| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
32,730 |
28,643 |
$12.62M |
| 99283 |
|
27,900 |
25,927 |
$6.88M |
| 99284 |
|
27,703 |
25,480 |
$5.60M |
| 74177 |
|
12,319 |
11,281 |
$2.94M |
| G0378 |
Hospital observation per hr |
43,777 |
16,631 |
$2.88M |
| 72125 |
|
5,538 |
4,996 |
$2.15M |
| 96361 |
|
30,151 |
21,099 |
$1.98M |
| 97110 |
|
27,910 |
9,143 |
$1.81M |
| 99282 |
|
15,398 |
14,454 |
$1.68M |
| 74176 |
|
4,100 |
3,768 |
$961K |
| 70450 |
|
14,308 |
12,603 |
$946K |
| 43239 |
|
1,433 |
1,345 |
$812K |
| 70498 |
|
1,592 |
1,474 |
$514K |
| 78452 |
|
263 |
236 |
$439K |
| 97112 |
|
6,624 |
2,036 |
$414K |
| 96366 |
|
11,559 |
6,399 |
$359K |
| 97140 |
|
14,237 |
5,186 |
$347K |
| 99214 |
|
4,184 |
3,214 |
$277K |
| 71275 |
|
3,667 |
3,381 |
$204K |
| 95811 |
|
406 |
360 |
$197K |
| 95810 |
|
322 |
316 |
$188K |
| 70553 |
|
480 |
434 |
$173K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
426 |
377 |
$159K |
| 59025 |
|
1,834 |
1,332 |
$149K |
| 49083 |
|
393 |
188 |
$143K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,409 |
2,259 |
$127K |
| 72131 |
|
319 |
292 |
$126K |
| 74174 |
|
172 |
157 |
$108K |
| 64483 |
|
197 |
177 |
$102K |
| 93306 |
|
2,542 |
2,311 |
$100K |
| 93976 |
|
1,315 |
1,239 |
$100K |
| 76801 |
|
561 |
509 |
$94K |
| 97161 |
|
6,950 |
6,319 |
$93K |
| 99213 |
|
4,465 |
2,639 |
$89K |
| 97530 |
|
7,213 |
3,246 |
$75K |
| G0257 |
Unsched dialysis esrd pt hos |
117 |
72 |
$70K |
| 76705 |
|
1,529 |
1,454 |
$69K |
| 76700 |
|
720 |
684 |
$68K |
| 87635 |
|
10,445 |
9,362 |
$57K |
| 47562 |
|
12 |
12 |
$56K |
| 97535 |
|
5,969 |
3,676 |
$54K |
| 76830 |
|
1,433 |
1,364 |
$48K |
| 11042 |
|
276 |
203 |
$46K |
| 95806 |
|
500 |
279 |
$45K |
| 36430 |
|
482 |
341 |
$37K |
| 99281 |
|
717 |
689 |
$37K |
| 88305 |
|
5,430 |
3,403 |
$36K |
| 71260 |
|
2,840 |
2,565 |
$34K |
| 99215 |
Prolong outpt/office vis |
298 |
241 |
$32K |
| 72148 |
|
119 |
103 |
$31K |
| 96365 |
|
11,655 |
10,030 |
$31K |
| 45380 |
|
96 |
89 |
$27K |
| 70549 |
|
14 |
13 |
$25K |
| 97162 |
|
1,353 |
1,160 |
$25K |
| C8929 |
Tte w or wo fol wcon,doppler |
973 |
894 |
$23K |
| 97597 |
|
381 |
271 |
$21K |
| 71250 |
|
366 |
342 |
$21K |
| 97165 |
|
2,087 |
1,843 |
$20K |
| G0463 |
Hospital outpt clinic visit |
2,657 |
1,262 |
$19K |
| 70496 |
|
674 |
644 |
$18K |
| 96374 |
|
33,013 |
28,726 |
$17K |
| 80053 |
|
44,668 |
32,373 |
$16K |
| 96376 |
|
19,455 |
10,983 |
$13K |
| 93005 |
|
40,956 |
32,265 |
$13K |
| 93970 |
|
864 |
782 |
$12K |
| P9016 |
Rbc leukocytes reduced |
331 |
232 |
$12K |
| 88341 |
|
267 |
161 |
$12K |
| 96375 |
|
30,840 |
23,798 |
$11K |
| 10060 |
|
216 |
209 |
$11K |
| 96360 |
|
6,429 |
5,934 |
$9K |
| 70487 |
|
12 |
12 |
$8K |
| 97116 |
|
4,447 |
2,750 |
$8K |
| 73630 |
|
1,976 |
1,883 |
$5K |
| 71045 |
|
25,094 |
22,049 |
$5K |
| 0241U |
|
6,328 |
6,032 |
$5K |
| 80048 |
|
44,408 |
31,197 |
$5K |
| 70551 |
|
410 |
378 |
$4K |
| 73130 |
|
1,664 |
1,558 |
$4K |
| 85025 |
|
73,932 |
51,895 |
$4K |
| 70491 |
|
13 |
13 |
$4K |
| 93971 |
|
2,218 |
2,065 |
$4K |
| 71046 |
|
5,399 |
5,032 |
$4K |
| 96367 |
|
2,861 |
2,446 |
$4K |
| 45378 |
|
14 |
12 |
$3K |
| 96372 |
|
21,325 |
11,992 |
$3K |
| C1729 |
Cath, drainage |
475 |
432 |
$3K |
| 81001 |
|
33,939 |
30,130 |
$2K |
| 88304 |
|
657 |
563 |
$2K |
| 84484 |
|
29,969 |
18,858 |
$2K |
| 87040 |
|
8,095 |
4,044 |
$2K |
| 76856 |
|
1,880 |
1,795 |
$2K |
| 12001 |
|
619 |
573 |
$2K |
| 70486 |
|
1,804 |
1,662 |
$2K |
| 87491 |
|
2,761 |
2,648 |
$2K |
| 84703 |
|
11,734 |
10,798 |
$2K |
| 87591 |
|
2,804 |
2,678 |
$1K |
| J1170 |
Hydromorphone injection |
5,332 |
3,588 |
$1K |
| C1769 |
Guide wire |
2,449 |
2,190 |
$1K |
| 83690 |
|
20,025 |
17,244 |
$1K |
| 73030 |
|
2,085 |
1,823 |
$1K |
| 80306 |
|
9,382 |
8,518 |
$1K |
| J2405 |
Ondansetron hcl injection |
33,106 |
24,537 |
$1K |
| 99212 |
|
97 |
80 |
$1K |
| J0690 |
Cefazolin sodium injection |
7,692 |
5,530 |
$1K |
| 99211 |
|
379 |
207 |
$989.26 |
| J2270 |
Morphine sulfate injection |
16,739 |
11,657 |
$972.65 |
| 87502 |
|
901 |
841 |
$953.45 |
| 82803 |
|
1,276 |
1,092 |
$944.01 |
| 81025 |
|
9,219 |
8,620 |
$914.68 |
| 85610 |
|
16,319 |
13,891 |
$909.06 |
| 94640 |
|
5,103 |
4,093 |
$888.71 |
| J7120 |
Ringers lactate infusion |
9,427 |
7,703 |
$875.13 |
| 82248 |
|
15,105 |
13,297 |
$872.62 |
| 83605 |
|
10,390 |
7,490 |
$861.50 |
| 87651 |
|
1,993 |
1,935 |
$822.65 |
| 97166 |
|
132 |
115 |
$817.70 |
| 80061 |
|
2,839 |
2,529 |
$806.70 |
| J1756 |
Iron sucrose injection |
30 |
12 |
$789.94 |
| 73562 |
|
2,236 |
2,101 |
$766.42 |
| 83880 |
|
5,691 |
4,742 |
$759.38 |
| 76817 |
|
100 |
92 |
$739.34 |
| 73590 |
|
848 |
774 |
$721.06 |
| 85027 |
|
15,944 |
10,612 |
$698.25 |
| 90715 |
|
2,911 |
2,742 |
$696.81 |
| J0171 |
Adrenalin epinephrine inject |
302 |
259 |
$675.92 |
| J1100 |
Dexamethasone sodium phos |
9,412 |
8,189 |
$675.33 |
| J3010 |
Fentanyl citrate injection |
17,760 |
13,267 |
$665.46 |
| 97799 |
|
98 |
45 |
$658.02 |
| 83735 |
|
15,608 |
10,434 |
$651.87 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,466 |
18,298 |
$651.62 |
| J3490 |
Drugs unclassified injection |
2,365 |
1,599 |
$633.70 |
| J1650 |
Inj enoxaparin sodium |
9,135 |
4,568 |
$625.39 |
| 86900 |
|
5,369 |
4,738 |
$620.85 |
| J3480 |
Inj potassium chloride |
5,547 |
2,890 |
$606.86 |
| 73610 |
|
1,757 |
1,627 |
$586.44 |
| 85379 |
|
5,596 |
5,133 |
$582.75 |
| J1885 |
Ketorolac tromethamine inj |
15,969 |
12,670 |
$572.70 |
| 86850 |
|
4,722 |
4,126 |
$517.67 |
| 87086 |
|
11,294 |
10,183 |
$514.96 |
| 84443 |
|
5,010 |
4,450 |
$511.21 |
| 80307 |
|
187 |
116 |
$509.52 |
| 80320 |
|
11,568 |
9,781 |
$502.00 |
| 84132 |
|
5,952 |
4,487 |
$493.93 |
| 87186 |
|
4,387 |
3,610 |
$468.05 |
| J7030 |
Normal saline solution infus |
16,367 |
11,221 |
$451.85 |
| J2060 |
Lorazepam injection |
7,988 |
5,826 |
$434.73 |
| 84702 |
|
2,212 |
1,983 |
$426.76 |
| J2704 |
Inj, propofol, 10 mg |
10,398 |
9,180 |
$420.38 |
| G0480 |
Drug test def 1-7 classes |
1,235 |
988 |
$401.20 |
| 82947 |
|
4,362 |
3,962 |
$371.98 |
| 73110 |
|
932 |
857 |
$349.02 |
| 36415 |
|
24,727 |
16,804 |
$339.55 |
| 82962 |
|
39,660 |
14,362 |
$328.55 |
| J2543 |
Piperacillin/tazobactam |
4,267 |
1,497 |
$326.27 |
| 80329 |
|
6,498 |
4,082 |
$322.05 |
| 82330 |
|
4,373 |
3,851 |
$312.39 |
| 94760 |
|
16,844 |
8,640 |
$305.45 |
| 87631 |
|
115 |
109 |
$280.87 |
| 80051 |
|
3,414 |
3,086 |
$244.46 |
| 87070 |
|
2,371 |
1,994 |
$242.48 |
| 82550 |
|
5,030 |
3,907 |
$221.05 |
| 87077 |
|
5,421 |
4,261 |
$219.07 |
| 85730 |
|
7,547 |
6,527 |
$217.87 |
| 73502 |
|
623 |
566 |
$215.43 |
| J2765 |
Metoclopramide hcl injection |
5,368 |
4,363 |
$214.70 |
| 87880 |
|
806 |
773 |
$213.80 |
| J0696 |
Ceftriaxone sodium injection |
7,521 |
5,148 |
$205.76 |
| 82607 |
|
863 |
786 |
$204.43 |
| 72141 |
|
38 |
36 |
$203.88 |
| 74018 |
|
1,067 |
957 |
$196.51 |
| A9502 |
Tc99m tetrofosmin |
434 |
311 |
$193.68 |
| Q9957 |
Inj perflutren lip micros,ml |
521 |
467 |
$193.08 |
| 86901 |
|
5,544 |
4,895 |
$182.92 |
| 80050 |
|
150 |
142 |
$178.55 |
| J2250 |
Inj midazolam hydrochloride |
9,086 |
8,125 |
$173.94 |
| 90471 |
|
3,133 |
2,938 |
$169.20 |
| 82140 |
|
816 |
650 |
$159.84 |
| 97164 |
|
16 |
16 |
$151.81 |
| J2710 |
Neostigmine methylslfte inj |
29 |
27 |
$149.57 |
| Q9956 |
Inj octafluoropropane mic,ml |
410 |
380 |
$134.35 |
| 82150 |
|
1,688 |
1,465 |
$122.79 |
| J1630 |
Haloperidol injection |
1,129 |
916 |
$119.76 |
| 0352U |
|
124 |
124 |
$107.00 |
| 84145 |
|
1,687 |
1,373 |
$104.74 |
| 12011 |
|
68 |
66 |
$104.67 |
| 84520 |
|
3,475 |
3,128 |
$100.44 |
| 80047 |
|
759 |
697 |
$98.46 |
| 87210 |
|
1,453 |
1,399 |
$98.41 |
| 86328 |
|
23 |
21 |
$93.15 |
| 80076 |
|
1,824 |
1,654 |
$92.20 |
| 87205 |
|
2,894 |
2,343 |
$85.77 |
| 83036 |
|
4,344 |
3,815 |
$82.74 |
| 84100 |
|
4,930 |
3,759 |
$74.47 |
| J2930 |
Methylprednisolone injection |
1,702 |
1,278 |
$73.65 |
| J2175 |
Meperidine hydrochl /100 mg |
736 |
676 |
$69.81 |
| 87400 |
|
3,064 |
1,466 |
$65.66 |
| 86140 |
|
3,461 |
2,747 |
$63.15 |
| 82746 |
|
546 |
496 |
$61.28 |
| 73060 |
|
42 |
37 |
$57.56 |
| J3370 |
Vancomycin hcl injection |
4,490 |
1,908 |
$57.48 |
| C1894 |
Intro/sheath, non-laser |
1,258 |
1,144 |
$57.01 |
| 87075 |
|
681 |
576 |
$56.84 |
| A9585 |
Gadobutrol injection |
728 |
643 |
$56.14 |
| 96368 |
|
39 |
36 |
$54.64 |
| 72100 |
|
432 |
404 |
$53.92 |
| 88342 |
|
1,406 |
1,161 |
$53.65 |
| J1200 |
Diphenhydramine hcl injectio |
5,038 |
3,918 |
$53.01 |
| U0002 |
Covid-19 lab test non-cdc |
72 |
69 |
$51.31 |
| 85014 |
|
2,780 |
2,461 |
$49.63 |
| 99152 |
|
1,282 |
1,166 |
$46.65 |
| 73080 |
|
190 |
183 |
$45.98 |
| J3411 |
Thiamine hcl 100 mg |
2,626 |
1,525 |
$43.62 |
| 73090 |
|
293 |
270 |
$39.07 |
| 87081 |
|
677 |
647 |
$38.80 |
| J7050 |
Normal saline solution infus |
2,579 |
1,276 |
$38.37 |
| 82728 |
|
1,246 |
1,096 |
$36.47 |
| 85652 |
|
2,307 |
2,055 |
$28.97 |
| J3475 |
Inj magnesium sulfate |
3,104 |
2,438 |
$27.86 |
| J0360 |
Hydralazine hcl injection |
2,351 |
1,561 |
$26.30 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
645 |
593 |
$25.02 |
| 83550 |
|
1,228 |
1,099 |
$24.99 |
| 84439 |
|
719 |
651 |
$24.88 |
| 90686 |
|
88 |
82 |
$23.49 |
| 86635 |
|
208 |
103 |
$22.94 |
| J2550 |
Promethazine hcl injection |
1,813 |
1,258 |
$21.73 |
| 83540 |
|
1,251 |
1,115 |
$20.17 |
| 72170 |
|
333 |
279 |
$20.16 |
| 94770 |
|
620 |
498 |
$19.99 |
| 84156 |
|
28 |
24 |
$19.66 |
| J1644 |
Inj heparin sodium per 1000u |
4,487 |
1,710 |
$19.02 |
| 83615 |
|
323 |
260 |
$18.24 |
| 87389 |
|
40 |
40 |
$15.41 |
| J7040 |
Normal saline solution infus |
1,985 |
1,597 |
$14.68 |
| 81003 |
|
688 |
646 |
$13.99 |
| C9113 |
Inj pantoprazole sodium, via |
3,448 |
1,901 |
$13.47 |
| J1790 |
Droperidol injection |
1,191 |
1,087 |
$13.36 |
| J0780 |
Prochlorperazine injection |
759 |
543 |
$12.34 |
| 15853 |
|
13 |
12 |
$12.33 |
| J0330 |
Succinycholine chloride inj |
298 |
260 |
$10.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
301 |
151 |
$8.14 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,021 |
1,883 |
$7.53 |
| C9803 |
Hopd covid-19 spec collect |
2,941 |
2,732 |
$6.73 |
| 85007 |
|
1,176 |
979 |
$5.70 |
| 82270 |
|
247 |
239 |
$5.26 |
| 87147 |
|
797 |
565 |
$3.62 |
| 82565 |
|
183 |
171 |
$3.27 |
| 84295 |
|
668 |
609 |
$2.81 |
| Q0162 |
Ondansetron oral |
2,403 |
2,106 |
$2.66 |
| 82435 |
|
529 |
508 |
$2.41 |
| 85018 |
|
78 |
51 |
$2.37 |
| G1004 |
Cdsm ndsc |
3,642 |
2,183 |
$2.00 |
| A9270 |
Non-covered item or service |
33,157 |
3,806 |
$0.95 |
| J1940 |
Furosemide injection |
497 |
288 |
$0.36 |
| J1815 |
Insulin injection |
2,918 |
897 |
$0.06 |
| J1580 |
Garamycin gentamicin inj |
15 |
12 |
$0.00 |
| 84207 |
|
13 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
810 |
628 |
$0.00 |
| G8997 |
Swallow goal status |
65 |
49 |
$0.00 |
| 82010 |
|
312 |
282 |
$0.00 |
| 93017 |
|
321 |
285 |
$0.00 |
| 86923 |
|
108 |
62 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
26 |
12 |
$0.00 |
| 84425 |
|
12 |
12 |
$0.00 |
| 73140 |
|
86 |
82 |
$0.00 |
| G8978 |
Mobility current status |
777 |
604 |
$0.00 |
| G8996 |
Swallow current status |
65 |
49 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
158 |
132 |
$0.00 |
| 82375 |
|
186 |
160 |
$0.00 |
| 82570 |
|
49 |
38 |
$0.00 |
| 93356 |
|
161 |
152 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
982 |
727 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
96 |
66 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
14 |
14 |
$0.00 |
| 76770 |
|
25 |
24 |
$0.00 |
| J1956 |
Levofloxacin injection |
50 |
26 |
$0.00 |
| 85347 |
|
140 |
90 |
$0.00 |
| 92610 |
|
80 |
67 |
$0.00 |
| 80202 |
|
60 |
50 |
$0.00 |
| 89051 |
|
57 |
41 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
193 |
128 |
$0.00 |
| 76937 |
|
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
153 |
136 |
$0.00 |
| 86709 |
|
41 |
37 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
94 |
39 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
59 |
38 |
$0.00 |
| 87102 |
|
16 |
13 |
$0.00 |
| 80074 |
|
12 |
12 |
$0.00 |
| 87899 |
|
19 |
12 |
$0.00 |
| 87045 |
|
15 |
12 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
14 |
14 |
$0.00 |
| 88307 |
|
127 |
92 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
215 |
189 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$0.00 |
| 73120 |
|
19 |
17 |
$0.00 |
| J0456 |
Azithromycin |
60 |
37 |
$0.00 |
| 82810 |
|
210 |
182 |
$0.00 |
| G8987 |
Self care current status |
257 |
205 |
$0.00 |
| J2785 |
Regadenoson injection |
186 |
168 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
295 |
261 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
239 |
192 |
$0.00 |
| 71101 |
|
12 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
226 |
181 |
$0.00 |
| 73560 |
|
71 |
65 |
$0.00 |
| G8988 |
Self care goal status |
261 |
206 |
$0.00 |
| 82553 |
|
83 |
70 |
$0.00 |
| 83050 |
|
180 |
159 |
$0.00 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
17 |
17 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
13 |
$0.00 |
| 73552 |
|
72 |
63 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
263 |
169 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
284 |
274 |
$0.00 |
| 87807 |
|
95 |
93 |
$0.00 |
| 94762 |
|
175 |
132 |
$0.00 |
| 12002 |
|
83 |
74 |
$0.00 |
| 29581 |
|
474 |
138 |
$0.00 |
| 76870 |
|
25 |
25 |
$0.00 |
| 86592 |
|
41 |
39 |
$0.00 |
| 87493 |
|
31 |
26 |
$0.00 |
| 87046 |
|
20 |
13 |
$0.00 |
| 84300 |
|
13 |
13 |
$0.00 |
| 92523 |
|
64 |
51 |
$0.00 |
| 87015 |
|
50 |
37 |
$0.00 |
| 77001 |
|
14 |
12 |
$0.00 |
| G8998 |
Swallow d/c status |
15 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
24 |
13 |
$0.00 |
| 80069 |
|
27 |
15 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
23 |
14 |
$0.00 |
| 87116 |
|
16 |
12 |
$0.00 |
| 87206 |
|
18 |
12 |
$0.00 |
| 86885 |
|
14 |
13 |
$0.00 |
| 85576 |
|
17 |
12 |
$0.00 |