| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
50,389 |
45,640 |
$15.19M |
| 99284 |
|
41,640 |
37,727 |
$14.67M |
| 92507 |
|
42,053 |
9,743 |
$4.42M |
| 99285 |
|
11,349 |
10,617 |
$3.22M |
| 99282 |
|
12,723 |
12,186 |
$2.75M |
| G0378 |
Hospital observation per hr |
7,614 |
6,324 |
$2.51M |
| 95810 |
|
2,077 |
2,016 |
$2.31M |
| 97140 |
|
34,267 |
10,075 |
$2.04M |
| 90832 |
|
16,847 |
10,091 |
$1.87M |
| 43239 |
|
1,945 |
1,877 |
$1.46M |
| 74177 |
|
7,936 |
7,437 |
$1.18M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,778 |
1,663 |
$1.06M |
| 97530 |
|
22,755 |
8,640 |
$1.04M |
| 97112 |
|
40,508 |
12,052 |
$987K |
| 93306 |
|
3,327 |
3,145 |
$968K |
| 45380 |
|
1,445 |
1,393 |
$965K |
| 97110 |
|
58,286 |
15,701 |
$935K |
| 70450 |
|
10,697 |
9,891 |
$759K |
| 95782 |
|
562 |
555 |
$736K |
| 0241U |
|
18,246 |
16,953 |
$713K |
| OP370 |
|
11,082 |
10,143 |
$688K |
| 97535 |
|
22,156 |
10,519 |
$621K |
| 0202U |
|
5,385 |
5,225 |
$582K |
| 96365 |
|
13,546 |
12,215 |
$554K |
| 76816 |
|
6,042 |
5,611 |
$492K |
| OP710 |
|
7,105 |
6,501 |
$488K |
| 96374 |
|
17,239 |
15,831 |
$467K |
| 74176 |
|
3,763 |
3,541 |
$426K |
| 96361 |
|
15,259 |
14,113 |
$426K |
| 95811 |
|
431 |
421 |
$414K |
| 96375 |
|
16,565 |
14,961 |
$389K |
| 76819 |
|
3,514 |
2,409 |
$368K |
| 97129 |
|
3,674 |
1,596 |
$361K |
| 80053 |
|
60,963 |
47,841 |
$361K |
| 90863 |
|
2,821 |
2,627 |
$350K |
| 76811 |
|
1,754 |
1,727 |
$348K |
| 93017 |
|
1,404 |
1,322 |
$341K |
| 99281 |
|
2,773 |
2,660 |
$338K |
| 93005 |
|
28,073 |
23,516 |
$316K |
| 76830 |
|
3,575 |
3,465 |
$294K |
| 77067 |
|
4,104 |
3,971 |
$288K |
| 71045 |
|
18,032 |
16,252 |
$276K |
| 76856 |
|
3,678 |
3,556 |
$274K |
| 85025 |
|
59,971 |
46,544 |
$243K |
| 71046 |
|
10,304 |
9,868 |
$238K |
| 97162 |
|
4,892 |
4,505 |
$230K |
| 88305 |
|
4,865 |
4,586 |
$220K |
| OP250 |
|
98,768 |
68,994 |
$204K |
| 97116 |
|
6,277 |
3,426 |
$198K |
| 90791 |
|
2,299 |
1,994 |
$196K |
| 96360 |
|
4,376 |
4,145 |
$191K |
| OP272 |
|
11,962 |
11,099 |
$191K |
| 97161 |
|
3,403 |
3,343 |
$190K |
| 78452 |
|
784 |
754 |
$190K |
| 59025 |
|
1,566 |
1,330 |
$181K |
| 76801 |
|
2,244 |
2,087 |
$181K |
| 95806 |
|
209 |
208 |
$174K |
| 92523 |
|
1,450 |
1,421 |
$169K |
| 76817 |
|
2,477 |
2,091 |
$168K |
| 97533 |
|
4,793 |
1,862 |
$161K |
| 96372 |
|
15,411 |
11,820 |
$158K |
| S9480 |
Intensive outpatient psychia |
212 |
194 |
$151K |
| 76700 |
|
1,685 |
1,638 |
$148K |
| 87635 |
|
3,357 |
3,270 |
$141K |
| 76641 |
|
1,311 |
1,133 |
$135K |
| 76705 |
|
3,205 |
3,030 |
$135K |
| 93970 |
|
922 |
856 |
$131K |
| 76770 |
|
1,902 |
1,817 |
$131K |
| 72125 |
|
2,100 |
1,949 |
$130K |
| 87651 |
|
11,392 |
11,029 |
$128K |
| 77066 |
Tomosynthesis, mammo |
1,264 |
1,227 |
$120K |
| 11042 |
|
1,669 |
656 |
$115K |
| 96366 |
|
3,538 |
3,175 |
$114K |
| 77063 |
|
4,071 |
3,950 |
$113K |
| 36415 |
|
56,897 |
44,790 |
$107K |
| 71250 |
|
1,335 |
1,237 |
$101K |
| 90837 |
|
1,455 |
825 |
$95K |
| 71275 |
|
944 |
873 |
$94K |
| 76813 |
|
870 |
851 |
$90K |
| 77080 |
|
1,445 |
1,418 |
$87K |
| 73564 |
|
3,106 |
2,909 |
$85K |
| 84484 |
|
20,154 |
16,538 |
$84K |
| 94060 |
|
361 |
340 |
$83K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,782 |
8,423 |
$82K |
| 76642 |
|
1,313 |
1,242 |
$79K |
| 76815 |
|
1,107 |
1,056 |
$77K |
| 83880 |
|
8,746 |
7,939 |
$73K |
| 27447 |
|
27 |
26 |
$71K |
| 97165 |
|
1,045 |
1,019 |
$69K |
| 90792 |
|
644 |
613 |
$68K |
| 90847 |
|
701 |
550 |
$67K |
| 76536 |
|
932 |
897 |
$65K |
| 41899 |
|
75 |
72 |
$65K |
| 94640 |
|
5,040 |
4,209 |
$65K |
| 73630 |
|
3,161 |
2,990 |
$64K |
| 45385 |
|
113 |
105 |
$64K |
| 73030 |
|
2,762 |
2,595 |
$62K |
| 0002A |
|
2,307 |
2,305 |
$58K |
| G0279 |
Tomosynthesis, mammo |
2,204 |
2,089 |
$58K |
| 76805 |
|
518 |
507 |
$57K |
| 70486 |
|
785 |
747 |
$57K |
| 83735 |
|
23,465 |
16,174 |
$57K |
| OP270 |
|
6,888 |
6,451 |
$55K |
| 84703 |
|
25,183 |
22,933 |
$54K |
| OP258 |
|
38,636 |
30,534 |
$53K |
| 0001A |
|
2,232 |
2,231 |
$53K |
| 93971 |
|
718 |
659 |
$53K |
| 96367 |
|
2,513 |
2,297 |
$52K |
| 96376 |
|
3,001 |
2,651 |
$50K |
| 82948 |
|
21,591 |
13,340 |
$49K |
| 83605 |
|
11,520 |
10,183 |
$49K |
| 73130 |
|
2,466 |
2,330 |
$48K |
| 71260 |
|
573 |
536 |
$47K |
| 45378 |
|
51 |
51 |
$47K |
| 87502 |
|
1,964 |
1,918 |
$47K |
| C1776 |
Joint device (implantable) |
79 |
74 |
$46K |
| 84443 |
|
6,320 |
5,815 |
$45K |
| J0131 |
Inj, acetaminophen (nos) |
13,978 |
11,750 |
$44K |
| 73610 |
|
2,509 |
2,390 |
$44K |
| 83690 |
|
18,382 |
16,862 |
$43K |
| 93976 |
|
289 |
279 |
$42K |
| U0002 |
Covid-19 lab test non-cdc |
3,853 |
3,597 |
$41K |
| 97166 |
|
674 |
608 |
$41K |
| 77065 |
Tomosynthesis, mammo |
659 |
615 |
$40K |
| 80307 |
|
2,845 |
2,558 |
$39K |
| 85730 |
|
13,436 |
11,999 |
$38K |
| J3490 |
Drugs unclassified injection |
3,433 |
2,754 |
$38K |
| 70551 |
|
232 |
220 |
$37K |
| 85610 |
|
14,390 |
12,731 |
$37K |
| 80048 |
|
6,297 |
4,983 |
$36K |
| 86803 |
|
5,766 |
5,516 |
$34K |
| 72110 |
|
908 |
871 |
$34K |
| 87040 |
|
3,342 |
3,072 |
$34K |
| 97010 |
|
11,458 |
3,691 |
$34K |
| 88342 |
|
1,276 |
1,186 |
$33K |
| 87086 |
|
9,323 |
8,736 |
$33K |
| 80061 |
|
4,614 |
4,345 |
$32K |
| 81001 |
|
18,886 |
17,255 |
$31K |
| 74018 |
|
1,607 |
1,510 |
$31K |
| 81003 |
|
14,985 |
14,084 |
$27K |
| 73110 |
|
1,331 |
1,270 |
$27K |
| 82077 |
|
4,469 |
3,010 |
$27K |
| 82306 |
|
1,560 |
1,479 |
$26K |
| 87400 |
|
2,870 |
2,826 |
$24K |
| J2785 |
Regadenoson injection |
332 |
301 |
$24K |
| 86900 |
|
5,017 |
4,553 |
$24K |
| 76818 |
|
162 |
80 |
$23K |
| 87801 |
|
1,425 |
1,403 |
$23K |
| 84702 |
|
3,545 |
2,938 |
$23K |
| 90834 |
|
497 |
291 |
$22K |
| OP278 |
|
57 |
52 |
$22K |
| 76857 |
|
595 |
561 |
$22K |
| 82550 |
|
5,701 |
5,067 |
$21K |
| 86850 |
|
3,129 |
2,856 |
$21K |
| 73502 |
|
1,177 |
1,105 |
$21K |
| 72100 |
|
979 |
944 |
$20K |
| 88304 |
|
1,462 |
1,383 |
$19K |
| 93798 |
|
588 |
106 |
$18K |
| 85027 |
|
4,810 |
4,042 |
$18K |
| J1170 |
Hydromorphone injection |
3,697 |
2,783 |
$18K |
| G0330 |
Facility svs dental rehab |
14 |
13 |
$17K |
| 84100 |
|
7,538 |
4,891 |
$17K |
| 87389 |
|
2,694 |
2,540 |
$17K |
| G0463 |
Hospital outpt clinic visit |
1,305 |
763 |
$17K |
| 73080 |
|
829 |
796 |
$16K |
| 86901 |
|
3,372 |
3,078 |
$16K |
| 83036 |
|
4,330 |
4,056 |
$16K |
| 87491 |
|
1,151 |
1,094 |
$16K |
| 62323 |
|
12 |
12 |
$15K |
| 97016 |
|
2,603 |
959 |
$15K |
| 72131 |
|
270 |
248 |
$15K |
| 82553 |
|
2,292 |
2,008 |
$15K |
| 90715 |
|
1,410 |
1,362 |
$14K |
| 97597 |
|
141 |
84 |
$14K |
| 87186 |
|
2,645 |
2,443 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
4,896 |
3,618 |
$13K |
| 87340 |
|
4,368 |
4,064 |
$13K |
| 80306 |
|
1,229 |
1,169 |
$12K |
| 12011 |
|
443 |
431 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
9,379 |
8,028 |
$12K |
| 76870 |
|
242 |
229 |
$12K |
| 94727 |
|
340 |
305 |
$12K |
| 80320 |
|
1,544 |
1,198 |
$11K |
| 93356 |
|
907 |
875 |
$10K |
| 97163 |
|
186 |
171 |
$10K |
| 12001 |
|
387 |
378 |
$10K |
| 0004A |
|
362 |
358 |
$10K |
| 73562 |
|
316 |
296 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
14,358 |
12,333 |
$9K |
| 87591 |
|
1,078 |
1,022 |
$9K |
| G0480 |
Drug test def 1-7 classes |
429 |
317 |
$9K |
| 84145 |
|
1,607 |
1,465 |
$8K |
| 90471 |
|
1,908 |
1,688 |
$8K |
| 87507 |
|
143 |
135 |
$8K |
| J2405 |
Ondansetron hcl injection |
14,071 |
12,006 |
$7K |
| J3010 |
Fentanyl citrate injection |
5,889 |
5,521 |
$7K |
| 82607 |
|
1,734 |
1,552 |
$7K |
| 92610 |
|
474 |
414 |
$7K |
| J0690 |
Cefazolin sodium injection |
4,546 |
3,760 |
$7K |
| J3475 |
Inj magnesium sulfate |
3,941 |
3,136 |
$7K |
| 99291 |
|
13 |
13 |
$6K |
| 94729 |
|
148 |
131 |
$6K |
| 82150 |
|
1,514 |
1,487 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
4,879 |
4,568 |
$6K |
| 73590 |
|
426 |
403 |
$6K |
| 73090 |
|
281 |
269 |
$5K |
| 82728 |
|
1,195 |
1,071 |
$5K |
| J2270 |
Morphine sulfate injection |
3,352 |
2,524 |
$5K |
| 74241 |
|
97 |
95 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
1,213 |
526 |
$5K |
| 85379 |
|
2,427 |
2,240 |
$5K |
| 92508 |
|
49 |
35 |
$5K |
| 84439 |
|
1,101 |
1,026 |
$5K |
| 71101 |
|
282 |
261 |
$5K |
| 36430 |
|
135 |
102 |
$5K |
| J1650 |
Inj enoxaparin sodium |
3,450 |
1,598 |
$5K |
| 82746 |
|
1,482 |
1,313 |
$4K |
| 86141 |
|
1,007 |
924 |
$4K |
| 93880 |
|
67 |
66 |
$4K |
| 87880 |
|
1,725 |
1,578 |
$4K |
| 80143 |
|
750 |
673 |
$4K |
| 99213 |
|
343 |
203 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
1,872 |
1,667 |
$4K |
| J1100 |
Dexamethasone sodium phos |
7,780 |
7,205 |
$4K |
| J2543 |
Piperacillin/tazobactam |
1,293 |
575 |
$4K |
| 87077 |
|
1,016 |
963 |
$4K |
| 87070 |
|
623 |
600 |
$4K |
| 74178 |
|
14 |
13 |
$4K |
| 80179 |
|
676 |
616 |
$4K |
| A9585 |
Gadobutrol injection |
314 |
302 |
$4K |
| 70553 |
|
12 |
12 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
2,027 |
1,146 |
$3K |
| J2930 |
Methylprednisolone injection |
1,037 |
898 |
$3K |
| 0071A |
|
89 |
89 |
$3K |
| 83550 |
|
1,155 |
1,032 |
$3K |
| J2060 |
Lorazepam injection |
2,070 |
1,596 |
$3K |
| A9502 |
Tc99m tetrofosmin |
767 |
700 |
$3K |
| P9016 |
Rbc leukocytes reduced |
85 |
63 |
$3K |
| 0072A |
|
71 |
71 |
$2K |
| 74019 |
|
98 |
97 |
$2K |
| 97035 |
|
162 |
61 |
$2K |
| J2765 |
Metoclopramide hcl injection |
3,652 |
3,374 |
$2K |
| 70498 |
|
27 |
24 |
$2K |
| C1769 |
Guide wire |
461 |
319 |
$2K |
| 96368 |
|
99 |
99 |
$2K |
| 82043 |
|
864 |
826 |
$2K |
| 86922 |
|
268 |
218 |
$2K |
| 85651 |
|
1,428 |
1,324 |
$2K |
| M0243 |
Casirivi and imdevi inj |
23 |
23 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
345 |
325 |
$2K |
| 80076 |
|
497 |
431 |
$2K |
| J3370 |
Vancomycin hcl injection |
593 |
402 |
$2K |
| 99212 |
|
209 |
120 |
$2K |
| M0247 |
Sotrovimab infusion |
20 |
20 |
$2K |
| 87088 |
|
1,307 |
1,162 |
$2K |
| 83540 |
|
438 |
386 |
$2K |
| J1741 |
Ibuprofen injection |
192 |
184 |
$2K |
| 87636 |
|
27 |
27 |
$2K |
| 82570 |
|
921 |
819 |
$2K |
| 90846 |
|
16 |
13 |
$2K |
| 92611 |
|
19 |
12 |
$1K |
| 29125 |
|
97 |
94 |
$1K |
| 12002 |
|
37 |
36 |
$1K |
| 70496 |
|
29 |
26 |
$1K |
| 0064A |
|
47 |
47 |
$1K |
| 87798 |
|
47 |
45 |
$1K |
| 92522 |
|
15 |
15 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
990 |
847 |
$1K |
| 70491 |
|
26 |
16 |
$1K |
| 10060 |
|
25 |
24 |
$1K |
| 82803 |
|
120 |
101 |
$1K |
| 51701 |
|
68 |
68 |
$1K |
| 72052 |
|
24 |
24 |
$998.24 |
| 85378 |
|
285 |
284 |
$967.66 |
| J7510 |
Prednisolone oral per 5 mg |
509 |
492 |
$852.50 |
| 94664 |
|
430 |
201 |
$837.21 |
| 92526 |
|
18 |
13 |
$827.07 |
| 83721 |
|
115 |
115 |
$808.31 |
| 36600 |
|
87 |
75 |
$794.62 |
| J0134 |
Inj acetaminophen -fresenius |
389 |
350 |
$756.89 |
| G1004 |
Cdsm ndsc |
1,026 |
727 |
$751.68 |
| J1630 |
Haloperidol injection |
696 |
516 |
$669.51 |
| OP637 |
|
3,711 |
1,866 |
$651.27 |
| 86885 |
|
187 |
170 |
$634.49 |
| J0171 |
Adrenalin epinephrine inject |
122 |
109 |
$631.98 |
| 88311 |
|
185 |
169 |
$624.73 |
| 15853 |
|
16 |
14 |
$622.86 |
| 0124A |
|
25 |
25 |
$586.15 |
| 84153 |
|
54 |
52 |
$504.95 |
| 84550 |
|
294 |
254 |
$458.74 |
| 73523 |
|
15 |
13 |
$444.61 |
| OP940 |
|
164 |
103 |
$433.18 |
| 82977 |
|
109 |
101 |
$425.39 |
| 73060 |
|
25 |
25 |
$380.00 |
| 72040 |
|
12 |
12 |
$376.81 |
| 86592 |
|
210 |
194 |
$372.59 |
| 74230 |
|
19 |
12 |
$366.41 |
| 82248 |
|
137 |
118 |
$341.54 |
| J1836 |
Inj, metronidazole, 10 mg |
184 |
79 |
$303.78 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,122 |
974 |
$295.21 |
| 72072 |
|
17 |
14 |
$277.90 |
| C1894 |
Intro/sheath, non-laser |
29 |
29 |
$245.82 |
| 72170 |
|
30 |
30 |
$202.95 |
| 87205 |
|
85 |
81 |
$186.90 |
| 87185 |
|
51 |
51 |
$184.08 |
| J2919 |
Inj, methylpred sod succ 5mg |
206 |
136 |
$183.08 |
| 88313 |
|
12 |
12 |
$176.50 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
29 |
28 |
$163.32 |
| J1030 |
Methylprednisolone 40 mg inj |
26 |
26 |
$143.15 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
36 |
$140.78 |
| 81025 |
|
37 |
37 |
$137.22 |
| J3360 |
Diazepam injection |
38 |
24 |
$135.78 |
| 80329 |
|
12 |
12 |
$134.46 |
| 86140 |
|
111 |
103 |
$119.91 |
| J0702 |
Betamethasone acet&sod phosp |
25 |
13 |
$118.20 |
| 84156 |
|
127 |
107 |
$117.92 |
| J2370 |
Phenylephrine hcl injection |
204 |
190 |
$106.23 |
| 85384 |
|
18 |
14 |
$105.60 |
| 84154 |
|
14 |
14 |
$105.21 |
| J3411 |
Thiamine hcl 100 mg |
59 |
39 |
$104.63 |
| 90714 |
|
25 |
25 |
$98.05 |
| 99201 |
|
18 |
12 |
$97.69 |
| 82272 |
|
49 |
49 |
$96.39 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
103 |
63 |
$95.95 |
| 88300 |
|
12 |
12 |
$91.64 |
| J2920 |
Methylprednisolone injection |
25 |
12 |
$89.46 |
| A9270 |
Non-covered item or service |
20 |
17 |
$86.27 |
| J2470 |
Inj pantoprazole sodium 40mg |
216 |
138 |
$86.06 |
| 94760 |
|
68 |
32 |
$84.93 |
| 87449 |
|
25 |
25 |
$79.13 |
| 83615 |
|
32 |
26 |
$69.99 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
67 |
56 |
$65.51 |
| J2004 |
Inj, lidocaine w epinephrine |
40 |
35 |
$56.79 |
| G8979 |
Mobility goal status |
544 |
513 |
$39.00 |
| 82009 |
|
59 |
49 |
$37.00 |
| J1953 |
Levetiracetam injection |
18 |
14 |
$34.23 |
| 90686 |
|
25 |
24 |
$32.57 |
| J0456 |
Azithromycin |
63 |
41 |
$32.42 |
| J0744 |
Ciprofloxacin iv |
45 |
28 |
$32.12 |
| G8978 |
Mobility current status |
464 |
456 |
$29.00 |
| J0360 |
Hydralazine hcl injection |
35 |
25 |
$27.26 |
| J3590 |
Unclassified biologics |
123 |
121 |
$25.90 |
| 87075 |
|
16 |
12 |
$22.66 |
| 84300 |
|
13 |
13 |
$22.59 |
| J8540 |
Oral dexamethasone |
48 |
28 |
$20.89 |
| J1580 |
Garamycin gentamicin inj |
19 |
14 |
$18.92 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
63 |
55 |
$18.00 |
| G8988 |
Self care goal status |
167 |
151 |
$16.00 |
| J1940 |
Furosemide injection |
55 |
26 |
$15.06 |
| G8987 |
Self care current status |
148 |
144 |
$14.00 |
| G8980 |
Mobility d/c status |
118 |
118 |
$12.00 |
| G8982 |
Body pos goal status |
129 |
120 |
$11.00 |
| G8985 |
Carry goal status |
55 |
54 |
$9.00 |
| G8981 |
Body pos current status |
103 |
101 |
$9.00 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$8.83 |
| 83718 |
|
81 |
81 |
$8.00 |
| J0137 |
Inj, acetaminophen (hikma) |
18 |
13 |
$7.47 |
| G8984 |
Carry current status |
35 |
35 |
$7.00 |
| 91300 |
|
4,633 |
3,966 |
$7.00 |
| J3480 |
Inj potassium chloride |
17 |
13 |
$5.72 |
| C1729 |
Cath, drainage |
24 |
24 |
$4.00 |
| Q0247 |
Sotrovimab |
16 |
15 |
$1.00 |
| 91312 |
|
25 |
25 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
19 |
17 |
$0.00 |
| 91301 |
|
18 |
18 |
$0.00 |
| 91306 |
|
44 |
43 |
$0.00 |
| 91307 |
|
144 |
130 |
$0.00 |