| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
33,472 |
28,789 |
$5.46M |
| 99284 |
|
25,048 |
20,565 |
$3.73M |
| 96361 |
|
12,004 |
8,143 |
$2.62M |
| G0463 |
Hospital outpt clinic visit |
32,291 |
23,757 |
$2.25M |
| 99282 |
|
10,020 |
7,164 |
$1.62M |
| 74177 |
|
4,287 |
3,621 |
$690K |
| 93306 |
|
2,398 |
2,091 |
$575K |
| 70450 |
|
4,383 |
3,606 |
$569K |
| 97110 |
|
11,765 |
3,143 |
$491K |
| 99285 |
|
4,620 |
3,592 |
$457K |
| 96360 |
|
3,816 |
3,000 |
$371K |
| 96365 |
|
6,275 |
4,378 |
$361K |
| 74176 |
|
2,364 |
2,013 |
$360K |
| 96366 |
|
2,534 |
1,581 |
$297K |
| G0378 |
Hospital observation per hr |
2,415 |
1,894 |
$271K |
| 59025 |
|
1,824 |
1,062 |
$256K |
| 20610 |
|
1,929 |
1,474 |
$234K |
| 96413 |
|
2,569 |
1,156 |
$227K |
| 43239 |
|
419 |
381 |
$208K |
| 87635 |
|
2,473 |
2,263 |
$203K |
| 76805 |
|
2,032 |
1,863 |
$175K |
| 45380 |
|
306 |
284 |
$175K |
| 80307 |
|
4,379 |
3,518 |
$162K |
| 94640 |
|
4,426 |
3,145 |
$153K |
| 70553 |
|
425 |
387 |
$133K |
| 99281 |
|
676 |
571 |
$131K |
| 71260 |
|
1,444 |
1,301 |
$119K |
| 0202U |
|
1,356 |
1,264 |
$115K |
| 71275 |
|
560 |
496 |
$102K |
| C9803 |
Hopd covid-19 spec collect |
5,561 |
4,950 |
$100K |
| 77067 |
|
3,615 |
3,421 |
$99K |
| 76705 |
|
1,023 |
947 |
$92K |
| 93017 |
|
981 |
858 |
$91K |
| 77063 |
|
1,885 |
1,797 |
$90K |
| 80053 |
|
24,734 |
18,416 |
$84K |
| 97530 |
|
2,022 |
897 |
$81K |
| 11056 |
|
1,429 |
1,112 |
$79K |
| 78452 |
|
159 |
134 |
$71K |
| 97162 |
|
595 |
531 |
$69K |
| 76642 |
|
589 |
543 |
$64K |
| 97112 |
|
3,623 |
1,282 |
$60K |
| 96367 |
|
1,092 |
683 |
$55K |
| 97140 |
|
4,500 |
1,604 |
$54K |
| 71046 |
|
5,178 |
4,462 |
$48K |
| 93005 |
|
18,423 |
14,349 |
$48K |
| 76856 |
|
310 |
292 |
$40K |
| 72125 |
|
1,399 |
1,199 |
$37K |
| 93971 |
|
459 |
389 |
$37K |
| 70551 |
|
215 |
194 |
$35K |
| 87040 |
|
6,136 |
2,802 |
$32K |
| 96372 |
|
10,477 |
6,698 |
$29K |
| 73560 |
|
1,952 |
1,456 |
$28K |
| 94060 |
|
516 |
463 |
$28K |
| 10060 |
|
385 |
298 |
$28K |
| 71250 |
|
453 |
415 |
$27K |
| 80048 |
|
10,452 |
7,827 |
$25K |
| 96374 |
|
11,915 |
9,194 |
$25K |
| 85025 |
|
36,665 |
25,342 |
$24K |
| 71271 |
|
223 |
214 |
$22K |
| 72148 |
|
123 |
112 |
$22K |
| 83880 |
|
2,746 |
2,138 |
$19K |
| 73630 |
|
1,602 |
1,379 |
$19K |
| 66984 |
|
27 |
25 |
$19K |
| 73030 |
|
1,678 |
1,367 |
$18K |
| 99291 |
|
102 |
89 |
$18K |
| 73610 |
|
1,394 |
1,219 |
$18K |
| 90715 |
|
1,075 |
1,001 |
$17K |
| 76815 |
|
204 |
182 |
$15K |
| 71045 |
|
12,977 |
10,454 |
$15K |
| 84443 |
|
3,107 |
2,617 |
$13K |
| 90471 |
|
1,426 |
1,292 |
$12K |
| 94729 |
|
433 |
399 |
$12K |
| 94618 |
|
177 |
129 |
$12K |
| 87591 |
|
1,493 |
1,326 |
$11K |
| 73110 |
|
682 |
558 |
$11K |
| 76830 |
|
106 |
98 |
$10K |
| 97163 |
|
74 |
69 |
$10K |
| 80076 |
|
3,601 |
2,585 |
$10K |
| 84484 |
|
12,303 |
7,364 |
$10K |
| 36415 |
|
15,249 |
11,430 |
$10K |
| 80047 |
|
3,370 |
2,826 |
$10K |
| 94726 |
|
345 |
321 |
$10K |
| Q5106 |
Inj retacrit non-esrd use |
188 |
76 |
$9K |
| J3490 |
Drugs unclassified injection |
15,758 |
7,184 |
$9K |
| 45385 |
|
13 |
13 |
$9K |
| 96375 |
|
10,344 |
7,221 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
560 |
496 |
$7K |
| 93325 |
|
57 |
50 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
8,428 |
6,581 |
$7K |
| 97161 |
|
430 |
353 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
4,321 |
3,824 |
$6K |
| 74018 |
|
432 |
396 |
$6K |
| 73502 |
|
586 |
518 |
$6K |
| 73130 |
|
645 |
570 |
$6K |
| 76536 |
|
56 |
54 |
$6K |
| 83735 |
|
11,315 |
7,636 |
$6K |
| 87077 |
|
3,662 |
2,683 |
$6K |
| J2405 |
Ondansetron hcl injection |
7,841 |
5,901 |
$5K |
| 86885 |
|
2,613 |
2,185 |
$5K |
| 86756 |
|
411 |
381 |
$5K |
| 88305 |
|
3,990 |
2,340 |
$5K |
| 80061 |
|
2,308 |
2,055 |
$4K |
| 87086 |
|
10,508 |
8,823 |
$4K |
| 83605 |
|
4,403 |
2,754 |
$4K |
| 85379 |
|
873 |
759 |
$4K |
| 93350 |
|
13 |
13 |
$4K |
| 76775 |
|
43 |
40 |
$4K |
| 81025 |
|
7,357 |
6,363 |
$4K |
| 87491 |
|
1,482 |
1,316 |
$4K |
| 82306 |
|
568 |
517 |
$4K |
| 83036 |
|
2,764 |
2,364 |
$4K |
| 77065 |
Tomosynthesis, mammo |
79 |
76 |
$4K |
| 70498 |
|
13 |
12 |
$4K |
| A9150 |
Misc/exper non-prescript dru |
42,392 |
16,980 |
$3K |
| 81002 |
|
8,175 |
4,841 |
$3K |
| J2469 |
Palonosetron hcl |
170 |
88 |
$3K |
| 96415 |
|
21 |
12 |
$3K |
| 12001 |
|
16 |
15 |
$3K |
| 81003 |
|
2,452 |
2,071 |
$3K |
| 82728 |
|
1,841 |
1,402 |
$3K |
| 73721 |
|
15 |
13 |
$3K |
| 77336 |
|
43 |
12 |
$3K |
| 86900 |
|
2,869 |
2,391 |
$3K |
| 85027 |
|
1,314 |
1,132 |
$3K |
| J3010 |
Fentanyl citrate injection |
4,149 |
3,203 |
$3K |
| 70486 |
|
45 |
41 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
7,512 |
3,527 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,443 |
1,041 |
$2K |
| G0127 |
Trim nail(s) |
549 |
421 |
$2K |
| 81001 |
|
16,824 |
13,714 |
$2K |
| 82947 |
|
8,155 |
4,446 |
$2K |
| 77066 |
Tomosynthesis, mammo |
44 |
41 |
$2K |
| 93880 |
|
33 |
27 |
$2K |
| 87804 |
|
10,488 |
4,740 |
$2K |
| 87081 |
|
2,646 |
2,436 |
$2K |
| 86901 |
|
2,869 |
2,391 |
$2K |
| 83550 |
|
1,694 |
1,297 |
$2K |
| J1100 |
Dexamethasone sodium phos |
5,371 |
2,976 |
$2K |
| G0279 |
Tomosynthesis, mammo |
68 |
65 |
$2K |
| 86140 |
|
1,069 |
829 |
$2K |
| 11721 |
|
534 |
367 |
$1K |
| 87430 |
|
2,716 |
2,516 |
$1K |
| 83540 |
|
1,719 |
1,314 |
$1K |
| 84702 |
|
648 |
493 |
$1K |
| 85610 |
|
3,513 |
2,753 |
$1K |
| 72100 |
|
95 |
81 |
$1K |
| 80069 |
|
702 |
572 |
$1K |
| 87186 |
|
3,822 |
2,760 |
$1K |
| 74220 |
|
28 |
26 |
$1K |
| 84439 |
|
642 |
518 |
$960.42 |
| 82565 |
|
1,809 |
1,545 |
$918.73 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,277 |
880 |
$881.88 |
| 73562 |
|
261 |
236 |
$879.09 |
| 73140 |
|
120 |
105 |
$855.61 |
| 83970 |
|
192 |
157 |
$837.88 |
| 11057 |
|
20 |
13 |
$824.46 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,811 |
6,331 |
$816.68 |
| 0100U |
|
69 |
48 |
$728.05 |
| 73080 |
|
59 |
52 |
$715.77 |
| J1200 |
Diphenhydramine hcl injectio |
1,599 |
1,228 |
$704.37 |
| Q3014 |
Telehealth facility fee |
111 |
101 |
$703.38 |
| 80143 |
|
142 |
108 |
$681.75 |
| J2250 |
Inj midazolam hydrochloride |
2,946 |
2,448 |
$665.28 |
| 87389 |
|
217 |
201 |
$651.21 |
| 80164 |
|
136 |
96 |
$616.03 |
| 82570 |
|
781 |
630 |
$607.63 |
| 87340 |
|
229 |
212 |
$581.07 |
| 82607 |
|
270 |
224 |
$577.94 |
| 87653 |
|
12 |
12 |
$549.06 |
| J1050 |
Medroxyprogesterone acetate |
47 |
45 |
$521.41 |
| 85652 |
|
819 |
659 |
$498.40 |
| J2930 |
Methylprednisolone injection |
666 |
444 |
$498.24 |
| 83690 |
|
6,538 |
5,206 |
$486.18 |
| 73590 |
|
65 |
52 |
$481.14 |
| 85730 |
|
1,156 |
915 |
$448.48 |
| 87070 |
|
516 |
407 |
$419.90 |
| 80179 |
|
134 |
107 |
$407.94 |
| J2765 |
Metoclopramide hcl injection |
753 |
628 |
$385.67 |
| 85014 |
|
3,626 |
2,998 |
$372.55 |
| 86592 |
|
190 |
164 |
$362.14 |
| 90686 |
|
50 |
45 |
$335.43 |
| 96417 |
|
19 |
13 |
$333.27 |
| J7620 |
Albuterol ipratrop non-comp |
1,083 |
817 |
$331.91 |
| A9585 |
Gadobutrol injection |
1,818 |
1,145 |
$312.58 |
| 87205 |
|
820 |
597 |
$278.41 |
| 73565 |
|
33 |
26 |
$262.70 |
| 76817 |
|
43 |
38 |
$255.78 |
| J2270 |
Morphine sulfate injection |
2,668 |
1,810 |
$254.04 |
| J1815 |
Insulin injection |
698 |
281 |
$223.95 |
| J2550 |
Promethazine hcl injection |
208 |
152 |
$215.95 |
| 84156 |
|
541 |
461 |
$209.08 |
| J1040 |
Methylprednisolone 80 mg inj |
1,823 |
1,491 |
$159.52 |
| 82077 |
|
1,710 |
1,351 |
$158.84 |
| J0690 |
Cefazolin sodium injection |
607 |
468 |
$131.35 |
| J0696 |
Ceftriaxone sodium injection |
2,749 |
1,912 |
$127.89 |
| 51798 |
|
27 |
25 |
$125.68 |
| 84550 |
|
241 |
207 |
$117.21 |
| 84703 |
|
1,308 |
1,173 |
$110.56 |
| J3475 |
Inj magnesium sulfate |
2,218 |
1,221 |
$109.41 |
| 87210 |
|
236 |
211 |
$108.96 |
| Q0162 |
Ondansetron oral |
2,310 |
2,108 |
$95.04 |
| 82270 |
|
361 |
285 |
$82.84 |
| 84153 |
|
13 |
12 |
$76.30 |
| 74022 |
|
42 |
28 |
$74.56 |
| 83615 |
|
164 |
126 |
$73.66 |
| 86803 |
|
27 |
25 |
$67.79 |
| J2060 |
Lorazepam injection |
966 |
699 |
$66.87 |
| 84100 |
|
76 |
66 |
$57.40 |
| A4351 |
Straight tip urine catheter |
1,160 |
835 |
$56.41 |
| J1030 |
Methylprednisolone 40 mg inj |
23 |
15 |
$55.77 |
| 96376 |
|
2,535 |
1,671 |
$54.03 |
| P9612 |
Catheterize for urine spec |
1,500 |
1,163 |
$51.82 |
| 82248 |
|
117 |
96 |
$51.62 |
| 00811 |
|
31 |
26 |
$51.19 |
| J1756 |
Iron sucrose injection |
145 |
64 |
$47.39 |
| 36592 |
|
107 |
74 |
$44.29 |
| J1642 |
Inj heparin sodium per 10 u |
1,476 |
744 |
$43.54 |
| 99152 |
|
38 |
27 |
$25.74 |
| 88342 |
|
59 |
51 |
$17.14 |
| 82550 |
|
74 |
66 |
$15.89 |
| J7613 |
Albuterol non-comp unit |
921 |
733 |
$15.79 |
| J1010 |
Inj, methylpred acetate 1 mg |
256 |
224 |
$14.32 |
| 82803 |
|
250 |
199 |
$14.23 |
| J3480 |
Inj potassium chloride |
268 |
170 |
$13.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
712 |
602 |
$12.15 |
| 99153 |
Mod sedat endo service >5yrs |
49 |
38 |
$12.14 |
| J0780 |
Prochlorperazine injection |
120 |
98 |
$8.76 |
| J3370 |
Vancomycin hcl injection |
190 |
124 |
$4.49 |
| J2370 |
Phenylephrine hcl injection |
58 |
54 |
$3.67 |
| J1170 |
Hydromorphone injection |
61 |
47 |
$3.03 |
| J0330 |
Succinycholine chloride inj |
29 |
26 |
$2.74 |
| J1940 |
Furosemide injection |
49 |
29 |
$1.09 |
| 82533 |
|
15 |
12 |
$0.31 |
| A6402 |
Sterile gauze <= 16 sq in |
191 |
156 |
$0.11 |
| G1004 |
Cdsm ndsc |
2,867 |
2,226 |
$0.02 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
162 |
142 |
$0.00 |
| 00731 |
|
159 |
147 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
54 |
38 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
64 |
36 |
$0.00 |
| 00812 |
|
164 |
157 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
62 |
42 |
$0.00 |
| 51701 |
|
16 |
12 |
$0.00 |
| 84295 |
|
14 |
13 |
$0.00 |
| 94664 |
|
48 |
41 |
$0.00 |
| G8978 |
Mobility current status |
35 |
24 |
$0.00 |
| G8979 |
Mobility goal status |
37 |
24 |
$0.00 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
38 |
32 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
27 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
9,140 |
1,972 |
$0.00 |
| A9500 |
Tc99m sestamibi |
172 |
148 |
$0.00 |
| G0008 |
Admin influenza virus vac |
66 |
51 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
118 |
101 |
$0.00 |
| 96368 |
|
85 |
68 |
$0.00 |
| 84132 |
|
16 |
14 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
100 |
43 |
$0.00 |
| J8540 |
Oral dexamethasone |
72 |
61 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
42 |
37 |
$0.00 |
| 71101 |
|
14 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
29 |
26 |
$0.00 |
| 00142 |
|
43 |
38 |
$0.00 |
| 70496 |
|
13 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
16 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
16 |
13 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
32 |
29 |
$0.00 |
| 86762 |
|
14 |
13 |
$0.00 |