| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
12,282 |
10,878 |
$1.61M |
| 99283 |
|
11,449 |
10,518 |
$1.35M |
| 96361 |
|
2,721 |
2,214 |
$799K |
| 97110 |
|
8,884 |
2,340 |
$664K |
| 99213 |
|
3,590 |
3,324 |
$353K |
| 99212 |
|
3,446 |
3,187 |
$333K |
| 74177 |
|
1,305 |
1,086 |
$321K |
| 0241U |
|
2,586 |
2,264 |
$296K |
| 92507 |
|
3,565 |
1,056 |
$265K |
| 99285 |
|
2,208 |
1,823 |
$264K |
| 64483 |
|
474 |
434 |
$258K |
| 96365 |
|
1,395 |
843 |
$225K |
| 70450 |
|
985 |
830 |
$218K |
| 99214 |
|
2,447 |
2,212 |
$214K |
| 97530 |
|
2,565 |
708 |
$212K |
| 80053 |
|
15,833 |
13,427 |
$169K |
| 99282 |
|
1,707 |
1,586 |
$157K |
| 99211 |
|
1,751 |
1,344 |
$139K |
| G0378 |
Hospital observation per hr |
2,276 |
890 |
$118K |
| 74176 |
|
389 |
335 |
$111K |
| 96360 |
|
442 |
351 |
$99K |
| 43239 |
|
203 |
169 |
$92K |
| 97140 |
|
3,415 |
1,033 |
$81K |
| 71275 |
|
285 |
244 |
$74K |
| 94640 |
|
695 |
416 |
$66K |
| 84443 |
|
3,559 |
3,149 |
$65K |
| 85025 |
|
22,366 |
17,793 |
$58K |
| 59025 |
|
336 |
238 |
$52K |
| 80061 |
|
3,379 |
3,076 |
$44K |
| U0002 |
Covid-19 lab test non-cdc |
1,493 |
1,447 |
$41K |
| 95886 |
|
107 |
103 |
$40K |
| 93306 |
|
172 |
153 |
$39K |
| 11042 |
|
340 |
200 |
$38K |
| 80048 |
|
4,077 |
3,178 |
$37K |
| 97161 |
|
653 |
586 |
$37K |
| 36415 |
|
17,225 |
12,914 |
$36K |
| G0463 |
Hospital outpt clinic visit |
2,132 |
1,839 |
$31K |
| 83036 |
|
2,563 |
2,303 |
$30K |
| 96366 |
|
151 |
84 |
$29K |
| 71046 |
|
894 |
813 |
$29K |
| 97162 |
|
580 |
495 |
$28K |
| 76705 |
|
262 |
237 |
$27K |
| 87088 |
|
3,999 |
3,466 |
$26K |
| 82306 |
|
1,094 |
984 |
$23K |
| 77063 |
|
501 |
465 |
$23K |
| 64493 |
|
29 |
26 |
$22K |
| 97597 |
|
231 |
146 |
$22K |
| 74018 |
|
397 |
345 |
$19K |
| 82607 |
|
1,115 |
978 |
$19K |
| 87491 |
|
524 |
476 |
$18K |
| 82728 |
|
1,301 |
1,188 |
$18K |
| 85027 |
|
1,987 |
1,694 |
$17K |
| 84439 |
|
798 |
701 |
$15K |
| 80307 |
|
701 |
624 |
$13K |
| 80051 |
|
620 |
445 |
$12K |
| 84484 |
|
4,955 |
3,481 |
$12K |
| 87077 |
|
1,297 |
979 |
$11K |
| 93005 |
|
7,128 |
5,496 |
$10K |
| 87653 |
|
188 |
177 |
$10K |
| 86803 |
|
553 |
492 |
$10K |
| 86703 |
|
390 |
335 |
$10K |
| 45385 |
|
12 |
12 |
$10K |
| 83540 |
|
1,153 |
1,052 |
$10K |
| G0483 |
Drug test def 22+ classes |
453 |
428 |
$10K |
| 87591 |
|
524 |
476 |
$9K |
| 97112 |
|
250 |
80 |
$9K |
| 59899 |
|
12 |
12 |
$8K |
| 86140 |
|
898 |
795 |
$8K |
| 83735 |
|
2,951 |
2,047 |
$8K |
| 72100 |
|
229 |
211 |
$8K |
| 87661 |
|
373 |
344 |
$8K |
| 87651 |
|
147 |
139 |
$8K |
| 80076 |
|
1,115 |
924 |
$8K |
| 81001 |
|
8,918 |
7,775 |
$7K |
| J0585 |
Injection,onabotulinumtoxina |
70 |
43 |
$7K |
| J3490 |
Drugs unclassified injection |
1,825 |
969 |
$7K |
| 76642 |
|
48 |
46 |
$7K |
| 77067 |
|
501 |
465 |
$7K |
| 73030 |
|
275 |
232 |
$7K |
| 86038 |
|
311 |
265 |
$6K |
| 87186 |
|
1,303 |
983 |
$6K |
| 82565 |
|
829 |
614 |
$6K |
| 83550 |
|
1,041 |
953 |
$6K |
| 73630 |
|
308 |
275 |
$6K |
| 84153 |
|
356 |
319 |
$6K |
| 86850 |
|
237 |
204 |
$5K |
| 84702 |
|
240 |
148 |
$5K |
| 99281 |
|
58 |
54 |
$5K |
| 83615 |
|
1,047 |
900 |
$4K |
| 45380 |
|
13 |
12 |
$4K |
| 82746 |
|
595 |
521 |
$4K |
| 85652 |
|
1,057 |
945 |
$4K |
| 87400 |
|
385 |
330 |
$4K |
| 71045 |
|
3,082 |
2,667 |
$4K |
| 88305 |
|
777 |
600 |
$4K |
| 87070 |
|
389 |
330 |
$3K |
| 73562 |
|
140 |
132 |
$3K |
| 84520 |
|
724 |
526 |
$3K |
| 85610 |
|
2,642 |
1,861 |
$3K |
| 71260 |
|
25 |
25 |
$3K |
| 87205 |
|
558 |
460 |
$3K |
| 83690 |
|
4,394 |
3,700 |
$3K |
| 73502 |
|
129 |
127 |
$3K |
| 96374 |
|
5,105 |
4,420 |
$3K |
| 83880 |
|
773 |
649 |
$3K |
| 82043 |
|
495 |
462 |
$3K |
| 96413 |
|
41 |
25 |
$3K |
| 82784 |
|
508 |
223 |
$3K |
| 71271 |
|
12 |
12 |
$3K |
| 86900 |
|
239 |
205 |
$2K |
| G0480 |
Drug test def 1-7 classes |
368 |
322 |
$2K |
| 84100 |
|
924 |
670 |
$2K |
| 73610 |
|
140 |
123 |
$2K |
| 80306 |
|
582 |
489 |
$2K |
| 84703 |
|
1,857 |
1,543 |
$2K |
| 97535 |
|
38 |
30 |
$2K |
| 84460 |
|
388 |
274 |
$2K |
| 94060 |
|
12 |
12 |
$2K |
| 82948 |
|
1,562 |
690 |
$2K |
| 84450 |
|
316 |
217 |
$2K |
| 73130 |
|
148 |
125 |
$2K |
| 97166 |
|
28 |
24 |
$2K |
| 83605 |
|
1,461 |
1,026 |
$2K |
| 71250 |
|
12 |
12 |
$2K |
| 86430 |
|
122 |
109 |
$1K |
| 72125 |
|
84 |
74 |
$1K |
| 82077 |
|
378 |
289 |
$1K |
| 96372 |
|
810 |
609 |
$1K |
| 85379 |
|
794 |
688 |
$1K |
| J7030 |
Normal saline solution infus |
1,895 |
1,480 |
$1K |
| 93971 |
|
12 |
12 |
$1K |
| 84550 |
|
276 |
233 |
$1K |
| 72040 |
|
16 |
16 |
$1K |
| 86901 |
|
239 |
205 |
$961.90 |
| 85730 |
|
1,471 |
1,203 |
$923.86 |
| 93017 |
|
16 |
13 |
$916.98 |
| 86706 |
|
77 |
70 |
$856.58 |
| 94727 |
|
14 |
14 |
$817.40 |
| J7120 |
Ringers lactate infusion |
1,176 |
893 |
$815.29 |
| 87880 |
|
482 |
420 |
$779.78 |
| 82550 |
|
189 |
157 |
$769.79 |
| 97533 |
|
19 |
12 |
$766.64 |
| 86235 |
|
78 |
25 |
$729.40 |
| J3301 |
Triamcinolone acet inj nos |
1,128 |
1,018 |
$686.86 |
| Q0162 |
Ondansetron oral |
278 |
202 |
$638.05 |
| 82947 |
|
123 |
86 |
$625.36 |
| 83883 |
|
62 |
26 |
$600.79 |
| 80346 |
|
53 |
50 |
$579.32 |
| 87340 |
|
43 |
41 |
$520.77 |
| 84481 |
|
26 |
25 |
$501.15 |
| 73560 |
|
27 |
26 |
$489.19 |
| 83992 |
|
39 |
37 |
$473.00 |
| 81025 |
|
859 |
724 |
$456.72 |
| 83516 |
|
29 |
25 |
$439.25 |
| 94729 |
|
12 |
12 |
$434.35 |
| 90715 |
|
26 |
24 |
$395.12 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,495 |
3,003 |
$353.37 |
| 96376 |
|
312 |
227 |
$352.75 |
| 80358 |
|
53 |
50 |
$347.83 |
| 80364 |
|
53 |
50 |
$347.83 |
| 96375 |
|
3,226 |
2,574 |
$336.39 |
| J1170 |
Hydromorphone injection |
636 |
344 |
$301.41 |
| G0279 |
Tomosynthesis, mammo |
27 |
26 |
$277.24 |
| 84156 |
|
147 |
112 |
$255.82 |
| 80331 |
|
53 |
50 |
$250.48 |
| 82803 |
|
253 |
179 |
$238.59 |
| 80353 |
|
53 |
50 |
$236.10 |
| 80326 |
|
53 |
50 |
$236.10 |
| 87040 |
|
908 |
443 |
$235.41 |
| 82570 |
|
148 |
116 |
$233.91 |
| 80348 |
|
39 |
37 |
$224.85 |
| J2270 |
Morphine sulfate injection |
623 |
426 |
$205.81 |
| 73110 |
|
15 |
12 |
$169.15 |
| 84165 |
|
43 |
38 |
$162.56 |
| 82140 |
|
15 |
15 |
$126.84 |
| 80334 |
|
39 |
37 |
$126.25 |
| 80357 |
|
39 |
37 |
$121.00 |
| 80371 |
|
39 |
37 |
$121.00 |
| 80367 |
|
39 |
37 |
$121.00 |
| 80359 |
|
39 |
37 |
$121.00 |
| 80368 |
|
39 |
37 |
$121.00 |
| 80341 |
|
39 |
37 |
$121.00 |
| 80344 |
|
39 |
37 |
$121.00 |
| 80354 |
|
39 |
37 |
$121.00 |
| 80377 |
|
39 |
37 |
$121.00 |
| 80338 |
|
39 |
37 |
$121.00 |
| 80366 |
|
39 |
37 |
$121.00 |
| 80373 |
|
39 |
37 |
$121.00 |
| 80360 |
|
39 |
37 |
$121.00 |
| 80355 |
|
39 |
37 |
$121.00 |
| 80365 |
|
39 |
37 |
$121.00 |
| 80370 |
|
39 |
37 |
$121.00 |
| 80372 |
|
39 |
37 |
$121.00 |
| 80337 |
|
39 |
37 |
$121.00 |
| J1642 |
Inj heparin sodium per 10 u |
505 |
204 |
$103.48 |
| 86334 |
|
14 |
12 |
$91.63 |
| J2272 |
Inj, morphine (fresenius) |
159 |
129 |
$88.06 |
| 86200 |
|
15 |
14 |
$79.56 |
| J1885 |
Ketorolac tromethamine inj |
2,205 |
1,763 |
$72.70 |
| 80361 |
|
26 |
25 |
$66.00 |
| 82150 |
|
14 |
12 |
$57.81 |
| J2704 |
Inj, propofol, 10 mg |
2,268 |
1,765 |
$44.39 |
| J2405 |
Ondansetron hcl injection |
3,433 |
2,591 |
$41.13 |
| J7040 |
Normal saline solution infus |
924 |
511 |
$26.64 |
| J2765 |
Metoclopramide hcl injection |
452 |
345 |
$24.40 |
| J1200 |
Diphenhydramine hcl injectio |
612 |
445 |
$17.70 |
| J1630 |
Haloperidol injection |
351 |
263 |
$16.20 |
| J3010 |
Fentanyl citrate injection |
1,067 |
832 |
$15.40 |
| 86160 |
|
17 |
14 |
$15.12 |
| 86225 |
|
16 |
13 |
$15.12 |
| J1100 |
Dexamethasone sodium phos |
1,070 |
862 |
$15.08 |
| J1644 |
Inj heparin sodium per 1000u |
113 |
55 |
$14.39 |
| J0690 |
Cefazolin sodium injection |
415 |
311 |
$13.46 |
| J3475 |
Inj magnesium sulfate |
69 |
39 |
$10.58 |
| J7050 |
Normal saline solution infus |
101 |
69 |
$6.43 |
| J7512 |
Prednisone ir or dr oral 1mg |
331 |
237 |
$6.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
564 |
434 |
$6.40 |
| J0696 |
Ceftriaxone sodium injection |
58 |
44 |
$5.10 |
| J7620 |
Albuterol ipratrop non-comp |
177 |
131 |
$4.40 |
| J2250 |
Inj midazolam hydrochloride |
804 |
655 |
$3.68 |
| G1004 |
Cdsm ndsc |
638 |
461 |
$0.01 |
| A9270 |
Non-covered item or service |
1,321 |
179 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
119 |
109 |
$0.00 |
| 64484 |
|
12 |
12 |
$0.00 |
| 90471 |
|
27 |
24 |
$0.00 |
| J2360 |
Orphenadrine injection |
15 |
13 |
$0.00 |
| 64494 |
|
12 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
193 |
170 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
81 |
73 |
$0.00 |
| 01992 |
|
192 |
172 |
$0.00 |
| 80179 |
|
17 |
15 |
$0.00 |
| 80143 |
|
18 |
16 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
27 |
20 |
$0.00 |