| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
21,807 |
20,285 |
$7.12M |
| 99284 |
|
40,014 |
37,348 |
$6.87M |
| 99283 |
|
42,718 |
40,743 |
$5.11M |
| H2015 |
Comp comm supp svc, 15 min |
72,436 |
4,226 |
$4.22M |
| 96374 |
|
25,858 |
23,390 |
$2.16M |
| T1005 |
Respite care service 15 min |
67,938 |
2,318 |
$1.43M |
| 74177 |
|
5,617 |
5,438 |
$719K |
| 93306 |
|
3,267 |
3,232 |
$558K |
| 97112 |
|
18,360 |
4,903 |
$556K |
| 97110 |
|
25,962 |
6,580 |
$549K |
| 96361 |
|
16,275 |
14,059 |
$528K |
| 96375 |
|
19,337 |
16,218 |
$486K |
| 99282 |
|
6,399 |
6,242 |
$440K |
| 71045 |
|
13,235 |
12,435 |
$439K |
| 11042 |
|
2,619 |
1,228 |
$424K |
| 70450 |
|
5,733 |
5,441 |
$423K |
| G0378 |
Hospital observation per hr |
5,484 |
4,326 |
$421K |
| 78452 |
|
998 |
979 |
$368K |
| 71046 |
|
10,841 |
10,451 |
$328K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,484 |
9,223 |
$321K |
| 96360 |
|
3,283 |
3,134 |
$286K |
| 74176 |
|
2,773 |
2,694 |
$257K |
| 96365 |
|
3,802 |
3,151 |
$254K |
| 80061 |
|
7,848 |
7,619 |
$241K |
| 94060 |
|
1,774 |
1,757 |
$216K |
| 96413 |
|
1,233 |
839 |
$188K |
| 76705 |
|
3,141 |
3,082 |
$169K |
| 99281 |
|
3,758 |
3,658 |
$159K |
| 97140 |
|
11,935 |
4,606 |
$153K |
| 97163 |
|
2,760 |
2,701 |
$148K |
| 97530 |
|
5,393 |
2,338 |
$138K |
| G0463 |
Hospital outpt clinic visit |
2,392 |
1,834 |
$131K |
| 72148 |
|
1,369 |
1,354 |
$124K |
| 87635 |
|
5,592 |
5,388 |
$119K |
| 70553 |
|
596 |
586 |
$113K |
| 77067 |
|
2,394 |
2,389 |
$107K |
| 71275 |
|
1,455 |
1,416 |
$105K |
| 87637 |
|
1,580 |
1,537 |
$105K |
| 95810 |
|
221 |
219 |
$99K |
| G0384 |
Lev 5 hosp type b ed visit |
170 |
163 |
$88K |
| 99291 |
|
151 |
146 |
$83K |
| 95911 |
|
374 |
367 |
$83K |
| 93971 |
|
1,712 |
1,673 |
$79K |
| 88305 |
|
5,029 |
4,756 |
$65K |
| 76830 |
|
1,161 |
1,152 |
$64K |
| 73721 |
|
571 |
558 |
$64K |
| 72131 |
|
1,866 |
1,833 |
$61K |
| 80053 |
|
49,135 |
43,256 |
$55K |
| 93017 |
|
1,988 |
1,944 |
$53K |
| 87491 |
|
6,809 |
6,593 |
$53K |
| 87591 |
|
6,767 |
6,554 |
$52K |
| 71260 |
|
643 |
629 |
$51K |
| 76856 |
|
987 |
979 |
$49K |
| 72141 |
|
450 |
437 |
$49K |
| 72125 |
|
2,594 |
2,531 |
$40K |
| 82306 |
|
3,804 |
3,681 |
$39K |
| 85025 |
|
58,648 |
47,395 |
$37K |
| 84443 |
|
11,086 |
10,610 |
$37K |
| 96366 |
|
2,117 |
1,387 |
$33K |
| 76881 |
|
583 |
527 |
$32K |
| 73564 |
|
2,526 |
2,222 |
$31K |
| 72110 |
|
1,141 |
1,132 |
$29K |
| 97535 |
|
1,584 |
960 |
$26K |
| 70496 |
|
282 |
266 |
$26K |
| 77063 |
|
2,158 |
2,155 |
$25K |
| 72100 |
|
1,269 |
1,248 |
$25K |
| 95910 |
|
201 |
201 |
$24K |
| 74018 |
|
2,424 |
2,334 |
$24K |
| 76000 |
|
590 |
552 |
$23K |
| 95909 |
|
171 |
170 |
$22K |
| 90471 |
|
1,841 |
1,787 |
$21K |
| 76642 |
|
516 |
511 |
$20K |
| 96372 |
|
17,310 |
14,975 |
$19K |
| 93005 |
|
20,515 |
18,463 |
$19K |
| 95806 |
|
230 |
230 |
$18K |
| 10060 |
|
254 |
248 |
$18K |
| 76536 |
|
379 |
375 |
$18K |
| 73030 |
|
2,520 |
2,331 |
$17K |
| 36415 |
|
27,066 |
22,099 |
$17K |
| 73630 |
|
2,828 |
2,604 |
$17K |
| 97167 |
|
388 |
380 |
$17K |
| 73130 |
|
2,558 |
2,331 |
$16K |
| 93458 |
|
19 |
13 |
$16K |
| 83036 |
|
5,234 |
5,085 |
$15K |
| 80048 |
|
12,729 |
10,173 |
$15K |
| 43239 |
|
45 |
44 |
$15K |
| 93351 |
|
88 |
88 |
$15K |
| 93225 |
|
382 |
380 |
$14K |
| 95819 |
|
134 |
127 |
$14K |
| 71271 |
|
276 |
276 |
$13K |
| 71250 |
|
245 |
243 |
$12K |
| 86900 |
|
3,634 |
3,414 |
$12K |
| 97162 |
|
285 |
272 |
$12K |
| 99406 |
|
1,184 |
1,096 |
$11K |
| 76775 |
|
432 |
426 |
$11K |
| 82607 |
|
2,294 |
2,216 |
$10K |
| 88304 |
|
1,325 |
1,260 |
$10K |
| 97161 |
|
252 |
244 |
$10K |
| 86780 |
|
212 |
203 |
$9K |
| 97116 |
|
1,227 |
714 |
$9K |
| 84439 |
|
6,303 |
6,063 |
$9K |
| 73610 |
|
2,386 |
2,267 |
$9K |
| 70486 |
|
433 |
428 |
$8K |
| 82728 |
|
1,490 |
1,440 |
$7K |
| 97803 |
|
993 |
987 |
$6K |
| 96367 |
|
278 |
194 |
$6K |
| 82746 |
|
1,453 |
1,396 |
$6K |
| 93970 |
|
76 |
76 |
$6K |
| G0480 |
Drug test def 1-7 classes |
4,977 |
4,517 |
$6K |
| 73502 |
|
979 |
912 |
$6K |
| 72050 |
|
142 |
140 |
$6K |
| 73110 |
|
1,336 |
1,266 |
$5K |
| 76700 |
|
102 |
97 |
$5K |
| U0005 |
Infec agen detec ampli probe |
417 |
415 |
$5K |
| 88342 |
|
244 |
233 |
$5K |
| 93226 |
|
494 |
491 |
$5K |
| 70551 |
|
53 |
51 |
$5K |
| 29540 |
|
91 |
88 |
$5K |
| 83970 |
|
275 |
266 |
$5K |
| 83550 |
|
1,413 |
1,385 |
$5K |
| 93880 |
|
59 |
55 |
$5K |
| 87086 |
|
14,285 |
13,635 |
$4K |
| 95811 |
|
12 |
12 |
$4K |
| 73221 |
|
37 |
37 |
$4K |
| 72128 |
|
310 |
301 |
$4K |
| 94726 |
|
1,738 |
1,722 |
$4K |
| 74022 |
|
4,242 |
4,126 |
$4K |
| 76801 |
|
78 |
77 |
$4K |
| 83735 |
|
19,291 |
16,392 |
$4K |
| 83540 |
|
1,550 |
1,515 |
$4K |
| 86140 |
|
9,757 |
8,982 |
$4K |
| 85610 |
|
11,986 |
10,235 |
$3K |
| 97597 |
|
42 |
33 |
$3K |
| 88307 |
|
70 |
67 |
$3K |
| 96415 |
|
68 |
49 |
$3K |
| 97602 |
|
34 |
24 |
$3K |
| 83880 |
|
3,277 |
3,084 |
$3K |
| 80306 |
|
5,899 |
5,560 |
$2K |
| 86850 |
|
3,167 |
2,963 |
$2K |
| 87070 |
|
3,136 |
3,005 |
$2K |
| 29515 |
|
32 |
32 |
$2K |
| 87077 |
|
1,316 |
1,263 |
$2K |
| 77065 |
Tomosynthesis, mammo |
45 |
43 |
$2K |
| 85027 |
|
1,793 |
1,591 |
$2K |
| 87502 |
|
4,517 |
4,433 |
$2K |
| 82043 |
|
715 |
692 |
$2K |
| 87804 |
|
4,754 |
3,553 |
$1K |
| 73080 |
|
392 |
378 |
$1K |
| 87186 |
|
2,944 |
2,843 |
$1K |
| 84702 |
|
1,580 |
1,421 |
$1K |
| 84153 |
|
194 |
188 |
$1K |
| 72040 |
|
45 |
45 |
$1K |
| 82550 |
|
10,845 |
9,825 |
$1K |
| 64400 |
|
13 |
12 |
$1K |
| 85652 |
|
3,547 |
3,307 |
$1K |
| 73590 |
|
423 |
391 |
$1K |
| G0279 |
Tomosynthesis, mammo |
106 |
105 |
$1K |
| 83690 |
|
17,881 |
16,101 |
$1K |
| 83013 |
|
40 |
40 |
$1K |
| 94640 |
|
7,972 |
5,841 |
$1K |
| 72170 |
|
910 |
892 |
$1K |
| 70498 |
|
307 |
293 |
$1K |
| 84100 |
|
6,525 |
5,612 |
$1K |
| 86480 |
|
55 |
55 |
$1K |
| 74019 |
|
165 |
161 |
$1K |
| 94618 |
|
189 |
186 |
$1K |
| 85730 |
|
8,367 |
7,597 |
$1K |
| 81003 |
|
22,790 |
21,567 |
$1K |
| 87389 |
|
115 |
115 |
$1K |
| 87420 |
|
636 |
620 |
$1K |
| 80076 |
|
783 |
646 |
$1K |
| 97760 |
|
29 |
25 |
$986.20 |
| 82570 |
|
496 |
482 |
$954.75 |
| 87205 |
|
1,528 |
1,426 |
$951.40 |
| 73140 |
|
328 |
319 |
$934.55 |
| 86039 |
|
231 |
225 |
$933.36 |
| 87088 |
|
2,592 |
2,518 |
$930.11 |
| 86901 |
|
3,628 |
3,403 |
$929.00 |
| 73700 |
|
16 |
16 |
$910.70 |
| 93308 |
|
12 |
12 |
$844.94 |
| 85007 |
|
1,688 |
1,490 |
$837.66 |
| 84703 |
|
6,747 |
6,413 |
$814.47 |
| 80307 |
|
33 |
33 |
$808.36 |
| 73562 |
|
165 |
149 |
$777.51 |
| 81001 |
|
8,611 |
8,324 |
$771.24 |
| 80074 |
|
38 |
36 |
$753.69 |
| 72072 |
|
38 |
38 |
$739.14 |
| U0002 |
Covid-19 lab test non-cdc |
49 |
43 |
$728.97 |
| 84484 |
|
15,726 |
13,358 |
$716.77 |
| 76870 |
|
40 |
38 |
$709.92 |
| 81025 |
|
15,889 |
15,168 |
$680.52 |
| 82962 |
|
8,619 |
5,440 |
$654.89 |
| 86038 |
|
168 |
163 |
$652.90 |
| 76882 |
|
17 |
15 |
$623.45 |
| 82565 |
|
362 |
334 |
$620.52 |
| 86235 |
|
61 |
60 |
$612.19 |
| 87631 |
|
501 |
489 |
$571.16 |
| 82553 |
|
4,356 |
3,718 |
$566.73 |
| 83516 |
|
109 |
85 |
$534.74 |
| 83605 |
|
13,273 |
11,868 |
$525.09 |
| 73090 |
|
312 |
287 |
$392.37 |
| 84436 |
|
138 |
134 |
$391.60 |
| 87880 |
|
4,257 |
4,180 |
$383.03 |
| 82330 |
|
827 |
615 |
$381.03 |
| 82150 |
|
1,404 |
1,330 |
$355.52 |
| 73560 |
|
153 |
122 |
$338.76 |
| 73120 |
|
23 |
14 |
$338.58 |
| 84460 |
|
204 |
200 |
$323.45 |
| 83615 |
|
408 |
338 |
$319.89 |
| 84450 |
|
203 |
198 |
$314.88 |
| 84425 |
|
53 |
53 |
$311.49 |
| 86803 |
|
51 |
51 |
$311.01 |
| 87651 |
|
3,754 |
3,657 |
$297.22 |
| 85379 |
|
3,132 |
3,044 |
$287.82 |
| 87040 |
|
2,170 |
2,000 |
$260.10 |
| 86431 |
|
139 |
136 |
$253.10 |
| 84520 |
|
168 |
160 |
$241.14 |
| 87634 |
|
1,323 |
1,310 |
$203.57 |
| 71101 |
|
13 |
13 |
$195.15 |
| 76817 |
|
190 |
184 |
$190.46 |
| 84550 |
|
153 |
152 |
$187.44 |
| Q9957 |
Inj perflutren lip micros,ml |
334 |
326 |
$168.74 |
| 86200 |
|
40 |
40 |
$162.32 |
| 84146 |
|
61 |
57 |
$156.76 |
| 87210 |
|
4,376 |
4,241 |
$149.54 |
| G0103 |
Psa screening |
24 |
24 |
$114.46 |
| 97804 |
|
28 |
28 |
$112.00 |
| 82274 |
|
103 |
102 |
$110.72 |
| 86160 |
|
25 |
25 |
$99.85 |
| 87340 |
|
24 |
24 |
$97.13 |
| J1885 |
Ketorolac tromethamine inj |
18,343 |
16,935 |
$96.17 |
| A9270 |
Non-covered item or service |
46,137 |
39,653 |
$91.66 |
| J7030 |
Normal saline solution infus |
26,771 |
23,710 |
$88.17 |
| 99407 |
|
13 |
12 |
$67.68 |
| 87661 |
|
19 |
19 |
$66.47 |
| 93320 |
|
148 |
147 |
$66.11 |
| J1100 |
Dexamethasone sodium phos |
7,588 |
6,949 |
$60.00 |
| 82800 |
|
794 |
767 |
$57.79 |
| 29125 |
|
61 |
55 |
$54.30 |
| 86308 |
|
334 |
332 |
$53.21 |
| 93325 |
|
149 |
147 |
$49.13 |
| 73600 |
|
16 |
12 |
$48.33 |
| 73620 |
|
36 |
29 |
$48.33 |
| 86256 |
|
12 |
12 |
$46.01 |
| 84132 |
|
54 |
50 |
$45.87 |
| 82378 |
|
14 |
12 |
$45.74 |
| 87801 |
|
18 |
18 |
$39.60 |
| 87481 |
|
18 |
18 |
$39.60 |
| 84480 |
|
13 |
12 |
$30.46 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,805 |
9,385 |
$25.79 |
| 85018 |
|
174 |
157 |
$24.97 |
| 85014 |
|
188 |
170 |
$24.97 |
| 82010 |
|
876 |
821 |
$19.26 |
| J1170 |
Hydromorphone injection |
5,971 |
4,937 |
$18.00 |
| 85044 |
|
13 |
13 |
$15.35 |
| 82248 |
|
15 |
14 |
$12.30 |
| J2405 |
Ondansetron hcl injection |
17,042 |
14,748 |
$10.20 |
| J3475 |
Inj magnesium sulfate |
1,509 |
1,322 |
$9.73 |
| J1644 |
Inj heparin sodium per 1000u |
3,624 |
2,816 |
$8.93 |
| J7040 |
Normal saline solution infus |
58 |
52 |
$1.04 |
| J8597 |
Antiemetic drug oral nos |
13 |
12 |
$0.29 |
| J0360 |
Hydralazine hcl injection |
66 |
55 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,281 |
2,187 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
3,071 |
2,744 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,830 |
1,508 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
4,539 |
4,267 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
6,186 |
5,736 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
2,090 |
1,993 |
$0.00 |
| J8540 |
Oral dexamethasone |
436 |
426 |
$0.00 |
| 96376 |
|
6,788 |
4,472 |
$0.00 |
| A4648 |
Implantable tissue marker |
13 |
12 |
$0.00 |
| 97010 |
|
5,238 |
1,708 |
$0.00 |
| A9585 |
Gadobutrol injection |
777 |
752 |
$0.00 |
| 95886 |
|
2,313 |
2,300 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,218 |
1,190 |
$0.00 |
| 94200 |
|
90 |
84 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
6,692 |
6,218 |
$0.00 |
| J2060 |
Lorazepam injection |
1,979 |
1,763 |
$0.00 |
| C1769 |
Guide wire |
1,639 |
1,504 |
$0.00 |
| J2360 |
Orphenadrine injection |
881 |
850 |
$0.00 |
| J7060 |
5% dextrose/water |
824 |
668 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
5,384 |
5,087 |
$0.00 |
| 94760 |
|
1,376 |
1,360 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
113 |
95 |
$0.00 |
| J1630 |
Haloperidol injection |
318 |
287 |
$0.00 |
| J2785 |
Regadenoson injection |
99 |
92 |
$0.00 |
| J1815 |
Insulin injection |
320 |
236 |
$0.00 |
| Q0162 |
Ondansetron oral |
163 |
160 |
$0.00 |
| A9500 |
Tc99m sestamibi |
351 |
344 |
$0.00 |
| J3490 |
Drugs unclassified injection |
2,118 |
1,953 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
163 |
161 |
$0.00 |
| 12001 |
|
192 |
191 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
339 |
289 |
$0.00 |
| 81015 |
|
77 |
77 |
$0.00 |
| J3480 |
Inj potassium chloride |
281 |
208 |
$0.00 |
| 82803 |
|
25 |
25 |
$0.00 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
67 |
60 |
$0.00 |
| 0399T |
|
13 |
13 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
53 |
52 |
$0.00 |
| J1940 |
Furosemide injection |
17 |
13 |
$0.00 |
| J0456 |
Azithromycin |
27 |
24 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
88 |
85 |
$0.00 |
| 12002 |
|
40 |
40 |
$0.00 |
| 76377 |
|
12 |
12 |
$0.00 |
| 96368 |
|
15 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
31 |
29 |
$0.00 |
| 29130 |
|
14 |
14 |
$0.00 |
| 84145 |
|
307 |
292 |
$0.00 |
| J7120 |
Ringers lactate infusion |
3,884 |
3,515 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
555 |
460 |
$0.00 |
| J2270 |
Morphine sulfate injection |
5,443 |
4,720 |
$0.00 |
| J2550 |
Promethazine hcl injection |
1,783 |
1,552 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,856 |
3,292 |
$0.00 |
| J1245 |
Dipyridamole injection |
347 |
337 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,231 |
1,127 |
$0.00 |
| 94729 |
|
1,839 |
1,823 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
41 |
37 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
252 |
229 |
$0.00 |
| 93356 |
|
1,169 |
1,160 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
671 |
656 |
$0.00 |
| J2930 |
Methylprednisolone injection |
2,688 |
2,507 |
$0.00 |
| 90715 |
|
1,703 |
1,691 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
917 |
664 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,266 |
1,166 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
131 |
99 |
$0.00 |
| 29530 |
|
77 |
74 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
535 |
500 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
169 |
168 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
27 |
25 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
161 |
149 |
$0.00 |
| C1887 |
Catheter, guiding |
174 |
164 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
106 |
100 |
$0.00 |
| 29260 |
|
35 |
35 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
20 |
$0.00 |
| 85384 |
|
25 |
25 |
$0.00 |
| 12011 |
|
14 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
71 |
71 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
21 |
19 |
$0.00 |
| 84207 |
|
15 |
14 |
$0.00 |