| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,742 |
12,640 |
$2.55M |
| 99285 |
|
6,670 |
6,122 |
$2.19M |
| G0463 |
Hospital outpt clinic visit |
38,034 |
32,785 |
$1.87M |
| 99283 |
|
13,881 |
13,122 |
$1.59M |
| 96374 |
|
8,891 |
7,938 |
$829K |
| 96365 |
|
9,788 |
6,819 |
$815K |
| 97110 |
|
34,251 |
10,885 |
$805K |
| 96413 |
|
4,766 |
2,607 |
$630K |
| 74177 |
|
4,270 |
4,096 |
$567K |
| J9271 |
Inj pembrolizumab |
87 |
67 |
$544K |
| 97140 |
|
26,356 |
8,699 |
$478K |
| 99282 |
|
6,632 |
6,405 |
$444K |
| 96375 |
|
11,500 |
8,911 |
$341K |
| 93306 |
|
1,537 |
1,520 |
$322K |
| 87635 |
|
12,474 |
11,792 |
$310K |
| 70450 |
|
3,078 |
2,956 |
$299K |
| 71046 |
|
8,239 |
7,818 |
$292K |
| 96360 |
|
3,142 |
2,363 |
$278K |
| 96361 |
|
8,528 |
6,917 |
$249K |
| Q5103 |
Injection, inflectra |
325 |
285 |
$217K |
| 90834 |
|
2,975 |
2,181 |
$208K |
| 94060 |
|
1,615 |
1,591 |
$201K |
| 77067 |
|
4,001 |
3,973 |
$190K |
| 70553 |
|
887 |
876 |
$174K |
| 74176 |
|
1,629 |
1,569 |
$169K |
| 71045 |
|
4,517 |
4,270 |
$163K |
| 95810 |
|
365 |
357 |
$157K |
| 59025 |
|
1,698 |
1,094 |
$151K |
| 97161 |
|
2,992 |
2,932 |
$148K |
| 97530 |
|
4,689 |
2,298 |
$135K |
| 76705 |
|
2,218 |
2,182 |
$124K |
| 96366 |
|
4,672 |
3,230 |
$120K |
| G0378 |
Hospital observation per hr |
1,824 |
1,046 |
$120K |
| 43239 |
|
372 |
367 |
$120K |
| 11042 |
|
640 |
308 |
$112K |
| 80061 |
|
6,013 |
5,955 |
$110K |
| 76830 |
|
1,918 |
1,896 |
$109K |
| 76856 |
|
2,059 |
2,031 |
$106K |
| 72148 |
|
989 |
984 |
$105K |
| 92507 |
|
2,548 |
914 |
$103K |
| 96367 |
|
3,126 |
1,757 |
$103K |
| 71260 |
|
894 |
873 |
$103K |
| 93005 |
|
14,370 |
13,247 |
$95K |
| 71275 |
|
995 |
965 |
$89K |
| 97162 |
|
1,646 |
1,613 |
$88K |
| 71250 |
|
1,755 |
1,724 |
$88K |
| 76811 |
|
767 |
766 |
$86K |
| 45385 |
|
183 |
180 |
$86K |
| 90832 |
|
1,095 |
886 |
$81K |
| 36591 |
|
2,546 |
1,627 |
$73K |
| 78452 |
|
161 |
153 |
$65K |
| 97112 |
|
3,270 |
1,518 |
$64K |
| 72110 |
|
1,624 |
1,609 |
$60K |
| 76816 |
|
1,290 |
1,180 |
$59K |
| 99281 |
|
1,327 |
1,289 |
$49K |
| 96372 |
|
7,490 |
6,282 |
$45K |
| 76801 |
|
787 |
707 |
$45K |
| 96417 |
|
1,218 |
774 |
$44K |
| 76642 |
|
1,088 |
1,056 |
$43K |
| 90471 |
|
2,767 |
2,619 |
$40K |
| 80053 |
|
34,580 |
29,103 |
$39K |
| 90791 |
|
528 |
519 |
$39K |
| 73721 |
|
347 |
338 |
$39K |
| 73030 |
|
1,911 |
1,870 |
$39K |
| 73564 |
|
1,189 |
1,091 |
$37K |
| 96415 |
|
928 |
581 |
$36K |
| 84443 |
|
10,207 |
9,744 |
$35K |
| 73630 |
|
2,267 |
2,178 |
$35K |
| 85025 |
|
40,210 |
32,510 |
$34K |
| 87491 |
|
2,608 |
2,568 |
$33K |
| 76536 |
|
722 |
717 |
$33K |
| 97035 |
|
6,249 |
2,441 |
$33K |
| 87591 |
|
2,556 |
2,519 |
$32K |
| 94726 |
|
1,730 |
1,704 |
$32K |
| 77063 |
|
2,492 |
2,490 |
$31K |
| 86900 |
|
2,889 |
2,668 |
$30K |
| 73130 |
|
1,821 |
1,729 |
$28K |
| 73610 |
|
1,858 |
1,763 |
$28K |
| 93971 |
|
496 |
479 |
$27K |
| 90472 |
|
870 |
864 |
$27K |
| 97163 |
|
391 |
389 |
$21K |
| 95811 |
|
56 |
52 |
$21K |
| 82306 |
|
2,622 |
2,579 |
$21K |
| 74018 |
|
998 |
956 |
$19K |
| 72100 |
|
543 |
539 |
$19K |
| 72141 |
|
129 |
128 |
$19K |
| 73110 |
|
1,185 |
1,116 |
$19K |
| 97014 |
|
2,380 |
1,030 |
$18K |
| 73502 |
|
875 |
859 |
$16K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
1,539 |
1,532 |
$15K |
| 45380 |
|
29 |
29 |
$15K |
| 76805 |
|
252 |
250 |
$15K |
| 87880 |
|
2,916 |
2,823 |
$15K |
| 97165 |
|
300 |
297 |
$15K |
| 87804 |
|
2,549 |
1,351 |
$14K |
| 77065 |
Tomosynthesis, mammo |
315 |
306 |
$13K |
| 83036 |
|
4,552 |
4,497 |
$13K |
| 72125 |
|
1,118 |
1,084 |
$12K |
| 82728 |
|
2,859 |
2,723 |
$12K |
| 36415 |
|
37,608 |
31,776 |
$12K |
| G0476 |
Hpv combo assay ca screen |
739 |
712 |
$11K |
| 71271 |
|
188 |
188 |
$11K |
| Q3014 |
Telehealth facility fee |
855 |
802 |
$10K |
| 80307 |
|
2,434 |
2,232 |
$10K |
| 96416 |
|
64 |
38 |
$10K |
| 88305 |
|
3,153 |
3,033 |
$10K |
| 82607 |
|
2,309 |
2,281 |
$9K |
| 93017 |
|
367 |
355 |
$8K |
| 87086 |
|
5,591 |
5,254 |
$8K |
| 73562 |
|
297 |
294 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,209 |
4,909 |
$8K |
| 96523 |
|
462 |
398 |
$8K |
| 20553 |
|
72 |
71 |
$8K |
| 87653 |
|
652 |
651 |
$8K |
| 90686 |
|
535 |
533 |
$7K |
| 45378 |
|
24 |
24 |
$7K |
| 83550 |
|
2,489 |
2,400 |
$7K |
| 88142 |
|
753 |
751 |
$7K |
| 87081 |
|
4,377 |
4,263 |
$7K |
| 72050 |
|
136 |
135 |
$6K |
| 84439 |
|
2,941 |
2,872 |
$6K |
| 86803 |
|
1,180 |
1,177 |
$6K |
| 80048 |
|
4,979 |
4,165 |
$6K |
| 76770 |
|
101 |
100 |
$6K |
| 87426 |
|
311 |
302 |
$6K |
| 84702 |
|
1,517 |
1,083 |
$6K |
| 83540 |
|
2,673 |
2,568 |
$6K |
| 73221 |
|
43 |
42 |
$5K |
| 87340 |
|
1,397 |
1,390 |
$5K |
| 88175 |
|
453 |
453 |
$5K |
| G0480 |
Drug test def 1-7 classes |
4,616 |
3,994 |
$5K |
| 96127 |
|
517 |
508 |
$4K |
| 83880 |
|
1,809 |
1,664 |
$4K |
| 36430 |
|
28 |
13 |
$4K |
| 93225 |
|
86 |
86 |
$4K |
| 85027 |
|
2,371 |
2,277 |
$4K |
| 97116 |
|
348 |
185 |
$4K |
| 83735 |
|
7,683 |
6,385 |
$4K |
| 73560 |
|
397 |
390 |
$4K |
| G0279 |
Tomosynthesis, mammo |
326 |
326 |
$4K |
| G0260 |
Inj for sacroiliac jt anesth |
12 |
12 |
$4K |
| 90677 |
|
14 |
14 |
$3K |
| 81001 |
|
16,463 |
14,773 |
$3K |
| 84481 |
|
810 |
796 |
$3K |
| 90678 |
|
12 |
12 |
$3K |
| G0108 |
Diab manage trn per indiv |
68 |
57 |
$3K |
| 87661 |
|
220 |
219 |
$3K |
| 76700 |
|
55 |
53 |
$3K |
| 73080 |
|
214 |
210 |
$3K |
| 84146 |
|
833 |
824 |
$3K |
| 20552 |
|
32 |
32 |
$3K |
| 86592 |
|
1,463 |
1,457 |
$3K |
| 73140 |
|
106 |
105 |
$3K |
| 90474 |
|
224 |
224 |
$3K |
| 86762 |
|
610 |
609 |
$3K |
| 97597 |
|
40 |
24 |
$3K |
| 87088 |
|
1,573 |
1,504 |
$3K |
| 87186 |
|
1,746 |
1,663 |
$3K |
| 86850 |
|
2,711 |
2,521 |
$3K |
| 90837 |
|
32 |
30 |
$2K |
| 86140 |
|
3,567 |
3,142 |
$2K |
| 72131 |
|
54 |
54 |
$2K |
| 82746 |
|
588 |
576 |
$2K |
| 95806 |
|
28 |
28 |
$2K |
| 87070 |
|
895 |
871 |
$2K |
| 77066 |
Tomosynthesis, mammo |
40 |
40 |
$2K |
| 72072 |
|
76 |
76 |
$2K |
| P9016 |
Rbc leukocytes reduced |
18 |
12 |
$2K |
| 94618 |
|
140 |
134 |
$2K |
| Q0091 |
Obtaining screen pap smear |
137 |
137 |
$2K |
| 80306 |
|
2,865 |
2,580 |
$2K |
| 82570 |
|
852 |
781 |
$2K |
| 88342 |
|
122 |
117 |
$2K |
| 96411 |
|
70 |
39 |
$2K |
| 93925 |
|
14 |
14 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,269 |
1,226 |
$2K |
| 76817 |
|
328 |
284 |
$2K |
| 80076 |
|
499 |
416 |
$1K |
| 81025 |
|
7,049 |
6,525 |
$1K |
| 87276 |
|
4,459 |
4,347 |
$1K |
| 85610 |
|
4,853 |
4,042 |
$1K |
| 85652 |
|
2,531 |
2,379 |
$1K |
| 87077 |
|
870 |
830 |
$1K |
| 97012 |
|
192 |
90 |
$1K |
| 83615 |
|
1,064 |
1,017 |
$1K |
| 83970 |
|
79 |
77 |
$1K |
| 87275 |
|
4,459 |
4,347 |
$1K |
| 76882 |
|
24 |
24 |
$1K |
| 86703 |
|
209 |
207 |
$1K |
| 82951 |
|
178 |
173 |
$1K |
| 90480 |
|
27 |
27 |
$1K |
| 73090 |
|
86 |
81 |
$929.44 |
| 85730 |
|
2,355 |
2,122 |
$921.67 |
| 83690 |
|
5,268 |
4,735 |
$901.30 |
| 94640 |
|
2,199 |
1,835 |
$866.22 |
| 77080 |
|
13 |
13 |
$842.92 |
| 76870 |
|
26 |
24 |
$815.01 |
| G0008 |
Admin influenza virus vac |
126 |
123 |
$797.85 |
| 86901 |
|
2,891 |
2,670 |
$728.91 |
| 73523 |
|
15 |
15 |
$713.31 |
| 82043 |
|
315 |
309 |
$679.32 |
| 85018 |
|
778 |
727 |
$630.73 |
| 84156 |
|
525 |
478 |
$626.97 |
| 71101 |
|
37 |
36 |
$624.18 |
| 90656 |
|
38 |
38 |
$589.00 |
| 76815 |
|
29 |
27 |
$580.02 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
39 |
39 |
$572.44 |
| 82950 |
|
278 |
276 |
$556.05 |
| 85046 |
|
364 |
357 |
$534.89 |
| 87220 |
|
418 |
408 |
$524.68 |
| 0013A |
|
16 |
16 |
$488.53 |
| 87430 |
|
2,475 |
2,435 |
$483.90 |
| 87205 |
|
378 |
370 |
$440.86 |
| 87075 |
|
363 |
350 |
$438.35 |
| 88312 |
|
97 |
95 |
$371.69 |
| 74019 |
|
13 |
13 |
$364.50 |
| 83655 |
|
73 |
73 |
$360.52 |
| 85379 |
|
1,749 |
1,693 |
$359.14 |
| 86481 |
|
12 |
12 |
$354.92 |
| 84703 |
|
1,730 |
1,678 |
$352.06 |
| 87807 |
|
909 |
896 |
$310.10 |
| 84403 |
|
28 |
26 |
$307.21 |
| 94010 |
|
13 |
13 |
$305.35 |
| 82550 |
|
334 |
297 |
$293.99 |
| 81002 |
|
289 |
284 |
$293.73 |
| 72040 |
|
12 |
12 |
$265.20 |
| 82565 |
|
182 |
146 |
$258.84 |
| 87040 |
|
1,528 |
1,310 |
$249.11 |
| 70486 |
|
12 |
12 |
$247.08 |
| 73590 |
|
12 |
12 |
$241.65 |
| 87797 |
|
16 |
16 |
$222.48 |
| 97032 |
|
33 |
25 |
$205.36 |
| 84112 |
|
14 |
12 |
$181.38 |
| 86923 |
|
19 |
12 |
$175.50 |
| 12001 |
|
97 |
96 |
$171.68 |
| 80069 |
|
56 |
48 |
$163.00 |
| 73060 |
|
14 |
12 |
$152.09 |
| 83605 |
|
5,536 |
4,891 |
$151.32 |
| 84100 |
|
369 |
317 |
$147.72 |
| 90715 |
|
596 |
594 |
$136.09 |
| 85014 |
|
139 |
135 |
$127.33 |
| 87808 |
|
29 |
29 |
$106.07 |
| 84145 |
|
460 |
428 |
$102.55 |
| 70498 |
|
13 |
12 |
$100.63 |
| 86038 |
|
13 |
13 |
$97.81 |
| 80178 |
|
48 |
38 |
$87.48 |
| 82962 |
|
4,185 |
3,027 |
$86.08 |
| 88304 |
|
121 |
114 |
$85.57 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
485 |
264 |
$62.74 |
| 84484 |
|
5,804 |
5,017 |
$46.62 |
| 82150 |
|
14 |
12 |
$41.11 |
| 82140 |
|
32 |
27 |
$38.36 |
| 87420 |
|
13 |
13 |
$36.64 |
| 88313 |
|
267 |
261 |
$36.25 |
| 85045 |
|
27 |
26 |
$34.48 |
| 84460 |
|
16 |
15 |
$33.73 |
| 84450 |
|
16 |
15 |
$32.96 |
| 80164 |
|
14 |
12 |
$28.57 |
| 82378 |
|
23 |
14 |
$20.74 |
| 86308 |
|
28 |
27 |
$12.84 |
| J2250 |
Inj midazolam hydrochloride |
4,582 |
4,064 |
$1.09 |
| J2930 |
Methylprednisolone injection |
1,043 |
875 |
$0.00 |
| J7030 |
Normal saline solution infus |
11,286 |
8,213 |
$0.00 |
| 99152 |
|
48 |
43 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
9,794 |
7,600 |
$0.00 |
| J0780 |
Prochlorperazine injection |
533 |
484 |
$0.00 |
| 94729 |
|
1,722 |
1,696 |
$0.00 |
| J7120 |
Ringers lactate infusion |
3,286 |
3,066 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
92 |
65 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,577 |
1,247 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,380 |
619 |
$0.00 |
| 94799 |
|
180 |
163 |
$0.00 |
| 90670 |
|
131 |
131 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,732 |
2,832 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,256 |
846 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
73 |
25 |
$0.00 |
| 94664 |
|
624 |
582 |
$0.00 |
| J7040 |
Normal saline solution infus |
832 |
673 |
$0.00 |
| 90633 |
|
143 |
143 |
$0.00 |
| 90700 |
|
54 |
54 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
226 |
224 |
$0.00 |
| 86318 |
|
352 |
348 |
$0.00 |
| G1004 |
Cdsm ndsc |
246 |
191 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
249 |
186 |
$0.00 |
| 93226 |
|
86 |
86 |
$0.00 |
| G8979 |
Mobility goal status |
57 |
43 |
$0.00 |
| 90681 |
|
128 |
128 |
$0.00 |
| J9190 |
Fluorouracil injection |
108 |
38 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
165 |
92 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
67 |
67 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
78 |
31 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
14 |
14 |
$0.00 |
| G8978 |
Mobility current status |
23 |
17 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
14 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
16 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
82 |
57 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
7,593 |
6,031 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,467 |
1,035 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
5,103 |
2,376 |
$0.00 |
| Q0162 |
Ondansetron oral |
594 |
558 |
$0.00 |
| J2469 |
Palonosetron hcl |
1,123 |
751 |
$0.00 |
| J1170 |
Hydromorphone injection |
4,648 |
3,350 |
$0.00 |
| 96368 |
|
482 |
284 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
423 |
377 |
$0.00 |
| 94760 |
|
550 |
494 |
$0.00 |
| 96376 |
|
2,644 |
2,031 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
8,165 |
7,282 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
5,138 |
4,336 |
$0.00 |
| A9270 |
Non-covered item or service |
1,852 |
1,390 |
$0.00 |
| G0283 |
Elec stim other than wound |
916 |
379 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,858 |
1,516 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,734 |
1,703 |
$0.00 |
| 90647 |
|
314 |
314 |
$0.00 |
| J7050 |
Normal saline solution infus |
824 |
469 |
$0.00 |
| J9045 |
Carboplatin injection |
154 |
86 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
418 |
344 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
303 |
273 |
$0.00 |
| 0241U |
|
25 |
22 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
244 |
212 |
$0.00 |
| A9500 |
Tc99m sestamibi |
162 |
152 |
$0.00 |
| J2060 |
Lorazepam injection |
1,205 |
929 |
$0.00 |
| 80320 |
|
30 |
26 |
$0.00 |
| 90723 |
|
214 |
214 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
331 |
319 |
$0.00 |
| 82803 |
|
75 |
63 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
56 |
52 |
$0.00 |
| J3480 |
Inj potassium chloride |
202 |
110 |
$0.00 |
| 88307 |
|
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
69 |
67 |
$0.00 |
| J2920 |
Methylprednisolone injection |
15 |
13 |
$0.00 |
| J3360 |
Diazepam injection |
39 |
38 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
15 |
12 |
$0.00 |