| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
23,068 |
20,253 |
$836K |
| 99284 |
|
12,692 |
10,970 |
$690K |
| 92507 |
|
6,135 |
2,575 |
$112K |
| 99282 |
|
5,578 |
4,991 |
$81K |
| 74177 |
|
2,169 |
1,706 |
$77K |
| 87631 |
|
2,443 |
2,232 |
$55K |
| 0202U |
|
2,998 |
2,693 |
$45K |
| 70450 |
|
1,476 |
1,244 |
$35K |
| 85025 |
|
29,796 |
23,473 |
$26K |
| 87430 |
|
5,124 |
4,590 |
$26K |
| 96374 |
|
5,240 |
4,154 |
$25K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
536 |
368 |
$25K |
| 86003 |
|
463 |
330 |
$22K |
| 99285 |
|
1,580 |
1,285 |
$21K |
| 73110 |
|
1,462 |
1,158 |
$21K |
| 80050 |
|
3,967 |
3,472 |
$20K |
| 71046 |
|
4,982 |
4,333 |
$18K |
| 80053 |
|
21,531 |
17,518 |
$18K |
| 97110 |
|
5,651 |
1,870 |
$16K |
| 87502 |
|
875 |
809 |
$16K |
| 73562 |
|
2,303 |
2,039 |
$15K |
| 97530 |
|
2,812 |
1,151 |
$15K |
| 82306 |
|
3,787 |
3,503 |
$15K |
| 73630 |
|
2,001 |
1,820 |
$14K |
| 73610 |
|
1,513 |
1,346 |
$14K |
| J3490 |
Drugs unclassified injection |
11,066 |
4,617 |
$13K |
| 69436 |
|
35 |
32 |
$13K |
| 97112 |
|
2,454 |
899 |
$13K |
| 96365 |
|
2,957 |
1,781 |
$13K |
| 36415 |
|
48,523 |
37,668 |
$12K |
| G0378 |
Hospital observation per hr |
1,758 |
864 |
$11K |
| 87633 |
|
413 |
351 |
$10K |
| 80061 |
|
6,056 |
5,612 |
$10K |
| 87070 |
|
4,041 |
3,549 |
$10K |
| 73130 |
|
1,215 |
1,031 |
$10K |
| 87641 |
|
4,777 |
3,919 |
$9K |
| 92523 |
|
150 |
136 |
$8K |
| 87635 |
|
3,220 |
2,913 |
$8K |
| 87801 |
|
1,056 |
963 |
$8K |
| 74018 |
|
945 |
830 |
$7K |
| 97140 |
|
4,818 |
1,547 |
$7K |
| 84443 |
|
4,890 |
4,381 |
$7K |
| 87591 |
|
1,770 |
1,601 |
$6K |
| 87491 |
|
1,770 |
1,600 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,162 |
3,392 |
$6K |
| 87086 |
|
6,993 |
6,006 |
$6K |
| 81001 |
|
9,277 |
7,917 |
$6K |
| 84439 |
|
2,721 |
2,458 |
$6K |
| 11042 |
|
286 |
102 |
$6K |
| 42820 |
|
13 |
13 |
$5K |
| 87651 |
|
386 |
349 |
$5K |
| 87081 |
|
2,721 |
2,473 |
$5K |
| 70486 |
|
55 |
53 |
$5K |
| 71045 |
|
1,451 |
1,248 |
$4K |
| 76856 |
|
858 |
772 |
$4K |
| 73030 |
|
1,138 |
998 |
$4K |
| 96375 |
|
3,919 |
2,912 |
$4K |
| 72125 |
|
41 |
37 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
67 |
26 |
$3K |
| 93005 |
|
3,780 |
2,888 |
$3K |
| 99239 |
|
48 |
39 |
$3K |
| 81025 |
|
2,436 |
2,095 |
$3K |
| 96372 |
|
4,058 |
3,152 |
$3K |
| 73721 |
|
29 |
27 |
$2K |
| 83036 |
|
5,361 |
4,933 |
$2K |
| 96360 |
|
374 |
272 |
$2K |
| 97161 |
|
726 |
479 |
$2K |
| 82728 |
|
1,191 |
1,076 |
$2K |
| 71275 |
|
85 |
74 |
$2K |
| 96361 |
|
2,122 |
1,627 |
$2K |
| 72100 |
|
592 |
563 |
$2K |
| 83690 |
|
3,951 |
3,181 |
$2K |
| 81003 |
|
5,525 |
4,724 |
$2K |
| 84702 |
|
2,475 |
1,880 |
$2K |
| 87186 |
|
1,825 |
1,590 |
$2K |
| 86140 |
|
3,381 |
2,923 |
$2K |
| 85651 |
|
3,414 |
3,001 |
$2K |
| 62323 |
|
76 |
65 |
$2K |
| 81015 |
|
1,989 |
1,721 |
$1K |
| 80048 |
|
5,266 |
4,220 |
$1K |
| 87798 |
|
456 |
416 |
$1K |
| J7030 |
Normal saline solution infus |
7,150 |
4,366 |
$1K |
| 83735 |
|
3,108 |
2,330 |
$1K |
| 87077 |
|
921 |
793 |
$1K |
| 86803 |
|
2,145 |
1,916 |
$1K |
| 83540 |
|
1,311 |
1,211 |
$1K |
| 83550 |
|
1,267 |
1,169 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
6,153 |
3,579 |
$1K |
| 76705 |
|
107 |
93 |
$988.55 |
| 87400 |
|
111 |
73 |
$872.10 |
| 80055 |
|
465 |
272 |
$800.02 |
| 87071 |
|
392 |
342 |
$789.28 |
| 93010 |
|
101 |
91 |
$778.47 |
| 82785 |
|
177 |
134 |
$777.75 |
| J0171 |
Adrenalin epinephrine inject |
76 |
41 |
$685.43 |
| 73502 |
|
277 |
261 |
$663.00 |
| J7120 |
Ringers lactate infusion |
6,050 |
3,729 |
$653.54 |
| 87205 |
|
804 |
679 |
$634.07 |
| 83516 |
|
28 |
26 |
$612.00 |
| C9803 |
Hopd covid-19 spec collect |
501 |
440 |
$591.57 |
| 87581 |
|
223 |
197 |
$578.00 |
| 87486 |
|
223 |
197 |
$574.60 |
| 93306 |
|
497 |
438 |
$568.80 |
| 87653 |
|
2,051 |
1,901 |
$558.45 |
| 80081 |
|
749 |
653 |
$545.70 |
| 73140 |
|
53 |
36 |
$536.34 |
| 89220 |
|
70 |
61 |
$530.40 |
| 85730 |
|
1,669 |
1,313 |
$528.86 |
| 84703 |
|
707 |
587 |
$525.23 |
| J1100 |
Dexamethasone sodium phos |
6,270 |
3,882 |
$513.20 |
| J2405 |
Ondansetron hcl injection |
8,177 |
5,080 |
$512.44 |
| 84484 |
|
2,944 |
2,052 |
$509.04 |
| 86780 |
|
844 |
581 |
$500.34 |
| 85610 |
|
2,714 |
2,084 |
$467.32 |
| J3010 |
Fentanyl citrate injection |
8,026 |
4,574 |
$465.92 |
| 87389 |
|
299 |
267 |
$463.25 |
| 87640 |
|
4,111 |
3,459 |
$455.88 |
| 82607 |
|
579 |
532 |
$450.50 |
| J1170 |
Hydromorphone injection |
2,913 |
1,171 |
$419.16 |
| 85379 |
|
1,130 |
986 |
$401.59 |
| J0690 |
Cefazolin sodium injection |
3,552 |
1,787 |
$384.79 |
| 83880 |
|
767 |
637 |
$368.04 |
| 87210 |
|
1,186 |
1,111 |
$356.14 |
| 12001 |
|
14 |
14 |
$355.40 |
| 87088 |
|
512 |
463 |
$350.57 |
| 83655 |
|
49 |
40 |
$344.25 |
| 99281 |
|
159 |
137 |
$321.50 |
| J2001 |
Lidocaine injection |
6,261 |
3,601 |
$316.42 |
| 94640 |
|
375 |
258 |
$306.63 |
| C9290 |
Inj, bupivacaine liposome |
182 |
142 |
$306.59 |
| J2250 |
Inj midazolam hydrochloride |
7,301 |
4,176 |
$302.60 |
| 77063 |
|
1,236 |
1,200 |
$295.04 |
| 87147 |
|
661 |
532 |
$294.51 |
| 87040 |
|
33 |
28 |
$289.16 |
| 76830 |
|
725 |
650 |
$279.65 |
| 80074 |
|
14 |
14 |
$269.53 |
| 73080 |
|
18 |
14 |
$232.05 |
| 72040 |
|
70 |
62 |
$226.10 |
| 87220 |
|
442 |
409 |
$216.75 |
| 73521 |
|
13 |
12 |
$215.90 |
| 92551 |
|
84 |
73 |
$215.45 |
| J7050 |
Normal saline solution infus |
2,948 |
1,621 |
$210.87 |
| 83970 |
|
262 |
231 |
$204.00 |
| 80076 |
|
126 |
119 |
$203.15 |
| L8699 |
Prosthetic implant nos |
40 |
37 |
$192.54 |
| 80377 |
|
211 |
189 |
$179.00 |
| J1885 |
Ketorolac tromethamine inj |
6,759 |
4,278 |
$148.79 |
| 82570 |
|
912 |
808 |
$138.54 |
| J2175 |
Meperidine hydrochl /100 mg |
438 |
275 |
$132.12 |
| J2270 |
Morphine sulfate injection |
540 |
319 |
$130.41 |
| 86593 |
|
701 |
639 |
$128.78 |
| A4216 |
Sterile water/saline, 10 ml |
857 |
444 |
$126.08 |
| J2765 |
Metoclopramide hcl injection |
2,522 |
1,643 |
$125.22 |
| 80069 |
|
1,021 |
803 |
$124.10 |
| 82784 |
|
14 |
12 |
$112.20 |
| 82150 |
|
270 |
241 |
$106.24 |
| Q0162 |
Ondansetron oral |
414 |
353 |
$95.14 |
| 82948 |
|
931 |
495 |
$89.23 |
| 82746 |
|
16 |
13 |
$85.85 |
| 82977 |
|
13 |
13 |
$81.59 |
| 84156 |
|
229 |
190 |
$75.90 |
| 82947 |
|
67 |
64 |
$74.80 |
| 82043 |
|
276 |
251 |
$71.82 |
| 86255 |
|
13 |
12 |
$65.45 |
| J1010 |
Inj, methylpred acetate 1 mg |
109 |
99 |
$63.63 |
| 86677 |
|
32 |
28 |
$56.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
263 |
215 |
$45.99 |
| 82950 |
|
1,086 |
1,004 |
$45.90 |
| 86318 |
|
91 |
75 |
$41.06 |
| J1040 |
Methylprednisolone 80 mg inj |
508 |
402 |
$40.49 |
| 83615 |
|
20 |
17 |
$37.48 |
| 86431 |
|
37 |
37 |
$36.63 |
| 87185 |
|
15 |
13 |
$35.70 |
| A4217 |
Sterile water/saline, 500 ml |
246 |
140 |
$34.26 |
| 84550 |
|
274 |
243 |
$23.80 |
| J1200 |
Diphenhydramine hcl injectio |
782 |
577 |
$16.93 |
| J3370 |
Vancomycin hcl injection |
425 |
223 |
$15.26 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
132 |
96 |
$8.49 |
| J0696 |
Ceftriaxone sodium injection |
89 |
63 |
$7.33 |
| J7620 |
Albuterol ipratrop non-comp |
118 |
87 |
$3.40 |
| 97035 |
|
89 |
26 |
$0.00 |
| 99156 |
|
1,073 |
860 |
$0.00 |
| 84153 |
|
219 |
206 |
$0.00 |
| 72148 |
|
118 |
112 |
$0.00 |
| 88304 |
|
104 |
84 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
115 |
81 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
249 |
144 |
$0.00 |
| 83605 |
|
149 |
104 |
$0.00 |
| 76536 |
|
12 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
25 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
53 |
33 |
$0.00 |
| 84134 |
|
90 |
82 |
$0.00 |
| 96376 |
|
35 |
28 |
$0.00 |
| 86317 |
|
47 |
46 |
$0.00 |
| 87340 |
|
126 |
118 |
$0.00 |
| 82575 |
|
43 |
38 |
$0.00 |
| 90471 |
|
49 |
39 |
$0.00 |
| 96366 |
|
34 |
25 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
28 |
26 |
$0.00 |
| 86592 |
|
123 |
120 |
$0.00 |
| 93351 |
|
12 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
16 |
13 |
$0.00 |
| 71260 |
|
103 |
81 |
$0.00 |
| 88305 |
|
71 |
61 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
31 |
27 |
$0.00 |
| 73560 |
|
16 |
14 |
$0.00 |
| 82550 |
|
19 |
12 |
$0.00 |
| 82378 |
|
15 |
12 |
$0.00 |
| 66984 |
|
249 |
136 |
$0.00 |
| 86704 |
|
60 |
59 |
$0.00 |
| G0379 |
Direct refer hospital observ |
24 |
15 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
33 |
25 |
$0.00 |
| 97162 |
|
15 |
13 |
$0.00 |
| 86706 |
|
35 |
34 |
$0.00 |
| 74021 |
|
64 |
52 |
$0.00 |
| J2469 |
Palonosetron hcl |
30 |
13 |
$0.00 |
| 80320 |
|
13 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
50 |
40 |
$0.00 |
| 73090 |
|
13 |
12 |
$0.00 |
| 83520 |
|
12 |
12 |
$0.00 |
| 93971 |
|
25 |
25 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
24 |
19 |
$0.00 |
| 86901 |
|
38 |
27 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
16 |
12 |
$0.00 |
| C1769 |
Guide wire |
15 |
12 |
$0.00 |
| 99157 |
|
757 |
592 |
$0.00 |
| 77067 |
|
1,880 |
1,813 |
$0.00 |
| 96413 |
|
599 |
297 |
$0.00 |
| 80305 |
|
103 |
94 |
$0.00 |
| 86480 |
|
45 |
36 |
$0.00 |
| 72110 |
|
72 |
67 |
$0.00 |
| 86703 |
|
781 |
705 |
$0.00 |
| 80307 |
|
17 |
13 |
$0.00 |
| G8978 |
Mobility current status |
172 |
112 |
$0.00 |
| 90715 |
|
45 |
36 |
$0.00 |
| 77080 |
|
25 |
25 |
$0.00 |
| 99152 |
|
71 |
63 |
$0.00 |
| 74176 |
|
167 |
142 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
51 |
29 |
$0.00 |
| 84145 |
|
135 |
104 |
$0.00 |
| 76000 |
|
157 |
140 |
$0.00 |
| J3300 |
Triamcinolone a inj prs-free |
307 |
65 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
115 |
77 |
$0.00 |
| 0223U |
|
181 |
129 |
$0.00 |
| G8979 |
Mobility goal status |
187 |
124 |
$0.00 |
| 86038 |
|
13 |
12 |
$0.00 |
| 96367 |
|
132 |
66 |
$0.00 |
| J7040 |
Normal saline solution infus |
40 |
24 |
$0.00 |
| 86900 |
|
37 |
27 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
51 |
29 |
$0.00 |
| J2930 |
Methylprednisolone injection |
32 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
15 |
$0.00 |
| 86708 |
|
35 |
34 |
$0.00 |
| 71250 |
|
18 |
12 |
$0.00 |
| 84100 |
|
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
22 |
14 |
$0.00 |
| 84403 |
|
19 |
12 |
$0.00 |
| 93325 |
|
13 |
13 |
$0.00 |