| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
42,925 |
35,285 |
$12.87M |
| 99285 |
|
23,345 |
20,155 |
$9.46M |
| 99283 |
|
34,568 |
31,639 |
$9.20M |
| 74177 |
|
7,703 |
7,229 |
$6.62M |
| G0378 |
Hospital observation per hr |
38,411 |
24,423 |
$4.73M |
| T1015 |
Clinic service |
7,570 |
4,325 |
$3.89M |
| 71275 |
|
4,123 |
3,915 |
$1.80M |
| 70450 |
|
10,631 |
9,520 |
$1.47M |
| 72125 |
|
3,807 |
3,579 |
$1.47M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
831 |
767 |
$1.24M |
| 0202U |
|
4,692 |
4,520 |
$1.16M |
| 99282 |
|
10,350 |
9,877 |
$1.02M |
| 74176 |
|
1,481 |
1,398 |
$992K |
| 93306 |
|
4,889 |
4,736 |
$679K |
| 70498 |
|
850 |
803 |
$557K |
| 97110 |
|
23,085 |
9,048 |
$480K |
| 94726 |
|
957 |
936 |
$380K |
| 70551 |
|
1,321 |
1,258 |
$363K |
| 97530 |
|
15,727 |
7,595 |
$317K |
| 87633 |
|
1,197 |
1,125 |
$254K |
| 92507 |
|
3,438 |
1,516 |
$239K |
| 97597 |
|
1,868 |
649 |
$234K |
| 93005 |
|
28,073 |
24,533 |
$222K |
| 72148 |
|
861 |
842 |
$207K |
| 97140 |
|
14,564 |
6,062 |
$200K |
| 70553 |
|
269 |
259 |
$160K |
| A0436 |
Rotary wing air mileage |
67 |
66 |
$141K |
| 95812 |
|
751 |
725 |
$117K |
| 47563 |
|
25 |
24 |
$108K |
| 49083 |
|
309 |
143 |
$106K |
| 12001 |
|
936 |
897 |
$97K |
| 93010 |
|
17,064 |
14,526 |
$95K |
| 73721 |
|
471 |
449 |
$83K |
| 43239 |
|
109 |
105 |
$79K |
| 70486 |
|
1,450 |
1,381 |
$79K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,193 |
1,142 |
$78K |
| 97161 |
|
6,508 |
6,102 |
$73K |
| A0431 |
Rotary wing air transport |
54 |
53 |
$72K |
| 59025 |
|
2,321 |
1,845 |
$71K |
| 99214 |
|
1,647 |
1,471 |
$67K |
| 92526 |
|
1,118 |
648 |
$65K |
| 76705 |
|
3,734 |
3,461 |
$61K |
| 99213 |
|
1,628 |
1,535 |
$55K |
| 97112 |
|
5,141 |
2,071 |
$54K |
| 71046 |
|
7,922 |
7,377 |
$54K |
| 88305 |
|
3,615 |
3,369 |
$50K |
| 99281 |
|
742 |
716 |
$48K |
| 87507 |
|
153 |
147 |
$48K |
| 87635 |
|
4,755 |
4,388 |
$45K |
| 80053 |
|
49,834 |
41,434 |
$43K |
| 41899 |
|
162 |
147 |
$42K |
| 72141 |
|
77 |
77 |
$40K |
| 87637 |
|
6,186 |
5,880 |
$35K |
| 77336 |
|
434 |
206 |
$31K |
| 96374 |
|
23,910 |
20,937 |
$30K |
| 97535 |
|
6,796 |
4,459 |
$30K |
| 72170 |
|
423 |
405 |
$28K |
| 92587 |
|
136 |
132 |
$28K |
| 12002 |
|
439 |
421 |
$28K |
| 97162 |
|
2,906 |
2,708 |
$27K |
| 97803 |
|
1,036 |
867 |
$27K |
| 96361 |
|
17,823 |
15,653 |
$27K |
| 12011 |
|
328 |
319 |
$26K |
| 73700 |
|
97 |
92 |
$26K |
| 87641 |
|
4,250 |
4,106 |
$25K |
| 77012 |
|
29 |
26 |
$24K |
| 88342 |
|
813 |
773 |
$24K |
| 93971 |
|
1,448 |
1,374 |
$24K |
| 77334 |
|
53 |
39 |
$22K |
| 99215 |
Prolong outpt/office vis |
374 |
340 |
$21K |
| G0390 |
Trauma respons w/hosp criti |
12 |
12 |
$21K |
| 97760 |
|
575 |
494 |
$19K |
| 88304 |
|
1,651 |
1,604 |
$19K |
| J3490 |
Drugs unclassified injection |
9,767 |
6,173 |
$19K |
| S9451 |
Exercise class |
929 |
658 |
$17K |
| 96365 |
|
5,199 |
4,382 |
$17K |
| 97116 |
|
5,850 |
3,420 |
$16K |
| 72100 |
|
946 |
899 |
$16K |
| 70496 |
|
385 |
362 |
$15K |
| 74174 |
|
14 |
14 |
$14K |
| 87798 |
|
969 |
887 |
$13K |
| 71045 |
|
16,996 |
15,431 |
$13K |
| 10060 |
|
95 |
89 |
$13K |
| 90715 |
|
2,911 |
2,827 |
$13K |
| 73221 |
|
79 |
75 |
$13K |
| 96360 |
|
7,440 |
6,933 |
$13K |
| 73610 |
|
2,154 |
1,998 |
$12K |
| 62323 |
|
29 |
25 |
$12K |
| 84443 |
|
5,121 |
4,793 |
$12K |
| 45385 |
|
25 |
25 |
$12K |
| 74018 |
|
970 |
894 |
$11K |
| 85025 |
|
61,497 |
50,109 |
$10K |
| J7030 |
Normal saline solution infus |
15,367 |
12,176 |
$10K |
| 80048 |
|
16,485 |
13,729 |
$10K |
| 76770 |
|
266 |
250 |
$9K |
| G0379 |
Direct refer hospital observ |
4,076 |
3,450 |
$9K |
| 96375 |
|
14,983 |
13,126 |
$9K |
| 93976 |
|
980 |
934 |
$9K |
| 76942 |
|
1,168 |
1,097 |
$8K |
| 99244 |
|
180 |
165 |
$8K |
| 73030 |
|
2,053 |
1,880 |
$8K |
| 87070 |
|
1,567 |
1,406 |
$8K |
| 92588 |
|
29 |
25 |
$8K |
| 71250 |
|
92 |
89 |
$8K |
| 80307 |
|
6,970 |
6,424 |
$8K |
| 71260 |
|
247 |
234 |
$8K |
| 92523 |
|
70 |
66 |
$7K |
| 36430 |
|
14 |
12 |
$7K |
| 73502 |
|
718 |
662 |
$7K |
| 83036 |
|
4,273 |
4,071 |
$7K |
| 92585 |
|
12 |
12 |
$7K |
| 73562 |
|
2,001 |
1,776 |
$7K |
| P9047 |
Albumin (human), 25%, 50ml |
19 |
12 |
$6K |
| 36415 |
|
76,338 |
56,225 |
$6K |
| 76817 |
|
347 |
311 |
$6K |
| 87040 |
|
3,098 |
2,842 |
$6K |
| 76856 |
|
1,222 |
1,170 |
$6K |
| J7050 |
Normal saline solution infus |
5,856 |
3,872 |
$6K |
| 73110 |
|
1,249 |
1,154 |
$6K |
| 97802 |
|
179 |
169 |
$6K |
| 87088 |
|
9,478 |
8,708 |
$6K |
| 73630 |
|
1,493 |
1,374 |
$5K |
| 99204 |
|
94 |
90 |
$5K |
| 72131 |
|
24 |
24 |
$5K |
| J1815 |
Insulin injection |
2,219 |
1,182 |
$5K |
| 84484 |
|
14,491 |
11,972 |
$5K |
| 72040 |
|
252 |
232 |
$5K |
| 83690 |
|
17,027 |
15,127 |
$5K |
| 97113 |
|
179 |
62 |
$5K |
| 97166 |
|
249 |
231 |
$5K |
| 94640 |
|
3,415 |
2,367 |
$5K |
| 73130 |
|
1,704 |
1,563 |
$5K |
| 92557 |
|
52 |
51 |
$5K |
| 0450 |
|
120 |
108 |
$4K |
| 92567 |
|
778 |
745 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,226 |
11,299 |
$4K |
| 85652 |
|
957 |
855 |
$4K |
| 85730 |
|
5,793 |
5,285 |
$4K |
| 94060 |
|
567 |
554 |
$3K |
| 96111 |
|
164 |
125 |
$3K |
| 87591 |
|
1,252 |
1,011 |
$3K |
| 93308 |
|
100 |
94 |
$3K |
| 96366 |
|
1,802 |
1,567 |
$3K |
| 83880 |
|
4,565 |
4,228 |
$3K |
| 97163 |
|
58 |
55 |
$3K |
| 92610 |
|
143 |
129 |
$3K |
| 96112 |
|
76 |
72 |
$3K |
| 82803 |
|
2,069 |
1,910 |
$3K |
| 83605 |
|
11,584 |
10,156 |
$3K |
| 92552 |
|
85 |
83 |
$3K |
| 74230 |
|
13 |
13 |
$3K |
| J3370 |
Vancomycin hcl injection |
944 |
692 |
$3K |
| 81025 |
|
10,053 |
9,371 |
$3K |
| 29125 |
|
364 |
355 |
$3K |
| 97165 |
|
1,109 |
1,033 |
$2K |
| 97542 |
|
71 |
61 |
$2K |
| 99211 |
|
68 |
57 |
$2K |
| 82607 |
|
262 |
246 |
$2K |
| G0480 |
Drug test def 1-7 classes |
2,272 |
2,012 |
$2K |
| 96372 |
|
5,282 |
4,725 |
$2K |
| 76801 |
|
546 |
492 |
$2K |
| 85379 |
|
3,320 |
3,152 |
$2K |
| 80061 |
|
1,792 |
1,678 |
$2K |
| 97164 |
|
75 |
62 |
$2K |
| 84703 |
|
6,670 |
6,270 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,891 |
3,161 |
$2K |
| 87077 |
|
2,544 |
2,377 |
$2K |
| 86900 |
|
5,591 |
5,058 |
$2K |
| 92553 |
|
30 |
26 |
$2K |
| J3480 |
Inj potassium chloride |
1,586 |
1,198 |
$2K |
| 84439 |
|
938 |
879 |
$2K |
| 92593 |
|
122 |
103 |
$2K |
| 99152 |
|
293 |
283 |
$2K |
| 80329 |
|
3,364 |
2,781 |
$2K |
| 82306 |
|
89 |
83 |
$2K |
| 81001 |
|
17,222 |
15,756 |
$1K |
| 93303 |
|
28 |
28 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99212 |
|
67 |
66 |
$1K |
| 76830 |
|
836 |
803 |
$1K |
| 73080 |
|
335 |
313 |
$1K |
| 99245 |
|
30 |
21 |
$1K |
| J2270 |
Morphine sulfate injection |
9,420 |
6,620 |
$1K |
| 82962 |
|
16,742 |
10,766 |
$1K |
| 82140 |
|
564 |
511 |
$1K |
| 88341 |
|
75 |
55 |
$1K |
| 87491 |
|
248 |
247 |
$1K |
| 87651 |
|
1,107 |
1,082 |
$1K |
| 92579 |
|
55 |
51 |
$1K |
| J2405 |
Ondansetron hcl injection |
13,996 |
11,851 |
$1K |
| 73560 |
|
89 |
77 |
$1K |
| 82728 |
|
178 |
174 |
$1K |
| 90839 |
|
234 |
226 |
$1K |
| 73590 |
|
604 |
531 |
$1K |
| 85610 |
|
12,189 |
10,856 |
$1K |
| 83735 |
|
10,689 |
8,320 |
$1K |
| 84702 |
|
2,127 |
1,941 |
$1K |
| 86141 |
|
2,019 |
1,871 |
$1K |
| 93970 |
|
42 |
39 |
$1K |
| 77300 |
|
54 |
49 |
$980.54 |
| A9270 |
Non-covered item or service |
8,690 |
1,513 |
$916.07 |
| 76700 |
|
13 |
13 |
$878.48 |
| 73140 |
|
404 |
385 |
$853.13 |
| 76815 |
|
27 |
25 |
$818.39 |
| 88307 |
|
349 |
318 |
$806.78 |
| 87186 |
|
2,249 |
2,102 |
$770.13 |
| 77002 |
|
14 |
14 |
$745.74 |
| 80320 |
|
7,780 |
6,976 |
$721.31 |
| J1885 |
Ketorolac tromethamine inj |
10,658 |
9,230 |
$707.86 |
| J3010 |
Fentanyl citrate injection |
10,085 |
8,835 |
$635.42 |
| 86850 |
|
4,783 |
4,344 |
$635.02 |
| J1170 |
Hydromorphone injection |
4,906 |
3,630 |
$633.42 |
| G0257 |
Unsched dialysis esrd pt hos |
15 |
12 |
$624.02 |
| 87631 |
|
840 |
808 |
$583.57 |
| C9399 |
Unclassified drugs or biolog |
353 |
324 |
$581.59 |
| J0690 |
Cefazolin sodium injection |
5,794 |
3,999 |
$578.81 |
| J1650 |
Inj enoxaparin sodium |
3,555 |
1,931 |
$574.46 |
| 64415 |
|
29 |
27 |
$558.08 |
| 90471 |
|
3,233 |
3,085 |
$541.05 |
| 96376 |
|
5,103 |
4,468 |
$504.20 |
| 82550 |
|
3,327 |
2,966 |
$499.57 |
| 51798 |
|
1,182 |
932 |
$468.86 |
| 87502 |
|
154 |
145 |
$466.29 |
| 81003 |
|
9,743 |
9,079 |
$461.24 |
| 73070 |
|
180 |
167 |
$442.44 |
| 87086 |
|
4,719 |
4,372 |
$405.47 |
| 84145 |
|
1,573 |
1,480 |
$399.34 |
| 73564 |
|
45 |
41 |
$383.04 |
| J2060 |
Lorazepam injection |
3,905 |
3,178 |
$382.87 |
| 84100 |
|
5,171 |
4,116 |
$372.18 |
| 97014 |
|
756 |
379 |
$349.55 |
| 82150 |
|
1,450 |
1,351 |
$345.41 |
| 87486 |
|
914 |
856 |
$325.78 |
| 94760 |
|
3,319 |
2,639 |
$320.94 |
| 73090 |
|
515 |
484 |
$312.11 |
| 87581 |
|
914 |
856 |
$300.38 |
| 12013 |
|
15 |
13 |
$292.59 |
| 87480 |
|
391 |
372 |
$291.96 |
| J1644 |
Inj heparin sodium per 1000u |
4,749 |
2,003 |
$291.31 |
| S0164 |
Injection pantroprazole |
1,584 |
1,219 |
$258.23 |
| 85027 |
|
4,165 |
3,579 |
$245.72 |
| J7120 |
Ringers lactate infusion |
2,506 |
1,998 |
$237.23 |
| 86901 |
|
4,149 |
3,766 |
$221.70 |
| 87149 |
|
394 |
374 |
$220.73 |
| 86140 |
|
162 |
157 |
$218.90 |
| 87660 |
|
392 |
373 |
$217.70 |
| 73620 |
|
17 |
13 |
$199.51 |
| 74022 |
|
55 |
50 |
$179.01 |
| J1100 |
Dexamethasone sodium phos |
3,967 |
3,383 |
$167.34 |
| J2765 |
Metoclopramide hcl injection |
1,848 |
1,696 |
$144.94 |
| 82330 |
|
286 |
235 |
$138.44 |
| J3475 |
Inj magnesium sulfate |
975 |
815 |
$133.84 |
| 72070 |
|
12 |
12 |
$124.83 |
| 87205 |
|
1,500 |
1,337 |
$111.71 |
| 82247 |
|
30 |
24 |
$110.70 |
| G0463 |
Hospital outpt clinic visit |
15 |
14 |
$103.90 |
| 90686 |
|
412 |
399 |
$102.24 |
| J0694 |
Cefoxitin sodium injection |
955 |
707 |
$101.26 |
| J2250 |
Inj midazolam hydrochloride |
3,850 |
3,450 |
$101.04 |
| J1200 |
Diphenhydramine hcl injectio |
2,982 |
2,637 |
$100.20 |
| 73600 |
|
28 |
25 |
$76.38 |
| S0020 |
Injection, bupivicaine hydro |
542 |
473 |
$73.01 |
| 97032 |
|
48 |
36 |
$69.66 |
| J2704 |
Inj, propofol, 10 mg |
1,871 |
1,705 |
$69.29 |
| 87075 |
|
790 |
679 |
$68.25 |
| 99153 |
Mod sedat endo service >5yrs |
71 |
68 |
$64.54 |
| 97035 |
|
25 |
13 |
$62.40 |
| J1790 |
Droperidol injection |
471 |
432 |
$61.83 |
| J0780 |
Prochlorperazine injection |
1,363 |
1,202 |
$60.58 |
| J1630 |
Haloperidol injection |
1,526 |
1,382 |
$59.27 |
| 73552 |
|
14 |
12 |
$58.98 |
| A9579 |
Gad-base mr contrast nos,1ml |
811 |
772 |
$58.56 |
| 94729 |
|
952 |
929 |
$58.23 |
| 87426 |
|
344 |
328 |
$57.23 |
| 99243 |
|
12 |
12 |
$54.80 |
| 82010 |
|
474 |
429 |
$50.63 |
| S0028 |
Injection, famotidine, 20 mg |
1,646 |
1,493 |
$49.96 |
| J7040 |
Normal saline solution infus |
1,246 |
1,112 |
$48.74 |
| 36600 |
|
123 |
113 |
$47.26 |
| U0005 |
Infec agen detec ampli probe |
1,180 |
1,129 |
$39.88 |
| C1887 |
Catheter, guiding |
140 |
131 |
$34.12 |
| 0358T |
|
49 |
47 |
$31.75 |
| 94799 |
|
105 |
101 |
$30.34 |
| C1769 |
Guide wire |
367 |
345 |
$26.12 |
| J2550 |
Promethazine hcl injection |
439 |
351 |
$22.79 |
| J2930 |
Methylprednisolone injection |
389 |
350 |
$22.10 |
| J2175 |
Meperidine hydrochl /100 mg |
693 |
629 |
$20.97 |
| 89051 |
|
252 |
205 |
$20.05 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,189 |
916 |
$15.94 |
| J3535 |
Metered dose inhaler drug |
50 |
41 |
$15.66 |
| J3411 |
Thiamine hcl 100 mg |
96 |
81 |
$13.92 |
| 76882 |
|
15 |
12 |
$9.45 |
| 84132 |
|
15 |
15 |
$9.24 |
| C9113 |
Inj pantoprazole sodium, via |
874 |
628 |
$8.89 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
91 |
68 |
$7.62 |
| J2919 |
Inj, methylpred sod succ 5mg |
78 |
57 |
$7.48 |
| 83550 |
|
165 |
159 |
$5.51 |
| J8540 |
Oral dexamethasone |
13 |
12 |
$5.02 |
| 88738 |
|
473 |
463 |
$4.72 |
| 86706 |
|
13 |
13 |
$0.56 |
| 87340 |
|
84 |
79 |
$0.54 |
| G1004 |
Cdsm ndsc |
5,041 |
4,139 |
$0.00 |
| G8997 |
Swallow goal status |
39 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
513 |
390 |
$0.00 |
| 83540 |
|
126 |
121 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
85 |
66 |
$0.00 |
| J1953 |
Levetiracetam injection |
50 |
40 |
$0.00 |
| 96367 |
|
16 |
15 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$0.00 |
| 85007 |
|
13 |
13 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
76 |
51 |
$0.00 |
| G8978 |
Mobility current status |
463 |
379 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
52 |
31 |
$0.00 |
| 96413 |
|
27 |
13 |
$0.00 |
| 92550 |
|
16 |
15 |
$0.00 |
| 77412 |
|
266 |
25 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
57 |
51 |
$0.00 |
| 84550 |
|
26 |
24 |
$0.00 |
| 76376 |
|
12 |
12 |
$0.00 |
| 51702 |
|
31 |
25 |
$0.00 |
| 84112 |
|
19 |
16 |
$0.00 |
| Q9954 |
Oral mr contrast, 100 ml |
28 |
26 |
$0.00 |
| 93325 |
|
12 |
12 |
$0.00 |
| G8996 |
Swallow current status |
18 |
12 |
$0.00 |
| 74300 |
|
13 |
13 |
$0.00 |
| 92611 |
|
13 |
13 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
116 |
107 |
$0.00 |
| 93017 |
|
13 |
12 |
$0.00 |
| 84520 |
|
14 |
12 |
$0.00 |
| 77387 |
|
133 |
13 |
$0.00 |
| 29515 |
|
13 |
12 |
$0.00 |
| 85004 |
|
45 |
31 |
$0.00 |
| 94770 |
|
14 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
204 |
136 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
141 |
114 |
$0.00 |
| J3360 |
Diazepam injection |
59 |
52 |
$0.00 |
| 97016 |
|
106 |
39 |
$0.00 |
| 87389 |
|
25 |
25 |
$0.00 |
| J2001 |
Lidocaine injection |
84 |
48 |
$0.00 |
| 83615 |
|
27 |
26 |
$0.00 |
| G8980 |
Mobility d/c status |
256 |
222 |
$0.00 |
| 74019 |
|
12 |
12 |
$0.00 |
| 96368 |
|
24 |
24 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
18 |
14 |
$0.00 |
| C1781 |
Mesh (implantable) |
15 |
15 |
$0.00 |
| 82945 |
|
31 |
24 |
$0.00 |
| 85576 |
|
18 |
13 |
$0.00 |
| 73060 |
|
42 |
39 |
$0.00 |
| G8998 |
Swallow d/c status |
16 |
13 |
$0.00 |
| 86920 |
|
12 |
12 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
14 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 87081 |
|
31 |
29 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| J2560 |
Phenobarbital sodium inj |
19 |
15 |
$0.00 |