| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
59,579 |
53,769 |
$8.63M |
| 74177 |
|
4,075 |
3,868 |
$5.95M |
| 99284 |
|
20,808 |
18,476 |
$5.18M |
| 99285 |
|
6,850 |
5,801 |
$3.66M |
| 99282 |
|
22,156 |
20,455 |
$2.22M |
| 74176 |
|
1,877 |
1,764 |
$1.90M |
| 96374 |
|
7,819 |
6,968 |
$1.38M |
| 70450 |
|
2,581 |
2,407 |
$1.23M |
| 71046 |
|
7,864 |
7,482 |
$1.11M |
| 96365 |
|
4,890 |
3,837 |
$967K |
| 80305 |
|
14,427 |
11,266 |
$875K |
| 80053 |
|
37,508 |
33,777 |
$804K |
| 96375 |
|
6,486 |
5,586 |
$748K |
| 84443 |
|
13,396 |
12,960 |
$598K |
| 85025 |
|
33,764 |
30,390 |
$595K |
| 71045 |
|
6,008 |
5,363 |
$524K |
| 97110 |
|
11,059 |
4,246 |
$518K |
| 96361 |
|
4,735 |
4,077 |
$476K |
| 96372 |
|
4,850 |
4,310 |
$454K |
| 71275 |
|
265 |
250 |
$364K |
| 80061 |
|
9,595 |
9,392 |
$358K |
| 80307 |
|
3,404 |
2,880 |
$357K |
| 87804 |
|
6,576 |
5,782 |
$355K |
| 93306 |
|
539 |
511 |
$347K |
| 76705 |
|
1,522 |
1,467 |
$306K |
| 36415 |
|
37,494 |
33,216 |
$304K |
| 87880 |
|
8,713 |
8,469 |
$291K |
| 73630 |
|
2,383 |
2,258 |
$287K |
| 87633 |
|
584 |
554 |
$281K |
| 99281 |
|
3,202 |
3,105 |
$278K |
| 96366 |
|
1,931 |
1,385 |
$276K |
| 73610 |
|
1,993 |
1,912 |
$259K |
| 73560 |
|
2,210 |
1,904 |
$257K |
| 45380 |
|
240 |
215 |
$253K |
| 72125 |
|
274 |
257 |
$242K |
| 73130 |
|
1,870 |
1,748 |
$237K |
| 72100 |
|
1,648 |
1,585 |
$233K |
| 76856 |
|
922 |
906 |
$226K |
| 77067 |
|
1,647 |
1,634 |
$218K |
| 83036 |
|
8,602 |
8,410 |
$216K |
| 87086 |
|
8,986 |
8,200 |
$202K |
| 93005 |
|
8,789 |
7,716 |
$197K |
| 96360 |
|
1,121 |
1,047 |
$196K |
| 43239 |
|
243 |
222 |
$191K |
| 73030 |
|
1,642 |
1,542 |
$189K |
| 97140 |
|
6,495 |
2,728 |
$183K |
| 73110 |
|
1,257 |
1,195 |
$181K |
| 87491 |
|
3,682 |
3,550 |
$165K |
| 87591 |
|
3,673 |
3,538 |
$165K |
| 87428 |
|
4,246 |
4,074 |
$164K |
| 94640 |
|
2,143 |
1,789 |
$158K |
| 87635 |
|
2,536 |
2,470 |
$152K |
| 83880 |
|
2,798 |
2,493 |
$137K |
| 84484 |
|
7,357 |
5,821 |
$135K |
| 76830 |
|
481 |
476 |
$135K |
| 81025 |
|
10,217 |
9,600 |
$119K |
| G0378 |
Hospital observation per hr |
116 |
82 |
$116K |
| 83690 |
|
7,394 |
6,792 |
$116K |
| 83721 |
|
6,848 |
6,714 |
$113K |
| 87426 |
|
3,417 |
3,242 |
$112K |
| 96376 |
|
1,653 |
1,417 |
$107K |
| 81001 |
|
13,230 |
12,008 |
$102K |
| 97530 |
|
2,288 |
1,482 |
$101K |
| 76536 |
|
313 |
305 |
$87K |
| 84439 |
|
3,621 |
3,502 |
$85K |
| 85610 |
|
6,087 |
3,749 |
$84K |
| 87186 |
|
3,256 |
3,065 |
$80K |
| 71250 |
|
109 |
103 |
$79K |
| 73502 |
|
481 |
459 |
$77K |
| 10060 |
|
234 |
208 |
$72K |
| 81003 |
|
9,320 |
8,763 |
$67K |
| 71260 |
|
66 |
64 |
$66K |
| 76700 |
|
209 |
207 |
$63K |
| 83605 |
|
2,954 |
2,533 |
$62K |
| 74018 |
|
511 |
487 |
$61K |
| 84702 |
|
1,494 |
1,304 |
$59K |
| 82728 |
|
1,764 |
1,711 |
$58K |
| 88305 |
|
405 |
400 |
$57K |
| 80048 |
|
3,676 |
3,300 |
$57K |
| 72040 |
|
412 |
406 |
$57K |
| 87807 |
|
1,904 |
1,847 |
$56K |
| 87077 |
|
2,169 |
2,043 |
$51K |
| 85027 |
|
3,696 |
3,198 |
$51K |
| G0480 |
Drug test def 1-7 classes |
683 |
604 |
$49K |
| 82043 |
|
2,460 |
2,408 |
$45K |
| 99211 |
|
2,378 |
911 |
$45K |
| 86780 |
|
1,979 |
1,924 |
$45K |
| 84153 |
|
795 |
775 |
$44K |
| 86803 |
|
3,252 |
3,155 |
$44K |
| 87040 |
|
1,403 |
871 |
$44K |
| 97161 |
|
699 |
684 |
$42K |
| 76801 |
|
150 |
132 |
$41K |
| 97162 |
|
652 |
632 |
$38K |
| 92507 |
|
635 |
241 |
$37K |
| 85379 |
|
1,680 |
1,591 |
$36K |
| 82570 |
|
2,447 |
2,366 |
$35K |
| 96367 |
|
259 |
217 |
$31K |
| 84403 |
|
605 |
586 |
$31K |
| 87070 |
|
1,155 |
1,102 |
$30K |
| J7030 |
Normal saline solution infus |
2,175 |
1,826 |
$30K |
| 83735 |
|
1,914 |
1,653 |
$30K |
| 82306 |
|
2,108 |
2,064 |
$29K |
| 85007 |
|
3,274 |
2,802 |
$29K |
| 77063 |
|
1,639 |
1,627 |
$28K |
| 86140 |
|
2,129 |
1,981 |
$28K |
| 97112 |
|
839 |
479 |
$26K |
| J1885 |
Ketorolac tromethamine inj |
4,596 |
4,102 |
$25K |
| J2405 |
Ondansetron hcl injection |
5,180 |
4,182 |
$23K |
| 85652 |
|
2,166 |
2,045 |
$22K |
| 86703 |
|
1,788 |
1,727 |
$21K |
| 73140 |
|
152 |
144 |
$21K |
| J0696 |
Ceftriaxone sodium injection |
3,084 |
2,494 |
$21K |
| 36592 |
|
1,110 |
982 |
$19K |
| 87389 |
|
1,414 |
1,390 |
$18K |
| 76642 |
|
84 |
82 |
$17K |
| 82607 |
|
1,771 |
1,723 |
$17K |
| 82805 |
|
362 |
278 |
$17K |
| 73070 |
|
159 |
145 |
$16K |
| 87340 |
|
1,237 |
1,197 |
$16K |
| G0463 |
Hospital outpt clinic visit |
73 |
67 |
$16K |
| 83550 |
|
2,014 |
1,969 |
$16K |
| 84703 |
|
755 |
731 |
$14K |
| 87651 |
|
2,255 |
2,197 |
$14K |
| 90715 |
|
344 |
335 |
$12K |
| 86364 |
|
302 |
294 |
$12K |
| 84481 |
|
1,268 |
1,237 |
$11K |
| 93010 |
|
3,865 |
3,465 |
$11K |
| 87661 |
|
522 |
513 |
$11K |
| 86704 |
|
991 |
953 |
$11K |
| 0202U |
|
190 |
181 |
$11K |
| 73090 |
|
101 |
97 |
$10K |
| J2270 |
Morphine sulfate injection |
1,631 |
1,134 |
$10K |
| 90471 |
|
339 |
332 |
$10K |
| 87210 |
|
792 |
767 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
102 |
98 |
$9K |
| 82784 |
|
390 |
356 |
$9K |
| 94760 |
|
737 |
633 |
$9K |
| 86708 |
|
808 |
777 |
$9K |
| J1170 |
Hydromorphone injection |
1,417 |
858 |
$8K |
| 86258 |
|
130 |
127 |
$8K |
| 83516 |
|
113 |
112 |
$7K |
| 97803 |
|
159 |
131 |
$7K |
| J7050 |
Normal saline solution infus |
1,243 |
850 |
$7K |
| 86706 |
|
646 |
627 |
$7K |
| J7120 |
Ringers lactate infusion |
407 |
400 |
$7K |
| 73590 |
|
55 |
54 |
$6K |
| 86231 |
|
217 |
213 |
$6K |
| 72072 |
|
39 |
38 |
$6K |
| 93971 |
|
26 |
25 |
$6K |
| 86709 |
|
242 |
233 |
$6K |
| 82150 |
|
277 |
269 |
$5K |
| 86592 |
|
29 |
29 |
$5K |
| 84402 |
|
240 |
235 |
$5K |
| 83655 |
|
371 |
363 |
$5K |
| 93970 |
|
12 |
12 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
432 |
416 |
$5K |
| 86038 |
|
392 |
384 |
$5K |
| 82962 |
|
499 |
399 |
$4K |
| 83540 |
|
617 |
596 |
$4K |
| 12001 |
|
16 |
15 |
$4K |
| J1100 |
Dexamethasone sodium phos |
628 |
610 |
$4K |
| 74019 |
|
28 |
27 |
$3K |
| 71101 |
|
26 |
25 |
$3K |
| 86431 |
|
252 |
241 |
$3K |
| J7040 |
Normal saline solution infus |
267 |
252 |
$3K |
| 97802 |
|
43 |
43 |
$3K |
| 85018 |
|
355 |
346 |
$3K |
| J2060 |
Lorazepam injection |
768 |
524 |
$3K |
| 86255 |
|
72 |
71 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
649 |
579 |
$3K |
| 83993 |
|
30 |
30 |
$3K |
| 80320 |
|
696 |
610 |
$3K |
| 76816 |
|
13 |
13 |
$3K |
| 86850 |
|
41 |
39 |
$3K |
| 86900 |
|
94 |
88 |
$2K |
| 85730 |
|
161 |
119 |
$2K |
| 86901 |
|
57 |
52 |
$2K |
| 36416 |
|
301 |
229 |
$2K |
| J2920 |
Methylprednisolone injection |
224 |
173 |
$2K |
| 86308 |
|
129 |
127 |
$2K |
| 99213 |
|
26 |
26 |
$2K |
| 00811 |
|
16 |
16 |
$2K |
| 86804 |
|
26 |
26 |
$2K |
| 80329 |
|
218 |
156 |
$2K |
| 00813 |
|
14 |
14 |
$2K |
| J3370 |
Vancomycin hcl injection |
38 |
25 |
$2K |
| 80050 |
|
14 |
14 |
$2K |
| G0328 |
Fecal blood scrn immunoassay |
41 |
41 |
$2K |
| 82746 |
|
154 |
154 |
$2K |
| 83525 |
|
134 |
133 |
$2K |
| J2930 |
Methylprednisolone injection |
149 |
134 |
$1K |
| 84154 |
|
109 |
105 |
$1K |
| 86003 |
|
12 |
12 |
$1K |
| J3010 |
Fentanyl citrate injection |
181 |
158 |
$1K |
| 51702 |
|
13 |
12 |
$1K |
| 86235 |
|
93 |
79 |
$1K |
| 96368 |
|
16 |
15 |
$1K |
| 84100 |
|
93 |
73 |
$1K |
| 84030 |
|
87 |
82 |
$977.57 |
| 86225 |
|
81 |
66 |
$949.36 |
| Q0144 |
Azithromycin dihydrate, oral |
164 |
157 |
$941.04 |
| 87177 |
|
13 |
12 |
$806.73 |
| 82247 |
|
33 |
28 |
$767.91 |
| 97535 |
|
19 |
12 |
$758.07 |
| 82653 |
|
14 |
14 |
$750.20 |
| 99232 |
|
31 |
13 |
$711.24 |
| 87075 |
|
29 |
27 |
$691.68 |
| J2765 |
Metoclopramide hcl injection |
158 |
142 |
$685.93 |
| J2543 |
Piperacillin/tazobactam |
57 |
36 |
$636.16 |
| J0500 |
Dicyclomine injection |
13 |
13 |
$563.77 |
| 90756 |
|
30 |
30 |
$541.75 |
| J3480 |
Inj potassium chloride |
20 |
13 |
$504.28 |
| 87081 |
|
13 |
13 |
$498.64 |
| J7620 |
Albuterol ipratrop non-comp |
856 |
645 |
$444.04 |
| 90686 |
|
23 |
23 |
$442.20 |
| J2919 |
Inj, methylpred sod succ 5mg |
50 |
43 |
$430.10 |
| G2023 |
Specimen collect covid-19 |
62 |
62 |
$419.18 |
| 80076 |
|
32 |
29 |
$412.65 |
| 85008 |
|
305 |
283 |
$410.45 |
| 86317 |
|
51 |
50 |
$370.31 |
| J1790 |
Droperidol injection |
30 |
26 |
$356.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
182 |
167 |
$341.59 |
| J2550 |
Promethazine hcl injection |
56 |
48 |
$303.96 |
| J0131 |
Inj, acetaminophen (nos) |
25 |
24 |
$297.75 |
| 80179 |
|
14 |
13 |
$292.30 |
| 80143 |
|
14 |
13 |
$292.30 |
| J3490 |
Drugs unclassified injection |
39 |
38 |
$262.85 |
| 82248 |
|
20 |
20 |
$232.00 |
| 86695 |
|
15 |
15 |
$230.52 |
| 82550 |
|
15 |
15 |
$217.79 |
| 87209 |
|
13 |
12 |
$204.29 |
| 86141 |
|
14 |
13 |
$144.55 |
| 80321 |
|
26 |
26 |
$134.16 |
| 86762 |
|
12 |
12 |
$113.40 |
| J1940 |
Furosemide injection |
33 |
24 |
$90.20 |
| 84480 |
|
12 |
12 |
$84.62 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
22 |
13 |
$73.72 |
| J7613 |
Albuterol non-comp unit |
151 |
111 |
$66.82 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
15 |
$63.97 |
| J1815 |
Insulin injection |
15 |
12 |
$34.77 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
12 |
$26.79 |
| J2001 |
Lidocaine injection |
51 |
43 |
$3.71 |
| A9270 |
Non-covered item or service |
893 |
457 |
$2.53 |
| T1015 |
Clinic service |
58 |
58 |
$0.00 |