| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,216 |
18,932 |
$4.32M |
| 99284 |
|
18,210 |
14,821 |
$3.35M |
| 96361 |
|
8,103 |
5,877 |
$2.64M |
| 99285 |
|
9,051 |
7,407 |
$2.23M |
| 74177 |
|
4,026 |
3,426 |
$1.00M |
| 70450 |
|
3,977 |
3,372 |
$883K |
| 96365 |
|
5,876 |
4,085 |
$637K |
| 99282 |
|
3,321 |
2,993 |
$514K |
| 96366 |
|
1,737 |
1,186 |
$475K |
| 74176 |
|
2,242 |
1,862 |
$418K |
| 99281 |
|
1,476 |
1,356 |
$347K |
| 93306 |
|
870 |
778 |
$346K |
| G0378 |
Hospital observation per hr |
1,262 |
904 |
$342K |
| 71275 |
|
1,060 |
942 |
$324K |
| 97110 |
|
5,381 |
1,781 |
$282K |
| 96360 |
|
2,031 |
1,528 |
$230K |
| 96413 |
|
1,148 |
589 |
$166K |
| 80307 |
|
2,381 |
2,011 |
$158K |
| 94640 |
|
1,935 |
1,459 |
$119K |
| 96375 |
|
8,672 |
6,394 |
$115K |
| 97161 |
|
666 |
596 |
$108K |
| 80053 |
|
22,775 |
17,237 |
$107K |
| 77067 |
|
2,092 |
1,907 |
$102K |
| G0463 |
Hospital outpt clinic visit |
2,420 |
1,667 |
$93K |
| 71046 |
|
6,862 |
6,039 |
$88K |
| 87637 |
|
6,565 |
5,922 |
$66K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,915 |
5,723 |
$65K |
| 76705 |
|
561 |
502 |
$65K |
| 97530 |
|
1,142 |
515 |
$53K |
| 96374 |
|
10,362 |
8,123 |
$46K |
| 77063 |
|
1,417 |
1,258 |
$46K |
| 72125 |
|
1,196 |
1,049 |
$40K |
| 73630 |
|
1,580 |
1,306 |
$38K |
| 87635 |
|
555 |
451 |
$37K |
| 71250 |
|
459 |
409 |
$36K |
| C9803 |
Hopd covid-19 spec collect |
2,530 |
2,155 |
$32K |
| 85025 |
|
27,092 |
19,395 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,692 |
1,505 |
$24K |
| 70498 |
|
96 |
88 |
$23K |
| 71260 |
|
320 |
276 |
$23K |
| 73030 |
|
1,345 |
1,115 |
$22K |
| 84484 |
|
12,952 |
8,402 |
$21K |
| 73610 |
|
1,183 |
1,009 |
$21K |
| 80048 |
|
5,491 |
3,957 |
$21K |
| 73130 |
|
875 |
724 |
$19K |
| 20610 |
|
235 |
137 |
$19K |
| 73564 |
|
562 |
433 |
$18K |
| 78452 |
|
31 |
26 |
$17K |
| 96372 |
|
6,180 |
4,254 |
$17K |
| 83880 |
|
2,394 |
1,898 |
$16K |
| 87040 |
|
2,728 |
1,640 |
$16K |
| 72100 |
|
681 |
597 |
$15K |
| 93005 |
|
15,477 |
11,507 |
$15K |
| 84443 |
|
2,062 |
1,824 |
$15K |
| 93017 |
|
120 |
106 |
$14K |
| 43239 |
|
14 |
13 |
$13K |
| 71045 |
|
8,522 |
6,762 |
$13K |
| 83605 |
|
9,966 |
7,278 |
$13K |
| 73562 |
|
793 |
681 |
$12K |
| 96367 |
|
272 |
184 |
$12K |
| 36415 |
|
6,932 |
4,846 |
$12K |
| 76642 |
|
102 |
93 |
$12K |
| J3010 |
Fentanyl citrate injection |
4,233 |
3,127 |
$12K |
| 87081 |
|
4,944 |
4,537 |
$10K |
| 97162 |
|
53 |
46 |
$10K |
| 73502 |
|
630 |
493 |
$9K |
| 73110 |
|
410 |
315 |
$9K |
| 90715 |
|
256 |
236 |
$8K |
| 87086 |
|
5,560 |
4,619 |
$7K |
| 85379 |
|
1,559 |
1,366 |
$7K |
| 80047 |
|
1,440 |
1,126 |
$7K |
| 80061 |
|
1,091 |
1,048 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
1,911 |
1,566 |
$6K |
| 82306 |
|
294 |
288 |
$6K |
| 82948 |
|
2,383 |
1,439 |
$6K |
| 74018 |
|
254 |
217 |
$6K |
| 97140 |
|
322 |
121 |
$5K |
| 81025 |
|
4,299 |
3,706 |
$5K |
| J3490 |
Drugs unclassified injection |
7,288 |
3,600 |
$5K |
| 87632 |
|
95 |
92 |
$5K |
| 87798 |
|
97 |
93 |
$5K |
| 83735 |
|
9,791 |
7,095 |
$5K |
| 86756 |
|
339 |
326 |
$5K |
| 93971 |
|
63 |
48 |
$5K |
| 83036 |
|
883 |
851 |
$4K |
| J7120 |
Ringers lactate infusion |
1,125 |
930 |
$4K |
| J2405 |
Ondansetron hcl injection |
7,132 |
5,417 |
$4K |
| 82248 |
|
1,078 |
672 |
$3K |
| 85027 |
|
874 |
705 |
$3K |
| 84466 |
|
243 |
231 |
$3K |
| 80143 |
|
543 |
455 |
$3K |
| 82728 |
|
403 |
370 |
$3K |
| 96376 |
|
3,106 |
1,982 |
$3K |
| 81001 |
|
11,910 |
9,726 |
$3K |
| 87581 |
|
97 |
93 |
$3K |
| 87486 |
|
97 |
93 |
$3K |
| 87591 |
|
356 |
312 |
$2K |
| G0472 |
Hep c screen high risk/other |
58 |
57 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,997 |
5,076 |
$2K |
| A9577 |
Inj multihance |
166 |
145 |
$2K |
| 73140 |
|
115 |
97 |
$2K |
| 84702 |
|
1,383 |
1,242 |
$2K |
| 76830 |
|
14 |
14 |
$2K |
| 87804 |
|
6,086 |
2,699 |
$2K |
| 73560 |
|
154 |
136 |
$2K |
| 85610 |
|
2,247 |
1,641 |
$2K |
| 83540 |
|
326 |
311 |
$2K |
| 87491 |
|
325 |
283 |
$1K |
| 82607 |
|
143 |
142 |
$1K |
| J2270 |
Morphine sulfate injection |
2,568 |
1,882 |
$1K |
| 80179 |
|
499 |
418 |
$1K |
| 83690 |
|
5,954 |
4,816 |
$1K |
| 84439 |
|
172 |
168 |
$1K |
| 86140 |
|
346 |
300 |
$1K |
| 83655 |
|
44 |
41 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
4,176 |
2,167 |
$973.54 |
| J0696 |
Ceftriaxone sodium injection |
1,853 |
1,423 |
$970.85 |
| J2930 |
Methylprednisolone injection |
514 |
389 |
$968.22 |
| A9585 |
Gadobutrol injection |
29 |
25 |
$924.12 |
| 81003 |
|
3,328 |
2,865 |
$892.48 |
| 87880 |
|
1,855 |
1,709 |
$866.67 |
| 87077 |
|
2,290 |
1,791 |
$845.18 |
| 82553 |
|
204 |
128 |
$834.63 |
| 77062 |
|
31 |
26 |
$813.02 |
| 76942 |
|
19 |
12 |
$803.11 |
| J2550 |
Promethazine hcl injection |
478 |
340 |
$764.65 |
| 82947 |
|
3,104 |
1,546 |
$678.97 |
| J7030 |
Normal saline solution infus |
4,563 |
3,479 |
$662.94 |
| 87430 |
|
2,431 |
2,206 |
$524.22 |
| 82077 |
|
701 |
585 |
$501.38 |
| J1100 |
Dexamethasone sodium phos |
1,920 |
1,273 |
$470.05 |
| 86900 |
|
465 |
374 |
$431.56 |
| J1200 |
Diphenhydramine hcl injectio |
965 |
724 |
$418.49 |
| 72110 |
|
12 |
12 |
$411.70 |
| 80320 |
|
378 |
323 |
$366.44 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
160 |
135 |
$365.47 |
| J2274 |
Inj morphine pf epid ithc |
54 |
37 |
$344.37 |
| 87147 |
|
223 |
210 |
$344.24 |
| 84100 |
|
400 |
223 |
$339.63 |
| 82550 |
|
521 |
365 |
$315.65 |
| 84703 |
|
948 |
809 |
$291.59 |
| 80076 |
|
92 |
76 |
$285.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,205 |
885 |
$271.55 |
| J7050 |
Normal saline solution infus |
3,130 |
1,558 |
$236.15 |
| J1642 |
Inj heparin sodium per 10 u |
1,118 |
403 |
$233.86 |
| 74022 |
|
41 |
31 |
$229.68 |
| 82565 |
|
344 |
292 |
$228.92 |
| J2250 |
Inj midazolam hydrochloride |
1,737 |
816 |
$219.94 |
| J1650 |
Inj enoxaparin sodium |
720 |
301 |
$219.78 |
| 90471 |
|
315 |
270 |
$218.60 |
| 86901 |
|
465 |
374 |
$210.32 |
| J0690 |
Cefazolin sodium injection |
697 |
517 |
$204.45 |
| 87186 |
|
1,211 |
871 |
$180.40 |
| 72070 |
|
13 |
13 |
$176.66 |
| 85730 |
|
798 |
667 |
$168.45 |
| U0005 |
Infec agen detec ampli probe |
55 |
38 |
$165.75 |
| A9150 |
Misc/exper non-prescript dru |
7,682 |
3,143 |
$153.88 |
| G0480 |
Drug test def 1-7 classes |
30 |
25 |
$152.23 |
| 82746 |
|
29 |
27 |
$151.59 |
| 73080 |
|
13 |
12 |
$149.08 |
| J1030 |
Methylprednisolone 40 mg inj |
466 |
346 |
$148.40 |
| Q0162 |
Ondansetron oral |
678 |
536 |
$144.14 |
| 85014 |
|
1,455 |
1,132 |
$133.72 |
| J1170 |
Hydromorphone injection |
1,705 |
1,066 |
$126.81 |
| 87070 |
|
12 |
12 |
$123.38 |
| 82150 |
|
355 |
297 |
$117.65 |
| 86850 |
|
191 |
159 |
$117.37 |
| G0279 |
Tomosynthesis, mammo |
14 |
12 |
$115.79 |
| J7620 |
Albuterol ipratrop non-comp |
228 |
186 |
$104.64 |
| J7040 |
Normal saline solution infus |
451 |
359 |
$102.06 |
| 86885 |
|
75 |
57 |
$100.00 |
| 88305 |
|
382 |
231 |
$96.80 |
| 85652 |
|
34 |
26 |
$92.73 |
| 87184 |
|
251 |
214 |
$84.61 |
| 36592 |
|
278 |
224 |
$82.19 |
| 82805 |
|
40 |
38 |
$64.28 |
| J3475 |
Inj magnesium sulfate |
1,669 |
1,233 |
$56.58 |
| J2060 |
Lorazepam injection |
481 |
361 |
$53.47 |
| A6402 |
Sterile gauze <= 16 sq in |
158 |
124 |
$37.69 |
| 82803 |
|
218 |
136 |
$33.99 |
| 87205 |
|
13 |
12 |
$33.08 |
| 82043 |
|
12 |
12 |
$30.78 |
| 87210 |
|
79 |
64 |
$26.27 |
| 81002 |
|
390 |
320 |
$24.81 |
| J2765 |
Metoclopramide hcl injection |
350 |
272 |
$24.11 |
| J2001 |
Lidocaine injection |
248 |
176 |
$11.18 |
| J1815 |
Insulin injection |
41 |
13 |
$3.30 |
| J3480 |
Inj potassium chloride |
44 |
25 |
$3.12 |
| J1630 |
Haloperidol injection |
47 |
37 |
$2.38 |
| J7510 |
Prednisolone oral per 5 mg |
49 |
41 |
$2.21 |
| J1940 |
Furosemide injection |
24 |
12 |
$1.70 |
| J0780 |
Prochlorperazine injection |
32 |
28 |
$1.44 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
63 |
55 |
$0.21 |
| J2543 |
Piperacillin/tazobactam |
118 |
51 |
$0.00 |
| A9270 |
Non-covered item or service |
4,402 |
1,281 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
73 |
72 |
$0.00 |
| 94760 |
|
111 |
70 |
$0.00 |
| 96368 |
|
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
16 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
17 |
14 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
125 |
108 |
$0.00 |
| 73590 |
|
18 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
34 |
24 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
18 |
15 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
195 |
131 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
17 |
12 |
$0.00 |