| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
24,321 |
19,785 |
$5.07M |
| 99284 |
|
23,636 |
20,160 |
$4.41M |
| G0378 |
Hospital observation per hr |
7,019 |
5,685 |
$2.85M |
| 99283 |
|
17,676 |
15,355 |
$2.47M |
| 96374 |
|
13,910 |
10,203 |
$1.10M |
| 96365 |
|
10,810 |
6,924 |
$891K |
| 96372 |
|
23,431 |
15,920 |
$830K |
| 94640 |
|
8,576 |
3,930 |
$776K |
| 74177 |
|
4,789 |
4,111 |
$709K |
| 71045 |
|
19,346 |
15,400 |
$684K |
| 96361 |
|
7,733 |
4,295 |
$581K |
| 97110 |
|
18,032 |
4,154 |
$509K |
| 70450 |
|
9,077 |
7,706 |
$441K |
| 86900 |
|
6,794 |
5,438 |
$379K |
| 71046 |
|
10,186 |
8,671 |
$377K |
| 80307 |
|
8,873 |
7,054 |
$364K |
| 87426 |
|
11,850 |
10,141 |
$339K |
| G0463 |
Hospital outpt clinic visit |
18,095 |
15,613 |
$338K |
| 93005 |
|
20,442 |
14,801 |
$334K |
| 96375 |
|
14,545 |
9,319 |
$329K |
| 93306 |
|
1,955 |
1,665 |
$311K |
| 92507 |
|
6,596 |
2,253 |
$305K |
| 97530 |
|
11,115 |
3,364 |
$284K |
| 85025 |
|
62,716 |
43,375 |
$284K |
| 87804 |
|
21,445 |
9,766 |
$255K |
| 80053 |
|
39,315 |
29,796 |
$250K |
| 96413 |
|
1,852 |
1,059 |
$250K |
| 74176 |
|
2,576 |
2,265 |
$244K |
| 96366 |
|
4,283 |
2,191 |
$241K |
| 87801 |
|
4,172 |
3,652 |
$224K |
| 59025 |
|
1,744 |
949 |
$184K |
| 71260 |
|
2,275 |
2,030 |
$177K |
| 86850 |
|
6,153 |
4,971 |
$160K |
| 99212 |
|
8,207 |
6,892 |
$155K |
| 99282 |
|
1,751 |
1,547 |
$151K |
| 97112 |
|
6,460 |
1,784 |
$146K |
| 74018 |
|
3,401 |
2,866 |
$137K |
| 96360 |
|
1,640 |
1,118 |
$137K |
| 36415 |
|
67,590 |
44,872 |
$134K |
| 99281 |
|
2,901 |
2,495 |
$134K |
| 43239 |
|
767 |
674 |
$130K |
| 83880 |
|
5,923 |
4,625 |
$120K |
| 87070 |
|
16,834 |
14,557 |
$116K |
| 86901 |
|
6,798 |
5,441 |
$114K |
| 84484 |
|
16,439 |
9,737 |
$111K |
| 72125 |
|
2,399 |
2,066 |
$95K |
| 42820 |
|
52 |
33 |
$92K |
| 72148 |
|
996 |
899 |
$82K |
| 74021 |
|
1,561 |
1,302 |
$81K |
| 77067 |
|
903 |
842 |
$80K |
| 76805 |
|
1,088 |
929 |
$76K |
| 36430 |
|
736 |
509 |
$74K |
| 80048 |
|
16,011 |
11,258 |
$73K |
| 84443 |
|
8,391 |
7,272 |
$73K |
| 73630 |
|
1,796 |
1,557 |
$68K |
| 76705 |
|
1,247 |
1,081 |
$67K |
| 87389 |
|
3,685 |
3,197 |
$66K |
| 87086 |
|
11,877 |
9,829 |
$65K |
| D2930 |
|
1,573 |
265 |
$65K |
| 99291 |
|
286 |
227 |
$65K |
| 76819 |
|
973 |
525 |
$64K |
| 87088 |
|
11,558 |
9,544 |
$64K |
| 81001 |
|
31,449 |
24,636 |
$63K |
| 73560 |
|
1,805 |
1,545 |
$63K |
| 71275 |
|
1,032 |
889 |
$63K |
| 99211 |
|
8,228 |
6,568 |
$61K |
| 97161 |
|
1,763 |
1,424 |
$58K |
| 96367 |
|
2,005 |
1,244 |
$58K |
| 77336 |
|
1,022 |
422 |
$57K |
| 80061 |
|
7,547 |
6,590 |
$57K |
| 82306 |
|
3,503 |
3,132 |
$55K |
| 83735 |
|
16,673 |
11,325 |
$54K |
| 87040 |
|
9,577 |
4,421 |
$54K |
| 88305 |
|
2,392 |
1,585 |
$54K |
| 76801 |
|
761 |
640 |
$52K |
| 87635 |
|
1,386 |
1,213 |
$50K |
| 73030 |
|
1,435 |
1,277 |
$50K |
| 66984 |
|
74 |
68 |
$47K |
| 86920 |
|
815 |
507 |
$46K |
| P9016 |
Rbc leukocytes reduced |
607 |
400 |
$45K |
| 81025 |
|
7,606 |
6,415 |
$44K |
| 76775 |
|
1,308 |
1,148 |
$44K |
| 87502 |
|
601 |
564 |
$44K |
| 87186 |
|
6,936 |
5,635 |
$42K |
| 87077 |
|
7,051 |
5,683 |
$40K |
| 87807 |
|
3,721 |
3,260 |
$40K |
| 97140 |
|
2,669 |
748 |
$39K |
| 86780 |
|
3,888 |
3,339 |
$39K |
| 70553 |
|
235 |
212 |
$38K |
| 73610 |
|
892 |
765 |
$38K |
| 83036 |
|
7,647 |
6,648 |
$35K |
| 83690 |
|
7,806 |
6,281 |
$34K |
| 84702 |
|
3,007 |
2,205 |
$33K |
| 93970 |
|
516 |
433 |
$31K |
| 95810 |
|
73 |
68 |
$31K |
| 73502 |
|
1,026 |
914 |
$31K |
| 83605 |
|
4,698 |
3,504 |
$29K |
| 77300 |
|
276 |
170 |
$29K |
| 77386 |
|
209 |
12 |
$28K |
| 83655 |
|
2,304 |
2,144 |
$25K |
| 82607 |
|
3,302 |
2,899 |
$25K |
| 86762 |
|
2,303 |
1,983 |
$25K |
| 93971 |
|
710 |
626 |
$25K |
| 99490 |
Ccm add 20min |
1,648 |
1,463 |
$23K |
| 72110 |
|
400 |
361 |
$23K |
| 85610 |
|
9,742 |
7,769 |
$22K |
| G0379 |
Direct refer hospital observ |
721 |
579 |
$21K |
| 87340 |
|
2,674 |
2,313 |
$20K |
| 90471 |
|
893 |
770 |
$20K |
| 72100 |
|
426 |
359 |
$19K |
| 99213 |
|
533 |
466 |
$19K |
| 73130 |
|
472 |
417 |
$19K |
| 85379 |
|
3,719 |
3,108 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
1,250 |
1,093 |
$19K |
| 85730 |
|
5,386 |
4,422 |
$19K |
| 92523 |
|
118 |
112 |
$18K |
| 87491 |
|
624 |
569 |
$17K |
| 87591 |
|
624 |
569 |
$17K |
| 82553 |
|
2,435 |
1,707 |
$17K |
| G0480 |
Drug test def 1-7 classes |
262 |
223 |
$17K |
| 84439 |
|
3,220 |
2,880 |
$16K |
| 95811 |
|
36 |
36 |
$16K |
| 70486 |
|
281 |
244 |
$16K |
| 78815 |
|
47 |
41 |
$15K |
| 82728 |
|
1,850 |
1,562 |
$14K |
| 76856 |
|
214 |
189 |
$14K |
| 97162 |
|
463 |
366 |
$14K |
| 76816 |
|
186 |
153 |
$13K |
| 82746 |
|
1,689 |
1,493 |
$13K |
| 93458 |
|
15 |
13 |
$13K |
| 82550 |
|
2,931 |
2,055 |
$13K |
| 43235 |
|
59 |
50 |
$12K |
| 87651 |
|
411 |
396 |
$12K |
| 43450 |
|
153 |
134 |
$12K |
| 69436 |
|
26 |
12 |
$12K |
| 86140 |
|
3,887 |
3,277 |
$12K |
| 45385 |
|
40 |
37 |
$12K |
| 82150 |
|
2,780 |
2,283 |
$11K |
| 84703 |
|
2,272 |
1,897 |
$11K |
| J0561 |
Penicillin g benzathine inj |
59 |
53 |
$11K |
| 77334 |
|
61 |
37 |
$11K |
| 87634 |
|
179 |
172 |
$11K |
| 88720 |
|
2,443 |
1,937 |
$11K |
| 82565 |
|
3,351 |
2,951 |
$10K |
| 97116 |
|
943 |
380 |
$10K |
| 76700 |
|
177 |
152 |
$10K |
| 76815 |
|
160 |
118 |
$10K |
| 99214 |
|
162 |
150 |
$9K |
| 80076 |
|
2,024 |
1,761 |
$9K |
| 86003 |
|
198 |
84 |
$9K |
| 84152 |
|
881 |
791 |
$8K |
| 76641 |
|
168 |
143 |
$8K |
| 97014 |
|
786 |
222 |
$8K |
| 82248 |
|
1,952 |
1,372 |
$8K |
| 97165 |
|
284 |
214 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
2,661 |
1,625 |
$7K |
| 76770 |
|
190 |
166 |
$7K |
| 82947 |
|
2,403 |
2,066 |
$7K |
| 82950 |
|
1,869 |
1,647 |
$7K |
| 85651 |
|
3,358 |
2,895 |
$7K |
| 73110 |
|
167 |
144 |
$7K |
| 72131 |
|
155 |
121 |
$6K |
| 77338 |
|
45 |
36 |
$6K |
| 96415 |
|
65 |
38 |
$6K |
| 85018 |
|
3,185 |
2,585 |
$6K |
| 83550 |
|
1,313 |
1,156 |
$5K |
| 80074 |
|
218 |
194 |
$5K |
| 72170 |
|
97 |
79 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
373 |
338 |
$5K |
| 73590 |
|
144 |
121 |
$5K |
| 84146 |
|
385 |
337 |
$4K |
| 82140 |
|
554 |
420 |
$4K |
| 88312 |
|
206 |
160 |
$4K |
| 94060 |
|
61 |
55 |
$4K |
| 81003 |
|
2,906 |
2,476 |
$3K |
| 85660 |
|
735 |
597 |
$3K |
| 73090 |
|
81 |
65 |
$3K |
| 86769 |
|
153 |
131 |
$3K |
| 96401 |
|
88 |
64 |
$3K |
| 84480 |
|
318 |
297 |
$3K |
| 84550 |
|
1,196 |
950 |
$3K |
| 86038 |
|
430 |
343 |
$3K |
| 90686 |
|
308 |
258 |
$3K |
| 99204 |
|
36 |
31 |
$3K |
| 72141 |
|
31 |
25 |
$3K |
| 82570 |
|
1,016 |
822 |
$2K |
| 82803 |
|
187 |
151 |
$2K |
| 76536 |
|
39 |
36 |
$2K |
| 73070 |
|
62 |
50 |
$2K |
| 85014 |
|
1,428 |
1,025 |
$2K |
| 93880 |
|
58 |
52 |
$2K |
| 87150 |
|
110 |
55 |
$2K |
| 82043 |
|
883 |
762 |
$2K |
| 87081 |
|
384 |
359 |
$2K |
| 73562 |
|
42 |
39 |
$2K |
| 82247 |
|
548 |
331 |
$2K |
| J1100 |
Dexamethasone sodium phos |
9,891 |
7,433 |
$2K |
| 85027 |
|
496 |
439 |
$2K |
| 88300 |
|
93 |
79 |
$2K |
| 80069 |
|
350 |
305 |
$1K |
| 72040 |
|
32 |
27 |
$1K |
| 80305 |
|
197 |
183 |
$1K |
| 84132 |
|
478 |
360 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,125 |
997 |
$1K |
| 86431 |
|
435 |
374 |
$1K |
| 86235 |
|
65 |
26 |
$1K |
| J3490 |
Drugs unclassified injection |
8,570 |
4,618 |
$1K |
| 72050 |
|
15 |
13 |
$1K |
| J7030 |
Normal saline solution infus |
5,524 |
4,065 |
$981.38 |
| 86200 |
|
150 |
129 |
$968.16 |
| 73551 |
|
27 |
25 |
$949.08 |
| 75635 |
|
14 |
13 |
$890.04 |
| 70551 |
|
16 |
13 |
$883.80 |
| 76830 |
|
14 |
12 |
$879.87 |
| 82785 |
|
76 |
52 |
$872.13 |
| 83615 |
|
272 |
193 |
$858.11 |
| 72070 |
|
17 |
12 |
$782.01 |
| 82951 |
|
77 |
74 |
$776.94 |
| 76857 |
|
16 |
16 |
$767.38 |
| 87428 |
|
17 |
15 |
$731.91 |
| 90756 |
|
66 |
63 |
$695.96 |
| D2391 |
|
46 |
13 |
$683.20 |
| 90662 |
|
120 |
117 |
$662.04 |
| 73620 |
|
19 |
14 |
$656.35 |
| J2405 |
Ondansetron hcl injection |
18,832 |
12,795 |
$653.39 |
| D3220 |
|
60 |
14 |
$617.72 |
| J0696 |
Ceftriaxone sodium injection |
8,974 |
6,336 |
$608.79 |
| J7120 |
Ringers lactate infusion |
3,328 |
2,488 |
$608.73 |
| 86480 |
|
14 |
13 |
$607.58 |
| 73120 |
|
12 |
12 |
$594.02 |
| G0108 |
Diab manage trn per indiv |
31 |
24 |
$574.71 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,353 |
8,744 |
$561.84 |
| 83540 |
|
184 |
171 |
$520.92 |
| 85007 |
|
259 |
229 |
$507.24 |
| 87046 |
|
57 |
41 |
$487.46 |
| J1885 |
Ketorolac tromethamine inj |
9,082 |
7,104 |
$483.87 |
| 94727 |
|
29 |
27 |
$436.28 |
| J7050 |
Normal saline solution infus |
441 |
336 |
$420.02 |
| G0103 |
Psa screening |
37 |
37 |
$405.42 |
| J2704 |
Inj, propofol, 10 mg |
10,709 |
7,911 |
$391.91 |
| 93923 |
|
12 |
12 |
$389.07 |
| 87880 |
|
28 |
27 |
$387.33 |
| J2250 |
Inj midazolam hydrochloride |
7,134 |
5,503 |
$366.12 |
| 83970 |
|
49 |
38 |
$334.42 |
| 86225 |
|
58 |
49 |
$322.37 |
| J2001 |
Lidocaine injection |
3,069 |
2,287 |
$321.85 |
| 87045 |
|
45 |
41 |
$319.56 |
| G0383 |
Lev 4 hosp type b ed visit |
71 |
67 |
$315.08 |
| 84481 |
|
46 |
38 |
$304.93 |
| 88342 |
|
20 |
14 |
$253.10 |
| J0131 |
Inj, acetaminophen (nos) |
423 |
333 |
$247.60 |
| J0330 |
Succinycholine chloride inj |
754 |
617 |
$242.80 |
| 86336 |
|
19 |
13 |
$242.44 |
| 84156 |
|
115 |
90 |
$241.34 |
| 82677 |
|
19 |
13 |
$224.02 |
| 85046 |
|
64 |
48 |
$200.55 |
| J0690 |
Cefazolin sodium injection |
3,383 |
2,374 |
$200.00 |
| G0008 |
Admin influenza virus vac |
529 |
481 |
$199.60 |
| 85652 |
|
140 |
129 |
$190.51 |
| 86160 |
|
34 |
26 |
$187.59 |
| 80177 |
|
17 |
15 |
$179.28 |
| J7040 |
Normal saline solution infus |
665 |
557 |
$171.07 |
| 82105 |
|
33 |
26 |
$168.82 |
| 51702 |
|
16 |
12 |
$163.98 |
| J1170 |
Hydromorphone injection |
4,875 |
3,023 |
$161.51 |
| 84153 |
|
44 |
43 |
$133.56 |
| J2710 |
Neostigmine methylslfte inj |
357 |
262 |
$128.30 |
| 84100 |
|
77 |
65 |
$125.86 |
| 87205 |
|
38 |
34 |
$118.65 |
| J2175 |
Meperidine hydrochl /100 mg |
1,935 |
1,403 |
$111.23 |
| 84436 |
|
13 |
13 |
$100.50 |
| 82010 |
|
14 |
13 |
$90.89 |
| 86039 |
|
26 |
25 |
$90.46 |
| G0382 |
Lev 3 hosp type b ed visit |
13 |
13 |
$84.32 |
| J2930 |
Methylprednisolone injection |
2,912 |
1,990 |
$81.98 |
| J1650 |
Inj enoxaparin sodium |
4,950 |
2,372 |
$79.40 |
| C1769 |
Guide wire |
1,858 |
1,568 |
$76.76 |
| J1200 |
Diphenhydramine hcl injectio |
1,538 |
1,124 |
$73.90 |
| 81050 |
|
49 |
44 |
$62.35 |
| J2550 |
Promethazine hcl injection |
2,091 |
1,442 |
$40.49 |
| 96376 |
|
5,819 |
2,922 |
$38.86 |
| 87210 |
|
12 |
12 |
$36.73 |
| J0360 |
Hydralazine hcl injection |
2,400 |
1,675 |
$33.69 |
| J2270 |
Morphine sulfate injection |
45 |
32 |
$28.50 |
| J1644 |
Inj heparin sodium per 1000u |
3,230 |
1,853 |
$26.98 |
| J2920 |
Methylprednisolone injection |
878 |
372 |
$25.64 |
| J1940 |
Furosemide injection |
2,334 |
1,157 |
$22.62 |
| J1030 |
Methylprednisolone 40 mg inj |
1,366 |
1,172 |
$22.35 |
| J3420 |
Vitamin b12 injection |
843 |
568 |
$19.50 |
| J2919 |
Inj, methylpred sod succ 5mg |
308 |
182 |
$19.19 |
| C1894 |
Intro/sheath, non-laser |
1,702 |
1,442 |
$17.82 |
| J1815 |
Insulin injection |
5,069 |
1,751 |
$17.46 |
| J3370 |
Vancomycin hcl injection |
149 |
92 |
$8.67 |
| J3010 |
Fentanyl citrate injection |
178 |
164 |
$6.78 |
| C9113 |
Inj pantoprazole sodium, via |
2,416 |
1,313 |
$6.54 |
| P9612 |
Catheterize for urine spec |
798 |
600 |
$5.85 |
| J3475 |
Inj magnesium sulfate |
66 |
45 |
$5.32 |
| J2765 |
Metoclopramide hcl injection |
353 |
291 |
$5.28 |
| 90694 |
|
215 |
180 |
$4.40 |
| J1010 |
Inj, methylpred acetate 1 mg |
154 |
142 |
$2.31 |
| 90715 |
|
233 |
201 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
133 |
97 |
$0.00 |
| A9552 |
F18 fdg |
48 |
42 |
$0.00 |
| C1760 |
Closure dev, vasc |
142 |
132 |
$0.00 |
| J1956 |
Levofloxacin injection |
384 |
237 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
58 |
43 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
15 |
15 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
576 |
434 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
33 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
144 |
122 |
$0.00 |
| G1004 |
Cdsm ndsc |
432 |
314 |
$0.00 |
| C1729 |
Cath, drainage |
36 |
28 |
$0.00 |
| G8978 |
Mobility current status |
123 |
106 |
$0.00 |
| 94729 |
|
46 |
40 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
45 |
37 |
$0.00 |
| J1953 |
Levetiracetam injection |
36 |
24 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
15 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
36 |
31 |
$0.00 |
| 84145 |
|
13 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
19 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
2,983 |
792 |
$0.00 |
| 94760 |
|
495 |
340 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
33 |
28 |
$0.00 |
| J2360 |
Orphenadrine injection |
344 |
303 |
$0.00 |
| J2060 |
Lorazepam injection |
265 |
197 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
103 |
94 |
$0.00 |
| G0283 |
Elec stim other than wound |
325 |
98 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
49 |
33 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
40 |
40 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
56 |
38 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
246 |
167 |
$0.00 |
| J0456 |
Azithromycin |
23 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
62 |
61 |
$0.00 |
| 77417 |
|
103 |
28 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
17 |
13 |
$0.00 |