| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
45,410 |
41,680 |
$5.97M |
| 99285 |
|
22,528 |
20,310 |
$3.92M |
| 99212 |
|
108,077 |
96,884 |
$3.10M |
| 99283 |
|
42,571 |
39,427 |
$2.91M |
| 0202U |
|
5,352 |
4,871 |
$1.41M |
| 71045 |
|
25,995 |
23,612 |
$1.09M |
| 92507 |
|
25,316 |
4,849 |
$786K |
| 11042 |
|
4,880 |
2,106 |
$679K |
| 80050 |
|
15,846 |
14,838 |
$647K |
| 43239 |
|
1,964 |
1,633 |
$622K |
| 74177 |
|
2,347 |
2,185 |
$620K |
| 80053 |
|
83,346 |
72,150 |
$558K |
| 93005 |
|
33,023 |
28,330 |
$529K |
| 80307 |
|
11,462 |
10,210 |
$522K |
| 85025 |
|
92,896 |
77,470 |
$456K |
| 70450 |
|
5,897 |
5,346 |
$404K |
| 71046 |
|
8,018 |
7,406 |
$363K |
| 97530 |
|
19,344 |
3,530 |
$317K |
| 96413 |
|
4,804 |
2,498 |
$298K |
| 0240U |
|
2,335 |
2,171 |
$281K |
| 87636 |
|
2,911 |
2,636 |
$268K |
| 36415 |
|
136,584 |
113,543 |
$252K |
| 80061 |
|
23,383 |
21,907 |
$250K |
| 99282 |
|
4,630 |
4,335 |
$227K |
| 11043 |
|
786 |
379 |
$143K |
| 87502 |
|
1,973 |
1,762 |
$134K |
| 84484 |
|
18,829 |
14,643 |
$132K |
| 96365 |
|
1,432 |
646 |
$124K |
| 74176 |
|
566 |
535 |
$113K |
| 83036 |
|
14,828 |
13,805 |
$108K |
| 82306 |
|
4,794 |
4,350 |
$107K |
| 99213 |
|
3,212 |
2,871 |
$107K |
| 99211 |
|
4,193 |
2,779 |
$97K |
| 83880 |
|
4,555 |
4,198 |
$96K |
| 81025 |
|
14,813 |
13,586 |
$96K |
| J7030 |
Normal saline solution infus |
17,403 |
13,987 |
$95K |
| J1756 |
Iron sucrose injection |
1,136 |
559 |
$94K |
| 97110 |
|
4,236 |
908 |
$90K |
| G0378 |
Hospital observation per hr |
736 |
539 |
$81K |
| 81003 |
|
48,981 |
43,759 |
$77K |
| 84439 |
|
9,628 |
8,835 |
$70K |
| 78815 |
|
394 |
245 |
$68K |
| 83690 |
|
14,191 |
12,998 |
$68K |
| 93306 |
|
276 |
268 |
$56K |
| J2469 |
Palonosetron hcl |
316 |
172 |
$49K |
| 77067 |
|
477 |
448 |
$46K |
| 99214 |
|
1,189 |
929 |
$44K |
| J7050 |
Normal saline solution infus |
6,441 |
3,035 |
$43K |
| 85610 |
|
16,378 |
13,560 |
$43K |
| 82550 |
|
10,673 |
9,158 |
$42K |
| 77334 |
|
234 |
177 |
$41K |
| G0480 |
Drug test def 1-7 classes |
858 |
397 |
$39K |
| 85730 |
|
11,865 |
10,735 |
$38K |
| 87651 |
|
1,208 |
1,114 |
$37K |
| 82553 |
|
6,142 |
5,187 |
$37K |
| 0241U |
|
333 |
321 |
$34K |
| 45380 |
|
1,061 |
703 |
$33K |
| 77336 |
|
607 |
223 |
$31K |
| 82150 |
|
6,815 |
6,273 |
$30K |
| 83874 |
|
4,790 |
4,093 |
$29K |
| J1453 |
Fosaprepitant injection |
258 |
143 |
$28K |
| J2405 |
Ondansetron hcl injection |
9,956 |
8,485 |
$26K |
| 87086 |
|
4,412 |
4,054 |
$26K |
| 94060 |
|
446 |
414 |
$26K |
| 87631 |
|
251 |
214 |
$25K |
| 82077 |
|
2,639 |
2,280 |
$24K |
| 83605 |
|
3,203 |
2,773 |
$24K |
| 82728 |
|
2,564 |
2,304 |
$22K |
| 76856 |
|
161 |
151 |
$22K |
| 74018 |
|
353 |
318 |
$21K |
| 84443 |
|
2,207 |
2,010 |
$21K |
| 96375 |
|
4,670 |
2,074 |
$21K |
| 96360 |
|
281 |
56 |
$20K |
| 80074 |
|
620 |
558 |
$20K |
| 84481 |
|
2,486 |
2,263 |
$20K |
| 84466 |
|
2,417 |
2,172 |
$19K |
| 80143 |
|
1,799 |
1,553 |
$17K |
| 80179 |
|
1,779 |
1,537 |
$17K |
| J0185 |
Inj., aprepitant, 1 mg |
107 |
62 |
$17K |
| 86328 |
|
795 |
721 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
213 |
201 |
$16K |
| 96417 |
|
483 |
292 |
$16K |
| 72100 |
|
315 |
291 |
$16K |
| J1100 |
Dexamethasone sodium phos |
5,158 |
3,895 |
$16K |
| A9552 |
F18 fdg |
429 |
254 |
$15K |
| M0243 |
Casirivi and imdevi inj |
328 |
292 |
$15K |
| 83615 |
|
4,278 |
3,699 |
$15K |
| 86300 |
|
1,162 |
526 |
$15K |
| 83735 |
|
3,578 |
3,064 |
$14K |
| 80164 |
|
1,092 |
1,026 |
$14K |
| 90686 |
|
1,606 |
1,532 |
$14K |
| 96361 |
|
703 |
157 |
$14K |
| J0897 |
Denosumab injection |
13 |
12 |
$13K |
| 72125 |
|
117 |
110 |
$12K |
| 82607 |
|
1,265 |
1,131 |
$12K |
| 0001A |
|
696 |
519 |
$12K |
| 82746 |
|
1,207 |
1,079 |
$11K |
| 41899 |
|
49 |
42 |
$11K |
| 77063 |
|
471 |
448 |
$11K |
| 80048 |
|
1,765 |
1,526 |
$11K |
| 94727 |
|
439 |
409 |
$11K |
| 96367 |
|
1,125 |
662 |
$11K |
| 99281 |
|
275 |
239 |
$11K |
| 84145 |
|
651 |
608 |
$11K |
| 96415 |
|
199 |
121 |
$10K |
| G0463 |
Hospital outpt clinic visit |
15,406 |
13,181 |
$10K |
| 83540 |
|
2,513 |
2,260 |
$10K |
| J2270 |
Morphine sulfate injection |
3,820 |
3,071 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
3,453 |
3,146 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
2,347 |
2,125 |
$10K |
| 96523 |
|
566 |
457 |
$9K |
| 73130 |
|
193 |
174 |
$9K |
| 80076 |
|
1,036 |
980 |
$8K |
| 94618 |
|
379 |
352 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
2,751 |
1,691 |
$7K |
| 73560 |
|
195 |
174 |
$7K |
| 76705 |
|
73 |
71 |
$7K |
| 94729 |
|
160 |
148 |
$7K |
| 96372 |
|
2,931 |
2,320 |
$7K |
| 73030 |
|
154 |
136 |
$7K |
| 73630 |
|
117 |
111 |
$6K |
| 0002A |
|
192 |
157 |
$5K |
| 73610 |
|
104 |
101 |
$5K |
| 82784 |
|
1,519 |
760 |
$5K |
| 81001 |
|
2,291 |
2,000 |
$5K |
| 80329 |
|
1,453 |
571 |
$4K |
| 82378 |
|
399 |
348 |
$4K |
| 94640 |
|
192 |
175 |
$4K |
| 84100 |
|
1,389 |
1,137 |
$4K |
| 80320 |
|
1,156 |
831 |
$4K |
| 82785 |
|
804 |
755 |
$3K |
| 76815 |
|
33 |
30 |
$3K |
| 86780 |
|
301 |
271 |
$3K |
| 77300 |
|
18 |
14 |
$3K |
| 59025 |
|
43 |
25 |
$3K |
| 86364 |
|
1,205 |
684 |
$2K |
| 84702 |
|
192 |
171 |
$2K |
| 95816 |
|
13 |
13 |
$2K |
| 87591 |
|
81 |
75 |
$2K |
| 87491 |
|
81 |
75 |
$2K |
| 86301 |
|
219 |
192 |
$2K |
| 71250 |
|
45 |
42 |
$2K |
| 93017 |
|
24 |
24 |
$2K |
| G0103 |
Psa screening |
746 |
632 |
$2K |
| 87186 |
|
1,123 |
762 |
$2K |
| J1170 |
Hydromorphone injection |
863 |
624 |
$2K |
| 99215 |
Prolong outpt/office vis |
89 |
80 |
$2K |
| 86140 |
|
1,091 |
993 |
$2K |
| U0005 |
Infec agen detec ampli probe |
80 |
77 |
$2K |
| 76819 |
|
18 |
12 |
$2K |
| 99242 |
|
91 |
73 |
$1K |
| J7040 |
Normal saline solution infus |
310 |
179 |
$1K |
| 82024 |
|
76 |
65 |
$1K |
| 76817 |
|
13 |
12 |
$1K |
| 90471 |
|
1,877 |
1,338 |
$1K |
| 85045 |
|
461 |
428 |
$1K |
| 94250 |
|
98 |
87 |
$1K |
| 73562 |
|
12 |
12 |
$1K |
| 87075 |
|
1,431 |
1,129 |
$1K |
| 87040 |
|
164 |
77 |
$1K |
| 87077 |
|
532 |
375 |
$1K |
| 94664 |
|
318 |
300 |
$1K |
| 93971 |
|
13 |
12 |
$917.97 |
| 85027 |
|
404 |
372 |
$844.03 |
| 70486 |
|
13 |
12 |
$842.14 |
| 90732 |
|
60 |
26 |
$806.92 |
| 86800 |
|
43 |
42 |
$748.12 |
| C9803 |
Hopd covid-19 spec collect |
4,915 |
4,174 |
$746.28 |
| 84432 |
|
42 |
41 |
$722.95 |
| 87804 |
|
114 |
78 |
$681.17 |
| 86592 |
|
204 |
189 |
$674.64 |
| A6257 |
Transparent film <= 16 sq in |
8,055 |
7,070 |
$674.40 |
| C1894 |
Intro/sheath, non-laser |
59 |
49 |
$654.28 |
| 83550 |
|
2,233 |
1,875 |
$641.23 |
| 87426 |
|
14 |
14 |
$639.09 |
| 77417 |
|
36 |
12 |
$617.19 |
| 82232 |
|
78 |
69 |
$588.71 |
| 87635 |
|
31 |
29 |
$582.16 |
| 73502 |
|
12 |
12 |
$582.08 |
| J0780 |
Prochlorperazine injection |
36 |
28 |
$577.27 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
48 |
38 |
$561.95 |
| C1769 |
Guide wire |
43 |
37 |
$555.98 |
| 71048 |
|
12 |
12 |
$554.08 |
| A6022 |
Collagen drsg>16<=48 sq in |
854 |
477 |
$515.00 |
| 82533 |
|
76 |
65 |
$507.90 |
| 86376 |
|
30 |
29 |
$491.92 |
| J2060 |
Lorazepam injection |
206 |
166 |
$491.65 |
| 87070 |
|
1,503 |
1,187 |
$477.32 |
| 93880 |
|
14 |
14 |
$443.37 |
| J3010 |
Fentanyl citrate injection |
368 |
288 |
$441.78 |
| J2930 |
Methylprednisolone injection |
57 |
56 |
$439.02 |
| 82962 |
|
1,693 |
618 |
$430.98 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,982 |
1,160 |
$416.32 |
| 82652 |
|
48 |
40 |
$382.13 |
| J2250 |
Inj midazolam hydrochloride |
657 |
522 |
$382.07 |
| J3360 |
Diazepam injection |
14 |
12 |
$367.83 |
| J7120 |
Ringers lactate infusion |
600 |
530 |
$359.57 |
| 82043 |
|
89 |
86 |
$353.98 |
| A6021 |
Collagen dressing <=16 sq in |
124 |
83 |
$349.22 |
| 90656 |
|
45 |
41 |
$324.60 |
| 85651 |
|
197 |
182 |
$281.73 |
| 86901 |
|
106 |
102 |
$264.23 |
| 86900 |
|
106 |
102 |
$264.23 |
| 87205 |
|
1,485 |
1,181 |
$236.78 |
| 83516 |
|
81 |
76 |
$236.17 |
| 80069 |
|
46 |
44 |
$235.42 |
| 86803 |
|
15 |
13 |
$226.74 |
| J1040 |
Methylprednisolone 80 mg inj |
15 |
12 |
$183.76 |
| 80177 |
|
15 |
14 |
$172.91 |
| 84703 |
|
24 |
24 |
$154.44 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
161 |
96 |
$152.95 |
| 86038 |
|
12 |
12 |
$145.44 |
| 84550 |
|
48 |
26 |
$144.96 |
| 96374 |
|
625 |
541 |
$125.77 |
| A9270 |
Non-covered item or service |
3,553 |
2,792 |
$111.35 |
| A6196 |
Alginate dressing <=16 sq in |
653 |
444 |
$100.35 |
| 91300 |
|
888 |
666 |
$97.32 |
| 82570 |
|
34 |
12 |
$77.80 |
| J2765 |
Metoclopramide hcl injection |
30 |
26 |
$77.61 |
| 86850 |
|
12 |
12 |
$74.62 |
| J1644 |
Inj heparin sodium per 1000u |
26 |
12 |
$72.24 |
| J7042 |
5% dextrose/normal saline |
16 |
12 |
$59.83 |
| 90662 |
|
68 |
24 |
$59.79 |
| 84156 |
|
37 |
12 |
$58.81 |
| 87176 |
|
395 |
330 |
$53.04 |
| A6197 |
Alginate drsg >16 <=48 sq in |
292 |
198 |
$49.81 |
| 87339 |
|
939 |
851 |
$48.00 |
| 84134 |
|
106 |
102 |
$47.74 |
| 94760 |
|
50 |
48 |
$45.78 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
15 |
$22.62 |
| 87147 |
|
163 |
134 |
$20.66 |
| A6402 |
Sterile gauze <= 16 sq in |
81 |
69 |
$17.37 |
| J0330 |
Succinycholine chloride inj |
18 |
13 |
$16.65 |
| A6212 |
Foam drg <=16 sq in w/border |
60 |
33 |
$14.99 |
| J2704 |
Inj, propofol, 10 mg |
261 |
232 |
$13.98 |
| A6199 |
Alginate drsg wound filler |
46 |
38 |
$6.04 |
| A6446 |
Conform band s w>=3" <5"/yd |
95 |
30 |
$3.75 |
| 00000 |
|
554 |
502 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
14 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
92 |
92 |
$0.00 |
| J3490 |
Drugs unclassified injection |
119 |
53 |
$0.00 |
| 11045 |
|
28 |
12 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
77 |
51 |
$0.00 |
| 02404 |
|
14 |
12 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
25 |
24 |
$0.00 |