| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
38,382 |
36,151 |
$13.25M |
| 99284 |
|
58,915 |
55,479 |
$11.61M |
| 99283 |
|
85,875 |
76,400 |
$10.46M |
| G0463 |
Hospital outpt clinic visit |
112,939 |
97,981 |
$6.88M |
| G0378 |
Hospital observation per hr |
10,216 |
9,511 |
$4.52M |
| 96374 |
|
27,718 |
25,972 |
$2.09M |
| 20610 |
|
2,801 |
2,771 |
$855K |
| 99282 |
|
9,966 |
8,889 |
$838K |
| 71046 |
|
23,905 |
22,837 |
$682K |
| 95811 |
|
1,105 |
1,100 |
$556K |
| 71045 |
|
17,178 |
16,350 |
$528K |
| 95810 |
|
922 |
919 |
$459K |
| 96375 |
|
18,985 |
16,855 |
$428K |
| 74177 |
|
3,666 |
3,602 |
$422K |
| 99281 |
|
6,989 |
6,544 |
$405K |
| 70450 |
|
10,258 |
9,892 |
$399K |
| 96365 |
|
5,413 |
5,235 |
$375K |
| 72125 |
|
4,956 |
4,848 |
$353K |
| 87637 |
|
4,963 |
4,756 |
$304K |
| 80061 |
|
5,189 |
5,100 |
$297K |
| G0390 |
Trauma respons w/hosp criti |
1,450 |
1,430 |
$296K |
| 71260 |
|
2,258 |
2,218 |
$269K |
| 70486 |
|
2,502 |
2,457 |
$255K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,645 |
6,368 |
$248K |
| 96372 |
|
33,780 |
27,693 |
$195K |
| 29581 |
|
2,321 |
851 |
$181K |
| 80048 |
|
59,296 |
49,918 |
$149K |
| 97161 |
|
2,044 |
1,980 |
$134K |
| 76801 |
|
2,606 |
2,502 |
$133K |
| 74176 |
|
1,247 |
1,218 |
$115K |
| 99218 |
|
359 |
186 |
$113K |
| 10060 |
|
1,162 |
1,136 |
$112K |
| 87491 |
|
10,008 |
9,876 |
$102K |
| 87591 |
|
10,002 |
9,871 |
$94K |
| 90471 |
|
10,278 |
10,168 |
$85K |
| 82962 |
|
44,692 |
37,547 |
$78K |
| 93971 |
|
1,631 |
1,603 |
$75K |
| 29125 |
|
1,176 |
1,086 |
$75K |
| 87635 |
|
3,037 |
2,907 |
$72K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
621 |
596 |
$69K |
| 97602 |
|
539 |
175 |
$67K |
| 96361 |
|
2,144 |
1,758 |
$61K |
| 45385 |
|
120 |
120 |
$60K |
| 43239 |
|
161 |
160 |
$58K |
| 84484 |
|
21,008 |
18,184 |
$56K |
| 76705 |
|
1,219 |
1,181 |
$53K |
| 29580 |
|
365 |
123 |
$44K |
| 94640 |
|
7,570 |
6,466 |
$42K |
| 76830 |
|
943 |
926 |
$42K |
| 86885 |
|
8,492 |
8,253 |
$42K |
| 93970 |
|
456 |
439 |
$41K |
| 76856 |
|
986 |
969 |
$41K |
| 81025 |
|
25,718 |
24,700 |
$41K |
| 97165 |
|
1,446 |
1,402 |
$39K |
| 41899 |
|
32 |
30 |
$37K |
| 86780 |
|
4,348 |
4,305 |
$35K |
| 29405 |
|
112 |
92 |
$35K |
| 72100 |
|
4,338 |
4,245 |
$33K |
| 73610 |
|
8,112 |
6,885 |
$31K |
| 80053 |
|
11,962 |
11,420 |
$30K |
| U0002 |
Covid-19 lab test non-cdc |
1,632 |
1,576 |
$29K |
| 73030 |
|
5,320 |
4,896 |
$27K |
| 93306 |
|
635 |
609 |
$27K |
| 73562 |
|
7,894 |
7,594 |
$27K |
| 80307 |
|
14,316 |
13,579 |
$27K |
| 73130 |
|
8,007 |
6,861 |
$26K |
| 83735 |
|
44,372 |
38,072 |
$26K |
| 12011 |
|
728 |
726 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,672 |
6,426 |
$24K |
| 85025 |
|
28,831 |
25,178 |
$23K |
| 72110 |
|
3,111 |
3,101 |
$22K |
| 12002 |
|
510 |
508 |
$21K |
| 12001 |
|
991 |
985 |
$20K |
| 11042 |
|
61 |
48 |
$20K |
| 73630 |
|
6,519 |
5,723 |
$18K |
| 82306 |
|
2,646 |
2,630 |
$18K |
| 93005 |
|
28,047 |
25,741 |
$17K |
| 73564 |
|
3,914 |
3,575 |
$17K |
| 72170 |
|
6,568 |
6,475 |
$17K |
| 84443 |
|
4,160 |
4,069 |
$16K |
| 83036 |
|
5,986 |
5,896 |
$16K |
| 29515 |
|
126 |
116 |
$15K |
| 97597 |
|
122 |
88 |
$15K |
| 90472 |
|
1,040 |
1,032 |
$15K |
| G0121 |
Colon ca scrn not hi rsk ind |
36 |
36 |
$15K |
| 87389 |
|
3,211 |
3,186 |
$15K |
| 72050 |
|
1,380 |
1,372 |
$14K |
| 90674 |
|
734 |
724 |
$14K |
| 73110 |
|
4,498 |
3,851 |
$14K |
| 73590 |
|
3,979 |
3,526 |
$13K |
| 45380 |
|
26 |
25 |
$13K |
| 90686 |
|
832 |
829 |
$12K |
| 73502 |
|
4,405 |
4,288 |
$12K |
| 73560 |
|
2,251 |
2,123 |
$12K |
| 72070 |
|
1,915 |
1,909 |
$11K |
| 87661 |
|
7,664 |
7,576 |
$11K |
| 64400 |
|
82 |
80 |
$11K |
| 85027 |
|
41,490 |
37,668 |
$11K |
| 97530 |
|
2,394 |
1,163 |
$11K |
| 82728 |
|
2,236 |
2,220 |
$10K |
| 72040 |
|
1,228 |
1,193 |
$10K |
| J7030 |
Normal saline solution infus |
27,139 |
23,467 |
$9K |
| 70496 |
|
58 |
57 |
$8K |
| 84100 |
|
5,094 |
3,716 |
$8K |
| G0008 |
Admin influenza virus vac |
910 |
903 |
$8K |
| 73080 |
|
2,309 |
2,125 |
$8K |
| 82803 |
|
833 |
786 |
$8K |
| 70498 |
|
108 |
107 |
$7K |
| 83880 |
|
4,484 |
4,233 |
$7K |
| 81001 |
|
20,473 |
19,738 |
$6K |
| 90670 |
|
57 |
56 |
$6K |
| 96360 |
|
110 |
110 |
$6K |
| 90834 |
|
128 |
39 |
$6K |
| 97116 |
|
1,844 |
1,242 |
$6K |
| 86900 |
|
10,192 |
9,921 |
$6K |
| P9016 |
Rbc leukocytes reduced |
50 |
37 |
$6K |
| 73090 |
|
1,952 |
1,766 |
$6K |
| 76817 |
|
1,934 |
1,860 |
$5K |
| 73700 |
|
82 |
82 |
$5K |
| J7120 |
Ringers lactate infusion |
8,459 |
7,684 |
$5K |
| 83690 |
|
11,257 |
10,492 |
$5K |
| 82550 |
|
2,068 |
1,873 |
$5K |
| 43235 |
|
13 |
13 |
$5K |
| 84703 |
|
8,510 |
8,267 |
$5K |
| J1815 |
Insulin injection |
374 |
336 |
$5K |
| 96366 |
|
266 |
228 |
$5K |
| 85730 |
|
15,416 |
14,554 |
$5K |
| 16020 |
|
1,894 |
1,266 |
$4K |
| 87631 |
|
947 |
933 |
$4K |
| 82607 |
|
1,400 |
1,386 |
$4K |
| 85610 |
|
15,747 |
14,842 |
$4K |
| J3475 |
Inj magnesium sulfate |
4,281 |
3,914 |
$4K |
| Q3014 |
Telehealth facility fee |
267 |
261 |
$4K |
| 73140 |
|
1,127 |
1,030 |
$4K |
| 86803 |
|
918 |
915 |
$4K |
| 85652 |
|
1,451 |
1,411 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
5,950 |
5,749 |
$4K |
| 88304 |
|
236 |
233 |
$3K |
| 73552 |
|
1,872 |
1,744 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
8,637 |
7,778 |
$3K |
| 71101 |
|
453 |
447 |
$3K |
| 86901 |
|
10,192 |
9,921 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
10,809 |
4,926 |
$3K |
| 84439 |
|
1,215 |
1,201 |
$3K |
| 90750 |
|
24 |
24 |
$3K |
| 10061 |
|
15 |
15 |
$3K |
| 97166 |
|
53 |
50 |
$3K |
| 83605 |
|
2,803 |
2,446 |
$3K |
| 81003 |
|
10,671 |
10,393 |
$3K |
| 29075 |
|
15 |
12 |
$3K |
| 85379 |
|
2,526 |
2,488 |
$3K |
| 73060 |
|
1,136 |
978 |
$2K |
| J1170 |
Hydromorphone injection |
9,168 |
7,359 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,681 |
3,223 |
$2K |
| 82805 |
|
465 |
438 |
$2K |
| C8929 |
Tte w or wo fol wcon,doppler |
38 |
36 |
$2K |
| 36430 |
|
15 |
12 |
$2K |
| 74022 |
|
768 |
739 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
2,654 |
2,632 |
$2K |
| 87040 |
|
1,266 |
1,157 |
$2K |
| 87077 |
|
1,315 |
1,132 |
$2K |
| 84702 |
|
3,464 |
3,244 |
$2K |
| 87502 |
|
720 |
709 |
$2K |
| 88305 |
|
1,070 |
1,061 |
$2K |
| 90715 |
|
7,342 |
7,279 |
$2K |
| 72131 |
|
95 |
94 |
$2K |
| J2270 |
Morphine sulfate injection |
8,786 |
7,377 |
$2K |
| 87086 |
|
1,840 |
1,784 |
$1K |
| 90732 |
|
13 |
13 |
$1K |
| 87340 |
|
1,798 |
1,784 |
$1K |
| 82248 |
|
6,411 |
6,059 |
$1K |
| 0011A |
|
48 |
47 |
$1K |
| 73600 |
|
502 |
434 |
$1K |
| 82043 |
|
834 |
831 |
$1K |
| 72128 |
|
65 |
64 |
$1K |
| 86140 |
|
1,750 |
1,697 |
$1K |
| 85046 |
|
1,230 |
1,152 |
$1K |
| J7040 |
Normal saline solution infus |
2,252 |
1,777 |
$1K |
| 83540 |
|
686 |
672 |
$1K |
| 96367 |
|
73 |
71 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
81 |
81 |
$1K |
| 29130 |
|
251 |
231 |
$989.63 |
| 84460 |
|
8,414 |
7,955 |
$959.21 |
| 84450 |
|
8,486 |
8,023 |
$931.18 |
| 84132 |
|
1,723 |
1,638 |
$930.75 |
| 87467 |
|
279 |
278 |
$897.51 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
64 |
63 |
$894.39 |
| G0123 |
Screen cerv/vag thin layer |
81 |
81 |
$844.24 |
| 86850 |
|
1,672 |
1,644 |
$741.84 |
| 82247 |
|
6,519 |
6,158 |
$713.75 |
| 74018 |
|
211 |
195 |
$710.82 |
| J2405 |
Ondansetron hcl injection |
16,298 |
14,491 |
$704.70 |
| J3370 |
Vancomycin hcl injection |
2,079 |
1,486 |
$697.65 |
| 74021 |
|
100 |
95 |
$690.86 |
| 84075 |
|
6,465 |
6,118 |
$686.75 |
| 80074 |
|
77 |
75 |
$651.84 |
| 87070 |
|
500 |
483 |
$642.57 |
| J0780 |
Prochlorperazine injection |
2,281 |
2,150 |
$606.56 |
| 74019 |
|
206 |
203 |
$590.77 |
| J1885 |
Ketorolac tromethamine inj |
16,580 |
15,488 |
$563.14 |
| 83550 |
|
300 |
292 |
$554.31 |
| J1953 |
Levetiracetam injection |
418 |
349 |
$513.08 |
| 82330 |
|
504 |
468 |
$472.84 |
| 87804 |
|
318 |
206 |
$463.76 |
| 82570 |
|
369 |
364 |
$446.29 |
| J1650 |
Inj enoxaparin sodium |
981 |
486 |
$445.95 |
| J3480 |
Inj potassium chloride |
589 |
494 |
$426.63 |
| 82746 |
|
164 |
162 |
$423.98 |
| 82150 |
|
607 |
578 |
$394.55 |
| J1630 |
Haloperidol injection |
7,678 |
5,685 |
$369.79 |
| 99211 |
|
217 |
216 |
$357.60 |
| 86706 |
|
100 |
99 |
$355.87 |
| 73620 |
|
49 |
45 |
$342.63 |
| J2060 |
Lorazepam injection |
8,463 |
6,177 |
$339.89 |
| 90656 |
|
16 |
16 |
$326.12 |
| A9270 |
Non-covered item or service |
111,772 |
73,200 |
$319.30 |
| 83090 |
|
48 |
48 |
$314.40 |
| S0028 |
Injection, famotidine, 20 mg |
832 |
763 |
$300.00 |
| 86923 |
|
81 |
76 |
$296.33 |
| J1200 |
Diphenhydramine hcl injectio |
10,310 |
8,790 |
$295.28 |
| 87205 |
|
476 |
459 |
$283.15 |
| 80185 |
|
375 |
315 |
$282.41 |
| J1631 |
Haloperidol decanoate inj |
222 |
216 |
$278.34 |
| 94760 |
|
3,971 |
3,746 |
$256.00 |
| 84295 |
|
480 |
451 |
$249.63 |
| 85014 |
|
569 |
521 |
$249.60 |
| 82010 |
|
1,438 |
1,322 |
$234.37 |
| 97110 |
|
103 |
54 |
$228.52 |
| J2710 |
Neostigmine methylslfte inj |
1,438 |
1,418 |
$223.41 |
| S0077 |
Injection, clindamycin phosp |
36 |
26 |
$215.76 |
| J7050 |
Normal saline solution infus |
960 |
852 |
$215.01 |
| 80051 |
|
46 |
43 |
$204.28 |
| J1940 |
Furosemide injection |
984 |
636 |
$203.88 |
| J1100 |
Dexamethasone sodium phos |
3,390 |
3,130 |
$202.19 |
| S0020 |
Injection, bupivicaine hydro |
1,804 |
1,786 |
$169.50 |
| J7042 |
5% dextrose/normal saline |
471 |
409 |
$161.53 |
| 86704 |
|
37 |
36 |
$160.99 |
| 90474 |
|
12 |
12 |
$149.15 |
| 76937 |
|
40 |
40 |
$147.66 |
| 82140 |
|
140 |
127 |
$147.09 |
| J3415 |
Pyridoxine hcl 100 mg |
202 |
185 |
$135.20 |
| J3411 |
Thiamine hcl 100 mg |
135 |
119 |
$135.13 |
| 96376 |
|
6,270 |
4,552 |
$135.04 |
| J2765 |
Metoclopramide hcl injection |
3,061 |
2,686 |
$134.65 |
| J7121 |
5% dextrose in lac ringers |
408 |
374 |
$122.52 |
| J2920 |
Methylprednisolone injection |
258 |
203 |
$118.72 |
| 72190 |
|
15 |
12 |
$112.47 |
| 99396 |
|
12 |
12 |
$108.48 |
| J2359 |
Inj. olanzapine, 0.5mg |
14 |
12 |
$105.33 |
| 88312 |
|
51 |
51 |
$103.68 |
| 83615 |
|
237 |
233 |
$97.22 |
| 99212 |
|
41 |
41 |
$95.40 |
| J1580 |
Garamycin gentamicin inj |
107 |
102 |
$94.19 |
| 87075 |
|
61 |
57 |
$85.42 |
| 99201 |
|
49 |
49 |
$82.50 |
| C1729 |
Cath, drainage |
156 |
151 |
$74.94 |
| 86141 |
|
14 |
14 |
$66.53 |
| 85018 |
|
132 |
92 |
$64.23 |
| 97535 |
|
21 |
13 |
$56.10 |
| J7060 |
5% dextrose/water |
259 |
199 |
$54.77 |
| 80143 |
|
12 |
12 |
$49.68 |
| 83655 |
|
15 |
15 |
$42.98 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
215 |
213 |
$41.45 |
| 82040 |
|
134 |
125 |
$31.35 |
| 87807 |
|
26 |
25 |
$30.96 |
| 82272 |
|
385 |
369 |
$29.06 |
| 85384 |
|
13 |
13 |
$27.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
666 |
650 |
$26.42 |
| J2930 |
Methylprednisolone injection |
59 |
51 |
$26.10 |
| J2310 |
Inj naloxone hydrochloride |
79 |
76 |
$18.50 |
| J3010 |
Fentanyl citrate injection |
3,894 |
3,806 |
$17.71 |
| J0330 |
Succinycholine chloride inj |
1,230 |
1,211 |
$14.32 |
| 87880 |
|
125 |
123 |
$13.86 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
49 |
40 |
$13.37 |
| 83037 |
|
42 |
42 |
$10.29 |
| J0692 |
Cefepime hcl for injection |
18 |
13 |
$9.23 |
| 84156 |
|
12 |
12 |
$7.66 |
| 82375 |
|
25 |
24 |
$7.47 |
| J2250 |
Inj midazolam hydrochloride |
4,668 |
4,500 |
$6.49 |
| 82565 |
|
53 |
49 |
$6.45 |
| 84520 |
|
34 |
31 |
$5.25 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$4.56 |
| J7512 |
Prednisone ir or dr oral 1mg |
189 |
146 |
$1.16 |
| C9113 |
Inj pantoprazole sodium, via |
1,225 |
810 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
152 |
127 |
$0.00 |
| 41800 |
|
13 |
13 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
14 |
12 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
13 |
13 |
$0.00 |
| J7070 |
D5w infusion |
13 |
12 |
$0.00 |
| 90632 |
|
109 |
108 |
$0.00 |
| C1769 |
Guide wire |
27 |
27 |
$0.00 |
| J1790 |
Droperidol injection |
952 |
871 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
108 |
86 |
$0.00 |
| 76604 |
|
13 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
63 |
62 |
$0.00 |
| 76870 |
|
14 |
14 |
$0.00 |