| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
153,645 |
137,292 |
$42.01M |
| 99283 |
|
143,824 |
131,028 |
$22.90M |
| 99285 |
|
60,705 |
51,889 |
$19.37M |
| G0463 |
Hospital outpt clinic visit |
243,907 |
205,077 |
$4.00M |
| G0378 |
Hospital observation per hr |
7,336 |
5,845 |
$1.39M |
| 99282 |
|
15,870 |
14,889 |
$1.07M |
| 85025 |
|
324,453 |
248,496 |
$969K |
| 96374 |
|
47,186 |
41,141 |
$864K |
| 80053 |
|
265,084 |
219,393 |
$756K |
| 87635 |
|
27,626 |
24,186 |
$750K |
| 71046 |
|
45,699 |
41,116 |
$555K |
| 96413 |
|
6,738 |
3,125 |
$501K |
| 36415 |
|
330,213 |
241,203 |
$491K |
| 70450 |
|
11,845 |
10,240 |
$489K |
| 74177 |
|
7,631 |
6,653 |
$396K |
| 93306 |
|
2,334 |
1,985 |
$381K |
| 93005 |
|
83,830 |
68,888 |
$368K |
| 87637 |
|
4,366 |
4,026 |
$359K |
| 84484 |
|
44,705 |
35,234 |
$354K |
| 71045 |
|
35,308 |
29,862 |
$291K |
| 96365 |
|
7,656 |
5,743 |
$287K |
| 93303 |
|
1,681 |
1,391 |
$256K |
| 96372 |
|
37,098 |
31,576 |
$215K |
| 96375 |
|
21,680 |
17,837 |
$195K |
| 80307 |
|
9,124 |
7,922 |
$189K |
| 71260 |
|
2,758 |
2,285 |
$188K |
| 93304 |
|
1,089 |
933 |
$186K |
| 87502 |
|
6,697 |
6,103 |
$185K |
| 0241U |
|
3,339 |
3,131 |
$174K |
| 81025 |
|
88,078 |
81,890 |
$171K |
| 95812 |
|
2,104 |
1,726 |
$160K |
| 80048 |
|
37,322 |
22,024 |
$148K |
| 43239 |
|
349 |
302 |
$145K |
| 69436 |
|
151 |
143 |
$144K |
| 92587 |
|
2,411 |
2,070 |
$141K |
| U0001 |
2019-ncov diagnostic p |
4,365 |
4,004 |
$138K |
| 96367 |
|
3,599 |
1,549 |
$128K |
| 83690 |
|
35,769 |
32,078 |
$124K |
| 86900 |
|
7,149 |
5,119 |
$114K |
| P9016 |
Rbc leukocytes reduced |
630 |
414 |
$113K |
| 36512 |
|
245 |
185 |
$107K |
| 82306 |
|
5,952 |
5,078 |
$107K |
| 87426 |
|
2,594 |
2,368 |
$99K |
| 94640 |
|
5,640 |
2,578 |
$99K |
| 11042 |
|
1,949 |
940 |
$97K |
| 70551 |
|
408 |
371 |
$96K |
| 86902 |
|
785 |
387 |
$93K |
| 70553 |
|
210 |
185 |
$89K |
| J0485 |
Belatacept injection |
738 |
353 |
$79K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,108 |
14,152 |
$78K |
| 86901 |
|
7,142 |
5,109 |
$77K |
| 88305 |
|
2,122 |
1,771 |
$74K |
| 81001 |
|
92,879 |
82,184 |
$74K |
| 92507 |
|
1,676 |
620 |
$71K |
| 97110 |
|
3,730 |
817 |
$64K |
| 92611 |
|
1,728 |
1,460 |
$64K |
| G0379 |
Direct refer hospital observ |
83 |
78 |
$63K |
| 76770 |
|
1,322 |
1,112 |
$63K |
| 72082 |
|
1,337 |
1,157 |
$62K |
| 99213 |
|
2,054 |
1,643 |
$60K |
| 99214 |
|
1,592 |
1,288 |
$59K |
| 83735 |
|
28,524 |
18,617 |
$59K |
| 87400 |
|
7,573 |
6,819 |
$59K |
| 84443 |
|
5,199 |
4,261 |
$59K |
| 93320 |
|
1,796 |
1,490 |
$58K |
| J2469 |
Palonosetron hcl |
874 |
402 |
$58K |
| 86850 |
|
7,282 |
5,229 |
$56K |
| 93458 |
|
130 |
97 |
$55K |
| 74230 |
|
1,798 |
1,518 |
$54K |
| J2505 |
Injection, pegfilgrastim 6mg |
27 |
13 |
$53K |
| 92567 |
|
4,172 |
3,602 |
$50K |
| 72170 |
|
1,646 |
1,405 |
$49K |
| 93325 |
|
4,140 |
3,381 |
$47K |
| 95810 |
|
155 |
145 |
$47K |
| 83880 |
|
4,272 |
3,558 |
$44K |
| 80076 |
|
15,833 |
9,614 |
$43K |
| 74019 |
|
1,823 |
1,591 |
$43K |
| 93017 |
|
1,178 |
1,006 |
$42K |
| 93321 |
|
1,698 |
1,430 |
$42K |
| 29705 |
|
294 |
212 |
$39K |
| 85610 |
|
13,223 |
9,740 |
$38K |
| 84703 |
|
11,875 |
10,570 |
$38K |
| 80197 |
|
13,095 |
7,223 |
$37K |
| 78452 |
|
326 |
290 |
$36K |
| 80061 |
|
3,326 |
2,726 |
$36K |
| 87799 |
|
5,360 |
3,814 |
$35K |
| 83036 |
|
15,131 |
13,001 |
$33K |
| 92579 |
|
1,594 |
1,422 |
$29K |
| 73090 |
|
1,594 |
1,071 |
$29K |
| 82570 |
|
17,943 |
12,028 |
$29K |
| 93296 |
|
6,892 |
5,903 |
$28K |
| 87086 |
|
3,536 |
3,044 |
$27K |
| 82962 |
|
15,627 |
13,107 |
$27K |
| 84439 |
|
3,297 |
2,774 |
$27K |
| 73110 |
|
1,303 |
896 |
$26K |
| 87497 |
|
3,223 |
2,327 |
$25K |
| 82947 |
|
15,509 |
12,838 |
$24K |
| 82728 |
|
3,904 |
3,089 |
$24K |
| 73070 |
|
1,551 |
1,026 |
$24K |
| 81003 |
|
31,231 |
26,307 |
$23K |
| 94010 |
|
755 |
616 |
$23K |
| 86140 |
|
4,401 |
3,584 |
$23K |
| J2405 |
Ondansetron hcl injection |
17,237 |
13,893 |
$23K |
| 96361 |
|
3,127 |
2,705 |
$21K |
| 82803 |
|
981 |
791 |
$21K |
| 73630 |
|
1,044 |
866 |
$21K |
| 97161 |
|
657 |
549 |
$20K |
| 74176 |
|
671 |
605 |
$20K |
| 87807 |
|
1,852 |
1,636 |
$20K |
| 82330 |
|
1,775 |
1,294 |
$20K |
| 84100 |
|
17,922 |
10,441 |
$19K |
| 88342 |
|
317 |
251 |
$19K |
| 73590 |
|
913 |
660 |
$18K |
| J1100 |
Dexamethasone sodium phos |
7,214 |
4,697 |
$18K |
| 73130 |
|
973 |
712 |
$18K |
| 54161 |
|
58 |
54 |
$18K |
| 73560 |
|
1,252 |
984 |
$17K |
| G0480 |
Drug test def 1-7 classes |
1,802 |
1,498 |
$17K |
| 96415 |
|
737 |
327 |
$17K |
| J0897 |
Denosumab injection |
36 |
24 |
$17K |
| 85730 |
|
3,546 |
2,780 |
$17K |
| 74018 |
|
960 |
800 |
$16K |
| A9502 |
Tc99m tetrofosmin |
323 |
287 |
$16K |
| 87040 |
|
1,490 |
1,219 |
$16K |
| 96417 |
|
637 |
302 |
$15K |
| 83970 |
|
739 |
571 |
$14K |
| 73610 |
|
965 |
730 |
$14K |
| 76815 |
|
653 |
587 |
$13K |
| G2066 |
Inter devc remote 30d |
2,213 |
1,807 |
$13K |
| 83605 |
|
1,498 |
1,256 |
$10K |
| 87880 |
|
1,044 |
955 |
$10K |
| J2997 |
Alteplase recombinant |
85 |
61 |
$10K |
| 99215 |
Prolong outpt/office vis |
272 |
192 |
$10K |
| 76705 |
|
355 |
284 |
$10K |
| 90832 |
|
448 |
364 |
$10K |
| J0881 |
Darbepoetin alfa, non-esrd |
68 |
38 |
$9K |
| 47000 |
|
12 |
12 |
$9K |
| 72125 |
|
162 |
140 |
$9K |
| 82565 |
|
1,729 |
1,376 |
$9K |
| 84156 |
|
13,504 |
8,214 |
$9K |
| 87651 |
|
1,283 |
1,215 |
$9K |
| 82150 |
|
1,600 |
1,412 |
$9K |
| 83020 |
|
3,014 |
2,084 |
$8K |
| 97530 |
|
242 |
78 |
$8K |
| 82610 |
|
773 |
570 |
$8K |
| 76700 |
|
175 |
165 |
$7K |
| 90686 |
|
1,342 |
1,237 |
$7K |
| 82378 |
|
1,238 |
838 |
$7K |
| 83540 |
|
2,554 |
2,060 |
$7K |
| 84702 |
|
781 |
748 |
$7K |
| 85652 |
|
2,637 |
2,118 |
$7K |
| 96366 |
|
239 |
127 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
7,432 |
5,917 |
$6K |
| 87186 |
|
716 |
622 |
$6K |
| 93289 |
|
1,697 |
1,391 |
$6K |
| 87077 |
|
621 |
530 |
$6K |
| 72100 |
|
1,272 |
1,150 |
$6K |
| 82043 |
|
2,247 |
1,958 |
$6K |
| 85045 |
|
5,734 |
4,289 |
$6K |
| 87070 |
|
680 |
571 |
$5K |
| 74022 |
|
924 |
828 |
$5K |
| Q0138 |
Ferumoxytol, non-esrd |
18 |
12 |
$5K |
| 99490 |
Ccm add 20min |
8,876 |
7,833 |
$5K |
| 74240 |
|
138 |
136 |
$5K |
| 76376 |
|
352 |
287 |
$5K |
| 80069 |
|
739 |
504 |
$5K |
| 82784 |
|
770 |
610 |
$5K |
| 31579 |
|
51 |
43 |
$5K |
| 36593 |
|
34 |
25 |
$5K |
| 84466 |
|
654 |
520 |
$5K |
| 77066 |
Tomosynthesis, mammo |
104 |
93 |
$5K |
| 70491 |
|
53 |
40 |
$5K |
| 77336 |
|
127 |
38 |
$5K |
| 85027 |
|
1,007 |
819 |
$5K |
| 87491 |
|
1,020 |
967 |
$5K |
| J1453 |
Fosaprepitant injection |
79 |
42 |
$5K |
| 80050 |
|
107 |
105 |
$5K |
| 87591 |
|
1,020 |
967 |
$4K |
| 90471 |
|
790 |
712 |
$4K |
| 82044 |
|
1,403 |
1,210 |
$4K |
| 77061 |
|
66 |
64 |
$4K |
| 96360 |
|
145 |
128 |
$4K |
| 96401 |
|
128 |
51 |
$4K |
| 83516 |
|
245 |
229 |
$4K |
| 90674 |
|
690 |
609 |
$3K |
| 77073 |
|
88 |
76 |
$3K |
| 96127 |
|
912 |
845 |
$3K |
| 73552 |
|
179 |
134 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
4,941 |
1,492 |
$3K |
| J0185 |
Inj., aprepitant, 1 mg |
32 |
12 |
$3K |
| J2930 |
Methylprednisolone injection |
1,406 |
1,271 |
$3K |
| 82248 |
|
1,310 |
1,010 |
$3K |
| 95811 |
|
13 |
12 |
$3K |
| 82977 |
|
1,170 |
902 |
$3K |
| J2785 |
Regadenoson injection |
30 |
26 |
$2K |
| 92557 |
|
217 |
166 |
$2K |
| 51702 |
|
123 |
109 |
$2K |
| 87205 |
|
611 |
501 |
$2K |
| 93290 |
|
1,684 |
1,408 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
28,466 |
24,269 |
$2K |
| 99406 |
|
277 |
238 |
$2K |
| 84145 |
|
97 |
93 |
$2K |
| 83550 |
|
1,292 |
1,031 |
$2K |
| 84132 |
|
439 |
362 |
$2K |
| 82607 |
|
429 |
358 |
$2K |
| 76536 |
|
56 |
55 |
$2K |
| 99152 |
|
1,468 |
1,123 |
$2K |
| 73030 |
|
175 |
153 |
$2K |
| 87389 |
|
152 |
123 |
$2K |
| 70486 |
|
19 |
12 |
$2K |
| 72040 |
|
315 |
283 |
$2K |
| 82105 |
|
729 |
591 |
$2K |
| 93225 |
|
24 |
24 |
$2K |
| 86706 |
|
305 |
238 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
486 |
335 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
170 |
123 |
$2K |
| 87804 |
|
222 |
101 |
$2K |
| A9270 |
Non-covered item or service |
9,232 |
5,361 |
$2K |
| J3010 |
Fentanyl citrate injection |
4,307 |
3,275 |
$2K |
| 83615 |
|
618 |
485 |
$1K |
| C9463 |
Injection, aprepitant |
20 |
12 |
$1K |
| 85379 |
|
350 |
310 |
$1K |
| 85014 |
|
825 |
569 |
$1K |
| 86364 |
|
291 |
192 |
$1K |
| 86300 |
|
209 |
166 |
$1K |
| C1769 |
Guide wire |
1,257 |
934 |
$1K |
| 77067 |
|
55 |
49 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
2,969 |
2,128 |
$1K |
| 93226 |
|
12 |
12 |
$1K |
| J0780 |
Prochlorperazine injection |
1,499 |
1,335 |
$1K |
| 86832 |
|
31 |
24 |
$1K |
| 90677 |
|
14 |
12 |
$1K |
| 77065 |
Tomosynthesis, mammo |
26 |
24 |
$1K |
| 94644 |
|
70 |
64 |
$1K |
| J2270 |
Morphine sulfate injection |
3,837 |
2,991 |
$1K |
| 82746 |
|
276 |
233 |
$1K |
| 86833 |
|
31 |
24 |
$1K |
| 82550 |
|
273 |
242 |
$999.28 |
| J1170 |
Hydromorphone injection |
2,638 |
1,624 |
$956.25 |
| A9577 |
Inj multihance |
295 |
269 |
$847.09 |
| 90791 |
|
30 |
26 |
$821.64 |
| 97597 |
|
47 |
37 |
$820.33 |
| 31575 |
|
49 |
41 |
$779.89 |
| 87081 |
|
132 |
116 |
$769.47 |
| 87147 |
|
111 |
93 |
$712.54 |
| 73060 |
|
49 |
37 |
$650.00 |
| 76642 |
|
17 |
17 |
$642.08 |
| J0696 |
Ceftriaxone sodium injection |
11,363 |
10,299 |
$640.82 |
| 70360 |
|
69 |
66 |
$629.00 |
| 93971 |
|
74 |
63 |
$603.10 |
| 87634 |
|
40 |
24 |
$568.62 |
| 84295 |
|
97 |
82 |
$552.92 |
| 90715 |
|
82 |
70 |
$515.92 |
| 82657 |
|
29 |
15 |
$501.50 |
| 92555 |
|
217 |
208 |
$431.76 |
| J9045 |
Carboplatin injection |
52 |
25 |
$425.15 |
| 99211 |
|
133 |
105 |
$422.93 |
| 88341 |
|
30 |
25 |
$391.30 |
| 90662 |
|
158 |
146 |
$387.16 |
| C1760 |
Closure dev, vasc |
59 |
41 |
$372.05 |
| 92550 |
|
92 |
71 |
$362.98 |
| 92552 |
|
71 |
70 |
$312.00 |
| 94664 |
|
63 |
62 |
$310.00 |
| 84550 |
|
80 |
62 |
$302.27 |
| 77063 |
|
43 |
37 |
$282.85 |
| G0008 |
Admin influenza virus vac |
1,721 |
1,516 |
$269.72 |
| 93925 |
|
24 |
14 |
$269.63 |
| 86665 |
|
90 |
60 |
$254.40 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
68 |
60 |
$245.38 |
| J1200 |
Diphenhydramine hcl injectio |
1,514 |
867 |
$240.90 |
| 90732 |
|
16 |
15 |
$240.87 |
| 86803 |
|
88 |
59 |
$239.16 |
| 86644 |
|
90 |
60 |
$238.35 |
| 90837 |
|
13 |
13 |
$229.50 |
| 99153 |
Mod sedat endo service >5yrs |
469 |
310 |
$227.38 |
| J7030 |
Normal saline solution infus |
829 |
718 |
$205.25 |
| 86704 |
|
90 |
60 |
$199.98 |
| J0690 |
Cefazolin sodium injection |
1,622 |
986 |
$177.22 |
| 86708 |
|
101 |
73 |
$172.48 |
| 87102 |
|
12 |
12 |
$164.13 |
| 80177 |
|
13 |
13 |
$161.92 |
| 77080 |
|
12 |
12 |
$155.08 |
| 92582 |
|
42 |
28 |
$153.51 |
| 86923 |
|
15 |
12 |
$151.90 |
| J1010 |
Inj, methylpred acetate 1 mg |
50 |
45 |
$147.10 |
| 83935 |
|
16 |
14 |
$145.95 |
| 84681 |
|
63 |
45 |
$143.63 |
| 86709 |
|
68 |
47 |
$132.21 |
| 86592 |
|
96 |
73 |
$130.05 |
| 93299 |
|
19 |
18 |
$128.00 |
| J9267 |
Paclitaxel injection |
38 |
12 |
$127.68 |
| 84520 |
|
25 |
25 |
$123.86 |
| 97802 |
|
1,134 |
1,025 |
$120.52 |
| 90472 |
|
13 |
13 |
$117.67 |
| 85018 |
|
83 |
50 |
$115.27 |
| 87340 |
|
68 |
47 |
$106.49 |
| J1030 |
Methylprednisolone 40 mg inj |
424 |
353 |
$103.25 |
| C1733 |
Cath, ep, othr than cool-tip |
147 |
118 |
$89.70 |
| C1887 |
Catheter, guiding |
720 |
535 |
$81.56 |
| 97162 |
|
14 |
13 |
$80.80 |
| 86152 |
|
20 |
13 |
$80.77 |
| J1040 |
Methylprednisolone 80 mg inj |
53 |
49 |
$80.28 |
| 83037 |
|
18 |
18 |
$80.26 |
| 70210 |
|
15 |
14 |
$79.97 |
| G1004 |
Cdsm ndsc |
2,204 |
1,445 |
$78.15 |
| 93288 |
|
36 |
25 |
$63.54 |
| J2300 |
Inj nalbuphine hydrochloride |
17 |
15 |
$57.42 |
| 86705 |
|
18 |
13 |
$57.40 |
| J2765 |
Metoclopramide hcl injection |
105 |
80 |
$51.52 |
| 93922 |
|
49 |
26 |
$47.32 |
| J2920 |
Methylprednisolone injection |
14 |
13 |
$45.75 |
| J2710 |
Neostigmine methylslfte inj |
268 |
225 |
$41.98 |
| J2175 |
Meperidine hydrochl /100 mg |
111 |
99 |
$41.97 |
| J1815 |
Insulin injection |
21 |
12 |
$41.63 |
| C1894 |
Intro/sheath, non-laser |
515 |
391 |
$36.54 |
| 80074 |
|
17 |
15 |
$32.42 |
| 36416 |
|
106 |
81 |
$31.57 |
| 92583 |
|
20 |
12 |
$28.80 |
| 90653 |
|
16 |
16 |
$19.68 |
| J1630 |
Haloperidol injection |
58 |
54 |
$19.49 |
| J3301 |
Triamcinolone acet inj nos |
19 |
15 |
$16.65 |
| J3490 |
Drugs unclassified injection |
903 |
687 |
$14.32 |
| 90661 |
|
33 |
27 |
$10.33 |
| J2001 |
Lidocaine injection |
130 |
99 |
$8.80 |
| J3420 |
Vitamin b12 injection |
107 |
69 |
$3.02 |
| J7040 |
Normal saline solution infus |
240 |
200 |
$2.47 |
| J3480 |
Inj potassium chloride |
54 |
35 |
$1.30 |
| 96376 |
|
252 |
164 |
$0.49 |
| J0330 |
Succinycholine chloride inj |
352 |
221 |
$0.00 |
| 90694 |
|
157 |
139 |
$0.00 |
| 88304 |
|
26 |
24 |
$0.00 |
| 36591 |
|
139 |
65 |
$0.00 |
| Q0162 |
Ondansetron oral |
135 |
76 |
$0.00 |
| 71275 |
|
137 |
119 |
$0.00 |
| 90935 |
|
63 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
82 |
60 |
$0.00 |
| 99457 |
|
16 |
12 |
$0.00 |
| 94760 |
|
17 |
14 |
$0.00 |
| 88307 |
|
12 |
12 |
$0.00 |
| 99454 |
|
29 |
27 |
$0.00 |
| 41899 |
|
19 |
12 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
14 |
13 |
$0.00 |
| 96368 |
|
22 |
13 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
14 |
12 |
$0.00 |
| J7611 |
Albuterol non-comp con |
14 |
13 |
$0.00 |
| 97803 |
|
807 |
739 |
$0.00 |
| 92504 |
|
781 |
637 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
14 |
13 |
$0.00 |
| 76937 |
|
28 |
26 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$0.00 |
| J9263 |
Oxaliplatin |
35 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
68 |
41 |
$0.00 |
| J1956 |
Levofloxacin injection |
42 |
39 |
$0.00 |
| 77012 |
|
12 |
12 |
$0.00 |
| A4600 |
Sleeve, inter limb comp dev |
30 |
24 |
$0.00 |
| 90714 |
|
20 |
16 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
14 |
13 |
$0.00 |
| 88313 |
|
12 |
12 |
$0.00 |