| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
57,599 |
53,977 |
$6.84M |
| 96361 |
|
21,428 |
16,007 |
$5.85M |
| 99284 |
|
51,710 |
47,965 |
$4.98M |
| 99285 |
|
53,322 |
48,093 |
$4.45M |
| G0463 |
Hospital outpt clinic visit |
57,734 |
36,537 |
$3.54M |
| 74177 |
|
13,309 |
12,592 |
$2.20M |
| 96365 |
|
16,943 |
14,146 |
$1.88M |
| 99282 |
|
13,928 |
13,486 |
$1.60M |
| 70450 |
|
12,395 |
11,572 |
$1.58M |
| 96366 |
|
7,822 |
4,829 |
$1.55M |
| 96360 |
|
9,724 |
8,129 |
$1.20M |
| 76705 |
|
8,137 |
7,860 |
$754K |
| 74176 |
|
4,189 |
3,994 |
$685K |
| J1745 |
Infliximab not biosimil 10mg |
379 |
352 |
$439K |
| 80307 |
|
13,490 |
11,988 |
$417K |
| 93306 |
|
3,547 |
3,200 |
$404K |
| 99281 |
|
3,116 |
2,978 |
$390K |
| 76856 |
|
6,062 |
5,899 |
$367K |
| 76830 |
|
4,327 |
4,229 |
$354K |
| 59025 |
|
2,210 |
1,784 |
$347K |
| 71275 |
|
2,212 |
2,096 |
$340K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,819 |
4,588 |
$339K |
| 12001 |
|
1,579 |
1,559 |
$335K |
| 96415 |
|
1,520 |
1,092 |
$332K |
| 70553 |
|
1,363 |
1,327 |
$317K |
| 96413 |
|
4,591 |
2,791 |
$317K |
| 97110 |
|
12,898 |
7,165 |
$301K |
| 93971 |
|
3,584 |
3,382 |
$287K |
| 76770 |
|
2,528 |
2,464 |
$278K |
| 12011 |
|
1,114 |
1,084 |
$263K |
| 10060 |
|
1,376 |
1,303 |
$259K |
| 97530 |
|
12,165 |
6,474 |
$257K |
| 80053 |
|
56,748 |
49,403 |
$253K |
| 70496 |
|
1,535 |
1,456 |
$223K |
| 99291 |
|
3,416 |
3,224 |
$218K |
| G0378 |
Hospital observation per hr |
6,345 |
5,590 |
$163K |
| 76700 |
|
1,472 |
1,448 |
$159K |
| 47562 |
|
76 |
74 |
$159K |
| 70551 |
|
1,066 |
1,010 |
$154K |
| 80048 |
|
40,099 |
33,700 |
$146K |
| 76801 |
|
2,885 |
2,620 |
$133K |
| 52356 |
|
71 |
68 |
$128K |
| 71046 |
|
21,880 |
20,736 |
$126K |
| 72148 |
|
836 |
810 |
$114K |
| 97140 |
|
5,556 |
2,827 |
$107K |
| 70491 |
|
712 |
686 |
$107K |
| 84484 |
|
26,375 |
22,982 |
$106K |
| 76536 |
|
1,212 |
1,187 |
$106K |
| 77063 |
|
2,548 |
2,526 |
$102K |
| 97161 |
|
2,608 |
2,487 |
$99K |
| 76870 |
|
1,066 |
1,015 |
$90K |
| 97162 |
|
2,503 |
2,354 |
$88K |
| 71260 |
|
1,277 |
1,210 |
$87K |
| 76642 |
|
1,076 |
981 |
$86K |
| 69436 |
|
57 |
55 |
$82K |
| 96367 |
|
2,625 |
2,165 |
$74K |
| 43239 |
|
265 |
263 |
$73K |
| 29125 |
|
465 |
445 |
$69K |
| 93976 |
|
1,269 |
1,212 |
$64K |
| 12002 |
|
367 |
353 |
$64K |
| 93005 |
|
42,820 |
38,405 |
$63K |
| 76815 |
|
1,619 |
1,484 |
$63K |
| 87637 |
|
11,163 |
10,599 |
$62K |
| 83605 |
|
11,111 |
9,990 |
$58K |
| 77067 |
|
3,297 |
3,268 |
$57K |
| 74018 |
|
4,144 |
3,946 |
$55K |
| 87631 |
|
3,171 |
3,047 |
$53K |
| 76817 |
|
2,069 |
1,899 |
$51K |
| 94640 |
|
6,240 |
5,035 |
$50K |
| 72100 |
|
3,599 |
3,438 |
$45K |
| 73562 |
|
3,830 |
3,390 |
$42K |
| 73721 |
|
269 |
254 |
$41K |
| 87040 |
|
3,259 |
2,968 |
$39K |
| 42820 |
|
25 |
25 |
$39K |
| 73630 |
|
3,781 |
3,516 |
$37K |
| J1756 |
Iron sucrose injection |
1,325 |
617 |
$37K |
| 72125 |
|
2,026 |
1,898 |
$34K |
| 90715 |
|
1,903 |
1,857 |
$33K |
| 87591 |
|
3,318 |
3,217 |
$33K |
| G0382 |
Lev 3 hosp type b ed visit |
242 |
238 |
$32K |
| 95819 |
|
164 |
161 |
$32K |
| 76882 |
|
392 |
364 |
$30K |
| 83880 |
|
7,537 |
6,837 |
$30K |
| 73610 |
|
3,443 |
3,262 |
$28K |
| 70486 |
|
893 |
856 |
$28K |
| 73030 |
|
2,995 |
2,762 |
$25K |
| 70498 |
|
1,588 |
1,506 |
$24K |
| 97116 |
|
2,215 |
1,226 |
$24K |
| 85379 |
|
4,679 |
4,472 |
$24K |
| 72040 |
|
1,398 |
1,347 |
$23K |
| 97112 |
|
1,044 |
577 |
$23K |
| 73130 |
|
2,794 |
2,532 |
$21K |
| 73110 |
|
2,424 |
2,285 |
$21K |
| 94660 |
|
72 |
38 |
$20K |
| 80299 |
|
2,109 |
1,918 |
$20K |
| 85025 |
|
92,143 |
78,492 |
$19K |
| 71045 |
|
12,021 |
11,004 |
$19K |
| 70487 |
|
102 |
98 |
$18K |
| 96374 |
|
29,713 |
26,890 |
$18K |
| 78815 |
|
40 |
38 |
$18K |
| 73502 |
|
1,903 |
1,778 |
$18K |
| 97166 |
|
772 |
688 |
$18K |
| J2469 |
Palonosetron hcl |
613 |
373 |
$18K |
| 93010 |
|
5,807 |
4,437 |
$17K |
| 80143 |
|
4,155 |
3,665 |
$16K |
| 92507 |
|
621 |
343 |
$16K |
| 73140 |
|
1,657 |
1,605 |
$15K |
| 97165 |
|
438 |
397 |
$15K |
| 97535 |
|
857 |
500 |
$14K |
| 93970 |
|
147 |
142 |
$13K |
| 72072 |
|
1,055 |
1,012 |
$12K |
| 96375 |
|
22,691 |
18,249 |
$12K |
| P9016 |
Rbc leukocytes reduced |
30 |
27 |
$11K |
| 96372 |
|
20,232 |
11,433 |
$11K |
| 73590 |
|
1,289 |
1,186 |
$10K |
| G0480 |
Drug test def 1-7 classes |
2,922 |
2,496 |
$8K |
| J0185 |
Inj., aprepitant, 1 mg |
125 |
78 |
$8K |
| 77066 |
Tomosynthesis, mammo |
284 |
270 |
$8K |
| 73080 |
|
1,395 |
1,321 |
$8K |
| 29515 |
|
38 |
38 |
$8K |
| 84703 |
|
29,176 |
27,168 |
$8K |
| 88307 |
|
547 |
521 |
$8K |
| 73090 |
|
900 |
850 |
$8K |
| 80179 |
|
4,066 |
3,598 |
$8K |
| 45385 |
|
25 |
25 |
$8K |
| G0279 |
Tomosynthesis, mammo |
629 |
596 |
$8K |
| 74174 |
|
69 |
67 |
$7K |
| 88720 |
|
6,677 |
6,526 |
$6K |
| 72141 |
|
40 |
40 |
$6K |
| 51798 |
|
1,013 |
794 |
$6K |
| C8929 |
Tte w or wo fol wcon,doppler |
29 |
28 |
$6K |
| 87635 |
|
278 |
267 |
$5K |
| 10061 |
|
38 |
37 |
$5K |
| 36415 |
|
21,794 |
19,204 |
$5K |
| 87641 |
|
664 |
632 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,687 |
20,599 |
$5K |
| 99490 |
Ccm add 20min |
412 |
401 |
$5K |
| 85027 |
|
8,004 |
6,147 |
$5K |
| 43235 |
|
13 |
13 |
$5K |
| 83690 |
|
23,045 |
20,979 |
$5K |
| J3490 |
Drugs unclassified injection |
3,620 |
2,524 |
$4K |
| 81001 |
|
24,006 |
22,144 |
$4K |
| 71101 |
|
1,171 |
1,130 |
$4K |
| 87636 |
|
242 |
232 |
$4K |
| G0383 |
Lev 4 hosp type b ed visit |
29 |
29 |
$4K |
| 51701 |
|
1,853 |
1,710 |
$4K |
| 81003 |
|
22,409 |
21,105 |
$4K |
| 95816 |
|
17 |
17 |
$4K |
| 76641 |
|
46 |
39 |
$4K |
| 84112 |
|
311 |
277 |
$4K |
| 87086 |
|
10,218 |
9,526 |
$4K |
| 77065 |
Tomosynthesis, mammo |
118 |
107 |
$3K |
| 45380 |
|
13 |
13 |
$3K |
| G0381 |
Lev 2 hosp type b ed visit |
26 |
26 |
$3K |
| 96376 |
|
8,593 |
5,413 |
$3K |
| 36592 |
|
2,994 |
2,813 |
$3K |
| 83735 |
|
10,454 |
8,086 |
$3K |
| 36430 |
|
65 |
56 |
$3K |
| 0241U |
|
1,514 |
1,448 |
$3K |
| 87491 |
|
3,330 |
3,229 |
$3K |
| 93017 |
|
39 |
38 |
$3K |
| 86900 |
|
4,332 |
4,083 |
$3K |
| 72131 |
|
101 |
97 |
$2K |
| 80069 |
|
1,055 |
632 |
$2K |
| 86850 |
|
3,250 |
3,051 |
$2K |
| 84443 |
|
3,789 |
3,544 |
$2K |
| 71250 |
|
73 |
70 |
$2K |
| 85610 |
|
11,665 |
9,484 |
$2K |
| J1453 |
Fosaprepitant injection |
17 |
13 |
$2K |
| 73560 |
|
283 |
252 |
$2K |
| 87081 |
|
3,947 |
3,856 |
$2K |
| 73221 |
|
13 |
12 |
$2K |
| J7050 |
Normal saline solution infus |
4,577 |
2,377 |
$2K |
| 82075 |
|
2,321 |
1,871 |
$2K |
| 83036 |
|
2,027 |
1,923 |
$2K |
| 96417 |
|
371 |
223 |
$2K |
| 90686 |
|
221 |
217 |
$1K |
| 84702 |
|
4,024 |
3,624 |
$1K |
| Q0114 |
Fern test |
257 |
238 |
$1K |
| 82803 |
|
6,508 |
5,734 |
$1K |
| 80076 |
|
811 |
758 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
6,496 |
2,871 |
$1K |
| 87210 |
|
3,017 |
2,902 |
$1K |
| 82077 |
|
4,854 |
4,327 |
$1K |
| 73521 |
|
38 |
37 |
$1K |
| 86901 |
|
4,332 |
4,083 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
7,471 |
5,824 |
$1K |
| 74019 |
|
348 |
329 |
$1K |
| 87880 |
|
4,068 |
3,970 |
$994.02 |
| 87186 |
|
5,729 |
5,409 |
$959.18 |
| 90471 |
|
2,650 |
2,503 |
$953.23 |
| 93325 |
|
29 |
27 |
$929.28 |
| 80061 |
|
487 |
457 |
$925.63 |
| 86140 |
|
3,822 |
3,591 |
$894.73 |
| J2405 |
Ondansetron hcl injection |
21,717 |
18,430 |
$876.46 |
| 76805 |
|
12 |
12 |
$875.62 |
| 88305 |
|
3,479 |
3,306 |
$849.68 |
| 82247 |
|
327 |
263 |
$847.88 |
| J1170 |
Hydromorphone injection |
7,839 |
5,804 |
$814.49 |
| 87077 |
|
5,688 |
5,343 |
$727.48 |
| 82947 |
|
2,470 |
1,980 |
$688.87 |
| 76819 |
|
14 |
12 |
$676.42 |
| J1885 |
Ketorolac tromethamine inj |
21,970 |
19,117 |
$667.48 |
| 85730 |
|
2,304 |
2,049 |
$664.76 |
| 87070 |
|
2,662 |
2,542 |
$640.23 |
| J1815 |
Insulin injection |
10,062 |
3,729 |
$618.90 |
| 97763 |
|
16 |
12 |
$604.93 |
| 86780 |
|
200 |
195 |
$577.92 |
| 77080 |
|
12 |
12 |
$573.73 |
| 96368 |
|
136 |
113 |
$573.63 |
| 36416 |
|
8,290 |
6,888 |
$547.63 |
| 86923 |
|
31 |
28 |
$501.02 |
| J0780 |
Prochlorperazine injection |
3,141 |
2,769 |
$479.08 |
| C9113 |
Inj pantoprazole sodium, via |
1,871 |
1,309 |
$475.24 |
| 87798 |
|
41 |
41 |
$451.84 |
| J3360 |
Diazepam injection |
357 |
277 |
$445.48 |
| 85652 |
|
1,299 |
1,238 |
$408.82 |
| 93798 |
|
92 |
12 |
$399.39 |
| A9577 |
Inj multihance |
3,033 |
2,563 |
$375.37 |
| J1100 |
Dexamethasone sodium phos |
14,435 |
12,781 |
$358.31 |
| J3480 |
Inj potassium chloride |
2,615 |
1,475 |
$355.01 |
| 87205 |
|
3,444 |
3,246 |
$343.28 |
| 70360 |
|
63 |
62 |
$319.78 |
| J2704 |
Inj, propofol, 10 mg |
14,814 |
10,718 |
$319.64 |
| 87088 |
|
2,156 |
2,049 |
$310.85 |
| 99152 |
|
706 |
671 |
$294.04 |
| Q9957 |
Inj perflutren lip micros,ml |
121 |
114 |
$290.08 |
| J2270 |
Morphine sulfate injection |
4,651 |
3,974 |
$264.66 |
| 84100 |
|
2,486 |
2,050 |
$264.05 |
| J0171 |
Adrenalin epinephrine inject |
1,485 |
1,406 |
$259.23 |
| 90674 |
|
28 |
27 |
$253.31 |
| J2930 |
Methylprednisolone injection |
1,103 |
943 |
$250.63 |
| 82565 |
|
394 |
353 |
$234.93 |
| 73660 |
|
42 |
39 |
$228.86 |
| 87426 |
|
449 |
444 |
$221.68 |
| A9270 |
Non-covered item or service |
29,266 |
5,851 |
$216.38 |
| J1200 |
Diphenhydramine hcl injectio |
4,968 |
4,101 |
$204.97 |
| 88304 |
|
1,353 |
1,321 |
$187.53 |
| C1769 |
Guide wire |
1,780 |
1,627 |
$176.00 |
| J0690 |
Cefazolin sodium injection |
6,573 |
5,176 |
$164.06 |
| 83986 |
|
519 |
481 |
$159.62 |
| 82570 |
|
819 |
711 |
$153.59 |
| 72220 |
|
12 |
12 |
$152.72 |
| 82248 |
|
199 |
163 |
$133.74 |
| U0005 |
Infec agen detec ampli probe |
2,945 |
2,796 |
$129.76 |
| 87633 |
|
14 |
12 |
$122.76 |
| 72170 |
|
15 |
15 |
$117.54 |
| C1894 |
Intro/sheath, non-laser |
904 |
836 |
$116.00 |
| 84156 |
|
751 |
643 |
$114.43 |
| 82550 |
|
892 |
791 |
$112.91 |
| 84550 |
|
1,284 |
1,140 |
$106.91 |
| 84450 |
|
451 |
399 |
$103.41 |
| 84439 |
|
254 |
227 |
$103.14 |
| 82365 |
|
13 |
13 |
$99.86 |
| J3010 |
Fentanyl citrate injection |
12,085 |
10,639 |
$95.19 |
| J1790 |
Droperidol injection |
1,041 |
953 |
$92.89 |
| J2765 |
Metoclopramide hcl injection |
2,663 |
2,409 |
$90.30 |
| J2250 |
Inj midazolam hydrochloride |
6,757 |
6,065 |
$85.81 |
| 74022 |
|
128 |
120 |
$82.93 |
| J1644 |
Inj heparin sodium per 1000u |
6,029 |
2,750 |
$79.34 |
| 73552 |
|
27 |
25 |
$76.05 |
| J0131 |
Inj, acetaminophen (nos) |
328 |
315 |
$63.56 |
| 84520 |
|
370 |
330 |
$61.59 |
| J0736 |
Inj, clindamycin phosp 300mg |
99 |
91 |
$58.98 |
| 73000 |
|
13 |
13 |
$55.33 |
| J2060 |
Lorazepam injection |
3,271 |
2,830 |
$53.58 |
| 99153 |
Mod sedat endo service >5yrs |
361 |
342 |
$52.43 |
| J2550 |
Promethazine hcl injection |
3,225 |
2,756 |
$50.17 |
| 82272 |
|
333 |
326 |
$45.59 |
| J1650 |
Inj enoxaparin sodium |
4,279 |
1,386 |
$38.52 |
| J3370 |
Vancomycin hcl injection |
1,119 |
539 |
$22.34 |
| 90682 |
|
38 |
37 |
$18.93 |
| 86308 |
|
65 |
64 |
$16.53 |
| 87045 |
|
40 |
40 |
$14.69 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,408 |
2,597 |
$14.46 |
| 88342 |
|
297 |
270 |
$14.13 |
| J7030 |
Normal saline solution infus |
47 |
40 |
$14.00 |
| 87804 |
|
13 |
13 |
$13.05 |
| 87427 |
|
26 |
26 |
$12.62 |
| J1940 |
Furosemide injection |
1,065 |
667 |
$12.36 |
| J7060 |
5% dextrose/water |
711 |
530 |
$10.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
142 |
100 |
$7.74 |
| J1630 |
Haloperidol injection |
224 |
192 |
$7.59 |
| 87046 |
|
40 |
40 |
$7.35 |
| 87389 |
|
126 |
119 |
$5.22 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
94 |
78 |
$4.98 |
| 82010 |
|
117 |
109 |
$0.92 |
| J2370 |
Phenylephrine hcl injection |
1,866 |
1,669 |
$0.00 |
| 99406 |
|
24 |
24 |
$0.00 |
| L8699 |
Prosthetic implant nos |
287 |
279 |
$0.00 |
| Q0162 |
Ondansetron oral |
318 |
262 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
267 |
256 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
256 |
150 |
$0.00 |
| 88300 |
|
137 |
136 |
$0.00 |
| C1747 |
Endo, single, urinary tract |
26 |
24 |
$0.00 |
| 86880 |
|
12 |
12 |
$0.00 |
| 73060 |
|
30 |
25 |
$0.00 |
| C1889 |
Implant/insert device, noc |
195 |
175 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
297 |
279 |
$0.00 |
| G0008 |
Admin influenza virus vac |
192 |
190 |
$0.00 |
| J8540 |
Oral dexamethasone |
35 |
28 |
$0.00 |
| 81015 |
|
13 |
12 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
44 |
40 |
$0.00 |
| J2920 |
Methylprednisolone injection |
27 |
24 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
26 |
25 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
68 |
52 |
$0.00 |
| 90694 |
|
25 |
25 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
15 |
$0.00 |
| 99292 |
|
44 |
41 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
18 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
24 |
24 |
$0.00 |
| 90673 |
|
12 |
12 |
$0.00 |
| 82728 |
|
13 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
231 |
213 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
67 |
61 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
458 |
417 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,709 |
1,166 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
668 |
633 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,206 |
977 |
$0.00 |
| C1758 |
Catheter, ureteral |
256 |
244 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
123 |
85 |
$0.00 |
| 51702 |
|
18 |
14 |
$0.00 |
| 89051 |
|
33 |
27 |
$0.00 |
| G8978 |
Mobility current status |
28 |
26 |
$0.00 |
| A4649 |
Surgical supplies |
31 |
31 |
$0.00 |
| C1776 |
Joint device (implantable) |
25 |
25 |
$0.00 |
| A9552 |
F18 fdg |
26 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
162 |
154 |
$0.00 |
| J7040 |
Normal saline solution infus |
383 |
171 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
140 |
112 |
$0.00 |
| G8979 |
Mobility goal status |
45 |
41 |
$0.00 |
| 86765 |
|
25 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
26 |
26 |
$0.00 |
| 90662 |
|
66 |
64 |
$0.00 |
| 87075 |
|
13 |
12 |
$0.00 |
| 29105 |
|
13 |
12 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
29 |
19 |
$0.00 |
| 94799 |
|
19 |
14 |
$0.00 |