| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,694 |
15,312 |
$4.45M |
| 99283 |
|
27,337 |
23,217 |
$3.51M |
| 99285 |
|
10,909 |
7,169 |
$2.56M |
| 74176 |
|
5,544 |
4,483 |
$1.49M |
| 96375 |
|
11,884 |
9,253 |
$952K |
| 80053 |
|
27,324 |
22,058 |
$906K |
| 96365 |
|
14,983 |
4,644 |
$853K |
| 96374 |
|
19,160 |
10,470 |
$766K |
| 74177 |
|
2,529 |
2,208 |
$761K |
| 93005 |
|
8,804 |
7,001 |
$560K |
| 93306 |
|
1,343 |
1,103 |
$511K |
| 97110 |
|
12,125 |
3,106 |
$506K |
| 70450 |
|
3,392 |
2,785 |
$495K |
| 36415 |
|
73,211 |
34,179 |
$494K |
| 71046 |
|
8,127 |
6,719 |
$482K |
| 99282 |
|
3,988 |
3,532 |
$460K |
| 71045 |
|
9,839 |
7,596 |
$439K |
| 85025 |
|
25,964 |
21,328 |
$425K |
| 96361 |
|
13,489 |
5,240 |
$388K |
| 96372 |
|
9,215 |
5,182 |
$307K |
| 78452 |
|
795 |
323 |
$301K |
| 96376 |
|
3,449 |
2,308 |
$268K |
| 87502 |
|
4,253 |
3,717 |
$261K |
| 74018 |
|
4,544 |
3,444 |
$238K |
| 87086 |
|
10,561 |
8,020 |
$236K |
| 83690 |
|
9,116 |
7,572 |
$218K |
| 84484 |
|
7,837 |
6,304 |
$208K |
| 73564 |
|
2,106 |
1,649 |
$195K |
| 76705 |
|
1,113 |
1,007 |
$187K |
| 77067 |
|
2,380 |
2,283 |
$185K |
| 81001 |
|
15,525 |
12,995 |
$174K |
| 80307 |
|
4,302 |
3,589 |
$174K |
| 84443 |
|
5,217 |
4,594 |
$170K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,173 |
4,019 |
$161K |
| 73630 |
|
2,368 |
2,043 |
$158K |
| 97530 |
|
2,240 |
697 |
$157K |
| 87651 |
|
4,892 |
4,495 |
$154K |
| G0480 |
Drug test def 1-7 classes |
2,954 |
2,211 |
$149K |
| 73610 |
|
1,978 |
1,637 |
$143K |
| 73030 |
|
2,012 |
1,529 |
$139K |
| 72100 |
|
1,893 |
1,567 |
$138K |
| 73130 |
|
1,763 |
1,494 |
$134K |
| 83880 |
|
1,644 |
1,429 |
$120K |
| U0002 |
Covid-19 lab test non-cdc |
4,532 |
3,057 |
$119K |
| 81025 |
|
6,526 |
5,702 |
$113K |
| G0463 |
Hospital outpt clinic visit |
1,840 |
1,585 |
$112K |
| 87040 |
|
2,430 |
1,812 |
$110K |
| 82306 |
|
1,848 |
1,636 |
$108K |
| 80061 |
|
4,044 |
3,613 |
$103K |
| 83520 |
|
1,787 |
1,447 |
$102K |
| 83735 |
|
4,701 |
3,651 |
$101K |
| 80048 |
|
6,757 |
5,319 |
$101K |
| 52356 |
|
105 |
80 |
$96K |
| 0241U |
|
4,414 |
3,410 |
$96K |
| 96360 |
|
2,426 |
776 |
$91K |
| 71275 |
|
382 |
323 |
$89K |
| 85027 |
|
6,885 |
5,431 |
$88K |
| 83605 |
|
3,619 |
2,873 |
$86K |
| C8929 |
Tte w or wo fol wcon,doppler |
185 |
167 |
$79K |
| J1212 |
Dimethyl sulfoxide 50% 50 ml |
204 |
156 |
$78K |
| 73110 |
|
1,105 |
897 |
$75K |
| G0283 |
Elec stim other than wound |
4,370 |
1,188 |
$66K |
| 71271 |
|
433 |
393 |
$66K |
| 96366 |
|
1,041 |
610 |
$66K |
| 87186 |
|
2,348 |
1,971 |
$63K |
| 84145 |
|
686 |
589 |
$60K |
| 71250 |
|
466 |
384 |
$59K |
| 94640 |
|
3,170 |
2,241 |
$59K |
| 87081 |
|
3,005 |
2,225 |
$58K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,560 |
1,224 |
$57K |
| 85610 |
|
3,903 |
3,006 |
$55K |
| 97162 |
|
803 |
746 |
$52K |
| 97140 |
|
2,113 |
779 |
$51K |
| 84439 |
|
2,673 |
2,416 |
$48K |
| G0378 |
Hospital observation per hr |
292 |
178 |
$47K |
| 85379 |
|
1,853 |
1,675 |
$46K |
| 76536 |
|
252 |
223 |
$42K |
| 76000 |
|
816 |
628 |
$41K |
| 93017 |
|
389 |
345 |
$41K |
| J0696 |
Ceftriaxone sodium injection |
3,809 |
2,833 |
$41K |
| 93971 |
|
182 |
161 |
$39K |
| 83036 |
|
2,269 |
2,008 |
$39K |
| 72125 |
|
249 |
221 |
$38K |
| G0410 |
Grp psych php/iop 45-50 |
532 |
77 |
$38K |
| 29125 |
|
428 |
388 |
$37K |
| 86140 |
|
2,494 |
2,198 |
$35K |
| 73502 |
|
528 |
401 |
$35K |
| 72040 |
|
434 |
347 |
$32K |
| 12001 |
|
200 |
173 |
$32K |
| 88305 |
|
233 |
208 |
$32K |
| 82150 |
|
1,617 |
1,354 |
$31K |
| 80074 |
|
366 |
325 |
$31K |
| C1769 |
Guide wire |
678 |
478 |
$28K |
| J1885 |
Ketorolac tromethamine inj |
7,766 |
6,472 |
$26K |
| 84481 |
|
973 |
911 |
$24K |
| 82962 |
|
2,115 |
1,420 |
$23K |
| 81003 |
|
4,959 |
4,026 |
$23K |
| 82607 |
|
986 |
887 |
$23K |
| 87522 |
Neg quan hep c or qual rna |
210 |
183 |
$23K |
| 85730 |
|
845 |
748 |
$22K |
| 82570 |
|
1,400 |
1,166 |
$21K |
| C1894 |
Intro/sheath, non-laser |
264 |
207 |
$21K |
| 72131 |
|
125 |
107 |
$20K |
| 71260 |
|
72 |
65 |
$19K |
| 52332 |
|
26 |
24 |
$19K |
| J7030 |
Normal saline solution infus |
4,008 |
3,156 |
$19K |
| J2405 |
Ondansetron hcl injection |
10,176 |
7,417 |
$18K |
| 99281 |
|
338 |
310 |
$18K |
| 85652 |
|
550 |
512 |
$17K |
| 85651 |
|
1,526 |
1,350 |
$17K |
| 52260 |
|
47 |
39 |
$17K |
| 90715 |
|
594 |
548 |
$17K |
| A9502 |
Tc99m tetrofosmin |
104 |
82 |
$15K |
| 92507 |
|
239 |
74 |
$15K |
| 97535 |
|
292 |
149 |
$15K |
| 0240U |
|
647 |
458 |
$15K |
| 87420 |
|
517 |
471 |
$15K |
| 80050 |
|
346 |
316 |
$14K |
| 86701 |
|
259 |
239 |
$14K |
| 96367 |
|
168 |
128 |
$13K |
| 90471 |
|
674 |
613 |
$13K |
| J1170 |
Hydromorphone injection |
4,057 |
2,158 |
$13K |
| 52224 |
|
14 |
14 |
$13K |
| 82805 |
|
324 |
235 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
3,199 |
2,427 |
$12K |
| 87635 |
|
369 |
345 |
$12K |
| 87880 |
|
604 |
567 |
$11K |
| 95806 |
|
53 |
51 |
$11K |
| J1100 |
Dexamethasone sodium phos |
3,493 |
3,019 |
$11K |
| 87070 |
|
519 |
398 |
$11K |
| 0202U |
|
76 |
46 |
$10K |
| 82043 |
|
378 |
330 |
$10K |
| 87077 |
|
467 |
386 |
$10K |
| J2270 |
Morphine sulfate injection |
2,876 |
1,773 |
$10K |
| C2617 |
Stent, non-cor, tem w/o del |
138 |
81 |
$10K |
| 73080 |
|
220 |
157 |
$9K |
| Q3014 |
Telehealth facility fee |
648 |
561 |
$9K |
| 76700 |
|
46 |
41 |
$8K |
| J2930 |
Methylprednisolone injection |
1,376 |
1,081 |
$8K |
| 97161 |
|
116 |
105 |
$8K |
| 83540 |
|
467 |
431 |
$8K |
| G0297 |
Ldct for lung ca screen |
61 |
56 |
$8K |
| 43239 |
|
14 |
12 |
$8K |
| 29515 |
|
105 |
102 |
$8K |
| 71101 |
|
100 |
76 |
$8K |
| 10060 |
|
81 |
71 |
$8K |
| 52214 |
|
12 |
12 |
$7K |
| M0243 |
Casirivi and imdevi inj |
47 |
45 |
$6K |
| 93010 |
|
553 |
462 |
$6K |
| 74022 |
|
65 |
63 |
$6K |
| 73090 |
|
86 |
76 |
$6K |
| 82550 |
|
300 |
246 |
$6K |
| 77063 |
|
244 |
213 |
$6K |
| J2550 |
Promethazine hcl injection |
2,917 |
2,002 |
$6K |
| J3010 |
Fentanyl citrate injection |
2,124 |
1,481 |
$6K |
| J3490 |
Drugs unclassified injection |
438 |
138 |
$6K |
| 87633 |
|
84 |
81 |
$5K |
| 78227 |
|
27 |
15 |
$5K |
| 76830 |
|
25 |
25 |
$5K |
| 83550 |
|
267 |
252 |
$5K |
| 82140 |
|
135 |
105 |
$5K |
| 82728 |
|
150 |
138 |
$5K |
| J2274 |
Inj morphine pf epid ithc |
1,406 |
1,015 |
$4K |
| 80076 |
|
215 |
195 |
$4K |
| 72148 |
|
15 |
12 |
$4K |
| J2785 |
Regadenoson injection |
29 |
25 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
1,520 |
1,016 |
$4K |
| 97112 |
|
48 |
12 |
$4K |
| J3370 |
Vancomycin hcl injection |
289 |
182 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
934 |
747 |
$3K |
| J3475 |
Inj magnesium sulfate |
376 |
262 |
$3K |
| 87486 |
|
137 |
98 |
$3K |
| 72072 |
|
45 |
41 |
$3K |
| Q0162 |
Ondansetron oral |
184 |
153 |
$3K |
| 94760 |
|
274 |
182 |
$3K |
| 84702 |
|
71 |
63 |
$3K |
| J0561 |
Penicillin g benzathine inj |
29 |
25 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,207 |
1,028 |
$2K |
| 86038 |
|
90 |
83 |
$2K |
| 93000 |
|
92 |
84 |
$2K |
| J7040 |
Normal saline solution infus |
1,144 |
829 |
$2K |
| J2060 |
Lorazepam injection |
759 |
496 |
$2K |
| 87581 |
|
83 |
80 |
$2K |
| 36416 |
|
247 |
179 |
$2K |
| 36600 |
|
96 |
73 |
$2K |
| 82948 |
|
355 |
209 |
$2K |
| 82947 |
|
542 |
404 |
$2K |
| 72110 |
|
24 |
24 |
$2K |
| 73562 |
|
32 |
27 |
$2K |
| 87798 |
|
83 |
80 |
$2K |
| 73590 |
|
32 |
25 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
636 |
516 |
$2K |
| 87491 |
|
36 |
28 |
$2K |
| J2765 |
Metoclopramide hcl injection |
625 |
550 |
$2K |
| A9500 |
Tc99m sestamibi |
14 |
12 |
$2K |
| 87591 |
|
36 |
28 |
$1K |
| 87804 |
|
43 |
36 |
$1K |
| 97116 |
|
31 |
13 |
$1K |
| 83516 |
|
26 |
24 |
$1K |
| 82803 |
|
13 |
12 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
111 |
96 |
$1K |
| 84153 |
|
25 |
25 |
$983.10 |
| J2720 |
Inj protamine sulfate/10 mg |
49 |
40 |
$972.19 |
| J0131 |
Inj, acetaminophen (nos) |
26 |
25 |
$859.16 |
| 97163 |
|
12 |
12 |
$815.51 |
| 86200 |
|
27 |
25 |
$808.46 |
| 29505 |
|
14 |
14 |
$764.13 |
| 99213 |
|
13 |
13 |
$758.65 |
| 86431 |
|
56 |
54 |
$754.11 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
68 |
61 |
$711.04 |
| 84550 |
|
53 |
37 |
$673.79 |
| 80320 |
|
14 |
13 |
$635.07 |
| G8978 |
Mobility current status |
358 |
293 |
$581.74 |
| 82553 |
|
22 |
14 |
$536.19 |
| 82746 |
|
30 |
25 |
$535.63 |
| 80143 |
|
13 |
12 |
$519.51 |
| J7120 |
Ringers lactate infusion |
98 |
87 |
$461.29 |
| 51702 |
|
13 |
12 |
$429.84 |
| 84100 |
|
18 |
16 |
$388.19 |
| 81015 |
|
375 |
306 |
$383.85 |
| 82507 |
|
17 |
12 |
$285.64 |
| 82131 |
|
17 |
12 |
$275.64 |
| 87426 |
|
12 |
12 |
$271.01 |
| J0780 |
Prochlorperazine injection |
33 |
32 |
$264.10 |
| A9537 |
Tc99m mebrofenin |
18 |
14 |
$262.46 |
| 83945 |
|
17 |
12 |
$253.65 |
| J7050 |
Normal saline solution infus |
87 |
70 |
$240.16 |
| 82248 |
|
14 |
12 |
$238.69 |
| 83935 |
|
17 |
12 |
$233.70 |
| 86430 |
|
14 |
12 |
$195.85 |
| C1758 |
Catheter, ureteral |
38 |
28 |
$178.40 |
| 82340 |
|
30 |
24 |
$168.52 |
| 82009 |
|
14 |
13 |
$153.96 |
| J1630 |
Haloperidol injection |
45 |
42 |
$153.04 |
| J2470 |
Inj pantoprazole sodium 40mg |
27 |
25 |
$151.84 |
| 84133 |
|
17 |
12 |
$149.82 |
| J1650 |
Inj enoxaparin sodium |
31 |
13 |
$147.22 |
| 84300 |
|
17 |
12 |
$143.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
229 |
202 |
$138.39 |
| 80069 |
|
23 |
15 |
$129.24 |
| 82436 |
|
17 |
12 |
$127.82 |
| 84560 |
|
17 |
12 |
$121.82 |
| 94664 |
|
93 |
82 |
$110.69 |
| 84105 |
|
17 |
12 |
$103.83 |
| 84392 |
|
17 |
12 |
$83.88 |
| J0690 |
Cefazolin sodium injection |
16 |
13 |
$72.80 |
| J2001 |
Lidocaine injection |
16 |
13 |
$35.06 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
46 |
43 |
$35.04 |
| G8980 |
Mobility d/c status |
12 |
12 |
$3.05 |
| G8979 |
Mobility goal status |
332 |
289 |
$0.63 |
| A9270 |
Non-covered item or service |
45 |
24 |
$0.00 |