| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
33,607 |
29,024 |
$4.01M |
| 96361 |
|
12,258 |
9,450 |
$3.57M |
| 99283 |
|
31,005 |
27,933 |
$3.28M |
| 99285 |
|
12,804 |
10,929 |
$1.56M |
| 74177 |
|
3,242 |
2,437 |
$790K |
| 70450 |
|
2,876 |
2,280 |
$627K |
| 96360 |
|
2,477 |
1,630 |
$545K |
| 99214 |
|
6,483 |
5,532 |
$462K |
| 97110 |
|
5,190 |
1,763 |
$401K |
| 92507 |
|
5,204 |
2,005 |
$391K |
| 64483 |
|
889 |
797 |
$359K |
| 80053 |
|
42,908 |
35,002 |
$348K |
| 99282 |
|
2,689 |
2,340 |
$270K |
| 99213 |
|
3,621 |
2,961 |
$263K |
| 74176 |
|
1,044 |
784 |
$263K |
| 43239 |
|
810 |
690 |
$262K |
| 84443 |
|
14,206 |
12,520 |
$262K |
| 96365 |
|
3,206 |
1,954 |
$241K |
| 87591 |
|
5,793 |
5,190 |
$241K |
| 80061 |
|
11,523 |
10,482 |
$218K |
| 99212 |
|
3,641 |
2,614 |
$217K |
| 94640 |
|
1,730 |
1,317 |
$206K |
| 85025 |
|
60,674 |
48,156 |
$192K |
| 96366 |
|
1,102 |
549 |
$177K |
| 0241U |
|
1,945 |
1,673 |
$164K |
| G0378 |
Hospital observation per hr |
4,035 |
1,997 |
$160K |
| 64635 |
|
407 |
351 |
$158K |
| 93306 |
|
748 |
629 |
$156K |
| 71275 |
|
778 |
611 |
$155K |
| 82306 |
|
5,679 |
5,045 |
$142K |
| 64493 |
|
350 |
283 |
$137K |
| 87491 |
|
5,776 |
5,186 |
$133K |
| 90839 |
|
1,418 |
1,103 |
$126K |
| 83036 |
|
9,788 |
8,791 |
$107K |
| 59025 |
|
676 |
432 |
$100K |
| 45380 |
|
322 |
256 |
$99K |
| 95810 |
|
152 |
137 |
$96K |
| 87081 |
|
4,626 |
4,138 |
$93K |
| 97530 |
|
1,514 |
702 |
$91K |
| 76705 |
|
1,317 |
1,087 |
$88K |
| 36415 |
|
33,097 |
26,164 |
$86K |
| 72148 |
|
502 |
452 |
$83K |
| 64494 |
|
404 |
280 |
$83K |
| 70553 |
|
390 |
326 |
$80K |
| 64636 |
|
436 |
336 |
$70K |
| 85027 |
|
6,543 |
5,655 |
$69K |
| 71046 |
|
3,109 |
2,728 |
$69K |
| 93975 |
|
470 |
340 |
$63K |
| 82607 |
|
3,567 |
3,125 |
$63K |
| 27096 |
|
163 |
156 |
$63K |
| 80048 |
|
13,394 |
10,460 |
$60K |
| 88305 |
|
4,782 |
2,563 |
$59K |
| 80307 |
|
4,593 |
3,404 |
$53K |
| 87088 |
|
5,050 |
4,047 |
$50K |
| 11042 |
|
555 |
333 |
$49K |
| 97161 |
|
769 |
648 |
$49K |
| 87506 |
|
428 |
357 |
$46K |
| 70551 |
|
314 |
263 |
$44K |
| 93971 |
|
547 |
471 |
$41K |
| 78264 |
|
196 |
177 |
$41K |
| 93005 |
|
14,221 |
11,653 |
$39K |
| 88142 |
|
1,853 |
1,668 |
$39K |
| 76642 |
|
347 |
304 |
$38K |
| 84466 |
|
2,224 |
1,917 |
$37K |
| 86140 |
|
2,558 |
2,074 |
$37K |
| 64479 |
|
114 |
91 |
$37K |
| 87624 |
|
825 |
747 |
$36K |
| 78452 |
|
103 |
69 |
$36K |
| 82746 |
|
3,025 |
2,636 |
$35K |
| 76536 |
|
305 |
262 |
$34K |
| 84439 |
|
3,123 |
2,690 |
$34K |
| 96367 |
|
515 |
289 |
$33K |
| 77067 |
|
673 |
576 |
$33K |
| 87502 |
|
1,152 |
976 |
$32K |
| U0004 |
Cov-19 test non-cdc hgh thru |
201 |
198 |
$32K |
| 87426 |
|
1,087 |
986 |
$31K |
| G0463 |
Hospital outpt clinic visit |
1,580 |
1,388 |
$30K |
| 76981 |
|
323 |
285 |
$30K |
| 72131 |
|
319 |
285 |
$30K |
| 73630 |
|
1,155 |
936 |
$29K |
| 99211 |
|
450 |
345 |
$29K |
| 70498 |
|
148 |
132 |
$28K |
| 86900 |
|
1,505 |
1,185 |
$27K |
| 86803 |
|
1,590 |
1,383 |
$27K |
| 83655 |
|
909 |
846 |
$27K |
| 94729 |
|
305 |
276 |
$26K |
| 82728 |
|
2,506 |
2,167 |
$26K |
| 87635 |
|
7,086 |
6,053 |
$25K |
| 93017 |
|
327 |
271 |
$25K |
| 71250 |
|
359 |
325 |
$25K |
| 80076 |
|
3,210 |
2,600 |
$25K |
| 83540 |
|
2,479 |
2,129 |
$24K |
| 72141 |
|
210 |
192 |
$24K |
| 87633 |
|
352 |
281 |
$24K |
| 70486 |
|
315 |
245 |
$23K |
| 84702 |
|
1,275 |
784 |
$22K |
| 71260 |
|
433 |
357 |
$22K |
| 87340 |
|
1,511 |
1,301 |
$22K |
| 74018 |
|
693 |
589 |
$21K |
| 83735 |
|
7,781 |
5,728 |
$21K |
| J1756 |
Iron sucrose injection |
626 |
239 |
$21K |
| 71045 |
|
8,827 |
7,434 |
$21K |
| 72100 |
|
669 |
565 |
$21K |
| 90840 |
|
130 |
85 |
$20K |
| 99204 |
|
267 |
243 |
$19K |
| 86780 |
|
988 |
913 |
$19K |
| 87186 |
|
1,739 |
1,420 |
$18K |
| 94060 |
|
301 |
278 |
$18K |
| 94726 |
|
238 |
220 |
$17K |
| 86850 |
|
1,481 |
1,162 |
$17K |
| 83970 |
|
710 |
622 |
$17K |
| 99215 |
Prolong outpt/office vis |
360 |
318 |
$17K |
| 87660 |
|
832 |
633 |
$16K |
| 87389 |
|
1,232 |
1,068 |
$16K |
| 93970 |
|
110 |
95 |
$16K |
| 64484 |
|
62 |
52 |
$16K |
| 86762 |
|
552 |
475 |
$15K |
| 81001 |
|
25,144 |
21,092 |
$15K |
| 97165 |
|
305 |
238 |
$15K |
| 86901 |
|
1,639 |
1,288 |
$15K |
| 87150 |
|
544 |
474 |
$15K |
| 87077 |
|
2,299 |
1,861 |
$15K |
| 84484 |
|
7,646 |
5,726 |
$15K |
| 47562 |
|
16 |
12 |
$15K |
| 85651 |
|
1,789 |
1,429 |
$14K |
| 64634 |
|
72 |
52 |
$14K |
| 74183 |
|
61 |
43 |
$14K |
| 86592 |
|
563 |
444 |
$14K |
| 73560 |
|
701 |
591 |
$13K |
| 97162 |
|
218 |
190 |
$13K |
| 73030 |
|
661 |
558 |
$13K |
| 87522 |
Neg quan hep c or qual rna |
287 |
250 |
$13K |
| 80069 |
|
867 |
716 |
$13K |
| 95811 |
|
33 |
27 |
$13K |
| J3490 |
Drugs unclassified injection |
2,530 |
2,087 |
$13K |
| 82570 |
|
1,696 |
1,425 |
$12K |
| 82805 |
|
423 |
287 |
$12K |
| 86038 |
|
741 |
606 |
$12K |
| 72125 |
|
925 |
726 |
$12K |
| 87637 |
|
1,422 |
1,086 |
$12K |
| 73610 |
|
778 |
636 |
$11K |
| 86364 |
|
591 |
395 |
$11K |
| 96413 |
|
778 |
402 |
$11K |
| 70491 |
|
40 |
26 |
$11K |
| 73721 |
|
64 |
56 |
$11K |
| 88307 |
|
93 |
51 |
$11K |
| 88342 |
|
689 |
431 |
$10K |
| 84153 |
|
642 |
559 |
$10K |
| 73130 |
|
671 |
548 |
$10K |
| 96372 |
|
8,501 |
6,839 |
$10K |
| 84403 |
|
426 |
361 |
$9K |
| 73502 |
|
415 |
367 |
$9K |
| 86706 |
|
557 |
475 |
$9K |
| 84550 |
|
1,134 |
950 |
$9K |
| 72110 |
|
211 |
186 |
$8K |
| 87086 |
|
1,565 |
1,259 |
$8K |
| 83525 |
|
436 |
332 |
$8K |
| 82105 |
|
506 |
464 |
$8K |
| 76770 |
|
66 |
56 |
$8K |
| 93880 |
|
118 |
106 |
$8K |
| 87631 |
|
142 |
135 |
$8K |
| 73562 |
|
148 |
144 |
$7K |
| 87480 |
|
832 |
633 |
$7K |
| 86431 |
|
347 |
285 |
$7K |
| 85610 |
|
7,134 |
5,458 |
$7K |
| 87510 |
|
832 |
633 |
$7K |
| 12001 |
|
44 |
40 |
$7K |
| 77063 |
|
648 |
558 |
$7K |
| 97140 |
|
151 |
51 |
$7K |
| J0131 |
Inj, acetaminophen (nos) |
1,439 |
950 |
$7K |
| 84100 |
|
1,209 |
785 |
$7K |
| 87070 |
|
712 |
596 |
$6K |
| 99203 |
|
76 |
65 |
$6K |
| J8501 |
Oral aprepitant |
485 |
321 |
$6K |
| 83874 |
|
4,884 |
3,278 |
$6K |
| 78815 |
|
15 |
14 |
$6K |
| 72050 |
|
221 |
184 |
$6K |
| 96374 |
|
18,827 |
14,924 |
$6K |
| 82784 |
|
503 |
417 |
$6K |
| 99291 |
|
73 |
52 |
$6K |
| 76830 |
|
328 |
242 |
$6K |
| 86704 |
|
338 |
284 |
$5K |
| 87798 |
|
698 |
299 |
$5K |
| 84480 |
|
137 |
98 |
$5K |
| 82043 |
|
799 |
702 |
$5K |
| 73110 |
|
374 |
320 |
$5K |
| 82565 |
|
922 |
797 |
$5K |
| 77336 |
|
30 |
12 |
$4K |
| 87449 |
|
380 |
325 |
$4K |
| 87641 |
|
290 |
217 |
$4K |
| 83880 |
|
1,479 |
1,193 |
$4K |
| 87338 |
|
236 |
200 |
$4K |
| 86376 |
|
234 |
192 |
$4K |
| 88304 |
|
431 |
307 |
$4K |
| 83993 |
|
198 |
171 |
$4K |
| 78227 |
|
19 |
12 |
$4K |
| 36591 |
|
914 |
351 |
$4K |
| 85730 |
|
5,152 |
4,186 |
$4K |
| 96376 |
|
1,668 |
930 |
$4K |
| Q3014 |
Telehealth facility fee |
326 |
305 |
$4K |
| 84146 |
|
467 |
362 |
$4K |
| 0352U |
|
271 |
260 |
$4K |
| 77066 |
Tomosynthesis, mammo |
89 |
81 |
$4K |
| 76856 |
|
19 |
12 |
$4K |
| 84156 |
|
1,025 |
822 |
$4K |
| 83615 |
|
673 |
504 |
$3K |
| 82947 |
|
600 |
485 |
$3K |
| 83001 |
|
228 |
195 |
$3K |
| 82248 |
|
392 |
291 |
$3K |
| 83690 |
|
7,704 |
6,136 |
$3K |
| 87420 |
|
116 |
114 |
$3K |
| 82951 |
|
173 |
154 |
$3K |
| 87324 |
|
337 |
284 |
$3K |
| 86708 |
|
134 |
109 |
$3K |
| 72072 |
|
117 |
98 |
$3K |
| 70496 |
|
90 |
78 |
$3K |
| 29580 |
|
36 |
12 |
$3K |
| J7040 |
Normal saline solution infus |
4,955 |
2,977 |
$3K |
| 82962 |
|
5,303 |
3,105 |
$3K |
| 96375 |
|
11,908 |
8,938 |
$2K |
| J0735 |
Clonidine hydrochloride |
255 |
235 |
$2K |
| 64633 |
|
72 |
52 |
$2K |
| 01936 |
|
180 |
161 |
$2K |
| 86705 |
|
108 |
81 |
$2K |
| 74019 |
|
43 |
36 |
$2K |
| 80074 |
|
114 |
86 |
$2K |
| 84703 |
|
2,507 |
1,923 |
$2K |
| 84520 |
|
389 |
326 |
$2K |
| 72220 |
|
89 |
81 |
$2K |
| 86480 |
|
52 |
48 |
$2K |
| J7030 |
Normal saline solution infus |
10,093 |
6,997 |
$2K |
| 85045 |
|
250 |
201 |
$2K |
| 83605 |
|
1,304 |
960 |
$2K |
| 76817 |
|
157 |
100 |
$2K |
| 87651 |
|
1,043 |
890 |
$2K |
| 80321 |
|
2,865 |
2,157 |
$2K |
| J2805 |
Sincalide injection |
19 |
12 |
$2K |
| 87329 |
|
121 |
107 |
$1K |
| 73590 |
|
130 |
114 |
$1K |
| 77062 |
|
89 |
81 |
$1K |
| 82670 |
|
103 |
95 |
$1K |
| 73700 |
|
14 |
14 |
$1K |
| 81025 |
|
3,952 |
2,940 |
$1K |
| 84145 |
|
566 |
430 |
$1K |
| 88341 |
|
18 |
14 |
$1K |
| 71101 |
|
69 |
57 |
$1K |
| 87328 |
|
121 |
107 |
$1K |
| 72146 |
|
13 |
12 |
$1K |
| 87804 |
|
3,538 |
1,821 |
$1K |
| 73080 |
|
98 |
80 |
$1K |
| 84481 |
|
40 |
38 |
$1K |
| 82550 |
|
387 |
252 |
$1K |
| 92523 |
|
13 |
13 |
$1K |
| 93226 |
|
12 |
12 |
$1K |
| 96415 |
|
15 |
12 |
$988.56 |
| 82378 |
|
185 |
112 |
$954.62 |
| 87209 |
|
61 |
51 |
$948.38 |
| 85379 |
|
1,101 |
876 |
$870.33 |
| 84436 |
|
581 |
481 |
$775.89 |
| 86701 |
|
70 |
64 |
$764.62 |
| 87040 |
|
725 |
478 |
$761.74 |
| J1815 |
Insulin injection |
305 |
137 |
$741.77 |
| 87075 |
|
147 |
123 |
$731.19 |
| 87071 |
|
185 |
117 |
$716.88 |
| A4649 |
Surgical supplies |
466 |
430 |
$689.79 |
| 87177 |
|
61 |
51 |
$681.65 |
| 86200 |
|
36 |
25 |
$672.51 |
| 72040 |
|
27 |
24 |
$653.20 |
| 82375 |
|
429 |
288 |
$637.64 |
| 82247 |
|
63 |
37 |
$604.33 |
| 80349 |
|
52 |
44 |
$604.26 |
| 90471 |
|
336 |
225 |
$584.66 |
| J1650 |
Inj enoxaparin sodium |
751 |
354 |
$584.48 |
| 74022 |
|
148 |
104 |
$532.40 |
| 87880 |
|
788 |
655 |
$524.45 |
| 86800 |
|
21 |
15 |
$517.86 |
| 83002 |
|
41 |
39 |
$509.77 |
| 93225 |
|
12 |
12 |
$489.21 |
| J2270 |
Morphine sulfate injection |
1,872 |
1,248 |
$489.01 |
| J1170 |
Hydromorphone injection |
2,152 |
1,103 |
$485.82 |
| 87205 |
|
99 |
71 |
$476.92 |
| 84402 |
|
34 |
30 |
$446.78 |
| 84144 |
|
20 |
14 |
$430.15 |
| M0245 |
Bamlan and etesev infusion |
39 |
29 |
$427.38 |
| 82652 |
|
20 |
18 |
$417.36 |
| 84165 |
|
37 |
26 |
$401.28 |
| J3301 |
Triamcinolone acet inj nos |
1,686 |
1,407 |
$393.06 |
| 83630 |
|
22 |
18 |
$385.46 |
| 83050 |
|
421 |
286 |
$383.51 |
| 73521 |
|
12 |
12 |
$353.38 |
| J2060 |
Lorazepam injection |
467 |
293 |
$351.22 |
| 86308 |
|
16 |
12 |
$339.02 |
| J7120 |
Ringers lactate infusion |
2,580 |
1,333 |
$297.98 |
| 86235 |
|
27 |
13 |
$287.88 |
| J2795 |
Ropivacaine hcl injection |
772 |
561 |
$285.02 |
| G0396 |
Alcohol/subs interv 15-30mn |
39 |
38 |
$270.92 |
| 85018 |
|
54 |
39 |
$267.22 |
| 73620 |
|
14 |
12 |
$264.63 |
| 83721 |
|
38 |
28 |
$257.04 |
| 99219 |
|
67 |
29 |
$241.56 |
| 82103 |
|
18 |
12 |
$222.75 |
| J3010 |
Fentanyl citrate injection |
2,850 |
1,839 |
$222.26 |
| A9270 |
Non-covered item or service |
3,181 |
1,161 |
$218.19 |
| J3475 |
Inj magnesium sulfate |
393 |
256 |
$200.86 |
| J1885 |
Ketorolac tromethamine inj |
5,537 |
4,411 |
$195.99 |
| J1200 |
Diphenhydramine hcl injectio |
1,125 |
734 |
$193.71 |
| J2405 |
Ondansetron hcl injection |
9,139 |
6,033 |
$191.72 |
| 82525 |
|
17 |
14 |
$187.38 |
| 82533 |
|
15 |
12 |
$179.06 |
| J2930 |
Methylprednisolone injection |
657 |
496 |
$174.15 |
| 84238 |
|
12 |
12 |
$172.20 |
| 86015 |
|
12 |
12 |
$168.15 |
| 85014 |
|
89 |
65 |
$136.97 |
| J0690 |
Cefazolin sodium injection |
1,586 |
887 |
$126.12 |
| J2469 |
Palonosetron hcl |
24 |
12 |
$124.34 |
| J3370 |
Vancomycin hcl injection |
213 |
117 |
$116.51 |
| 84460 |
|
15 |
12 |
$113.69 |
| J1030 |
Methylprednisolone 40 mg inj |
901 |
833 |
$111.60 |
| J1642 |
Inj heparin sodium per 10 u |
1,474 |
462 |
$102.52 |
| J1644 |
Inj heparin sodium per 1000u |
874 |
379 |
$89.88 |
| J2919 |
Inj, methylpred sod succ 5mg |
353 |
289 |
$72.84 |
| 73140 |
|
21 |
12 |
$70.40 |
| 86318 |
|
12 |
12 |
$67.70 |
| J1040 |
Methylprednisolone 80 mg inj |
596 |
544 |
$56.54 |
| 73090 |
|
46 |
39 |
$52.83 |
| A6021 |
Collagen dressing <=16 sq in |
137 |
85 |
$51.46 |
| J3420 |
Vitamin b12 injection |
77 |
40 |
$49.44 |
| J1100 |
Dexamethasone sodium phos |
1,389 |
1,087 |
$47.21 |
| J0696 |
Ceftriaxone sodium injection |
567 |
364 |
$46.09 |
| 82040 |
|
25 |
25 |
$44.80 |
| C9113 |
Inj pantoprazole sodium, via |
27 |
19 |
$35.74 |
| J2765 |
Metoclopramide hcl injection |
592 |
417 |
$30.80 |
| 82140 |
|
23 |
14 |
$30.28 |
| 99232 |
|
97 |
14 |
$28.18 |
| A6199 |
Alginate drsg wound filler |
136 |
95 |
$27.25 |
| J0780 |
Prochlorperazine injection |
179 |
147 |
$26.47 |
| J0360 |
Hydralazine hcl injection |
72 |
41 |
$25.68 |
| J0136 |
Inj, acetaminophen (b braun) |
62 |
55 |
$20.45 |
| J2704 |
Inj, propofol, 10 mg |
4,161 |
3,036 |
$20.28 |
| J7060 |
5% dextrose/water |
56 |
27 |
$18.96 |
| Q0162 |
Ondansetron oral |
188 |
153 |
$16.84 |
| J7512 |
Prednisone ir or dr oral 1mg |
254 |
224 |
$12.96 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
114 |
81 |
$11.09 |
| J7620 |
Albuterol ipratrop non-comp |
491 |
365 |
$9.12 |
| J3480 |
Inj potassium chloride |
170 |
117 |
$8.78 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,419 |
1,180 |
$5.71 |
| J2001 |
Lidocaine injection |
717 |
542 |
$3.31 |
| J1940 |
Furosemide injection |
17 |
12 |
$1.82 |
| J7613 |
Albuterol non-comp unit |
185 |
144 |
$0.92 |
| J2250 |
Inj midazolam hydrochloride |
48 |
26 |
$0.70 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
266 |
219 |
$0.09 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,982 |
2,599 |
$0.00 |
| A9577 |
Inj multihance |
289 |
251 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,894 |
1,620 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
198 |
179 |
$0.00 |
| 88312 |
|
70 |
64 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
21 |
12 |
$0.00 |
| 00840 |
|
58 |
39 |
$0.00 |
| 99408 |
|
29 |
25 |
$0.00 |
| A9552 |
F18 fdg |
30 |
25 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
39 |
25 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
108 |
99 |
$0.00 |
| J2360 |
Orphenadrine injection |
59 |
51 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
329 |
218 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
166 |
101 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
17 |
15 |
$0.00 |
| A9500 |
Tc99m sestamibi |
117 |
82 |
$0.00 |
| J1790 |
Droperidol injection |
30 |
24 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
67 |
41 |
$0.00 |
| 00790 |
|
17 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
22 |
15 |
$0.00 |