| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
45,863 |
38,249 |
$5.18M |
| G0378 |
Hospital observation per hr |
21,566 |
15,530 |
$2.51M |
| 99284 |
|
26,491 |
24,003 |
$2.39M |
| 74177 |
|
9,194 |
7,832 |
$2.13M |
| 99283 |
|
34,651 |
30,085 |
$1.87M |
| 97530 |
|
32,024 |
7,083 |
$859K |
| 70450 |
|
9,156 |
7,897 |
$803K |
| 54161 |
|
2,140 |
2,025 |
$794K |
| 71275 |
|
2,971 |
2,534 |
$715K |
| 74176 |
|
3,944 |
3,329 |
$647K |
| 96374 |
|
33,892 |
26,445 |
$536K |
| 97110 |
|
23,278 |
4,444 |
$489K |
| 43239 |
|
2,368 |
2,114 |
$481K |
| 96375 |
|
28,354 |
19,904 |
$479K |
| 92507 |
|
14,360 |
3,238 |
$458K |
| 96361 |
|
25,024 |
18,718 |
$448K |
| 99282 |
|
9,892 |
9,134 |
$356K |
| 59025 |
|
10,115 |
7,301 |
$342K |
| 54300 |
|
401 |
381 |
$331K |
| 80307 |
|
13,481 |
11,127 |
$297K |
| 96360 |
|
9,079 |
7,811 |
$287K |
| 78452 |
|
582 |
493 |
$225K |
| 80053 |
|
48,971 |
37,763 |
$221K |
| 85025 |
|
70,447 |
49,737 |
$212K |
| 96376 |
|
14,944 |
7,779 |
$210K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,430 |
12,704 |
$209K |
| 96365 |
|
6,946 |
5,574 |
$198K |
| 93306 |
|
1,771 |
1,443 |
$191K |
| 96372 |
|
14,601 |
9,393 |
$188K |
| 70553 |
|
967 |
719 |
$182K |
| 72125 |
|
2,186 |
1,905 |
$181K |
| 76856 |
|
2,831 |
2,435 |
$170K |
| 71046 |
|
13,513 |
11,834 |
$169K |
| 76705 |
|
3,071 |
2,672 |
$157K |
| 93005 |
|
34,022 |
26,218 |
$151K |
| 14040 |
|
821 |
781 |
$148K |
| 87636 |
|
2,023 |
1,873 |
$136K |
| 99214 |
|
2,564 |
1,935 |
$131K |
| P9040 |
Rbc leukoreduced irradiated |
1,681 |
1,073 |
$129K |
| 45380 |
|
582 |
510 |
$126K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,567 |
3,169 |
$123K |
| 71045 |
|
20,496 |
16,781 |
$123K |
| 36415 |
|
89,447 |
57,484 |
$120K |
| 76830 |
|
1,710 |
1,474 |
$119K |
| 76801 |
|
2,023 |
1,668 |
$118K |
| 84484 |
|
28,256 |
15,249 |
$117K |
| 99204 |
|
1,219 |
1,083 |
$108K |
| 84702 |
|
18,706 |
15,674 |
$105K |
| 0450 |
|
2,035 |
1,863 |
$101K |
| 97161 |
|
3,846 |
3,035 |
$97K |
| 76805 |
|
1,117 |
987 |
$92K |
| 70551 |
|
539 |
466 |
$89K |
| 0241U |
|
6,156 |
5,834 |
$87K |
| 96366 |
|
2,379 |
1,482 |
$87K |
| 70496 |
|
254 |
227 |
$84K |
| 72131 |
|
612 |
550 |
$81K |
| 80048 |
|
26,677 |
19,083 |
$78K |
| 36430 |
|
3,343 |
2,008 |
$72K |
| 97112 |
|
6,207 |
1,332 |
$70K |
| 76817 |
|
1,346 |
1,129 |
$68K |
| 93971 |
|
1,397 |
1,200 |
$66K |
| 99213 |
|
2,457 |
1,783 |
$65K |
| 87502 |
|
1,749 |
1,434 |
$64K |
| 70498 |
|
286 |
257 |
$64K |
| 87651 |
|
3,513 |
3,070 |
$64K |
| 97165 |
|
2,565 |
2,086 |
$62K |
| 54360 |
|
106 |
97 |
$59K |
| 93970 |
|
741 |
653 |
$59K |
| 99281 |
|
2,396 |
2,269 |
$56K |
| J2785 |
Regadenoson injection |
490 |
408 |
$56K |
| 83880 |
|
4,975 |
4,050 |
$54K |
| 83690 |
|
18,675 |
15,122 |
$53K |
| 97535 |
|
4,449 |
2,362 |
$52K |
| J2270 |
Morphine sulfate injection |
21,185 |
12,638 |
$47K |
| 94640 |
|
4,432 |
3,839 |
$47K |
| 74018 |
|
3,864 |
3,313 |
$46K |
| A9500 |
Tc99m sestamibi |
615 |
516 |
$45K |
| 99203 |
|
743 |
694 |
$42K |
| 87040 |
|
8,694 |
5,507 |
$42K |
| 87086 |
|
12,494 |
10,535 |
$41K |
| P9016 |
Rbc leukocytes reduced |
482 |
349 |
$40K |
| 86902 |
|
1,067 |
698 |
$40K |
| 87635 |
|
1,964 |
1,613 |
$40K |
| 83605 |
|
9,493 |
7,184 |
$38K |
| 94644 |
|
1,245 |
1,133 |
$35K |
| 92526 |
|
803 |
301 |
$33K |
| 81001 |
|
24,763 |
20,812 |
$33K |
| 54304 |
|
38 |
38 |
$33K |
| 85730 |
|
17,781 |
13,874 |
$32K |
| 73564 |
|
1,423 |
1,287 |
$29K |
| J2405 |
Ondansetron hcl injection |
31,634 |
22,659 |
$26K |
| 83735 |
|
12,085 |
7,880 |
$25K |
| 81025 |
|
11,908 |
10,069 |
$25K |
| A9585 |
Gadobutrol injection |
1,827 |
1,342 |
$25K |
| 85610 |
|
21,761 |
16,914 |
$25K |
| 85379 |
|
5,320 |
4,507 |
$22K |
| 87641 |
|
3,881 |
2,986 |
$22K |
| 73630 |
|
1,336 |
1,212 |
$22K |
| 90715 |
|
420 |
383 |
$22K |
| 11042 |
|
363 |
195 |
$21K |
| J0696 |
Ceftriaxone sodium injection |
5,908 |
4,169 |
$21K |
| 73610 |
|
1,137 |
1,036 |
$21K |
| 84112 |
|
1,538 |
1,286 |
$20K |
| J1170 |
Hydromorphone injection |
9,939 |
5,257 |
$20K |
| 76700 |
|
255 |
239 |
$19K |
| 97602 |
|
1,080 |
484 |
$18K |
| G0463 |
Hospital outpt clinic visit |
1,393 |
887 |
$18K |
| 58662 |
|
13 |
13 |
$18K |
| 84145 |
|
1,563 |
1,377 |
$17K |
| 87186 |
|
4,753 |
3,332 |
$16K |
| 84443 |
|
3,361 |
2,771 |
$16K |
| 86923 |
|
2,912 |
1,877 |
$16K |
| C9803 |
Hopd covid-19 spec collect |
10,840 |
9,764 |
$15K |
| 70486 |
|
138 |
122 |
$15K |
| 73130 |
|
850 |
777 |
$15K |
| 86140 |
|
6,570 |
5,644 |
$15K |
| J3370 |
Vancomycin hcl injection |
1,790 |
1,093 |
$14K |
| 87491 |
|
837 |
685 |
$13K |
| 80076 |
|
4,020 |
3,283 |
$13K |
| 87591 |
|
821 |
671 |
$13K |
| 70491 |
|
73 |
66 |
$13K |
| J1100 |
Dexamethasone sodium phos |
15,324 |
13,056 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
10,863 |
8,818 |
$12K |
| J2930 |
Methylprednisolone injection |
1,552 |
1,100 |
$12K |
| 94664 |
|
1,382 |
1,022 |
$12K |
| 76775 |
|
433 |
369 |
$12K |
| J0131 |
Inj, acetaminophen (nos) |
3,250 |
2,727 |
$12K |
| J2543 |
Piperacillin/tazobactam |
1,902 |
1,050 |
$11K |
| 73030 |
|
838 |
742 |
$11K |
| 85027 |
|
9,777 |
6,871 |
$11K |
| 76815 |
|
217 |
191 |
$11K |
| 87507 |
|
272 |
257 |
$11K |
| 81003 |
|
12,429 |
10,413 |
$10K |
| 82962 |
|
15,196 |
6,428 |
$10K |
| J0780 |
Prochlorperazine injection |
1,496 |
1,159 |
$10K |
| 86850 |
|
8,693 |
6,512 |
$10K |
| 93017 |
|
582 |
491 |
$10K |
| 99202 |
|
253 |
246 |
$9K |
| 82731 |
|
430 |
356 |
$9K |
| 82803 |
|
1,483 |
1,140 |
$9K |
| 80061 |
|
2,417 |
1,922 |
$9K |
| 0202U |
|
61 |
61 |
$9K |
| 99212 |
|
900 |
763 |
$9K |
| 82550 |
|
3,512 |
2,840 |
$9K |
| J1642 |
Inj heparin sodium per 10 u |
3,382 |
1,919 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
13,842 |
11,527 |
$9K |
| J0561 |
Penicillin g benzathine inj |
53 |
50 |
$8K |
| 86901 |
|
10,052 |
7,667 |
$8K |
| 86900 |
|
9,734 |
7,405 |
$8K |
| 73110 |
|
398 |
354 |
$8K |
| 87077 |
|
1,934 |
1,436 |
$8K |
| 87631 |
|
2,440 |
2,050 |
$8K |
| J1644 |
Inj heparin sodium per 1000u |
5,378 |
2,297 |
$8K |
| 83036 |
|
2,660 |
2,140 |
$7K |
| J0360 |
Hydralazine hcl injection |
1,835 |
1,204 |
$7K |
| 81002 |
|
5,656 |
4,355 |
$7K |
| C1769 |
Guide wire |
2,161 |
1,563 |
$6K |
| 82805 |
|
476 |
401 |
$6K |
| 12011 |
|
118 |
115 |
$5K |
| J0330 |
Succinycholine chloride inj |
1,282 |
1,066 |
$5K |
| 72100 |
|
377 |
312 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
8,509 |
5,852 |
$5K |
| 73090 |
|
336 |
295 |
$5K |
| 80074 |
|
482 |
384 |
$5K |
| 96367 |
|
353 |
274 |
$5K |
| J2710 |
Neostigmine methylslfte inj |
1,666 |
1,307 |
$5K |
| 90471 |
|
460 |
411 |
$5K |
| 99152 |
|
796 |
611 |
$5K |
| 87070 |
|
1,763 |
1,385 |
$4K |
| 73590 |
|
306 |
295 |
$4K |
| 82728 |
|
1,393 |
965 |
$4K |
| 74022 |
|
194 |
171 |
$4K |
| 84439 |
|
1,440 |
1,216 |
$4K |
| J2765 |
Metoclopramide hcl injection |
5,993 |
4,709 |
$4K |
| J2001 |
Lidocaine injection |
6,353 |
5,031 |
$4K |
| J1650 |
Inj enoxaparin sodium |
1,415 |
691 |
$4K |
| 73080 |
|
231 |
203 |
$4K |
| 99291 |
|
36 |
24 |
$4K |
| J3010 |
Fentanyl citrate injection |
12,477 |
9,996 |
$4K |
| 87798 |
|
216 |
110 |
$4K |
| 93880 |
|
47 |
39 |
$3K |
| 58571 |
|
33 |
29 |
$3K |
| U0005 |
Infec agen detec ampli probe |
1,659 |
1,491 |
$3K |
| J0690 |
Cefazolin sodium injection |
7,132 |
5,488 |
$3K |
| 84100 |
|
2,207 |
1,410 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
1,887 |
1,074 |
$3K |
| 85046 |
|
2,039 |
1,405 |
$3K |
| 86644 |
|
489 |
287 |
$3K |
| 87205 |
|
2,221 |
1,594 |
$3K |
| 82570 |
|
1,057 |
862 |
$3K |
| J2060 |
Lorazepam injection |
4,846 |
3,500 |
$3K |
| 84550 |
|
1,239 |
998 |
$3K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
37 |
33 |
$3K |
| 71260 |
|
16 |
16 |
$3K |
| 88305 |
|
1,418 |
970 |
$2K |
| 87210 |
|
1,117 |
957 |
$2K |
| 76818 |
|
30 |
28 |
$2K |
| 83615 |
|
811 |
672 |
$2K |
| 76870 |
|
66 |
61 |
$2K |
| J3475 |
Inj magnesium sulfate |
913 |
720 |
$2K |
| 80069 |
|
993 |
527 |
$2K |
| 84132 |
|
1,547 |
1,156 |
$2K |
| 85652 |
|
1,630 |
1,378 |
$2K |
| 0250 |
|
63 |
24 |
$2K |
| 84156 |
|
1,007 |
825 |
$2K |
| 87661 |
|
94 |
87 |
$2K |
| 87276 |
|
469 |
431 |
$2K |
| 87486 |
|
114 |
95 |
$2K |
| 87581 |
|
114 |
95 |
$2K |
| 87275 |
|
470 |
432 |
$2K |
| J3490 |
Drugs unclassified injection |
133 |
99 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$1K |
| 82330 |
|
267 |
224 |
$1K |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
799 |
605 |
$1K |
| C1781 |
Mesh (implantable) |
44 |
26 |
$1K |
| 86780 |
|
279 |
237 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
7,881 |
6,268 |
$1K |
| C1751 |
Cath, inf, per/cent/midline |
21 |
13 |
$1K |
| 12001 |
|
30 |
30 |
$1K |
| 73502 |
|
57 |
49 |
$1K |
| J1630 |
Haloperidol injection |
711 |
477 |
$1K |
| 74230 |
|
12 |
12 |
$1K |
| 29125 |
|
28 |
26 |
$909.70 |
| 82140 |
|
213 |
158 |
$908.79 |
| J2795 |
Ropivacaine hcl injection |
679 |
601 |
$837.70 |
| J2919 |
Inj, methylpred sod succ 5mg |
132 |
109 |
$825.85 |
| 87420 |
|
170 |
155 |
$768.13 |
| 82565 |
|
558 |
402 |
$754.99 |
| J1940 |
Furosemide injection |
235 |
129 |
$739.54 |
| J0456 |
Azithromycin |
311 |
217 |
$711.01 |
| 85660 |
|
732 |
268 |
$683.70 |
| 87081 |
|
470 |
356 |
$635.97 |
| J0171 |
Adrenalin epinephrine inject |
417 |
362 |
$626.90 |
| 82010 |
|
224 |
178 |
$619.87 |
| G0008 |
Admin influenza virus vac |
109 |
91 |
$609.00 |
| J3480 |
Inj potassium chloride |
489 |
333 |
$594.61 |
| 85018 |
|
869 |
655 |
$580.68 |
| J1790 |
Droperidol injection |
141 |
127 |
$564.49 |
| 85014 |
|
806 |
609 |
$554.15 |
| J3486 |
Ziprasidone mesylate |
15 |
13 |
$533.81 |
| 88307 |
|
74 |
40 |
$532.14 |
| 83021 |
|
92 |
62 |
$507.71 |
| 87389 |
|
86 |
72 |
$479.42 |
| 87430 |
|
145 |
135 |
$474.33 |
| 83550 |
|
250 |
197 |
$464.72 |
| 90686 |
|
108 |
90 |
$451.08 |
| J3105 |
Terbutaline sulfate inj |
201 |
132 |
$430.77 |
| 72040 |
|
40 |
27 |
$420.21 |
| 92610 |
|
12 |
12 |
$388.10 |
| 83540 |
|
247 |
196 |
$368.43 |
| 84295 |
|
246 |
209 |
$359.28 |
| 83020 |
|
225 |
124 |
$357.16 |
| 88312 |
|
261 |
189 |
$289.54 |
| 97116 |
|
76 |
34 |
$275.66 |
| 82947 |
|
215 |
187 |
$269.24 |
| J0692 |
Cefepime hcl for injection |
84 |
43 |
$258.20 |
| J2470 |
Inj pantoprazole sodium 40mg |
114 |
79 |
$212.96 |
| J3360 |
Diazepam injection |
18 |
17 |
$206.44 |
| 72072 |
|
24 |
14 |
$201.18 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
178 |
125 |
$187.66 |
| 71101 |
|
12 |
12 |
$182.97 |
| 94645 |
|
14 |
12 |
$156.63 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
26 |
15 |
$88.65 |
| J1953 |
Levetiracetam injection |
12 |
12 |
$82.11 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
139 |
117 |
$81.40 |
| 82248 |
|
33 |
26 |
$78.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
990 |
841 |
$70.63 |
| 85007 |
|
110 |
67 |
$65.80 |
| J1836 |
Inj, metronidazole, 10 mg |
97 |
60 |
$65.77 |
| 99153 |
Mod sedat endo service >5yrs |
114 |
94 |
$53.76 |
| 82607 |
|
20 |
14 |
$53.47 |
| A9270 |
Non-covered item or service |
14,640 |
2,326 |
$51.20 |
| J8540 |
Oral dexamethasone |
42 |
40 |
$43.92 |
| J0736 |
Inj, clindamycin phosp 300mg |
35 |
25 |
$37.53 |
| J0461 |
Atropine sulfate injection |
67 |
66 |
$17.75 |
| J2370 |
Phenylephrine hcl injection |
16 |
12 |
$14.96 |
| 84520 |
|
24 |
16 |
$13.55 |
| J1920 |
Inj, labetalol hcl, 5mg |
15 |
13 |
$4.97 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
179 |
160 |
$4.20 |
| G8987 |
Self care current status |
123 |
96 |
$0.00 |
| G8988 |
Self care goal status |
132 |
96 |
$0.00 |
| G8980 |
Mobility d/c status |
191 |
149 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
902 |
669 |
$0.00 |
| C1729 |
Cath, drainage |
218 |
168 |
$0.00 |
| G8978 |
Mobility current status |
303 |
227 |
$0.00 |
| 0353U |
|
202 |
186 |
$0.00 |
| G8979 |
Mobility goal status |
322 |
226 |
$0.00 |
| 87633 |
|
113 |
94 |
$0.00 |
| G8989 |
Self care d/c status |
52 |
39 |
$0.00 |
| 97537 |
|
76 |
55 |
$0.00 |