| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
4,027 |
3,793 |
$3.52M |
| 99285 |
|
20,448 |
19,756 |
$2.99M |
| 99284 |
|
12,148 |
11,923 |
$1.65M |
| 99283 |
|
12,165 |
11,966 |
$1.41M |
| 74177 |
|
3,129 |
3,078 |
$371K |
| 96374 |
|
11,866 |
11,265 |
$213K |
| 87637 |
|
2,538 |
2,503 |
$208K |
| 0241U |
|
2,341 |
2,317 |
$154K |
| T1015 |
Clinic service |
3,095 |
1,408 |
$148K |
| 80053 |
|
18,203 |
16,699 |
$134K |
| 85025 |
|
29,952 |
26,988 |
$107K |
| 93005 |
|
15,499 |
14,715 |
$97K |
| 70450 |
|
2,146 |
2,084 |
$85K |
| 96375 |
|
6,804 |
6,055 |
$69K |
| 84484 |
|
9,220 |
8,324 |
$66K |
| 71275 |
|
577 |
561 |
$62K |
| 80307 |
|
1,521 |
1,405 |
$61K |
| 80048 |
|
11,493 |
10,454 |
$58K |
| U0003 |
Cov-19 amp prb hgh thruput |
993 |
950 |
$55K |
| 80050 |
|
1,184 |
1,148 |
$45K |
| 84443 |
|
2,202 |
2,153 |
$39K |
| 71046 |
|
3,669 |
3,601 |
$39K |
| 87636 |
|
473 |
471 |
$37K |
| 74176 |
|
652 |
636 |
$37K |
| 43239 |
|
312 |
309 |
$36K |
| 11042 |
|
497 |
295 |
$33K |
| 96361 |
|
3,544 |
3,295 |
$33K |
| 99282 |
|
392 |
389 |
$32K |
| 80061 |
|
2,507 |
2,465 |
$32K |
| 71045 |
|
5,885 |
5,672 |
$28K |
| 77067 |
|
317 |
315 |
$24K |
| 87806 |
|
1,110 |
1,097 |
$23K |
| 87502 |
|
304 |
299 |
$23K |
| 83690 |
|
7,343 |
6,989 |
$22K |
| 93306 |
|
535 |
525 |
$22K |
| 72148 |
|
169 |
169 |
$21K |
| 82306 |
|
649 |
640 |
$20K |
| 86803 |
|
1,319 |
1,304 |
$20K |
| 87491 |
|
810 |
802 |
$19K |
| 72125 |
|
409 |
400 |
$18K |
| 70496 |
|
192 |
191 |
$18K |
| 81025 |
|
6,720 |
6,483 |
$18K |
| 0002A |
|
403 |
401 |
$18K |
| 70498 |
|
197 |
195 |
$18K |
| 0001A |
|
419 |
416 |
$17K |
| 96365 |
|
1,331 |
1,164 |
$16K |
| 87591 |
|
740 |
733 |
$15K |
| 80299 |
|
665 |
636 |
$14K |
| 70551 |
|
119 |
119 |
$14K |
| 83735 |
|
3,370 |
2,820 |
$12K |
| 76856 |
|
305 |
301 |
$12K |
| 71260 |
|
168 |
166 |
$12K |
| 70553 |
|
52 |
51 |
$12K |
| 47562 |
|
13 |
13 |
$11K |
| 71250 |
|
220 |
219 |
$11K |
| 78452 |
|
154 |
151 |
$11K |
| 81001 |
|
6,087 |
5,896 |
$11K |
| 93971 |
|
222 |
220 |
$11K |
| 88175 |
|
295 |
295 |
$10K |
| 85027 |
|
1,724 |
1,632 |
$10K |
| 83036 |
|
1,693 |
1,671 |
$10K |
| 84702 |
|
616 |
485 |
$9K |
| 76705 |
|
348 |
341 |
$9K |
| 76830 |
|
252 |
249 |
$9K |
| 73721 |
|
41 |
40 |
$9K |
| 82607 |
|
694 |
686 |
$8K |
| 86780 |
|
506 |
503 |
$8K |
| 87086 |
|
1,261 |
1,204 |
$8K |
| 72141 |
|
42 |
42 |
$7K |
| 93970 |
|
128 |
123 |
$7K |
| 96360 |
|
455 |
430 |
$7K |
| 88342 |
|
353 |
343 |
$7K |
| G0476 |
Hpv combo assay ca screen |
156 |
156 |
$7K |
| 96372 |
|
1,444 |
1,023 |
$7K |
| 0100U |
|
185 |
181 |
$7K |
| 85379 |
|
1,052 |
1,019 |
$7K |
| 82728 |
|
629 |
615 |
$7K |
| 84439 |
|
845 |
822 |
$6K |
| 87661 |
|
211 |
209 |
$6K |
| 88305 |
|
764 |
695 |
$6K |
| 77063 |
|
297 |
295 |
$6K |
| 80076 |
|
1,000 |
941 |
$6K |
| 76801 |
|
172 |
155 |
$6K |
| 81003 |
|
2,675 |
2,604 |
$5K |
| 97110 |
|
679 |
241 |
$5K |
| 70486 |
|
97 |
97 |
$5K |
| 87040 |
|
551 |
519 |
$5K |
| 83880 |
|
421 |
397 |
$5K |
| 76536 |
|
108 |
107 |
$5K |
| U0005 |
Infec agen detec ampli probe |
350 |
341 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
31 |
30 |
$5K |
| 87340 |
|
295 |
294 |
$4K |
| 84153 |
|
167 |
166 |
$4K |
| 73610 |
|
329 |
320 |
$4K |
| 83605 |
|
1,256 |
1,028 |
$4K |
| 87389 |
|
165 |
162 |
$4K |
| 86850 |
|
791 |
760 |
$4K |
| 97162 |
|
594 |
560 |
$4K |
| 83970 |
|
96 |
95 |
$4K |
| 76642 |
|
92 |
87 |
$4K |
| 85610 |
|
1,777 |
1,480 |
$4K |
| 96376 |
|
2,111 |
1,421 |
$4K |
| 84999 |
|
1,139 |
1,031 |
$4K |
| 83540 |
|
494 |
486 |
$4K |
| 87077 |
|
623 |
585 |
$4K |
| 87633 |
|
13 |
12 |
$3K |
| 93017 |
|
190 |
186 |
$3K |
| 73630 |
|
407 |
383 |
$3K |
| 82570 |
|
487 |
477 |
$3K |
| 96366 |
|
547 |
369 |
$3K |
| 73564 |
|
219 |
211 |
$3K |
| 73130 |
|
307 |
271 |
$3K |
| 36415 |
|
8,918 |
7,655 |
$3K |
| 86762 |
|
138 |
137 |
$3K |
| 73030 |
|
258 |
246 |
$3K |
| 85730 |
|
981 |
900 |
$3K |
| 76817 |
|
71 |
67 |
$3K |
| J3490 |
Drugs unclassified injection |
3,644 |
2,892 |
$3K |
| 82043 |
|
362 |
359 |
$3K |
| 82746 |
|
288 |
285 |
$3K |
| 72100 |
|
167 |
165 |
$3K |
| 86787 |
|
132 |
129 |
$3K |
| J7030 |
Normal saline solution infus |
11,766 |
8,848 |
$3K |
| 94640 |
|
523 |
270 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
75 |
74 |
$2K |
| 82805 |
|
209 |
197 |
$2K |
| 0202U |
|
21 |
21 |
$2K |
| 87186 |
|
456 |
436 |
$2K |
| 97140 |
|
284 |
100 |
$2K |
| 86900 |
|
876 |
844 |
$2K |
| J2785 |
Regadenoson injection |
78 |
69 |
$2K |
| 86901 |
|
858 |
826 |
$2K |
| 86038 |
|
129 |
127 |
$2K |
| 77065 |
Tomosynthesis, mammo |
32 |
30 |
$2K |
| 87081 |
|
413 |
408 |
$2K |
| 76700 |
|
30 |
30 |
$2K |
| 97161 |
|
52 |
52 |
$2K |
| 87075 |
|
233 |
205 |
$2K |
| 90715 |
|
277 |
259 |
$2K |
| 83550 |
|
390 |
385 |
$2K |
| 87631 |
|
18 |
17 |
$2K |
| 73502 |
|
137 |
130 |
$2K |
| 72131 |
|
36 |
33 |
$2K |
| 82565 |
|
351 |
340 |
$2K |
| 87880 |
|
330 |
326 |
$1K |
| 85652 |
|
569 |
539 |
$1K |
| 82784 |
|
66 |
65 |
$1K |
| 94729 |
|
63 |
63 |
$1K |
| 84100 |
|
402 |
291 |
$1K |
| 12001 |
|
25 |
24 |
$1K |
| 86140 |
|
522 |
484 |
$1K |
| 87802 |
|
115 |
114 |
$1K |
| 82962 |
|
2,108 |
1,260 |
$1K |
| 73110 |
|
141 |
134 |
$1K |
| 82248 |
|
177 |
154 |
$1K |
| 97164 |
|
38 |
37 |
$1K |
| 80320 |
|
136 |
125 |
$1K |
| 87070 |
|
261 |
233 |
$1K |
| 86618 |
|
48 |
47 |
$1K |
| 94726 |
|
49 |
49 |
$1K |
| 84550 |
|
204 |
178 |
$992.47 |
| 0003A |
|
38 |
38 |
$992.00 |
| 82550 |
|
238 |
211 |
$937.72 |
| 84466 |
|
55 |
54 |
$927.58 |
| 87798 |
|
31 |
30 |
$921.11 |
| 88313 |
|
41 |
40 |
$847.90 |
| 87205 |
|
304 |
269 |
$836.77 |
| 83615 |
|
153 |
119 |
$783.25 |
| 86706 |
|
48 |
47 |
$684.30 |
| 87481 |
|
16 |
16 |
$682.25 |
| 82950 |
|
92 |
92 |
$678.15 |
| 99281 |
|
14 |
13 |
$676.40 |
| 72040 |
|
42 |
42 |
$597.16 |
| 97166 |
|
319 |
296 |
$587.63 |
| 73560 |
|
56 |
51 |
$571.89 |
| 80329 |
|
98 |
92 |
$568.20 |
| 74018 |
|
63 |
60 |
$536.77 |
| J2270 |
Morphine sulfate injection |
2,643 |
1,634 |
$495.01 |
| 86592 |
|
123 |
123 |
$492.05 |
| J2704 |
Inj, propofol, 10 mg |
3,362 |
2,595 |
$474.46 |
| 80074 |
|
12 |
12 |
$458.42 |
| J1815 |
Insulin injection |
826 |
492 |
$450.97 |
| 90471 |
|
82 |
79 |
$447.70 |
| 87804 |
|
18 |
14 |
$398.45 |
| 84703 |
|
50 |
50 |
$395.86 |
| 84156 |
|
94 |
87 |
$354.67 |
| J1885 |
Ketorolac tromethamine inj |
9,134 |
5,075 |
$350.65 |
| 84481 |
|
12 |
12 |
$332.97 |
| J7120 |
Ringers lactate infusion |
3,658 |
2,979 |
$300.17 |
| 87486 |
|
13 |
12 |
$297.88 |
| 80069 |
|
42 |
37 |
$295.93 |
| J2710 |
Neostigmine methylslfte inj |
413 |
340 |
$245.68 |
| 82947 |
|
73 |
73 |
$234.50 |
| 87651 |
|
104 |
103 |
$233.29 |
| 86255 |
|
12 |
12 |
$231.76 |
| A9500 |
Tc99m sestamibi |
134 |
130 |
$227.37 |
| 82105 |
|
13 |
13 |
$225.70 |
| J3475 |
Inj magnesium sulfate |
573 |
451 |
$215.96 |
| 82977 |
|
28 |
25 |
$213.87 |
| 93320 |
|
12 |
12 |
$204.68 |
| 84145 |
|
60 |
58 |
$203.10 |
| J0780 |
Prochlorperazine injection |
549 |
424 |
$200.30 |
| 93325 |
|
12 |
12 |
$183.22 |
| 84460 |
|
26 |
26 |
$180.75 |
| J2930 |
Methylprednisolone injection |
340 |
287 |
$172.64 |
| C9113 |
Inj pantoprazole sodium, via |
969 |
529 |
$158.66 |
| J0696 |
Ceftriaxone sodium injection |
1,319 |
933 |
$155.90 |
| 84450 |
|
25 |
25 |
$151.08 |
| J2405 |
Ondansetron hcl injection |
6,952 |
5,273 |
$140.76 |
| 76937 |
|
29 |
28 |
$130.54 |
| J1170 |
Hydromorphone injection |
655 |
414 |
$128.81 |
| 88304 |
|
125 |
125 |
$127.08 |
| 86430 |
|
14 |
14 |
$117.42 |
| J3010 |
Fentanyl citrate injection |
2,619 |
2,060 |
$108.30 |
| J1100 |
Dexamethasone sodium phos |
2,301 |
1,913 |
$100.60 |
| 83516 |
|
32 |
31 |
$99.85 |
| 94060 |
|
14 |
14 |
$97.35 |
| 95819 |
|
16 |
16 |
$96.66 |
| 82553 |
|
13 |
12 |
$93.20 |
| J3370 |
Vancomycin hcl injection |
328 |
180 |
$92.28 |
| J1650 |
Inj enoxaparin sodium |
434 |
219 |
$83.82 |
| J0690 |
Cefazolin sodium injection |
1,612 |
1,243 |
$76.32 |
| 86308 |
|
12 |
12 |
$70.14 |
| J1644 |
Inj heparin sodium per 1000u |
2,100 |
936 |
$67.67 |
| J1200 |
Diphenhydramine hcl injectio |
1,576 |
1,276 |
$63.26 |
| 82140 |
|
18 |
13 |
$47.00 |
| J7040 |
Normal saline solution infus |
799 |
591 |
$44.84 |
| J2060 |
Lorazepam injection |
410 |
284 |
$41.51 |
| J3480 |
Inj potassium chloride |
149 |
72 |
$34.13 |
| 94760 |
|
82 |
70 |
$32.39 |
| C1769 |
Guide wire |
87 |
76 |
$29.01 |
| J2765 |
Metoclopramide hcl injection |
315 |
250 |
$28.79 |
| J2250 |
Inj midazolam hydrochloride |
2,545 |
2,161 |
$22.35 |
| 81002 |
|
12 |
12 |
$21.59 |
| G0463 |
Hospital outpt clinic visit |
59 |
51 |
$21.07 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
296 |
271 |
$19.27 |
| J2360 |
Orphenadrine injection |
54 |
44 |
$18.03 |
| S0030 |
Injection, metronidazole |
192 |
95 |
$12.12 |
| J7999 |
Compounded drug, noc |
319 |
285 |
$10.94 |
| J2370 |
Phenylephrine hcl injection |
213 |
189 |
$9.36 |
| J7060 |
5% dextrose/water |
84 |
53 |
$7.78 |
| A9270 |
Non-covered item or service |
34,101 |
13,138 |
$7.58 |
| J7050 |
Normal saline solution infus |
132 |
89 |
$6.25 |
| J2001 |
Lidocaine injection |
2,598 |
2,272 |
$5.91 |
| 94761 |
|
14 |
13 |
$5.33 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
123 |
105 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,189 |
2,798 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
133 |
68 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
68 |
65 |
$0.00 |
| 97116 |
|
18 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
241 |
197 |
$0.00 |
| J1940 |
Furosemide injection |
16 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
19 |
18 |
$0.00 |