| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
22,666 |
19,397 |
$3.27M |
| 96361 |
|
9,471 |
7,251 |
$2.13M |
| 99283 |
|
14,778 |
12,881 |
$2.00M |
| 99285 |
|
9,458 |
7,794 |
$1.33M |
| 74177 |
|
5,517 |
4,931 |
$1.04M |
| 41899 |
|
590 |
553 |
$960K |
| 78452 |
|
1,577 |
1,395 |
$864K |
| 93306 |
|
2,961 |
2,695 |
$821K |
| 43239 |
|
1,950 |
1,755 |
$771K |
| 96365 |
|
7,007 |
4,806 |
$699K |
| 70450 |
|
3,735 |
3,266 |
$640K |
| 11043 |
|
2,725 |
1,437 |
$629K |
| 45380 |
|
1,445 |
1,301 |
$570K |
| G0378 |
Hospital observation per hr |
8,087 |
4,101 |
$511K |
| 92507 |
|
3,498 |
1,216 |
$476K |
| 96366 |
|
2,046 |
1,435 |
$426K |
| 99281 |
|
3,171 |
2,901 |
$411K |
| 74176 |
|
2,142 |
1,876 |
$401K |
| 99282 |
|
3,324 |
3,016 |
$398K |
| 80053 |
|
47,108 |
36,656 |
$346K |
| 97110 |
|
9,710 |
2,663 |
$282K |
| 94640 |
|
4,819 |
2,934 |
$241K |
| 71275 |
|
1,252 |
1,097 |
$214K |
| 85025 |
|
51,055 |
37,243 |
$212K |
| 96360 |
|
1,962 |
1,594 |
$201K |
| 76700 |
|
1,728 |
1,615 |
$190K |
| 71250 |
|
2,472 |
2,181 |
$173K |
| 76705 |
|
1,674 |
1,543 |
$170K |
| 93017 |
|
1,884 |
1,684 |
$159K |
| 97032 |
|
3,474 |
965 |
$152K |
| 0202U |
|
1,667 |
1,488 |
$138K |
| 84443 |
|
19,884 |
17,488 |
$136K |
| 96367 |
|
2,662 |
1,465 |
$134K |
| 82306 |
|
6,496 |
6,006 |
$132K |
| 29581 |
|
1,083 |
366 |
$123K |
| 80061 |
|
13,345 |
12,199 |
$123K |
| 95886 |
|
589 |
548 |
$118K |
| C9803 |
Hopd covid-19 spec collect |
6,997 |
6,183 |
$109K |
| 74178 |
|
574 |
515 |
$109K |
| 96413 |
|
2,623 |
1,264 |
$108K |
| 72148 |
|
604 |
547 |
$104K |
| 93005 |
|
17,666 |
13,762 |
$103K |
| 77063 |
|
2,436 |
2,303 |
$97K |
| G0463 |
Hospital outpt clinic visit |
2,882 |
1,611 |
$96K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,782 |
4,379 |
$95K |
| 81001 |
|
21,467 |
17,757 |
$92K |
| 80306 |
|
6,617 |
5,584 |
$88K |
| 88305 |
|
4,740 |
4,238 |
$87K |
| 80048 |
|
8,506 |
6,595 |
$87K |
| 71046 |
|
5,044 |
4,424 |
$87K |
| 93970 |
|
831 |
746 |
$85K |
| 86803 |
|
1,889 |
1,778 |
$84K |
| 86003 |
|
1,911 |
1,802 |
$78K |
| 82607 |
|
4,021 |
3,691 |
$77K |
| 77067 |
|
3,195 |
3,012 |
$73K |
| 82728 |
|
4,843 |
4,394 |
$73K |
| G0480 |
Drug test def 1-7 classes |
4,605 |
3,871 |
$72K |
| 83036 |
|
10,942 |
10,050 |
$70K |
| 97161 |
|
438 |
419 |
$69K |
| 87086 |
|
12,535 |
10,672 |
$67K |
| 87522 |
Neg quan hep c or qual rna |
1,812 |
1,684 |
$63K |
| 80076 |
|
2,453 |
2,076 |
$61K |
| 93971 |
|
725 |
635 |
$60K |
| J1453 |
Fosaprepitant injection |
795 |
454 |
$59K |
| 36415 |
|
44,888 |
32,267 |
$59K |
| 96375 |
|
13,371 |
8,157 |
$58K |
| 78815 |
|
89 |
79 |
$57K |
| 84439 |
|
5,868 |
5,377 |
$55K |
| 76536 |
|
538 |
506 |
$54K |
| 97530 |
|
1,707 |
693 |
$54K |
| 87591 |
|
3,572 |
3,293 |
$53K |
| 42820 |
|
28 |
25 |
$50K |
| 83880 |
|
4,890 |
4,010 |
$49K |
| 96523 |
|
783 |
667 |
$48K |
| 87491 |
|
3,571 |
3,290 |
$45K |
| 87040 |
|
5,156 |
3,718 |
$44K |
| 83550 |
|
4,531 |
4,132 |
$43K |
| 83655 |
|
2,591 |
2,494 |
$42K |
| 73564 |
|
2,095 |
1,861 |
$40K |
| 71260 |
|
630 |
562 |
$39K |
| 87624 |
|
1,062 |
937 |
$38K |
| 72125 |
|
1,051 |
960 |
$38K |
| 99211 |
|
364 |
285 |
$38K |
| 72110 |
|
1,313 |
1,201 |
$38K |
| 11042 |
|
374 |
240 |
$35K |
| 87902 |
|
407 |
358 |
$35K |
| 87077 |
|
6,059 |
5,199 |
$34K |
| 84702 |
|
2,480 |
2,060 |
$34K |
| 87633 |
|
872 |
747 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,150 |
1,095 |
$31K |
| 84145 |
|
5,023 |
4,144 |
$31K |
| 73630 |
|
1,733 |
1,555 |
$31K |
| 80074 |
|
1,478 |
1,369 |
$28K |
| 93880 |
|
389 |
347 |
$27K |
| 70553 |
|
96 |
90 |
$26K |
| 71045 |
|
10,363 |
8,418 |
$26K |
| 45385 |
|
43 |
38 |
$25K |
| 73610 |
|
1,582 |
1,409 |
$25K |
| 82785 |
|
1,638 |
1,563 |
$24K |
| 96372 |
|
9,457 |
7,579 |
$24K |
| 73030 |
|
1,224 |
1,118 |
$23K |
| 87186 |
|
5,838 |
4,879 |
$22K |
| 94726 |
|
539 |
494 |
$22K |
| 83540 |
|
4,637 |
4,226 |
$22K |
| 74018 |
|
868 |
699 |
$21K |
| 84484 |
|
11,235 |
7,580 |
$21K |
| 94375 |
|
557 |
510 |
$20K |
| 85379 |
|
4,758 |
4,098 |
$20K |
| 78227 |
|
69 |
64 |
$20K |
| 83735 |
|
10,827 |
7,873 |
$19K |
| 77080 |
|
341 |
311 |
$19K |
| 81220 |
|
456 |
438 |
$18K |
| 80050 |
|
43 |
43 |
$17K |
| 94200 |
|
541 |
495 |
$17K |
| 72131 |
|
242 |
222 |
$16K |
| 73130 |
|
787 |
704 |
$16K |
| 85610 |
|
10,631 |
8,448 |
$16K |
| 82570 |
|
1,545 |
1,342 |
$15K |
| 87070 |
|
3,149 |
2,696 |
$15K |
| 85652 |
|
2,218 |
1,813 |
$14K |
| 84402 |
|
983 |
887 |
$14K |
| J7050 |
Normal saline solution infus |
12,689 |
8,351 |
$14K |
| 73110 |
|
742 |
639 |
$14K |
| 76642 |
|
104 |
93 |
$12K |
| 97162 |
|
554 |
494 |
$12K |
| 76641 |
|
91 |
87 |
$12K |
| 84403 |
|
921 |
827 |
$12K |
| 86038 |
|
558 |
500 |
$11K |
| 95810 |
|
28 |
24 |
$11K |
| 83605 |
|
6,909 |
5,555 |
$10K |
| 94729 |
|
483 |
438 |
$10K |
| A9500 |
Tc99m sestamibi |
1,592 |
1,404 |
$10K |
| 84550 |
|
734 |
581 |
$10K |
| 82043 |
|
2,483 |
2,226 |
$10K |
| 83690 |
|
7,857 |
6,571 |
$10K |
| 82962 |
|
10,917 |
5,836 |
$10K |
| 73721 |
|
57 |
51 |
$10K |
| 82150 |
|
3,180 |
2,765 |
$9K |
| 82565 |
|
2,212 |
1,732 |
$9K |
| 96374 |
|
12,947 |
10,657 |
$9K |
| 86738 |
|
1,240 |
1,081 |
$9K |
| J7030 |
Normal saline solution infus |
13,078 |
9,696 |
$9K |
| 84153 |
|
977 |
870 |
$8K |
| 90715 |
|
536 |
499 |
$8K |
| 84100 |
|
3,679 |
2,796 |
$8K |
| 82746 |
|
930 |
854 |
$8K |
| 86140 |
|
1,895 |
1,645 |
$8K |
| 84481 |
|
596 |
546 |
$8K |
| 80081 |
|
505 |
485 |
$8K |
| 87389 |
|
790 |
739 |
$7K |
| 84703 |
|
3,793 |
3,407 |
$7K |
| 87426 |
|
7,252 |
6,482 |
$7K |
| 87798 |
|
662 |
570 |
$7K |
| 88342 |
|
1,282 |
1,178 |
$7K |
| 83001 |
|
252 |
239 |
$7K |
| 96415 |
|
27 |
15 |
$7K |
| 82677 |
|
349 |
333 |
$7K |
| 99213 |
|
70 |
54 |
$6K |
| 84436 |
|
220 |
195 |
$6K |
| 88304 |
|
573 |
526 |
$6K |
| J7120 |
Ringers lactate infusion |
7,302 |
6,477 |
$6K |
| 87507 |
|
234 |
207 |
$6K |
| 87205 |
|
3,034 |
2,575 |
$6K |
| 99204 |
|
66 |
64 |
$6K |
| 78451 |
|
36 |
28 |
$6K |
| 73502 |
|
348 |
311 |
$6K |
| 82784 |
|
479 |
427 |
$6K |
| 87631 |
|
216 |
205 |
$6K |
| 90471 |
|
790 |
726 |
$6K |
| 76937 |
|
147 |
126 |
$5K |
| 80307 |
|
64 |
62 |
$5K |
| 99214 |
|
62 |
48 |
$5K |
| 87804 |
|
5,735 |
4,805 |
$5K |
| 93225 |
|
139 |
129 |
$5K |
| 95911 |
|
195 |
183 |
$5K |
| 85027 |
|
379 |
353 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
8,940 |
7,631 |
$5K |
| 82550 |
|
376 |
313 |
$5K |
| J2405 |
Ondansetron hcl injection |
13,190 |
10,207 |
$5K |
| 78226 |
|
13 |
12 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
7,606 |
6,931 |
$5K |
| J2785 |
Regadenoson injection |
1,078 |
963 |
$4K |
| 85730 |
|
6,470 |
5,465 |
$4K |
| 96368 |
|
580 |
355 |
$4K |
| 81025 |
|
4,189 |
3,810 |
$4K |
| 81596 |
|
62 |
54 |
$4K |
| 10060 |
|
12 |
12 |
$4K |
| 87505 |
|
89 |
85 |
$4K |
| 86141 |
|
1,524 |
1,314 |
$3K |
| 86336 |
|
347 |
331 |
$3K |
| 82805 |
|
737 |
548 |
$3K |
| A9552 |
F18 fdg |
121 |
109 |
$3K |
| 29125 |
|
18 |
16 |
$3K |
| 86850 |
|
900 |
774 |
$3K |
| U0005 |
Infec agen detec ampli probe |
358 |
345 |
$3K |
| 76770 |
|
25 |
25 |
$3K |
| 82947 |
|
318 |
304 |
$3K |
| 82977 |
|
229 |
210 |
$3K |
| 29799 |
|
15 |
15 |
$3K |
| 87486 |
|
494 |
428 |
$3K |
| 87481 |
|
148 |
127 |
$3K |
| 86800 |
|
187 |
179 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
3,191 |
2,399 |
$3K |
| 93226 |
|
139 |
129 |
$3K |
| 87150 |
|
346 |
320 |
$3K |
| 87661 |
|
241 |
207 |
$3K |
| J3010 |
Fentanyl citrate injection |
5,286 |
4,710 |
$3K |
| 87880 |
|
3,423 |
3,140 |
$2K |
| 86901 |
|
1,461 |
1,244 |
$2K |
| 93246 |
|
75 |
61 |
$2K |
| 87529 |
|
165 |
142 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,801 |
8,664 |
$2K |
| 84146 |
|
45 |
37 |
$2K |
| J2270 |
Morphine sulfate injection |
7,100 |
5,305 |
$2K |
| 86431 |
|
470 |
429 |
$2K |
| 87581 |
|
494 |
428 |
$2K |
| J1100 |
Dexamethasone sodium phos |
7,472 |
5,851 |
$2K |
| 85014 |
|
256 |
226 |
$2K |
| 83615 |
|
244 |
212 |
$2K |
| 86900 |
|
1,470 |
1,252 |
$2K |
| 88312 |
|
556 |
488 |
$2K |
| 72050 |
|
46 |
42 |
$2K |
| 84681 |
|
38 |
38 |
$2K |
| J3490 |
Drugs unclassified injection |
270 |
184 |
$2K |
| G0279 |
Tomosynthesis, mammo |
70 |
58 |
$2K |
| 96376 |
|
2,683 |
1,671 |
$2K |
| 80171 |
|
180 |
161 |
$2K |
| 85018 |
|
289 |
249 |
$2K |
| 86317 |
|
67 |
63 |
$1K |
| 76870 |
|
14 |
13 |
$1K |
| J1650 |
Inj enoxaparin sodium |
547 |
344 |
$1K |
| J1170 |
Hydromorphone injection |
3,300 |
2,554 |
$1K |
| 93922 |
|
15 |
13 |
$1K |
| 95912 |
|
14 |
13 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
108 |
93 |
$1K |
| 74246 |
|
14 |
14 |
$1K |
| J0690 |
Cefazolin sodium injection |
2,248 |
1,946 |
$1K |
| 82140 |
|
392 |
313 |
$1K |
| 83516 |
|
32 |
30 |
$1K |
| 87340 |
|
107 |
101 |
$1K |
| 77066 |
Tomosynthesis, mammo |
64 |
55 |
$1K |
| 86592 |
|
122 |
112 |
$1K |
| 83002 |
|
37 |
36 |
$1K |
| 86235 |
|
27 |
27 |
$1K |
| 76817 |
|
26 |
24 |
$1K |
| 86677 |
|
124 |
105 |
$1K |
| 86225 |
|
71 |
67 |
$985.82 |
| J2250 |
Inj midazolam hydrochloride |
2,908 |
2,596 |
$912.50 |
| 36600 |
|
622 |
470 |
$897.23 |
| 86704 |
|
65 |
61 |
$867.31 |
| 73080 |
|
73 |
65 |
$849.97 |
| 86200 |
|
148 |
135 |
$769.33 |
| 87338 |
|
34 |
31 |
$737.87 |
| J2805 |
Sincalide injection |
13 |
12 |
$721.83 |
| 87506 |
|
17 |
15 |
$720.22 |
| G0481 |
Drug test def 8-14 classes |
56 |
50 |
$600.74 |
| 97035 |
|
33 |
12 |
$592.05 |
| J7040 |
Normal saline solution infus |
2,950 |
2,408 |
$571.80 |
| J1200 |
Diphenhydramine hcl injectio |
3,763 |
2,517 |
$529.74 |
| A9537 |
Tc99m mebrofenin |
248 |
237 |
$488.59 |
| 0002A |
|
13 |
13 |
$484.24 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
3,014 |
2,732 |
$480.87 |
| 74248 |
|
12 |
12 |
$458.31 |
| 0001A |
|
29 |
29 |
$451.70 |
| J0330 |
Succinycholine chloride inj |
964 |
898 |
$448.33 |
| 73590 |
|
58 |
53 |
$448.22 |
| C9113 |
Inj pantoprazole sodium, via |
2,621 |
1,745 |
$440.22 |
| S9470 |
Nutritional counseling, diet |
104 |
99 |
$423.04 |
| J1940 |
Furosemide injection |
930 |
668 |
$415.04 |
| 83010 |
|
70 |
67 |
$409.84 |
| 82105 |
|
30 |
27 |
$403.71 |
| 84450 |
|
114 |
109 |
$399.14 |
| 86708 |
|
16 |
16 |
$384.19 |
| 84460 |
|
126 |
121 |
$363.07 |
| J2930 |
Methylprednisolone injection |
1,890 |
1,454 |
$358.70 |
| G0379 |
Direct refer hospital observ |
62 |
49 |
$355.46 |
| 86665 |
|
27 |
25 |
$348.99 |
| 86376 |
|
37 |
37 |
$339.18 |
| 83525 |
|
31 |
28 |
$332.74 |
| 82172 |
|
37 |
36 |
$312.10 |
| 95913 |
|
46 |
42 |
$311.88 |
| 82248 |
|
44 |
39 |
$306.38 |
| 86231 |
|
55 |
54 |
$291.35 |
| 84478 |
|
66 |
63 |
$282.42 |
| 87177 |
|
41 |
39 |
$280.82 |
| 82652 |
|
25 |
25 |
$280.03 |
| 87807 |
|
663 |
628 |
$264.64 |
| 99152 |
|
249 |
208 |
$259.10 |
| 88300 |
|
108 |
100 |
$255.40 |
| 86364 |
|
76 |
68 |
$254.64 |
| 86258 |
|
76 |
68 |
$254.64 |
| J1956 |
Levofloxacin injection |
470 |
344 |
$253.38 |
| 36591 |
|
13 |
12 |
$250.31 |
| 87329 |
|
41 |
39 |
$246.66 |
| 82247 |
|
76 |
69 |
$188.78 |
| 90686 |
|
14 |
12 |
$176.81 |
| 82465 |
|
38 |
37 |
$172.04 |
| 87045 |
|
29 |
26 |
$170.49 |
| J2916 |
Na ferric gluconate complex |
671 |
288 |
$166.80 |
| A9270 |
Non-covered item or service |
4,292 |
2,342 |
$149.35 |
| 96417 |
|
223 |
155 |
$130.86 |
| 88311 |
|
12 |
12 |
$125.06 |
| J2765 |
Metoclopramide hcl injection |
1,537 |
1,297 |
$101.69 |
| 81003 |
|
34 |
33 |
$98.87 |
| J2060 |
Lorazepam injection |
812 |
603 |
$89.43 |
| 97140 |
|
205 |
61 |
$77.57 |
| J0780 |
Prochlorperazine injection |
596 |
447 |
$72.97 |
| J2710 |
Neostigmine methylslfte inj |
689 |
632 |
$59.83 |
| J1815 |
Insulin injection |
369 |
238 |
$53.84 |
| 87427 |
|
15 |
14 |
$45.22 |
| 82272 |
|
63 |
49 |
$43.66 |
| 84156 |
|
20 |
14 |
$36.71 |
| 86769 |
|
14 |
13 |
$35.59 |
| J2370 |
Phenylephrine hcl injection |
307 |
280 |
$32.54 |
| 86308 |
|
12 |
12 |
$31.56 |
| 87081 |
|
17 |
16 |
$28.14 |
| 84520 |
|
30 |
12 |
$26.43 |
| 85049 |
|
17 |
14 |
$21.22 |
| J2360 |
Orphenadrine injection |
142 |
118 |
$18.42 |
| A9579 |
Gad-base mr contrast nos,1ml |
539 |
503 |
$17.75 |
| J8540 |
Oral dexamethasone |
44 |
39 |
$17.48 |
| 85045 |
|
12 |
12 |
$14.52 |
| J3480 |
Inj potassium chloride |
88 |
49 |
$14.24 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$11.83 |
| C1769 |
Guide wire |
196 |
163 |
$11.74 |
| J7512 |
Prednisone ir or dr oral 1mg |
133 |
109 |
$10.22 |
| J1790 |
Droperidol injection |
295 |
269 |
$9.43 |
| J1644 |
Inj heparin sodium per 1000u |
14 |
14 |
$9.05 |
| J3475 |
Inj magnesium sulfate |
222 |
186 |
$4.00 |
| C1894 |
Intro/sheath, non-laser |
74 |
67 |
$2.42 |
| J1630 |
Haloperidol injection |
13 |
13 |
$2.16 |
| J7060 |
5% dextrose/water |
35 |
24 |
$1.35 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
163 |
149 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
93 |
82 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
90 |
74 |
$0.00 |
| A9585 |
Gadobutrol injection |
16 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
91 |
70 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
16 |
13 |
$0.00 |