| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
25,441 |
13,188 |
$4.13M |
| 99284 |
|
27,316 |
24,929 |
$4.00M |
| 99283 |
|
23,828 |
22,014 |
$3.70M |
| 99285 |
|
14,342 |
12,834 |
$2.48M |
| 96365 |
|
11,082 |
7,993 |
$1.46M |
| 97110 |
|
18,413 |
5,841 |
$1.26M |
| 96361 |
|
3,386 |
2,804 |
$1.25M |
| 70450 |
|
8,503 |
7,894 |
$942K |
| 74177 |
|
7,006 |
6,644 |
$925K |
| 43239 |
|
1,452 |
1,419 |
$833K |
| U0003 |
Cov-19 amp prb hgh thruput |
13,520 |
12,275 |
$737K |
| 99213 |
|
4,943 |
4,045 |
$713K |
| 97140 |
|
13,957 |
4,566 |
$547K |
| 80307 |
|
15,903 |
13,073 |
$528K |
| 99282 |
|
3,134 |
3,016 |
$479K |
| 45380 |
|
426 |
422 |
$479K |
| 99212 |
|
2,486 |
1,694 |
$392K |
| 96366 |
|
1,541 |
1,218 |
$390K |
| 71275 |
|
2,122 |
2,009 |
$340K |
| 77063 |
|
4,453 |
4,412 |
$321K |
| S9485 |
Crisis intervention mental h |
823 |
563 |
$313K |
| 74176 |
|
2,854 |
2,693 |
$301K |
| 85025 |
|
73,394 |
59,921 |
$297K |
| 99291 |
|
2,008 |
1,883 |
$293K |
| 45385 |
|
400 |
391 |
$292K |
| G0463 |
Hospital outpt clinic visit |
13,200 |
9,358 |
$290K |
| 96413 |
|
3,710 |
2,383 |
$276K |
| 76705 |
|
3,042 |
2,881 |
$268K |
| J0131 |
Inj, acetaminophen (nos) |
8,894 |
7,626 |
$255K |
| G0480 |
Drug test def 1-7 classes |
11,766 |
10,102 |
$245K |
| 80053 |
|
70,042 |
58,363 |
$228K |
| 93306 |
|
1,415 |
1,383 |
$221K |
| 71046 |
|
15,613 |
14,571 |
$221K |
| 93971 |
|
1,352 |
1,274 |
$199K |
| 0241U |
|
4,032 |
3,826 |
$195K |
| 87591 |
|
7,397 |
7,168 |
$192K |
| 87491 |
|
6,771 |
6,571 |
$182K |
| 97161 |
|
3,000 |
2,807 |
$175K |
| 59025 |
|
547 |
420 |
$163K |
| 99211 |
|
886 |
726 |
$139K |
| 84484 |
|
17,712 |
13,460 |
$135K |
| U0005 |
Infec agen detec ampli probe |
8,335 |
7,531 |
$131K |
| 88305 |
|
6,454 |
6,214 |
$123K |
| 99214 |
|
593 |
555 |
$112K |
| 81513 |
|
1,269 |
1,208 |
$111K |
| 83735 |
|
24,716 |
19,669 |
$92K |
| ATP14 |
|
11,951 |
10,225 |
$88K |
| 88175 |
|
4,266 |
4,187 |
$85K |
| 94640 |
|
1,761 |
1,210 |
$85K |
| 80050 |
|
5,691 |
5,177 |
$85K |
| 96360 |
|
775 |
592 |
$84K |
| 84443 |
|
12,397 |
11,765 |
$77K |
| 87624 |
|
3,185 |
3,128 |
$77K |
| 82306 |
|
4,636 |
4,437 |
$74K |
| ATP15 |
|
9,367 |
7,391 |
$68K |
| 72148 |
|
453 |
436 |
$67K |
| 77067 |
|
4,561 |
4,522 |
$64K |
| 85027 |
|
20,565 |
17,710 |
$64K |
| 87086 |
|
13,022 |
11,997 |
$62K |
| 76830 |
|
641 |
629 |
$58K |
| 96372 |
|
7,709 |
6,039 |
$57K |
| 88342 |
|
2,101 |
2,030 |
$55K |
| 82607 |
|
7,176 |
6,887 |
$54K |
| 71250 |
|
1,509 |
1,441 |
$52K |
| 84703 |
|
9,631 |
8,857 |
$52K |
| 87798 |
|
1,388 |
1,274 |
$51K |
| 83690 |
|
11,373 |
10,320 |
$49K |
| 80061 |
|
17,084 |
16,622 |
$49K |
| 93005 |
|
21,246 |
18,710 |
$48K |
| 71260 |
|
676 |
655 |
$48K |
| 87389 |
|
2,528 |
2,490 |
$48K |
| J2405 |
Ondansetron hcl injection |
12,350 |
9,354 |
$46K |
| 80048 |
|
18,615 |
15,287 |
$45K |
| 83036 |
|
9,473 |
9,161 |
$43K |
| 82728 |
|
5,698 |
5,311 |
$43K |
| 76642 |
|
484 |
476 |
$41K |
| 87661 |
|
1,510 |
1,443 |
$41K |
| 87481 |
|
1,498 |
1,431 |
$41K |
| 86803 |
|
3,462 |
3,398 |
$40K |
| 70553 |
|
155 |
151 |
$37K |
| 86780 |
|
2,877 |
2,820 |
$36K |
| 84439 |
|
7,239 |
6,931 |
$36K |
| 96374 |
|
11,112 |
10,078 |
$36K |
| 84702 |
|
2,881 |
2,089 |
$35K |
| 86850 |
|
5,251 |
4,847 |
$35K |
| 93976 |
|
257 |
246 |
$34K |
| 93017 |
|
498 |
475 |
$34K |
| 86618 |
|
2,348 |
2,263 |
$32K |
| 83880 |
|
2,269 |
2,080 |
$31K |
| 73610 |
|
1,146 |
1,084 |
$30K |
| 73630 |
|
1,599 |
1,523 |
$29K |
| 96367 |
|
837 |
555 |
$29K |
| 87186 |
|
5,593 |
5,196 |
$28K |
| 80143 |
|
5,029 |
4,461 |
$28K |
| 85610 |
|
16,626 |
10,997 |
$27K |
| 87070 |
|
5,014 |
4,749 |
$27K |
| 82948 |
|
8,233 |
5,147 |
$27K |
| 87801 |
|
645 |
627 |
$27K |
| 0001A |
|
947 |
842 |
$26K |
| 87480 |
|
1,465 |
1,405 |
$26K |
| 82248 |
|
17,935 |
14,571 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
7,503 |
5,696 |
$24K |
| 81001 |
|
15,511 |
14,297 |
$24K |
| 84100 |
|
16,252 |
13,804 |
$23K |
| 72125 |
|
3,668 |
3,419 |
$23K |
| 87510 |
|
1,462 |
1,404 |
$23K |
| 87081 |
|
4,107 |
3,989 |
$23K |
| 84466 |
|
3,489 |
3,315 |
$23K |
| 87660 |
|
1,465 |
1,406 |
$23K |
| 73562 |
|
432 |
410 |
$21K |
| 87804 |
|
2,129 |
1,506 |
$21K |
| ATP08 |
|
6,059 |
4,690 |
$21K |
| 99218 |
|
393 |
205 |
$21K |
| 86317 |
|
660 |
523 |
$20K |
| 81025 |
|
3,613 |
3,424 |
$18K |
| 85379 |
|
2,930 |
2,775 |
$17K |
| 73130 |
|
893 |
840 |
$17K |
| 83540 |
|
4,863 |
4,568 |
$17K |
| 71045 |
|
5,191 |
4,825 |
$17K |
| 85730 |
|
5,130 |
4,803 |
$15K |
| J2270 |
Morphine sulfate injection |
2,835 |
1,710 |
$15K |
| 96375 |
|
12,004 |
9,406 |
$15K |
| 87637 |
|
115 |
115 |
$15K |
| 87340 |
|
1,744 |
1,719 |
$14K |
| 83605 |
|
2,213 |
2,006 |
$13K |
| 86900 |
|
5,380 |
4,965 |
$13K |
| 76856 |
|
91 |
89 |
$13K |
| 87040 |
|
1,398 |
1,194 |
$13K |
| 86140 |
|
3,603 |
3,215 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
1,857 |
1,076 |
$12K |
| 99281 |
|
92 |
85 |
$12K |
| 84153 |
|
989 |
946 |
$12K |
| 36415 |
|
41,317 |
33,540 |
$12K |
| 87430 |
|
1,153 |
1,098 |
$12K |
| 81003 |
|
8,997 |
8,466 |
$11K |
| 86901 |
|
5,363 |
4,950 |
$11K |
| 87088 |
|
2,254 |
2,094 |
$11K |
| 73110 |
|
322 |
308 |
$11K |
| 82570 |
|
4,681 |
4,422 |
$11K |
| 73030 |
|
860 |
795 |
$11K |
| 0002A |
|
367 |
359 |
$11K |
| J1170 |
Hydromorphone injection |
3,134 |
1,736 |
$10K |
| 87150 |
|
361 |
360 |
$10K |
| 76536 |
|
76 |
76 |
$10K |
| J1100 |
Dexamethasone sodium phos |
5,727 |
4,570 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
3,920 |
3,242 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,018 |
11,313 |
$10K |
| 73721 |
|
37 |
36 |
$9K |
| 86762 |
|
747 |
744 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
13,398 |
9,126 |
$9K |
| 97760 |
|
128 |
115 |
$9K |
| J7050 |
Normal saline solution infus |
6,249 |
3,070 |
$8K |
| 90715 |
|
353 |
342 |
$8K |
| J1650 |
Inj enoxaparin sodium |
254 |
127 |
$8K |
| J2060 |
Lorazepam injection |
2,088 |
1,491 |
$8K |
| 0012A |
|
356 |
355 |
$8K |
| 87502 |
|
149 |
143 |
$8K |
| 85652 |
|
5,009 |
4,659 |
$8K |
| 87635 |
|
222 |
206 |
$7K |
| 76700 |
|
54 |
54 |
$7K |
| J0136 |
Inj, acetaminophen (b braun) |
1,603 |
1,321 |
$7K |
| 82043 |
|
3,503 |
3,402 |
$7K |
| 82746 |
|
999 |
965 |
$7K |
| 87077 |
|
1,991 |
1,852 |
$7K |
| 87147 |
|
1,077 |
1,043 |
$7K |
| 0011A |
|
397 |
387 |
$6K |
| 97162 |
|
167 |
162 |
$6K |
| 72100 |
|
233 |
224 |
$6K |
| 76811 |
|
37 |
37 |
$6K |
| 76817 |
|
57 |
51 |
$6K |
| 80076 |
|
3,073 |
2,806 |
$6K |
| ATP17 |
|
3,596 |
3,235 |
$5K |
| J3475 |
Inj magnesium sulfate |
1,541 |
1,044 |
$5K |
| 70551 |
|
25 |
25 |
$5K |
| G8978 |
Mobility current status |
280 |
265 |
$5K |
| J3010 |
Fentanyl citrate injection |
7,986 |
5,502 |
$5K |
| 70486 |
|
80 |
78 |
$5K |
| 87641 |
|
226 |
217 |
$4K |
| 71271 |
|
138 |
137 |
$4K |
| 83970 |
|
454 |
428 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,003 |
1,669 |
$4K |
| ATP16 |
|
666 |
560 |
$4K |
| 77080 |
|
174 |
170 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
5,210 |
4,529 |
$4K |
| ATP03 |
|
1,698 |
1,518 |
$4K |
| 88341 |
|
42 |
41 |
$4K |
| 87205 |
|
1,552 |
1,462 |
$4K |
| A9585 |
Gadobutrol injection |
2,032 |
1,938 |
$4K |
| 82951 |
|
300 |
278 |
$3K |
| 73700 |
|
38 |
38 |
$3K |
| 12001 |
|
27 |
27 |
$3K |
| 70496 |
|
52 |
49 |
$3K |
| 74018 |
|
154 |
144 |
$3K |
| 76775 |
|
28 |
27 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
408 |
363 |
$3K |
| G0279 |
Tomosynthesis, mammo |
158 |
158 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
67 |
63 |
$3K |
| 85007 |
|
1,552 |
1,313 |
$3K |
| ATP18 |
|
976 |
867 |
$3K |
| 87631 |
|
28 |
27 |
$3K |
| 86038 |
|
318 |
307 |
$3K |
| 87653 |
|
91 |
89 |
$2K |
| 87880 |
|
240 |
234 |
$2K |
| 77066 |
Tomosynthesis, mammo |
38 |
38 |
$2K |
| 84481 |
|
281 |
266 |
$2K |
| 82950 |
|
516 |
514 |
$2K |
| 84156 |
|
1,093 |
967 |
$2K |
| 83615 |
|
1,719 |
1,567 |
$2K |
| 73080 |
|
41 |
41 |
$2K |
| 80164 |
|
540 |
483 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
288 |
163 |
$2K |
| 82784 |
|
253 |
220 |
$2K |
| 73564 |
|
179 |
167 |
$2K |
| 90471 |
|
397 |
369 |
$2K |
| 74160 |
|
25 |
24 |
$2K |
| 72141 |
|
28 |
27 |
$2K |
| 73140 |
|
13 |
13 |
$2K |
| 87807 |
|
157 |
151 |
$2K |
| 10060 |
|
13 |
13 |
$2K |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$2K |
| J3370 |
Vancomycin hcl injection |
130 |
71 |
$1K |
| 93975 |
|
26 |
26 |
$1K |
| 97166 |
|
12 |
12 |
$1K |
| 96523 |
|
26 |
18 |
$1K |
| 77062 |
|
12 |
12 |
$1K |
| 82565 |
|
1,545 |
1,395 |
$1K |
| J2930 |
Methylprednisolone injection |
357 |
255 |
$1K |
| J0137 |
Inj, acetaminophen (hikma) |
165 |
137 |
$1K |
| 82140 |
|
144 |
92 |
$1K |
| 88304 |
|
220 |
210 |
$1K |
| 82952 |
|
298 |
276 |
$1K |
| 88312 |
|
42 |
39 |
$998.10 |
| ATP09 |
|
296 |
255 |
$995.60 |
| 83550 |
|
241 |
230 |
$964.63 |
| 86308 |
|
86 |
85 |
$934.42 |
| 82105 |
|
81 |
76 |
$918.09 |
| 82550 |
|
1,216 |
1,112 |
$847.34 |
| 85045 |
|
407 |
392 |
$844.76 |
| 84550 |
|
436 |
390 |
$842.85 |
| ATP11 |
|
318 |
275 |
$780.57 |
| J7030 |
Normal saline solution infus |
445 |
257 |
$779.70 |
| 86334 |
|
127 |
122 |
$755.38 |
| 87640 |
|
188 |
179 |
$732.67 |
| 73502 |
|
80 |
77 |
$728.45 |
| Q0162 |
Ondansetron oral |
181 |
150 |
$667.96 |
| 93970 |
|
12 |
12 |
$659.08 |
| 94726 |
|
12 |
12 |
$657.32 |
| 36416 |
|
58 |
57 |
$655.50 |
| 96376 |
|
2,691 |
2,010 |
$600.00 |
| J2274 |
Inj morphine pf epid ithc |
23 |
16 |
$594.72 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
748 |
669 |
$572.45 |
| 86756 |
|
73 |
72 |
$552.72 |
| 86706 |
|
68 |
67 |
$511.12 |
| 80178 |
|
275 |
250 |
$510.92 |
| 88313 |
|
95 |
88 |
$506.34 |
| 97164 |
|
17 |
16 |
$503.92 |
| 94729 |
|
12 |
12 |
$492.96 |
| 82172 |
|
29 |
29 |
$491.86 |
| 70498 |
|
42 |
39 |
$447.20 |
| ATP02 |
|
167 |
155 |
$385.45 |
| 86665 |
|
12 |
12 |
$384.00 |
| 83516 |
|
39 |
39 |
$382.38 |
| 94762 |
|
111 |
90 |
$369.83 |
| 76000 |
|
14 |
14 |
$311.15 |
| 82803 |
|
17 |
14 |
$275.88 |
| J2370 |
Phenylephrine hcl injection |
189 |
161 |
$249.68 |
| 84145 |
|
14 |
12 |
$240.10 |
| 88142 |
|
12 |
12 |
$221.76 |
| 36591 |
|
114 |
88 |
$192.32 |
| 86431 |
|
39 |
39 |
$183.00 |
| 82947 |
|
32 |
31 |
$172.14 |
| 85018 |
|
67 |
67 |
$170.43 |
| 86664 |
|
12 |
12 |
$161.88 |
| 84403 |
|
13 |
13 |
$159.32 |
| J7060 |
5% dextrose/water |
114 |
63 |
$158.89 |
| Q3014 |
Telehealth facility fee |
304 |
294 |
$150.91 |
| 81015 |
|
140 |
133 |
$135.27 |
| 84460 |
|
311 |
286 |
$131.39 |
| 86592 |
|
37 |
36 |
$123.86 |
| ATP04 |
|
25 |
25 |
$123.08 |
| G0103 |
Psa screening |
277 |
274 |
$114.89 |
| 83525 |
|
12 |
12 |
$105.28 |
| ATP07 |
|
40 |
37 |
$101.16 |
| 80159 |
|
26 |
12 |
$95.35 |
| 82378 |
|
15 |
14 |
$83.60 |
| 80177 |
|
17 |
15 |
$82.02 |
| 87207 |
|
32 |
28 |
$80.15 |
| 84520 |
|
333 |
289 |
$77.15 |
| J1030 |
Methylprednisolone 40 mg inj |
77 |
75 |
$66.38 |
| 87184 |
|
14 |
12 |
$49.77 |
| 97597 |
|
47 |
14 |
$41.54 |
| J2765 |
Metoclopramide hcl injection |
463 |
398 |
$37.39 |
| 82247 |
|
18 |
14 |
$36.56 |
| 84165 |
|
14 |
14 |
$33.21 |
| 82962 |
|
423 |
297 |
$29.04 |
| 73090 |
|
13 |
13 |
$20.64 |
| 82040 |
|
55 |
51 |
$10.22 |
| 73590 |
|
13 |
13 |
$8.08 |
| J0171 |
Adrenalin epinephrine inject |
360 |
322 |
$7.22 |
| J1010 |
Inj, methylpred acetate 1 mg |
14 |
13 |
$5.42 |
| 91300 |
|
732 |
629 |
$5.34 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
38 |
27 |
$3.20 |
| 91301 |
|
317 |
296 |
$2.40 |
| G8979 |
Mobility goal status |
330 |
304 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
43 |
24 |
$0.00 |
| 84450 |
|
497 |
460 |
$0.00 |
| 84155 |
|
16 |
16 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
25 |
24 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
18 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
87 |
81 |
$0.00 |
| J3490 |
Drugs unclassified injection |
313 |
226 |
$0.00 |
| 96368 |
|
16 |
14 |
$0.00 |
| J1790 |
Droperidol injection |
14 |
13 |
$0.00 |
| 80055 |
|
32 |
28 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
99 |
99 |
$0.00 |
| J1630 |
Haloperidol injection |
29 |
16 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$0.00 |
| 99406 |
|
14 |
13 |
$0.00 |
| G8980 |
Mobility d/c status |
30 |
30 |
$0.00 |
| 87493 |
|
29 |
28 |
$0.00 |
| J3420 |
Vitamin b12 injection |
26 |
13 |
$0.00 |
| C9285 |
Patch, lidocaine/tetracaine |
21 |
16 |
$0.00 |
| 0064U |
|
13 |
13 |
$0.00 |