| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
98,943 |
75,092 |
$3.60M |
| 99283 |
|
28,766 |
23,984 |
$1.85M |
| 99284 |
|
29,750 |
24,233 |
$1.38M |
| 99285 |
|
15,202 |
12,269 |
$896K |
| 99282 |
|
12,715 |
10,782 |
$812K |
| 96361 |
|
7,411 |
4,843 |
$729K |
| 80053 |
|
66,639 |
48,806 |
$715K |
| 97110 |
|
10,970 |
3,280 |
$561K |
| 96360 |
|
3,207 |
1,926 |
$505K |
| 70450 |
|
6,312 |
5,044 |
$484K |
| 74177 |
|
3,588 |
3,016 |
$379K |
| 36415 |
|
59,952 |
37,045 |
$335K |
| J9271 |
Inj pembrolizumab |
214 |
91 |
$228K |
| J7120 |
Ringers lactate infusion |
7,269 |
5,641 |
$212K |
| 11042 |
|
2,194 |
1,400 |
$212K |
| 74176 |
|
1,941 |
1,619 |
$204K |
| 93306 |
|
1,907 |
1,564 |
$202K |
| 96413 |
|
4,772 |
2,370 |
$200K |
| 92507 |
|
1,838 |
441 |
$188K |
| 71275 |
|
1,043 |
870 |
$153K |
| 96375 |
|
12,297 |
8,244 |
$125K |
| 96365 |
|
2,796 |
1,859 |
$125K |
| 96374 |
|
21,802 |
17,015 |
$112K |
| 97530 |
|
9,016 |
2,737 |
$110K |
| 96372 |
|
11,471 |
7,680 |
$101K |
| U0002 |
Covid-19 lab test non-cdc |
6,270 |
5,044 |
$94K |
| 85025 |
|
74,781 |
52,793 |
$91K |
| 20611 |
|
911 |
606 |
$86K |
| 71046 |
|
8,212 |
6,857 |
$83K |
| 72125 |
|
2,141 |
1,699 |
$80K |
| 80307 |
|
8,252 |
6,694 |
$72K |
| 76815 |
|
1,300 |
1,089 |
$70K |
| 84703 |
|
15,529 |
13,044 |
$69K |
| 76819 |
|
1,480 |
840 |
$67K |
| 97162 |
|
1,353 |
1,186 |
$67K |
| J1100 |
Dexamethasone sodium phos |
6,194 |
4,348 |
$67K |
| 80048 |
|
17,361 |
11,150 |
$66K |
| 20610 |
|
1,097 |
787 |
$64K |
| 86900 |
|
2,072 |
1,678 |
$64K |
| 78815 |
|
199 |
168 |
$63K |
| 81003 |
|
14,527 |
11,064 |
$63K |
| 43239 |
|
468 |
390 |
$60K |
| 87804 |
|
2,064 |
1,782 |
$60K |
| J2405 |
Ondansetron hcl injection |
14,401 |
10,703 |
$59K |
| 76830 |
|
1,296 |
1,115 |
$58K |
| 11043 |
|
676 |
467 |
$55K |
| 87502 |
|
1,305 |
1,120 |
$54K |
| 97161 |
|
965 |
842 |
$54K |
| 76700 |
|
897 |
788 |
$54K |
| 93005 |
|
22,654 |
17,783 |
$52K |
| 99281 |
|
738 |
629 |
$49K |
| 77063 |
|
1,909 |
1,661 |
$47K |
| 72148 |
|
634 |
525 |
$47K |
| 97140 |
|
3,043 |
967 |
$47K |
| 99213 |
|
1,363 |
1,036 |
$46K |
| 88305 |
|
2,718 |
2,136 |
$45K |
| 73130 |
|
1,691 |
1,364 |
$44K |
| 73610 |
|
1,785 |
1,483 |
$43K |
| 88304 |
|
1,260 |
910 |
$43K |
| 96401 |
|
919 |
528 |
$43K |
| 87086 |
|
9,888 |
7,409 |
$41K |
| J3010 |
Fentanyl citrate injection |
5,582 |
4,301 |
$41K |
| 97016 |
|
1,902 |
512 |
$40K |
| 97112 |
|
1,943 |
691 |
$40K |
| 96366 |
|
621 |
394 |
$40K |
| 73030 |
|
2,013 |
1,611 |
$39K |
| 76642 |
|
845 |
765 |
$38K |
| 73564 |
|
1,808 |
1,537 |
$37K |
| 84443 |
|
14,755 |
11,442 |
$37K |
| 81001 |
|
25,115 |
20,639 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
4,760 |
3,469 |
$36K |
| 82306 |
|
8,684 |
6,767 |
$35K |
| 73630 |
|
2,004 |
1,663 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
648 |
547 |
$33K |
| J2250 |
Inj midazolam hydrochloride |
4,927 |
3,950 |
$33K |
| C1769 |
Guide wire |
1,042 |
827 |
$30K |
| 92557 |
|
609 |
516 |
$30K |
| J1200 |
Diphenhydramine hcl injectio |
2,969 |
2,069 |
$30K |
| J2704 |
Inj, propofol, 10 mg |
5,471 |
4,305 |
$30K |
| 81025 |
|
1,406 |
1,195 |
$29K |
| 76856 |
|
836 |
711 |
$28K |
| 72100 |
|
1,719 |
1,436 |
$28K |
| 73110 |
|
1,237 |
963 |
$27K |
| 10060 |
|
239 |
210 |
$25K |
| 71045 |
|
11,304 |
9,054 |
$25K |
| 71260 |
|
300 |
244 |
$25K |
| 73562 |
|
1,026 |
856 |
$25K |
| J3490 |
Drugs unclassified injection |
5,344 |
3,472 |
$23K |
| 70486 |
|
787 |
658 |
$22K |
| 99218 |
|
1,727 |
1,144 |
$21K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,060 |
5,761 |
$21K |
| 78452 |
|
110 |
91 |
$20K |
| J2930 |
Methylprednisolone injection |
1,818 |
1,367 |
$20K |
| J3370 |
Vancomycin hcl injection |
117 |
42 |
$19K |
| J0690 |
Cefazolin sodium injection |
3,339 |
2,232 |
$19K |
| 83735 |
|
15,835 |
11,480 |
$19K |
| A9552 |
F18 fdg |
222 |
188 |
$19K |
| 97150 |
|
390 |
139 |
$19K |
| 74018 |
|
854 |
723 |
$18K |
| 76805 |
|
312 |
269 |
$18K |
| 87636 |
|
2,745 |
2,400 |
$18K |
| 83036 |
|
11,974 |
9,304 |
$18K |
| J3301 |
Triamcinolone acet inj nos |
1,199 |
949 |
$17K |
| 80047 |
|
1,413 |
1,092 |
$17K |
| 80061 |
|
12,614 |
10,083 |
$17K |
| 73721 |
|
145 |
127 |
$17K |
| 87077 |
|
6,370 |
4,673 |
$16K |
| 76705 |
|
653 |
542 |
$16K |
| J1644 |
Inj heparin sodium per 1000u |
1,686 |
820 |
$15K |
| 82728 |
|
3,090 |
2,315 |
$15K |
| 96367 |
|
486 |
245 |
$15K |
| J0897 |
Denosumab injection |
145 |
104 |
$15K |
| 87880 |
|
1,003 |
911 |
$15K |
| 0202U |
|
157 |
135 |
$14K |
| 73502 |
|
1,105 |
907 |
$14K |
| 85610 |
|
6,783 |
3,874 |
$14K |
| 85027 |
|
8,963 |
6,251 |
$13K |
| 76817 |
|
967 |
739 |
$13K |
| 87070 |
|
1,099 |
843 |
$13K |
| 36591 |
|
1,833 |
810 |
$13K |
| 93971 |
|
1,047 |
871 |
$13K |
| 87186 |
|
6,189 |
4,548 |
$13K |
| G0279 |
Tomosynthesis, mammo |
693 |
602 |
$12K |
| 85730 |
|
2,799 |
2,116 |
$11K |
| 76536 |
|
205 |
181 |
$10K |
| 86140 |
|
2,953 |
1,963 |
$10K |
| 83690 |
|
19,401 |
15,843 |
$10K |
| 82550 |
|
12,600 |
9,551 |
$9K |
| G0378 |
Hospital observation per hr |
934 |
655 |
$9K |
| 93325 |
|
247 |
205 |
$9K |
| J0330 |
Succinycholine chloride inj |
1,805 |
1,492 |
$9K |
| 83970 |
|
1,689 |
1,277 |
$9K |
| 84484 |
|
13,286 |
9,992 |
$8K |
| 76770 |
|
196 |
165 |
$8K |
| 93970 |
|
250 |
216 |
$8K |
| J1170 |
Hydromorphone injection |
4,776 |
3,007 |
$8K |
| J2270 |
Morphine sulfate injection |
7,820 |
5,710 |
$8K |
| 99152 |
|
954 |
769 |
$8K |
| 77066 |
Tomosynthesis, mammo |
368 |
318 |
$7K |
| 96376 |
|
4,557 |
2,680 |
$7K |
| 80076 |
|
1,379 |
1,045 |
$7K |
| 73140 |
|
94 |
80 |
$7K |
| 72040 |
|
250 |
212 |
$7K |
| 95886 |
|
376 |
302 |
$7K |
| 71250 |
|
146 |
118 |
$6K |
| 99291 |
|
43 |
29 |
$6K |
| 77334 |
|
19 |
13 |
$6K |
| 97535 |
|
474 |
386 |
$6K |
| 31575 |
|
152 |
125 |
$6K |
| 86850 |
|
1,539 |
1,237 |
$6K |
| 97597 |
|
385 |
236 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
6,488 |
5,272 |
$5K |
| C1758 |
Catheter, ureteral |
659 |
545 |
$5K |
| 87651 |
|
1,029 |
894 |
$5K |
| 84480 |
|
606 |
512 |
$5K |
| 87210 |
|
1,737 |
1,545 |
$5K |
| J2710 |
Neostigmine methylslfte inj |
1,215 |
992 |
$5K |
| 81002 |
|
331 |
286 |
$4K |
| G0480 |
Drug test def 1-7 classes |
1,923 |
1,546 |
$4K |
| 82607 |
|
4,571 |
3,521 |
$4K |
| 84702 |
|
2,055 |
1,558 |
$4K |
| 82553 |
|
5,795 |
4,540 |
$4K |
| 12001 |
|
62 |
50 |
$4K |
| 87591 |
|
2,306 |
2,014 |
$4K |
| 86901 |
|
2,073 |
1,678 |
$4K |
| 74021 |
|
1,404 |
1,191 |
$4K |
| 0399T |
|
34 |
26 |
$4K |
| 87491 |
|
2,305 |
2,014 |
$3K |
| 80320 |
|
2,059 |
1,734 |
$3K |
| 76801 |
|
952 |
764 |
$3K |
| 84439 |
|
4,167 |
3,345 |
$3K |
| J2370 |
Phenylephrine hcl injection |
596 |
442 |
$3K |
| 72110 |
|
80 |
68 |
$3K |
| 72141 |
|
34 |
26 |
$3K |
| 93017 |
|
201 |
164 |
$3K |
| 83550 |
|
2,193 |
1,691 |
$3K |
| 70551 |
|
31 |
26 |
$3K |
| 77065 |
Tomosynthesis, mammo |
320 |
284 |
$3K |
| 83540 |
|
2,674 |
2,031 |
$3K |
| 70491 |
|
22 |
17 |
$3K |
| 83880 |
|
3,147 |
2,069 |
$3K |
| 31231 |
|
36 |
35 |
$3K |
| 99001 |
|
312 |
282 |
$3K |
| J2469 |
Palonosetron hcl |
474 |
186 |
$3K |
| 80055 |
|
116 |
90 |
$3K |
| 85652 |
|
2,831 |
1,852 |
$3K |
| 88150 |
|
93 |
87 |
$3K |
| 87205 |
|
1,077 |
825 |
$2K |
| 84146 |
|
586 |
502 |
$2K |
| 29125 |
|
203 |
183 |
$2K |
| 92567 |
|
624 |
542 |
$2K |
| J2001 |
Lidocaine injection |
89 |
78 |
$2K |
| 82746 |
|
2,554 |
1,974 |
$2K |
| 87340 |
|
603 |
526 |
$2K |
| C1894 |
Intro/sheath, non-laser |
166 |
127 |
$2K |
| 93041 |
|
4,625 |
3,877 |
$2K |
| 84156 |
|
1,901 |
1,469 |
$2K |
| 80074 |
|
529 |
402 |
$2K |
| 73590 |
|
136 |
116 |
$2K |
| 87040 |
|
1,066 |
861 |
$2K |
| 77080 |
|
63 |
54 |
$2K |
| 82140 |
|
1,829 |
1,256 |
$2K |
| Q9969 |
Non-heu tc-99m add-on/dose |
464 |
386 |
$2K |
| 96417 |
|
87 |
38 |
$2K |
| 80164 |
|
1,573 |
1,141 |
$2K |
| 93880 |
|
89 |
71 |
$2K |
| 84100 |
|
2,111 |
1,388 |
$2K |
| 82565 |
|
303 |
192 |
$1K |
| 82570 |
|
2,770 |
2,200 |
$1K |
| 73080 |
|
98 |
79 |
$1K |
| J2550 |
Promethazine hcl injection |
1,835 |
1,339 |
$1K |
| 87430 |
|
368 |
307 |
$1K |
| 85379 |
|
2,071 |
1,484 |
$1K |
| G0396 |
Alcohol/subs interv 15-30mn |
24 |
21 |
$1K |
| 84153 |
|
399 |
317 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
465 |
366 |
$1K |
| 45378 |
|
16 |
13 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
15 |
14 |
$1K |
| 88342 |
|
240 |
194 |
$1K |
| 87807 |
|
126 |
111 |
$1K |
| 86803 |
|
1,161 |
986 |
$1K |
| 73560 |
|
52 |
43 |
$1K |
| J3475 |
Inj magnesium sulfate |
100 |
64 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
134 |
105 |
$1K |
| 86592 |
|
1,170 |
983 |
$1K |
| C1887 |
Catheter, guiding |
216 |
180 |
$1K |
| J1453 |
Fosaprepitant injection |
28 |
12 |
$998.45 |
| 84436 |
|
864 |
713 |
$891.80 |
| 96415 |
|
22 |
14 |
$887.89 |
| A9585 |
Gadobutrol injection |
445 |
364 |
$871.49 |
| 85018 |
|
533 |
299 |
$844.69 |
| 77061 |
|
12 |
12 |
$816.49 |
| 71271 |
|
19 |
17 |
$810.05 |
| J2060 |
Lorazepam injection |
784 |
607 |
$734.76 |
| 94640 |
|
131 |
52 |
$723.11 |
| 87389 |
|
1,313 |
1,135 |
$704.66 |
| 73503 |
|
48 |
37 |
$698.02 |
| G8979 |
Mobility goal status |
16 |
12 |
$690.73 |
| J8540 |
Oral dexamethasone |
344 |
202 |
$686.28 |
| M0243 |
Casirivi and imdevi inj |
84 |
80 |
$602.01 |
| 97116 |
|
219 |
110 |
$595.36 |
| J1650 |
Inj enoxaparin sodium |
1,117 |
434 |
$550.01 |
| 87635 |
|
128 |
124 |
$538.99 |
| 84550 |
|
1,067 |
832 |
$537.88 |
| 94760 |
|
68 |
27 |
$528.35 |
| 82043 |
|
1,376 |
1,145 |
$479.82 |
| 74178 |
|
17 |
12 |
$470.33 |
| 82040 |
|
1,073 |
858 |
$460.14 |
| 93458 |
|
17 |
13 |
$459.95 |
| Q3014 |
Telehealth facility fee |
1,902 |
1,589 |
$430.54 |
| 72072 |
|
17 |
15 |
$429.73 |
| 84481 |
|
99 |
78 |
$419.26 |
| 90471 |
|
857 |
672 |
$409.45 |
| 83605 |
|
1,282 |
1,015 |
$397.69 |
| 77067 |
|
1,943 |
1,704 |
$375.58 |
| 88307 |
|
150 |
109 |
$353.04 |
| 86038 |
|
277 |
219 |
$318.84 |
| 94664 |
|
20 |
13 |
$317.01 |
| 90715 |
|
546 |
434 |
$303.93 |
| 82150 |
|
1,449 |
1,163 |
$294.54 |
| G0297 |
Ldct for lung ca screen |
16 |
12 |
$292.74 |
| 86706 |
|
40 |
26 |
$280.95 |
| 95911 |
|
14 |
12 |
$274.71 |
| 96523 |
|
30 |
12 |
$237.67 |
| 72170 |
|
18 |
13 |
$232.66 |
| 73552 |
|
27 |
24 |
$221.15 |
| 80069 |
|
164 |
77 |
$211.44 |
| 73090 |
|
13 |
12 |
$207.89 |
| 29515 |
|
61 |
51 |
$189.00 |
| 84165 |
|
53 |
41 |
$170.75 |
| 84403 |
|
134 |
113 |
$153.56 |
| 84460 |
|
1,136 |
915 |
$152.54 |
| 93225 |
|
30 |
26 |
$144.31 |
| 84075 |
|
1,053 |
843 |
$137.66 |
| 96368 |
|
19 |
12 |
$134.45 |
| G0008 |
Admin influenza virus vac |
218 |
176 |
$129.06 |
| 84134 |
|
403 |
308 |
$127.78 |
| J1815 |
Insulin injection |
590 |
186 |
$124.21 |
| 84132 |
|
294 |
211 |
$121.72 |
| J2360 |
Orphenadrine injection |
271 |
209 |
$118.52 |
| 82247 |
|
1,043 |
834 |
$116.78 |
| 85046 |
|
124 |
100 |
$115.17 |
| 87324 |
|
121 |
80 |
$114.38 |
| 87634 |
|
41 |
29 |
$113.39 |
| 82977 |
|
1,081 |
863 |
$106.71 |
| C1729 |
Cath, drainage |
19 |
13 |
$105.60 |
| 84450 |
|
1,070 |
857 |
$104.69 |
| 84155 |
|
1,029 |
825 |
$103.18 |
| 80177 |
|
226 |
171 |
$97.37 |
| 83874 |
|
38 |
30 |
$90.00 |
| J2765 |
Metoclopramide hcl injection |
231 |
186 |
$85.73 |
| J3480 |
Inj potassium chloride |
45 |
17 |
$81.09 |
| 80202 |
|
151 |
43 |
$76.04 |
| 82009 |
|
361 |
298 |
$71.74 |
| 69210 |
|
96 |
80 |
$71.70 |
| 93321 |
|
14 |
12 |
$69.17 |
| 86480 |
|
81 |
54 |
$67.83 |
| 86787 |
|
21 |
19 |
$65.50 |
| 84681 |
|
98 |
82 |
$56.86 |
| 74022 |
|
22 |
18 |
$55.06 |
| A9500 |
Tc99m sestamibi |
114 |
93 |
$50.07 |
| J2785 |
Regadenoson injection |
67 |
50 |
$46.07 |
| J2274 |
Inj morphine pf epid ithc |
90 |
74 |
$45.39 |
| 82248 |
|
64 |
53 |
$42.60 |
| 90686 |
|
344 |
286 |
$41.87 |
| J7512 |
Prednisone ir or dr oral 1mg |
832 |
669 |
$40.34 |
| 86431 |
|
71 |
48 |
$38.90 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
17 |
13 |
$32.66 |
| 87449 |
|
121 |
80 |
$30.08 |
| 84144 |
|
23 |
14 |
$19.20 |
| 80156 |
|
12 |
12 |
$18.42 |
| 84145 |
|
170 |
110 |
$18.28 |
| 83615 |
|
248 |
157 |
$11.57 |
| 85014 |
|
37 |
24 |
$11.09 |
| 83001 |
|
14 |
13 |
$8.10 |
| 80185 |
|
33 |
28 |
$7.96 |
| 86141 |
|
134 |
64 |
$6.61 |
| J0360 |
Hydralazine hcl injection |
105 |
88 |
$0.00 |
| 87181 |
|
19 |
15 |
$0.00 |
| 76377 |
|
24 |
15 |
$0.00 |
| J1940 |
Furosemide injection |
119 |
72 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
31 |
25 |
$0.00 |
| 99406 |
|
46 |
42 |
$0.00 |
| 88341 |
|
12 |
12 |
$0.00 |
| 82784 |
|
15 |
12 |
$0.00 |
| J0500 |
Dicyclomine injection |
14 |
14 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
66 |
57 |
$0.00 |
| J1956 |
Levofloxacin injection |
31 |
25 |
$0.00 |
| J0780 |
Prochlorperazine injection |
40 |
38 |
$0.00 |
| 36600 |
|
16 |
14 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
13 |
$0.00 |
| 77336 |
|
28 |
13 |
$0.00 |
| P9016 |
Rbc leukocytes reduced |
17 |
13 |
$0.00 |
| 99221 |
|
53 |
49 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
14 |
12 |
$0.00 |
| 82805 |
|
15 |
13 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
15 |
12 |
$0.00 |