified injection |
736 |
600 |
$196.55 |
| J0696 |
Ceftriaxone sodium injection |
2,259 |
1,778 |
$190.22 |
| J1642 |
Inj heparin sodium per 10 u |
2,616 |
1,230 |
$188.94 |
| J2270 |
Morphine sulfate injection |
3,225 |
2,465 |
$185.36 |
| 93242 |
|
13 |
13 |
$182.24 |
| 94010 |
|
12 |
12 |
$172.54 |
| 94762 |
|
23 |
12 |
$158.18 |
| J3010 |
Fentanyl citrate injection |
11,194 |
9,461 |
$151.41 |
| J2250 |
Inj midazolam hydrochloride |
7,137 |
5,499 |
$139.87 |
| 84450 |
|
48 |
42 |
$135.59 |
| 99203 |
|
25 |
25 |
$122.85 |
| 73080 |
|
38 |
37 |
$119.00 |
| 82947 |
|
14 |
14 |
$101.64 |
| 86431 |
|
16 |
15 |
$100.36 |
| J1644 |
Inj heparin sodium per 1000u |
2,744 |
1,536 |
$94.15 |
| 82272 |
|
64 |
52 |
$82.50 |
| 36000 |
|
2,241 |
1,990 |
$81.38 |
| 97165 |
|
42 |
39 |
$76.62 |
| J7060 |
5% dextrose/water |
1,630 |
887 |
$71.64 |
| J0702 |
Betamethasone acet&sod phosp |
264 |
165 |
$70.70 |
| 89055 |
|
12 |
12 |
$69.72 |
| C1769 |
Guide wire |
2,880 |
2,434 |
$53.06 |
| S0028 |
Injection, famotidine, 20 mg |
2,009 |
1,643 |
$51.64 |
| 87147 |
|
15 |
14 |
$49.16 |
| 81003 |
|
39 |
34 |
$41.76 |
| 97116 |
|
56 |
27 |
$39.46 |
| 99153 |
Mod sedat endo service >5yrs |
863 |
781 |
$39.17 |
| J2060 |
Lorazepam injection |
3,016 |
2,435 |
$38.02 |
| 85347 |
|
20 |
14 |
$35.36 |
| J1650 |
Inj enoxaparin sodium |
342 |
171 |
$34.59 |
| J3360 |
Diazepam injection |
832 |
458 |
$30.58 |
| 97166 |
|
18 |
12 |
$28.65 |
| J3475 |
Inj magnesium sulfate |
2,770 |
1,445 |
$24.42 |
| Q9957 |
Inj perflutren lip micros,ml |
89 |
77 |
$23.48 |
| J2765 |
Metoclopramide hcl injection |
3,484 |
2,846 |
$22.34 |
| C1726 |
Cath, bal dil, non-vascular |
448 |
382 |
$18.44 |
| J3411 |
Thiamine hcl 100 mg |
1,962 |
888 |
$17.12 |
| C1894 |
Intro/sheath, non-laser |
1,563 |
1,412 |
$16.62 |
| C1725 |
Cath, translumin non-laser |
383 |
347 |
$15.97 |
| C1893 |
Intro/sheath, fixed,non-peel |
1,525 |
1,322 |
$13.85 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,189 |
985 |
$12.50 |
| J2001 |
Lidocaine injection |
425 |
323 |
$9.75 |
| J2370 |
Phenylephrine hcl injection |
1,238 |
961 |
$8.31 |
| J2550 |
Promethazine hcl injection |
1,477 |
1,059 |
$8.14 |
| J3370 |
Vancomycin hcl injection |
403 |
295 |
$7.51 |
| 36592 |
|
87 |
74 |
$7.49 |
| A9552 |
F18 fdg |
13 |
13 |
$5.38 |
| 88112 |
|
19 |
13 |
$4.11 |
| C1887 |
Catheter, guiding |
725 |
639 |
$3.55 |
| Q0163 |
Diphenhydramine hcl 50mg |
39 |
37 |
$3.36 |
| J2710 |
Neostigmine methylslfte inj |
1,517 |
1,317 |
$3.08 |
| J1790 |
Droperidol injection |
972 |
821 |
$2.88 |
| G1004 |
Cdsm ndsc |
4,135 |
2,210 |
$2.22 |
| J2175 |
Meperidine hydrochl /100 mg |
555 |
476 |
$2.02 |
| 88342 |
|
190 |
161 |
$1.53 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
718 |
523 |
$1.42 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
207 |
178 |
$0.54 |
| A9270 |
Non-covered item or service |
11,555 |
3,168 |
$0.29 |
| G8978 |
Mobility current status |
109 |
96 |
$0.01 |
| G8979 |
Mobility goal status |
119 |
105 |
$0.01 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
163 |
122 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
767 |
611 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
672 |
561 |
$0.00 |
| 92507 |
|
199 |
63 |
$0.00 |
| 88304 |
|
71 |
68 |
$0.00 |
| Q3014 |
Telehealth facility fee |
36 |
35 |
$0.00 |
| J2360 |
Orphenadrine injection |
45 |
38 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
68 |
45 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
389 |
275 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
375 |
302 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,085 |
955 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
201 |
167 |
$0.00 |
| 36600 |
|
41 |
36 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
173 |
137 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
122 |
98 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
17 |
15 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
14 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
14 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
27 |
25 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
16 |
14 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
14 |
13 |
$0.00 |
| A6258 |
Transparent film >16<=48 in |
12 |
12 |
$0.00 |
| 73590 |
|
13 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
24 |
21 |
$0.00 |