| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
28,652 |
24,447 |
$4.13M |
| 99284 |
|
21,362 |
17,437 |
$2.69M |
| 96361 |
|
8,843 |
6,305 |
$1.99M |
| 99285 |
|
10,343 |
8,320 |
$1.34M |
| 99282 |
|
8,824 |
7,853 |
$1.12M |
| 43239 |
|
2,494 |
2,147 |
$1.08M |
| 93306 |
|
3,994 |
3,437 |
$909K |
| 70450 |
|
5,995 |
4,845 |
$819K |
| 74177 |
|
4,214 |
3,638 |
$807K |
| 97110 |
|
15,612 |
3,991 |
$607K |
| 78452 |
|
1,681 |
1,382 |
$601K |
| 45380 |
|
1,191 |
1,050 |
$558K |
| 74176 |
|
3,532 |
3,002 |
$525K |
| 96365 |
|
4,372 |
2,867 |
$419K |
| 96360 |
|
2,404 |
2,076 |
$290K |
| G0378 |
Hospital observation per hr |
1,492 |
1,133 |
$286K |
| 45378 |
|
399 |
368 |
$282K |
| 0240U |
|
4,415 |
4,081 |
$263K |
| 80307 |
|
6,100 |
5,170 |
$251K |
| 43249 |
|
402 |
360 |
$188K |
| 45385 |
|
419 |
382 |
$184K |
| 59025 |
|
912 |
645 |
$175K |
| 71275 |
|
743 |
668 |
$169K |
| 94640 |
|
4,683 |
2,312 |
$160K |
| 93017 |
|
1,578 |
1,424 |
$154K |
| 90834 |
|
2,786 |
1,609 |
$153K |
| 80053 |
|
36,157 |
28,163 |
$134K |
| 76705 |
|
1,531 |
1,371 |
$134K |
| 71046 |
|
6,795 |
5,884 |
$133K |
| 97530 |
|
4,446 |
1,689 |
$126K |
| 0241U |
|
1,744 |
1,652 |
$116K |
| 76856 |
|
1,220 |
1,116 |
$115K |
| 96366 |
|
607 |
361 |
$106K |
| 77063 |
|
2,388 |
2,309 |
$87K |
| 97112 |
|
4,970 |
1,639 |
$84K |
| 97161 |
|
1,052 |
941 |
$82K |
| 97162 |
|
621 |
544 |
$77K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,224 |
2,819 |
$67K |
| 97140 |
|
5,268 |
1,790 |
$65K |
| J3490 |
Drugs unclassified injection |
89,209 |
30,328 |
$64K |
| 85025 |
|
25,687 |
19,939 |
$63K |
| 72125 |
|
1,603 |
1,340 |
$62K |
| 77067 |
|
2,534 |
2,443 |
$60K |
| 82306 |
|
2,960 |
2,767 |
$59K |
| 93005 |
|
16,196 |
12,772 |
$58K |
| 76642 |
|
561 |
453 |
$53K |
| 76830 |
|
530 |
497 |
$53K |
| 84443 |
|
7,279 |
6,493 |
$53K |
| 80048 |
|
14,189 |
10,706 |
$48K |
| 85027 |
|
24,018 |
17,659 |
$46K |
| 93971 |
|
595 |
487 |
$43K |
| 74018 |
|
2,005 |
1,771 |
$38K |
| 99281 |
|
542 |
464 |
$38K |
| 87635 |
|
1,050 |
931 |
$37K |
| 76805 |
|
397 |
376 |
$34K |
| 88305 |
|
5,837 |
4,381 |
$32K |
| 73564 |
|
1,917 |
1,544 |
$32K |
| 76815 |
|
488 |
440 |
$31K |
| 83880 |
|
5,079 |
3,900 |
$30K |
| 71250 |
|
550 |
490 |
$29K |
| 87651 |
|
4,584 |
4,202 |
$27K |
| 87591 |
|
1,973 |
1,780 |
$26K |
| 87491 |
|
1,972 |
1,780 |
$25K |
| 93225 |
|
1,464 |
1,221 |
$25K |
| 71045 |
|
13,735 |
11,112 |
$24K |
| 80050 |
|
340 |
340 |
$24K |
| 80061 |
|
5,892 |
5,421 |
$24K |
| 29515 |
|
228 |
198 |
$21K |
| 83036 |
|
4,906 |
4,467 |
$21K |
| 82607 |
|
1,917 |
1,754 |
$20K |
| 96374 |
|
13,281 |
10,610 |
$20K |
| 95806 |
|
83 |
77 |
$19K |
| 84439 |
|
2,895 |
2,662 |
$19K |
| 96372 |
|
12,591 |
9,196 |
$19K |
| 93226 |
|
1,439 |
1,199 |
$18K |
| 87070 |
|
2,537 |
2,178 |
$17K |
| H0015 |
Alcohol and/or drug services |
204 |
35 |
$16K |
| 72110 |
|
626 |
553 |
$15K |
| 29125 |
|
137 |
122 |
$15K |
| G0283 |
Elec stim other than wound |
606 |
213 |
$13K |
| 87502 |
|
1,055 |
910 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
1,836 |
1,730 |
$12K |
| 81025 |
|
5,889 |
5,078 |
$12K |
| 73030 |
|
1,289 |
1,070 |
$12K |
| 97016 |
|
411 |
168 |
$11K |
| 87086 |
|
10,498 |
8,510 |
$11K |
| 90715 |
|
679 |
615 |
$10K |
| 87040 |
|
3,088 |
1,429 |
$10K |
| 85379 |
|
2,312 |
2,009 |
$10K |
| 73630 |
|
1,573 |
1,321 |
$10K |
| 81001 |
|
15,314 |
12,739 |
$9K |
| 82728 |
|
1,427 |
1,291 |
$9K |
| 93976 |
|
93 |
81 |
$9K |
| 87077 |
|
4,227 |
3,353 |
$9K |
| 99218 |
|
831 |
606 |
$8K |
| 36415 |
|
21,371 |
15,478 |
$8K |
| 84484 |
|
9,964 |
5,779 |
$8K |
| 76536 |
|
67 |
67 |
$7K |
| 86762 |
|
122 |
116 |
$7K |
| 87804 |
|
6,904 |
3,144 |
$7K |
| 73610 |
|
1,347 |
1,136 |
$6K |
| 96375 |
|
9,087 |
6,597 |
$6K |
| 93010 |
|
5,790 |
4,603 |
$6K |
| 86901 |
|
2,005 |
1,421 |
$6K |
| G0279 |
Tomosynthesis, mammo |
355 |
325 |
$5K |
| 82962 |
|
9,861 |
4,032 |
$5K |
| 84702 |
|
952 |
772 |
$5K |
| 88142 |
|
352 |
330 |
$5K |
| G0463 |
Hospital outpt clinic visit |
235 |
223 |
$5K |
| 74022 |
|
369 |
322 |
$5K |
| 83735 |
|
7,767 |
5,864 |
$5K |
| 87661 |
|
359 |
321 |
$5K |
| 96376 |
|
3,547 |
1,991 |
$5K |
| 90791 |
|
60 |
54 |
$4K |
| 73130 |
|
651 |
551 |
$4K |
| 90471 |
|
1,096 |
878 |
$4K |
| 77065 |
Tomosynthesis, mammo |
101 |
80 |
$4K |
| 99308 |
|
155 |
110 |
$4K |
| 85610 |
|
5,700 |
4,014 |
$4K |
| J8597 |
Antiemetic drug oral nos |
468 |
363 |
$4K |
| 84703 |
|
2,577 |
2,144 |
$4K |
| 83540 |
|
1,495 |
1,336 |
$3K |
| 71260 |
|
15 |
12 |
$3K |
| 86900 |
|
2,005 |
1,421 |
$3K |
| 73721 |
|
14 |
12 |
$3K |
| 74019 |
|
115 |
99 |
$3K |
| 87481 |
|
75 |
72 |
$3K |
| 77066 |
Tomosynthesis, mammo |
84 |
79 |
$3K |
| 83550 |
|
1,409 |
1,261 |
$3K |
| 87186 |
|
3,962 |
3,161 |
$3K |
| G0480 |
Drug test def 1-7 classes |
290 |
224 |
$3K |
| 87801 |
|
75 |
72 |
$2K |
| 82043 |
|
377 |
348 |
$2K |
| 87150 |
|
195 |
163 |
$2K |
| 72148 |
|
13 |
13 |
$2K |
| 86703 |
|
339 |
304 |
$2K |
| 73502 |
|
319 |
267 |
$2K |
| 87081 |
|
3,063 |
2,807 |
$2K |
| 86140 |
|
724 |
571 |
$2K |
| 96413 |
|
16 |
12 |
$2K |
| 80076 |
|
1,852 |
1,652 |
$2K |
| 84153 |
|
126 |
121 |
$2K |
| 85652 |
|
441 |
384 |
$2K |
| 86850 |
|
1,483 |
1,092 |
$2K |
| 76801 |
|
32 |
28 |
$2K |
| 84481 |
|
61 |
58 |
$2K |
| 87340 |
|
373 |
348 |
$2K |
| 87624 |
|
164 |
153 |
$2K |
| 29505 |
|
14 |
12 |
$2K |
| 82746 |
|
317 |
282 |
$2K |
| 99214 |
|
31 |
28 |
$2K |
| 83605 |
|
2,770 |
2,266 |
$2K |
| J2765 |
Metoclopramide hcl injection |
719 |
591 |
$1K |
| 83690 |
|
7,117 |
5,812 |
$1K |
| 73110 |
|
275 |
241 |
$1K |
| 87636 |
|
75 |
71 |
$1K |
| J2405 |
Ondansetron hcl injection |
8,777 |
6,918 |
$1K |
| 99307 |
|
128 |
119 |
$1K |
| 97035 |
|
63 |
29 |
$1K |
| 97113 |
|
33 |
13 |
$1K |
| 84145 |
|
245 |
206 |
$1K |
| 85730 |
|
1,129 |
906 |
$1K |
| A4930 |
Sterile, gloves per pair |
870 |
735 |
$1K |
| J2930 |
Methylprednisolone injection |
3,116 |
2,338 |
$1K |
| J0500 |
Dicyclomine injection |
827 |
671 |
$1K |
| 83516 |
|
95 |
63 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
4,912 |
4,049 |
$1K |
| 87631 |
|
53 |
45 |
$1K |
| J2001 |
Lidocaine injection |
1,031 |
793 |
$1K |
| 90853 |
|
306 |
64 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
6,120 |
5,130 |
$1K |
| 81003 |
|
8,658 |
6,574 |
$1K |
| A4335 |
Incontinence supply |
2,392 |
2,160 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,255 |
5,934 |
$1K |
| 86003 |
|
155 |
118 |
$1K |
| 80329 |
|
212 |
178 |
$1K |
| 93288 |
|
132 |
100 |
$1K |
| 87634 |
|
61 |
60 |
$1K |
| 87205 |
|
1,208 |
948 |
$996.11 |
| 70486 |
|
34 |
29 |
$934.57 |
| 36430 |
|
13 |
12 |
$928.64 |
| J3010 |
Fentanyl citrate injection |
3,685 |
2,902 |
$883.12 |
| 82784 |
|
230 |
132 |
$874.09 |
| 83655 |
|
170 |
159 |
$830.21 |
| 36591 |
|
74 |
52 |
$817.94 |
| J7614 |
Levalbuterol non-comp unit |
145 |
79 |
$781.24 |
| J7030 |
Normal saline solution infus |
3,521 |
2,395 |
$763.95 |
| 97166 |
|
15 |
13 |
$759.05 |
| J2270 |
Morphine sulfate injection |
2,573 |
1,771 |
$737.53 |
| 88312 |
|
1,375 |
890 |
$734.16 |
| 88175 |
|
117 |
110 |
$731.66 |
| 80164 |
|
171 |
128 |
$702.18 |
| 85007 |
|
2,336 |
1,483 |
$660.50 |
| J1100 |
Dexamethasone sodium phos |
2,608 |
2,114 |
$648.08 |
| A9500 |
Tc99m sestamibi |
1,666 |
1,373 |
$608.11 |
| J0690 |
Cefazolin sodium injection |
1,658 |
1,204 |
$599.53 |
| 73080 |
|
55 |
50 |
$598.41 |
| 93298 |
|
16 |
15 |
$546.47 |
| 87389 |
|
302 |
282 |
$541.35 |
| 82950 |
|
92 |
89 |
$513.62 |
| 87807 |
|
714 |
665 |
$510.50 |
| 82150 |
|
1,887 |
1,444 |
$483.38 |
| 36600 |
|
446 |
377 |
$480.52 |
| 82731 |
|
21 |
12 |
$475.70 |
| 86803 |
|
69 |
66 |
$463.40 |
| Q0162 |
Ondansetron oral |
1,730 |
1,305 |
$462.83 |
| J1200 |
Diphenhydramine hcl injectio |
2,623 |
2,078 |
$441.52 |
| 82465 |
|
75 |
63 |
$432.66 |
| 87880 |
|
3,300 |
3,024 |
$417.22 |
| J1756 |
Iron sucrose injection |
48 |
26 |
$414.58 |
| J1650 |
Inj enoxaparin sodium |
1,616 |
812 |
$400.66 |
| J0696 |
Ceftriaxone sodium injection |
3,818 |
2,804 |
$377.71 |
| 73590 |
|
103 |
91 |
$376.61 |
| J7040 |
Normal saline solution infus |
2,310 |
1,688 |
$355.50 |
| J2360 |
Orphenadrine injection |
1,042 |
918 |
$329.46 |
| 83718 |
|
75 |
63 |
$321.46 |
| 87653 |
|
27 |
27 |
$320.71 |
| J2175 |
Meperidine hydrochl /100 mg |
1,993 |
1,654 |
$311.88 |
| 83615 |
|
212 |
181 |
$310.88 |
| 86592 |
|
304 |
282 |
$262.13 |
| 82077 |
|
1,594 |
1,383 |
$256.97 |
| 86880 |
|
830 |
575 |
$243.79 |
| T4541 |
Large disposable underpad |
475 |
427 |
$242.81 |
| 84550 |
|
457 |
330 |
$215.00 |
| U0005 |
Infec agen detec ampli probe |
116 |
108 |
$194.38 |
| 88304 |
|
141 |
101 |
$185.46 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
353 |
305 |
$167.39 |
| P9016 |
Rbc leukocytes reduced |
13 |
12 |
$160.74 |
| 85046 |
|
103 |
86 |
$153.48 |
| A4215 |
Sterile needle |
3,381 |
2,871 |
$147.75 |
| 80320 |
|
121 |
100 |
$147.26 |
| 82550 |
|
218 |
176 |
$146.14 |
| 86780 |
|
12 |
12 |
$140.16 |
| 82803 |
|
971 |
734 |
$136.34 |
| Q3014 |
Telehealth facility fee |
22 |
14 |
$121.80 |
| 85651 |
|
428 |
365 |
$97.62 |
| 86008 |
|
12 |
12 |
$87.57 |
| J7120 |
Ringers lactate infusion |
963 |
691 |
$84.38 |
| 87185 |
|
81 |
71 |
$81.61 |
| 86038 |
|
44 |
40 |
$80.87 |
| 86308 |
|
28 |
27 |
$71.26 |
| J1642 |
Inj heparin sodium per 10 u |
794 |
416 |
$64.67 |
| 82140 |
|
285 |
205 |
$62.27 |
| 82105 |
|
20 |
14 |
$59.72 |
| 73140 |
|
15 |
12 |
$58.01 |
| 82570 |
|
36 |
30 |
$54.98 |
| J7510 |
Prednisolone oral per 5 mg |
509 |
467 |
$52.61 |
| 82565 |
|
48 |
40 |
$50.72 |
| E0275 |
Bed pan standard |
472 |
423 |
$45.00 |
| J1644 |
Inj heparin sodium per 1000u |
994 |
483 |
$44.97 |
| J7512 |
Prednisone ir or dr oral 1mg |
548 |
498 |
$43.89 |
| 82009 |
|
620 |
419 |
$42.29 |
| 87210 |
|
63 |
51 |
$33.12 |
| 82010 |
|
207 |
147 |
$33.07 |
| J7050 |
Normal saline solution infus |
971 |
515 |
$30.72 |
| J2785 |
Regadenoson injection |
1,441 |
1,185 |
$26.15 |
| J7612 |
Levalbuterol non-comp con |
442 |
255 |
$22.67 |
| J1170 |
Hydromorphone injection |
641 |
430 |
$20.79 |
| Q9969 |
Non-heu tc-99m add-on/dose |
882 |
774 |
$18.60 |
| J1815 |
Insulin injection |
198 |
124 |
$17.63 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
205 |
152 |
$16.76 |
| J1030 |
Methylprednisolone 40 mg inj |
251 |
214 |
$14.90 |
| J2060 |
Lorazepam injection |
197 |
149 |
$8.45 |
| J2550 |
Promethazine hcl injection |
71 |
47 |
$7.16 |
| 84132 |
|
15 |
12 |
$4.00 |
| J2710 |
Neostigmine methylslfte inj |
99 |
78 |
$3.45 |
| J1940 |
Furosemide injection |
134 |
82 |
$3.07 |
| J0780 |
Prochlorperazine injection |
17 |
13 |
$2.30 |
| 94760 |
|
1,032 |
510 |
$2.21 |
| J0280 |
Aminophyllin 250 mg inj |
38 |
29 |
$1.43 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$1.38 |
| J3475 |
Inj magnesium sulfate |
17 |
12 |
$0.88 |
| J2272 |
Inj, morphine (fresenius) |
166 |
133 |
$0.11 |
| A4556 |
Electrodes, pair |
831 |
760 |
$0.00 |
| C1769 |
Guide wire |
112 |
95 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
78 |
67 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,178 |
2,910 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
135 |
116 |
$0.00 |
| A4620 |
Variable concentration mask |
217 |
204 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
23 |
12 |
$0.00 |
| 51798 |
|
38 |
24 |
$0.00 |
| A6454 |
Self-adher band w>=3" <5"/yd |
13 |
13 |
$0.00 |
| J8540 |
Oral dexamethasone |
40 |
27 |
$0.00 |
| A4580 |
Cast supplies (plaster) |
41 |
39 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
35 |
14 |
$0.00 |
| 85018 |
|
43 |
14 |
$0.00 |
| 94761 |
|
14 |
12 |
$0.00 |
| A6455 |
Self-adher band >=5"/yd |
12 |
12 |
$0.00 |
| 73090 |
|
16 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
856 |
736 |
$0.00 |
| G1004 |
Cdsm ndsc |
265 |
219 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
307 |
295 |
$0.00 |
| A4565 |
Slings |
27 |
26 |
$0.00 |
| A4246 |
Betadine/phisohex solution |
184 |
170 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
38 |
27 |
$0.00 |
| E0485 |
Oral device/appliance prefab |
80 |
77 |
$0.00 |
| 84100 |
|
75 |
62 |
$0.00 |
| A7000 |
Disposable canister for pump |
142 |
139 |
$0.00 |
| A4649 |
Surgical supplies |
28 |
28 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
46 |
45 |
$0.00 |
| A4618 |
Breathing circuits |
226 |
212 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
205 |
163 |
$0.00 |
| 85045 |
|
30 |
24 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
134 |
126 |
$0.00 |
| 80143 |
|
63 |
55 |
$0.00 |
| 80179 |
|
50 |
42 |
$0.00 |
| 85014 |
|
43 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
44 |
30 |
$0.00 |
| G8978 |
Mobility current status |
18 |
13 |
$0.00 |
| L1906 |
Afo multilig ank sup pre ots |
13 |
13 |
$0.00 |