| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
8,498 |
7,327 |
$2.65M |
| 99285 |
|
4,993 |
4,364 |
$2.29M |
| G0463 |
Hospital outpt clinic visit |
101,187 |
78,078 |
$1.98M |
| 87536 |
|
8,265 |
7,545 |
$1.83M |
| G0378 |
Hospital observation per hr |
4,624 |
3,998 |
$1.66M |
| 66984 |
|
1,149 |
994 |
$859K |
| 99283 |
|
5,153 |
4,429 |
$810K |
| P9016 |
Rbc leukocytes reduced |
1,668 |
1,369 |
$741K |
| 99211 |
|
8,214 |
5,845 |
$609K |
| 36512 |
|
1,198 |
1,000 |
$609K |
| 96413 |
|
5,583 |
3,384 |
$482K |
| 80053 |
|
44,771 |
31,019 |
$364K |
| 99281 |
|
5,536 |
3,975 |
$265K |
| 74177 |
|
2,884 |
2,727 |
$256K |
| J2794 |
Inj risperdal consta, 0.5 mg |
1,194 |
554 |
$228K |
| 97110 |
|
6,137 |
2,628 |
$210K |
| 93306 |
|
1,894 |
1,783 |
$192K |
| 96365 |
|
3,190 |
1,982 |
$181K |
| 99282 |
|
1,789 |
1,458 |
$163K |
| 90832 |
|
5,360 |
4,264 |
$144K |
| 99212 |
|
777 |
472 |
$136K |
| 96361 |
|
1,508 |
893 |
$127K |
| 90834 |
|
3,192 |
2,622 |
$113K |
| 36430 |
|
512 |
266 |
$107K |
| 85025 |
|
41,237 |
29,510 |
$107K |
| 96374 |
|
1,963 |
1,410 |
$103K |
| 71046 |
|
5,163 |
4,568 |
$94K |
| 88305 |
|
4,076 |
3,535 |
$90K |
| 71260 |
|
1,900 |
1,804 |
$88K |
| 70553 |
|
554 |
489 |
$87K |
| 93971 |
|
630 |
572 |
$85K |
| 87901 |
|
173 |
159 |
$84K |
| 71275 |
|
1,274 |
1,187 |
$80K |
| 71250 |
|
1,361 |
1,260 |
$80K |
| 90837 |
|
1,578 |
1,128 |
$71K |
| 87086 |
|
3,831 |
3,284 |
$70K |
| 96372 |
|
7,407 |
4,868 |
$70K |
| 70450 |
|
2,510 |
2,238 |
$62K |
| 36415 |
|
29,102 |
22,871 |
$57K |
| 94010 |
|
567 |
431 |
$56K |
| 43239 |
|
93 |
83 |
$56K |
| 87070 |
|
1,581 |
1,254 |
$53K |
| 97161 |
|
800 |
730 |
$51K |
| 36591 |
|
851 |
594 |
$50K |
| 87491 |
|
2,336 |
2,040 |
$47K |
| 76705 |
|
417 |
387 |
$47K |
| 87340 |
|
1,066 |
941 |
$46K |
| 80048 |
|
6,150 |
4,696 |
$46K |
| 97530 |
|
1,152 |
490 |
$45K |
| 87522 |
Neg quan hep c or qual rna |
692 |
625 |
$38K |
| 71045 |
|
3,256 |
2,891 |
$36K |
| 86359 |
|
2,316 |
2,162 |
$34K |
| 93005 |
|
1,969 |
1,830 |
$32K |
| 96415 |
|
1,044 |
789 |
$32K |
| 93922 |
|
183 |
174 |
$27K |
| 82803 |
|
1,798 |
1,212 |
$25K |
| J1200 |
Diphenhydramine hcl injectio |
2,531 |
1,758 |
$24K |
| 81001 |
|
12,154 |
10,147 |
$23K |
| 86850 |
|
6,094 |
4,357 |
$22K |
| 99213 |
|
63 |
30 |
$21K |
| 72125 |
|
436 |
386 |
$21K |
| 97162 |
|
306 |
265 |
$20K |
| C1769 |
Guide wire |
1,630 |
1,533 |
$20K |
| 96375 |
|
4,234 |
2,439 |
$19K |
| 97597 |
|
191 |
80 |
$19K |
| 86922 |
|
1,276 |
931 |
$18K |
| 73030 |
|
415 |
371 |
$17K |
| 80307 |
|
3,531 |
3,184 |
$17K |
| 87389 |
|
2,484 |
2,320 |
$17K |
| 86902 |
|
150 |
75 |
$17K |
| C9399 |
Unclassified drugs or biolog |
318 |
273 |
$17K |
| 78815 |
|
28 |
24 |
$15K |
| V2632 |
Post chmbr intraocular lens |
1,497 |
1,321 |
$14K |
| 84484 |
|
9,749 |
5,566 |
$14K |
| 92083 |
|
285 |
257 |
$13K |
| 85027 |
|
6,354 |
4,942 |
$13K |
| 45385 |
|
43 |
41 |
$13K |
| 87637 |
|
2,115 |
1,950 |
$13K |
| 52000 |
|
47 |
42 |
$12K |
| G0108 |
Diab manage trn per indiv |
210 |
190 |
$12K |
| 74176 |
|
240 |
197 |
$12K |
| 73630 |
|
381 |
334 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,686 |
2,400 |
$12K |
| 87077 |
|
1,167 |
959 |
$12K |
| 83036 |
|
5,011 |
4,761 |
$11K |
| J3535 |
Metered dose inhaler drug |
486 |
432 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
10,767 |
6,879 |
$11K |
| 97140 |
|
1,578 |
731 |
$11K |
| 87497 |
|
46 |
28 |
$10K |
| J3490 |
Drugs unclassified injection |
8,681 |
5,272 |
$10K |
| J7120 |
Ringers lactate infusion |
8,580 |
6,755 |
$10K |
| 92557 |
|
320 |
296 |
$10K |
| 90714 |
|
377 |
314 |
$10K |
| 72082 |
|
38 |
24 |
$10K |
| 96402 |
|
281 |
248 |
$10K |
| 73560 |
|
362 |
320 |
$10K |
| 96367 |
|
760 |
495 |
$9K |
| 90686 |
|
2,740 |
2,534 |
$9K |
| 92567 |
|
138 |
125 |
$9K |
| 93017 |
|
266 |
234 |
$9K |
| 90670 |
|
121 |
109 |
$9K |
| 86140 |
|
2,066 |
1,726 |
$9K |
| 87631 |
|
514 |
476 |
$8K |
| P9040 |
Rbc leukoreduced irradiated |
22 |
13 |
$8K |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$8K |
| 76816 |
|
22 |
13 |
$8K |
| 87799 |
|
288 |
240 |
$8K |
| 77065 |
Tomosynthesis, mammo |
27 |
26 |
$7K |
| 93970 |
|
40 |
38 |
$7K |
| 80061 |
|
4,239 |
4,033 |
$7K |
| 86147 |
|
160 |
141 |
$7K |
| 96401 |
|
243 |
120 |
$7K |
| 73130 |
|
174 |
146 |
$7K |
| J7030 |
Normal saline solution infus |
7,595 |
5,393 |
$6K |
| 97112 |
|
655 |
257 |
$6K |
| 92133 |
|
195 |
184 |
$6K |
| 92012 |
|
217 |
191 |
$6K |
| J7040 |
Normal saline solution infus |
13,452 |
7,973 |
$6K |
| 90732 |
|
175 |
148 |
$6K |
| 83021 |
|
2,176 |
1,478 |
$6K |
| A9270 |
Non-covered item or service |
58,230 |
17,184 |
$6K |
| 83880 |
|
4,266 |
3,787 |
$5K |
| 83605 |
|
4,627 |
3,475 |
$5K |
| 74183 |
|
15 |
13 |
$5K |
| 82306 |
|
2,650 |
2,547 |
$5K |
| J0171 |
Adrenalin epinephrine inject |
1,997 |
1,725 |
$4K |
| 82728 |
|
2,531 |
2,315 |
$4K |
| 90677 |
|
187 |
177 |
$4K |
| 97165 |
|
78 |
71 |
$4K |
| 90662 |
|
1,051 |
990 |
$4K |
| 90734 |
|
99 |
91 |
$4K |
| 88307 |
|
139 |
63 |
$4K |
| J2001 |
Lidocaine injection |
11,384 |
8,821 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
4,261 |
2,483 |
$4K |
| J2405 |
Ondansetron hcl injection |
10,170 |
7,705 |
$4K |
| 76377 |
|
304 |
266 |
$4K |
| 86923 |
|
998 |
666 |
$4K |
| 87040 |
|
194 |
106 |
$4K |
| 73502 |
|
77 |
67 |
$3K |
| 85046 |
|
3,255 |
1,990 |
$3K |
| 73110 |
|
49 |
44 |
$3K |
| J1170 |
Hydromorphone injection |
3,059 |
1,615 |
$3K |
| 82105 |
|
238 |
202 |
$3K |
| 87591 |
|
2,200 |
1,959 |
$3K |
| 74018 |
|
26 |
18 |
$3K |
| 86780 |
|
1,855 |
1,775 |
$3K |
| 84439 |
|
2,140 |
1,984 |
$3K |
| 73610 |
|
69 |
54 |
$2K |
| 84702 |
|
1,628 |
1,454 |
$2K |
| 87624 |
|
62 |
52 |
$2K |
| 86706 |
|
579 |
519 |
$2K |
| J3010 |
Fentanyl citrate injection |
9,041 |
7,178 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
27 |
27 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,225 |
2,663 |
$2K |
| 85610 |
|
6,501 |
5,577 |
$2K |
| 67028 |
|
15 |
12 |
$2K |
| 91320 |
|
208 |
202 |
$2K |
| J7042 |
5% dextrose/normal saline |
445 |
326 |
$2K |
| 87081 |
|
84 |
65 |
$2K |
| 87632 |
|
54 |
46 |
$2K |
| 88142 |
|
51 |
38 |
$2K |
| J1815 |
Insulin injection |
1,080 |
612 |
$2K |
| G8978 |
Mobility current status |
445 |
412 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
640 |
547 |
$2K |
| 45380 |
|
36 |
32 |
$2K |
| J1631 |
Haloperidol decanoate inj |
1,238 |
801 |
$2K |
| 84153 |
|
1,069 |
998 |
$2K |
| 84443 |
|
4,698 |
4,430 |
$1K |
| 93350 |
|
16 |
13 |
$1K |
| 86901 |
|
5,818 |
4,226 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
3,600 |
2,735 |
$1K |
| 93325 |
|
97 |
63 |
$1K |
| 96366 |
|
720 |
438 |
$1K |
| J2270 |
Morphine sulfate injection |
705 |
489 |
$1K |
| 80197 |
|
2,379 |
1,655 |
$1K |
| J1100 |
Dexamethasone sodium phos |
5,274 |
3,984 |
$1K |
| 86803 |
|
671 |
632 |
$1K |
| 83735 |
|
9,136 |
6,011 |
$1K |
| J7799 |
Non-inhalation drug for dme |
600 |
366 |
$1K |
| 84703 |
|
816 |
715 |
$1K |
| 85730 |
|
2,855 |
2,464 |
$989.45 |
| Q0144 |
Azithromycin dihydrate, oral |
93 |
85 |
$889.78 |
| J0330 |
Succinycholine chloride inj |
448 |
369 |
$876.52 |
| J3301 |
Triamcinolone acet inj nos |
753 |
702 |
$852.83 |
| 88112 |
|
29 |
26 |
$814.00 |
| 86481 |
|
208 |
197 |
$796.71 |
| 76770 |
|
14 |
14 |
$785.97 |
| 83690 |
|
3,921 |
3,504 |
$785.56 |
| J7070 |
D5w infusion |
3,176 |
1,385 |
$769.41 |
| 86900 |
|
5,845 |
4,230 |
$733.89 |
| J1650 |
Inj enoxaparin sodium |
310 |
179 |
$733.88 |
| J3475 |
Inj magnesium sulfate |
531 |
413 |
$724.22 |
| 76000 |
|
15 |
13 |
$708.84 |
| 82784 |
|
1,195 |
992 |
$703.06 |
| 91200 |
|
20 |
16 |
$702.46 |
| 82607 |
|
587 |
564 |
$698.87 |
| 87633 |
|
15 |
14 |
$640.78 |
| 97116 |
|
116 |
42 |
$624.12 |
| G0480 |
Drug test def 1-7 classes |
1,992 |
1,734 |
$576.91 |
| J1940 |
Furosemide injection |
505 |
242 |
$565.32 |
| J2710 |
Neostigmine methylslfte inj |
22 |
12 |
$537.38 |
| 87205 |
|
452 |
404 |
$506.56 |
| 86704 |
|
60 |
54 |
$496.79 |
| J2930 |
Methylprednisolone injection |
138 |
81 |
$490.21 |
| J2250 |
Inj midazolam hydrochloride |
4,830 |
4,328 |
$487.69 |
| 82570 |
|
2,262 |
2,115 |
$474.97 |
| 76642 |
|
26 |
26 |
$457.46 |
| G8987 |
Self care current status |
82 |
64 |
$443.03 |
| 86361 |
|
2,072 |
2,011 |
$426.47 |
| 82043 |
|
1,331 |
1,292 |
$401.05 |
| J7050 |
Normal saline solution infus |
2,448 |
1,570 |
$394.59 |
| 90739 |
|
29 |
28 |
$392.68 |
| 86593 |
|
16 |
12 |
$391.52 |
| G0008 |
Admin influenza virus vac |
56 |
50 |
$383.11 |
| J2765 |
Metoclopramide hcl injection |
471 |
403 |
$373.83 |
| J2370 |
Phenylephrine hcl injection |
1,895 |
1,700 |
$349.39 |
| 88185 |
|
20 |
19 |
$346.73 |
| 87661 |
|
859 |
772 |
$330.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
771 |
510 |
$321.73 |
| Q0163 |
Diphenhydramine hcl 50mg |
3,723 |
2,550 |
$321.14 |
| J1030 |
Methylprednisolone 40 mg inj |
116 |
99 |
$309.30 |
| 82550 |
|
1,556 |
1,381 |
$299.12 |
| 85652 |
|
2,084 |
1,952 |
$291.48 |
| 90480 |
|
28 |
28 |
$272.87 |
| U0005 |
Infec agen detec ampli probe |
1,161 |
1,047 |
$272.37 |
| Q0162 |
Ondansetron oral |
2,507 |
1,779 |
$260.43 |
| 84132 |
|
2,741 |
2,224 |
$253.74 |
| 87186 |
|
630 |
532 |
$238.67 |
| J3370 |
Vancomycin hcl injection |
35 |
26 |
$225.63 |
| 94727 |
|
43 |
41 |
$220.04 |
| 94729 |
|
33 |
33 |
$212.45 |
| 85613 |
|
137 |
131 |
$206.20 |
| 87651 |
|
12 |
12 |
$195.93 |
| 98966 |
|
54 |
44 |
$183.92 |
| 83540 |
|
1,879 |
1,804 |
$180.24 |
| 85379 |
|
876 |
825 |
$179.73 |
| 84100 |
|
4,657 |
3,237 |
$172.01 |
| J1642 |
Inj heparin sodium per 10 u |
1,176 |
757 |
$159.70 |
| 84156 |
|
2,183 |
2,050 |
$145.73 |
| 86160 |
|
299 |
291 |
$138.01 |
| 85660 |
|
501 |
308 |
$135.96 |
| 84466 |
|
1,871 |
1,793 |
$131.83 |
| 87502 |
|
37 |
35 |
$130.19 |
| 82077 |
|
212 |
196 |
$122.15 |
| 83970 |
|
976 |
874 |
$121.76 |
| 85018 |
|
33 |
24 |
$102.33 |
| 87635 |
|
300 |
271 |
$98.67 |
| A9500 |
Tc99m sestamibi |
25 |
25 |
$94.31 |
| J2060 |
Lorazepam injection |
217 |
135 |
$92.66 |
| 87660 |
|
26 |
26 |
$85.37 |
| 98968 |
|
13 |
12 |
$80.21 |
| J2680 |
Fluphenazine decanoate 25 mg |
185 |
96 |
$79.40 |
| 84165 |
|
806 |
652 |
$64.01 |
| 90653 |
|
15 |
15 |
$62.22 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$61.76 |
| 83521 |
|
656 |
504 |
$45.29 |
| 86225 |
|
184 |
182 |
$41.41 |
| 82565 |
|
303 |
253 |
$37.69 |
| 83883 |
|
142 |
131 |
$32.84 |
| J2550 |
Promethazine hcl injection |
162 |
129 |
$29.68 |
| 83615 |
|
471 |
374 |
$23.42 |
| J7510 |
Prednisolone oral per 5 mg |
19 |
14 |
$20.49 |
| 88313 |
|
12 |
12 |
$19.84 |
| 84295 |
|
467 |
382 |
$19.08 |
| 84550 |
|
1,164 |
1,018 |
$18.98 |
| 80164 |
|
14 |
12 |
$12.22 |
| 82465 |
|
77 |
76 |
$7.80 |
| C1894 |
Intro/sheath, non-laser |
892 |
845 |
$2.70 |
| G8979 |
Mobility goal status |
441 |
424 |
$0.03 |
| G8985 |
Carry goal status |
30 |
26 |
$0.01 |
| G8984 |
Carry current status |
16 |
14 |
$0.01 |
| G0279 |
Tomosynthesis, mammo |
14 |
14 |
$0.00 |
| G1012 |
Cdsm agilemd |
3,420 |
2,586 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
476 |
441 |
$0.00 |
| 96417 |
|
1,332 |
839 |
$0.00 |
| 84403 |
|
16 |
15 |
$0.00 |
| 0054A |
|
85 |
85 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
16 |
12 |
$0.00 |
| 86334 |
|
12 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
79 |
74 |
$0.00 |
| 82248 |
|
12 |
12 |
$0.00 |
| A9552 |
F18 fdg |
53 |
49 |
$0.00 |
| 0002A |
|
60 |
53 |
$0.00 |
| A4649 |
Surgical supplies |
29 |
26 |
$0.00 |
| J1453 |
Fosaprepitant injection |
20 |
12 |
$0.00 |
| 93356 |
|
25 |
24 |
$0.00 |
| 87075 |
|
32 |
24 |
$0.00 |
| 82542 |
|
56 |
55 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
30 |
30 |
$0.00 |
| 90853 |
|
75 |
25 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
28 |
13 |
$0.00 |
| 88173 |
|
13 |
12 |
$0.00 |
| G8990 |
Other pt/ot current status |
15 |
14 |
$0.00 |
| 84154 |
|
12 |
12 |
$0.00 |
| 86769 |
|
52 |
51 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
81 |
73 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
203 |
132 |
$0.00 |
| 88342 |
|
306 |
280 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
403 |
392 |
$0.00 |
| 87430 |
|
12 |
12 |
$0.00 |
| 88184 |
|
21 |
20 |
$0.00 |
| 80220 |
|
14 |
14 |
$0.00 |
| G8988 |
Self care goal status |
47 |
40 |
$0.00 |
| 96376 |
|
56 |
42 |
$0.00 |
| 0001A |
|
111 |
107 |
$0.00 |
| 80069 |
|
13 |
13 |
$0.00 |
| 90656 |
|
144 |
144 |
$0.00 |
| 36000 |
|
13 |
12 |
$0.00 |
| 88341 |
|
12 |
12 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
16 |
13 |
$0.00 |
| 82378 |
|
13 |
13 |
$0.00 |
| 86255 |
|
17 |
16 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
48 |
40 |
$0.00 |
| G8991 |
Other pt/ot goal status |
16 |
14 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |