| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,535 |
13,013 |
$5.17M |
| 99283 |
|
14,303 |
13,108 |
$4.31M |
| G0378 |
Hospital observation per hr |
3,012 |
2,613 |
$3.12M |
| S9480 |
Intensive outpatient psychia |
1,445 |
1,350 |
$1.16M |
| 96413 |
|
1,201 |
720 |
$940K |
| 99285 |
|
4,169 |
3,795 |
$874K |
| 99282 |
|
4,147 |
3,953 |
$825K |
| 97110 |
|
9,698 |
2,063 |
$582K |
| 96361 |
|
6,877 |
5,410 |
$550K |
| 93306 |
|
669 |
628 |
$544K |
| 96360 |
|
2,828 |
1,977 |
$530K |
| 96375 |
|
6,736 |
5,314 |
$522K |
| H0035 |
Mh partial hosp tx under 24h |
2,514 |
230 |
$510K |
| 97140 |
|
8,355 |
1,904 |
$457K |
| 92507 |
|
4,037 |
1,054 |
$362K |
| 90832 |
|
3,013 |
1,610 |
$334K |
| 74177 |
|
2,769 |
2,605 |
$290K |
| 99211 |
|
3,589 |
3,193 |
$266K |
| 93005 |
|
11,052 |
9,657 |
$249K |
| 96365 |
|
3,539 |
3,069 |
$233K |
| 96374 |
|
7,331 |
6,365 |
$217K |
| 99213 |
|
1,605 |
1,439 |
$217K |
| G0463 |
Hospital outpt clinic visit |
4,864 |
3,427 |
$200K |
| 90853 |
|
5,618 |
1,510 |
$195K |
| 70450 |
|
3,678 |
3,362 |
$172K |
| 76819 |
|
2,071 |
1,515 |
$167K |
| 96372 |
|
5,099 |
3,605 |
$163K |
| 99212 |
|
1,117 |
908 |
$153K |
| 80053 |
|
27,345 |
20,512 |
$150K |
| OP370 |
|
3,534 |
3,174 |
$122K |
| 99214 |
|
567 |
519 |
$116K |
| 99281 |
|
829 |
769 |
$114K |
| 85025 |
|
29,956 |
22,116 |
$109K |
| 76816 |
|
1,964 |
1,755 |
$109K |
| 77067 |
|
1,270 |
1,220 |
$104K |
| OP250 |
|
40,109 |
17,955 |
$98K |
| 80307 |
|
5,318 |
3,569 |
$97K |
| 92567 |
|
1,081 |
1,048 |
$90K |
| 0241U |
|
4,332 |
3,856 |
$81K |
| 0202U |
|
2,360 |
2,267 |
$80K |
| OP710 |
|
1,816 |
1,664 |
$74K |
| 74176 |
|
903 |
855 |
$70K |
| OP272 |
|
5,296 |
4,611 |
$66K |
| 71045 |
|
6,675 |
6,107 |
$64K |
| 93971 |
|
354 |
336 |
$57K |
| 96367 |
|
335 |
253 |
$54K |
| 87635 |
|
1,656 |
1,556 |
$54K |
| 36415 |
|
25,071 |
19,419 |
$53K |
| 97010 |
|
6,593 |
1,536 |
$48K |
| 90791 |
|
1,155 |
930 |
$45K |
| 99391 |
|
566 |
535 |
$44K |
| 71046 |
|
3,075 |
2,963 |
$42K |
| 77063 |
|
1,189 |
1,139 |
$36K |
| 90460 |
|
2,206 |
2,103 |
$35K |
| 76641 |
|
421 |
333 |
$34K |
| 84484 |
|
8,171 |
6,487 |
$30K |
| 77066 |
Tomosynthesis, mammo |
294 |
278 |
$30K |
| 72125 |
|
700 |
638 |
$29K |
| 76830 |
|
558 |
524 |
$28K |
| 99393 |
|
245 |
244 |
$26K |
| G0279 |
Tomosynthesis, mammo |
734 |
696 |
$24K |
| OP379 |
|
428 |
401 |
$23K |
| 76813 |
|
192 |
192 |
$19K |
| 96366 |
|
624 |
548 |
$19K |
| OP259 |
|
3,165 |
2,357 |
$19K |
| 76856 |
|
371 |
351 |
$18K |
| 99392 |
|
207 |
198 |
$18K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,240 |
2,884 |
$17K |
| 90834 |
|
460 |
218 |
$17K |
| 88305 |
|
1,032 |
889 |
$17K |
| 97162 |
|
409 |
356 |
$16K |
| 93976 |
|
150 |
138 |
$16K |
| OP258 |
|
18,747 |
11,561 |
$16K |
| 96376 |
|
1,510 |
1,210 |
$16K |
| 94640 |
|
1,491 |
1,273 |
$16K |
| 85610 |
|
3,632 |
3,255 |
$15K |
| G0008 |
Admin influenza virus vac |
405 |
398 |
$15K |
| 76705 |
|
637 |
598 |
$15K |
| 76811 |
|
55 |
55 |
$14K |
| 97161 |
|
351 |
329 |
$13K |
| 99173 |
|
623 |
613 |
$13K |
| 90471 |
|
868 |
808 |
$12K |
| 85730 |
|
3,030 |
2,757 |
$12K |
| OP278 |
|
13 |
13 |
$12K |
| 86885 |
|
1,850 |
1,592 |
$12K |
| 82077 |
|
3,451 |
2,677 |
$11K |
| 81003 |
|
6,555 |
6,047 |
$11K |
| 41899 |
|
28 |
27 |
$10K |
| 76805 |
|
100 |
99 |
$10K |
| 64493 |
|
14 |
13 |
$10K |
| 81025 |
|
5,471 |
4,892 |
$10K |
| 82962 |
|
4,544 |
2,871 |
$9K |
| 99394 |
|
79 |
79 |
$9K |
| 76817 |
|
154 |
129 |
$9K |
| G0480 |
Drug test def 1-7 classes |
649 |
507 |
$9K |
| 84443 |
|
1,831 |
1,618 |
$9K |
| 80048 |
|
1,511 |
1,254 |
$9K |
| 99203 |
|
37 |
36 |
$9K |
| 87070 |
|
3,558 |
3,436 |
$9K |
| 87086 |
|
3,344 |
3,074 |
$8K |
| 86901 |
|
2,288 |
1,911 |
$8K |
| 83690 |
|
4,822 |
4,246 |
$8K |
| 87040 |
|
858 |
747 |
$8K |
| 81001 |
|
7,064 |
6,246 |
$8K |
| 0012A |
|
297 |
297 |
$8K |
| 86900 |
|
2,254 |
1,904 |
$8K |
| 76642 |
|
112 |
109 |
$8K |
| J2405 |
Ondansetron hcl injection |
5,308 |
4,157 |
$7K |
| 0011A |
|
297 |
297 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
1,633 |
1,466 |
$7K |
| 93970 |
|
28 |
28 |
$7K |
| 88304 |
|
430 |
377 |
$7K |
| 85027 |
|
1,032 |
881 |
$7K |
| OP279 |
|
505 |
411 |
$7K |
| J1170 |
Hydromorphone injection |
1,231 |
838 |
$6K |
| 93017 |
|
13 |
13 |
$6K |
| 80061 |
|
948 |
886 |
$6K |
| J3490 |
Drugs unclassified injection |
1,194 |
918 |
$6K |
| 71260 |
|
50 |
49 |
$6K |
| 83735 |
|
3,059 |
2,199 |
$6K |
| 90715 |
|
371 |
345 |
$6K |
| J1100 |
Dexamethasone sodium phos |
2,822 |
2,115 |
$6K |
| S9484 |
Crisis intervention per hour |
12 |
12 |
$5K |
| 0002A |
|
178 |
178 |
$5K |
| 87880 |
|
3,932 |
3,820 |
$5K |
| 97112 |
|
86 |
32 |
$5K |
| 73630 |
|
420 |
408 |
$5K |
| 71275 |
|
70 |
67 |
$5K |
| 76801 |
|
87 |
81 |
$5K |
| 71250 |
|
42 |
41 |
$5K |
| 78452 |
|
12 |
12 |
$5K |
| 72110 |
|
199 |
198 |
$4K |
| 0001A |
|
134 |
134 |
$4K |
| OP270 |
|
2,016 |
1,796 |
$4K |
| 83605 |
|
1,530 |
1,322 |
$4K |
| 87804 |
|
1,940 |
1,888 |
$4K |
| 80143 |
|
1,434 |
1,221 |
$4K |
| 73610 |
|
387 |
370 |
$4K |
| 87088 |
|
994 |
959 |
$4K |
| 90670 |
|
205 |
181 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
63 |
62 |
$4K |
| 80179 |
|
1,380 |
1,174 |
$4K |
| 77065 |
Tomosynthesis, mammo |
62 |
49 |
$4K |
| 97116 |
|
248 |
123 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
2,725 |
2,410 |
$3K |
| J2060 |
Lorazepam injection |
2,090 |
1,366 |
$3K |
| 83880 |
|
711 |
648 |
$3K |
| C9290 |
Inj, bupivacaine liposome |
91 |
74 |
$3K |
| 90686 |
|
774 |
698 |
$3K |
| 0064A |
|
78 |
78 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,543 |
1,078 |
$3K |
| 80306 |
|
1,221 |
1,050 |
$3K |
| 73564 |
|
146 |
139 |
$2K |
| 0004A |
|
60 |
59 |
$2K |
| 73030 |
|
212 |
202 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
878 |
679 |
$2K |
| 83789 |
|
605 |
560 |
$2K |
| 0071A |
|
39 |
39 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,721 |
2,400 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
1,676 |
1,428 |
$2K |
| 97530 |
|
72 |
28 |
$2K |
| A9502 |
Tc99m tetrofosmin |
12 |
12 |
$2K |
| 87633 |
|
26 |
26 |
$2K |
| 87077 |
|
530 |
483 |
$2K |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
134 |
133 |
$2K |
| 85379 |
|
1,070 |
976 |
$2K |
| J2270 |
Morphine sulfate injection |
1,939 |
1,209 |
$2K |
| 73130 |
|
160 |
147 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
345 |
309 |
$2K |
| 83036 |
|
722 |
651 |
$2K |
| 84703 |
|
1,052 |
948 |
$1K |
| 74018 |
|
162 |
155 |
$1K |
| J3010 |
Fentanyl citrate injection |
2,585 |
2,261 |
$1K |
| 80320 |
|
284 |
239 |
$1K |
| 84702 |
|
343 |
302 |
$1K |
| J0134 |
Inj acetaminophen -fresenius |
742 |
597 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
4,177 |
3,493 |
$1K |
| 87491 |
|
89 |
88 |
$994.47 |
| 87591 |
|
89 |
88 |
$960.04 |
| 82607 |
|
58 |
53 |
$890.95 |
| 84145 |
|
286 |
257 |
$842.46 |
| 87999 |
|
378 |
362 |
$769.86 |
| 85651 |
|
145 |
138 |
$736.72 |
| 90697 |
|
14 |
13 |
$664.48 |
| J0690 |
Cefazolin sodium injection |
1,258 |
957 |
$596.38 |
| 97535 |
|
58 |
25 |
$549.86 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
62 |
60 |
$543.09 |
| 84439 |
|
107 |
107 |
$541.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
246 |
179 |
$534.99 |
| 90472 |
|
18 |
18 |
$486.43 |
| 82728 |
|
88 |
74 |
$469.62 |
| 87420 |
|
246 |
239 |
$461.50 |
| 76536 |
|
12 |
12 |
$457.48 |
| 86140 |
|
342 |
301 |
$448.91 |
| G1004 |
Cdsm ndsc |
385 |
268 |
$420.50 |
| 72052 |
|
13 |
13 |
$415.24 |
| 87186 |
|
131 |
127 |
$406.87 |
| 84100 |
|
694 |
552 |
$381.59 |
| 82550 |
|
289 |
260 |
$368.72 |
| J1642 |
Inj heparin sodium per 10 u |
510 |
211 |
$364.75 |
| 90677 |
|
132 |
124 |
$355.01 |
| 90656 |
|
165 |
161 |
$344.92 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
334 |
274 |
$334.10 |
| 73562 |
|
25 |
24 |
$311.07 |
| J2919 |
Inj, methylpred sod succ 5mg |
144 |
81 |
$264.13 |
| J3475 |
Inj magnesium sulfate |
263 |
202 |
$256.29 |
| 82248 |
|
44 |
40 |
$245.73 |
| 87798 |
|
27 |
26 |
$227.79 |
| J2930 |
Methylprednisolone injection |
214 |
186 |
$225.01 |
| 87486 |
|
26 |
26 |
$224.83 |
| 87581 |
|
26 |
26 |
$224.83 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
660 |
204 |
$212.90 |
| J2765 |
Metoclopramide hcl injection |
740 |
569 |
$204.25 |
| 85652 |
|
219 |
193 |
$174.75 |
| 72040 |
|
15 |
15 |
$170.71 |
| J7030 |
Normal saline solution infus |
147 |
81 |
$153.49 |
| J0136 |
Inj, acetaminophen (b braun) |
258 |
209 |
$148.63 |
| 90681 |
|
28 |
25 |
$145.25 |
| 83550 |
|
43 |
41 |
$144.58 |
| 82247 |
|
33 |
26 |
$133.55 |
| A9585 |
Gadobutrol injection |
43 |
39 |
$129.65 |
| 73502 |
|
13 |
12 |
$127.88 |
| 87147 |
|
94 |
94 |
$122.52 |
| J0689 |
Inj cefazolin sodium, baxter |
79 |
44 |
$104.91 |
| J3360 |
Diazepam injection |
34 |
26 |
$76.77 |
| C9113 |
Inj pantoprazole sodium, via |
274 |
172 |
$76.40 |
| J7620 |
Albuterol ipratrop non-comp |
96 |
78 |
$73.97 |
| J1630 |
Haloperidol injection |
151 |
112 |
$67.60 |
| J0360 |
Hydralazine hcl injection |
95 |
65 |
$55.99 |
| 87205 |
|
47 |
40 |
$55.81 |
| 83540 |
|
31 |
29 |
$39.46 |
| J2272 |
Inj, morphine (fresenius) |
60 |
46 |
$34.90 |
| V2632 |
Post chmbr intraocular lens |
44 |
36 |
$33.89 |
| 85378 |
|
25 |
25 |
$29.50 |
| 88300 |
|
28 |
27 |
$21.73 |
| J2004 |
Inj, lidocaine w epinephrine |
17 |
17 |
$12.86 |
| 73110 |
|
13 |
12 |
$12.50 |
| J0171 |
Adrenalin epinephrine inject |
121 |
96 |
$9.67 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
30 |
26 |
$8.39 |
| J3480 |
Inj potassium chloride |
20 |
14 |
$8.21 |
| 86308 |
|
29 |
29 |
$6.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
12 |
$5.16 |
| OP637 |
|
9,759 |
1,193 |
$4.21 |
| 85008 |
|
15 |
14 |
$1.20 |
| 81002 |
|
16 |
15 |
$1.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
14 |
$0.66 |
| 91300 |
|
252 |
233 |
$0.01 |
| 91301 |
|
497 |
477 |
$0.00 |
| 91306 |
|
47 |
47 |
$0.00 |
| 91307 |
|
36 |
32 |
$0.00 |
| J1815 |
Insulin injection |
42 |
14 |
$0.00 |