| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
49,975 |
47,969 |
$5.91M |
| 99284 |
|
24,779 |
23,100 |
$3.28M |
| 96361 |
|
8,687 |
7,625 |
$2.33M |
| 99285 |
|
19,650 |
17,488 |
$2.31M |
| D2930 |
|
1,222 |
285 |
$813K |
| 70450 |
|
3,378 |
2,933 |
$706K |
| 99214 |
|
7,267 |
6,478 |
$645K |
| 99213 |
|
5,520 |
4,923 |
$546K |
| 41899 |
|
721 |
699 |
$476K |
| 97110 |
|
6,394 |
2,568 |
$440K |
| D3220 |
|
725 |
179 |
$414K |
| 74177 |
|
1,877 |
1,541 |
$408K |
| 99215 |
Prolong outpt/office vis |
3,461 |
3,198 |
$372K |
| 11042 |
|
2,787 |
1,216 |
$290K |
| 93306 |
|
1,071 |
951 |
$285K |
| 80053 |
|
35,848 |
30,098 |
$284K |
| G0378 |
Hospital observation per hr |
5,155 |
2,639 |
$252K |
| 43239 |
|
477 |
348 |
$203K |
| 94640 |
|
1,545 |
1,004 |
$167K |
| 96365 |
|
1,324 |
1,040 |
$164K |
| 96360 |
|
769 |
640 |
$151K |
| 71275 |
|
526 |
425 |
$123K |
| 96366 |
|
537 |
336 |
$121K |
| 99282 |
|
1,205 |
1,172 |
$117K |
| 74176 |
|
552 |
449 |
$116K |
| 80048 |
|
9,167 |
7,710 |
$103K |
| 76856 |
|
487 |
403 |
$81K |
| 84484 |
|
17,306 |
12,034 |
$77K |
| 99281 |
|
647 |
624 |
$76K |
| 80307 |
|
4,405 |
3,631 |
$60K |
| 11045 |
|
438 |
125 |
$59K |
| G0463 |
Hospital outpt clinic visit |
3,422 |
2,891 |
$57K |
| 71046 |
|
3,521 |
3,201 |
$56K |
| D7140 |
|
109 |
61 |
$56K |
| 97112 |
|
1,100 |
430 |
$55K |
| 97161 |
|
1,088 |
923 |
$51K |
| 71260 |
|
358 |
315 |
$51K |
| 93005 |
|
19,808 |
16,437 |
$49K |
| 76705 |
|
522 |
441 |
$48K |
| 85027 |
|
8,899 |
5,968 |
$45K |
| 84443 |
|
3,553 |
3,201 |
$43K |
| 71045 |
|
12,008 |
10,689 |
$41K |
| 85025 |
|
41,314 |
36,419 |
$38K |
| 87636 |
|
3,324 |
2,928 |
$35K |
| 97530 |
|
1,227 |
634 |
$35K |
| D2392 |
|
48 |
37 |
$34K |
| 97140 |
|
1,694 |
709 |
$34K |
| 94060 |
|
351 |
314 |
$33K |
| 87591 |
|
1,867 |
1,809 |
$33K |
| 80061 |
|
2,357 |
2,244 |
$33K |
| 73564 |
|
715 |
620 |
$31K |
| 77063 |
|
691 |
623 |
$30K |
| 86780 |
|
961 |
921 |
$30K |
| 71250 |
|
359 |
318 |
$29K |
| 73030 |
|
720 |
594 |
$29K |
| 36415 |
|
17,189 |
12,233 |
$29K |
| 83605 |
|
6,515 |
4,855 |
$25K |
| 87635 |
|
6,015 |
5,736 |
$23K |
| 76642 |
|
248 |
206 |
$23K |
| 97165 |
|
426 |
338 |
$23K |
| 87637 |
|
696 |
578 |
$22K |
| 74018 |
|
473 |
406 |
$22K |
| 73630 |
|
678 |
595 |
$22K |
| 82306 |
|
954 |
925 |
$21K |
| 99212 |
|
204 |
175 |
$21K |
| 96374 |
|
17,037 |
15,359 |
$19K |
| 73610 |
|
567 |
493 |
$19K |
| 73130 |
|
547 |
466 |
$17K |
| 73110 |
|
433 |
373 |
$17K |
| D2150 |
|
22 |
12 |
$16K |
| 73502 |
|
392 |
340 |
$16K |
| 97162 |
|
350 |
308 |
$15K |
| 45380 |
|
42 |
40 |
$15K |
| 86850 |
|
772 |
590 |
$14K |
| 94729 |
|
391 |
349 |
$14K |
| 87502 |
|
1,153 |
1,117 |
$14K |
| 87631 |
|
131 |
129 |
$13K |
| 82805 |
|
603 |
410 |
$13K |
| 45385 |
|
26 |
24 |
$12K |
| 76830 |
|
368 |
302 |
$12K |
| 87389 |
|
498 |
485 |
$12K |
| 83036 |
|
973 |
863 |
$12K |
| 72125 |
|
761 |
626 |
$11K |
| 72110 |
|
171 |
165 |
$10K |
| 73560 |
|
194 |
174 |
$9K |
| 96375 |
|
11,416 |
9,611 |
$9K |
| 78452 |
|
17 |
13 |
$9K |
| D2391 |
|
14 |
13 |
$9K |
| 94727 |
|
206 |
186 |
$8K |
| 73562 |
|
211 |
190 |
$8K |
| 86900 |
|
795 |
610 |
$8K |
| 93246 |
|
148 |
134 |
$8K |
| 76536 |
|
72 |
61 |
$8K |
| 93242 |
|
97 |
86 |
$7K |
| 77067 |
|
693 |
625 |
$7K |
| 70551 |
|
56 |
41 |
$7K |
| 51798 |
|
576 |
532 |
$7K |
| 59025 |
|
38 |
34 |
$7K |
| 83880 |
|
2,144 |
1,809 |
$7K |
| 93971 |
|
121 |
99 |
$7K |
| 81001 |
|
16,075 |
14,806 |
$7K |
| 83735 |
|
5,262 |
3,923 |
$6K |
| 97116 |
|
329 |
135 |
$6K |
| 80069 |
|
666 |
386 |
$6K |
| 81003 |
|
14,613 |
13,344 |
$6K |
| 87086 |
|
4,216 |
3,791 |
$6K |
| 93017 |
|
74 |
63 |
$6K |
| 96372 |
|
7,672 |
6,519 |
$5K |
| 76982 |
|
121 |
105 |
$5K |
| 82947 |
|
3,031 |
1,177 |
$5K |
| 87340 |
|
342 |
332 |
$5K |
| 85610 |
|
8,256 |
6,947 |
$5K |
| 81025 |
|
12,639 |
11,847 |
$5K |
| 76770 |
|
27 |
25 |
$4K |
| 73140 |
|
60 |
50 |
$4K |
| 96367 |
|
70 |
59 |
$4K |
| 99211 |
|
60 |
40 |
$4K |
| 87651 |
|
1,262 |
1,154 |
$4K |
| 96376 |
|
1,911 |
945 |
$4K |
| J3490 |
Drugs unclassified injection |
1,711 |
841 |
$4K |
| 82728 |
|
216 |
178 |
$4K |
| 84439 |
|
161 |
153 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
15 |
15 |
$3K |
| 80076 |
|
521 |
458 |
$3K |
| 82607 |
|
131 |
110 |
$3K |
| 94664 |
|
119 |
99 |
$3K |
| 80320 |
|
194 |
173 |
$3K |
| 83690 |
|
6,537 |
5,782 |
$3K |
| 70553 |
|
16 |
13 |
$3K |
| 86140 |
|
407 |
295 |
$3K |
| 99152 |
|
257 |
199 |
$3K |
| 86901 |
|
795 |
610 |
$3K |
| 87040 |
|
721 |
324 |
$2K |
| 72050 |
|
32 |
25 |
$2K |
| 87880 |
|
1,808 |
1,711 |
$2K |
| 83540 |
|
202 |
168 |
$2K |
| 87081 |
|
1,386 |
1,303 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
42 |
27 |
$2K |
| 83550 |
|
194 |
160 |
$2K |
| 87491 |
|
1,875 |
1,817 |
$2K |
| 84702 |
|
1,245 |
1,059 |
$2K |
| J7030 |
Normal saline solution infus |
10,903 |
9,435 |
$2K |
| 73090 |
|
54 |
42 |
$2K |
| 82077 |
|
944 |
755 |
$1K |
| 84481 |
|
114 |
112 |
$1K |
| 85379 |
|
865 |
750 |
$1K |
| 93922 |
|
12 |
12 |
$1K |
| 90715 |
|
104 |
85 |
$1K |
| 73080 |
|
26 |
25 |
$1K |
| J1170 |
Hydromorphone injection |
1,663 |
888 |
$1K |
| 87661 |
|
224 |
219 |
$1K |
| 72131 |
|
42 |
37 |
$971.45 |
| 87804 |
|
2,417 |
1,206 |
$866.07 |
| 80143 |
|
658 |
511 |
$856.71 |
| 88305 |
|
1,062 |
615 |
$828.37 |
| 72170 |
|
112 |
85 |
$771.29 |
| 82550 |
|
566 |
500 |
$691.68 |
| J1650 |
Inj enoxaparin sodium |
950 |
439 |
$688.12 |
| J2270 |
Morphine sulfate injection |
1,548 |
1,100 |
$675.33 |
| 87077 |
|
247 |
167 |
$645.94 |
| 99406 |
|
32 |
30 |
$639.85 |
| 86592 |
|
55 |
53 |
$599.10 |
| 70486 |
|
13 |
12 |
$598.04 |
| 80178 |
|
32 |
29 |
$593.74 |
| 85730 |
|
895 |
715 |
$592.79 |
| 72100 |
|
14 |
13 |
$589.89 |
| 73590 |
|
30 |
27 |
$532.78 |
| 83021 |
|
27 |
27 |
$513.80 |
| 82330 |
|
478 |
344 |
$507.90 |
| 87210 |
|
666 |
643 |
$487.65 |
| 84100 |
|
507 |
392 |
$461.40 |
| 90471 |
|
152 |
119 |
$449.24 |
| J1885 |
Ketorolac tromethamine inj |
8,733 |
7,479 |
$444.08 |
| 80179 |
|
643 |
504 |
$418.16 |
| 85018 |
|
559 |
396 |
$415.53 |
| J7120 |
Ringers lactate infusion |
3,304 |
2,257 |
$415.01 |
| 87186 |
|
367 |
262 |
$410.75 |
| 94761 |
|
1,827 |
1,686 |
$368.55 |
| 85652 |
|
254 |
193 |
$359.90 |
| 00731 |
|
418 |
318 |
$354.20 |
| 84132 |
|
525 |
395 |
$351.45 |
| 82962 |
|
336 |
73 |
$345.51 |
| U0002 |
Covid-19 lab test non-cdc |
125 |
106 |
$337.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,505 |
3,827 |
$335.14 |
| 88175 |
|
12 |
12 |
$332.94 |
| J1815 |
Insulin injection |
53 |
12 |
$332.75 |
| 82948 |
|
774 |
225 |
$317.28 |
| A9270 |
Non-covered item or service |
10,822 |
2,033 |
$315.52 |
| 80346 |
|
13 |
13 |
$304.67 |
| 86762 |
|
28 |
28 |
$287.67 |
| 87075 |
|
434 |
245 |
$271.11 |
| 82435 |
|
445 |
333 |
$255.37 |
| J2405 |
Ondansetron hcl injection |
8,929 |
7,193 |
$231.94 |
| 83615 |
|
68 |
55 |
$230.95 |
| 73552 |
|
20 |
12 |
$228.21 |
| J8499 |
Oral prescrip drug non chemo |
789 |
252 |
$225.96 |
| 84295 |
|
458 |
343 |
$182.52 |
| C9113 |
Inj pantoprazole sodium, via |
117 |
69 |
$176.00 |
| 87634 |
|
135 |
115 |
$166.80 |
| M0247 |
Sotrovimab infusion |
15 |
15 |
$161.36 |
| 80361 |
|
13 |
13 |
$152.33 |
| 82570 |
|
19 |
14 |
$147.91 |
| G0404 |
Ekg tracing for initial prev |
30 |
27 |
$137.55 |
| J2543 |
Piperacillin/tazobactam |
51 |
26 |
$112.01 |
| J2704 |
Inj, propofol, 10 mg |
2,737 |
2,050 |
$111.81 |
| J0696 |
Ceftriaxone sodium injection |
605 |
441 |
$101.78 |
| 84703 |
|
110 |
107 |
$89.76 |
| 88304 |
|
22 |
12 |
$78.97 |
| J3010 |
Fentanyl citrate injection |
3,607 |
2,919 |
$76.01 |
| J0690 |
Cefazolin sodium injection |
749 |
521 |
$73.59 |
| 87070 |
|
17 |
12 |
$68.91 |
| J0689 |
Inj cefazolin sodium, baxter |
37 |
16 |
$64.48 |
| J2765 |
Metoclopramide hcl injection |
533 |
401 |
$59.14 |
| J1644 |
Inj heparin sodium per 1000u |
445 |
200 |
$57.45 |
| J3475 |
Inj magnesium sulfate |
84 |
69 |
$57.10 |
| J7999 |
Compounded drug, noc |
95 |
79 |
$53.14 |
| 74019 |
|
16 |
14 |
$52.42 |
| 87205 |
|
17 |
12 |
$51.25 |
| J2360 |
Orphenadrine injection |
176 |
149 |
$48.84 |
| 77066 |
Tomosynthesis, mammo |
17 |
12 |
$48.75 |
| J3370 |
Vancomycin hcl injection |
22 |
13 |
$45.55 |
| A4217 |
Sterile water/saline, 500 ml |
310 |
231 |
$43.90 |
| J3480 |
Inj potassium chloride |
37 |
13 |
$38.20 |
| 84550 |
|
37 |
29 |
$36.94 |
| 81002 |
|
704 |
581 |
$34.59 |
| J1200 |
Diphenhydramine hcl injectio |
443 |
327 |
$32.55 |
| 82248 |
|
50 |
39 |
$31.98 |
| Q9957 |
Inj perflutren lip micros,ml |
222 |
193 |
$29.70 |
| J2250 |
Inj midazolam hydrochloride |
3,108 |
2,301 |
$28.26 |
| J7060 |
5% dextrose/water |
85 |
51 |
$22.40 |
| J1100 |
Dexamethasone sodium phos |
1,482 |
1,139 |
$21.80 |
| 82150 |
|
69 |
66 |
$16.07 |
| J7512 |
Prednisone ir or dr oral 1mg |
252 |
162 |
$13.52 |
| J2919 |
Inj, methylpred sod succ 5mg |
68 |
59 |
$12.12 |
| J7050 |
Normal saline solution infus |
342 |
267 |
$8.17 |
| J2930 |
Methylprednisolone injection |
59 |
46 |
$5.24 |
| J2060 |
Lorazepam injection |
29 |
26 |
$3.95 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
144 |
130 |
$3.66 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
96 |
63 |
$2.58 |
| J7040 |
Normal saline solution infus |
54 |
39 |
$1.32 |
| J7620 |
Albuterol ipratrop non-comp |
137 |
87 |
$1.03 |
| J2001 |
Lidocaine injection |
154 |
124 |
$0.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
248 |
175 |
$0.11 |
| 00170 |
|
871 |
835 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
461 |
322 |
$0.00 |
| C1887 |
Catheter, guiding |
37 |
24 |
$0.00 |
| 0753T |
|
22 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
48 |
38 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
17 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
21 |
15 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
55 |
41 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.00 |
| 00840 |
|
20 |
14 |
$0.00 |
| D0272 |
|
120 |
113 |
$0.00 |
| 94760 |
|
771 |
419 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
69 |
46 |
$0.00 |
| 76377 |
|
27 |
24 |
$0.00 |
| 87800 |
|
17 |
13 |
$0.00 |
| 82553 |
|
13 |
12 |
$0.00 |
| Q0247 |
Sotrovimab |
15 |
15 |
$0.00 |