| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
45,415 |
32,861 |
$3.36M |
| 99284 |
|
42,882 |
31,355 |
$3.23M |
| 99285 |
|
28,172 |
19,495 |
$2.85M |
| 96361 |
|
4,201 |
2,988 |
$1.13M |
| 97110 |
|
12,209 |
3,030 |
$811K |
| 99282 |
|
13,832 |
9,936 |
$617K |
| 74177 |
|
2,275 |
1,828 |
$540K |
| G0463 |
Hospital outpt clinic visit |
9,655 |
8,185 |
$517K |
| 59025 |
|
3,852 |
1,590 |
$473K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,279 |
3,672 |
$463K |
| 70450 |
|
2,171 |
1,828 |
$444K |
| 99213 |
|
6,891 |
6,531 |
$327K |
| 96365 |
|
2,132 |
1,432 |
$243K |
| 80053 |
|
16,537 |
13,830 |
$233K |
| 74176 |
|
902 |
760 |
$223K |
| 80048 |
|
26,233 |
21,676 |
$208K |
| 87631 |
|
1,267 |
1,045 |
$199K |
| G0378 |
Hospital observation per hr |
2,708 |
1,215 |
$171K |
| 0241U |
|
2,238 |
1,973 |
$165K |
| 96360 |
|
901 |
727 |
$157K |
| 96366 |
|
910 |
481 |
$153K |
| 87491 |
|
3,582 |
3,234 |
$139K |
| 11042 |
|
1,636 |
546 |
$133K |
| 94640 |
|
1,652 |
998 |
$127K |
| 93306 |
|
1,053 |
907 |
$121K |
| 84443 |
|
6,860 |
6,192 |
$119K |
| 85025 |
|
43,563 |
36,079 |
$111K |
| 99211 |
|
953 |
714 |
$104K |
| 71260 |
|
527 |
467 |
$97K |
| 78452 |
|
319 |
247 |
$92K |
| 87591 |
|
3,579 |
3,232 |
$86K |
| 99212 |
|
1,043 |
725 |
$78K |
| 71046 |
|
5,856 |
5,237 |
$74K |
| 87086 |
|
7,086 |
5,878 |
$72K |
| 82306 |
|
2,996 |
2,736 |
$68K |
| 93010 |
|
12,110 |
10,603 |
$68K |
| 76805 |
|
788 |
652 |
$65K |
| 80061 |
|
5,637 |
5,187 |
$64K |
| 76705 |
|
755 |
649 |
$60K |
| 36415 |
|
54,078 |
42,400 |
$53K |
| 84439 |
|
2,276 |
2,090 |
$51K |
| 97161 |
|
921 |
830 |
$51K |
| 99215 |
Prolong outpt/office vis |
530 |
499 |
$50K |
| 71275 |
|
251 |
205 |
$49K |
| 76770 |
|
385 |
352 |
$49K |
| 80307 |
|
2,709 |
2,258 |
$48K |
| 97140 |
|
1,513 |
511 |
$48K |
| 77063 |
|
976 |
895 |
$46K |
| 76856 |
|
255 |
210 |
$44K |
| C9803 |
Hopd covid-19 spec collect |
1,617 |
1,417 |
$43K |
| 93005 |
|
14,057 |
11,619 |
$43K |
| 71250 |
|
411 |
387 |
$41K |
| 76700 |
|
245 |
226 |
$40K |
| 88175 |
|
2,121 |
1,970 |
$39K |
| 83036 |
|
3,112 |
2,819 |
$37K |
| 97162 |
|
900 |
769 |
$37K |
| 81513 |
|
235 |
193 |
$34K |
| 87070 |
|
2,362 |
1,996 |
$33K |
| 76830 |
|
501 |
436 |
$32K |
| 99214 |
|
335 |
322 |
$30K |
| 43239 |
|
105 |
89 |
$30K |
| 80076 |
|
8,018 |
6,644 |
$27K |
| 82607 |
|
1,230 |
1,084 |
$26K |
| 93017 |
|
390 |
311 |
$25K |
| 86850 |
|
1,206 |
976 |
$25K |
| U0005 |
Infec agen detec ampli probe |
4,235 |
3,622 |
$25K |
| 93971 |
|
567 |
486 |
$25K |
| 87635 |
|
1,540 |
1,353 |
$22K |
| 71045 |
|
5,817 |
4,905 |
$21K |
| 85027 |
|
3,793 |
3,075 |
$19K |
| 76819 |
|
200 |
106 |
$19K |
| 74018 |
|
713 |
611 |
$19K |
| 82728 |
|
1,062 |
919 |
$19K |
| 84484 |
|
8,929 |
5,278 |
$18K |
| 87624 |
|
435 |
381 |
$18K |
| 86900 |
|
1,402 |
1,132 |
$18K |
| 72100 |
|
650 |
576 |
$17K |
| 95886 |
|
62 |
46 |
$17K |
| 84702 |
|
1,117 |
756 |
$17K |
| 87637 |
|
254 |
221 |
$15K |
| 86592 |
|
419 |
350 |
$15K |
| 97112 |
|
461 |
213 |
$14K |
| 86803 |
|
755 |
626 |
$14K |
| 87481 |
|
567 |
471 |
$14K |
| 93975 |
|
144 |
122 |
$13K |
| 88305 |
|
1,232 |
1,007 |
$13K |
| 83540 |
|
1,291 |
1,115 |
$13K |
| 86703 |
|
629 |
560 |
$13K |
| 87661 |
|
679 |
570 |
$12K |
| 45378 |
|
34 |
25 |
$12K |
| 86140 |
|
900 |
740 |
$12K |
| 76816 |
|
110 |
103 |
$12K |
| 77067 |
|
980 |
899 |
$12K |
| 83550 |
|
1,218 |
1,048 |
$11K |
| 70496 |
|
80 |
69 |
$11K |
| 70498 |
|
98 |
81 |
$11K |
| 76815 |
|
327 |
225 |
$11K |
| 87801 |
|
358 |
307 |
$11K |
| 82570 |
|
1,230 |
1,058 |
$11K |
| 76818 |
|
157 |
53 |
$11K |
| 0002A |
|
327 |
314 |
$11K |
| 86780 |
|
433 |
347 |
$10K |
| 87077 |
|
1,249 |
1,030 |
$10K |
| 76536 |
|
93 |
89 |
$10K |
| 76642 |
|
89 |
84 |
$10K |
| 73630 |
|
615 |
500 |
$9K |
| 0001A |
|
372 |
315 |
$9K |
| 97530 |
|
321 |
203 |
$9K |
| 84481 |
|
565 |
516 |
$9K |
| 87880 |
|
1,295 |
1,133 |
$9K |
| 81001 |
|
8,967 |
7,528 |
$9K |
| 99281 |
|
81 |
78 |
$9K |
| 96367 |
|
260 |
208 |
$8K |
| 87340 |
|
438 |
364 |
$8K |
| 87502 |
|
948 |
829 |
$8K |
| 72148 |
|
43 |
43 |
$8K |
| 82950 |
|
595 |
527 |
$8K |
| 73721 |
|
33 |
32 |
$8K |
| 81003 |
|
6,446 |
5,553 |
$8K |
| 86901 |
|
1,402 |
1,132 |
$7K |
| 72125 |
|
807 |
704 |
$7K |
| 73030 |
|
455 |
392 |
$7K |
| 83735 |
|
2,745 |
2,010 |
$7K |
| 86787 |
|
366 |
289 |
$7K |
| 83880 |
|
2,029 |
1,652 |
$6K |
| 86038 |
|
197 |
160 |
$6K |
| 85610 |
|
3,299 |
2,119 |
$6K |
| 96372 |
|
2,731 |
1,975 |
$6K |
| 84153 |
|
378 |
349 |
$6K |
| 70553 |
|
26 |
26 |
$6K |
| 93970 |
|
48 |
46 |
$5K |
| 86762 |
|
163 |
118 |
$5K |
| 87389 |
|
338 |
266 |
$5K |
| 97116 |
|
372 |
197 |
$5K |
| 82746 |
|
427 |
378 |
$5K |
| 73502 |
|
306 |
259 |
$5K |
| 87186 |
|
921 |
755 |
$5K |
| 82043 |
|
675 |
608 |
$5K |
| 80055 |
|
149 |
130 |
$5K |
| 71271 |
|
29 |
28 |
$4K |
| G0482 |
Drug test def 15-21 classes |
117 |
113 |
$4K |
| 97113 |
|
44 |
14 |
$4K |
| 83690 |
|
4,761 |
3,784 |
$4K |
| 87653 |
|
194 |
176 |
$4K |
| 97802 |
|
87 |
74 |
$4K |
| 90792 |
|
28 |
28 |
$4K |
| 76817 |
|
137 |
117 |
$4K |
| 76801 |
|
84 |
69 |
$4K |
| 97535 |
|
179 |
149 |
$4K |
| 73610 |
|
524 |
434 |
$4K |
| 82805 |
|
423 |
351 |
$4K |
| 76857 |
|
111 |
92 |
$4K |
| 99406 |
|
184 |
170 |
$4K |
| 73130 |
|
354 |
299 |
$4K |
| 94060 |
|
29 |
27 |
$3K |
| 82553 |
|
568 |
444 |
$3K |
| 83001 |
|
147 |
128 |
$3K |
| 84403 |
|
150 |
133 |
$3K |
| 90715 |
|
249 |
207 |
$3K |
| 84112 |
|
65 |
52 |
$3K |
| 94010 |
|
136 |
124 |
$3K |
| 93880 |
|
47 |
45 |
$3K |
| 96374 |
|
9,299 |
7,690 |
$3K |
| 72070 |
|
89 |
84 |
$3K |
| 87804 |
|
642 |
613 |
$3K |
| 83605 |
|
2,083 |
1,508 |
$3K |
| 88142 |
|
149 |
142 |
$3K |
| 73560 |
|
196 |
166 |
$2K |
| 85651 |
|
429 |
344 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| 83970 |
|
80 |
76 |
$2K |
| 72050 |
|
42 |
40 |
$2K |
| 96376 |
|
1,217 |
770 |
$2K |
| 83615 |
|
222 |
157 |
$2K |
| 84703 |
|
2,049 |
1,585 |
$2K |
| 70486 |
|
12 |
12 |
$2K |
| 81025 |
|
2,401 |
1,909 |
$2K |
| 87505 |
|
13 |
13 |
$2K |
| 96375 |
|
3,943 |
3,024 |
$2K |
| 82962 |
|
1,912 |
743 |
$2K |
| 84156 |
|
416 |
327 |
$2K |
| 80069 |
|
78 |
58 |
$2K |
| 86618 |
|
78 |
50 |
$2K |
| 73110 |
|
221 |
196 |
$2K |
| 82550 |
|
1,355 |
1,095 |
$2K |
| 86431 |
|
92 |
69 |
$2K |
| 82784 |
|
113 |
72 |
$2K |
| 94729 |
|
33 |
29 |
$1K |
| 87205 |
|
324 |
244 |
$1K |
| 94726 |
|
30 |
26 |
$1K |
| 82565 |
|
147 |
116 |
$1K |
| J1756 |
Iron sucrose injection |
30 |
12 |
$1K |
| 87040 |
|
952 |
715 |
$1K |
| 85379 |
|
894 |
744 |
$1K |
| 84550 |
|
144 |
118 |
$1K |
| 72040 |
|
47 |
40 |
$1K |
| 85730 |
|
1,277 |
998 |
$1K |
| 80321 |
|
89 |
84 |
$1K |
| 73564 |
|
206 |
183 |
$1K |
| 80320 |
|
586 |
436 |
$1K |
| 82077 |
|
617 |
522 |
$1K |
| 88141 |
|
52 |
52 |
$1K |
| 83516 |
|
47 |
30 |
$1K |
| 97165 |
|
14 |
13 |
$986.85 |
| 87081 |
|
67 |
66 |
$979.48 |
| 00811 |
|
211 |
156 |
$948.99 |
| 87651 |
|
612 |
573 |
$942.53 |
| 83002 |
|
61 |
51 |
$942.13 |
| 87798 |
|
52 |
26 |
$788.84 |
| 99291 |
|
15 |
12 |
$707.18 |
| 84450 |
|
88 |
68 |
$695.87 |
| 84460 |
|
109 |
87 |
$681.44 |
| 85652 |
|
285 |
264 |
$680.40 |
| 86706 |
|
38 |
30 |
$673.82 |
| A9270 |
Non-covered item or service |
5,009 |
869 |
$593.57 |
| 82150 |
|
197 |
165 |
$591.61 |
| 80373 |
|
89 |
84 |
$578.36 |
| 80369 |
|
89 |
84 |
$578.36 |
| 80372 |
|
89 |
84 |
$573.27 |
| 84146 |
|
26 |
14 |
$548.67 |
| 96368 |
|
59 |
40 |
$523.19 |
| 82330 |
|
498 |
385 |
$514.94 |
| 85018 |
|
519 |
427 |
$464.86 |
| 90471 |
|
203 |
145 |
$454.04 |
| 84100 |
|
316 |
233 |
$438.46 |
| 80329 |
|
443 |
340 |
$437.35 |
| 82677 |
|
12 |
12 |
$418.02 |
| 80324 |
|
89 |
84 |
$408.15 |
| 82803 |
|
184 |
131 |
$397.70 |
| 80345 |
|
89 |
84 |
$397.35 |
| 80346 |
|
89 |
84 |
$397.35 |
| 80348 |
|
89 |
84 |
$397.35 |
| 82670 |
|
12 |
12 |
$380.42 |
| 80349 |
|
89 |
84 |
$374.81 |
| 80359 |
|
89 |
84 |
$374.81 |
| 80353 |
|
89 |
84 |
$374.81 |
| 80358 |
|
89 |
84 |
$374.81 |
| 80361 |
|
89 |
84 |
$374.81 |
| 80356 |
|
89 |
84 |
$374.81 |
| 80354 |
|
89 |
84 |
$374.81 |
| 80365 |
|
89 |
84 |
$374.81 |
| 82947 |
|
449 |
377 |
$331.68 |
| 73140 |
|
30 |
25 |
$313.93 |
| 84132 |
|
496 |
406 |
$300.25 |
| 36600 |
|
132 |
103 |
$299.54 |
| J7120 |
Ringers lactate infusion |
1,336 |
970 |
$295.06 |
| 82105 |
|
12 |
12 |
$287.08 |
| 82435 |
|
431 |
361 |
$229.86 |
| 82375 |
|
452 |
375 |
$228.40 |
| 88342 |
|
52 |
41 |
$217.14 |
| 93016 |
|
15 |
14 |
$205.05 |
| 85014 |
|
16 |
12 |
$191.05 |
| J1650 |
Inj enoxaparin sodium |
274 |
128 |
$186.88 |
| 80305 |
|
159 |
150 |
$182.22 |
| 73590 |
|
15 |
12 |
$169.55 |
| J7030 |
Normal saline solution infus |
2,948 |
2,187 |
$155.37 |
| 86336 |
|
12 |
12 |
$143.54 |
| J2543 |
Piperacillin/tazobactam |
178 |
105 |
$129.97 |
| 93018 |
|
15 |
14 |
$119.97 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
256 |
236 |
$117.50 |
| 84311 |
|
76 |
71 |
$115.70 |
| 83050 |
|
442 |
365 |
$114.91 |
| 84295 |
|
436 |
365 |
$114.91 |
| J1815 |
Insulin injection |
67 |
39 |
$108.00 |
| J2405 |
Ondansetron hcl injection |
6,171 |
4,397 |
$106.30 |
| J1170 |
Hydromorphone injection |
498 |
341 |
$88.50 |
| J3490 |
Drugs unclassified injection |
27 |
23 |
$86.97 |
| 84520 |
|
12 |
12 |
$74.85 |
| J1885 |
Ketorolac tromethamine inj |
2,355 |
1,739 |
$72.41 |
| J2270 |
Morphine sulfate injection |
905 |
680 |
$69.88 |
| 80143 |
|
90 |
84 |
$66.66 |
| 71101 |
|
12 |
12 |
$65.62 |
| 83986 |
|
76 |
71 |
$50.72 |
| J3370 |
Vancomycin hcl injection |
152 |
84 |
$46.32 |
| J0696 |
Ceftriaxone sodium injection |
654 |
425 |
$45.76 |
| 93799 |
|
40 |
17 |
$31.13 |
| J2919 |
Inj, methylpred sod succ 5mg |
251 |
175 |
$28.07 |
| 95909 |
|
12 |
12 |
$27.73 |
| J2060 |
Lorazepam injection |
261 |
203 |
$23.16 |
| J2704 |
Inj, propofol, 10 mg |
1,116 |
921 |
$14.80 |
| 82140 |
|
13 |
13 |
$13.62 |
| J1790 |
Droperidol injection |
212 |
160 |
$13.04 |
| 80179 |
|
49 |
44 |
$11.11 |
| 87088 |
|
16 |
15 |
$9.62 |
| J1644 |
Inj heparin sodium per 1000u |
217 |
95 |
$8.89 |
| J7050 |
Normal saline solution infus |
335 |
213 |
$8.46 |
| J3010 |
Fentanyl citrate injection |
1,072 |
715 |
$8.20 |
| J7040 |
Normal saline solution infus |
247 |
211 |
$8.04 |
| J1200 |
Diphenhydramine hcl injectio |
382 |
318 |
$7.82 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,878 |
3,167 |
$6.00 |
| 91300 |
|
704 |
520 |
$5.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
215 |
139 |
$4.82 |
| J2360 |
Orphenadrine injection |
59 |
41 |
$4.67 |
| J2765 |
Metoclopramide hcl injection |
236 |
176 |
$4.40 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
77 |
58 |
$4.05 |
| J0690 |
Cefazolin sodium injection |
437 |
326 |
$3.28 |
| J1100 |
Dexamethasone sodium phos |
616 |
501 |
$2.14 |
| J2250 |
Inj midazolam hydrochloride |
655 |
544 |
$1.58 |
| J2785 |
Regadenoson injection |
132 |
95 |
$0.00 |
| 94760 |
|
915 |
545 |
$0.00 |
| A9500 |
Tc99m sestamibi |
193 |
136 |
$0.00 |
| 73090 |
|
16 |
15 |
$0.00 |
| 88304 |
|
90 |
68 |
$0.00 |
| 00813 |
|
13 |
13 |
$0.00 |
| 74022 |
|
18 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
24 |
24 |
$0.00 |
| 00731 |
|
65 |
55 |
$0.00 |
| J2930 |
Methylprednisolone injection |
137 |
104 |
$0.00 |
| G1004 |
Cdsm ndsc |
132 |
118 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
224 |
186 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
125 |
112 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
123 |
97 |
$0.00 |
| J2550 |
Promethazine hcl injection |
15 |
13 |
$0.00 |
| 76942 |
|
33 |
27 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
18 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
19 |
17 |
$0.00 |