| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
|
62,023 |
53,688 |
$5.05M |
| 99283 |
|
35,011 |
32,264 |
$3.34M |
| 99284 |
|
22,596 |
20,181 |
$2.29M |
| 99285 |
|
9,633 |
8,207 |
$1.04M |
| 99213 |
|
9,338 |
8,633 |
$708K |
| 96361 |
|
2,029 |
1,493 |
$577K |
| 74176 |
|
1,859 |
1,509 |
$461K |
| 99212 |
|
6,074 |
5,518 |
$433K |
| 74177 |
|
1,613 |
1,270 |
$386K |
| 20610 |
|
3,117 |
2,369 |
$336K |
| 70450 |
|
1,447 |
1,195 |
$334K |
| 99282 |
|
3,418 |
3,177 |
$318K |
| 43239 |
|
741 |
589 |
$259K |
| 31231 |
|
1,015 |
935 |
$253K |
| 80053 |
|
20,817 |
17,789 |
$196K |
| 96365 |
|
1,341 |
1,025 |
$174K |
| 52000 |
|
341 |
323 |
$161K |
| 97803 |
|
1,960 |
1,649 |
$149K |
| 99214 |
|
1,842 |
1,742 |
$148K |
| G0463 |
Hospital outpt clinic visit |
5,323 |
4,734 |
$140K |
| 90791 |
|
919 |
876 |
$136K |
| 87502 |
|
8,053 |
7,053 |
$135K |
| 71275 |
|
564 |
450 |
$133K |
| 96366 |
|
707 |
436 |
$133K |
| G0378 |
Hospital observation per hr |
2,132 |
806 |
$132K |
| 93306 |
|
511 |
472 |
$113K |
| 59025 |
|
798 |
482 |
$107K |
| 31575 |
|
428 |
398 |
$89K |
| 84443 |
|
6,312 |
5,817 |
$85K |
| 97804 |
|
973 |
877 |
$73K |
| 96360 |
|
426 |
353 |
$70K |
| 82306 |
|
3,551 |
3,320 |
$64K |
| 85025 |
|
31,058 |
25,538 |
$62K |
| 80061 |
|
6,106 |
5,692 |
$59K |
| 96130 |
|
645 |
612 |
$58K |
| 71250 |
|
729 |
653 |
$57K |
| 96110 |
|
306 |
272 |
$54K |
| 83036 |
|
5,313 |
4,922 |
$50K |
| 36415 |
|
36,038 |
29,518 |
$47K |
| 76705 |
|
640 |
542 |
$42K |
| 94640 |
|
580 |
332 |
$40K |
| 87635 |
|
10,517 |
9,298 |
$39K |
| 96131 |
|
221 |
214 |
$38K |
| 81003 |
|
5,182 |
4,358 |
$32K |
| 93005 |
|
8,366 |
6,918 |
$29K |
| 86140 |
|
3,821 |
2,821 |
$28K |
| 71046 |
|
3,681 |
3,283 |
$27K |
| 72148 |
|
191 |
174 |
$27K |
| 43235 |
|
75 |
65 |
$26K |
| J0585 |
Injection,onabotulinumtoxina |
96 |
41 |
$26K |
| 76770 |
|
190 |
175 |
$24K |
| 92557 |
|
465 |
431 |
$24K |
| J3301 |
Triamcinolone acet inj nos |
2,019 |
1,835 |
$24K |
| 73721 |
|
137 |
122 |
$23K |
| 94060 |
|
269 |
239 |
$22K |
| 82607 |
|
1,597 |
1,442 |
$22K |
| 93971 |
|
381 |
334 |
$20K |
| 77063 |
|
463 |
418 |
$18K |
| 80069 |
|
1,258 |
975 |
$16K |
| 80307 |
|
741 |
633 |
$16K |
| 94664 |
|
1,014 |
795 |
$15K |
| 93017 |
|
230 |
207 |
$14K |
| 84439 |
|
1,083 |
973 |
$14K |
| 72125 |
|
477 |
397 |
$14K |
| 20611 |
|
75 |
71 |
$14K |
| 70551 |
|
98 |
87 |
$14K |
| J3490 |
Drugs unclassified injection |
1,583 |
745 |
$14K |
| 85027 |
|
2,280 |
2,071 |
$14K |
| 92507 |
|
240 |
101 |
$13K |
| 86850 |
|
706 |
601 |
$13K |
| 80048 |
|
1,517 |
1,265 |
$13K |
| 90471 |
|
2,294 |
2,053 |
$12K |
| 84550 |
|
2,047 |
1,892 |
$12K |
| 87651 |
|
3,503 |
3,018 |
$11K |
| 76856 |
|
65 |
53 |
$11K |
| 82728 |
|
947 |
850 |
$10K |
| 84484 |
|
5,560 |
4,222 |
$10K |
| 82570 |
|
1,290 |
1,124 |
$10K |
| 72131 |
|
132 |
107 |
$10K |
| 83540 |
|
1,439 |
1,298 |
$9K |
| 51798 |
|
1,021 |
910 |
$9K |
| 94727 |
|
258 |
230 |
$9K |
| 83970 |
|
406 |
368 |
$9K |
| 96372 |
|
6,120 |
4,607 |
$9K |
| 99281 |
|
81 |
72 |
$9K |
| 86900 |
|
824 |
682 |
$8K |
| 73564 |
|
1,168 |
1,038 |
$8K |
| 90832 |
|
129 |
128 |
$8K |
| 71045 |
|
4,199 |
3,555 |
$8K |
| 94729 |
|
259 |
231 |
$8K |
| 87086 |
|
3,512 |
2,958 |
$8K |
| 72110 |
|
511 |
452 |
$8K |
| 82746 |
|
1,327 |
1,197 |
$8K |
| 76830 |
|
270 |
218 |
$8K |
| 94618 |
|
107 |
96 |
$8K |
| 73502 |
|
664 |
581 |
$8K |
| 80076 |
|
2,697 |
2,259 |
$7K |
| 86431 |
|
390 |
369 |
$7K |
| 87591 |
|
1,116 |
1,001 |
$7K |
| 83735 |
|
4,572 |
3,377 |
$7K |
| 74018 |
|
422 |
356 |
$7K |
| 97802 |
|
108 |
105 |
$7K |
| 76817 |
|
158 |
134 |
$7K |
| 81001 |
|
10,612 |
9,157 |
$7K |
| 73030 |
|
828 |
669 |
$6K |
| 83550 |
|
1,091 |
985 |
$6K |
| 82550 |
|
1,090 |
921 |
$6K |
| 90686 |
|
517 |
459 |
$6K |
| 12001 |
|
45 |
39 |
$6K |
| 87340 |
|
560 |
481 |
$5K |
| 77067 |
|
461 |
418 |
$5K |
| 92567 |
|
671 |
632 |
$5K |
| 87150 |
|
803 |
651 |
$5K |
| 85610 |
|
2,951 |
2,216 |
$5K |
| 82565 |
|
6,744 |
5,699 |
$5K |
| 92551 |
|
101 |
87 |
$5K |
| 84702 |
|
551 |
399 |
$5K |
| 76536 |
|
70 |
68 |
$5K |
| 86803 |
|
656 |
576 |
$5K |
| 87070 |
|
3,265 |
2,760 |
$5K |
| 85652 |
|
2,414 |
1,886 |
$5K |
| 90715 |
|
413 |
346 |
$5K |
| 83605 |
|
3,171 |
2,397 |
$5K |
| 86701 |
|
346 |
313 |
$4K |
| 82043 |
|
757 |
687 |
$4K |
| 90648 |
|
585 |
514 |
$4K |
| G0480 |
Drug test def 1-7 classes |
450 |
365 |
$4K |
| 80051 |
|
6,327 |
5,332 |
$4K |
| 86038 |
|
359 |
304 |
$4K |
| 86901 |
|
817 |
680 |
$4K |
| 87661 |
|
839 |
776 |
$4K |
| 87491 |
|
1,119 |
1,004 |
$4K |
| 73130 |
|
603 |
505 |
$4K |
| 84425 |
|
588 |
530 |
$4K |
| 73110 |
|
553 |
452 |
$4K |
| 73630 |
|
706 |
602 |
$4K |
| 90460 |
|
1,348 |
749 |
$3K |
| 86704 |
|
361 |
311 |
$3K |
| 82784 |
|
476 |
245 |
$3K |
| 73562 |
|
701 |
615 |
$3K |
| 80344 |
|
293 |
285 |
$3K |
| 84153 |
|
373 |
339 |
$3K |
| 96375 |
|
6,885 |
4,999 |
$3K |
| 72100 |
|
243 |
216 |
$3K |
| 86706 |
|
411 |
354 |
$3K |
| 84403 |
|
270 |
250 |
$3K |
| J0561 |
Penicillin g benzathine inj |
17 |
16 |
$3K |
| 82652 |
|
396 |
366 |
$3K |
| 70486 |
|
29 |
26 |
$3K |
| 73221 |
|
14 |
13 |
$3K |
| 84300 |
|
681 |
624 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
35 |
28 |
$3K |
| 93975 |
|
31 |
25 |
$3K |
| 73610 |
|
694 |
568 |
$3K |
| 84156 |
|
786 |
662 |
$3K |
| 72050 |
|
104 |
93 |
$3K |
| 86708 |
|
358 |
309 |
$3K |
| 96376 |
|
1,351 |
710 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
343 |
340 |
$2K |
| 85018 |
|
412 |
334 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
374 |
305 |
$2K |
| 88305 |
|
1,234 |
939 |
$2K |
| 96374 |
|
7,509 |
6,214 |
$2K |
| 96137 |
|
602 |
571 |
$2K |
| 87801 |
|
1,471 |
1,244 |
$2K |
| 10060 |
|
19 |
13 |
$2K |
| 72114 |
|
57 |
52 |
$2K |
| 90670 |
|
157 |
146 |
$2K |
| 84590 |
|
292 |
253 |
$2K |
| 84450 |
|
513 |
394 |
$2K |
| 84446 |
|
283 |
246 |
$2K |
| 86160 |
|
145 |
77 |
$2K |
| 85730 |
|
1,338 |
1,090 |
$2K |
| 69210 |
|
551 |
500 |
$2K |
| 72070 |
|
85 |
79 |
$2K |
| 92526 |
|
39 |
28 |
$2K |
| 83516 |
|
200 |
150 |
$2K |
| 31579 |
|
12 |
12 |
$2K |
| 82947 |
|
6,369 |
5,361 |
$2K |
| 0064A |
|
63 |
62 |
$2K |
| 90472 |
|
762 |
699 |
$2K |
| 84460 |
|
523 |
402 |
$2K |
| 81025 |
|
3,535 |
2,940 |
$2K |
| 83880 |
|
723 |
553 |
$1K |
| 84520 |
|
6,437 |
5,422 |
$1K |
| 80305 |
|
537 |
385 |
$1K |
| 86255 |
|
123 |
71 |
$1K |
| 86320 |
|
162 |
153 |
$1K |
| 90723 |
|
452 |
391 |
$1K |
| G0483 |
Drug test def 22+ classes |
108 |
106 |
$1K |
| 97110 |
|
75 |
25 |
$1K |
| 83690 |
|
5,265 |
4,254 |
$1K |
| 83520 |
|
209 |
110 |
$1K |
| 82948 |
|
1,806 |
985 |
$1K |
| 45378 |
|
12 |
12 |
$1K |
| 87186 |
|
963 |
749 |
$1K |
| 84630 |
|
68 |
64 |
$962.24 |
| 87088 |
|
790 |
633 |
$961.07 |
| 88175 |
|
285 |
273 |
$941.19 |
| J1170 |
Hydromorphone injection |
1,408 |
951 |
$915.99 |
| 84207 |
|
117 |
111 |
$915.76 |
| 97535 |
|
65 |
25 |
$901.36 |
| J1040 |
Methylprednisolone 80 mg inj |
135 |
119 |
$815.24 |
| 85651 |
|
397 |
372 |
$802.83 |
| 86430 |
|
134 |
118 |
$794.71 |
| 96101 |
|
16 |
13 |
$746.48 |
| 82164 |
|
51 |
47 |
$704.83 |
| 90656 |
|
60 |
59 |
$702.87 |
| 87040 |
|
918 |
496 |
$664.72 |
| 92552 |
|
12 |
12 |
$637.49 |
| J0500 |
Dicyclomine injection |
82 |
56 |
$633.33 |
| 82247 |
|
146 |
93 |
$629.45 |
| 84703 |
|
935 |
731 |
$616.60 |
| 97116 |
|
69 |
37 |
$609.57 |
| J7030 |
Normal saline solution infus |
4,117 |
2,843 |
$601.04 |
| 90633 |
|
75 |
66 |
$598.93 |
| 99203 |
|
14 |
12 |
$518.25 |
| 84165 |
|
184 |
170 |
$491.97 |
| 77080 |
|
12 |
12 |
$489.55 |
| 93242 |
|
14 |
13 |
$471.32 |
| 90681 |
|
161 |
132 |
$455.81 |
| 96136 |
|
591 |
560 |
$453.25 |
| 82803 |
|
302 |
250 |
$437.60 |
| 86480 |
|
15 |
12 |
$436.66 |
| 84145 |
|
83 |
65 |
$436.25 |
| 85378 |
|
1,134 |
920 |
$419.93 |
| 86618 |
|
55 |
41 |
$407.80 |
| 97162 |
|
59 |
44 |
$367.80 |
| 73080 |
|
49 |
43 |
$362.64 |
| 87449 |
|
117 |
74 |
$347.00 |
| J7120 |
Ringers lactate infusion |
3,927 |
3,028 |
$288.96 |
| 84100 |
|
160 |
99 |
$266.17 |
| 82248 |
|
84 |
53 |
$234.79 |
| J2270 |
Morphine sulfate injection |
1,041 |
707 |
$228.03 |
| 82010 |
|
214 |
153 |
$215.57 |
| Q0162 |
Ondansetron oral |
2,917 |
2,248 |
$209.63 |
| J1650 |
Inj enoxaparin sodium |
448 |
230 |
$194.72 |
| 86592 |
|
25 |
25 |
$176.89 |
| 72202 |
|
13 |
13 |
$143.76 |
| 77073 |
|
89 |
83 |
$141.93 |
| J1010 |
Inj, methylpred acetate 1 mg |
211 |
189 |
$140.39 |
| 86200 |
|
61 |
59 |
$140.32 |
| 82525 |
|
13 |
12 |
$140.06 |
| 83525 |
|
12 |
12 |
$138.79 |
| J1885 |
Ketorolac tromethamine inj |
3,739 |
2,800 |
$136.50 |
| 87077 |
|
144 |
108 |
$128.88 |
| 90710 |
|
34 |
30 |
$125.04 |
| C9113 |
Inj pantoprazole sodium, via |
208 |
150 |
$124.09 |
| 86308 |
|
70 |
56 |
$114.03 |
| 85045 |
|
42 |
36 |
$108.95 |
| 82310 |
|
50 |
36 |
$108.85 |
| J2405 |
Ondansetron hcl injection |
6,700 |
4,918 |
$108.76 |
| 85014 |
|
45 |
41 |
$101.50 |
| 90734 |
|
12 |
12 |
$100.00 |
| J0689 |
Inj cefazolin sodium, baxter |
575 |
404 |
$95.41 |
| J2930 |
Methylprednisolone injection |
405 |
281 |
$94.72 |
| 73590 |
|
14 |
12 |
$92.22 |
| 84075 |
|
53 |
36 |
$91.43 |
| 74022 |
|
19 |
13 |
$88.14 |
| J2470 |
Inj pantoprazole sodium 40mg |
145 |
101 |
$79.84 |
| 87210 |
|
29 |
25 |
$75.35 |
| J2919 |
Inj, methylpred sod succ 5mg |
250 |
169 |
$72.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,063 |
2,465 |
$71.01 |
| J0696 |
Ceftriaxone sodium injection |
792 |
543 |
$70.19 |
| 86780 |
|
13 |
13 |
$66.82 |
| 85049 |
|
12 |
12 |
$66.23 |
| 87220 |
|
28 |
25 |
$65.50 |
| J3475 |
Inj magnesium sulfate |
235 |
153 |
$61.99 |
| 73100 |
|
15 |
14 |
$59.90 |
| G0009 |
Admin pneumococcal vaccine |
12 |
12 |
$53.54 |
| J2920 |
Methylprednisolone injection |
22 |
15 |
$52.19 |
| J2704 |
Inj, propofol, 10 mg |
3,673 |
2,990 |
$49.10 |
| J2360 |
Orphenadrine injection |
376 |
282 |
$48.99 |
| 84155 |
|
30 |
24 |
$43.14 |
| 90694 |
|
19 |
19 |
$42.66 |
| J1200 |
Diphenhydramine hcl injectio |
1,705 |
1,282 |
$42.38 |
| J7620 |
Albuterol ipratrop non-comp |
825 |
560 |
$39.22 |
| 87880 |
|
61 |
57 |
$38.78 |
| J1100 |
Dexamethasone sodium phos |
1,800 |
1,303 |
$37.76 |
| J1956 |
Levofloxacin injection |
176 |
68 |
$37.56 |
| 73120 |
|
13 |
13 |
$35.94 |
| J7510 |
Prednisolone oral per 5 mg |
96 |
68 |
$32.90 |
| J3480 |
Inj potassium chloride |
22 |
12 |
$32.20 |
| J1644 |
Inj heparin sodium per 1000u |
32 |
12 |
$30.53 |
| J2765 |
Metoclopramide hcl injection |
1,187 |
859 |
$29.12 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,179 |
894 |
$27.23 |
| 82747 |
|
30 |
30 |
$26.25 |
| 87205 |
|
100 |
76 |
$22.07 |
| J3370 |
Vancomycin hcl injection |
139 |
61 |
$21.08 |
| 87493 |
|
40 |
38 |
$20.69 |
| 73140 |
|
22 |
14 |
$13.47 |
| J7040 |
Normal saline solution infus |
58 |
32 |
$10.65 |
| J7613 |
Albuterol non-comp unit |
199 |
156 |
$8.19 |
| J3010 |
Fentanyl citrate injection |
1,615 |
1,226 |
$6.54 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
75 |
65 |
$2.25 |
| J1920 |
Inj, labetalol hcl, 5mg |
21 |
14 |
$1.36 |
| J2250 |
Inj midazolam hydrochloride |
746 |
580 |
$0.98 |
| J2060 |
Lorazepam injection |
59 |
38 |
$0.85 |
| 91306 |
|
63 |
62 |
$0.60 |
| J2001 |
Lidocaine injection |
28 |
18 |
$0.27 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
87 |
69 |
$0.00 |
| 76937 |
|
107 |
90 |
$0.00 |
| 92504 |
|
152 |
145 |
$0.00 |
| A9577 |
Inj multihance |
143 |
122 |
$0.00 |
| 90662 |
|
14 |
13 |
$0.00 |
| 88313 |
|
44 |
39 |
$0.00 |
| J1240 |
Dimenhydrinate injection |
33 |
29 |
$0.00 |
| 87804 |
|
29 |
14 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
31 |
28 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
44 |
39 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
69 |
66 |
$0.00 |
| G1004 |
Cdsm ndsc |
39 |
29 |
$0.00 |
| 94761 |
|
273 |
107 |
$0.00 |
| 36000 |
|
15 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
123 |
102 |
$0.00 |
| G0008 |
Admin influenza virus vac |
55 |
52 |
$0.00 |
| 87624 |
|
17 |
17 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
84 |
82 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
25 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
55 |
12 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |