| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
143,541 |
132,449 |
$13.80M |
| 99284 |
|
70,667 |
61,398 |
$4.51M |
| 99282 |
|
33,724 |
31,953 |
$3.25M |
| 74177 |
|
7,959 |
7,148 |
$1.57M |
| 80053 |
|
61,060 |
51,074 |
$1.39M |
| 99281 |
|
10,271 |
9,593 |
$1.05M |
| 70450 |
|
8,660 |
7,373 |
$929K |
| 99285 |
|
10,754 |
9,075 |
$783K |
| 74176 |
|
4,343 |
3,832 |
$575K |
| 71275 |
|
2,491 |
2,179 |
$472K |
| U0002 |
Covid-19 lab test non-cdc |
16,461 |
15,589 |
$396K |
| 76816 |
|
5,492 |
5,041 |
$308K |
| 87070 |
|
22,441 |
21,376 |
$245K |
| 87400 |
|
38,658 |
36,748 |
$217K |
| 76811 |
|
2,845 |
2,728 |
$191K |
| 76815 |
|
4,424 |
3,099 |
$174K |
| 76817 |
|
3,202 |
2,667 |
$174K |
| 76830 |
|
2,429 |
2,214 |
$162K |
| 58670 |
|
189 |
163 |
$155K |
| 72125 |
|
3,109 |
2,472 |
$147K |
| G0378 |
Hospital observation per hr |
12,223 |
6,560 |
$134K |
| 76819 |
|
3,716 |
1,867 |
$129K |
| 96361 |
|
1,873 |
1,605 |
$122K |
| 87426 |
|
2,705 |
2,340 |
$122K |
| 59025 |
|
1,056 |
698 |
$119K |
| 76801 |
|
2,572 |
2,233 |
$118K |
| 81025 |
|
24,015 |
22,118 |
$118K |
| 80307 |
|
5,287 |
4,760 |
$118K |
| 87635 |
|
19,574 |
18,583 |
$102K |
| 76805 |
|
1,547 |
1,467 |
$100K |
| 76856 |
|
2,563 |
2,345 |
$98K |
| 93975 |
|
5,627 |
4,862 |
$98K |
| 81001 |
|
28,121 |
24,985 |
$96K |
| 87086 |
|
8,109 |
7,323 |
$89K |
| 93306 |
|
1,540 |
1,290 |
$84K |
| 76705 |
|
2,330 |
2,079 |
$83K |
| 96372 |
|
16,098 |
13,416 |
$77K |
| J3490 |
Drugs unclassified injection |
1,654 |
1,257 |
$76K |
| 12011 |
|
1,106 |
1,010 |
$70K |
| 94640 |
|
3,614 |
2,787 |
$70K |
| 80048 |
|
5,973 |
4,540 |
$70K |
| 71045 |
|
18,227 |
15,651 |
$69K |
| G0480 |
Drug test def 1-7 classes |
2,236 |
1,967 |
$68K |
| 71046 |
|
7,842 |
7,176 |
$67K |
| 12001 |
|
1,174 |
1,108 |
$66K |
| 99211 |
|
1,223 |
854 |
$63K |
| 86850 |
|
3,139 |
2,749 |
$61K |
| 88305 |
|
2,437 |
1,846 |
$60K |
| 93971 |
|
1,355 |
1,189 |
$52K |
| 85027 |
|
69,006 |
54,736 |
$51K |
| 10060 |
|
926 |
860 |
$49K |
| 74018 |
|
2,949 |
2,729 |
$49K |
| 87210 |
|
5,471 |
5,028 |
$49K |
| 72131 |
|
963 |
824 |
$48K |
| 96360 |
|
804 |
724 |
$43K |
| 81003 |
|
9,252 |
8,407 |
$43K |
| 73130 |
|
2,492 |
2,249 |
$42K |
| 96365 |
|
970 |
717 |
$41K |
| 93970 |
|
641 |
563 |
$38K |
| 96374 |
|
34,597 |
28,932 |
$37K |
| 84702 |
|
6,320 |
5,002 |
$35K |
| 87430 |
|
26,495 |
25,311 |
$33K |
| 84112 |
|
749 |
651 |
$33K |
| 87420 |
|
7,435 |
7,131 |
$33K |
| A9270 |
Non-covered item or service |
15,278 |
3,327 |
$32K |
| 73630 |
|
3,222 |
2,954 |
$31K |
| 93005 |
|
22,404 |
18,255 |
$30K |
| 73610 |
|
2,843 |
2,604 |
$30K |
| 84484 |
|
18,602 |
12,036 |
$29K |
| J7030 |
Normal saline solution infus |
21,699 |
17,453 |
$28K |
| J1885 |
Ketorolac tromethamine inj |
16,815 |
12,767 |
$27K |
| 73140 |
|
976 |
881 |
$27K |
| 73564 |
|
2,833 |
2,398 |
$27K |
| 73030 |
|
1,983 |
1,692 |
$26K |
| 70491 |
|
110 |
98 |
$26K |
| 78452 |
|
248 |
194 |
$25K |
| 73110 |
|
1,730 |
1,557 |
$24K |
| 70486 |
|
526 |
480 |
$21K |
| G0383 |
Lev 4 hosp type b ed visit |
150 |
137 |
$21K |
| 43239 |
|
600 |
537 |
$20K |
| 87040 |
|
5,275 |
3,782 |
$19K |
| Q0162 |
Ondansetron oral |
10,520 |
9,887 |
$19K |
| 12002 |
|
431 |
406 |
$18K |
| J2916 |
Na ferric gluconate complex |
361 |
141 |
$18K |
| 76770 |
|
135 |
125 |
$17K |
| J2405 |
Ondansetron hcl injection |
12,816 |
10,314 |
$17K |
| 96376 |
|
4,571 |
2,562 |
$17K |
| 72110 |
|
552 |
481 |
$17K |
| 73090 |
|
926 |
836 |
$17K |
| 99213 |
|
191 |
165 |
$15K |
| J1100 |
Dexamethasone sodium phos |
7,193 |
4,324 |
$15K |
| J3010 |
Fentanyl citrate injection |
1,860 |
1,383 |
$14K |
| 90471 |
|
2,087 |
1,836 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
1,274 |
888 |
$13K |
| 86900 |
|
5,360 |
4,683 |
$12K |
| 84703 |
|
13,481 |
11,922 |
$12K |
| 87491 |
|
4,352 |
4,090 |
$12K |
| J2250 |
Inj midazolam hydrochloride |
1,477 |
1,012 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,859 |
3,565 |
$12K |
| 83880 |
|
4,831 |
4,001 |
$11K |
| 85610 |
|
9,143 |
7,550 |
$10K |
| 73070 |
|
651 |
572 |
$10K |
| G0463 |
Hospital outpt clinic visit |
293 |
154 |
$8K |
| 96375 |
|
12,693 |
9,352 |
$8K |
| J1170 |
Hydromorphone injection |
3,938 |
1,902 |
$8K |
| 85730 |
|
7,135 |
6,002 |
$8K |
| 71101 |
|
166 |
146 |
$8K |
| C1729 |
Cath, drainage |
224 |
211 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
7,111 |
5,718 |
$7K |
| 73590 |
|
965 |
843 |
$7K |
| 83735 |
|
11,913 |
8,992 |
$7K |
| 83605 |
|
4,237 |
3,452 |
$7K |
| 81002 |
|
8,677 |
8,157 |
$6K |
| 87633 |
|
76 |
74 |
$6K |
| 76820 |
|
1,428 |
686 |
$5K |
| 95816 |
|
134 |
115 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
1,036 |
532 |
$5K |
| 87591 |
|
4,356 |
4,095 |
$5K |
| 86901 |
|
5,352 |
4,667 |
$5K |
| 76857 |
|
380 |
355 |
$5K |
| S0028 |
Injection, famotidine, 20 mg |
3,285 |
2,836 |
$5K |
| 71260 |
|
27 |
25 |
$4K |
| 93017 |
|
220 |
166 |
$4K |
| J1815 |
Insulin injection |
2,183 |
916 |
$4K |
| 97163 |
|
422 |
313 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
4,454 |
2,958 |
$4K |
| 85379 |
|
3,789 |
3,409 |
$3K |
| 72128 |
|
57 |
51 |
$3K |
| 84443 |
|
3,462 |
3,000 |
$3K |
| 87186 |
|
3,291 |
2,939 |
$3K |
| 84145 |
|
888 |
712 |
$3K |
| 70551 |
|
114 |
100 |
$2K |
| 73080 |
|
134 |
123 |
$2K |
| 83690 |
|
15,008 |
13,092 |
$2K |
| C1769 |
Guide wire |
111 |
86 |
$2K |
| 80061 |
|
1,660 |
1,373 |
$2K |
| 29125 |
|
677 |
623 |
$2K |
| 70487 |
|
12 |
12 |
$2K |
| 36430 |
|
27 |
24 |
$2K |
| 73502 |
|
271 |
225 |
$2K |
| 88307 |
|
31 |
26 |
$2K |
| 80069 |
|
653 |
437 |
$2K |
| 83036 |
|
1,237 |
1,032 |
$2K |
| J7050 |
Normal saline solution infus |
2,772 |
1,763 |
$2K |
| 86140 |
|
2,398 |
2,143 |
$2K |
| 86738 |
|
745 |
657 |
$2K |
| 00840 |
|
66 |
53 |
$1K |
| 96366 |
|
217 |
130 |
$1K |
| 76870 |
|
146 |
132 |
$1K |
| C1894 |
Intro/sheath, non-laser |
32 |
25 |
$1K |
| 88304 |
|
143 |
130 |
$1K |
| J2360 |
Orphenadrine injection |
220 |
197 |
$1K |
| J2930 |
Methylprednisolone injection |
1,475 |
1,273 |
$1K |
| J2060 |
Lorazepam injection |
1,194 |
958 |
$1K |
| 76818 |
|
15 |
13 |
$1K |
| J8540 |
Oral dexamethasone |
418 |
384 |
$1K |
| J2543 |
Piperacillin/tazobactam |
508 |
321 |
$1K |
| 87205 |
|
1,552 |
1,372 |
$962.02 |
| 29515 |
|
115 |
102 |
$911.07 |
| 73060 |
|
165 |
156 |
$884.66 |
| J2765 |
Metoclopramide hcl injection |
2,979 |
2,561 |
$874.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,323 |
2,009 |
$857.40 |
| 82270 |
|
59 |
51 |
$853.07 |
| Q0244 |
Casirivi and imdevi 1200 mg |
14 |
12 |
$850.61 |
| 76700 |
|
27 |
24 |
$844.37 |
| 12013 |
|
12 |
12 |
$836.08 |
| 96368 |
|
13 |
13 |
$834.79 |
| 82570 |
|
528 |
469 |
$745.54 |
| 82731 |
|
12 |
12 |
$742.73 |
| J2270 |
Morphine sulfate injection |
4,720 |
3,446 |
$731.92 |
| 73660 |
|
79 |
74 |
$672.83 |
| J7120 |
Ringers lactate infusion |
2,748 |
2,207 |
$660.21 |
| 82550 |
|
1,635 |
1,321 |
$595.69 |
| J1650 |
Inj enoxaparin sodium |
1,329 |
805 |
$556.50 |
| 82247 |
|
30 |
24 |
$494.81 |
| 99152 |
|
17 |
13 |
$489.36 |
| 73503 |
|
28 |
24 |
$483.60 |
| 84439 |
|
996 |
885 |
$470.32 |
| 45380 |
|
15 |
14 |
$465.48 |
| 85652 |
|
778 |
682 |
$448.62 |
| 73100 |
|
16 |
13 |
$410.00 |
| 86308 |
|
154 |
152 |
$403.48 |
| 84156 |
|
603 |
511 |
$393.78 |
| 84100 |
|
659 |
506 |
$380.30 |
| A9500 |
Tc99m sestamibi |
202 |
158 |
$360.92 |
| J2791 |
Rhophylac injection |
41 |
40 |
$327.52 |
| 90714 |
|
885 |
783 |
$316.62 |
| 85045 |
|
293 |
154 |
$296.35 |
| 86592 |
|
68 |
53 |
$293.53 |
| 71250 |
|
13 |
12 |
$287.52 |
| 85384 |
|
105 |
96 |
$278.65 |
| 72100 |
|
27 |
24 |
$237.25 |
| 73552 |
|
133 |
107 |
$212.52 |
| J2550 |
Promethazine hcl injection |
125 |
105 |
$210.42 |
| J2785 |
Regadenoson injection |
127 |
91 |
$168.10 |
| J3475 |
Inj magnesium sulfate |
205 |
176 |
$160.04 |
| 74019 |
|
102 |
99 |
$143.30 |
| 93880 |
|
22 |
14 |
$137.51 |
| 97116 |
|
25 |
18 |
$130.19 |
| 82803 |
|
120 |
93 |
$128.29 |
| G1003 |
Cdsm medicalis |
456 |
342 |
$120.14 |
| M0243 |
Casirivi and imdevi inj |
37 |
33 |
$116.20 |
| J0690 |
Cefazolin sodium injection |
158 |
107 |
$75.88 |
| 90715 |
|
540 |
495 |
$73.52 |
| J0500 |
Dicyclomine injection |
138 |
119 |
$45.53 |
| 70360 |
|
27 |
26 |
$35.85 |
| 76821 |
|
15 |
13 |
$31.07 |
| 80076 |
|
58 |
50 |
$16.66 |
| 82248 |
|
84 |
64 |
$11.76 |
| 83615 |
|
197 |
172 |
$1.47 |
| J0780 |
Prochlorperazine injection |
417 |
326 |
$0.00 |
| C1758 |
Catheter, ureteral |
83 |
79 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
116 |
89 |
$0.00 |
| J7040 |
Normal saline solution infus |
274 |
248 |
$0.00 |
| 00851 |
|
202 |
160 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
208 |
138 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
177 |
156 |
$0.00 |
| 84550 |
|
96 |
82 |
$0.00 |
| S5000 |
Prescription drug, generic |
48 |
47 |
$0.00 |
| 85014 |
|
14 |
12 |
$0.00 |
| 76827 |
|
25 |
25 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
43 |
31 |
$0.00 |
| J0456 |
Azithromycin |
126 |
92 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
658 |
601 |
$0.00 |
| 88342 |
|
207 |
187 |
$0.00 |
| J1630 |
Haloperidol injection |
58 |
45 |
$0.00 |
| 73560 |
|
13 |
12 |
$0.00 |
| 82150 |
|
59 |
55 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
25 |
15 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
26 |
24 |
$0.00 |
| J2920 |
Methylprednisolone injection |
37 |
28 |
$0.00 |
| 76825 |
|
25 |
25 |
$0.00 |
| J1940 |
Furosemide injection |
20 |
12 |
$0.00 |