| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
17,944 |
16,855 |
$7.85M |
| 99284 |
|
21,015 |
19,790 |
$4.83M |
| 99283 |
|
16,132 |
15,326 |
$2.11M |
| 96374 |
|
17,565 |
15,860 |
$1.63M |
| 74177 |
|
4,812 |
4,656 |
$634K |
| 80061 |
|
18,472 |
18,377 |
$523K |
| 43239 |
|
1,277 |
1,271 |
$454K |
| 96361 |
|
11,468 |
9,839 |
$417K |
| 99282 |
|
5,401 |
5,279 |
$393K |
| 70450 |
|
4,588 |
4,441 |
$391K |
| 96375 |
|
13,000 |
10,769 |
$362K |
| 96360 |
|
3,064 |
2,945 |
$308K |
| 97110 |
|
9,264 |
2,527 |
$304K |
| 96365 |
|
3,452 |
3,144 |
$291K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,144 |
4,964 |
$287K |
| 71046 |
|
7,892 |
7,696 |
$279K |
| 87637 |
|
3,704 |
3,629 |
$275K |
| 87491 |
|
12,208 |
11,953 |
$236K |
| 87591 |
|
12,101 |
11,848 |
$231K |
| 71045 |
|
6,527 |
6,260 |
$230K |
| G0378 |
Hospital observation per hr |
6,148 |
5,384 |
$227K |
| 76830 |
|
3,373 |
3,325 |
$193K |
| 84443 |
|
28,003 |
27,316 |
$188K |
| 76856 |
|
3,548 |
3,498 |
$182K |
| 45380 |
|
312 |
311 |
$175K |
| 59025 |
|
1,912 |
1,333 |
$171K |
| 82306 |
|
10,304 |
10,270 |
$166K |
| 74176 |
|
1,641 |
1,618 |
$162K |
| U0002 |
Covid-19 lab test non-cdc |
7,415 |
6,995 |
$162K |
| 76705 |
|
2,662 |
2,621 |
$156K |
| 80053 |
|
41,609 |
38,539 |
$152K |
| G0472 |
Hep c screen high risk/other |
4,385 |
4,378 |
$134K |
| 80307 |
|
16,368 |
14,346 |
$130K |
| 77067 |
|
2,602 |
2,595 |
$126K |
| G0480 |
Drug test def 1-7 classes |
10,007 |
8,515 |
$123K |
| 97161 |
|
1,281 |
1,258 |
$118K |
| 76816 |
|
2,333 |
2,146 |
$113K |
| 71275 |
|
1,397 |
1,361 |
$111K |
| G0475 |
Hiv combination assay |
7,186 |
7,165 |
$103K |
| 85025 |
|
57,429 |
49,604 |
$102K |
| 76801 |
|
1,800 |
1,607 |
$100K |
| 99281 |
|
2,249 |
2,194 |
$88K |
| 96366 |
|
2,268 |
1,901 |
$86K |
| 70553 |
|
410 |
407 |
$84K |
| 83036 |
|
13,703 |
13,656 |
$75K |
| 87635 |
|
2,886 |
2,729 |
$68K |
| 71260 |
|
617 |
613 |
$66K |
| 76805 |
|
1,079 |
1,076 |
$65K |
| 88305 |
|
3,747 |
3,603 |
$64K |
| 87624 |
|
3,032 |
3,027 |
$64K |
| G0463 |
Hospital outpt clinic visit |
827 |
666 |
$61K |
| 11042 |
|
308 |
191 |
$59K |
| 86900 |
|
6,611 |
6,051 |
$54K |
| 88142 |
|
4,356 |
4,345 |
$53K |
| U0005 |
Infec agen detec ampli probe |
2,584 |
2,507 |
$47K |
| 82607 |
|
5,637 |
5,605 |
$46K |
| 97140 |
|
2,339 |
830 |
$46K |
| 82728 |
|
5,936 |
5,817 |
$45K |
| 93975 |
|
368 |
362 |
$42K |
| 93306 |
|
297 |
294 |
$40K |
| 96413 |
|
232 |
142 |
$40K |
| 85027 |
|
16,444 |
14,919 |
$40K |
| 97530 |
|
1,843 |
723 |
$38K |
| 76642 |
|
875 |
870 |
$36K |
| 86780 |
|
4,292 |
4,257 |
$35K |
| 84439 |
|
11,217 |
10,975 |
$34K |
| 87808 |
|
4,702 |
4,649 |
$33K |
| 70496 |
|
284 |
283 |
$32K |
| 87086 |
|
8,841 |
8,452 |
$32K |
| 96372 |
|
8,020 |
6,148 |
$32K |
| 87661 |
|
1,528 |
1,518 |
$32K |
| 45385 |
|
68 |
68 |
$29K |
| 93005 |
|
19,352 |
15,611 |
$28K |
| 87340 |
|
4,638 |
4,625 |
$26K |
| 77063 |
|
2,005 |
2,003 |
$26K |
| 36415 |
|
42,711 |
39,440 |
$25K |
| 93971 |
|
443 |
429 |
$25K |
| 82947 |
|
1,466 |
1,433 |
$24K |
| 84466 |
|
3,401 |
3,347 |
$24K |
| 76770 |
|
390 |
381 |
$24K |
| 80048 |
|
24,980 |
20,896 |
$23K |
| 82746 |
|
2,817 |
2,797 |
$22K |
| 84702 |
|
4,834 |
3,965 |
$22K |
| 93798 |
|
328 |
61 |
$21K |
| 72125 |
|
1,668 |
1,635 |
$21K |
| 0002A |
|
515 |
515 |
$19K |
| 83540 |
|
5,211 |
5,102 |
$19K |
| 0001A |
|
523 |
522 |
$18K |
| 87081 |
|
5,797 |
5,703 |
$18K |
| 77066 |
Tomosynthesis, mammo |
303 |
302 |
$18K |
| 99291 |
|
34 |
30 |
$17K |
| 86850 |
|
6,515 |
6,029 |
$17K |
| 76536 |
|
325 |
325 |
$16K |
| 72128 |
|
846 |
829 |
$16K |
| 93970 |
|
146 |
146 |
$16K |
| 87077 |
|
3,386 |
3,278 |
$16K |
| 97165 |
|
290 |
288 |
$16K |
| J1750 |
Inj iron dextran |
122 |
82 |
$15K |
| G0103 |
Psa screening |
1,315 |
1,313 |
$14K |
| 72148 |
|
134 |
134 |
$14K |
| 80074 |
|
587 |
583 |
$14K |
| 84403 |
|
958 |
948 |
$13K |
| 72100 |
|
829 |
815 |
$12K |
| 87205 |
|
5,806 |
5,671 |
$12K |
| 87070 |
|
2,715 |
2,646 |
$12K |
| 66984 |
|
14 |
12 |
$12K |
| 83735 |
|
19,650 |
16,191 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,442 |
7,105 |
$11K |
| 76700 |
|
171 |
171 |
$11K |
| 86762 |
|
1,619 |
1,614 |
$10K |
| 84481 |
|
1,026 |
1,001 |
$10K |
| 83880 |
|
2,598 |
2,518 |
$10K |
| 87186 |
|
2,180 |
2,098 |
$9K |
| 87502 |
|
1,843 |
1,814 |
$9K |
| G0279 |
Tomosynthesis, mammo |
706 |
706 |
$9K |
| 86787 |
|
1,405 |
1,398 |
$9K |
| 84146 |
|
700 |
696 |
$8K |
| 86803 |
|
1,159 |
1,156 |
$8K |
| 83001 |
|
736 |
730 |
$8K |
| 81001 |
|
19,285 |
18,238 |
$8K |
| 83516 |
|
589 |
348 |
$8K |
| 87147 |
|
2,643 |
2,061 |
$8K |
| 78452 |
|
52 |
52 |
$7K |
| 90471 |
|
836 |
800 |
$7K |
| G0108 |
Diab manage trn per indiv |
104 |
80 |
$7K |
| 86235 |
|
118 |
110 |
$7K |
| 82043 |
|
1,941 |
1,931 |
$7K |
| 86140 |
|
3,577 |
3,261 |
$7K |
| 82670 |
|
347 |
343 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
2,659 |
2,480 |
$6K |
| 85610 |
|
8,773 |
8,064 |
$6K |
| 87102 |
|
990 |
979 |
$6K |
| G0123 |
Screen cerv/vag thin layer |
442 |
441 |
$5K |
| 85730 |
|
6,821 |
6,504 |
$5K |
| 73030 |
|
829 |
787 |
$5K |
| 86901 |
|
6,603 |
6,044 |
$5K |
| 84460 |
|
2,110 |
1,952 |
$5K |
| 70486 |
|
188 |
186 |
$5K |
| 73630 |
|
1,370 |
1,347 |
$5K |
| 80076 |
|
7,723 |
7,243 |
$4K |
| 82784 |
|
535 |
521 |
$4K |
| 84450 |
|
1,655 |
1,514 |
$4K |
| 82570 |
|
1,372 |
1,299 |
$4K |
| 87106 |
|
606 |
531 |
$4K |
| 71271 |
|
70 |
70 |
$4K |
| 74018 |
|
361 |
336 |
$4K |
| 77065 |
Tomosynthesis, mammo |
87 |
81 |
$4K |
| 84550 |
|
1,893 |
1,766 |
$4K |
| 83655 |
|
477 |
476 |
$4K |
| 0241U |
|
910 |
878 |
$4K |
| 85652 |
|
3,356 |
3,128 |
$4K |
| 0012A |
|
122 |
122 |
$4K |
| 87088 |
|
965 |
913 |
$4K |
| 73130 |
|
829 |
814 |
$4K |
| 86039 |
|
651 |
646 |
$4K |
| 73562 |
|
847 |
834 |
$4K |
| 83690 |
|
10,298 |
9,571 |
$4K |
| 86696 |
|
316 |
313 |
$4K |
| 93017 |
|
268 |
266 |
$4K |
| 82248 |
|
4,339 |
4,059 |
$3K |
| 86003 |
|
77 |
39 |
$3K |
| 76815 |
|
148 |
117 |
$3K |
| 73721 |
|
26 |
26 |
$3K |
| 82950 |
|
945 |
944 |
$3K |
| 87634 |
|
59 |
59 |
$3K |
| J2560 |
Phenobarbital sodium inj |
205 |
179 |
$3K |
| 83013 |
|
87 |
87 |
$3K |
| 84100 |
|
3,331 |
2,459 |
$3K |
| 86593 |
|
330 |
328 |
$3K |
| 86695 |
|
327 |
324 |
$3K |
| 0011A |
|
117 |
117 |
$2K |
| 82550 |
|
1,845 |
1,661 |
$2K |
| 83615 |
|
1,086 |
959 |
$2K |
| 83002 |
|
206 |
204 |
$2K |
| 86592 |
|
785 |
784 |
$2K |
| 86038 |
|
285 |
285 |
$2K |
| 86364 |
|
181 |
150 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| 73610 |
|
804 |
785 |
$2K |
| 80164 |
|
249 |
226 |
$2K |
| 82565 |
|
1,186 |
1,015 |
$2K |
| 83020 |
|
293 |
293 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,274 |
1,246 |
$2K |
| 86160 |
|
100 |
98 |
$2K |
| 82627 |
|
106 |
106 |
$2K |
| 85007 |
|
1,766 |
1,569 |
$2K |
| 83970 |
|
71 |
71 |
$1K |
| 70491 |
|
12 |
12 |
$1K |
| 74022 |
|
787 |
768 |
$1K |
| 72131 |
|
26 |
26 |
$1K |
| 86431 |
|
382 |
381 |
$1K |
| 88304 |
|
180 |
177 |
$1K |
| 71250 |
|
25 |
25 |
$1K |
| 84630 |
|
160 |
159 |
$1K |
| 86376 |
|
116 |
116 |
$1K |
| 76819 |
|
19 |
12 |
$1K |
| 86258 |
|
67 |
67 |
$1K |
| 86694 |
|
116 |
115 |
$998.14 |
| 70498 |
|
257 |
256 |
$973.99 |
| 86225 |
|
111 |
110 |
$966.35 |
| 0004A |
|
28 |
28 |
$955.07 |
| 82525 |
|
115 |
114 |
$888.17 |
| 85379 |
|
4,384 |
4,262 |
$875.99 |
| 82465 |
|
391 |
389 |
$872.13 |
| 96367 |
|
31 |
27 |
$869.21 |
| 86200 |
|
100 |
100 |
$834.98 |
| 87899 |
|
52 |
50 |
$820.58 |
| 80069 |
|
214 |
207 |
$799.94 |
| 82105 |
|
96 |
95 |
$703.95 |
| 84520 |
|
800 |
655 |
$695.68 |
| 84156 |
|
421 |
354 |
$690.25 |
| 73110 |
|
174 |
164 |
$672.18 |
| 0064A |
|
21 |
21 |
$651.81 |
| 86706 |
|
99 |
99 |
$647.91 |
| 84484 |
|
12,181 |
8,731 |
$613.22 |
| 73564 |
|
18 |
18 |
$601.16 |
| 82040 |
|
587 |
578 |
$570.78 |
| 73502 |
|
53 |
52 |
$564.97 |
| 86769 |
|
32 |
31 |
$530.37 |
| 82247 |
|
321 |
298 |
$463.19 |
| 82150 |
|
275 |
271 |
$457.62 |
| 86800 |
|
39 |
39 |
$436.19 |
| 82785 |
|
37 |
37 |
$413.67 |
| 94760 |
|
273 |
190 |
$383.50 |
| 83520 |
|
2,337 |
1,847 |
$328.78 |
| 82977 |
|
161 |
160 |
$310.60 |
| 82805 |
|
602 |
540 |
$306.88 |
| 84075 |
|
388 |
380 |
$293.58 |
| 81002 |
|
456 |
269 |
$293.26 |
| 83605 |
|
5,253 |
4,530 |
$292.33 |
| 81003 |
|
1,016 |
979 |
$268.51 |
| 87045 |
|
52 |
52 |
$253.96 |
| J2272 |
Inj, morphine (fresenius) |
213 |
170 |
$250.64 |
| 76817 |
|
2,597 |
2,306 |
$249.88 |
| 83014 |
|
75 |
75 |
$248.07 |
| 87449 |
|
41 |
38 |
$248.03 |
| 84155 |
|
402 |
395 |
$242.35 |
| 72170 |
|
41 |
41 |
$240.94 |
| 86765 |
|
99 |
99 |
$231.31 |
| 84703 |
|
248 |
241 |
$226.26 |
| 86735 |
|
90 |
90 |
$224.67 |
| 87040 |
|
1,382 |
930 |
$215.85 |
| 94640 |
|
2,066 |
1,600 |
$213.99 |
| 83498 |
|
12 |
12 |
$211.58 |
| 87046 |
|
40 |
40 |
$205.94 |
| 83550 |
|
98 |
94 |
$199.72 |
| 87324 |
|
25 |
25 |
$180.87 |
| 82310 |
|
379 |
373 |
$176.32 |
| 84153 |
|
52 |
51 |
$153.96 |
| 87880 |
|
685 |
671 |
$153.85 |
| 84480 |
|
13 |
13 |
$125.62 |
| J7030 |
Normal saline solution infus |
16,386 |
14,152 |
$113.12 |
| 87807 |
|
15 |
15 |
$112.96 |
| 82677 |
|
13 |
12 |
$109.50 |
| 12001 |
|
40 |
40 |
$100.39 |
| 83721 |
|
12 |
12 |
$93.07 |
| 81025 |
|
5,692 |
5,423 |
$86.05 |
| 73090 |
|
15 |
12 |
$85.88 |
| 96376 |
|
5,818 |
3,792 |
$84.74 |
| 87420 |
|
107 |
107 |
$77.13 |
| 86336 |
|
13 |
12 |
$70.59 |
| 84295 |
|
325 |
321 |
$48.48 |
| J2405 |
Ondansetron hcl injection |
11,708 |
9,966 |
$45.70 |
| 85045 |
|
55 |
46 |
$45.65 |
| Q0162 |
Ondansetron oral |
234 |
185 |
$42.18 |
| 82374 |
|
308 |
304 |
$38.18 |
| J1885 |
Ketorolac tromethamine inj |
9,632 |
8,492 |
$37.17 |
| 82435 |
|
309 |
305 |
$36.56 |
| 87015 |
|
12 |
12 |
$35.20 |
| J7120 |
Ringers lactate infusion |
5,882 |
4,759 |
$33.05 |
| J0696 |
Ceftriaxone sodium injection |
1,831 |
1,549 |
$32.29 |
| 80051 |
|
13 |
13 |
$25.28 |
| J1170 |
Hydromorphone injection |
4,952 |
3,123 |
$21.16 |
| 86308 |
|
12 |
12 |
$20.11 |
| J3475 |
Inj magnesium sulfate |
969 |
795 |
$19.96 |
| 84132 |
|
41 |
36 |
$16.30 |
| J2250 |
Inj midazolam hydrochloride |
5,691 |
5,427 |
$14.76 |
| 84145 |
|
83 |
81 |
$13.52 |
| 76937 |
|
121 |
110 |
$9.94 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
347 |
289 |
$9.10 |
| J3010 |
Fentanyl citrate injection |
4,941 |
4,645 |
$8.36 |
| J2765 |
Metoclopramide hcl injection |
1,409 |
1,250 |
$5.08 |
| J7050 |
Normal saline solution infus |
3,094 |
2,043 |
$5.08 |
| J1200 |
Diphenhydramine hcl injectio |
5,606 |
4,938 |
$2.98 |
| J2704 |
Inj, propofol, 10 mg |
6,581 |
6,247 |
$1.22 |
| 36410 |
|
80 |
73 |
$1.06 |
| A9270 |
Non-covered item or service |
836 |
306 |
$0.50 |
| J1100 |
Dexamethasone sodium phos |
4,621 |
4,198 |
$0.35 |
| A6455 |
Self-adher band >=5"/yd |
13 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
1,294 |
1,067 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,958 |
1,415 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
553 |
345 |
$0.00 |
| J2060 |
Lorazepam injection |
3,082 |
2,430 |
$0.00 |
| C1769 |
Guide wire |
252 |
232 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
3,034 |
2,675 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
110 |
100 |
$0.00 |
| J2001 |
Lidocaine injection |
310 |
206 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
117 |
112 |
$0.00 |
| J3480 |
Inj potassium chloride |
122 |
81 |
$0.00 |
| J1815 |
Insulin injection |
532 |
234 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
187 |
155 |
$0.00 |
| A9585 |
Gadobutrol injection |
53 |
52 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| 96368 |
|
26 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
70 |
55 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
15 |
15 |
$0.00 |
| 80320 |
|
43 |
33 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
15 |
13 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
15 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
14 |
12 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
23 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,007 |
514 |
$0.00 |
| J2930 |
Methylprednisolone injection |
670 |
581 |
$0.00 |
| J0780 |
Prochlorperazine injection |
827 |
703 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
2,448 |
1,226 |
$0.00 |
| J2270 |
Morphine sulfate injection |
4,660 |
3,526 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,297 |
1,112 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
51 |
44 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
115 |
82 |
$0.00 |
| 90714 |
|
445 |
442 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
82 |
63 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
36 |
36 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
52 |
47 |
$0.00 |
| 82009 |
|
72 |
65 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
127 |
90 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
61 |
50 |
$0.00 |
| J1756 |
Iron sucrose injection |
93 |
32 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
28 |
27 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
31 |
26 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
24 |
24 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |