| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
29,657 |
24,546 |
$6.76M |
| 99283 |
|
23,146 |
20,533 |
$5.56M |
| G0463 |
Hospital outpt clinic visit |
32,806 |
25,422 |
$5.18M |
| 99282 |
|
19,699 |
17,803 |
$4.36M |
| 99213 |
|
10,813 |
9,228 |
$2.96M |
| 96361 |
|
10,057 |
8,422 |
$2.89M |
| 99285 |
|
8,993 |
7,922 |
$2.55M |
| 97110 |
|
39,292 |
10,433 |
$2.42M |
| 99214 |
|
8,629 |
7,650 |
$2.31M |
| 74177 |
|
5,199 |
4,662 |
$1.44M |
| 92507 |
|
10,548 |
3,152 |
$1.40M |
| 96365 |
|
7,307 |
5,543 |
$1.28M |
| 70450 |
|
5,534 |
4,833 |
$1.14M |
| 99281 |
|
5,545 |
5,165 |
$1.01M |
| 0241U |
|
5,672 |
5,317 |
$926K |
| 59025 |
|
2,841 |
1,837 |
$691K |
| 96360 |
|
3,248 |
2,684 |
$688K |
| 74176 |
|
2,322 |
2,087 |
$626K |
| 71275 |
|
1,695 |
1,566 |
$582K |
| 99212 |
|
2,289 |
2,089 |
$510K |
| 97530 |
|
7,308 |
2,649 |
$506K |
| 87635 |
|
12,304 |
11,316 |
$500K |
| G0378 |
Hospital observation per hr |
3,311 |
2,256 |
$466K |
| 96366 |
|
1,951 |
1,224 |
$464K |
| 93306 |
|
768 |
740 |
$442K |
| 87631 |
|
7,805 |
7,332 |
$340K |
| 99215 |
Prolong outpt/office vis |
1,099 |
858 |
$337K |
| 20610 |
|
1,209 |
1,094 |
$315K |
| 97161 |
|
2,111 |
1,904 |
$275K |
| 80053 |
|
48,589 |
39,207 |
$272K |
| 96413 |
|
2,354 |
1,436 |
$260K |
| 76705 |
|
2,160 |
1,962 |
$234K |
| 99204 |
|
915 |
903 |
$227K |
| 80307 |
|
2,350 |
2,061 |
$218K |
| 76801 |
|
2,136 |
1,854 |
$211K |
| 93971 |
|
1,521 |
1,380 |
$182K |
| 99291 |
|
709 |
654 |
$177K |
| 97163 |
|
1,917 |
1,867 |
$142K |
| 76816 |
|
1,440 |
1,350 |
$139K |
| 97140 |
|
5,550 |
1,889 |
$125K |
| 76805 |
|
1,071 |
1,016 |
$116K |
| 99203 |
|
385 |
380 |
$107K |
| 84443 |
|
10,740 |
9,932 |
$99K |
| 96367 |
|
1,503 |
1,064 |
$92K |
| 85025 |
|
45,103 |
35,439 |
$81K |
| 96372 |
|
9,614 |
7,432 |
$79K |
| 96415 |
|
171 |
127 |
$77K |
| 64483 |
|
56 |
52 |
$72K |
| 76856 |
|
978 |
892 |
$72K |
| 76830 |
|
710 |
651 |
$71K |
| 87591 |
|
5,170 |
4,883 |
$69K |
| 78452 |
|
55 |
53 |
$66K |
| 72125 |
|
1,192 |
1,101 |
$65K |
| 82306 |
|
3,436 |
3,279 |
$65K |
| 90715 |
|
2,143 |
1,976 |
$56K |
| 71046 |
|
5,245 |
4,676 |
$54K |
| 87389 |
|
4,122 |
3,895 |
$50K |
| 36415 |
|
26,656 |
20,985 |
$48K |
| 80061 |
|
8,815 |
8,369 |
$47K |
| 83036 |
|
8,683 |
8,228 |
$47K |
| 80048 |
|
10,131 |
8,088 |
$46K |
| 84703 |
|
13,258 |
11,497 |
$41K |
| 93976 |
|
315 |
275 |
$37K |
| 97165 |
|
197 |
184 |
$35K |
| 83880 |
|
3,930 |
3,332 |
$35K |
| 76817 |
|
653 |
546 |
$34K |
| 84439 |
|
3,857 |
3,504 |
$33K |
| 73630 |
|
2,534 |
2,193 |
$28K |
| 96375 |
|
14,845 |
11,401 |
$28K |
| 85027 |
|
18,496 |
15,692 |
$27K |
| 87491 |
|
5,136 |
4,855 |
$26K |
| 97116 |
|
1,172 |
593 |
$26K |
| 76811 |
|
275 |
263 |
$26K |
| 86803 |
|
3,140 |
2,968 |
$26K |
| 73610 |
|
2,380 |
2,105 |
$25K |
| 88305 |
|
1,580 |
1,455 |
$24K |
| 93017 |
|
221 |
213 |
$24K |
| 82607 |
|
2,395 |
2,244 |
$23K |
| C8929 |
Tte w or wo fol wcon,doppler |
218 |
186 |
$23K |
| 72148 |
|
93 |
90 |
$22K |
| 73030 |
|
1,890 |
1,652 |
$21K |
| 96368 |
|
1,106 |
931 |
$21K |
| 87086 |
|
9,169 |
8,072 |
$20K |
| 82728 |
|
3,171 |
2,919 |
$20K |
| 87040 |
|
2,502 |
1,682 |
$20K |
| 97112 |
|
370 |
158 |
$17K |
| 72110 |
|
1,075 |
1,023 |
$17K |
| 73564 |
|
2,625 |
1,950 |
$16K |
| 77063 |
|
310 |
293 |
$16K |
| 84484 |
|
13,317 |
9,204 |
$16K |
| 93000 |
|
11,032 |
9,357 |
$15K |
| 73130 |
|
1,570 |
1,333 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
481 |
445 |
$15K |
| 81003 |
|
13,070 |
11,596 |
$15K |
| 84466 |
|
3,428 |
3,152 |
$15K |
| 71045 |
|
13,434 |
11,506 |
$14K |
| 94640 |
|
1,363 |
1,150 |
$13K |
| 70496 |
|
28 |
27 |
$13K |
| 72100 |
|
1,193 |
1,126 |
$13K |
| 90471 |
|
2,598 |
2,374 |
$13K |
| 86780 |
|
2,450 |
2,290 |
$12K |
| 76770 |
|
105 |
95 |
$12K |
| 73110 |
|
1,214 |
1,052 |
$12K |
| 87081 |
|
4,820 |
4,530 |
$11K |
| 97162 |
|
75 |
67 |
$11K |
| 93005 |
|
10,204 |
7,946 |
$11K |
| 84481 |
|
141 |
134 |
$10K |
| 84702 |
|
2,179 |
1,565 |
$10K |
| 83540 |
|
3,639 |
3,352 |
$10K |
| 96374 |
|
17,939 |
14,909 |
$10K |
| 82948 |
|
8,776 |
4,543 |
$9K |
| 87880 |
|
6,617 |
6,274 |
$9K |
| J1050 |
Medroxyprogesterone acetate |
2,240 |
2,163 |
$9K |
| 12001 |
|
43 |
38 |
$9K |
| 0352U |
|
978 |
934 |
$9K |
| 85379 |
|
1,898 |
1,733 |
$9K |
| G0480 |
Drug test def 1-7 classes |
900 |
775 |
$9K |
| J1756 |
Iron sucrose injection |
610 |
276 |
$9K |
| 74018 |
|
757 |
673 |
$8K |
| 86850 |
|
4,673 |
4,184 |
$8K |
| 80329 |
|
785 |
708 |
$8K |
| 29125 |
|
57 |
52 |
$8K |
| 82570 |
|
2,116 |
1,880 |
$8K |
| 71260 |
|
118 |
109 |
$8K |
| 80076 |
|
1,868 |
1,710 |
$7K |
| 92523 |
|
40 |
39 |
$7K |
| 83735 |
|
8,247 |
6,101 |
$7K |
| J3490 |
Drugs unclassified injection |
15,332 |
7,763 |
$7K |
| 10060 |
|
27 |
25 |
$7K |
| 99202 |
|
31 |
31 |
$7K |
| 76815 |
|
88 |
81 |
$7K |
| 84146 |
|
315 |
293 |
$6K |
| 87340 |
|
3,791 |
3,564 |
$6K |
| 86140 |
|
1,523 |
1,376 |
$6K |
| 82746 |
|
1,519 |
1,396 |
$6K |
| 76642 |
|
49 |
46 |
$6K |
| 97167 |
|
40 |
39 |
$6K |
| 83605 |
|
3,858 |
2,947 |
$5K |
| 82951 |
|
593 |
565 |
$5K |
| 85610 |
|
4,962 |
3,949 |
$5K |
| 81025 |
|
2,559 |
2,403 |
$5K |
| 81001 |
|
15,207 |
13,059 |
$5K |
| 96376 |
|
5,913 |
4,029 |
$4K |
| 80306 |
|
2,311 |
2,051 |
$4K |
| 87507 |
|
42 |
38 |
$4K |
| J2405 |
Ondansetron hcl injection |
15,188 |
12,214 |
$4K |
| J7050 |
Normal saline solution infus |
14,703 |
8,874 |
$4K |
| 80320 |
|
1,917 |
1,675 |
$4K |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
263 |
256 |
$3K |
| 73080 |
|
246 |
221 |
$3K |
| 82043 |
|
978 |
929 |
$3K |
| 84403 |
|
345 |
322 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
753 |
577 |
$3K |
| 85652 |
|
1,411 |
1,302 |
$3K |
| 86900 |
|
3,821 |
3,285 |
$3K |
| 87186 |
|
3,121 |
2,735 |
$3K |
| 12011 |
|
12 |
12 |
$3K |
| 73140 |
|
158 |
140 |
$3K |
| 72040 |
|
201 |
190 |
$3K |
| 90686 |
|
85 |
84 |
$3K |
| 93010 |
|
4,418 |
3,843 |
$2K |
| 82247 |
|
315 |
147 |
$2K |
| 73502 |
|
374 |
335 |
$2K |
| 73562 |
|
139 |
117 |
$2K |
| J2270 |
Morphine sulfate injection |
8,592 |
5,870 |
$2K |
| 87426 |
|
429 |
390 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| G0008 |
Admin influenza virus vac |
337 |
321 |
$2K |
| J1650 |
Inj enoxaparin sodium |
903 |
440 |
$2K |
| 81511 |
|
12 |
12 |
$2K |
| 83690 |
|
9,808 |
8,202 |
$2K |
| 82248 |
|
329 |
257 |
$2K |
| 87480 |
|
89 |
85 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
9,933 |
7,492 |
$2K |
| A9270 |
Non-covered item or service |
82,516 |
27,826 |
$2K |
| 86901 |
|
3,829 |
3,291 |
$2K |
| 87088 |
|
2,225 |
1,935 |
$2K |
| 86704 |
|
414 |
370 |
$2K |
| J7030 |
Normal saline solution infus |
9,978 |
8,082 |
$1K |
| 73721 |
|
14 |
12 |
$1K |
| 87624 |
|
324 |
308 |
$1K |
| 84100 |
|
1,487 |
1,049 |
$1K |
| 87502 |
|
121 |
99 |
$1K |
| 90656 |
|
46 |
46 |
$1K |
| 85045 |
|
881 |
789 |
$1K |
| 88342 |
|
153 |
147 |
$1K |
| 82977 |
|
173 |
163 |
$1K |
| 77067 |
|
312 |
294 |
$1K |
| 72050 |
|
55 |
54 |
$1K |
| 86706 |
|
431 |
382 |
$989.34 |
| 85730 |
|
2,199 |
1,958 |
$986.83 |
| 97535 |
|
49 |
24 |
$979.40 |
| 88142 |
|
491 |
471 |
$968.64 |
| 84550 |
|
767 |
627 |
$895.01 |
| 83001 |
|
159 |
152 |
$886.55 |
| 82803 |
|
1,974 |
1,547 |
$818.55 |
| 87804 |
|
3,380 |
1,544 |
$796.05 |
| 72131 |
|
17 |
14 |
$790.82 |
| 70486 |
|
13 |
13 |
$784.65 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
769 |
689 |
$765.07 |
| 73560 |
|
220 |
185 |
$721.48 |
| J7120 |
Ringers lactate infusion |
3,305 |
2,782 |
$709.09 |
| 87798 |
|
12 |
12 |
$705.68 |
| 87077 |
|
400 |
363 |
$702.45 |
| 76819 |
|
21 |
13 |
$663.03 |
| 70498 |
|
27 |
26 |
$582.48 |
| 82962 |
|
2,200 |
1,060 |
$582.24 |
| J2250 |
Inj midazolam hydrochloride |
2,950 |
2,583 |
$557.82 |
| J1100 |
Dexamethasone sodium phos |
5,238 |
4,499 |
$507.32 |
| 85007 |
|
263 |
230 |
$491.13 |
| 83615 |
|
560 |
499 |
$476.51 |
| 73590 |
|
127 |
110 |
$471.09 |
| G0103 |
Psa screening |
42 |
39 |
$466.68 |
| 83525 |
|
85 |
79 |
$459.92 |
| 84156 |
|
444 |
357 |
$458.01 |
| J3010 |
Fentanyl citrate injection |
5,487 |
4,447 |
$451.26 |
| J1040 |
Methylprednisolone 80 mg inj |
629 |
546 |
$448.51 |
| 73090 |
|
111 |
96 |
$400.04 |
| 82550 |
|
451 |
376 |
$357.26 |
| 86762 |
|
263 |
256 |
$306.52 |
| 86709 |
|
46 |
42 |
$281.71 |
| 82950 |
|
301 |
295 |
$279.02 |
| J2060 |
Lorazepam injection |
2,172 |
1,688 |
$274.95 |
| J1200 |
Diphenhydramine hcl injectio |
3,264 |
2,650 |
$273.85 |
| G8978 |
Mobility current status |
441 |
314 |
$249.29 |
| 86787 |
|
306 |
297 |
$234.97 |
| 87070 |
|
146 |
125 |
$222.54 |
| 85651 |
|
152 |
141 |
$220.66 |
| 83655 |
|
39 |
37 |
$212.76 |
| 83020 |
|
59 |
56 |
$209.02 |
| 84270 |
|
32 |
29 |
$181.23 |
| J0696 |
Ceftriaxone sodium injection |
3,041 |
2,267 |
$178.69 |
| 87205 |
|
398 |
313 |
$171.72 |
| J2550 |
Promethazine hcl injection |
1,222 |
955 |
$163.73 |
| 86038 |
|
13 |
12 |
$150.20 |
| J0690 |
Cefazolin sodium injection |
1,926 |
1,355 |
$148.39 |
| J2930 |
Methylprednisolone injection |
1,293 |
1,069 |
$146.34 |
| 84450 |
|
28 |
27 |
$129.85 |
| 82565 |
|
198 |
163 |
$128.52 |
| 82670 |
|
26 |
25 |
$123.76 |
| 87807 |
|
364 |
347 |
$112.79 |
| 84153 |
|
12 |
12 |
$112.14 |
| L4350 |
Ankle control ortho pre ots |
41 |
40 |
$91.34 |
| 85014 |
|
278 |
210 |
$85.52 |
| 86885 |
|
300 |
292 |
$84.76 |
| 87660 |
|
89 |
85 |
$82.33 |
| J1815 |
Insulin injection |
1,226 |
622 |
$81.84 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,064 |
7,164 |
$80.20 |
| J0780 |
Prochlorperazine injection |
967 |
873 |
$79.28 |
| 84402 |
|
14 |
13 |
$71.66 |
| 84460 |
|
15 |
14 |
$70.21 |
| J2543 |
Piperacillin/tazobactam |
185 |
109 |
$65.60 |
| 87210 |
|
156 |
146 |
$50.46 |
| J3475 |
Inj magnesium sulfate |
866 |
696 |
$48.54 |
| 80050 |
|
12 |
12 |
$47.32 |
| 82272 |
|
46 |
40 |
$43.61 |
| 87510 |
|
89 |
85 |
$43.29 |
| 85018 |
|
329 |
250 |
$41.75 |
| J1170 |
Hydromorphone injection |
419 |
305 |
$41.01 |
| 82150 |
|
14 |
12 |
$38.19 |
| C9113 |
Inj pantoprazole sodium, via |
305 |
191 |
$36.58 |
| J3370 |
Vancomycin hcl injection |
240 |
174 |
$22.86 |
| J2765 |
Metoclopramide hcl injection |
300 |
253 |
$20.78 |
| J0330 |
Succinycholine chloride inj |
161 |
146 |
$18.21 |
| J1644 |
Inj heparin sodium per 1000u |
334 |
193 |
$17.76 |
| J2704 |
Inj, propofol, 10 mg |
3,098 |
2,574 |
$5.76 |
| Q0162 |
Ondansetron oral |
860 |
748 |
$4.14 |
| J3360 |
Diazepam injection |
121 |
106 |
$2.22 |
| J1030 |
Methylprednisolone 40 mg inj |
157 |
123 |
$1.77 |
| J3301 |
Triamcinolone acet inj nos |
70 |
61 |
$1.57 |
| J1940 |
Furosemide injection |
56 |
39 |
$1.29 |
| Q0177 |
Hydroxyzine pamoate 25mg |
17 |
16 |
$1.08 |
| J1790 |
Droperidol injection |
50 |
46 |
$1.00 |
| 84132 |
|
17 |
15 |
$0.95 |
| 94760 |
|
1,564 |
725 |
$0.68 |
| J7620 |
Albuterol ipratrop non-comp |
445 |
383 |
$0.15 |
| J1010 |
Inj, methylpred acetate 1 mg |
150 |
140 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
191 |
178 |
$0.00 |
| A9585 |
Gadobutrol injection |
31 |
28 |
$0.00 |
| 88304 |
|
13 |
13 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
14 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
667 |
463 |
$0.00 |
| J2785 |
Regadenoson injection |
39 |
38 |
$0.00 |
| 87651 |
|
212 |
204 |
$0.00 |
| J8540 |
Oral dexamethasone |
161 |
99 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
38 |
33 |
$0.00 |
| 73501 |
|
13 |
13 |
$0.00 |
| C1769 |
Guide wire |
38 |
29 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
18 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
171 |
156 |
$0.00 |
| 87147 |
|
13 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,542 |
1,067 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
68 |
68 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
15 |
15 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
59 |
53 |
$0.00 |
| G8979 |
Mobility goal status |
477 |
338 |
$0.00 |
| J7040 |
Normal saline solution infus |
515 |
439 |
$0.00 |
| 82009 |
|
16 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
205 |
180 |
$0.00 |
| 80179 |
|
597 |
530 |
$0.00 |
| 76000 |
|
26 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
148 |
123 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
144 |
123 |
$0.00 |
| 80143 |
|
362 |
321 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
48 |
40 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
13 |
$0.00 |
| 84295 |
|
13 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
16 |
15 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
48 |
31 |
$0.00 |