| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
14,125 |
11,807 |
$5.36M |
| 99284 |
|
33,903 |
29,220 |
$5.00M |
| 87633 |
|
11,729 |
10,517 |
$2.71M |
| 99283 |
|
19,046 |
17,638 |
$1.76M |
| G0378 |
Hospital observation per hr |
4,660 |
2,561 |
$1.50M |
| 80053 |
|
65,159 |
52,246 |
$1.30M |
| 85025 |
|
67,097 |
51,815 |
$1.20M |
| 96361 |
|
5,014 |
3,323 |
$958K |
| 74177 |
|
4,660 |
4,083 |
$832K |
| 78452 |
|
1,515 |
1,344 |
$635K |
| J2704 |
Inj, propofol, 10 mg |
7,331 |
6,539 |
$542K |
| 36415 |
|
46,658 |
39,119 |
$521K |
| 96365 |
|
6,558 |
5,236 |
$471K |
| 11042 |
|
4,777 |
2,505 |
$459K |
| 71045 |
|
17,460 |
14,784 |
$437K |
| 84484 |
|
17,556 |
12,310 |
$434K |
| 88305 |
|
5,747 |
5,066 |
$430K |
| J2405 |
Ondansetron hcl injection |
8,934 |
7,153 |
$408K |
| 83605 |
|
21,628 |
17,775 |
$399K |
| 70450 |
|
6,224 |
5,436 |
$397K |
| 80307 |
|
6,509 |
5,350 |
$397K |
| J7030 |
Normal saline solution infus |
6,681 |
4,928 |
$396K |
| 43239 |
|
2,257 |
2,076 |
$391K |
| 96374 |
|
7,584 |
6,390 |
$375K |
| 93005 |
|
21,143 |
17,535 |
$375K |
| J2001 |
Lidocaine injection |
6,428 |
5,589 |
$352K |
| 74176 |
|
3,504 |
3,088 |
$323K |
| 81000 |
|
27,883 |
23,792 |
$323K |
| J7120 |
Ringers lactate infusion |
2,324 |
1,568 |
$308K |
| 71260 |
|
1,877 |
1,617 |
$289K |
| 83874 |
|
4,983 |
3,260 |
$281K |
| J3010 |
Fentanyl citrate injection |
3,653 |
3,095 |
$276K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,874 |
5,146 |
$276K |
| J1885 |
Ketorolac tromethamine inj |
7,577 |
6,247 |
$274K |
| 93306 |
|
2,471 |
2,264 |
$270K |
| 96375 |
|
6,742 |
5,394 |
$266K |
| 82553 |
|
4,797 |
3,142 |
$264K |
| 87040 |
|
7,734 |
4,868 |
$263K |
| 45380 |
|
1,203 |
1,083 |
$258K |
| 83880 |
|
5,899 |
4,913 |
$256K |
| 82550 |
|
5,321 |
3,526 |
$253K |
| A9500 |
Tc99m sestamibi |
1,528 |
1,354 |
$251K |
| 96372 |
|
6,572 |
5,409 |
$241K |
| 85610 |
|
10,301 |
8,353 |
$235K |
| 99282 |
|
4,976 |
4,738 |
$228K |
| 84443 |
|
9,826 |
9,069 |
$228K |
| 71046 |
|
7,822 |
7,135 |
$226K |
| 85730 |
|
8,864 |
7,500 |
$220K |
| 83735 |
|
8,189 |
6,374 |
$212K |
| 93017 |
|
1,681 |
1,491 |
$204K |
| J1100 |
Dexamethasone sodium phos |
4,845 |
4,222 |
$191K |
| 97110 |
|
5,692 |
1,409 |
$188K |
| 94640 |
|
3,840 |
1,877 |
$184K |
| 80061 |
|
9,797 |
9,193 |
$182K |
| 87086 |
|
12,258 |
10,594 |
$182K |
| J2710 |
Neostigmine methylslfte inj |
1,110 |
957 |
$179K |
| 96366 |
|
2,229 |
1,555 |
$176K |
| J0690 |
Cefazolin sodium injection |
1,759 |
1,375 |
$166K |
| J1170 |
Hydromorphone injection |
1,688 |
1,325 |
$166K |
| J2543 |
Piperacillin/tazobactam |
1,175 |
706 |
$165K |
| J2250 |
Inj midazolam hydrochloride |
1,979 |
1,708 |
$158K |
| U0002 |
Covid-19 lab test non-cdc |
3,295 |
2,877 |
$158K |
| 83690 |
|
7,873 |
6,553 |
$156K |
| 82803 |
|
3,121 |
2,399 |
$156K |
| 76705 |
|
2,230 |
2,024 |
$153K |
| 82948 |
|
6,392 |
2,944 |
$148K |
| 71250 |
|
2,449 |
2,209 |
$144K |
| 77067 |
|
1,395 |
1,370 |
$132K |
| J2785 |
Regadenoson injection |
646 |
570 |
$127K |
| 45378 |
|
496 |
438 |
$118K |
| 80048 |
|
6,508 |
5,252 |
$117K |
| J0696 |
Ceftriaxone sodium injection |
4,274 |
3,049 |
$117K |
| 96376 |
|
899 |
529 |
$112K |
| 82306 |
|
4,348 |
4,132 |
$110K |
| 81025 |
|
3,194 |
2,781 |
$106K |
| 80074 |
|
1,156 |
1,068 |
$103K |
| 96360 |
|
1,093 |
921 |
$102K |
| 84439 |
|
5,186 |
4,826 |
$101K |
| 87811 |
|
4,413 |
4,087 |
$100K |
| 72125 |
|
1,300 |
1,163 |
$98K |
| 84703 |
|
3,894 |
3,379 |
$97K |
| J1650 |
Inj enoxaparin sodium |
1,480 |
825 |
$95K |
| 36600 |
|
2,861 |
2,148 |
$91K |
| 87070 |
|
4,061 |
3,612 |
$90K |
| C9113 |
Inj pantoprazole sodium, via |
561 |
378 |
$90K |
| 87798 |
|
729 |
643 |
$86K |
| 87486 |
|
728 |
643 |
$86K |
| 87581 |
|
728 |
643 |
$86K |
| J2270 |
Morphine sulfate injection |
1,346 |
1,007 |
$85K |
| 73562 |
|
2,334 |
1,850 |
$85K |
| 87880 |
|
3,014 |
2,740 |
$83K |
| 73630 |
|
2,875 |
2,388 |
$80K |
| 82150 |
|
1,563 |
1,302 |
$78K |
| 82607 |
|
3,033 |
2,863 |
$75K |
| 70553 |
|
200 |
188 |
$73K |
| 86140 |
|
2,590 |
2,311 |
$72K |
| 87507 |
|
307 |
261 |
$72K |
| 97597 |
|
3,166 |
1,781 |
$71K |
| 83036 |
|
6,393 |
5,957 |
$71K |
| 93971 |
|
1,090 |
1,003 |
$67K |
| 86850 |
|
2,553 |
1,987 |
$64K |
| 87186 |
|
3,766 |
3,211 |
$64K |
| 76536 |
|
831 |
804 |
$61K |
| 74022 |
|
1,383 |
1,184 |
$60K |
| 85652 |
|
2,662 |
2,316 |
$59K |
| C9803 |
Hopd covid-19 spec collect |
5,064 |
4,666 |
$59K |
| 73610 |
|
1,686 |
1,450 |
$58K |
| 85045 |
|
4,133 |
2,968 |
$56K |
| J1644 |
Inj heparin sodium per 1000u |
1,688 |
1,077 |
$55K |
| 73030 |
|
1,862 |
1,594 |
$55K |
| 72110 |
|
1,122 |
1,069 |
$54K |
| 73130 |
|
1,608 |
1,371 |
$53K |
| 87804 |
|
1,921 |
1,691 |
$53K |
| 82728 |
|
1,827 |
1,615 |
$53K |
| 86900 |
|
2,639 |
2,002 |
$51K |
| 86901 |
|
2,643 |
2,003 |
$50K |
| 82746 |
|
1,512 |
1,422 |
$49K |
| J2920 |
Methylprednisolone injection |
671 |
285 |
$48K |
| 96367 |
|
482 |
344 |
$47K |
| 83540 |
|
2,042 |
1,867 |
$45K |
| 70486 |
|
446 |
393 |
$45K |
| 85027 |
|
3,986 |
3,667 |
$44K |
| 97161 |
|
806 |
719 |
$43K |
| 87522 |
Neg quan hep c or qual rna |
495 |
470 |
$42K |
| 83550 |
|
1,083 |
982 |
$39K |
| M0243 |
Casirivi and imdevi inj |
93 |
91 |
$38K |
| 83615 |
|
4,432 |
3,082 |
$38K |
| 80076 |
|
1,311 |
1,205 |
$37K |
| J3370 |
Vancomycin hcl injection |
775 |
458 |
$37K |
| 73110 |
|
1,012 |
854 |
$36K |
| J2274 |
Inj morphine pf epid ithc |
1,099 |
797 |
$35K |
| J1815 |
Insulin injection |
1,219 |
900 |
$35K |
| 72148 |
|
233 |
226 |
$33K |
| 93880 |
|
108 |
102 |
$33K |
| J7040 |
Normal saline solution infus |
699 |
569 |
$30K |
| 84702 |
|
1,093 |
857 |
$30K |
| 85378 |
|
1,175 |
1,013 |
$30K |
| 74018 |
|
918 |
799 |
$29K |
| J2175 |
Meperidine hydrochl /100 mg |
77 |
51 |
$29K |
| 59025 |
|
1,294 |
848 |
$28K |
| 88312 |
|
244 |
233 |
$28K |
| 51702 |
|
556 |
460 |
$28K |
| 76830 |
|
355 |
323 |
$28K |
| 82140 |
|
1,449 |
1,174 |
$27K |
| J0330 |
Succinycholine chloride inj |
588 |
525 |
$27K |
| 99218 |
|
804 |
320 |
$27K |
| G0463 |
Hospital outpt clinic visit |
1,990 |
1,749 |
$27K |
| 87389 |
|
705 |
661 |
$26K |
| 80164 |
|
44 |
38 |
$25K |
| 99281 |
|
789 |
728 |
$25K |
| J2930 |
Methylprednisolone injection |
1,283 |
1,043 |
$24K |
| 72131 |
|
284 |
257 |
$24K |
| 74019 |
|
480 |
413 |
$24K |
| A9576 |
Inj prohance multipack |
307 |
289 |
$23K |
| 94060 |
|
474 |
461 |
$23K |
| 73564 |
|
475 |
407 |
$23K |
| 80050 |
|
638 |
592 |
$23K |
| 73502 |
|
863 |
777 |
$22K |
| 82248 |
|
1,712 |
1,463 |
$22K |
| 97140 |
|
1,089 |
302 |
$22K |
| 87902 |
|
27 |
27 |
$21K |
| J7050 |
Normal saline solution infus |
671 |
526 |
$21K |
| 64483 |
|
23 |
12 |
$20K |
| G0283 |
Elec stim other than wound |
1,192 |
297 |
$20K |
| 82565 |
|
911 |
858 |
$20K |
| 76770 |
|
343 |
329 |
$20K |
| 86780 |
|
746 |
700 |
$19K |
| 90715 |
|
323 |
277 |
$19K |
| 84520 |
|
860 |
814 |
$19K |
| A9585 |
Gadobutrol injection |
234 |
210 |
$18K |
| J1956 |
Levofloxacin injection |
527 |
316 |
$18K |
| J2550 |
Promethazine hcl injection |
318 |
243 |
$18K |
| 84481 |
|
849 |
784 |
$18K |
| 73721 |
|
55 |
50 |
$17K |
| J1200 |
Diphenhydramine hcl injectio |
991 |
806 |
$16K |
| 94729 |
|
320 |
314 |
$16K |
| 99211 |
|
1,092 |
1,048 |
$15K |
| 77065 |
Tomosynthesis, mammo |
118 |
115 |
$15K |
| M0245 |
Bamlan and etesev infusion |
37 |
37 |
$15K |
| 87635 |
|
648 |
620 |
$15K |
| J2765 |
Metoclopramide hcl injection |
837 |
671 |
$14K |
| J1642 |
Inj heparin sodium per 10 u |
661 |
412 |
$14K |
| 96413 |
|
204 |
123 |
$14K |
| 70551 |
|
61 |
56 |
$13K |
| Q0162 |
Ondansetron oral |
631 |
508 |
$13K |
| 52000 |
|
41 |
38 |
$13K |
| 82009 |
|
546 |
431 |
$13K |
| 72050 |
|
254 |
239 |
$13K |
| 72100 |
|
398 |
378 |
$13K |
| 94726 |
|
339 |
333 |
$13K |
| J0171 |
Adrenalin epinephrine inject |
106 |
87 |
$13K |
| 82270 |
|
446 |
382 |
$12K |
| 76815 |
|
195 |
176 |
$12K |
| 86063 |
|
336 |
279 |
$12K |
| 87075 |
|
582 |
493 |
$12K |
| 11045 |
|
252 |
52 |
$12K |
| 82784 |
|
76 |
66 |
$12K |
| J3475 |
Inj magnesium sulfate |
582 |
435 |
$12K |
| 88304 |
|
265 |
238 |
$12K |
| 83516 |
|
509 |
484 |
$11K |
| 73590 |
|
252 |
219 |
$11K |
| 77063 |
|
661 |
649 |
$11K |
| 99152 |
|
56 |
36 |
$11K |
| 73090 |
|
229 |
198 |
$11K |
| 73080 |
|
357 |
328 |
$10K |
| J2370 |
Phenylephrine hcl injection |
204 |
168 |
$10K |
| J2060 |
Lorazepam injection |
310 |
215 |
$10K |
| J2360 |
Orphenadrine injection |
210 |
183 |
$9K |
| 72072 |
|
161 |
151 |
$9K |
| 90471 |
|
192 |
175 |
$9K |
| J1580 |
Garamycin gentamicin inj |
33 |
25 |
$9K |
| 96368 |
|
268 |
205 |
$9K |
| 86038 |
|
520 |
500 |
$8K |
| 71275 |
|
118 |
111 |
$8K |
| 86706 |
|
412 |
400 |
$8K |
| 93970 |
|
135 |
125 |
$8K |
| 76817 |
|
155 |
132 |
$7K |
| 89220 |
|
20 |
12 |
$7K |
| 88104 |
|
31 |
25 |
$6K |
| 45385 |
|
52 |
47 |
$6K |
| 95810 |
|
13 |
12 |
$6K |
| 70491 |
|
41 |
39 |
$6K |
| 87205 |
|
178 |
156 |
$6K |
| 77066 |
Tomosynthesis, mammo |
58 |
56 |
$6K |
| 76642 |
|
127 |
105 |
$5K |
| 99291 |
|
44 |
41 |
$5K |
| 84550 |
|
432 |
379 |
$5K |
| 86803 |
|
232 |
213 |
$5K |
| 87651 |
|
206 |
187 |
$5K |
| 31500 |
|
76 |
63 |
$5K |
| 88311 |
|
25 |
14 |
$4K |
| 12001 |
|
52 |
50 |
$4K |
| 12002 |
|
35 |
31 |
$4K |
| 10060 |
|
47 |
37 |
$4K |
| 87340 |
|
193 |
173 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
232 |
202 |
$4K |
| 93925 |
|
29 |
26 |
$4K |
| 97164 |
|
111 |
104 |
$4K |
| 93922 |
|
39 |
38 |
$3K |
| 11043 |
|
23 |
13 |
$3K |
| 82397 |
|
647 |
559 |
$3K |
| 71101 |
|
32 |
29 |
$3K |
| G0279 |
Tomosynthesis, mammo |
107 |
106 |
$2K |
| 87320 |
|
137 |
135 |
$2K |
| J1940 |
Furosemide injection |
98 |
77 |
$2K |
| 82103 |
|
103 |
91 |
$2K |
| 83970 |
|
57 |
56 |
$2K |
| 86308 |
|
106 |
94 |
$2K |
| 70496 |
|
29 |
29 |
$2K |
| 72170 |
|
55 |
50 |
$2K |
| 36430 |
|
14 |
12 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
50 |
41 |
$2K |
| 82043 |
|
172 |
169 |
$2K |
| 72128 |
|
15 |
13 |
$2K |
| 84153 |
|
74 |
72 |
$2K |
| 76856 |
|
12 |
12 |
$1K |
| 86762 |
|
110 |
96 |
$1K |
| 72040 |
|
14 |
13 |
$1K |
| 77080 |
|
14 |
14 |
$1K |
| 0002A |
|
88 |
81 |
$1K |
| 83655 |
|
74 |
71 |
$1K |
| 70498 |
|
15 |
15 |
$1K |
| 73552 |
|
33 |
28 |
$998.17 |
| 99204 |
|
18 |
13 |
$963.40 |
| 86677 |
|
54 |
51 |
$934.35 |
| 99203 |
|
16 |
15 |
$933.81 |
| 0001A |
|
82 |
78 |
$914.32 |
| 87420 |
|
20 |
13 |
$907.72 |
| 86787 |
|
63 |
55 |
$885.29 |
| 87449 |
|
68 |
67 |
$880.62 |
| 87081 |
|
65 |
64 |
$803.81 |
| 86430 |
|
104 |
100 |
$788.51 |
| J0456 |
Azithromycin |
23 |
15 |
$783.88 |
| 85018 |
|
86 |
64 |
$763.04 |
| 84156 |
|
65 |
61 |
$760.95 |
| 82247 |
|
78 |
68 |
$727.19 |
| 83010 |
|
39 |
38 |
$700.59 |
| Q3014 |
Telehealth facility fee |
50 |
37 |
$647.44 |
| A9270 |
Non-covered item or service |
108 |
80 |
$616.58 |
| A9537 |
Tc99m mebrofenin |
13 |
12 |
$612.27 |
| 76870 |
|
14 |
13 |
$595.26 |
| 83525 |
|
53 |
52 |
$577.37 |
| 82378 |
|
30 |
25 |
$443.83 |
| 99213 |
|
20 |
20 |
$404.00 |
| 43753 |
|
12 |
12 |
$392.00 |
| C1769 |
Guide wire |
55 |
52 |
$389.00 |
| 88300 |
|
15 |
12 |
$368.03 |
| 83883 |
|
40 |
38 |
$366.36 |
| 97116 |
|
31 |
12 |
$356.17 |
| J2310 |
Inj naloxone hydrochloride |
12 |
12 |
$310.03 |
| 84436 |
|
49 |
47 |
$256.24 |
| 97530 |
|
24 |
13 |
$251.91 |
| 84460 |
|
26 |
26 |
$226.78 |
| 86922 |
|
16 |
13 |
$223.59 |
| 82950 |
|
17 |
15 |
$212.10 |
| Q0245 |
Bamlanivimab and etesevima |
51 |
51 |
$194.94 |
| 86735 |
|
13 |
13 |
$154.05 |
| 86765 |
|
13 |
13 |
$151.96 |
| 82172 |
|
13 |
13 |
$151.84 |
| 82977 |
|
27 |
26 |
$131.68 |
| 82542 |
|
16 |
15 |
$130.08 |
| 82465 |
|
36 |
36 |
$114.35 |
| J1953 |
Levetiracetam injection |
30 |
24 |
$75.23 |
| J0744 |
Ciprofloxacin iv |
20 |
12 |
$69.25 |
| 82947 |
|
14 |
13 |
$38.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
12 |
$1.47 |
| G0103 |
Psa screening |
16 |
16 |
$0.00 |