| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
13,718 |
12,073 |
$10.51M |
| 99283 |
|
19,410 |
17,095 |
$9.20M |
| 99284 |
|
13,431 |
12,177 |
$7.76M |
| G0378 |
Hospital observation per hr |
3,080 |
2,596 |
$3.51M |
| 99282 |
|
6,485 |
5,877 |
$2.39M |
| L8699 |
Prosthetic implant nos |
1,224 |
1,099 |
$2.21M |
| 74177 |
|
3,016 |
2,842 |
$1.68M |
| 74176 |
|
1,855 |
1,756 |
$768K |
| 97110 |
|
21,597 |
8,814 |
$677K |
| 99281 |
|
2,177 |
1,946 |
$665K |
| 43239 |
|
1,617 |
1,532 |
$650K |
| 80061 |
|
15,274 |
14,696 |
$380K |
| 97140 |
|
14,204 |
5,984 |
$328K |
| 93306 |
|
2,532 |
2,436 |
$327K |
| G0463 |
Hospital outpt clinic visit |
50,530 |
39,433 |
$281K |
| 77067 |
|
3,319 |
3,260 |
$280K |
| 84443 |
|
9,566 |
9,124 |
$221K |
| 88305 |
|
5,013 |
4,678 |
$215K |
| 87491 |
|
3,369 |
3,234 |
$201K |
| 45380 |
|
375 |
366 |
$172K |
| J0897 |
Denosumab injection |
237 |
208 |
$144K |
| 82306 |
|
2,623 |
2,497 |
$144K |
| 93005 |
|
25,121 |
21,600 |
$140K |
| 45385 |
|
243 |
229 |
$140K |
| 87389 |
|
1,575 |
1,503 |
$136K |
| A4649 |
Surgical supplies |
47,618 |
33,295 |
$130K |
| 97161 |
|
3,424 |
3,245 |
$124K |
| 80053 |
|
40,711 |
35,329 |
$110K |
| 71046 |
|
8,216 |
7,721 |
$101K |
| 96365 |
|
7,478 |
3,962 |
$100K |
| 87186 |
|
4,417 |
4,181 |
$82K |
| 71250 |
|
656 |
631 |
$70K |
| 70450 |
|
4,101 |
3,797 |
$67K |
| 87624 |
|
1,228 |
1,201 |
$60K |
| 71275 |
|
836 |
792 |
$54K |
| 76770 |
|
1,036 |
1,010 |
$52K |
| 97165 |
|
1,790 |
1,683 |
$50K |
| 73522 |
|
772 |
740 |
$46K |
| 96361 |
|
4,897 |
4,042 |
$45K |
| 96374 |
|
13,227 |
10,582 |
$45K |
| 80307 |
|
2,437 |
2,177 |
$40K |
| 84153 |
|
1,664 |
1,603 |
$40K |
| 96413 |
|
2,611 |
1,462 |
$40K |
| 86235 |
|
675 |
368 |
$40K |
| 71260 |
|
575 |
541 |
$39K |
| 96366 |
|
2,509 |
1,164 |
$38K |
| 73030 |
|
2,356 |
2,088 |
$36K |
| 88175 |
|
2,305 |
2,263 |
$34K |
| 83516 |
|
580 |
395 |
$33K |
| 83655 |
|
1,886 |
1,853 |
$30K |
| 76536 |
|
613 |
593 |
$30K |
| 73562 |
|
2,217 |
1,759 |
$30K |
| 76705 |
|
780 |
745 |
$30K |
| 99211 |
|
2,109 |
1,412 |
$29K |
| 85025 |
|
49,210 |
39,447 |
$26K |
| 80048 |
|
15,097 |
12,615 |
$24K |
| 70553 |
|
67 |
63 |
$24K |
| 73564 |
|
1,145 |
752 |
$24K |
| 93017 |
|
677 |
658 |
$24K |
| G0423 |
Intens cardiac rehab no exer |
89 |
13 |
$23K |
| 73630 |
|
1,704 |
1,495 |
$22K |
| 83880 |
|
4,097 |
3,631 |
$21K |
| 70551 |
|
159 |
155 |
$21K |
| 73130 |
|
1,345 |
1,066 |
$20K |
| 96367 |
|
2,218 |
1,175 |
$20K |
| 83036 |
|
14,563 |
13,987 |
$19K |
| 76700 |
|
331 |
320 |
$19K |
| J0696 |
Ceftriaxone sodium injection |
6,303 |
4,079 |
$19K |
| 87086 |
|
7,615 |
7,047 |
$17K |
| 87502 |
|
2,949 |
2,818 |
$17K |
| M0243 |
Casirivi and imdevi inj |
41 |
39 |
$17K |
| 86003 |
|
204 |
112 |
$16K |
| 80055 |
|
92 |
90 |
$16K |
| 82607 |
|
2,269 |
2,196 |
$16K |
| 96372 |
|
9,855 |
6,959 |
$15K |
| 73610 |
|
1,140 |
1,009 |
$14K |
| 90662 |
|
485 |
476 |
$13K |
| 72100 |
|
735 |
714 |
$13K |
| 92083 |
|
366 |
353 |
$13K |
| 93971 |
|
245 |
230 |
$13K |
| 86160 |
|
337 |
327 |
$12K |
| 36591 |
|
1,117 |
822 |
$12K |
| 82728 |
|
1,398 |
1,322 |
$11K |
| 71045 |
|
8,331 |
7,394 |
$11K |
| 92134 |
|
966 |
901 |
$10K |
| Q9957 |
Inj perflutren lip micros,ml |
365 |
352 |
$10K |
| 94010 |
|
305 |
293 |
$9K |
| 81513 |
|
27 |
27 |
$9K |
| 97112 |
|
426 |
275 |
$9K |
| 86803 |
|
457 |
442 |
$8K |
| 87081 |
|
1,546 |
1,503 |
$8K |
| 74018 |
|
446 |
403 |
$8K |
| 72110 |
|
198 |
194 |
$8K |
| 92014 |
|
828 |
817 |
$8K |
| 96360 |
|
827 |
693 |
$7K |
| 87070 |
|
3,061 |
2,888 |
$7K |
| 86480 |
|
42 |
42 |
$7K |
| 87077 |
|
6,376 |
4,810 |
$7K |
| 97530 |
|
613 |
401 |
$6K |
| 76642 |
|
237 |
199 |
$6K |
| 73110 |
|
493 |
449 |
$6K |
| 85027 |
|
1,284 |
1,178 |
$6K |
| 97162 |
|
116 |
114 |
$6K |
| 86850 |
|
1,822 |
1,586 |
$6K |
| A4300 |
Cath impl vasc access portal |
14,403 |
12,403 |
$5K |
| 36430 |
|
81 |
48 |
$5K |
| 73502 |
|
260 |
254 |
$5K |
| 93976 |
|
54 |
53 |
$5K |
| 96375 |
|
10,640 |
8,113 |
$5K |
| 88341 |
|
65 |
52 |
$4K |
| 81001 |
|
15,683 |
14,297 |
$4K |
| 85379 |
|
2,078 |
1,978 |
$4K |
| 88112 |
|
128 |
116 |
$4K |
| 85610 |
|
11,832 |
9,726 |
$4K |
| 87651 |
|
253 |
242 |
$4K |
| 77080 |
|
73 |
72 |
$3K |
| 87635 |
|
3,883 |
3,619 |
$3K |
| 87075 |
|
1,069 |
1,009 |
$3K |
| 88304 |
|
170 |
161 |
$3K |
| 73560 |
|
224 |
190 |
$3K |
| 86334 |
|
130 |
124 |
$3K |
| 87591 |
|
3,203 |
3,073 |
$3K |
| 84703 |
|
615 |
582 |
$3K |
| 80076 |
|
2,085 |
1,932 |
$3K |
| 94060 |
|
74 |
67 |
$3K |
| 84702 |
|
265 |
223 |
$3K |
| A9270 |
Non-covered item or service |
5,908 |
2,177 |
$3K |
| 84403 |
|
53 |
51 |
$3K |
| 78452 |
|
13 |
13 |
$3K |
| 86038 |
|
1,062 |
1,021 |
$3K |
| 0241U |
|
90 |
90 |
$2K |
| 82043 |
|
3,637 |
3,506 |
$2K |
| 93990 |
|
49 |
49 |
$2K |
| 87804 |
|
1,709 |
1,331 |
$2K |
| 97116 |
|
1,059 |
650 |
$2K |
| 71101 |
|
241 |
229 |
$2K |
| 83550 |
|
1,577 |
1,503 |
$2K |
| 87040 |
|
4,368 |
3,887 |
$2K |
| Q3014 |
Telehealth facility fee |
723 |
636 |
$2K |
| 87480 |
|
74 |
70 |
$2K |
| 70486 |
|
58 |
56 |
$2K |
| J3490 |
Drugs unclassified injection |
29,649 |
9,582 |
$2K |
| 82378 |
|
99 |
88 |
$2K |
| 84484 |
|
8,902 |
7,304 |
$1K |
| 94729 |
|
274 |
261 |
$1K |
| 87899 |
|
149 |
110 |
$1K |
| 86920 |
|
92 |
77 |
$1K |
| 94726 |
|
28 |
24 |
$1K |
| 74022 |
|
275 |
259 |
$1K |
| 73140 |
|
105 |
102 |
$969.47 |
| 86140 |
|
4,277 |
3,948 |
$934.27 |
| 72050 |
|
25 |
25 |
$890.19 |
| 94640 |
|
2,303 |
1,619 |
$868.80 |
| 92133 |
|
242 |
227 |
$862.15 |
| 84439 |
|
3,212 |
3,047 |
$860.35 |
| 87880 |
|
260 |
252 |
$767.87 |
| 90715 |
|
1,260 |
1,217 |
$752.32 |
| A4550 |
Surgical trays |
2,561 |
2,185 |
$726.66 |
| 72125 |
|
129 |
120 |
$704.46 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$702.38 |
| C9803 |
Hopd covid-19 spec collect |
367 |
354 |
$700.56 |
| 83690 |
|
7,178 |
6,408 |
$687.91 |
| 86225 |
|
415 |
398 |
$676.23 |
| 82565 |
|
1,787 |
1,650 |
$605.81 |
| 83605 |
|
5,929 |
5,050 |
$585.22 |
| 86255 |
|
39 |
38 |
$553.04 |
| 85730 |
|
2,613 |
2,406 |
$515.78 |
| U0003 |
Cov-19 amp prb hgh thruput |
916 |
785 |
$497.23 |
| 82570 |
|
4,214 |
4,046 |
$484.59 |
| 83735 |
|
6,271 |
5,007 |
$482.76 |
| 82784 |
|
400 |
213 |
$468.51 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,473 |
6,593 |
$457.96 |
| 0450 |
|
12 |
12 |
$431.38 |
| 85014 |
|
1,876 |
1,451 |
$430.52 |
| 72040 |
|
26 |
24 |
$427.65 |
| 84165 |
|
396 |
370 |
$424.85 |
| J1885 |
Ketorolac tromethamine inj |
4,605 |
4,015 |
$411.50 |
| 81025 |
|
3,157 |
2,946 |
$410.41 |
| J2405 |
Ondansetron hcl injection |
7,799 |
6,434 |
$400.73 |
| 84550 |
|
2,041 |
1,845 |
$379.20 |
| 83001 |
|
12 |
12 |
$359.56 |
| 82533 |
|
65 |
49 |
$333.27 |
| 36415 |
|
58,056 |
48,216 |
$327.53 |
| 85018 |
|
2,351 |
1,904 |
$313.67 |
| 82550 |
|
2,385 |
2,187 |
$302.16 |
| 73080 |
|
13 |
12 |
$294.24 |
| 82746 |
|
301 |
283 |
$293.15 |
| J0131 |
Inj, acetaminophen (nos) |
1,250 |
1,040 |
$292.79 |
| 86200 |
|
120 |
118 |
$282.40 |
| E0114 |
Crutch underarm pair no wood |
119 |
117 |
$269.35 |
| 86592 |
|
911 |
873 |
$257.84 |
| 90832 |
|
27 |
25 |
$255.74 |
| 96376 |
|
4,188 |
2,661 |
$231.12 |
| 81003 |
|
1,421 |
1,351 |
$230.89 |
| 36592 |
|
275 |
248 |
$216.41 |
| 82950 |
|
82 |
81 |
$212.99 |
| 84460 |
|
1,054 |
1,001 |
$186.54 |
| 82803 |
|
814 |
744 |
$185.47 |
| J1100 |
Dexamethasone sodium phos |
5,335 |
4,179 |
$183.00 |
| J1200 |
Diphenhydramine hcl injectio |
2,242 |
1,684 |
$162.26 |
| J1815 |
Insulin injection |
764 |
506 |
$157.38 |
| J2270 |
Morphine sulfate injection |
2,123 |
1,664 |
$149.04 |
| 88342 |
|
629 |
563 |
$144.78 |
| J1170 |
Hydromorphone injection |
1,790 |
1,440 |
$143.89 |
| J2919 |
Inj, methylpred sod succ 5mg |
88 |
71 |
$139.05 |
| 84132 |
|
424 |
381 |
$129.51 |
| 20610 |
|
38 |
29 |
$114.40 |
| 86706 |
|
58 |
56 |
$110.74 |
| J3010 |
Fentanyl citrate injection |
6,855 |
5,974 |
$106.00 |
| 80069 |
|
43 |
28 |
$89.31 |
| 85651 |
|
4,552 |
4,229 |
$80.90 |
| J0780 |
Prochlorperazine injection |
975 |
891 |
$78.02 |
| 86901 |
|
2,004 |
1,653 |
$73.61 |
| J2060 |
Lorazepam injection |
1,351 |
1,141 |
$73.07 |
| 73600 |
|
15 |
12 |
$70.28 |
| 80051 |
|
209 |
194 |
$69.81 |
| U0002 |
Covid-19 lab test non-cdc |
192 |
175 |
$68.00 |
| 90471 |
|
1,691 |
1,627 |
$64.92 |
| J1642 |
Inj heparin sodium per 10 u |
7,044 |
1,788 |
$64.32 |
| J2930 |
Methylprednisolone injection |
879 |
746 |
$58.85 |
| 87184 |
|
2,475 |
2,345 |
$54.15 |
| 87088 |
|
244 |
210 |
$50.18 |
| 83615 |
|
573 |
383 |
$44.15 |
| 82947 |
|
909 |
865 |
$43.03 |
| 82785 |
|
39 |
39 |
$42.88 |
| J2704 |
Inj, propofol, 10 mg |
7,283 |
6,465 |
$42.81 |
| A4217 |
Sterile water/saline, 500 ml |
1,045 |
985 |
$39.86 |
| G0008 |
Admin influenza virus vac |
1,349 |
1,339 |
$31.77 |
| J0500 |
Dicyclomine injection |
77 |
75 |
$29.90 |
| J2543 |
Piperacillin/tazobactam |
547 |
351 |
$29.58 |
| 83540 |
|
1,649 |
1,571 |
$29.38 |
| 84100 |
|
1,651 |
1,325 |
$26.82 |
| J2765 |
Metoclopramide hcl injection |
830 |
710 |
$26.54 |
| 69210 |
|
38 |
36 |
$25.92 |
| 94761 |
|
12 |
12 |
$25.27 |
| J1650 |
Inj enoxaparin sodium |
296 |
149 |
$24.74 |
| J1644 |
Inj heparin sodium per 1000u |
2,565 |
1,390 |
$22.63 |
| J2250 |
Inj midazolam hydrochloride |
4,011 |
3,663 |
$22.17 |
| 80305 |
|
27 |
27 |
$21.11 |
| 87340 |
|
88 |
85 |
$17.98 |
| 94644 |
|
208 |
191 |
$17.00 |
| 36416 |
|
1,771 |
1,686 |
$14.75 |
| J0137 |
Inj, acetaminophen (hikma) |
486 |
386 |
$14.11 |
| J3475 |
Inj magnesium sulfate |
425 |
340 |
$13.86 |
| J1790 |
Droperidol injection |
15 |
12 |
$13.41 |
| J0171 |
Adrenalin epinephrine inject |
212 |
178 |
$12.96 |
| 86900 |
|
1,994 |
1,642 |
$12.30 |
| 92567 |
|
52 |
50 |
$11.70 |
| 97035 |
|
201 |
116 |
$10.42 |
| 84295 |
|
61 |
53 |
$9.65 |
| J0330 |
Succinycholine chloride inj |
15 |
13 |
$9.61 |
| J7512 |
Prednisone ir or dr oral 1mg |
750 |
565 |
$9.18 |
| 84156 |
|
168 |
161 |
$6.39 |
| A6402 |
Sterile gauze <= 16 sq in |
397 |
352 |
$6.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
311 |
298 |
$4.20 |
| J2004 |
Inj, lidocaine w epinephrine |
35 |
34 |
$3.15 |
| A9585 |
Gadobutrol injection |
527 |
493 |
$3.12 |
| A4620 |
Variable concentration mask |
1,780 |
1,643 |
$1.88 |
| A4215 |
Sterile needle |
2,760 |
2,062 |
$1.65 |
| A6446 |
Conform band s w>=3" <5"/yd |
47 |
27 |
$1.64 |
| J1940 |
Furosemide injection |
1,376 |
959 |
$1.01 |
| J7120 |
Ringers lactate infusion |
1,178 |
1,089 |
$0.50 |
| J0690 |
Cefazolin sodium injection |
2,656 |
2,022 |
$0.00 |
| A7521 |
Trach/laryn tube cuffed |
408 |
373 |
$0.00 |
| 77063 |
|
827 |
810 |
$0.00 |
| J7050 |
Normal saline solution infus |
2,873 |
1,484 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
15 |
12 |
$0.00 |
| 90686 |
|
936 |
924 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| A4467 |
Belt strap sleev grmnt cover |
1,362 |
1,263 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,028 |
844 |
$0.00 |
| A4556 |
Electrodes, pair |
1,641 |
1,511 |
$0.00 |
| 51798 |
|
319 |
309 |
$0.00 |
| C1769 |
Guide wire |
31 |
28 |
$0.00 |
| A4351 |
Straight tip urine catheter |
268 |
182 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
152 |
141 |
$0.00 |
| 80320 |
|
70 |
63 |
$0.00 |
| 96415 |
|
226 |
151 |
$0.00 |
| 87205 |
|
256 |
242 |
$0.00 |
| 88738 |
|
32 |
29 |
$0.00 |
| A4616 |
Tubing (oxygen) per foot |
73 |
67 |
$0.00 |
| 87046 |
|
63 |
56 |
$0.00 |
| A4209 |
5+ cc sterile syringe&needle |
117 |
101 |
$0.00 |
| 87661 |
|
54 |
52 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
203 |
185 |
$0.00 |
| 90656 |
|
57 |
57 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
37 |
36 |
$0.00 |
| J1626 |
Granisetron hcl injection |
14 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
41 |
30 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
21 |
14 |
$0.00 |
| 87015 |
|
58 |
53 |
$0.00 |
| 87510 |
|
74 |
70 |
$0.00 |
| G8988 |
Self care goal status |
16 |
12 |
$0.00 |
| 84160 |
|
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| 77001 |
|
13 |
12 |
$0.00 |
| A4618 |
Breathing circuits |
1,552 |
1,423 |
$0.00 |
| 86431 |
|
751 |
726 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
920 |
484 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
14 |
14 |
$0.00 |
| 84450 |
|
859 |
817 |
$0.00 |
| 87660 |
|
74 |
70 |
$0.00 |
| 84520 |
|
311 |
296 |
$0.00 |
| 10060 |
|
39 |
37 |
$0.00 |
| 82948 |
|
96 |
94 |
$0.00 |
| 87045 |
|
63 |
56 |
$0.00 |
| 84145 |
|
18 |
17 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
65 |
40 |
$0.00 |
| 89051 |
|
28 |
24 |
$0.00 |
| 86039 |
|
42 |
41 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
98 |
96 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
48 |
44 |
$0.00 |
| G8978 |
Mobility current status |
112 |
110 |
$0.00 |
| 90833 |
|
299 |
273 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
38 |
31 |
$0.00 |
| G8979 |
Mobility goal status |
138 |
124 |
$0.00 |
| J7040 |
Normal saline solution infus |
54 |
29 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
14 |
14 |
$0.00 |
| 82310 |
|
12 |
12 |
$0.00 |
| A6258 |
Transparent film >16<=48 in |
80 |
39 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
13 |
12 |
$0.00 |
| 87481 |
|
42 |
39 |
$0.00 |
| 92557 |
|
13 |
13 |
$0.00 |
| 82010 |
|
40 |
37 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
57 |
50 |
$0.00 |
| G0422 |
Intens cardiac rehab w/exerc |
90 |
13 |
$0.00 |
| 84425 |
|
13 |
12 |
$0.00 |