| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
39,750 |
33,454 |
$3.04M |
| 99284 |
|
26,169 |
21,206 |
$3.02M |
| 99285 |
|
2,719 |
2,306 |
$622K |
| 85025 |
|
49,940 |
37,238 |
$573K |
| 74176 |
|
4,784 |
4,221 |
$443K |
| 80053 |
|
22,193 |
18,607 |
$411K |
| 80048 |
|
28,387 |
20,709 |
$371K |
| 43239 |
|
3,555 |
2,512 |
$359K |
| 74177 |
|
1,799 |
1,539 |
$309K |
| 87428 |
|
8,758 |
7,765 |
$277K |
| 99212 |
|
21,038 |
17,161 |
$277K |
| J3010 |
Fentanyl citrate injection |
5,150 |
3,810 |
$267K |
| J2405 |
Ondansetron hcl injection |
9,238 |
6,895 |
$267K |
| J2250 |
Inj midazolam hydrochloride |
5,655 |
4,032 |
$258K |
| 78452 |
|
706 |
611 |
$236K |
| 70450 |
|
4,267 |
3,751 |
$234K |
| 96374 |
|
9,949 |
8,301 |
$232K |
| 87426 |
|
7,099 |
6,299 |
$231K |
| 96375 |
|
8,792 |
6,258 |
$215K |
| 80307 |
|
4,638 |
3,870 |
$212K |
| 84443 |
|
11,101 |
10,101 |
$191K |
| 81001 |
|
20,571 |
17,258 |
$184K |
| 96413 |
|
1,457 |
802 |
$182K |
| 87880 |
|
10,584 |
9,477 |
$179K |
| A9500 |
Tc99m sestamibi |
719 |
623 |
$168K |
| 96365 |
|
4,921 |
3,991 |
$167K |
| 96372 |
|
10,255 |
6,491 |
$164K |
| J7120 |
Ringers lactate infusion |
2,270 |
1,673 |
$158K |
| 99213 |
|
13,007 |
10,749 |
$148K |
| J1100 |
Dexamethasone sodium phos |
4,351 |
2,989 |
$146K |
| 71045 |
|
10,305 |
8,467 |
$139K |
| 88305 |
|
3,691 |
2,841 |
$139K |
| 87804 |
|
7,323 |
6,390 |
$138K |
| J7050 |
Normal saline solution infus |
2,774 |
1,679 |
$133K |
| 84484 |
|
11,284 |
7,076 |
$133K |
| 71046 |
|
5,183 |
4,731 |
$129K |
| G0378 |
Hospital observation per hr |
2,424 |
2,043 |
$127K |
| 93306 |
|
1,424 |
1,308 |
$126K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,970 |
2,906 |
$126K |
| 80061 |
|
8,698 |
8,037 |
$124K |
| 80076 |
|
9,956 |
8,362 |
$120K |
| J1885 |
Ketorolac tromethamine inj |
6,382 |
5,162 |
$117K |
| 93005 |
|
13,495 |
10,992 |
$116K |
| 96361 |
|
5,393 |
4,492 |
$112K |
| J0690 |
Cefazolin sodium injection |
1,550 |
1,057 |
$109K |
| 36415 |
|
12,132 |
10,355 |
$104K |
| 45380 |
|
697 |
461 |
$102K |
| 87088 |
|
8,459 |
7,193 |
$99K |
| 93017 |
|
885 |
772 |
$99K |
| 71250 |
|
1,787 |
1,625 |
$98K |
| 44361 |
|
619 |
430 |
$96K |
| 83735 |
|
5,816 |
4,140 |
$94K |
| J2357 |
Omalizumab injection |
379 |
225 |
$92K |
| 83615 |
|
2,940 |
1,958 |
$90K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,245 |
1,012 |
$86K |
| 77067 |
|
1,156 |
1,098 |
$86K |
| J7030 |
Normal saline solution infus |
2,982 |
2,260 |
$86K |
| 99211 |
|
3,509 |
3,076 |
$77K |
| 87491 |
|
2,187 |
1,985 |
$75K |
| 43254 |
|
459 |
314 |
$75K |
| 45390 |
|
453 |
293 |
$75K |
| 87591 |
|
2,185 |
1,984 |
$74K |
| 83036 |
|
6,338 |
5,885 |
$73K |
| 83690 |
|
7,145 |
5,991 |
$70K |
| 72125 |
|
952 |
865 |
$70K |
| 92507 |
|
1,381 |
606 |
$67K |
| 71275 |
|
398 |
361 |
$64K |
| 82306 |
|
2,605 |
2,375 |
$62K |
| J2785 |
Regadenoson injection |
500 |
438 |
$61K |
| 83880 |
|
3,869 |
3,192 |
$61K |
| 87635 |
|
1,470 |
1,376 |
$58K |
| 81025 |
|
2,786 |
2,367 |
$58K |
| 96376 |
|
2,787 |
1,681 |
$57K |
| G0463 |
Hospital outpt clinic visit |
8,030 |
6,216 |
$57K |
| 41899 |
|
29 |
12 |
$57K |
| 71260 |
|
507 |
456 |
$56K |
| 87077 |
|
3,651 |
3,064 |
$54K |
| 87186 |
|
3,586 |
3,072 |
$53K |
| 93971 |
|
509 |
463 |
$52K |
| J0330 |
Succinycholine chloride inj |
1,090 |
778 |
$51K |
| 76815 |
|
780 |
707 |
$50K |
| J1170 |
Hydromorphone injection |
1,684 |
1,157 |
$49K |
| 82948 |
|
2,269 |
1,007 |
$47K |
| 76856 |
|
519 |
484 |
$44K |
| J1642 |
Inj heparin sodium per 10 u |
2,641 |
1,445 |
$44K |
| 96360 |
|
1,520 |
1,351 |
$44K |
| 76705 |
|
604 |
571 |
$43K |
| 85610 |
|
7,496 |
5,863 |
$42K |
| M0243 |
Casirivi and imdevi inj |
110 |
107 |
$41K |
| 86140 |
|
5,170 |
4,421 |
$39K |
| 73630 |
|
1,904 |
1,526 |
$39K |
| 82607 |
|
2,834 |
2,635 |
$39K |
| 84439 |
|
2,769 |
2,545 |
$37K |
| 88175 |
|
891 |
807 |
$37K |
| 85730 |
|
5,368 |
4,465 |
$36K |
| 82803 |
|
1,988 |
1,612 |
$35K |
| 99282 |
|
986 |
889 |
$31K |
| J1200 |
Diphenhydramine hcl injectio |
1,099 |
820 |
$31K |
| 87040 |
|
2,253 |
1,364 |
$31K |
| 84703 |
|
1,629 |
1,419 |
$31K |
| 73610 |
|
1,264 |
1,120 |
$31K |
| J1030 |
Methylprednisolone 40 mg inj |
2,267 |
1,777 |
$30K |
| 96401 |
|
949 |
620 |
$30K |
| 73562 |
|
780 |
645 |
$27K |
| 73130 |
|
951 |
808 |
$27K |
| J1650 |
Inj enoxaparin sodium |
1,712 |
1,014 |
$27K |
| J2710 |
Neostigmine methylslfte inj |
269 |
182 |
$24K |
| 87807 |
|
1,473 |
1,310 |
$24K |
| 20610 |
|
936 |
626 |
$23K |
| C9803 |
Hopd covid-19 spec collect |
2,413 |
2,085 |
$23K |
| 82550 |
|
1,663 |
1,349 |
$23K |
| 85379 |
|
1,605 |
1,405 |
$22K |
| 74022 |
|
577 |
531 |
$22K |
| 73030 |
|
1,222 |
1,017 |
$22K |
| 83605 |
|
2,286 |
1,872 |
$21K |
| 87070 |
|
408 |
362 |
$21K |
| 88304 |
|
195 |
141 |
$21K |
| 73110 |
|
763 |
657 |
$20K |
| 85027 |
|
2,156 |
1,732 |
$20K |
| 76805 |
|
151 |
141 |
$20K |
| 74018 |
|
823 |
723 |
$20K |
| 82728 |
|
1,499 |
1,363 |
$20K |
| 70486 |
|
222 |
208 |
$20K |
| 96366 |
|
1,603 |
1,086 |
$19K |
| 90471 |
|
1,092 |
956 |
$19K |
| 84702 |
|
582 |
401 |
$19K |
| 46946 |
|
91 |
73 |
$19K |
| 99156 |
|
824 |
503 |
$19K |
| C8957 |
Prolonged iv inf, req pump |
361 |
283 |
$18K |
| 80081 |
|
261 |
237 |
$18K |
| 77063 |
|
762 |
717 |
$17K |
| 73502 |
|
892 |
766 |
$17K |
| 80050 |
|
530 |
505 |
$17K |
| 82150 |
|
907 |
751 |
$16K |
| 72110 |
|
319 |
301 |
$16K |
| J2270 |
Morphine sulfate injection |
1,722 |
1,316 |
$15K |
| 86803 |
|
590 |
533 |
$15K |
| 96367 |
|
661 |
462 |
$15K |
| 84481 |
|
466 |
442 |
$14K |
| 87205 |
|
369 |
293 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
2,572 |
1,875 |
$13K |
| 87624 |
|
310 |
277 |
$13K |
| 11721 |
|
1,684 |
1,610 |
$13K |
| 82565 |
|
1,088 |
940 |
$12K |
| 83655 |
|
750 |
693 |
$12K |
| 80074 |
|
276 |
268 |
$11K |
| 84550 |
|
805 |
732 |
$11K |
| 82962 |
|
5,800 |
2,503 |
$11K |
| 83540 |
|
1,386 |
1,240 |
$11K |
| 86900 |
|
988 |
845 |
$10K |
| 86901 |
|
988 |
845 |
$9K |
| 82947 |
|
609 |
567 |
$9K |
| 80305 |
|
1,166 |
564 |
$9K |
| 45378 |
|
30 |
25 |
$9K |
| 87389 |
|
391 |
369 |
$9K |
| 85652 |
|
1,229 |
1,056 |
$9K |
| 84520 |
|
445 |
367 |
$9K |
| 83550 |
|
1,107 |
976 |
$9K |
| J2930 |
Methylprednisolone injection |
1,467 |
1,205 |
$9K |
| 85014 |
|
1,242 |
1,072 |
$8K |
| 85018 |
|
1,243 |
1,075 |
$8K |
| 74178 |
|
64 |
48 |
$8K |
| J2765 |
Metoclopramide hcl injection |
119 |
103 |
$8K |
| 84482 |
|
247 |
238 |
$8K |
| 90715 |
|
215 |
194 |
$8K |
| 76641 |
|
111 |
91 |
$7K |
| 73560 |
|
430 |
357 |
$7K |
| 87653 |
|
186 |
167 |
$7K |
| 76770 |
|
84 |
77 |
$7K |
| J0697 |
Sterile cefuroxime injection |
12 |
12 |
$6K |
| A9577 |
Inj multihance |
25 |
12 |
$6K |
| 82043 |
|
907 |
829 |
$6K |
| 82570 |
|
833 |
737 |
$6K |
| 46930 |
|
27 |
26 |
$6K |
| 81002 |
|
1,059 |
973 |
$6K |
| 94060 |
|
129 |
120 |
$5K |
| 73070 |
|
169 |
154 |
$5K |
| 93010 |
|
593 |
552 |
$5K |
| 84100 |
|
469 |
371 |
$4K |
| 73590 |
|
207 |
180 |
$4K |
| 85007 |
|
765 |
597 |
$4K |
| 90686 |
|
563 |
519 |
$4K |
| 93880 |
|
45 |
43 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
285 |
232 |
$3K |
| M0245 |
Bamlan and etesev infusion |
14 |
12 |
$3K |
| 27096 |
|
17 |
16 |
$3K |
| 43233 |
|
22 |
15 |
$3K |
| 99202 |
|
389 |
364 |
$3K |
| A9552 |
F18 fdg |
13 |
13 |
$3K |
| 86376 |
|
122 |
112 |
$3K |
| U0005 |
Infec agen detec ampli probe |
161 |
145 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
105 |
96 |
$3K |
| J2001 |
Lidocaine injection |
15 |
13 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
5,398 |
3,670 |
$3K |
| 76536 |
|
52 |
51 |
$3K |
| 12001 |
|
48 |
40 |
$3K |
| 87633 |
|
12 |
12 |
$3K |
| 82950 |
|
184 |
179 |
$3K |
| 45385 |
|
21 |
12 |
$2K |
| J2550 |
Promethazine hcl injection |
100 |
76 |
$2K |
| 86800 |
|
105 |
93 |
$2K |
| 93225 |
|
55 |
52 |
$2K |
| G0279 |
Tomosynthesis, mammo |
113 |
102 |
$2K |
| 82140 |
|
61 |
51 |
$2K |
| 73090 |
|
49 |
39 |
$2K |
| 84460 |
|
232 |
195 |
$2K |
| J1940 |
Furosemide injection |
27 |
24 |
$2K |
| 36591 |
|
68 |
39 |
$2K |
| 86850 |
|
188 |
171 |
$2K |
| 84450 |
|
211 |
177 |
$2K |
| 76642 |
|
62 |
54 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
14 |
12 |
$2K |
| J1815 |
Insulin injection |
1,505 |
690 |
$2K |
| 96523 |
|
122 |
101 |
$2K |
| 72100 |
|
86 |
76 |
$1K |
| 78815 |
|
13 |
13 |
$1K |
| 90472 |
|
107 |
99 |
$1K |
| 76700 |
|
18 |
17 |
$1K |
| 87081 |
|
62 |
58 |
$1K |
| 70496 |
|
14 |
14 |
$1K |
| G0482 |
Drug test def 15-21 classes |
15 |
15 |
$1K |
| 70498 |
|
12 |
12 |
$1K |
| J2060 |
Lorazepam injection |
137 |
113 |
$1K |
| 94729 |
|
27 |
26 |
$1K |
| 99214 |
|
72 |
70 |
$1K |
| 99157 |
|
39 |
13 |
$1K |
| 82248 |
|
61 |
52 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
100 |
84 |
$1K |
| 86038 |
|
76 |
65 |
$1K |
| 90619 |
|
17 |
13 |
$1K |
| 30140 |
|
19 |
14 |
$980.00 |
| 94727 |
|
15 |
14 |
$961.06 |
| 83970 |
|
28 |
26 |
$951.17 |
| 62323 |
|
25 |
25 |
$919.62 |
| J1626 |
Granisetron hcl injection |
78 |
24 |
$902.64 |
| 87808 |
|
70 |
68 |
$894.40 |
| 84156 |
|
86 |
68 |
$806.92 |
| 84153 |
|
54 |
50 |
$797.56 |
| 84480 |
|
59 |
55 |
$794.18 |
| 77066 |
Tomosynthesis, mammo |
16 |
16 |
$738.33 |
| 74160 |
|
13 |
12 |
$654.82 |
| 99490 |
Ccm add 20min |
200 |
196 |
$595.80 |
| 87209 |
|
41 |
29 |
$562.78 |
| 86618 |
|
41 |
33 |
$554.05 |
| J3301 |
Triamcinolone acet inj nos |
451 |
352 |
$517.33 |
| 87177 |
|
41 |
29 |
$507.80 |
| G0008 |
Admin influenza virus vac |
373 |
348 |
$505.76 |
| 82274 |
|
18 |
13 |
$501.72 |
| 76830 |
|
13 |
12 |
$448.44 |
| 87493 |
|
14 |
12 |
$436.02 |
| 99203 |
|
41 |
39 |
$424.20 |
| 72148 |
|
13 |
12 |
$416.97 |
| 80164 |
|
18 |
16 |
$393.26 |
| J1010 |
Inj, methylpred acetate 1 mg |
199 |
129 |
$387.04 |
| 82533 |
|
26 |
25 |
$379.84 |
| 72070 |
|
13 |
13 |
$378.29 |
| 87045 |
|
36 |
28 |
$353.08 |
| J7040 |
Normal saline solution infus |
28 |
13 |
$330.18 |
| 86431 |
|
13 |
12 |
$244.79 |
| Q3014 |
Telehealth facility fee |
45 |
40 |
$234.96 |
| J3420 |
Vitamin b12 injection |
927 |
789 |
$230.69 |
| 77002 |
|
14 |
14 |
$212.00 |
| 86922 |
|
15 |
15 |
$178.55 |
| J1580 |
Garamycin gentamicin inj |
34 |
27 |
$176.05 |
| 90474 |
|
29 |
27 |
$175.34 |
| 84145 |
|
30 |
27 |
$170.58 |
| A9270 |
Non-covered item or service |
517 |
374 |
$167.96 |
| 73564 |
|
36 |
24 |
$167.91 |
| 73552 |
|
12 |
12 |
$150.26 |
| 99201 |
|
17 |
16 |
$146.07 |
| 84436 |
|
13 |
12 |
$131.22 |
| J1644 |
Inj heparin sodium per 1000u |
17 |
12 |
$118.22 |
| 96110 |
|
14 |
12 |
$101.75 |
| J1040 |
Methylprednisolone 80 mg inj |
19 |
14 |
$77.54 |
| J3480 |
Inj potassium chloride |
49 |
28 |
$73.26 |
| 76376 |
|
280 |
232 |
$47.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
68 |
41 |
$42.62 |
| J3475 |
Inj magnesium sulfate |
198 |
140 |
$34.65 |
| J2370 |
Phenylephrine hcl injection |
61 |
51 |
$33.83 |
| 90744 |
|
14 |
13 |
$29.89 |
| 86885 |
|
15 |
15 |
$21.44 |
| 93356 |
|
239 |
201 |
$19.48 |
| J2543 |
Piperacillin/tazobactam |
32 |
24 |
$18.01 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$6.46 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
60 |
46 |
$0.75 |
| 90698 |
|
64 |
56 |
$0.00 |
| 90651 |
|
17 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
28 |
16 |
$0.00 |
| 90680 |
|
17 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
19 |
12 |
$0.00 |