| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
45,887 |
38,463 |
$4.16M |
| 99283 |
|
42,744 |
37,169 |
$2.37M |
| 99285 |
|
20,639 |
16,175 |
$1.84M |
| 74177 |
|
6,973 |
6,024 |
$1.82M |
| 70450 |
|
10,648 |
9,221 |
$1.28M |
| G0378 |
Hospital observation per hr |
10,158 |
6,667 |
$995K |
| 97530 |
|
19,963 |
3,687 |
$907K |
| 96361 |
|
17,460 |
12,991 |
$460K |
| 78452 |
|
814 |
631 |
$402K |
| 71275 |
|
2,111 |
1,779 |
$391K |
| 74176 |
|
2,091 |
1,845 |
$388K |
| 99282 |
|
7,996 |
7,415 |
$252K |
| 93975 |
|
4,128 |
3,504 |
$144K |
| 70486 |
|
615 |
541 |
$131K |
| 70551 |
|
622 |
553 |
$113K |
| 96374 |
|
23,513 |
18,711 |
$90K |
| 70553 |
|
335 |
269 |
$86K |
| 72125 |
|
3,879 |
3,362 |
$85K |
| 92507 |
|
7,353 |
2,222 |
$68K |
| 76700 |
|
2,110 |
1,843 |
$67K |
| 87637 |
|
1,797 |
1,685 |
$62K |
| G0480 |
Drug test def 1-7 classes |
5,833 |
4,738 |
$53K |
| 76770 |
|
910 |
819 |
$51K |
| 99281 |
|
3,248 |
2,869 |
$42K |
| 80307 |
|
14,175 |
11,622 |
$38K |
| 71046 |
|
9,677 |
8,671 |
$37K |
| 76815 |
|
3,856 |
3,244 |
$35K |
| 96365 |
|
6,732 |
5,465 |
$34K |
| 96366 |
|
1,985 |
1,133 |
$30K |
| 80053 |
|
41,055 |
31,218 |
$29K |
| 96372 |
|
13,806 |
8,950 |
$29K |
| 96360 |
|
5,921 |
5,146 |
$28K |
| 93005 |
|
39,595 |
31,131 |
$28K |
| 71045 |
|
24,716 |
19,966 |
$28K |
| 96375 |
|
15,753 |
11,038 |
$27K |
| 76817 |
|
2,133 |
1,736 |
$26K |
| 87186 |
|
1,445 |
1,249 |
$24K |
| 76830 |
|
1,374 |
1,217 |
$22K |
| 76856 |
|
1,574 |
1,394 |
$21K |
| 76705 |
|
521 |
475 |
$21K |
| 70498 |
|
49 |
39 |
$21K |
| 93306 |
|
1,037 |
762 |
$20K |
| 85027 |
|
65,474 |
46,314 |
$19K |
| 99153 |
Mod sedat endo service >5yrs |
1,408 |
1,148 |
$17K |
| 73564 |
|
2,458 |
2,114 |
$14K |
| 95819 |
|
157 |
143 |
$14K |
| 99213 |
|
405 |
279 |
$14K |
| 74018 |
|
3,052 |
2,725 |
$13K |
| 87040 |
|
9,668 |
7,025 |
$11K |
| 83880 |
|
8,833 |
7,407 |
$11K |
| 84484 |
|
30,710 |
20,004 |
$11K |
| 93971 |
|
1,378 |
1,196 |
$10K |
| 87798 |
|
1,254 |
1,071 |
$10K |
| 80048 |
|
18,756 |
14,325 |
$9K |
| 71260 |
|
71 |
69 |
$9K |
| 97112 |
|
172 |
80 |
$9K |
| 94640 |
|
4,585 |
3,845 |
$8K |
| 97163 |
|
372 |
307 |
$8K |
| 73130 |
|
1,698 |
1,496 |
$8K |
| 84703 |
|
14,739 |
12,091 |
$8K |
| J7030 |
Normal saline solution infus |
26,627 |
19,885 |
$8K |
| 73610 |
|
1,471 |
1,334 |
$7K |
| 93458 |
|
18 |
17 |
$7K |
| 87491 |
|
2,562 |
2,321 |
$7K |
| 83690 |
|
18,062 |
14,449 |
$7K |
| 73630 |
|
1,783 |
1,598 |
$6K |
| 87591 |
|
2,565 |
2,325 |
$6K |
| 88305 |
|
216 |
187 |
$6K |
| 96376 |
|
7,308 |
3,234 |
$6K |
| 87086 |
|
6,548 |
5,914 |
$6K |
| 81001 |
|
23,397 |
19,897 |
$6K |
| 72100 |
|
1,796 |
1,593 |
$6K |
| G0463 |
Hospital outpt clinic visit |
322 |
182 |
$5K |
| 73502 |
|
631 |
560 |
$5K |
| 86923 |
|
592 |
472 |
$5K |
| 93970 |
|
641 |
530 |
$5K |
| 74019 |
|
1,124 |
1,048 |
$5K |
| 87486 |
|
1,158 |
1,060 |
$5K |
| 87581 |
|
1,159 |
1,060 |
$5K |
| 70491 |
|
13 |
12 |
$5K |
| 87430 |
|
2,451 |
2,336 |
$5K |
| 84702 |
|
4,274 |
3,529 |
$5K |
| 87070 |
|
2,517 |
2,303 |
$4K |
| 73030 |
|
1,630 |
1,385 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,018 |
5,004 |
$4K |
| 71250 |
|
16 |
14 |
$4K |
| 73110 |
|
442 |
389 |
$4K |
| 84443 |
|
3,448 |
2,617 |
$3K |
| 12011 |
|
141 |
127 |
$3K |
| 90471 |
|
1,528 |
1,308 |
$3K |
| 76870 |
|
57 |
51 |
$3K |
| 70496 |
|
15 |
13 |
$3K |
| 87400 |
|
2,768 |
2,131 |
$3K |
| 99211 |
|
476 |
332 |
$3K |
| 83605 |
|
4,980 |
3,632 |
$3K |
| 73080 |
|
296 |
258 |
$2K |
| 73090 |
|
352 |
311 |
$2K |
| 81025 |
|
5,516 |
4,792 |
$2K |
| 73590 |
|
366 |
330 |
$2K |
| 80076 |
|
11,745 |
9,262 |
$2K |
| 72131 |
|
14 |
12 |
$2K |
| 92523 |
|
15 |
13 |
$2K |
| 12001 |
|
124 |
113 |
$2K |
| 80047 |
|
14,148 |
11,082 |
$2K |
| 85730 |
|
15,291 |
12,291 |
$2K |
| 96368 |
|
847 |
731 |
$2K |
| 83735 |
|
8,528 |
6,316 |
$2K |
| 72072 |
|
359 |
316 |
$2K |
| 87077 |
|
1,840 |
1,645 |
$2K |
| 85610 |
|
22,184 |
17,429 |
$2K |
| 82805 |
|
1,198 |
939 |
$2K |
| A9500 |
Tc99m sestamibi |
815 |
632 |
$2K |
| 12002 |
|
57 |
50 |
$2K |
| C1769 |
Guide wire |
1,254 |
957 |
$1K |
| 80061 |
|
2,358 |
1,713 |
$1K |
| 82550 |
|
12,969 |
10,458 |
$1K |
| 87426 |
|
2,757 |
2,145 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
5,737 |
4,383 |
$1K |
| 86140 |
|
3,256 |
2,811 |
$1K |
| 87635 |
|
342 |
281 |
$1K |
| J1100 |
Dexamethasone sodium phos |
5,329 |
3,516 |
$1K |
| 97162 |
|
130 |
98 |
$1K |
| J2270 |
Morphine sulfate injection |
10,948 |
7,147 |
$1K |
| 36430 |
|
216 |
179 |
$1K |
| 84112 |
|
180 |
152 |
$1K |
| 82077 |
|
6,214 |
4,907 |
$1K |
| 86901 |
|
7,775 |
6,500 |
$1K |
| 86900 |
|
7,775 |
6,500 |
$1K |
| 10060 |
|
41 |
37 |
$1K |
| 85379 |
|
1,368 |
1,191 |
$1K |
| C1894 |
Intro/sheath, non-laser |
1,023 |
776 |
$958.58 |
| J2405 |
Ondansetron hcl injection |
14,450 |
10,709 |
$874.72 |
| 87808 |
|
395 |
361 |
$867.08 |
| J1200 |
Diphenhydramine hcl injectio |
7,959 |
5,877 |
$859.49 |
| 82728 |
|
133 |
106 |
$832.83 |
| J1885 |
Ketorolac tromethamine inj |
10,080 |
5,777 |
$759.83 |
| 81003 |
|
6,733 |
5,810 |
$729.86 |
| 97167 |
|
17 |
15 |
$714.76 |
| 86850 |
|
4,959 |
4,120 |
$686.31 |
| 72050 |
|
107 |
101 |
$664.07 |
| J7050 |
Normal saline solution infus |
8,675 |
4,950 |
$647.42 |
| 83036 |
|
2,644 |
1,937 |
$615.66 |
| 87205 |
|
2,256 |
1,901 |
$578.78 |
| 87420 |
|
474 |
456 |
$556.24 |
| 87661 |
|
1,080 |
956 |
$555.37 |
| 84100 |
|
3,143 |
2,254 |
$529.72 |
| 29125 |
|
27 |
24 |
$527.80 |
| 71101 |
|
89 |
77 |
$515.82 |
| U0002 |
Covid-19 lab test non-cdc |
141 |
124 |
$513.10 |
| 93017 |
|
837 |
648 |
$455.39 |
| 99152 |
|
748 |
614 |
$453.70 |
| P9016 |
Rbc leukocytes reduced |
15 |
14 |
$450.91 |
| S0028 |
Injection, famotidine, 20 mg |
1,097 |
943 |
$403.08 |
| 97116 |
|
36 |
14 |
$387.32 |
| J7120 |
Ringers lactate infusion |
1,302 |
931 |
$376.84 |
| 82330 |
|
659 |
500 |
$357.45 |
| 96367 |
|
40 |
29 |
$346.97 |
| J8540 |
Oral dexamethasone |
463 |
447 |
$343.11 |
| J2930 |
Methylprednisolone injection |
1,634 |
1,084 |
$315.93 |
| J0780 |
Prochlorperazine injection |
1,097 |
976 |
$307.11 |
| 82140 |
|
610 |
461 |
$298.20 |
| J3370 |
Vancomycin hcl injection |
1,075 |
681 |
$293.93 |
| 82248 |
|
2,232 |
1,763 |
$287.28 |
| 97161 |
|
41 |
34 |
$282.20 |
| 87389 |
|
79 |
70 |
$262.88 |
| J7611 |
Albuterol non-comp con |
833 |
714 |
$248.34 |
| J1170 |
Hydromorphone injection |
3,832 |
2,192 |
$238.33 |
| 73552 |
|
14 |
12 |
$237.17 |
| J7040 |
Normal saline solution infus |
991 |
864 |
$224.87 |
| 86920 |
|
54 |
43 |
$219.26 |
| J0456 |
Azithromycin |
1,092 |
833 |
$213.55 |
| J2543 |
Piperacillin/tazobactam |
1,059 |
644 |
$204.32 |
| 87088 |
|
756 |
648 |
$199.91 |
| 85651 |
|
942 |
782 |
$193.08 |
| 97168 |
|
16 |
14 |
$183.62 |
| J1644 |
Inj heparin sodium per 1000u |
995 |
406 |
$173.98 |
| 80329 |
|
513 |
433 |
$172.20 |
| J1630 |
Haloperidol injection |
3,670 |
2,669 |
$171.03 |
| J2060 |
Lorazepam injection |
6,396 |
4,450 |
$166.98 |
| 84439 |
|
305 |
243 |
$166.05 |
| J1953 |
Levetiracetam injection |
280 |
210 |
$140.00 |
| J2765 |
Metoclopramide hcl injection |
2,428 |
2,041 |
$139.22 |
| 80069 |
|
48 |
28 |
$130.06 |
| 80074 |
|
59 |
30 |
$130.00 |
| 87636 |
|
686 |
563 |
$108.00 |
| J7620 |
Albuterol ipratrop non-comp |
984 |
747 |
$97.43 |
| J2704 |
Inj, propofol, 10 mg |
1,420 |
1,232 |
$94.80 |
| J1815 |
Insulin injection |
2,948 |
1,203 |
$89.94 |
| J0360 |
Hydralazine hcl injection |
350 |
226 |
$78.10 |
| 74021 |
|
97 |
79 |
$77.46 |
| 84132 |
|
475 |
320 |
$75.28 |
| 92610 |
|
24 |
12 |
$64.15 |
| 73060 |
|
18 |
16 |
$62.16 |
| 95700 |
|
31 |
25 |
$55.39 |
| J1650 |
Inj enoxaparin sodium |
383 |
132 |
$53.52 |
| 93320 |
|
43 |
37 |
$48.56 |
| J0692 |
Cefepime hcl for injection |
55 |
41 |
$45.96 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
86 |
48 |
$35.00 |
| J0690 |
Cefazolin sodium injection |
374 |
315 |
$33.07 |
| J1790 |
Droperidol injection |
133 |
118 |
$31.02 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
14 |
12 |
$27.36 |
| 93325 |
|
44 |
38 |
$23.37 |
| J3475 |
Inj magnesium sulfate |
31 |
28 |
$22.44 |
| J7644 |
Ipratropium bromide non-comp |
374 |
321 |
$15.24 |
| 82310 |
|
291 |
237 |
$14.08 |
| J0500 |
Dicyclomine injection |
15 |
13 |
$8.80 |
| 85045 |
|
147 |
111 |
$8.19 |
| 82553 |
|
607 |
399 |
$8.10 |
| J3010 |
Fentanyl citrate injection |
1,670 |
1,407 |
$6.73 |
| J1940 |
Furosemide injection |
303 |
142 |
$6.16 |
| 85384 |
|
27 |
13 |
$5.79 |
| 83550 |
|
50 |
37 |
$4.78 |
| 83540 |
|
66 |
50 |
$3.89 |
| J7613 |
Albuterol non-comp unit |
439 |
363 |
$2.92 |
| 85007 |
|
328 |
285 |
$2.35 |
| J2250 |
Inj midazolam hydrochloride |
1,154 |
863 |
$1.78 |
| J3490 |
Drugs unclassified injection |
652 |
465 |
$0.17 |
| J3486 |
Ziprasidone mesylate |
154 |
63 |
$0.00 |
| C1887 |
Catheter, guiding |
294 |
227 |
$0.00 |
| 87631 |
|
972 |
906 |
$0.00 |
| 90715 |
|
424 |
379 |
$0.00 |
| 99151 |
|
153 |
116 |
$0.00 |
| 87633 |
|
168 |
136 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
113 |
68 |
$0.00 |
| 87150 |
|
29 |
24 |
$0.00 |
| G0383 |
Lev 4 hosp type b ed visit |
640 |
523 |
$0.00 |
| J1956 |
Levofloxacin injection |
27 |
12 |
$0.00 |
| 90714 |
|
252 |
237 |
$0.00 |
| 82009 |
|
123 |
113 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
15 |
13 |
$0.00 |
| 80320 |
|
4,711 |
3,693 |
$0.00 |
| A9270 |
Non-covered item or service |
13,571 |
4,691 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
21 |
14 |
$0.00 |
| 86945 |
|
100 |
64 |
$0.00 |
| 86905 |
|
30 |
25 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
28 |
24 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
24 |
14 |
$0.00 |
| 36415 |
|
222 |
126 |
$0.00 |
| 85660 |
|
13 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
20 |
15 |
$0.00 |