| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
48,617 |
44,334 |
$5.99M |
| G0463 |
Hospital outpt clinic visit |
38,571 |
27,050 |
$4.44M |
| 99283 |
|
33,832 |
32,005 |
$3.85M |
| 99285 |
|
26,274 |
22,974 |
$3.37M |
| 74177 |
|
9,894 |
8,723 |
$2.61M |
| 70450 |
|
9,462 |
8,472 |
$2.16M |
| 96361 |
|
5,564 |
3,747 |
$1.74M |
| G0378 |
Hospital observation per hr |
9,991 |
4,592 |
$886K |
| 74176 |
|
2,739 |
2,398 |
$651K |
| 99282 |
|
6,308 |
6,043 |
$608K |
| 96366 |
|
2,059 |
1,145 |
$497K |
| 71275 |
|
1,746 |
1,527 |
$457K |
| 96365 |
|
3,318 |
2,468 |
$410K |
| 80053 |
|
55,799 |
47,319 |
$405K |
| 64483 |
|
728 |
657 |
$382K |
| 95811 |
|
461 |
431 |
$283K |
| 11042 |
|
2,644 |
1,143 |
$282K |
| 41899 |
|
414 |
316 |
$271K |
| 43239 |
|
695 |
559 |
$265K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,504 |
1,454 |
$256K |
| 95810 |
|
421 |
386 |
$248K |
| 45380 |
|
466 |
388 |
$229K |
| 94640 |
|
1,999 |
1,175 |
$195K |
| 97530 |
|
3,629 |
1,121 |
$192K |
| 97110 |
|
3,120 |
824 |
$182K |
| 80048 |
|
20,729 |
17,350 |
$174K |
| 83605 |
|
25,455 |
21,336 |
$160K |
| 76856 |
|
939 |
801 |
$152K |
| 76816 |
|
5,409 |
4,372 |
$142K |
| 96360 |
|
1,463 |
1,235 |
$142K |
| 76817 |
|
6,508 |
5,277 |
$130K |
| 70553 |
|
545 |
461 |
$121K |
| 76820 |
|
8,023 |
4,431 |
$117K |
| 99211 |
|
1,227 |
908 |
$114K |
| 76818 |
|
6,470 |
3,417 |
$112K |
| 92507 |
|
1,726 |
628 |
$107K |
| 87502 |
|
6,745 |
5,970 |
$103K |
| 76805 |
|
3,616 |
3,407 |
$102K |
| 76705 |
|
1,320 |
1,120 |
$99K |
| 29848 |
|
82 |
75 |
$96K |
| 59025 |
|
562 |
403 |
$95K |
| 76811 |
|
3,222 |
3,049 |
$93K |
| 99281 |
|
636 |
594 |
$93K |
| 84484 |
|
25,431 |
19,646 |
$93K |
| 76819 |
|
5,053 |
4,112 |
$91K |
| 70491 |
|
329 |
247 |
$90K |
| 85025 |
|
73,295 |
62,253 |
$88K |
| 93975 |
|
864 |
715 |
$82K |
| 93971 |
|
1,121 |
1,000 |
$77K |
| 72131 |
|
910 |
806 |
$76K |
| 72148 |
|
484 |
420 |
$73K |
| 70496 |
|
313 |
256 |
$70K |
| 71046 |
|
10,400 |
9,523 |
$69K |
| 96374 |
|
39,356 |
33,821 |
$67K |
| 86900 |
|
3,165 |
2,552 |
$66K |
| 76815 |
|
2,433 |
1,631 |
$65K |
| 93306 |
|
247 |
201 |
$63K |
| 84443 |
|
4,205 |
3,667 |
$62K |
| 97161 |
|
1,203 |
1,032 |
$62K |
| 78815 |
|
191 |
159 |
$61K |
| 0202U |
|
542 |
464 |
$60K |
| 93005 |
|
29,366 |
25,729 |
$57K |
| 95800 |
|
203 |
190 |
$57K |
| 93970 |
|
442 |
395 |
$56K |
| 71045 |
|
13,597 |
12,139 |
$55K |
| 80307 |
|
3,532 |
2,918 |
$54K |
| 76770 |
|
362 |
311 |
$50K |
| 99201 |
|
835 |
786 |
$49K |
| 76536 |
|
421 |
398 |
$47K |
| 76821 |
|
2,215 |
1,203 |
$46K |
| 96413 |
|
584 |
332 |
$46K |
| 97113 |
|
569 |
156 |
$45K |
| 71250 |
|
590 |
519 |
$41K |
| 47563 |
|
19 |
14 |
$39K |
| 62323 |
|
138 |
131 |
$39K |
| 76830 |
|
776 |
677 |
$38K |
| J1756 |
Iron sucrose injection |
1,248 |
476 |
$37K |
| 36415 |
|
29,474 |
23,349 |
$36K |
| 94060 |
|
230 |
215 |
$34K |
| 96372 |
|
16,650 |
13,334 |
$33K |
| 82306 |
|
1,819 |
1,608 |
$33K |
| 97165 |
|
662 |
559 |
$32K |
| 72125 |
|
2,222 |
1,915 |
$32K |
| 81001 |
|
36,598 |
32,222 |
$31K |
| 70551 |
|
219 |
199 |
$30K |
| 45385 |
|
49 |
38 |
$28K |
| 86850 |
|
2,586 |
2,086 |
$28K |
| 73721 |
|
122 |
117 |
$27K |
| 82728 |
|
1,796 |
1,566 |
$27K |
| 78452 |
|
70 |
52 |
$27K |
| 69436 |
|
16 |
13 |
$26K |
| 71260 |
|
473 |
404 |
$26K |
| 71271 |
|
159 |
149 |
$25K |
| J2790 |
Rho d immune globulin inj |
377 |
290 |
$25K |
| 85027 |
|
5,828 |
4,671 |
$25K |
| 96375 |
|
23,948 |
20,129 |
$23K |
| 96415 |
|
121 |
80 |
$23K |
| 99213 |
|
238 |
133 |
$21K |
| 84439 |
|
1,999 |
1,729 |
$20K |
| 80061 |
|
1,914 |
1,711 |
$20K |
| 87635 |
|
8,304 |
7,298 |
$20K |
| 83880 |
|
4,857 |
3,862 |
$20K |
| 82607 |
|
1,524 |
1,324 |
$19K |
| 83036 |
|
2,241 |
1,924 |
$18K |
| 70486 |
|
408 |
362 |
$17K |
| 83735 |
|
7,058 |
5,519 |
$17K |
| 72141 |
|
112 |
102 |
$17K |
| 94729 |
|
225 |
212 |
$16K |
| 12001 |
|
105 |
93 |
$16K |
| 83690 |
|
21,831 |
19,303 |
$16K |
| 94726 |
|
221 |
208 |
$16K |
| 76801 |
|
784 |
662 |
$15K |
| 87088 |
|
6,185 |
5,517 |
$15K |
| 96367 |
|
393 |
287 |
$15K |
| 64493 |
|
28 |
28 |
$14K |
| 80320 |
|
1,024 |
888 |
$14K |
| 74018 |
|
466 |
388 |
$14K |
| 73030 |
|
1,028 |
888 |
$13K |
| 96376 |
|
3,616 |
1,990 |
$13K |
| 77067 |
|
306 |
283 |
$13K |
| 87086 |
|
3,151 |
2,669 |
$12K |
| 73502 |
|
643 |
570 |
$12K |
| 93017 |
|
136 |
109 |
$11K |
| 87491 |
|
1,371 |
1,133 |
$11K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
487 |
387 |
$11K |
| 73630 |
|
1,056 |
937 |
$11K |
| 00170 |
|
507 |
377 |
$11K |
| 86901 |
|
3,125 |
2,551 |
$11K |
| 84702 |
|
2,363 |
1,864 |
$10K |
| 83540 |
|
1,178 |
1,034 |
$10K |
| G0382 |
Lev 3 hosp type b ed visit |
114 |
114 |
$10K |
| 73130 |
|
849 |
729 |
$10K |
| 90714 |
|
657 |
563 |
$10K |
| 73700 |
|
99 |
96 |
$10K |
| 70498 |
|
270 |
227 |
$10K |
| 86140 |
|
1,122 |
889 |
$9K |
| 84112 |
|
179 |
133 |
$9K |
| 86592 |
|
629 |
531 |
$9K |
| 87591 |
|
1,408 |
1,172 |
$9K |
| 82570 |
|
1,761 |
1,364 |
$8K |
| 81002 |
|
35,666 |
13,043 |
$8K |
| 84550 |
|
1,568 |
1,194 |
$8K |
| 73562 |
|
872 |
795 |
$8K |
| M0243 |
Casirivi and imdevi inj |
78 |
63 |
$8K |
| 72128 |
|
250 |
217 |
$8K |
| 86803 |
|
551 |
453 |
$8K |
| 87040 |
|
2,695 |
1,172 |
$8K |
| 83550 |
|
1,120 |
982 |
$8K |
| 85610 |
|
4,351 |
3,431 |
$8K |
| 97140 |
|
320 |
90 |
$7K |
| 93226 |
|
43 |
41 |
$7K |
| 72100 |
|
544 |
479 |
$7K |
| 82746 |
|
1,380 |
1,198 |
$7K |
| 82962 |
|
5,336 |
2,969 |
$7K |
| 80076 |
|
1,242 |
1,068 |
$7K |
| 86038 |
|
415 |
309 |
$7K |
| 83970 |
|
313 |
267 |
$7K |
| 87340 |
|
499 |
407 |
$6K |
| 73221 |
|
25 |
17 |
$6K |
| 87081 |
|
519 |
436 |
$6K |
| 73610 |
|
798 |
706 |
$6K |
| 36430 |
|
54 |
37 |
$6K |
| 76813 |
|
183 |
158 |
$6K |
| 87389 |
|
435 |
369 |
$6K |
| P9016 |
Rbc leukocytes reduced |
44 |
25 |
$5K |
| 84156 |
|
1,479 |
1,098 |
$5K |
| 90471 |
|
934 |
706 |
$5K |
| 72110 |
|
81 |
71 |
$5K |
| 86376 |
|
402 |
334 |
$5K |
| 97535 |
|
189 |
126 |
$4K |
| 73110 |
|
535 |
466 |
$4K |
| 86039 |
|
233 |
179 |
$4K |
| 64721 |
|
14 |
12 |
$4K |
| 74420 |
|
37 |
25 |
$4K |
| 77063 |
|
213 |
197 |
$4K |
| 85378 |
|
1,258 |
1,104 |
$4K |
| 93225 |
|
43 |
41 |
$4K |
| 73560 |
|
292 |
238 |
$3K |
| J2791 |
Rhophylac injection |
55 |
38 |
$3K |
| 97014 |
|
104 |
27 |
$3K |
| 74178 |
|
18 |
15 |
$3K |
| 86800 |
|
241 |
197 |
$3K |
| 84134 |
|
238 |
221 |
$3K |
| 81003 |
|
5,919 |
5,415 |
$3K |
| 73590 |
|
363 |
319 |
$3K |
| 87651 |
|
1,003 |
901 |
$3K |
| 93246 |
|
37 |
37 |
$3K |
| 84100 |
|
899 |
614 |
$3K |
| 84481 |
|
230 |
202 |
$3K |
| 83615 |
|
677 |
518 |
$3K |
| 87210 |
|
748 |
632 |
$3K |
| 82731 |
|
81 |
68 |
$3K |
| 86703 |
|
95 |
82 |
$3K |
| 85379 |
|
1,732 |
1,531 |
$3K |
| 84520 |
|
264 |
232 |
$2K |
| 97112 |
|
42 |
13 |
$2K |
| 10060 |
|
15 |
12 |
$2K |
| 84630 |
|
176 |
163 |
$2K |
| J0500 |
Dicyclomine injection |
252 |
204 |
$2K |
| 85652 |
|
844 |
703 |
$2K |
| 85730 |
|
1,318 |
1,007 |
$2K |
| A9609 |
F18 fdg, 15 millicuries |
13 |
13 |
$2K |
| 76870 |
|
76 |
67 |
$2K |
| 94664 |
|
1,135 |
941 |
$2K |
| U0005 |
Infec agen detec ampli probe |
331 |
323 |
$2K |
| 99203 |
|
29 |
17 |
$2K |
| 82565 |
|
308 |
256 |
$2K |
| C1776 |
Joint device (implantable) |
232 |
189 |
$2K |
| 84425 |
|
174 |
161 |
$2K |
| 80143 |
|
1,553 |
1,300 |
$2K |
| 86923 |
|
60 |
36 |
$2K |
| 84703 |
|
1,155 |
975 |
$2K |
| 12002 |
|
14 |
12 |
$2K |
| 82550 |
|
1,007 |
761 |
$2K |
| J3490 |
Drugs unclassified injection |
98 |
52 |
$2K |
| 82784 |
|
173 |
92 |
$2K |
| 87077 |
|
978 |
754 |
$2K |
| 86762 |
|
115 |
99 |
$1K |
| 82248 |
|
1,287 |
1,088 |
$1K |
| 88305 |
|
2,488 |
1,679 |
$1K |
| J2270 |
Morphine sulfate injection |
3,564 |
2,622 |
$1K |
| 85651 |
|
364 |
253 |
$1K |
| J1170 |
Hydromorphone injection |
2,483 |
1,438 |
$1K |
| 82043 |
|
278 |
255 |
$1K |
| J1650 |
Inj enoxaparin sodium |
2,064 |
900 |
$1K |
| 86787 |
|
53 |
42 |
$1K |
| 87070 |
|
814 |
628 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
20,109 |
17,192 |
$1K |
| 82805 |
|
69 |
58 |
$1K |
| 82947 |
|
455 |
258 |
$1K |
| 73564 |
|
45 |
42 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,589 |
1,763 |
$1K |
| 85014 |
|
563 |
345 |
$1K |
| 92567 |
|
33 |
28 |
$968.33 |
| 86308 |
|
323 |
241 |
$936.08 |
| 64447 |
|
14 |
13 |
$935.43 |
| 82077 |
|
632 |
467 |
$905.87 |
| 82525 |
|
69 |
67 |
$901.74 |
| 80179 |
|
1,534 |
1,285 |
$877.48 |
| 84145 |
|
254 |
217 |
$870.74 |
| 80074 |
|
100 |
82 |
$848.89 |
| 87880 |
|
1,092 |
980 |
$824.11 |
| 87634 |
|
311 |
261 |
$815.30 |
| 82044 |
|
118 |
101 |
$813.95 |
| 85384 |
|
270 |
194 |
$797.25 |
| J0702 |
Betamethasone acet&sod phosp |
84 |
37 |
$730.77 |
| 00790 |
|
249 |
185 |
$714.38 |
| 86481 |
|
13 |
12 |
$701.28 |
| 87205 |
|
702 |
522 |
$700.85 |
| 86147 |
|
46 |
12 |
$665.48 |
| 85018 |
|
559 |
340 |
$618.73 |
| 86317 |
|
26 |
15 |
$590.03 |
| 86706 |
|
31 |
28 |
$588.27 |
| J1642 |
Inj heparin sodium per 10 u |
1,433 |
501 |
$586.67 |
| 87186 |
|
404 |
265 |
$578.09 |
| C1889 |
Implant/insert device, noc |
37 |
29 |
$568.33 |
| J0690 |
Cefazolin sodium injection |
4,995 |
3,090 |
$562.66 |
| 90715 |
|
27 |
26 |
$528.80 |
| 81025 |
|
555 |
437 |
$520.79 |
| J2405 |
Ondansetron hcl injection |
19,267 |
15,759 |
$506.54 |
| J3475 |
Inj magnesium sulfate |
933 |
562 |
$468.72 |
| 73090 |
|
78 |
63 |
$447.06 |
| J3010 |
Fentanyl citrate injection |
9,230 |
6,704 |
$414.21 |
| 83020 |
|
41 |
37 |
$411.62 |
| J2360 |
Orphenadrine injection |
832 |
668 |
$391.16 |
| J2704 |
Inj, propofol, 10 mg |
11,730 |
7,618 |
$386.70 |
| 01810 |
|
763 |
682 |
$378.34 |
| 84590 |
|
51 |
50 |
$376.25 |
| 82533 |
|
31 |
26 |
$369.10 |
| 73552 |
|
45 |
43 |
$365.49 |
| 85460 |
|
33 |
24 |
$347.07 |
| 86431 |
|
16 |
12 |
$338.69 |
| 84403 |
|
34 |
28 |
$331.90 |
| 86403 |
|
160 |
124 |
$306.67 |
| 82010 |
|
573 |
480 |
$303.56 |
| 82553 |
|
19 |
16 |
$299.64 |
| 82800 |
|
491 |
425 |
$295.37 |
| J1200 |
Diphenhydramine hcl injectio |
4,246 |
3,305 |
$286.30 |
| 88342 |
|
304 |
242 |
$276.81 |
| J1100 |
Dexamethasone sodium phos |
6,112 |
4,620 |
$269.18 |
| 71101 |
|
14 |
12 |
$229.17 |
| J0780 |
Prochlorperazine injection |
929 |
732 |
$223.63 |
| J2930 |
Methylprednisolone injection |
728 |
516 |
$213.92 |
| 82140 |
|
72 |
58 |
$212.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
18,344 |
16,208 |
$200.55 |
| 73521 |
|
16 |
12 |
$200.52 |
| 83516 |
|
24 |
15 |
$194.25 |
| 72170 |
|
30 |
27 |
$187.97 |
| 87449 |
|
27 |
25 |
$174.07 |
| J3370 |
Vancomycin hcl injection |
626 |
374 |
$171.75 |
| J2919 |
Inj, methylpred sod succ 5mg |
425 |
312 |
$170.92 |
| 80164 |
|
17 |
13 |
$166.70 |
| J2765 |
Metoclopramide hcl injection |
2,121 |
1,656 |
$161.24 |
| J2060 |
Lorazepam injection |
689 |
459 |
$153.18 |
| 84146 |
|
13 |
12 |
$142.10 |
| A9579 |
Gad-base mr contrast nos,1ml |
761 |
643 |
$128.99 |
| J1030 |
Methylprednisolone 40 mg inj |
2,493 |
2,284 |
$119.43 |
| 82150 |
|
55 |
46 |
$111.15 |
| 87075 |
|
156 |
104 |
$104.30 |
| 85045 |
|
29 |
24 |
$91.71 |
| J0171 |
Adrenalin epinephrine inject |
370 |
281 |
$71.21 |
| 73080 |
|
13 |
13 |
$65.59 |
| J0360 |
Hydralazine hcl injection |
141 |
97 |
$65.48 |
| J2470 |
Inj pantoprazole sodium 40mg |
222 |
123 |
$64.21 |
| J7030 |
Normal saline solution infus |
830 |
676 |
$60.46 |
| J2550 |
Promethazine hcl injection |
222 |
158 |
$58.23 |
| J2175 |
Meperidine hydrochl /100 mg |
31 |
25 |
$57.78 |
| 84436 |
|
29 |
28 |
$48.32 |
| 00813 |
|
173 |
143 |
$47.60 |
| J1644 |
Inj heparin sodium per 1000u |
104 |
27 |
$41.62 |
| J1836 |
Inj, metronidazole, 10 mg |
135 |
65 |
$39.55 |
| J2250 |
Inj midazolam hydrochloride |
5,565 |
4,278 |
$36.53 |
| J3480 |
Inj potassium chloride |
511 |
282 |
$35.59 |
| J1953 |
Levetiracetam injection |
16 |
13 |
$35.07 |
| J2795 |
Ropivacaine hcl injection |
583 |
287 |
$31.55 |
| C1769 |
Guide wire |
200 |
151 |
$27.40 |
| 88304 |
|
910 |
686 |
$22.01 |
| U0002 |
Covid-19 lab test non-cdc |
27 |
26 |
$20.52 |
| 84132 |
|
48 |
40 |
$19.06 |
| J3301 |
Triamcinolone acet inj nos |
26 |
25 |
$17.95 |
| 73060 |
|
15 |
12 |
$15.56 |
| J2272 |
Inj, morphine (fresenius) |
42 |
38 |
$15.28 |
| J1010 |
Inj, methylpred acetate 1 mg |
330 |
318 |
$11.13 |
| J1940 |
Furosemide injection |
169 |
108 |
$10.95 |
| J7050 |
Normal saline solution infus |
416 |
302 |
$9.77 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
393 |
353 |
$9.29 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
185 |
124 |
$7.57 |
| J0688 |
Inj cefazolin sodium, hikma |
19 |
12 |
$6.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,004 |
810 |
$5.36 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
95 |
82 |
$2.35 |
| J1790 |
Droperidol injection |
49 |
39 |
$2.25 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
361 |
290 |
$1.90 |
| J2710 |
Neostigmine methylslfte inj |
36 |
25 |
$1.76 |
| J1920 |
Inj, labetalol hcl, 5mg |
31 |
27 |
$0.86 |
| Q0244 |
Casirivi and imdevi 1200 mg |
52 |
44 |
$0.37 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
910 |
875 |
$0.25 |
| 00811 |
|
86 |
65 |
$0.00 |
| A9552 |
F18 fdg |
154 |
120 |
$0.00 |
| 00731 |
|
455 |
369 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
154 |
137 |
$0.00 |
| A9577 |
Inj multihance |
44 |
37 |
$0.00 |
| A4565 |
Slings |
71 |
61 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
79 |
76 |
$0.00 |
| C1758 |
Catheter, ureteral |
25 |
25 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
31 |
25 |
$0.00 |
| 00840 |
|
67 |
36 |
$0.00 |
| 00812 |
|
75 |
66 |
$0.00 |
| 00910 |
|
18 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
19 |
14 |
$0.00 |
| 64484 |
|
86 |
69 |
$0.00 |
| A9500 |
Tc99m sestamibi |
101 |
79 |
$0.00 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
14 |
12 |
$0.00 |
| 88311 |
|
241 |
187 |
$0.00 |
| 96368 |
|
36 |
25 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
13 |
12 |
$0.00 |
| 64494 |
|
28 |
28 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
107 |
85 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$0.00 |
| G0379 |
Direct refer hospital observ |
52 |
39 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
17 |
13 |
$0.00 |
| 87807 |
|
26 |
26 |
$0.00 |