| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
19,590 |
16,166 |
$2.32M |
| 99284 |
|
13,881 |
11,560 |
$2.26M |
| 99285 |
|
6,124 |
5,050 |
$1.14M |
| 96374 |
|
8,835 |
7,069 |
$815K |
| G0378 |
Hospital observation per hr |
3,029 |
2,303 |
$692K |
| 99282 |
|
5,774 |
4,984 |
$474K |
| 99281 |
|
10,872 |
9,046 |
$453K |
| 86885 |
|
5,121 |
3,993 |
$368K |
| 71045 |
|
10,810 |
8,862 |
$362K |
| 74177 |
|
2,526 |
2,206 |
$338K |
| 96372 |
|
8,808 |
7,001 |
$338K |
| 97110 |
|
13,492 |
2,456 |
$336K |
| 86900 |
|
5,575 |
4,300 |
$295K |
| 87491 |
|
11,226 |
8,681 |
$278K |
| 87591 |
|
11,234 |
8,687 |
$272K |
| 96360 |
|
2,626 |
2,230 |
$263K |
| 71046 |
|
6,860 |
5,843 |
$257K |
| 81513 |
|
2,773 |
2,212 |
$227K |
| 96365 |
|
2,500 |
1,791 |
$222K |
| 85025 |
|
42,313 |
31,681 |
$206K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,198 |
2,870 |
$189K |
| 76805 |
|
2,624 |
2,211 |
$180K |
| 93005 |
|
9,233 |
7,635 |
$177K |
| 70450 |
|
4,114 |
3,504 |
$173K |
| 80053 |
|
24,334 |
18,610 |
$159K |
| 11042 |
|
1,677 |
825 |
$154K |
| 87804 |
|
11,604 |
5,575 |
$148K |
| 87661 |
|
6,992 |
5,220 |
$142K |
| 87428 |
|
2,665 |
2,327 |
$139K |
| 96361 |
|
4,663 |
3,752 |
$139K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,196 |
2,004 |
$137K |
| 93306 |
|
833 |
743 |
$129K |
| 87389 |
|
7,751 |
6,366 |
$127K |
| 74176 |
|
1,692 |
1,511 |
$123K |
| 92507 |
|
4,480 |
1,080 |
$118K |
| G0480 |
Drug test def 1-7 classes |
1,935 |
1,588 |
$112K |
| 76815 |
|
1,399 |
1,243 |
$107K |
| 96375 |
|
4,525 |
3,627 |
$104K |
| 87426 |
|
3,240 |
2,663 |
$100K |
| 81220 |
|
1,122 |
918 |
$97K |
| 74018 |
|
2,425 |
2,026 |
$96K |
| 97530 |
|
4,755 |
1,285 |
$95K |
| 86901 |
|
5,562 |
4,300 |
$91K |
| 94640 |
|
788 |
507 |
$90K |
| A0425 |
Ground mileage |
1,093 |
649 |
$88K |
| 80074 |
|
2,658 |
2,204 |
$82K |
| 36415 |
|
30,589 |
22,884 |
$79K |
| 77067 |
|
945 |
886 |
$70K |
| 80306 |
|
6,068 |
4,918 |
$70K |
| 80048 |
|
12,757 |
10,255 |
$69K |
| 76801 |
|
1,069 |
886 |
$69K |
| 87481 |
|
3,016 |
2,413 |
$68K |
| 84443 |
|
5,982 |
5,185 |
$66K |
| 11043 |
|
474 |
214 |
$64K |
| 87070 |
|
9,004 |
7,821 |
$63K |
| U0005 |
Infec agen detec ampli probe |
3,427 |
3,115 |
$62K |
| 87880 |
|
4,978 |
4,256 |
$60K |
| 76817 |
|
807 |
586 |
$55K |
| 72100 |
|
1,135 |
1,021 |
$55K |
| 87633 |
|
185 |
172 |
$51K |
| 83880 |
|
2,993 |
2,359 |
$50K |
| 73030 |
|
1,457 |
1,264 |
$45K |
| 87086 |
|
8,131 |
6,748 |
$44K |
| 84702 |
|
4,149 |
2,808 |
$44K |
| 84484 |
|
7,562 |
5,075 |
$44K |
| 76856 |
|
827 |
703 |
$42K |
| 73630 |
|
1,066 |
911 |
$41K |
| 59025 |
|
421 |
210 |
$38K |
| 97112 |
|
2,851 |
610 |
$37K |
| 80061 |
|
4,008 |
3,530 |
$36K |
| 81025 |
|
6,344 |
5,107 |
$36K |
| 82306 |
|
1,946 |
1,690 |
$35K |
| 99291 |
|
160 |
129 |
$34K |
| 73610 |
|
762 |
641 |
$32K |
| 83036 |
|
5,173 |
4,535 |
$31K |
| 83021 |
|
2,353 |
1,952 |
$30K |
| 87635 |
|
705 |
620 |
$30K |
| 76830 |
|
515 |
437 |
$30K |
| 81001 |
|
13,474 |
10,834 |
$30K |
| G0463 |
Hospital outpt clinic visit |
1,949 |
1,163 |
$28K |
| 86762 |
|
2,715 |
2,249 |
$28K |
| 87077 |
|
4,849 |
3,597 |
$26K |
| 73130 |
|
634 |
532 |
$26K |
| 87798 |
|
413 |
375 |
$26K |
| 87040 |
|
4,780 |
2,713 |
$25K |
| 86780 |
|
2,861 |
2,280 |
$25K |
| 86787 |
|
2,800 |
2,211 |
$25K |
| 87186 |
|
4,070 |
3,027 |
$24K |
| 88305 |
|
1,027 |
567 |
$23K |
| 76642 |
|
669 |
550 |
$23K |
| 82947 |
|
9,848 |
5,464 |
$23K |
| 86696 |
|
1,605 |
1,335 |
$22K |
| 87807 |
|
1,864 |
1,645 |
$20K |
| 83735 |
|
5,980 |
4,397 |
$20K |
| 73502 |
|
708 |
637 |
$18K |
| 97140 |
|
2,199 |
551 |
$18K |
| 88175 |
|
1,001 |
841 |
$17K |
| 73562 |
|
515 |
457 |
$17K |
| 86592 |
|
5,352 |
4,531 |
$17K |
| 76770 |
|
361 |
305 |
$16K |
| 59050 |
|
475 |
381 |
$16K |
| 83690 |
|
4,337 |
3,486 |
$16K |
| 86695 |
|
1,611 |
1,338 |
$15K |
| 72148 |
|
175 |
157 |
$15K |
| 73560 |
|
473 |
382 |
$14K |
| 99213 |
|
490 |
321 |
$13K |
| 87660 |
|
1,055 |
873 |
$13K |
| 87480 |
|
1,055 |
873 |
$13K |
| 83605 |
|
2,667 |
2,121 |
$13K |
| 87510 |
|
1,055 |
873 |
$13K |
| 76819 |
|
142 |
86 |
$12K |
| 97016 |
|
1,955 |
423 |
$12K |
| 86140 |
|
3,129 |
2,537 |
$12K |
| 87624 |
|
522 |
431 |
$11K |
| 36902 |
|
15 |
12 |
$11K |
| 71260 |
|
150 |
136 |
$11K |
| 97014 |
|
1,289 |
323 |
$10K |
| 72125 |
|
333 |
277 |
$10K |
| 85027 |
|
2,284 |
1,855 |
$10K |
| 73721 |
|
84 |
75 |
$10K |
| 87340 |
|
1,203 |
1,019 |
$9K |
| 97161 |
|
254 |
214 |
$9K |
| 85610 |
|
4,131 |
3,327 |
$9K |
| 81420 |
|
27 |
26 |
$9K |
| 84153 |
|
989 |
853 |
$9K |
| 87081 |
|
1,679 |
1,498 |
$9K |
| 85730 |
|
2,678 |
2,229 |
$9K |
| A0427 |
Als1-emergency |
626 |
499 |
$8K |
| 97162 |
|
227 |
179 |
$8K |
| 81003 |
|
4,958 |
4,144 |
$8K |
| 93925 |
|
110 |
101 |
$8K |
| 82550 |
|
1,926 |
1,505 |
$7K |
| 77066 |
Tomosynthesis, mammo |
105 |
101 |
$7K |
| 93971 |
|
210 |
195 |
$7K |
| 81243 |
|
1,136 |
931 |
$7K |
| 82248 |
|
1,801 |
1,430 |
$6K |
| 36430 |
|
68 |
50 |
$6K |
| 87563 |
|
281 |
166 |
$6K |
| 87486 |
|
185 |
172 |
$6K |
| 87581 |
|
185 |
172 |
$6K |
| 84439 |
|
922 |
814 |
$6K |
| 86694 |
|
516 |
396 |
$6K |
| 80307 |
|
177 |
114 |
$5K |
| 72040 |
|
150 |
128 |
$5K |
| 87205 |
|
1,540 |
1,301 |
$5K |
| 73564 |
|
82 |
74 |
$5K |
| 77065 |
Tomosynthesis, mammo |
87 |
78 |
$5K |
| 85379 |
|
872 |
703 |
$4K |
| 93970 |
|
74 |
72 |
$4K |
| 82105 |
|
367 |
323 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,588 |
3,937 |
$4K |
| J0561 |
Penicillin g benzathine inj |
37 |
30 |
$4K |
| 76705 |
|
66 |
61 |
$4K |
| 71250 |
|
108 |
93 |
$4K |
| 71275 |
|
71 |
68 |
$4K |
| 73110 |
|
110 |
89 |
$4K |
| 97165 |
|
83 |
68 |
$4K |
| 76000 |
|
50 |
41 |
$4K |
| 87536 |
|
62 |
43 |
$3K |
| 84550 |
|
1,203 |
960 |
$3K |
| J7030 |
Normal saline solution infus |
1,759 |
758 |
$3K |
| 84703 |
|
468 |
382 |
$3K |
| 92523 |
|
18 |
15 |
$2K |
| 85652 |
|
1,335 |
1,082 |
$2K |
| M0243 |
Casirivi and imdevi inj |
20 |
17 |
$2K |
| 90471 |
|
84 |
73 |
$2K |
| 73590 |
|
57 |
41 |
$2K |
| 83615 |
|
435 |
317 |
$2K |
| 87430 |
|
122 |
119 |
$2K |
| 82570 |
|
484 |
389 |
$2K |
| 82150 |
|
420 |
361 |
$2K |
| 87420 |
|
127 |
123 |
$2K |
| A6196 |
Alginate dressing <=16 sq in |
306 |
177 |
$1K |
| 82553 |
|
178 |
122 |
$1K |
| 84100 |
|
708 |
487 |
$1K |
| 0202U |
|
372 |
322 |
$1K |
| 36600 |
|
31 |
25 |
$1K |
| 80197 |
|
211 |
137 |
$1K |
| 84156 |
|
483 |
390 |
$1K |
| 99214 |
|
63 |
55 |
$1K |
| P9016 |
Rbc leukocytes reduced |
14 |
12 |
$958.73 |
| 94762 |
|
39 |
30 |
$917.12 |
| 82607 |
|
113 |
98 |
$887.88 |
| 76536 |
|
17 |
12 |
$873.32 |
| 11045 |
|
382 |
187 |
$811.58 |
| 82803 |
|
65 |
38 |
$747.65 |
| 83540 |
|
175 |
153 |
$710.41 |
| 73090 |
|
16 |
13 |
$605.03 |
| 80143 |
|
74 |
51 |
$566.77 |
| 83550 |
|
88 |
81 |
$560.79 |
| 80179 |
|
74 |
50 |
$539.33 |
| 82728 |
|
69 |
64 |
$514.15 |
| 72170 |
|
13 |
12 |
$491.36 |
| A0429 |
Bls-emergency |
122 |
108 |
$460.60 |
| 73620 |
|
12 |
12 |
$367.22 |
| 85660 |
|
97 |
78 |
$365.67 |
| J1100 |
Dexamethasone sodium phos |
3,828 |
2,978 |
$340.62 |
| J2405 |
Ondansetron hcl injection |
5,951 |
4,099 |
$325.97 |
| C9113 |
Inj pantoprazole sodium, via |
1,196 |
825 |
$321.84 |
| 96366 |
|
24 |
12 |
$219.80 |
| 87899 |
|
24 |
15 |
$218.03 |
| G1004 |
Cdsm ndsc |
2,693 |
2,026 |
$185.40 |
| 84134 |
|
13 |
12 |
$175.68 |
| 82247 |
|
37 |
25 |
$172.31 |
| 80069 |
|
25 |
25 |
$165.82 |
| 87046 |
|
19 |
16 |
$152.53 |
| 87045 |
|
18 |
16 |
$152.53 |
| 82565 |
|
55 |
52 |
$140.57 |
| 85045 |
|
48 |
26 |
$130.72 |
| 81015 |
|
73 |
68 |
$125.86 |
| 84403 |
|
13 |
12 |
$116.38 |
| 84460 |
|
29 |
29 |
$104.94 |
| J1885 |
Ketorolac tromethamine inj |
4,387 |
3,478 |
$100.52 |
| 84450 |
|
29 |
29 |
$90.22 |
| 82465 |
|
31 |
26 |
$89.98 |
| A9579 |
Gad-base mr contrast nos,1ml |
18 |
13 |
$81.67 |
| J7040 |
Normal saline solution infus |
268 |
190 |
$81.32 |
| 82800 |
|
13 |
13 |
$49.60 |
| 87210 |
|
14 |
12 |
$47.37 |
| 82043 |
|
15 |
13 |
$46.38 |
| J3010 |
Fentanyl citrate injection |
3,708 |
2,879 |
$35.21 |
| 82270 |
|
18 |
13 |
$28.48 |
| J2250 |
Inj midazolam hydrochloride |
2,680 |
2,158 |
$15.00 |
| J2270 |
Morphine sulfate injection |
1,857 |
1,301 |
$8.89 |
| 77063 |
|
15 |
14 |
$6.20 |
| J0131 |
Inj, acetaminophen (nos) |
989 |
763 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,728 |
1,115 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
846 |
565 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
240 |
205 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
97 |
83 |
$0.00 |
| 77001 |
|
500 |
412 |
$0.00 |
| 36416 |
|
178 |
153 |
$0.00 |
| A0426 |
Als 1 |
34 |
27 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
74 |
51 |
$0.00 |
| A0428 |
Bls |
130 |
51 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
12 |
$0.00 |
| 96376 |
|
172 |
148 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
96 |
80 |
$0.00 |
| J1815 |
Insulin injection |
50 |
31 |
$0.00 |
| C1769 |
Guide wire |
18 |
14 |
$0.00 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
14 |
13 |
$0.00 |
| 90715 |
|
60 |
54 |
$0.00 |
| 84145 |
|
614 |
522 |
$0.00 |
| 81401 |
|
534 |
439 |
$0.00 |
| 76937 |
|
580 |
475 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
148 |
147 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
204 |
152 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
230 |
196 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
109 |
88 |
$0.00 |
| C1765 |
Adhesion barrier |
58 |
56 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
74 |
55 |
$0.00 |
| G8979 |
Mobility goal status |
153 |
99 |
$0.00 |
| G8978 |
Mobility current status |
21 |
15 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
208 |
106 |
$0.00 |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
230 |
194 |
$0.00 |
| G8985 |
Carry goal status |
39 |
26 |
$0.00 |
| J1956 |
Levofloxacin injection |
21 |
14 |
$0.00 |
| J1756 |
Iron sucrose injection |
33 |
12 |
$0.00 |
| G8984 |
Carry current status |
17 |
14 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
21 |
15 |
$0.00 |
| C1776 |
Joint device (implantable) |
15 |
13 |
$0.00 |