| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
23,617 |
22,824 |
$3.89M |
| 99283 |
|
17,776 |
17,135 |
$2.13M |
| 99285 |
|
6,692 |
6,489 |
$1.11M |
| G0378 |
Hospital observation per hr |
541 |
398 |
$379K |
| 80053 |
|
28,317 |
26,403 |
$288K |
| X0621 |
|
1,273 |
664 |
$272K |
| 80061 |
|
13,414 |
13,263 |
$191K |
| 87637 |
|
2,325 |
2,206 |
$179K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,962 |
1,903 |
$162K |
| 74177 |
|
1,143 |
1,126 |
$162K |
| 85025 |
|
26,720 |
24,267 |
$131K |
| 77067 |
|
1,528 |
1,525 |
$126K |
| 82306 |
|
2,736 |
2,708 |
$114K |
| 84443 |
|
4,697 |
4,612 |
$111K |
| 76830 |
|
2,395 |
2,380 |
$111K |
| 80050 |
|
2,305 |
2,269 |
$107K |
| 96374 |
|
4,671 |
4,375 |
$95K |
| 70450 |
|
1,161 |
1,120 |
$92K |
| 96413 |
|
793 |
488 |
$75K |
| 96361 |
|
2,548 |
2,340 |
$66K |
| 86003 |
|
299 |
295 |
$64K |
| 70553 |
|
245 |
245 |
$64K |
| 73721 |
|
231 |
223 |
$64K |
| 80307 |
|
985 |
948 |
$61K |
| 99282 |
|
1,220 |
1,208 |
$56K |
| T1015 |
Clinic service |
1,336 |
566 |
$54K |
| 93005 |
|
6,605 |
6,287 |
$52K |
| 71046 |
|
3,323 |
3,244 |
$49K |
| G0480 |
Drug test def 1-7 classes |
850 |
788 |
$48K |
| 93306 |
|
550 |
548 |
$47K |
| 72148 |
|
259 |
258 |
$45K |
| 76856 |
|
1,237 |
1,232 |
$43K |
| 87389 |
|
1,361 |
1,353 |
$41K |
| 74176 |
|
510 |
503 |
$39K |
| 96375 |
|
2,805 |
2,388 |
$39K |
| 86803 |
|
1,750 |
1,731 |
$35K |
| 70551 |
|
147 |
146 |
$35K |
| 96365 |
|
1,059 |
631 |
$34K |
| 77063 |
|
1,526 |
1,522 |
$33K |
| 94729 |
|
1,223 |
1,212 |
$33K |
| 76536 |
|
699 |
688 |
$33K |
| 71260 |
|
481 |
480 |
$32K |
| 76642 |
|
738 |
657 |
$32K |
| 83036 |
|
4,502 |
4,431 |
$31K |
| 72141 |
|
114 |
112 |
$28K |
| 77066 |
Tomosynthesis, mammo |
318 |
316 |
$28K |
| 80081 |
|
297 |
297 |
$26K |
| 76817 |
|
443 |
368 |
$24K |
| 77065 |
Tomosynthesis, mammo |
340 |
326 |
$23K |
| 84702 |
|
1,264 |
1,091 |
$22K |
| 94727 |
|
1,209 |
1,198 |
$21K |
| 73221 |
|
79 |
78 |
$21K |
| 71250 |
|
387 |
383 |
$20K |
| 93971 |
|
287 |
278 |
$19K |
| 99212 |
|
558 |
504 |
$18K |
| 85027 |
|
2,289 |
2,245 |
$17K |
| 78815 |
|
29 |
29 |
$17K |
| 87631 |
|
162 |
154 |
$17K |
| 84439 |
|
2,040 |
1,991 |
$17K |
| 86780 |
|
989 |
972 |
$16K |
| 84484 |
|
2,185 |
2,041 |
$16K |
| 76705 |
|
456 |
451 |
$16K |
| 86618 |
|
584 |
581 |
$14K |
| 450 |
Pov group 1 hd 301-450 lbs |
43 |
28 |
$14K |
| 36415 |
|
4,346 |
3,771 |
$14K |
| 84403 |
|
487 |
484 |
$14K |
| 80048 |
|
1,673 |
1,614 |
$14K |
| 84466 |
|
779 |
769 |
$14K |
| 96372 |
|
1,353 |
1,150 |
$13K |
| 82607 |
|
963 |
956 |
$13K |
| 71045 |
|
1,915 |
1,852 |
$13K |
| 84146 |
|
502 |
497 |
$13K |
| 82728 |
|
1,002 |
991 |
$12K |
| 81220 |
|
25 |
25 |
$12K |
| 72125 |
|
214 |
211 |
$11K |
| 93970 |
|
120 |
120 |
$11K |
| 76700 |
|
201 |
199 |
$11K |
| 94060 |
|
1,232 |
1,221 |
$11K |
| 82570 |
|
1,548 |
1,507 |
$11K |
| 86038 |
|
617 |
611 |
$10K |
| 82043 |
|
1,224 |
1,209 |
$10K |
| 83001 |
|
516 |
513 |
$9K |
| 83525 |
|
755 |
747 |
$9K |
| 84270 |
|
332 |
331 |
$9K |
| 73564 |
|
401 |
376 |
$9K |
| 87086 |
|
1,129 |
1,092 |
$9K |
| 87491 |
|
350 |
338 |
$8K |
| 87591 |
|
350 |
339 |
$8K |
| 81001 |
|
3,484 |
3,355 |
$8K |
| 83540 |
|
895 |
884 |
$8K |
| 83605 |
|
1,358 |
1,298 |
$8K |
| 96360 |
|
388 |
307 |
$8K |
| 87340 |
|
487 |
473 |
$7K |
| 85610 |
|
2,288 |
2,075 |
$7K |
| 84703 |
|
906 |
878 |
$7K |
| 83002 |
|
406 |
404 |
$7K |
| 82670 |
|
318 |
316 |
$7K |
| 84153 |
|
282 |
281 |
$7K |
| 83690 |
|
1,869 |
1,802 |
$7K |
| 86850 |
|
947 |
856 |
$7K |
| 73610 |
|
378 |
361 |
$7K |
| 82627 |
|
294 |
292 |
$7K |
| 77062 |
|
288 |
288 |
$6K |
| 86617 |
|
277 |
276 |
$6K |
| 86706 |
|
448 |
437 |
$6K |
| 87636 |
|
57 |
55 |
$6K |
| 70486 |
|
104 |
102 |
$6K |
| 72110 |
|
288 |
287 |
$6K |
| 82784 |
|
315 |
311 |
$6K |
| A9585 |
Gadobutrol injection |
201 |
181 |
$5K |
| 74246 |
|
123 |
122 |
$5K |
| 81003 |
|
1,793 |
1,751 |
$5K |
| 93017 |
|
164 |
162 |
$5K |
| 86480 |
|
66 |
66 |
$5K |
| 73630 |
|
449 |
429 |
$5K |
| 78452 |
|
46 |
44 |
$4K |
| 83735 |
|
910 |
798 |
$4K |
| 76770 |
|
95 |
92 |
$4K |
| 87635 |
|
132 |
127 |
$4K |
| 83970 |
|
112 |
109 |
$4K |
| 83021 |
|
188 |
187 |
$4K |
| 76815 |
|
93 |
82 |
$4K |
| 82746 |
|
309 |
308 |
$4K |
| 73030 |
|
259 |
249 |
$4K |
| J1756 |
Iron sucrose injection |
2,234 |
830 |
$4K |
| 64483 |
|
29 |
29 |
$4K |
| 86431 |
|
446 |
446 |
$4K |
| 84140 |
|
128 |
128 |
$4K |
| 77061 |
|
153 |
153 |
$3K |
| 86901 |
|
969 |
877 |
$3K |
| 86800 |
|
177 |
176 |
$3K |
| 86900 |
|
970 |
877 |
$3K |
| 84144 |
|
209 |
187 |
$3K |
| 85730 |
|
515 |
508 |
$3K |
| 73130 |
|
305 |
285 |
$3K |
| 83880 |
|
143 |
137 |
$3K |
| 82533 |
|
245 |
227 |
$3K |
| 84550 |
|
479 |
435 |
$3K |
| 83655 |
|
258 |
251 |
$3K |
| 11042 |
|
161 |
96 |
$3K |
| 85652 |
|
925 |
913 |
$3K |
| 96366 |
|
249 |
170 |
$3K |
| J7030 |
Normal saline solution infus |
6,860 |
5,749 |
$3K |
| 73110 |
|
249 |
240 |
$3K |
| 87536 |
|
26 |
26 |
$3K |
| 86235 |
|
142 |
141 |
$3K |
| 86200 |
|
175 |
175 |
$3K |
| 93226 |
|
63 |
63 |
$3K |
| 84460 |
|
331 |
330 |
$3K |
| 76819 |
|
48 |
32 |
$2K |
| 300 |
Patient transfer system <300 |
57 |
28 |
$2K |
| 82950 |
|
346 |
346 |
$2K |
| 77080 |
|
48 |
48 |
$2K |
| 93880 |
|
30 |
29 |
$2K |
| 87634 |
|
29 |
29 |
$2K |
| 73502 |
|
139 |
135 |
$2K |
| 74018 |
|
179 |
177 |
$2K |
| 86695 |
|
108 |
108 |
$2K |
| 80076 |
|
238 |
231 |
$2K |
| 84480 |
|
257 |
254 |
$2K |
| 59025 |
|
97 |
38 |
$2K |
| 72082 |
|
54 |
54 |
$2K |
| 86140 |
|
659 |
649 |
$2K |
| 83615 |
|
297 |
253 |
$2K |
| 86225 |
|
125 |
125 |
$2K |
| 87040 |
|
114 |
107 |
$2K |
| 96376 |
|
110 |
102 |
$2K |
| 86696 |
|
82 |
82 |
$2K |
| 82024 |
|
48 |
46 |
$2K |
| 76775 |
|
41 |
40 |
$2K |
| 85379 |
|
205 |
204 |
$2K |
| 86376 |
|
184 |
184 |
$2K |
| 86360 |
|
26 |
26 |
$2K |
| 82947 |
|
466 |
438 |
$2K |
| 84156 |
|
368 |
335 |
$2K |
| 72050 |
|
60 |
59 |
$1K |
| 93225 |
|
76 |
75 |
$1K |
| 85007 |
|
313 |
306 |
$1K |
| 86039 |
|
88 |
88 |
$1K |
| 84165 |
|
90 |
89 |
$1K |
| 87077 |
|
198 |
191 |
$1K |
| 84100 |
|
272 |
238 |
$1K |
| 82542 |
|
68 |
66 |
$1K |
| 86359 |
|
26 |
26 |
$1K |
| 87186 |
|
141 |
135 |
$1K |
| J2270 |
Morphine sulfate injection |
1,210 |
1,069 |
$990.24 |
| 86704 |
|
57 |
57 |
$967.35 |
| 87880 |
|
151 |
149 |
$891.72 |
| 80074 |
|
16 |
15 |
$863.00 |
| 82785 |
|
45 |
45 |
$853.21 |
| J2405 |
Ondansetron hcl injection |
3,309 |
3,020 |
$802.55 |
| J1885 |
Ketorolac tromethamine inj |
3,982 |
3,715 |
$787.08 |
| A9270 |
Non-covered item or service |
5,265 |
2,145 |
$776.16 |
| 73140 |
|
87 |
85 |
$724.93 |
| 82550 |
|
104 |
100 |
$705.58 |
| 98968 |
|
26 |
26 |
$694.96 |
| 86708 |
|
42 |
41 |
$656.06 |
| 82248 |
|
93 |
83 |
$623.68 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$598.78 |
| 99211 |
|
18 |
16 |
$570.00 |
| 93350 |
|
14 |
13 |
$568.61 |
| S9470 |
Nutritional counseling, diet |
38 |
38 |
$567.60 |
| 84432 |
|
26 |
25 |
$538.05 |
| 76882 |
|
76 |
72 |
$527.20 |
| 88305 |
|
108 |
107 |
$514.53 |
| 83516 |
|
12 |
12 |
$513.00 |
| 86769 |
|
27 |
27 |
$430.84 |
| 84481 |
|
16 |
16 |
$423.70 |
| 96523 |
|
29 |
26 |
$413.66 |
| J1100 |
Dexamethasone sodium phos |
1,559 |
1,270 |
$398.41 |
| 84450 |
|
58 |
58 |
$385.06 |
| 84378 |
|
28 |
27 |
$366.66 |
| J7120 |
Ringers lactate infusion |
931 |
849 |
$363.62 |
| 73590 |
|
25 |
25 |
$355.65 |
| 81025 |
|
160 |
157 |
$344.90 |
| J1170 |
Hydromorphone injection |
304 |
246 |
$318.23 |
| 90715 |
|
26 |
26 |
$312.95 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,318 |
2,111 |
$299.17 |
| 82150 |
|
56 |
56 |
$294.73 |
| 86255 |
|
13 |
13 |
$293.74 |
| 82948 |
|
214 |
184 |
$275.48 |
| 87804 |
|
14 |
12 |
$257.37 |
| J7050 |
Normal saline solution infus |
1,665 |
1,003 |
$243.29 |
| J1200 |
Diphenhydramine hcl injectio |
1,541 |
1,207 |
$225.37 |
| 73080 |
|
24 |
24 |
$224.00 |
| J2930 |
Methylprednisolone injection |
467 |
398 |
$222.53 |
| OP250 |
|
53 |
41 |
$206.25 |
| J2704 |
Inj, propofol, 10 mg |
171 |
137 |
$197.30 |
| 90471 |
|
27 |
26 |
$184.00 |
| J3010 |
Fentanyl citrate injection |
443 |
399 |
$159.93 |
| 96367 |
|
13 |
13 |
$134.67 |
| 85045 |
|
27 |
27 |
$128.70 |
| 87081 |
|
26 |
25 |
$126.34 |
| J2765 |
Metoclopramide hcl injection |
1,053 |
1,001 |
$119.03 |
| 95819 |
|
12 |
12 |
$101.65 |
| 85018 |
|
29 |
27 |
$80.53 |
| 82962 |
|
70 |
61 |
$70.88 |
| J2060 |
Lorazepam injection |
400 |
342 |
$65.31 |
| 85014 |
|
26 |
24 |
$57.15 |
| J7512 |
Prednisone ir or dr oral 1mg |
657 |
622 |
$51.99 |
| J2250 |
Inj midazolam hydrochloride |
151 |
139 |
$38.60 |
| J7040 |
Normal saline solution infus |
73 |
53 |
$28.74 |
| J7620 |
Albuterol ipratrop non-comp |
72 |
68 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| J3420 |
Vitamin b12 injection |
165 |
118 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
193 |
176 |
$0.00 |
| J0517 |
Inj., benralizumab, 1 mg |
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
100 |
95 |
$0.00 |
| J2469 |
Palonosetron hcl |
159 |
103 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
15 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
18 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
440 |
373 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
223 |
184 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
82 |
80 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
25 |
25 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
43 |
41 |
$0.00 |