| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
30,366 |
26,788 |
$3.87M |
| 96361 |
|
12,710 |
9,865 |
$3.65M |
| G0463 |
Hospital outpt clinic visit |
32,525 |
26,651 |
$3.47M |
| 99283 |
|
28,585 |
26,072 |
$3.33M |
| 99285 |
|
17,722 |
15,464 |
$2.47M |
| 70450 |
|
4,644 |
3,712 |
$1.12M |
| 97110 |
|
9,241 |
2,508 |
$716K |
| 11043 |
|
2,238 |
1,225 |
$671K |
| 74177 |
|
3,011 |
2,282 |
$658K |
| 0241U |
|
4,724 |
3,869 |
$567K |
| 95810 |
|
678 |
570 |
$470K |
| G0378 |
Hospital observation per hr |
6,742 |
2,461 |
$440K |
| 94640 |
|
3,692 |
1,607 |
$406K |
| 99282 |
|
3,834 |
3,338 |
$375K |
| 11042 |
|
3,508 |
1,752 |
$355K |
| 74176 |
|
1,211 |
937 |
$287K |
| 78452 |
|
696 |
579 |
$286K |
| 71260 |
|
1,425 |
1,073 |
$278K |
| 59025 |
|
1,758 |
1,000 |
$272K |
| 93306 |
|
1,052 |
878 |
$253K |
| 99213 |
|
5,520 |
4,966 |
$226K |
| 96365 |
|
2,197 |
1,606 |
$221K |
| 80048 |
|
29,153 |
23,027 |
$204K |
| 96366 |
|
1,091 |
519 |
$190K |
| 96360 |
|
1,204 |
930 |
$178K |
| 70553 |
|
665 |
537 |
$171K |
| 97112 |
|
5,904 |
1,769 |
$158K |
| 90791 |
|
574 |
447 |
$117K |
| 70496 |
|
475 |
369 |
$113K |
| 97140 |
|
4,431 |
1,379 |
$97K |
| 80053 |
|
12,952 |
10,631 |
$87K |
| 76705 |
|
968 |
788 |
$84K |
| C8929 |
Tte w or wo fol wcon,doppler |
402 |
345 |
$83K |
| 95811 |
|
116 |
101 |
$81K |
| 76817 |
|
714 |
591 |
$76K |
| 76830 |
|
742 |
605 |
$72K |
| 80307 |
|
4,151 |
3,527 |
$69K |
| 76642 |
|
546 |
441 |
$65K |
| 93017 |
|
776 |
651 |
$63K |
| 77063 |
|
1,311 |
1,098 |
$61K |
| 93970 |
|
468 |
382 |
$60K |
| 84484 |
|
17,112 |
9,713 |
$56K |
| 93971 |
|
718 |
595 |
$48K |
| 97161 |
|
1,142 |
945 |
$48K |
| 72131 |
|
722 |
580 |
$41K |
| U0003 |
Cov-19 amp prb hgh thruput |
213 |
207 |
$40K |
| 72148 |
|
274 |
238 |
$39K |
| 71046 |
|
1,801 |
1,594 |
$39K |
| 97530 |
|
1,756 |
735 |
$38K |
| 71250 |
|
452 |
384 |
$35K |
| 71045 |
|
18,522 |
15,915 |
$27K |
| 70551 |
|
191 |
156 |
$25K |
| 97116 |
|
1,251 |
539 |
$25K |
| 72125 |
|
2,177 |
1,684 |
$24K |
| 93005 |
|
20,281 |
16,760 |
$24K |
| 80320 |
|
2,329 |
1,831 |
$23K |
| 73721 |
|
98 |
81 |
$22K |
| 85025 |
|
42,847 |
35,962 |
$21K |
| 87400 |
|
1,054 |
531 |
$21K |
| 97162 |
|
711 |
543 |
$21K |
| 93458 |
|
16 |
12 |
$20K |
| 43239 |
|
54 |
40 |
$20K |
| 95819 |
|
128 |
107 |
$18K |
| 86850 |
|
1,134 |
826 |
$18K |
| 36415 |
|
16,208 |
12,573 |
$18K |
| G0279 |
Tomosynthesis, mammo |
493 |
435 |
$15K |
| 77067 |
|
1,299 |
1,104 |
$15K |
| 99214 |
|
240 |
233 |
$15K |
| 70486 |
|
540 |
427 |
$14K |
| 97535 |
|
536 |
334 |
$14K |
| 90715 |
|
940 |
743 |
$14K |
| 74018 |
|
414 |
332 |
$13K |
| 76536 |
|
101 |
90 |
$13K |
| 88341 |
|
477 |
202 |
$13K |
| 96372 |
|
12,542 |
9,369 |
$12K |
| 86900 |
|
1,246 |
938 |
$12K |
| 97597 |
|
109 |
66 |
$12K |
| 87591 |
|
988 |
826 |
$11K |
| 72100 |
|
339 |
282 |
$10K |
| 0002A |
|
312 |
302 |
$10K |
| 78815 |
|
15 |
13 |
$10K |
| 0001A |
|
338 |
325 |
$10K |
| 96374 |
|
17,763 |
15,187 |
$8K |
| 97166 |
|
280 |
205 |
$8K |
| 73560 |
|
613 |
456 |
$8K |
| 77065 |
Tomosynthesis, mammo |
283 |
221 |
$8K |
| J3490 |
Drugs unclassified injection |
4,387 |
2,338 |
$8K |
| 73030 |
|
814 |
586 |
$8K |
| 85027 |
|
2,908 |
1,482 |
$8K |
| 72128 |
|
337 |
266 |
$8K |
| 81001 |
|
19,874 |
17,664 |
$7K |
| 87070 |
|
1,566 |
1,226 |
$7K |
| 74178 |
|
64 |
40 |
$7K |
| 12001 |
|
54 |
39 |
$7K |
| 96376 |
|
3,028 |
1,324 |
$6K |
| 77066 |
Tomosynthesis, mammo |
350 |
303 |
$6K |
| 70491 |
|
19 |
12 |
$6K |
| 73610 |
|
657 |
538 |
$6K |
| 73630 |
|
894 |
731 |
$5K |
| 96367 |
|
164 |
104 |
$5K |
| 73130 |
|
759 |
600 |
$5K |
| 70498 |
|
464 |
364 |
$5K |
| 96375 |
|
12,915 |
10,031 |
$5K |
| 81025 |
|
10,811 |
9,226 |
$4K |
| 80076 |
|
445 |
413 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
269 |
242 |
$4K |
| 85610 |
|
3,706 |
2,747 |
$4K |
| 97113 |
|
97 |
29 |
$4K |
| 76700 |
|
16 |
12 |
$3K |
| 73562 |
|
328 |
255 |
$3K |
| 95886 |
|
14 |
13 |
$3K |
| 73502 |
|
300 |
226 |
$3K |
| 82565 |
|
415 |
348 |
$3K |
| 76775 |
|
40 |
36 |
$3K |
| C1889 |
Implant/insert device, noc |
40 |
27 |
$3K |
| J2270 |
Morphine sulfate injection |
4,012 |
2,662 |
$3K |
| 87086 |
|
4,430 |
3,913 |
$3K |
| 82248 |
|
7,060 |
5,548 |
$3K |
| 80061 |
|
505 |
373 |
$3K |
| 83036 |
|
659 |
553 |
$3K |
| 80055 |
|
118 |
108 |
$3K |
| 83735 |
|
2,359 |
1,616 |
$3K |
| 87040 |
|
1,723 |
706 |
$3K |
| 12011 |
|
14 |
13 |
$2K |
| 71271 |
|
14 |
13 |
$2K |
| 84443 |
|
733 |
540 |
$2K |
| J1170 |
Hydromorphone injection |
2,460 |
1,215 |
$2K |
| H1002 |
Carecoordination prenatal |
546 |
491 |
$2K |
| G0475 |
Hiv combination assay |
122 |
111 |
$2K |
| 73110 |
|
311 |
260 |
$2K |
| 88142 |
|
128 |
115 |
$2K |
| 86901 |
|
1,246 |
938 |
$2K |
| 85730 |
|
2,761 |
2,008 |
$2K |
| 84439 |
|
427 |
323 |
$2K |
| J2800 |
Methocarbamol injection |
516 |
343 |
$1K |
| J1650 |
Inj enoxaparin sodium |
2,810 |
1,139 |
$1K |
| 83690 |
|
8,008 |
6,643 |
$1K |
| 97163 |
|
81 |
59 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
10,952 |
8,928 |
$1K |
| 87491 |
|
985 |
818 |
$1K |
| 73590 |
|
338 |
242 |
$1K |
| 83880 |
|
1,277 |
991 |
$1K |
| 83605 |
|
1,795 |
1,124 |
$1K |
| 90471 |
|
987 |
777 |
$1K |
| 90686 |
|
33 |
31 |
$1K |
| 72141 |
|
17 |
12 |
$1K |
| 82550 |
|
711 |
445 |
$991.89 |
| 82950 |
|
133 |
128 |
$990.74 |
| 76937 |
|
16 |
12 |
$978.57 |
| 85379 |
|
1,390 |
1,106 |
$895.48 |
| 87430 |
|
1,483 |
1,274 |
$866.14 |
| 72040 |
|
22 |
14 |
$861.95 |
| 99281 |
|
12 |
12 |
$814.34 |
| J7030 |
Normal saline solution infus |
7,914 |
5,088 |
$813.17 |
| 97167 |
|
87 |
53 |
$805.86 |
| 82803 |
|
1,201 |
900 |
$801.76 |
| 81000 |
|
2,759 |
2,225 |
$782.67 |
| U0002 |
Covid-19 lab test non-cdc |
755 |
681 |
$748.51 |
| G0476 |
Hpv combo assay ca screen |
30 |
26 |
$739.91 |
| 87088 |
|
2,378 |
2,006 |
$724.05 |
| 84100 |
|
448 |
225 |
$719.14 |
| 84702 |
|
698 |
548 |
$715.66 |
| 81003 |
|
2,077 |
1,613 |
$684.95 |
| 87147 |
|
524 |
361 |
$681.35 |
| J3010 |
Fentanyl citrate injection |
4,865 |
3,194 |
$651.79 |
| J2405 |
Ondansetron hcl injection |
11,731 |
8,597 |
$640.73 |
| J0500 |
Dicyclomine injection |
48 |
39 |
$640.24 |
| J2543 |
Piperacillin/tazobactam |
177 |
64 |
$565.42 |
| 87804 |
|
1,663 |
844 |
$542.68 |
| 85014 |
|
379 |
189 |
$524.34 |
| 72110 |
|
14 |
13 |
$493.39 |
| 87077 |
|
1,218 |
796 |
$469.64 |
| J1050 |
Medroxyprogesterone acetate |
180 |
156 |
$451.72 |
| 72170 |
|
440 |
329 |
$404.11 |
| C9113 |
Inj pantoprazole sodium, via |
441 |
145 |
$389.82 |
| J1815 |
Insulin injection |
586 |
175 |
$358.09 |
| J0171 |
Adrenalin epinephrine inject |
51 |
26 |
$298.26 |
| J0696 |
Ceftriaxone sodium injection |
1,431 |
818 |
$296.95 |
| 85018 |
|
384 |
189 |
$289.18 |
| 87186 |
|
1,186 |
804 |
$282.10 |
| J3535 |
Metered dose inhaler drug |
318 |
81 |
$256.09 |
| 73552 |
|
84 |
65 |
$255.31 |
| J0360 |
Hydralazine hcl injection |
246 |
139 |
$247.96 |
| J7120 |
Ringers lactate infusion |
3,257 |
2,049 |
$236.39 |
| 80069 |
|
21 |
12 |
$217.84 |
| J0780 |
Prochlorperazine injection |
825 |
601 |
$181.07 |
| 87661 |
|
158 |
132 |
$174.11 |
| 80143 |
|
380 |
275 |
$172.05 |
| J0690 |
Cefazolin sodium injection |
1,961 |
1,189 |
$167.27 |
| 87426 |
|
35 |
16 |
$150.96 |
| J1644 |
Inj heparin sodium per 1000u |
1,492 |
520 |
$147.52 |
| 82010 |
|
204 |
132 |
$145.70 |
| J2930 |
Methylprednisolone injection |
230 |
153 |
$137.14 |
| 84703 |
|
137 |
117 |
$136.92 |
| 88305 |
|
984 |
634 |
$128.68 |
| 90656 |
|
12 |
12 |
$123.67 |
| 88342 |
|
621 |
380 |
$117.86 |
| 82140 |
|
117 |
71 |
$112.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
163 |
126 |
$107.96 |
| J3370 |
Vancomycin hcl injection |
185 |
82 |
$107.45 |
| J3360 |
Diazepam injection |
121 |
85 |
$102.14 |
| J2060 |
Lorazepam injection |
834 |
526 |
$99.57 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$76.59 |
| 82330 |
|
49 |
26 |
$72.71 |
| J3480 |
Inj potassium chloride |
375 |
153 |
$71.79 |
| 87210 |
|
121 |
102 |
$71.02 |
| J3372 |
Inj, vancomycin hcl (xellia) |
117 |
70 |
$70.17 |
| 73080 |
|
13 |
12 |
$67.89 |
| J2704 |
Inj, propofol, 10 mg |
3,015 |
2,190 |
$59.75 |
| 80179 |
|
335 |
253 |
$57.33 |
| J2550 |
Promethazine hcl injection |
794 |
469 |
$55.31 |
| 86140 |
|
30 |
25 |
$52.80 |
| J1200 |
Diphenhydramine hcl injectio |
1,399 |
956 |
$50.96 |
| J1100 |
Dexamethasone sodium phos |
3,169 |
2,019 |
$45.00 |
| 87075 |
|
53 |
42 |
$43.73 |
| J7040 |
Normal saline solution infus |
1,286 |
918 |
$42.49 |
| 73090 |
|
150 |
98 |
$37.77 |
| J1790 |
Droperidol injection |
324 |
223 |
$32.33 |
| J2250 |
Inj midazolam hydrochloride |
3,300 |
2,219 |
$31.50 |
| 84132 |
|
39 |
25 |
$30.52 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
92 |
58 |
$23.95 |
| J2795 |
Ropivacaine hcl injection |
122 |
89 |
$22.79 |
| J3475 |
Inj magnesium sulfate |
105 |
58 |
$16.52 |
| J1642 |
Inj heparin sodium per 10 u |
40 |
26 |
$15.81 |
| 85652 |
|
69 |
54 |
$13.83 |
| 87205 |
|
24 |
12 |
$12.04 |
| 87176 |
|
16 |
13 |
$9.43 |
| J2360 |
Orphenadrine injection |
118 |
78 |
$9.30 |
| J2175 |
Meperidine hydrochl /100 mg |
60 |
40 |
$7.60 |
| J8499 |
Oral prescrip drug non chemo |
69 |
38 |
$7.52 |
| 91300 |
|
590 |
548 |
$5.13 |
| J2765 |
Metoclopramide hcl injection |
217 |
155 |
$4.79 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
212 |
170 |
$2.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
154 |
86 |
$2.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
768 |
477 |
$2.20 |
| J1940 |
Furosemide injection |
63 |
33 |
$2.01 |
| J0330 |
Succinycholine chloride inj |
24 |
12 |
$1.95 |
| J7050 |
Normal saline solution infus |
651 |
367 |
$0.48 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,604 |
4,261 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
175 |
150 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
109 |
101 |
$0.00 |
| 94060 |
|
16 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
234 |
177 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
893 |
741 |
$0.00 |
| 00840 |
|
32 |
26 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
72 |
38 |
$0.00 |
| 94726 |
|
16 |
14 |
$0.00 |
| 94729 |
|
16 |
14 |
$0.00 |
| A9552 |
F18 fdg |
14 |
12 |
$0.00 |
| 73070 |
|
13 |
12 |
$0.00 |
| 99078 |
|
29 |
24 |
$0.00 |
| 00731 |
|
14 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
14 |
13 |
$0.00 |
| 88304 |
|
215 |
134 |
$0.00 |
| J2785 |
Regadenoson injection |
557 |
464 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
30 |
16 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
789 |
636 |
$0.00 |
| A9270 |
Non-covered item or service |
124 |
76 |
$0.00 |
| 94761 |
|
15 |
14 |
$0.00 |
| 82607 |
|
17 |
14 |
$0.00 |
| C1769 |
Guide wire |
280 |
204 |
$0.00 |
| H1001 |
Antepartum management |
45 |
27 |
$0.00 |
| 82746 |
|
15 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
39 |
39 |
$0.00 |
| 81015 |
|
12 |
12 |
$0.00 |