| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
21,069 |
18,989 |
$5.76M |
| 99284 |
|
18,737 |
16,396 |
$5.58M |
| 99285 |
|
9,968 |
8,836 |
$3.68M |
| H0035 |
Mh partial hosp tx under 24h |
7,066 |
1,005 |
$1.71M |
| 99282 |
|
6,416 |
6,103 |
$1.36M |
| G0378 |
Hospital observation per hr |
4,064 |
2,117 |
$966K |
| 99214 |
|
16,147 |
15,030 |
$916K |
| 11042 |
|
2,075 |
1,003 |
$900K |
| 90834 |
|
16,291 |
7,948 |
$863K |
| 74177 |
|
3,941 |
3,652 |
$793K |
| 97140 |
|
24,078 |
6,332 |
$755K |
| 0202U |
|
6,353 |
5,877 |
$658K |
| 97110 |
|
32,560 |
7,665 |
$536K |
| 70450 |
|
5,206 |
4,581 |
$457K |
| H0019 |
Alcohol and/or drug services |
2,364 |
92 |
$416K |
| OP710 |
|
3,022 |
2,589 |
$397K |
| 74176 |
|
2,047 |
1,868 |
$357K |
| 93005 |
|
12,614 |
10,676 |
$353K |
| 72125 |
|
2,069 |
1,813 |
$315K |
| 90853 |
|
9,820 |
2,708 |
$294K |
| 96375 |
|
6,532 |
5,324 |
$248K |
| 93306 |
|
544 |
533 |
$235K |
| 87633 |
|
1,488 |
1,454 |
$226K |
| 99213 |
|
3,996 |
3,418 |
$221K |
| H2018 |
Psysoc rehab svc, per diem |
1,066 |
41 |
$194K |
| 71045 |
|
7,059 |
6,266 |
$176K |
| 80053 |
|
25,433 |
21,070 |
$174K |
| 96361 |
|
7,581 |
6,764 |
$173K |
| 97530 |
|
5,492 |
1,496 |
$166K |
| 96374 |
|
8,585 |
7,623 |
$164K |
| G0480 |
Drug test def 1-7 classes |
5,432 |
4,552 |
$162K |
| 97112 |
|
9,422 |
2,554 |
$157K |
| 96365 |
|
4,951 |
2,994 |
$156K |
| OP250 |
|
58,880 |
24,077 |
$149K |
| G0463 |
Hospital outpt clinic visit |
8,294 |
5,673 |
$148K |
| 76830 |
|
1,044 |
996 |
$147K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,451 |
2,240 |
$145K |
| 71046 |
|
4,568 |
4,241 |
$138K |
| 80307 |
|
5,782 |
5,059 |
$134K |
| 77067 |
|
1,117 |
1,078 |
$123K |
| 90791 |
|
2,200 |
1,946 |
$122K |
| 97161 |
|
2,442 |
2,307 |
$121K |
| 85025 |
|
28,276 |
22,907 |
$119K |
| 96372 |
|
8,290 |
6,275 |
$117K |
| 99291 |
|
221 |
210 |
$113K |
| 90792 |
|
2,044 |
1,729 |
$113K |
| 0241U |
|
2,560 |
2,108 |
$89K |
| 96360 |
|
3,613 |
3,353 |
$88K |
| 36415 |
|
28,805 |
23,819 |
$86K |
| 76700 |
|
480 |
453 |
$71K |
| 76856 |
|
455 |
434 |
$68K |
| OP272 |
|
7,810 |
5,410 |
$63K |
| OP270 |
|
15,965 |
11,044 |
$60K |
| 90832 |
|
1,394 |
831 |
$58K |
| 77063 |
|
1,077 |
1,038 |
$50K |
| 84484 |
|
7,770 |
6,236 |
$50K |
| 97162 |
|
1,036 |
962 |
$45K |
| 88305 |
|
701 |
635 |
$43K |
| 71275 |
|
331 |
305 |
$43K |
| 73630 |
|
1,315 |
1,233 |
$42K |
| 73610 |
|
1,268 |
1,185 |
$41K |
| 96376 |
|
2,008 |
1,433 |
$41K |
| 85610 |
|
9,296 |
8,101 |
$39K |
| 81001 |
|
15,196 |
13,445 |
$38K |
| 93017 |
|
101 |
101 |
$37K |
| OP251 |
|
2,484 |
1,128 |
$37K |
| 76816 |
|
453 |
430 |
$36K |
| 83880 |
|
2,424 |
2,093 |
$36K |
| 71250 |
|
265 |
215 |
$35K |
| 87798 |
|
1,589 |
1,552 |
$34K |
| 97803 |
|
650 |
584 |
$33K |
| U0005 |
Infec agen detec ampli probe |
1,904 |
1,772 |
$32K |
| 71260 |
|
183 |
170 |
$31K |
| 85730 |
|
8,592 |
7,565 |
$30K |
| 94640 |
|
1,481 |
1,245 |
$29K |
| 76819 |
|
194 |
131 |
$29K |
| 80048 |
|
4,300 |
3,552 |
$28K |
| 84443 |
|
3,025 |
2,745 |
$28K |
| 87631 |
|
467 |
463 |
$27K |
| 87581 |
|
1,488 |
1,455 |
$27K |
| 87040 |
|
2,428 |
2,192 |
$27K |
| 87486 |
|
1,487 |
1,454 |
$27K |
| 86850 |
|
2,620 |
2,263 |
$26K |
| 83605 |
|
3,273 |
2,875 |
$26K |
| 83735 |
|
6,392 |
5,260 |
$25K |
| 73562 |
|
720 |
679 |
$24K |
| 73030 |
|
788 |
715 |
$24K |
| 90833 |
|
506 |
396 |
$24K |
| 84145 |
|
2,125 |
1,921 |
$23K |
| 80305 |
|
2,160 |
1,579 |
$22K |
| 99281 |
|
110 |
108 |
$22K |
| 87651 |
|
1,605 |
1,536 |
$21K |
| 87635 |
|
614 |
512 |
$20K |
| 73130 |
|
759 |
714 |
$20K |
| 82962 |
|
4,823 |
3,156 |
$19K |
| 81025 |
|
9,021 |
8,270 |
$18K |
| 99215 |
Prolong outpt/office vis |
268 |
257 |
$18K |
| 86900 |
|
2,818 |
2,395 |
$18K |
| 93971 |
|
141 |
135 |
$18K |
| 83690 |
|
6,073 |
5,403 |
$18K |
| 76705 |
|
283 |
274 |
$17K |
| 96413 |
|
86 |
52 |
$16K |
| 86901 |
|
2,809 |
2,387 |
$16K |
| 87086 |
|
2,861 |
2,581 |
$15K |
| OP370 |
|
321 |
270 |
$15K |
| 85027 |
|
1,996 |
1,615 |
$14K |
| 84702 |
|
2,499 |
2,224 |
$13K |
| 70553 |
|
13 |
12 |
$11K |
| 0002A |
|
369 |
369 |
$11K |
| 97016 |
|
1,792 |
526 |
$11K |
| 87186 |
|
1,099 |
992 |
$10K |
| 0001A |
|
386 |
386 |
$10K |
| 87077 |
|
1,274 |
1,142 |
$10K |
| 99212 |
|
502 |
393 |
$10K |
| 96366 |
|
304 |
224 |
$10K |
| 82550 |
|
1,913 |
1,687 |
$9K |
| 73110 |
|
351 |
325 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
4,989 |
4,383 |
$9K |
| 90675 |
|
44 |
15 |
$8K |
| 72100 |
|
255 |
251 |
$8K |
| 72131 |
|
31 |
26 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
538 |
526 |
$7K |
| OP258 |
|
6,522 |
3,477 |
$7K |
| 87880 |
|
1,125 |
1,108 |
$7K |
| 84100 |
|
1,732 |
1,479 |
$6K |
| 76815 |
|
262 |
231 |
$6K |
| 90715 |
|
1,290 |
1,212 |
$6K |
| 88304 |
|
115 |
114 |
$6K |
| G1004 |
Cdsm ndsc |
9,909 |
6,778 |
$6K |
| 82077 |
|
1,102 |
907 |
$5K |
| 76801 |
|
33 |
32 |
$5K |
| 80076 |
|
1,032 |
893 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
464 |
314 |
$5K |
| 80320 |
|
433 |
383 |
$4K |
| 80061 |
|
410 |
376 |
$4K |
| 72148 |
|
14 |
13 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,884 |
1,795 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,299 |
1,116 |
$4K |
| 90375 |
|
15 |
13 |
$4K |
| 90471 |
|
1,506 |
1,224 |
$4K |
| 12001 |
|
147 |
130 |
$4K |
| 85378 |
|
1,350 |
1,260 |
$4K |
| 86618 |
|
325 |
314 |
$4K |
| 0004A |
|
101 |
101 |
$3K |
| 87426 |
|
251 |
241 |
$3K |
| 76536 |
|
30 |
28 |
$3K |
| J1170 |
Hydromorphone injection |
862 |
654 |
$3K |
| 81003 |
|
1,119 |
1,042 |
$3K |
| 70551 |
|
20 |
12 |
$3K |
| J2060 |
Lorazepam injection |
991 |
736 |
$3K |
| 74018 |
|
113 |
101 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
598 |
512 |
$3K |
| 80143 |
|
641 |
531 |
$3K |
| 70486 |
|
25 |
24 |
$3K |
| 96367 |
|
147 |
104 |
$3K |
| J2405 |
Ondansetron hcl injection |
4,767 |
4,006 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
171 |
164 |
$3K |
| 80179 |
|
618 |
513 |
$3K |
| J3490 |
Drugs unclassified injection |
12,645 |
6,424 |
$3K |
| 97802 |
|
25 |
25 |
$3K |
| J7030 |
Normal saline solution infus |
5,668 |
4,814 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,185 |
914 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
351 |
325 |
$2K |
| OP279 |
|
1,624 |
1,368 |
$2K |
| J2765 |
Metoclopramide hcl injection |
243 |
219 |
$2K |
| 76817 |
|
12 |
12 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
105 |
100 |
$2K |
| 29125 |
|
71 |
59 |
$2K |
| G0283 |
Elec stim other than wound |
50 |
14 |
$2K |
| 76641 |
|
13 |
13 |
$2K |
| OP229 |
|
29 |
19 |
$1K |
| 97014 |
|
330 |
91 |
$1K |
| 77080 |
|
12 |
12 |
$1K |
| 93970 |
|
13 |
13 |
$1K |
| 72110 |
|
14 |
14 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,884 |
1,570 |
$1K |
| 83036 |
|
359 |
324 |
$1K |
| 73502 |
|
61 |
52 |
$1K |
| J1630 |
Haloperidol injection |
162 |
119 |
$1K |
| 80164 |
|
59 |
48 |
$1K |
| 0012A |
|
30 |
30 |
$1K |
| 87070 |
|
118 |
115 |
$1K |
| 76642 |
|
14 |
13 |
$1K |
| J2270 |
Morphine sulfate injection |
1,092 |
807 |
$1K |
| C7901 |
Hopd mntl hlt, 30-60 min |
80 |
48 |
$962.75 |
| 0011A |
|
25 |
25 |
$960.00 |
| J2250 |
Inj midazolam hydrochloride |
646 |
559 |
$774.15 |
| G0279 |
Tomosynthesis, mammo |
14 |
13 |
$731.19 |
| J0136 |
Inj, acetaminophen (b braun) |
314 |
284 |
$728.97 |
| 97165 |
|
13 |
13 |
$711.23 |
| 73080 |
|
28 |
28 |
$689.25 |
| 86140 |
|
528 |
419 |
$677.39 |
| 82553 |
|
40 |
40 |
$669.92 |
| 84439 |
|
134 |
129 |
$600.89 |
| 0072A |
|
15 |
15 |
$565.04 |
| 0071A |
|
14 |
14 |
$524.80 |
| 0031A |
|
16 |
16 |
$423.16 |
| 82728 |
|
44 |
43 |
$418.66 |
| A9585 |
Gadobutrol injection |
27 |
26 |
$398.20 |
| 85055 |
|
21 |
12 |
$380.13 |
| 73590 |
|
14 |
13 |
$365.69 |
| 85652 |
|
415 |
323 |
$358.84 |
| J0134 |
Inj acetaminophen -fresenius |
240 |
216 |
$355.41 |
| 0064A |
|
12 |
12 |
$324.17 |
| C7900 |
Hopd mntl hlt, 15-29 min |
220 |
153 |
$319.00 |
| 73140 |
|
12 |
12 |
$243.88 |
| 97116 |
|
29 |
12 |
$204.54 |
| 97018 |
|
53 |
12 |
$197.40 |
| J0690 |
Cefazolin sodium injection |
91 |
76 |
$192.04 |
| 87081 |
|
18 |
18 |
$181.79 |
| OP278 |
|
12 |
12 |
$180.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
578 |
514 |
$171.44 |
| Q0162 |
Ondansetron oral |
591 |
537 |
$155.86 |
| C9113 |
Inj pantoprazole sodium, via |
121 |
82 |
$148.92 |
| J2543 |
Piperacillin/tazobactam |
15 |
12 |
$142.28 |
| 83615 |
|
36 |
31 |
$137.85 |
| 29515 |
|
12 |
12 |
$105.65 |
| J2930 |
Methylprednisolone injection |
45 |
39 |
$90.46 |
| 87430 |
|
19 |
19 |
$83.22 |
| J1650 |
Inj enoxaparin sodium |
105 |
65 |
$71.80 |
| 84481 |
|
17 |
12 |
$63.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
87 |
74 |
$59.00 |
| OP255 |
|
116 |
63 |
$49.80 |
| 84703 |
|
12 |
12 |
$22.80 |
| J0137 |
Inj, acetaminophen (hikma) |
17 |
15 |
$19.12 |
| 87205 |
|
16 |
13 |
$11.24 |
| 82150 |
|
18 |
16 |
$10.35 |
| Q0163 |
Diphenhydramine hcl 50mg |
31 |
28 |
$8.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
16 |
$7.06 |