| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
22,588 |
20,731 |
$5.75M |
| 99283 |
|
27,883 |
26,259 |
$5.01M |
| 99285 |
|
10,836 |
9,831 |
$3.43M |
| 74177 |
|
3,456 |
3,264 |
$1.36M |
| G0378 |
Hospital observation per hr |
2,156 |
1,660 |
$859K |
| 96361 |
|
12,982 |
11,041 |
$773K |
| 0241U |
|
4,681 |
4,427 |
$739K |
| 87635 |
|
13,567 |
12,486 |
$727K |
| 96365 |
|
5,971 |
4,857 |
$696K |
| 96375 |
|
11,170 |
9,420 |
$678K |
| 70450 |
|
3,549 |
3,332 |
$665K |
| 93005 |
|
11,108 |
9,517 |
$632K |
| 97110 |
|
9,765 |
2,981 |
$552K |
| 87631 |
|
4,188 |
4,021 |
$550K |
| 96374 |
|
12,139 |
10,832 |
$512K |
| 99282 |
|
4,766 |
4,552 |
$485K |
| 80053 |
|
31,784 |
27,416 |
$430K |
| 71045 |
|
7,522 |
6,877 |
$416K |
| 74176 |
|
1,551 |
1,468 |
$383K |
| 93306 |
|
982 |
950 |
$311K |
| 85025 |
|
34,933 |
28,506 |
$274K |
| 96360 |
|
3,437 |
3,171 |
$256K |
| 71046 |
|
5,025 |
4,645 |
$247K |
| 80307 |
|
4,729 |
4,091 |
$220K |
| 96372 |
|
7,127 |
5,301 |
$218K |
| 73721 |
|
662 |
603 |
$215K |
| 99291 |
|
307 |
295 |
$204K |
| 97140 |
|
5,743 |
2,090 |
$177K |
| 72125 |
|
775 |
740 |
$165K |
| 87651 |
|
4,358 |
4,213 |
$157K |
| 78452 |
|
270 |
257 |
$156K |
| U0002 |
Covid-19 lab test non-cdc |
3,527 |
3,309 |
$153K |
| 71275 |
|
455 |
420 |
$146K |
| 87491 |
|
4,209 |
3,987 |
$145K |
| 87591 |
|
4,184 |
3,984 |
$141K |
| 94640 |
|
1,151 |
934 |
$128K |
| 83690 |
|
12,582 |
11,276 |
$105K |
| 96366 |
|
1,860 |
1,290 |
$105K |
| 73610 |
|
1,031 |
969 |
$102K |
| 84484 |
|
8,672 |
6,509 |
$101K |
| 73562 |
|
1,043 |
971 |
$92K |
| 36415 |
|
16,744 |
12,899 |
$90K |
| 95811 |
|
158 |
152 |
$88K |
| 72148 |
|
344 |
328 |
$86K |
| 71260 |
|
373 |
365 |
$84K |
| 84443 |
|
4,904 |
4,660 |
$83K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,973 |
3,713 |
$80K |
| 87502 |
|
1,089 |
1,040 |
$80K |
| 80306 |
|
6,443 |
5,905 |
$77K |
| 66984 |
|
117 |
112 |
$76K |
| 83735 |
|
10,774 |
9,103 |
$72K |
| 87040 |
|
5,098 |
3,019 |
$72K |
| 83605 |
|
5,539 |
4,334 |
$70K |
| 77067 |
|
516 |
507 |
$69K |
| 87636 |
|
528 |
496 |
$67K |
| 59025 |
|
669 |
466 |
$66K |
| 99281 |
|
980 |
942 |
$65K |
| 87086 |
|
6,685 |
6,158 |
$60K |
| 73630 |
|
967 |
889 |
$59K |
| 81001 |
|
12,575 |
11,534 |
$58K |
| 83880 |
|
2,310 |
2,072 |
$55K |
| G0463 |
Hospital outpt clinic visit |
697 |
502 |
$54K |
| 80048 |
|
5,649 |
4,377 |
$53K |
| 80061 |
|
3,559 |
3,455 |
$51K |
| 70486 |
|
301 |
286 |
$48K |
| J7030 |
Normal saline solution infus |
13,752 |
10,802 |
$47K |
| 83036 |
|
4,867 |
4,715 |
$47K |
| 76705 |
|
492 |
468 |
$47K |
| 73030 |
|
500 |
457 |
$44K |
| 87389 |
|
2,114 |
2,048 |
$43K |
| 88305 |
|
976 |
820 |
$43K |
| 82077 |
|
1,928 |
1,726 |
$41K |
| 73130 |
|
664 |
612 |
$38K |
| 96376 |
|
2,478 |
1,781 |
$37K |
| 82652 |
|
834 |
818 |
$37K |
| 81025 |
|
4,266 |
4,015 |
$36K |
| 87804 |
|
2,782 |
1,302 |
$35K |
| 85007 |
|
6,959 |
6,002 |
$32K |
| 82948 |
|
7,655 |
4,149 |
$31K |
| J2785 |
Regadenoson injection |
227 |
218 |
$31K |
| 84703 |
|
3,001 |
2,817 |
$29K |
| 85610 |
|
5,159 |
4,499 |
$27K |
| 73110 |
|
475 |
441 |
$27K |
| 96367 |
|
744 |
619 |
$27K |
| 85027 |
|
3,749 |
3,342 |
$27K |
| 82306 |
|
793 |
775 |
$25K |
| 97161 |
|
637 |
614 |
$24K |
| 97162 |
|
492 |
470 |
$23K |
| 83655 |
|
1,708 |
1,663 |
$23K |
| 73221 |
|
95 |
87 |
$23K |
| 29125 |
|
214 |
211 |
$23K |
| 97010 |
|
1,657 |
708 |
$22K |
| 74018 |
|
394 |
381 |
$22K |
| 71250 |
|
126 |
122 |
$21K |
| 85379 |
|
1,938 |
1,783 |
$21K |
| 70553 |
|
34 |
33 |
$21K |
| 72100 |
|
284 |
275 |
$20K |
| 76811 |
|
125 |
118 |
$20K |
| 87430 |
|
1,380 |
1,306 |
$18K |
| G0123 |
Screen cerv/vag thin layer |
1,077 |
1,051 |
$18K |
| G0379 |
Direct refer hospital observ |
108 |
100 |
$18K |
| 86900 |
|
1,627 |
1,472 |
$17K |
| 87186 |
|
1,614 |
1,510 |
$16K |
| J3490 |
Drugs unclassified injection |
3,365 |
2,068 |
$16K |
| 90471 |
|
694 |
675 |
$16K |
| 76805 |
|
163 |
159 |
$15K |
| 74021 |
|
183 |
171 |
$15K |
| 87081 |
|
1,901 |
1,792 |
$15K |
| 70551 |
|
73 |
72 |
$15K |
| 82140 |
|
1,026 |
910 |
$14K |
| 86592 |
|
2,152 |
2,074 |
$14K |
| 87340 |
|
1,196 |
1,165 |
$14K |
| 87077 |
|
1,754 |
1,627 |
$13K |
| 73564 |
|
111 |
108 |
$13K |
| 87070 |
|
1,289 |
1,189 |
$13K |
| 86850 |
|
1,471 |
1,360 |
$13K |
| 86769 |
|
452 |
437 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
3,307 |
2,530 |
$12K |
| 82803 |
|
600 |
544 |
$12K |
| 81003 |
|
5,019 |
4,641 |
$12K |
| 84439 |
|
1,132 |
1,080 |
$12K |
| 86803 |
|
758 |
737 |
$11K |
| 97032 |
|
873 |
413 |
$11K |
| 85730 |
|
2,412 |
2,195 |
$10K |
| 86140 |
|
1,712 |
1,478 |
$10K |
| 82550 |
|
1,374 |
1,259 |
$10K |
| 76801 |
|
98 |
97 |
$9K |
| 77080 |
|
90 |
86 |
$8K |
| J7120 |
Ringers lactate infusion |
2,788 |
2,409 |
$8K |
| J2405 |
Ondansetron hcl injection |
8,686 |
7,594 |
$7K |
| 84145 |
|
352 |
318 |
$7K |
| 76700 |
|
65 |
65 |
$7K |
| 94060 |
|
67 |
66 |
$7K |
| 97035 |
|
237 |
133 |
$7K |
| 84702 |
|
399 |
322 |
$7K |
| 87210 |
|
1,016 |
970 |
$7K |
| 86756 |
|
431 |
408 |
$6K |
| J7040 |
Normal saline solution infus |
1,942 |
1,785 |
$6K |
| J2270 |
Morphine sulfate injection |
3,854 |
2,995 |
$6K |
| 86901 |
|
1,627 |
1,472 |
$6K |
| 86762 |
|
434 |
420 |
$6K |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$6K |
| 90715 |
|
557 |
542 |
$6K |
| 73140 |
|
92 |
86 |
$6K |
| 99292 |
|
34 |
33 |
$5K |
| 80329 |
|
615 |
446 |
$5K |
| 76000 |
|
63 |
58 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
5,412 |
4,912 |
$5K |
| 84100 |
|
1,028 |
825 |
$5K |
| J7050 |
Normal saline solution infus |
2,665 |
2,075 |
$5K |
| 80076 |
|
419 |
365 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,313 |
1,174 |
$4K |
| 84466 |
|
343 |
328 |
$4K |
| 43239 |
|
15 |
12 |
$4K |
| 73080 |
|
71 |
67 |
$4K |
| 76856 |
|
54 |
51 |
$4K |
| 82139 |
|
246 |
228 |
$4K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
645 |
615 |
$4K |
| J2560 |
Phenobarbital sodium inj |
177 |
157 |
$4K |
| 87205 |
|
831 |
743 |
$4K |
| 82728 |
|
282 |
261 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,958 |
1,736 |
$4K |
| J0690 |
Cefazolin sodium injection |
889 |
745 |
$3K |
| J3411 |
Thiamine hcl 100 mg |
1,272 |
1,102 |
$3K |
| A9502 |
Tc99m tetrofosmin |
214 |
206 |
$3K |
| 80074 |
|
60 |
56 |
$3K |
| 82607 |
|
184 |
182 |
$3K |
| 83540 |
|
398 |
374 |
$3K |
| 74019 |
|
27 |
27 |
$3K |
| 87801 |
|
37 |
36 |
$3K |
| H0049 |
Alcohol/drug screening |
69 |
69 |
$3K |
| 85651 |
|
902 |
781 |
$3K |
| 95812 |
|
12 |
12 |
$3K |
| 88312 |
|
28 |
25 |
$3K |
| 87624 |
|
317 |
309 |
$3K |
| 73090 |
|
42 |
40 |
$2K |
| 12001 |
|
28 |
27 |
$2K |
| 80143 |
|
111 |
100 |
$2K |
| 82150 |
|
249 |
238 |
$2K |
| 51701 |
|
30 |
29 |
$2K |
| 80179 |
|
96 |
85 |
$2K |
| 73502 |
|
44 |
39 |
$2K |
| 82950 |
|
365 |
355 |
$2K |
| 86920 |
|
16 |
13 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,845 |
1,747 |
$2K |
| J2543 |
Piperacillin/tazobactam |
239 |
165 |
$2K |
| 88304 |
|
80 |
70 |
$2K |
| 71101 |
|
27 |
25 |
$2K |
| J3475 |
Inj magnesium sulfate |
416 |
373 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,197 |
1,127 |
$2K |
| J2060 |
Lorazepam injection |
2,026 |
1,715 |
$2K |
| S0119 |
Ondansetron 4 mg |
483 |
454 |
$2K |
| 92507 |
|
28 |
12 |
$2K |
| 82009 |
|
357 |
317 |
$2K |
| 97530 |
|
14 |
12 |
$2K |
| 94726 |
|
24 |
24 |
$2K |
| 93971 |
|
24 |
24 |
$2K |
| 88738 |
|
295 |
269 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
1,339 |
604 |
$1K |
| 96160 |
|
35 |
35 |
$1K |
| 80069 |
|
106 |
83 |
$1K |
| V2632 |
Post chmbr intraocular lens |
89 |
85 |
$1K |
| 51798 |
|
17 |
16 |
$872.76 |
| 87150 |
|
29 |
27 |
$868.58 |
| 82043 |
|
101 |
99 |
$849.95 |
| Q0162 |
Ondansetron oral |
188 |
185 |
$830.18 |
| 81015 |
|
394 |
370 |
$829.97 |
| 82105 |
|
39 |
37 |
$765.91 |
| 82951 |
|
55 |
55 |
$761.33 |
| 82570 |
|
113 |
110 |
$736.53 |
| 73590 |
|
14 |
14 |
$709.27 |
| 94729 |
|
24 |
24 |
$596.07 |
| 76817 |
|
12 |
12 |
$588.82 |
| 94760 |
|
921 |
647 |
$586.05 |
| 97164 |
|
19 |
19 |
$537.03 |
| J7613 |
Albuterol non-comp unit |
638 |
563 |
$530.28 |
| S0164 |
Injection pantroprazole |
181 |
164 |
$523.73 |
| 82947 |
|
105 |
92 |
$495.50 |
| G0480 |
Drug test def 1-7 classes |
30 |
27 |
$487.11 |
| J2001 |
Lidocaine injection |
548 |
516 |
$457.36 |
| J0280 |
Aminophyllin 250 mg inj |
113 |
108 |
$363.14 |
| 82746 |
|
27 |
26 |
$361.96 |
| 84460 |
|
56 |
49 |
$357.82 |
| J1200 |
Diphenhydramine hcl injectio |
433 |
393 |
$352.64 |
| J3370 |
Vancomycin hcl injection |
137 |
123 |
$340.83 |
| J0612 |
Inj, calcium gluconate, nos |
52 |
50 |
$317.35 |
| 85018 |
|
96 |
94 |
$316.80 |
| 86787 |
|
25 |
25 |
$295.63 |
| J7644 |
Ipratropium bromide non-comp |
493 |
433 |
$291.59 |
| A9579 |
Gad-base mr contrast nos,1ml |
29 |
28 |
$268.59 |
| J1170 |
Hydromorphone injection |
148 |
118 |
$265.79 |
| J2550 |
Promethazine hcl injection |
433 |
396 |
$255.37 |
| J0136 |
Inj, acetaminophen (b braun) |
58 |
52 |
$249.32 |
| 84153 |
|
12 |
12 |
$232.75 |
| 84481 |
|
13 |
13 |
$224.80 |
| J2930 |
Methylprednisolone injection |
91 |
82 |
$200.18 |
| J7626 |
Budesonide non-comp unit |
26 |
26 |
$197.61 |
| J2710 |
Neostigmine methylslfte inj |
15 |
12 |
$190.23 |
| 83615 |
|
46 |
40 |
$181.49 |
| J1650 |
Inj enoxaparin sodium |
80 |
41 |
$169.87 |
| J0780 |
Prochlorperazine injection |
29 |
26 |
$138.84 |
| J3480 |
Inj potassium chloride |
14 |
13 |
$134.60 |
| 36416 |
|
262 |
252 |
$116.56 |
| J2272 |
Inj, morphine (fresenius) |
98 |
81 |
$109.38 |
| Q0163 |
Diphenhydramine hcl 50mg |
63 |
63 |
$103.96 |
| J0171 |
Adrenalin epinephrine inject |
85 |
81 |
$92.07 |
| J1815 |
Insulin injection |
281 |
158 |
$91.39 |
| J2765 |
Metoclopramide hcl injection |
122 |
110 |
$90.38 |
| 82272 |
|
25 |
24 |
$89.35 |
| 82270 |
|
33 |
29 |
$87.56 |
| 84450 |
|
14 |
12 |
$86.82 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
14 |
$63.03 |
| 84550 |
|
13 |
12 |
$58.30 |
| 93010 |
|
303 |
187 |
$46.86 |
| 82962 |
|
12 |
12 |
$40.51 |
| J7512 |
Prednisone ir or dr oral 1mg |
137 |
129 |
$34.97 |
| J7611 |
Albuterol non-comp con |
97 |
92 |
$27.47 |
| U0003 |
Cov-19 amp prb hgh thruput |
59 |
55 |
$19.28 |
| C9399 |
Unclassified drugs or biolog |
22 |
21 |
$6.87 |
| G8978 |
Mobility current status |
180 |
162 |
$0.93 |
| G8979 |
Mobility goal status |
181 |
162 |
$0.84 |
| G8985 |
Carry goal status |
46 |
40 |
$0.15 |
| G8984 |
Carry current status |
47 |
41 |
$0.15 |