| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
29,296 |
24,689 |
$3.63M |
| 99284 |
|
23,879 |
17,621 |
$3.47M |
| 74177 |
|
5,949 |
4,838 |
$3.32M |
| 99285 |
|
15,933 |
10,617 |
$2.47M |
| 41899 |
|
1,888 |
1,641 |
$1.73M |
| 74176 |
|
3,684 |
2,858 |
$1.60M |
| 70450 |
|
6,249 |
4,600 |
$1.23M |
| 93306 |
|
2,458 |
1,971 |
$977K |
| 97110 |
|
14,384 |
3,574 |
$873K |
| 71046 |
|
11,124 |
8,905 |
$705K |
| 71045 |
|
15,761 |
10,630 |
$669K |
| 43239 |
|
2,659 |
1,904 |
$650K |
| 92507 |
|
8,886 |
2,781 |
$607K |
| 97530 |
|
8,334 |
2,707 |
$556K |
| 96374 |
|
27,679 |
12,618 |
$555K |
| 71275 |
|
1,414 |
981 |
$550K |
| 93005 |
|
17,742 |
13,600 |
$539K |
| 96365 |
|
12,793 |
5,041 |
$527K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,935 |
8,120 |
$465K |
| 80053 |
|
40,637 |
31,624 |
$452K |
| 76705 |
|
2,623 |
2,237 |
$449K |
| 99282 |
|
4,587 |
3,996 |
$444K |
| 72148 |
|
1,147 |
955 |
$423K |
| 36415 |
|
77,663 |
41,707 |
$402K |
| 73721 |
|
1,058 |
818 |
$392K |
| 72125 |
|
1,189 |
989 |
$347K |
| 71260 |
|
1,305 |
967 |
$324K |
| G0480 |
Drug test def 1-7 classes |
4,676 |
2,706 |
$303K |
| 96375 |
|
12,858 |
9,735 |
$291K |
| 85025 |
|
40,719 |
32,453 |
$279K |
| 78452 |
|
446 |
279 |
$255K |
| 96372 |
|
9,064 |
4,813 |
$247K |
| 87635 |
|
6,396 |
5,262 |
$246K |
| 0241U |
|
3,193 |
2,436 |
$232K |
| 45385 |
|
841 |
688 |
$226K |
| 72100 |
|
2,844 |
2,274 |
$217K |
| 96361 |
|
11,879 |
5,451 |
$205K |
| 96360 |
|
4,629 |
1,921 |
$168K |
| 73630 |
|
2,821 |
2,307 |
$160K |
| G0378 |
Hospital observation per hr |
917 |
683 |
$160K |
| 93971 |
|
1,171 |
936 |
$155K |
| 77067 |
|
3,118 |
2,928 |
$155K |
| 96413 |
|
1,351 |
826 |
$149K |
| 76700 |
|
680 |
563 |
$148K |
| 72131 |
|
433 |
369 |
$146K |
| 84484 |
|
14,438 |
9,906 |
$142K |
| 0240U |
|
1,951 |
1,407 |
$136K |
| 74018 |
|
2,918 |
2,279 |
$125K |
| 97161 |
|
1,854 |
1,397 |
$124K |
| 73130 |
|
2,144 |
1,768 |
$121K |
| 73030 |
|
2,153 |
1,622 |
$116K |
| 73610 |
|
2,195 |
1,825 |
$109K |
| 73564 |
|
1,863 |
1,397 |
$108K |
| 45380 |
|
486 |
408 |
$107K |
| 66984 |
|
522 |
174 |
$106K |
| 71250 |
|
576 |
440 |
$104K |
| 97140 |
|
2,852 |
831 |
$102K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
461 |
115 |
$101K |
| 59025 |
|
916 |
600 |
$100K |
| 83880 |
|
3,720 |
2,877 |
$95K |
| 87636 |
|
1,237 |
1,008 |
$95K |
| 93017 |
|
754 |
659 |
$89K |
| 96376 |
|
3,465 |
2,309 |
$84K |
| 73110 |
|
1,375 |
1,096 |
$76K |
| 96367 |
|
2,623 |
1,094 |
$74K |
| 84443 |
|
5,296 |
4,617 |
$74K |
| 83690 |
|
10,910 |
9,257 |
$73K |
| 80305 |
|
5,332 |
4,557 |
$67K |
| G0463 |
Hospital outpt clinic visit |
2,265 |
1,654 |
$67K |
| 94640 |
|
5,024 |
2,774 |
$67K |
| J2704 |
Inj, propofol, 10 mg |
10,142 |
8,039 |
$67K |
| 73502 |
|
1,113 |
809 |
$65K |
| 81025 |
|
7,886 |
6,814 |
$63K |
| 87804 |
|
4,926 |
2,658 |
$63K |
| 83605 |
|
5,749 |
4,485 |
$58K |
| 76536 |
|
654 |
553 |
$57K |
| 88305 |
|
643 |
580 |
$54K |
| 78264 |
|
201 |
135 |
$53K |
| 87651 |
|
1,817 |
1,680 |
$52K |
| 87637 |
|
550 |
516 |
$50K |
| 87040 |
|
5,832 |
3,224 |
$50K |
| 82805 |
|
985 |
683 |
$45K |
| 87880 |
|
3,206 |
2,884 |
$43K |
| 83735 |
|
7,453 |
5,588 |
$42K |
| 71271 |
|
128 |
124 |
$39K |
| 70486 |
|
107 |
89 |
$36K |
| C9803 |
Hopd covid-19 spec collect |
3,867 |
2,944 |
$36K |
| 72040 |
|
704 |
552 |
$35K |
| 72072 |
|
387 |
299 |
$35K |
| 12001 |
|
324 |
296 |
$34K |
| 96366 |
|
1,261 |
755 |
$34K |
| 81001 |
|
12,531 |
10,725 |
$34K |
| 80061 |
|
3,137 |
2,747 |
$34K |
| 76770 |
|
336 |
257 |
$34K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,192 |
1,023 |
$33K |
| 90715 |
|
1,134 |
1,026 |
$33K |
| 74022 |
|
243 |
222 |
$33K |
| 87086 |
|
5,079 |
4,285 |
$33K |
| 80048 |
|
4,433 |
3,438 |
$33K |
| 82306 |
|
1,560 |
1,290 |
$33K |
| 72141 |
|
83 |
63 |
$29K |
| G0297 |
Ldct for lung ca screen |
163 |
144 |
$28K |
| 45384 |
|
78 |
58 |
$28K |
| 76642 |
|
255 |
225 |
$26K |
| 97112 |
|
416 |
181 |
$25K |
| 99212 |
|
653 |
524 |
$25K |
| 82150 |
|
3,775 |
3,317 |
$24K |
| J0696 |
Ceftriaxone sodium injection |
3,337 |
2,640 |
$24K |
| J7030 |
Normal saline solution infus |
5,512 |
4,333 |
$23K |
| 85379 |
|
2,735 |
2,368 |
$23K |
| 85027 |
|
4,264 |
3,008 |
$23K |
| J3370 |
Vancomycin hcl injection |
2,864 |
2,098 |
$22K |
| 87077 |
|
2,840 |
2,204 |
$22K |
| 99281 |
|
299 |
241 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
9,881 |
8,249 |
$20K |
| 85610 |
|
5,972 |
4,805 |
$20K |
| A9502 |
Tc99m tetrofosmin |
415 |
196 |
$20K |
| 81003 |
|
8,544 |
7,203 |
$20K |
| 82607 |
|
1,595 |
1,381 |
$19K |
| 76830 |
|
92 |
82 |
$17K |
| J0690 |
Cefazolin sodium injection |
3,613 |
2,357 |
$17K |
| 73080 |
|
294 |
248 |
$17K |
| 87186 |
|
2,216 |
1,919 |
$17K |
| V2632 |
Post chmbr intraocular lens |
213 |
148 |
$17K |
| G0481 |
Drug test def 8-14 classes |
144 |
126 |
$17K |
| J2405 |
Ondansetron hcl injection |
16,287 |
12,316 |
$16K |
| 86140 |
|
4,038 |
3,190 |
$16K |
| 76942 |
|
306 |
246 |
$16K |
| J1100 |
Dexamethasone sodium phos |
8,883 |
7,254 |
$16K |
| 83036 |
|
2,268 |
2,006 |
$16K |
| 73090 |
|
233 |
190 |
$15K |
| D0220 |
|
76 |
65 |
$14K |
| 84702 |
|
1,060 |
869 |
$14K |
| D2930 |
|
71 |
61 |
$14K |
| J2930 |
Methylprednisolone injection |
2,172 |
1,680 |
$14K |
| 70553 |
|
30 |
25 |
$14K |
| 80074 |
|
304 |
262 |
$13K |
| 76775 |
|
146 |
105 |
$13K |
| 47562 |
|
15 |
15 |
$13K |
| D0230 |
|
71 |
62 |
$13K |
| J2795 |
Ropivacaine hcl injection |
821 |
599 |
$13K |
| D0272 |
|
71 |
65 |
$12K |
| J2710 |
Neostigmine methylslfte inj |
789 |
650 |
$12K |
| J7120 |
Ringers lactate infusion |
2,493 |
2,013 |
$12K |
| 97165 |
|
181 |
158 |
$12K |
| 73562 |
|
154 |
130 |
$12K |
| 36600 |
|
877 |
644 |
$12K |
| 84439 |
|
1,392 |
1,219 |
$12K |
| J3010 |
Fentanyl citrate injection |
8,498 |
6,467 |
$12K |
| 82746 |
|
984 |
860 |
$12K |
| 99214 |
|
224 |
197 |
$12K |
| 85730 |
|
2,493 |
2,019 |
$11K |
| 82962 |
|
3,348 |
1,719 |
$10K |
| 80050 |
|
356 |
261 |
$10K |
| 84145 |
|
465 |
394 |
$10K |
| 81596 |
|
383 |
215 |
$10K |
| D2392 |
|
60 |
53 |
$10K |
| 82728 |
|
888 |
763 |
$10K |
| 99211 |
|
397 |
324 |
$9K |
| 90471 |
|
1,192 |
1,071 |
$9K |
| 73222 |
|
20 |
16 |
$9K |
| J3475 |
Inj magnesium sulfate |
1,096 |
840 |
$9K |
| 82565 |
|
1,432 |
1,090 |
$8K |
| 73590 |
|
166 |
135 |
$8K |
| J3490 |
Drugs unclassified injection |
820 |
301 |
$8K |
| 80076 |
|
1,084 |
926 |
$8K |
| J2270 |
Morphine sulfate injection |
5,655 |
3,507 |
$8K |
| 78227 |
|
31 |
24 |
$7K |
| D2391 |
|
20 |
19 |
$7K |
| 87807 |
|
548 |
520 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
160 |
140 |
$7K |
| D7140 |
|
25 |
21 |
$7K |
| J1170 |
Hydromorphone injection |
3,814 |
2,245 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
5,615 |
4,335 |
$7K |
| 93880 |
|
53 |
38 |
$6K |
| 84703 |
|
838 |
755 |
$6K |
| J2785 |
Regadenoson injection |
48 |
45 |
$6K |
| J0171 |
Adrenalin epinephrine inject |
1,274 |
681 |
$6K |
| J2001 |
Lidocaine injection |
4,115 |
3,442 |
$6K |
| J2543 |
Piperacillin/tazobactam |
476 |
292 |
$6K |
| 73140 |
|
161 |
132 |
$6K |
| 94760 |
|
753 |
265 |
$6K |
| 87071 |
|
693 |
507 |
$6K |
| 85652 |
|
2,517 |
2,122 |
$6K |
| 36416 |
|
1,006 |
767 |
$5K |
| 80179 |
|
378 |
327 |
$5K |
| 99213 |
|
141 |
118 |
$5K |
| 0202U |
|
15 |
12 |
$4K |
| J7050 |
Normal saline solution infus |
1,025 |
636 |
$4K |
| 83516 |
|
560 |
175 |
$4K |
| 97116 |
|
145 |
78 |
$4K |
| J7040 |
Normal saline solution infus |
1,801 |
1,079 |
$4K |
| D2330 |
|
15 |
13 |
$4K |
| 88346 |
|
87 |
52 |
$4K |
| 82550 |
|
699 |
565 |
$4K |
| D3220 |
|
17 |
15 |
$4K |
| 77063 |
|
212 |
184 |
$4K |
| 83540 |
|
802 |
690 |
$4K |
| 64721 |
|
16 |
14 |
$4K |
| 72128 |
|
14 |
13 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
972 |
770 |
$4K |
| 87902 |
|
16 |
12 |
$4K |
| 86038 |
|
393 |
339 |
$4K |
| 82140 |
|
247 |
208 |
$4K |
| 73040 |
|
21 |
16 |
$3K |
| 83520 |
|
306 |
54 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,135 |
1,566 |
$3K |
| A9541 |
Tc99m sulfur colloid |
82 |
76 |
$3K |
| 82947 |
|
1,551 |
733 |
$3K |
| 71101 |
|
45 |
26 |
$3K |
| 83550 |
|
535 |
460 |
$3K |
| 88350 |
|
59 |
48 |
$3K |
| 73560 |
|
73 |
53 |
$3K |
| 92523 |
|
38 |
34 |
$3K |
| 76817 |
|
12 |
12 |
$3K |
| D3910 |
|
13 |
13 |
$3K |
| 45378 |
|
16 |
12 |
$3K |
| 80320 |
|
133 |
112 |
$3K |
| 88304 |
|
108 |
99 |
$2K |
| 86901 |
|
1,103 |
879 |
$2K |
| 86900 |
|
1,088 |
867 |
$2K |
| 99204 |
|
69 |
58 |
$2K |
| 87400 |
|
240 |
119 |
$2K |
| 23350 |
|
21 |
16 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
586 |
82 |
$2K |
| 81256 |
|
73 |
63 |
$2K |
| M0243 |
Casirivi and imdevi inj |
20 |
17 |
$2K |
| 82948 |
|
413 |
267 |
$2K |
| 12002 |
|
18 |
16 |
$2K |
| 86850 |
|
335 |
248 |
$2K |
| 82397 |
|
203 |
50 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
281 |
258 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
22 |
20 |
$2K |
| 76870 |
|
16 |
12 |
$2K |
| 77080 |
|
13 |
12 |
$2K |
| J0780 |
Prochlorperazine injection |
252 |
215 |
$2K |
| J2550 |
Promethazine hcl injection |
1,533 |
1,082 |
$2K |
| 10060 |
|
14 |
13 |
$2K |
| 12011 |
|
12 |
12 |
$1K |
| 97167 |
|
20 |
19 |
$1K |
| 80143 |
|
86 |
78 |
$1K |
| 84100 |
|
389 |
253 |
$1K |
| 64450 |
|
38 |
25 |
$1K |
| 97535 |
|
40 |
31 |
$1K |
| J0360 |
Hydralazine hcl injection |
175 |
142 |
$1K |
| 81479 |
|
153 |
48 |
$1K |
| 86704 |
|
154 |
123 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
558 |
235 |
$1K |
| 86803 |
|
133 |
101 |
$1K |
| 86706 |
|
155 |
123 |
$1K |
| 86376 |
|
121 |
97 |
$1K |
| 86480 |
|
17 |
16 |
$1K |
| 82104 |
|
77 |
47 |
$972.07 |
| 86708 |
|
115 |
97 |
$897.21 |
| 82172 |
|
42 |
40 |
$859.35 |
| J2919 |
Inj, methylpred sod succ 5mg |
114 |
93 |
$851.64 |
| 83010 |
|
59 |
56 |
$837.86 |
| 87389 |
|
29 |
28 |
$798.92 |
| 80329 |
|
14 |
12 |
$789.49 |
| 87340 |
|
123 |
98 |
$756.73 |
| 29125 |
|
16 |
15 |
$728.24 |
| J2272 |
Inj, morphine (fresenius) |
335 |
267 |
$716.16 |
| 82525 |
|
96 |
76 |
$693.89 |
| 83883 |
|
57 |
42 |
$678.26 |
| 94664 |
|
346 |
283 |
$663.98 |
| 82103 |
|
73 |
63 |
$628.34 |
| 82390 |
|
95 |
75 |
$600.36 |
| 77065 |
Tomosynthesis, mammo |
17 |
14 |
$566.93 |
| 87081 |
|
137 |
95 |
$553.12 |
| J2060 |
Lorazepam injection |
873 |
666 |
$532.24 |
| J3480 |
Inj potassium chloride |
83 |
52 |
$509.54 |
| J2470 |
Inj pantoprazole sodium 40mg |
83 |
77 |
$507.83 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
184 |
161 |
$488.12 |
| 82977 |
|
56 |
53 |
$461.67 |
| 86677 |
|
29 |
27 |
$460.50 |
| 80307 |
|
15 |
12 |
$444.29 |
| U0001 |
2019-ncov diagnostic p |
65 |
62 |
$433.06 |
| J0330 |
Succinycholine chloride inj |
29 |
24 |
$374.49 |
| 84436 |
|
102 |
91 |
$342.89 |
| 84550 |
|
90 |
79 |
$314.53 |
| J2765 |
Metoclopramide hcl injection |
347 |
266 |
$305.77 |
| J1815 |
Insulin injection |
182 |
95 |
$300.52 |
| 99202 |
|
15 |
13 |
$289.47 |
| 83993 |
|
14 |
14 |
$259.10 |
| 36591 |
|
28 |
12 |
$245.56 |
| 82248 |
|
68 |
52 |
$234.52 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
185 |
165 |
$223.75 |
| 87070 |
|
52 |
26 |
$213.14 |
| 81015 |
|
374 |
296 |
$207.41 |
| 88312 |
|
20 |
19 |
$195.38 |
| 86804 |
|
17 |
12 |
$171.45 |
| 87420 |
|
18 |
18 |
$168.60 |
| 82272 |
|
63 |
56 |
$168.31 |
| J7512 |
Prednisone ir or dr oral 1mg |
145 |
105 |
$159.01 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
15 |
$122.97 |
| J1580 |
Garamycin gentamicin inj |
125 |
95 |
$105.93 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
43 |
34 |
$101.76 |
| 82570 |
|
24 |
24 |
$83.63 |
| 84479 |
|
44 |
39 |
$79.00 |
| 86592 |
|
12 |
12 |
$57.68 |
| J0687 |
Inj cefazolin (wg crit care) |
42 |
38 |
$55.57 |
| 87205 |
|
14 |
12 |
$43.57 |
| 89055 |
|
31 |
27 |
$34.97 |
| 82784 |
|
18 |
12 |
$28.37 |
| 84460 |
|
27 |
26 |
$26.35 |
| 84450 |
|
26 |
25 |
$20.30 |
| Q0177 |
Hydroxyzine pamoate 25mg |
38 |
32 |
$16.74 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
28 |
26 |
$10.10 |
| A9270 |
Non-covered item or service |
541 |
389 |
$0.00 |