| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
71,914 |
54,907 |
$7.52M |
| 99284 |
|
24,609 |
20,603 |
$6.36M |
| 99285 |
|
10,639 |
8,954 |
$5.34M |
| 99283 |
|
22,675 |
19,370 |
$4.52M |
| 97110 |
|
48,615 |
13,750 |
$3.00M |
| U0003 |
Cov-19 amp prb hgh thruput |
21,972 |
18,447 |
$1.43M |
| 96374 |
|
12,226 |
9,817 |
$1.38M |
| 96361 |
|
9,504 |
7,899 |
$1.10M |
| 74177 |
|
3,471 |
3,144 |
$673K |
| 96360 |
|
3,508 |
3,032 |
$550K |
| 96365 |
|
4,431 |
2,511 |
$521K |
| 95004 |
|
114 |
110 |
$489K |
| 96413 |
|
2,315 |
1,459 |
$463K |
| 97140 |
|
38,082 |
10,941 |
$459K |
| 99282 |
|
3,347 |
3,042 |
$439K |
| 70450 |
|
4,172 |
3,786 |
$402K |
| 92507 |
|
3,826 |
1,342 |
$365K |
| 70553 |
|
1,689 |
1,550 |
$365K |
| U0005 |
Infec agen detec ampli probe |
17,810 |
14,973 |
$363K |
| 93306 |
|
1,441 |
1,340 |
$350K |
| 76856 |
|
1,826 |
1,705 |
$349K |
| 77067 |
|
3,294 |
3,165 |
$336K |
| 71046 |
|
6,581 |
6,024 |
$326K |
| 0241U |
|
4,656 |
4,337 |
$325K |
| J0485 |
Belatacept injection |
908 |
375 |
$308K |
| 87636 |
|
2,327 |
2,243 |
$299K |
| 90834 |
|
6,878 |
3,298 |
$279K |
| 96375 |
|
7,470 |
5,939 |
$254K |
| 74176 |
|
1,317 |
1,208 |
$212K |
| 76705 |
|
1,893 |
1,742 |
$206K |
| G0378 |
Hospital observation per hr |
5,919 |
4,880 |
$203K |
| 76641 |
|
2,284 |
2,142 |
$202K |
| 99213 |
|
5,681 |
4,071 |
$196K |
| 76770 |
|
1,416 |
1,337 |
$172K |
| 87502 |
|
5,532 |
5,180 |
$168K |
| C9803 |
Hopd covid-19 spec collect |
7,761 |
6,779 |
$168K |
| 80053 |
|
18,687 |
14,787 |
$164K |
| 72148 |
|
1,022 |
951 |
$158K |
| 73721 |
|
872 |
770 |
$158K |
| 82306 |
|
9,717 |
8,926 |
$155K |
| 84443 |
|
17,515 |
15,962 |
$155K |
| 97161 |
|
2,583 |
2,406 |
$142K |
| 71045 |
|
3,724 |
3,265 |
$140K |
| 76700 |
|
828 |
791 |
$132K |
| 97112 |
|
3,551 |
1,308 |
$131K |
| 97162 |
|
2,639 |
2,428 |
$129K |
| 73564 |
|
1,627 |
1,423 |
$120K |
| 80307 |
|
6,106 |
4,200 |
$119K |
| 85025 |
|
49,629 |
39,369 |
$118K |
| 93976 |
|
944 |
866 |
$101K |
| 71275 |
|
511 |
486 |
$94K |
| 76830 |
|
1,008 |
949 |
$91K |
| 90853 |
|
5,060 |
1,244 |
$91K |
| 71260 |
|
523 |
473 |
$89K |
| 72197 |
|
294 |
265 |
$88K |
| 86900 |
|
4,080 |
3,313 |
$88K |
| 87491 |
|
5,142 |
4,623 |
$87K |
| 70551 |
|
768 |
685 |
$84K |
| 72100 |
|
1,805 |
1,699 |
$83K |
| 87591 |
|
4,989 |
4,613 |
$82K |
| 83718 |
|
12,673 |
12,080 |
$82K |
| 36415 |
|
56,915 |
45,200 |
$72K |
| 82247 |
|
32,557 |
27,639 |
$69K |
| 83036 |
|
13,817 |
12,708 |
$69K |
| 72141 |
|
277 |
252 |
$66K |
| 74183 |
|
413 |
372 |
$65K |
| 82947 |
|
37,201 |
30,532 |
$64K |
| 82040 |
|
33,112 |
28,046 |
$61K |
| 73610 |
|
1,612 |
1,473 |
$60K |
| U0002 |
Covid-19 lab test non-cdc |
1,623 |
1,449 |
$59K |
| 97530 |
|
2,350 |
998 |
$57K |
| 96372 |
|
4,223 |
3,117 |
$53K |
| 73030 |
|
1,745 |
1,545 |
$52K |
| 99214 |
|
760 |
604 |
$51K |
| 94060 |
|
276 |
263 |
$51K |
| 90791 |
|
621 |
567 |
$51K |
| 76801 |
|
460 |
384 |
$50K |
| 86235 |
|
680 |
623 |
$49K |
| G0480 |
Drug test def 1-7 classes |
5,682 |
4,212 |
$49K |
| 82607 |
|
6,155 |
5,563 |
$48K |
| 87635 |
|
1,264 |
1,161 |
$48K |
| 92014 |
|
342 |
341 |
$47K |
| 73630 |
|
1,382 |
1,271 |
$46K |
| 71250 |
|
791 |
737 |
$45K |
| 95810 |
|
49 |
45 |
$45K |
| 77063 |
|
3,290 |
3,161 |
$44K |
| 76819 |
|
490 |
263 |
$44K |
| 97035 |
|
582 |
213 |
$42K |
| 76536 |
|
571 |
543 |
$39K |
| 82728 |
|
6,165 |
5,462 |
$37K |
| 86480 |
|
1,249 |
1,158 |
$37K |
| 87389 |
|
3,549 |
3,275 |
$36K |
| 72125 |
|
487 |
430 |
$35K |
| 86003 |
|
611 |
569 |
$34K |
| 73221 |
|
177 |
167 |
$34K |
| 90832 |
|
1,770 |
1,012 |
$34K |
| 73502 |
|
1,209 |
1,102 |
$33K |
| 87633 |
|
342 |
324 |
$32K |
| 87651 |
|
2,030 |
1,952 |
$31K |
| 87632 |
|
760 |
709 |
$31K |
| 0240U |
|
299 |
275 |
$30K |
| 90837 |
|
387 |
234 |
$30K |
| 83970 |
|
1,431 |
1,273 |
$30K |
| 87637 |
|
313 |
299 |
$29K |
| 84439 |
|
6,010 |
5,418 |
$29K |
| 76816 |
|
928 |
744 |
$29K |
| 82310 |
|
37,234 |
30,498 |
$29K |
| 73560 |
|
1,900 |
1,670 |
$28K |
| 86780 |
|
2,546 |
2,343 |
$27K |
| 87086 |
|
9,414 |
8,110 |
$26K |
| 43239 |
|
47 |
43 |
$26K |
| 80048 |
|
4,455 |
3,220 |
$26K |
| 90460 |
|
9,081 |
8,846 |
$25K |
| 83550 |
|
6,216 |
5,530 |
$25K |
| 93971 |
|
408 |
370 |
$25K |
| 93000 |
|
1,904 |
1,716 |
$24K |
| 86850 |
|
3,906 |
3,176 |
$24K |
| 82784 |
|
2,566 |
2,255 |
$23K |
| 86803 |
|
3,207 |
2,954 |
$23K |
| 73130 |
|
642 |
581 |
$22K |
| 85027 |
|
8,511 |
7,043 |
$21K |
| 87070 |
|
7,842 |
7,148 |
$21K |
| 93005 |
|
11,755 |
9,531 |
$20K |
| 64483 |
|
27 |
26 |
$20K |
| 84403 |
|
1,554 |
1,394 |
$20K |
| 83540 |
|
6,564 |
5,845 |
$20K |
| 92012 |
|
142 |
142 |
$20K |
| 73110 |
|
476 |
431 |
$19K |
| 99212 |
|
600 |
497 |
$18K |
| 86901 |
|
4,083 |
3,317 |
$17K |
| 87624 |
|
1,365 |
1,292 |
$17K |
| 72170 |
|
388 |
349 |
$17K |
| 97116 |
|
804 |
462 |
$17K |
| 87506 |
|
205 |
186 |
$17K |
| 86769 |
|
498 |
464 |
$16K |
| 86140 |
|
7,745 |
6,637 |
$16K |
| 81001 |
|
13,022 |
11,337 |
$15K |
| 87430 |
|
4,937 |
4,565 |
$15K |
| 96415 |
|
188 |
151 |
$15K |
| 86038 |
|
2,088 |
1,932 |
$14K |
| 97165 |
|
222 |
206 |
$13K |
| 93970 |
|
82 |
77 |
$13K |
| 82670 |
|
867 |
746 |
$13K |
| 90686 |
|
1,562 |
1,357 |
$13K |
| 72040 |
|
380 |
356 |
$12K |
| 87631 |
|
362 |
353 |
$12K |
| 82570 |
|
4,330 |
3,410 |
$12K |
| 94640 |
|
2,604 |
1,950 |
$12K |
| 83001 |
|
1,126 |
1,032 |
$12K |
| H0015 |
Alcohol and/or drug services |
98 |
14 |
$12K |
| 83735 |
|
5,075 |
3,879 |
$12K |
| 83655 |
|
1,504 |
1,475 |
$11K |
| 82465 |
|
12,808 |
12,202 |
$11K |
| 45380 |
|
13 |
13 |
$11K |
| 97166 |
|
167 |
158 |
$10K |
| 87340 |
|
2,130 |
1,951 |
$10K |
| 88142 |
|
1,647 |
1,550 |
$10K |
| 83002 |
|
980 |
881 |
$10K |
| 86618 |
|
1,394 |
1,262 |
$10K |
| 84153 |
|
1,421 |
1,249 |
$10K |
| 87077 |
|
3,591 |
3,159 |
$10K |
| G0103 |
Psa screening |
849 |
793 |
$10K |
| 81003 |
|
11,456 |
10,394 |
$9K |
| Q3014 |
Telehealth facility fee |
1,331 |
955 |
$9K |
| 85610 |
|
7,796 |
6,294 |
$9K |
| 70486 |
|
127 |
124 |
$9K |
| 86706 |
|
1,487 |
1,354 |
$8K |
| 83690 |
|
6,172 |
5,322 |
$8K |
| 86039 |
|
1,290 |
1,192 |
$8K |
| 82043 |
|
2,572 |
2,350 |
$8K |
| 70498 |
|
43 |
40 |
$8K |
| 87186 |
|
2,769 |
2,477 |
$8K |
| 83880 |
|
934 |
794 |
$8K |
| 12001 |
|
44 |
27 |
$7K |
| 84702 |
|
2,401 |
1,931 |
$7K |
| 95076 |
|
13 |
12 |
$7K |
| 82746 |
|
907 |
816 |
$7K |
| 82374 |
|
37,084 |
30,404 |
$7K |
| 74018 |
|
185 |
163 |
$7K |
| 84480 |
|
1,066 |
958 |
$7K |
| 93303 |
|
13 |
13 |
$7K |
| 85652 |
|
5,314 |
4,746 |
$7K |
| 84484 |
|
9,122 |
5,151 |
$7K |
| 80061 |
|
3,313 |
2,840 |
$7K |
| 80197 |
|
708 |
464 |
$6K |
| 73140 |
|
265 |
232 |
$6K |
| 51798 |
|
1,223 |
1,071 |
$6K |
| 70491 |
|
28 |
27 |
$6K |
| 94726 |
|
110 |
102 |
$6K |
| 85730 |
|
4,015 |
3,483 |
$6K |
| 84478 |
|
12,908 |
12,246 |
$6K |
| 84270 |
|
445 |
401 |
$6K |
| 97163 |
|
105 |
102 |
$6K |
| 86225 |
|
758 |
690 |
$6K |
| 86160 |
|
391 |
365 |
$6K |
| 83516 |
|
563 |
508 |
$5K |
| 81513 |
|
118 |
112 |
$5K |
| J3490 |
Drugs unclassified injection |
50,032 |
17,071 |
$5K |
| 98968 |
|
183 |
48 |
$5K |
| 84703 |
|
4,206 |
3,688 |
$5K |
| 99218 |
|
38 |
35 |
$5K |
| 81025 |
|
2,931 |
2,683 |
$5K |
| 72156 |
|
13 |
13 |
$5K |
| 92526 |
|
52 |
29 |
$5K |
| 86364 |
|
631 |
579 |
$5K |
| 84146 |
|
440 |
395 |
$4K |
| 90715 |
|
949 |
876 |
$4K |
| 82785 |
|
444 |
408 |
$4K |
| 83525 |
|
516 |
443 |
$4K |
| 72082 |
|
53 |
51 |
$4K |
| 85007 |
|
3,508 |
2,779 |
$4K |
| 85055 |
|
522 |
369 |
$4K |
| 20553 |
|
18 |
15 |
$4K |
| 93351 |
|
32 |
26 |
$4K |
| 96376 |
|
2,333 |
1,515 |
$4K |
| 94010 |
|
31 |
31 |
$3K |
| 76817 |
|
192 |
170 |
$3K |
| 84156 |
|
1,558 |
1,317 |
$3K |
| 86704 |
|
477 |
442 |
$3K |
| 87481 |
|
106 |
101 |
$3K |
| 82627 |
|
186 |
178 |
$3K |
| 85046 |
|
1,115 |
1,008 |
$3K |
| 70496 |
|
108 |
79 |
$3K |
| 88305 |
|
2,264 |
1,574 |
$3K |
| 87661 |
|
236 |
227 |
$3K |
| 85379 |
|
1,964 |
1,757 |
$2K |
| 86431 |
|
829 |
775 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,561 |
4,825 |
$2K |
| 98967 |
|
102 |
47 |
$2K |
| 87040 |
|
2,642 |
1,476 |
$2K |
| 73522 |
|
28 |
26 |
$2K |
| 59025 |
|
26 |
12 |
$2K |
| 93017 |
|
56 |
53 |
$2K |
| 80143 |
|
1,099 |
960 |
$2K |
| 84145 |
|
729 |
607 |
$2K |
| 86376 |
|
226 |
216 |
$2K |
| 80179 |
|
1,103 |
958 |
$2K |
| 77065 |
Tomosynthesis, mammo |
15 |
13 |
$2K |
| 86708 |
|
287 |
267 |
$2K |
| 87807 |
|
316 |
296 |
$2K |
| 84305 |
|
117 |
111 |
$2K |
| 90662 |
|
285 |
258 |
$2K |
| 76642 |
|
24 |
24 |
$2K |
| 85018 |
|
2,482 |
2,379 |
$2K |
| 93010 |
|
4,464 |
3,218 |
$2K |
| 85014 |
|
2,434 |
2,342 |
$2K |
| 93320 |
|
93 |
84 |
$2K |
| 88304 |
|
320 |
279 |
$2K |
| 86200 |
|
233 |
222 |
$2K |
| 87205 |
|
1,488 |
1,243 |
$1K |
| 77080 |
|
12 |
12 |
$1K |
| 86709 |
|
268 |
246 |
$1K |
| 82550 |
|
1,484 |
1,254 |
$1K |
| 84481 |
|
151 |
125 |
$1K |
| 87075 |
|
700 |
591 |
$1K |
| 84450 |
|
32,904 |
27,990 |
$1K |
| 86800 |
|
150 |
141 |
$1K |
| 82248 |
|
4,097 |
3,469 |
$1K |
| 83605 |
|
1,306 |
1,014 |
$1K |
| 87338 |
|
92 |
91 |
$1K |
| 86762 |
|
184 |
164 |
$1K |
| 77072 |
|
17 |
15 |
$1K |
| 0054A |
|
70 |
37 |
$920.00 |
| 84165 |
|
238 |
224 |
$837.02 |
| 82962 |
|
6,727 |
4,096 |
$831.51 |
| 83520 |
|
116 |
102 |
$828.12 |
| 82533 |
|
106 |
92 |
$796.79 |
| 76870 |
|
31 |
26 |
$766.56 |
| 97535 |
|
18 |
13 |
$765.86 |
| 82378 |
|
156 |
134 |
$764.27 |
| 64450 |
|
12 |
12 |
$731.95 |
| 72070 |
|
13 |
13 |
$711.66 |
| 73590 |
|
30 |
27 |
$695.33 |
| 84100 |
|
3,064 |
2,370 |
$686.33 |
| 86360 |
|
25 |
24 |
$680.34 |
| 99442 |
|
188 |
95 |
$659.93 |
| 73070 |
|
26 |
25 |
$646.54 |
| 93325 |
|
144 |
130 |
$635.57 |
| 84075 |
|
32,650 |
27,729 |
$625.51 |
| 83021 |
|
99 |
92 |
$620.64 |
| 96366 |
|
24 |
15 |
$554.17 |
| 86334 |
|
74 |
65 |
$553.91 |
| J1885 |
Ketorolac tromethamine inj |
5,592 |
4,592 |
$466.97 |
| 86308 |
|
122 |
110 |
$452.35 |
| J7120 |
Ringers lactate infusion |
6,835 |
5,259 |
$439.18 |
| 90732 |
|
13 |
12 |
$431.00 |
| 82105 |
|
52 |
52 |
$429.05 |
| 84436 |
|
145 |
135 |
$425.54 |
| 84520 |
|
37,623 |
30,828 |
$409.43 |
| 84550 |
|
2,268 |
1,957 |
$393.64 |
| 83615 |
|
1,853 |
1,613 |
$382.45 |
| J1100 |
Dexamethasone sodium phos |
5,377 |
4,219 |
$381.77 |
| 84460 |
|
32,997 |
28,067 |
$379.54 |
| 86258 |
|
18 |
18 |
$374.68 |
| 88342 |
|
230 |
194 |
$330.65 |
| J0131 |
Inj, acetaminophen (nos) |
754 |
700 |
$329.47 |
| 82565 |
|
37,872 |
31,038 |
$323.57 |
| 74019 |
|
27 |
24 |
$290.11 |
| 87046 |
|
27 |
25 |
$288.64 |
| 88175 |
|
141 |
121 |
$287.80 |
| J1650 |
Inj enoxaparin sodium |
960 |
416 |
$283.23 |
| 84155 |
|
33,031 |
28,045 |
$281.13 |
| 86765 |
|
56 |
49 |
$258.51 |
| 84132 |
|
37,025 |
30,331 |
$256.28 |
| 76376 |
|
445 |
421 |
$250.36 |
| 84295 |
|
37,142 |
30,437 |
$240.25 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
378 |
331 |
$208.79 |
| 82435 |
|
37,086 |
30,406 |
$202.26 |
| 86580 |
|
17 |
16 |
$180.18 |
| J2270 |
Morphine sulfate injection |
2,662 |
1,905 |
$176.96 |
| J2405 |
Ondansetron hcl injection |
7,421 |
5,918 |
$173.17 |
| 83521 |
|
13 |
13 |
$173.04 |
| J3360 |
Diazepam injection |
167 |
141 |
$169.96 |
| J1170 |
Hydromorphone injection |
1,234 |
815 |
$163.77 |
| J8597 |
Antiemetic drug oral nos |
461 |
399 |
$159.01 |
| 86705 |
|
39 |
36 |
$157.50 |
| 82977 |
|
558 |
491 |
$142.05 |
| 86300 |
|
15 |
13 |
$139.09 |
| 82397 |
|
13 |
13 |
$134.90 |
| J2930 |
Methylprednisolone injection |
521 |
419 |
$131.33 |
| 87045 |
|
39 |
37 |
$126.28 |
| 95012 |
|
177 |
168 |
$120.59 |
| J1756 |
Iron sucrose injection |
483 |
193 |
$108.00 |
| 86304 |
|
14 |
12 |
$79.48 |
| J2250 |
Inj midazolam hydrochloride |
4,929 |
3,745 |
$74.07 |
| 86787 |
|
13 |
13 |
$73.86 |
| J1200 |
Diphenhydramine hcl injectio |
1,965 |
1,350 |
$71.81 |
| J0690 |
Cefazolin sodium injection |
4,137 |
2,407 |
$71.44 |
| J0696 |
Ceftriaxone sodium injection |
693 |
396 |
$70.25 |
| 69210 |
|
39 |
38 |
$62.77 |
| 84144 |
|
17 |
12 |
$59.76 |
| 82523 |
|
15 |
15 |
$53.55 |
| J2765 |
Metoclopramide hcl injection |
489 |
435 |
$52.25 |
| J3010 |
Fentanyl citrate injection |
5,362 |
3,947 |
$46.86 |
| 82270 |
|
13 |
13 |
$40.43 |
| J2060 |
Lorazepam injection |
1,614 |
1,159 |
$36.90 |
| 84300 |
|
18 |
16 |
$32.93 |
| 80178 |
|
15 |
13 |
$32.28 |
| 90471 |
|
59 |
56 |
$31.71 |
| J0171 |
Adrenalin epinephrine inject |
49 |
41 |
$30.30 |
| 81002 |
|
960 |
830 |
$26.84 |
| J7030 |
Normal saline solution infus |
2,337 |
1,935 |
$23.00 |
| J2272 |
Inj, morphine (fresenius) |
22 |
18 |
$19.56 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
950 |
503 |
$15.66 |
| 99441 |
|
13 |
12 |
$11.14 |
| J1630 |
Haloperidol injection |
19 |
14 |
$7.71 |
| J2919 |
Inj, methylpred sod succ 5mg |
96 |
76 |
$7.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
279 |
217 |
$6.41 |
| 87081 |
|
13 |
12 |
$6.34 |
| G8979 |
Mobility goal status |
285 |
229 |
$2.15 |
| G0008 |
Admin influenza virus vac |
118 |
113 |
$2.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,005 |
627 |
$1.80 |
| G8978 |
Mobility current status |
227 |
191 |
$1.67 |
| J2001 |
Lidocaine injection |
1,649 |
1,242 |
$1.05 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,377 |
3,653 |
$0.36 |
| G1004 |
Cdsm ndsc |
2,432 |
1,806 |
$0.01 |
| 99153 |
Mod sedat endo service >5yrs |
1,038 |
710 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,340 |
975 |
$0.00 |
| 94760 |
|
952 |
835 |
$0.00 |
| 92060 |
|
268 |
267 |
$0.00 |
| J7050 |
Normal saline solution infus |
993 |
482 |
$0.00 |
| 88300 |
|
292 |
261 |
$0.00 |
| J7999 |
Compounded drug, noc |
331 |
251 |
$0.00 |
| 76377 |
|
69 |
62 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
17 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
126 |
112 |
$0.00 |
| 91305 |
|
70 |
37 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
17 |
12 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
59 |
55 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
253 |
228 |
$0.00 |
| 99152 |
|
1,097 |
761 |
$0.00 |
| C1776 |
Joint device (implantable) |
70 |
63 |
$0.00 |
| 94729 |
|
218 |
205 |
$0.00 |
| J7040 |
Normal saline solution infus |
174 |
128 |
$0.00 |
| 93356 |
|
15 |
14 |
$0.00 |
| 90461 |
|
337 |
336 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
129 |
83 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
24 |
18 |
$0.00 |
| 00812 |
|
17 |
12 |
$0.00 |
| 98966 |
|
16 |
15 |
$0.00 |