| Code | Description | Claims | Beneficiaries | Total Paid |
| 0202U |
|
13,877 |
13,281 |
$5.10M |
| 99283 |
|
31,475 |
27,984 |
$4.34M |
| 99284 |
|
15,422 |
13,968 |
$4.18M |
| 99285 |
|
7,362 |
6,531 |
$3.06M |
| J0585 |
Injection,onabotulinumtoxina |
3,157 |
1,754 |
$2.70M |
| 74177 |
|
3,227 |
2,925 |
$1.65M |
| 92507 |
|
15,230 |
4,015 |
$1.54M |
| 87633 |
|
3,028 |
2,930 |
$1.49M |
| 99214 |
|
26,265 |
21,232 |
$1.28M |
| 97110 |
|
15,990 |
4,846 |
$1.18M |
| 87635 |
|
21,080 |
19,979 |
$1.10M |
| 43239 |
|
3,104 |
2,459 |
$1.09M |
| 97530 |
|
14,883 |
5,398 |
$1.00M |
| 99213 |
|
25,168 |
20,987 |
$991K |
| 93306 |
|
3,039 |
2,277 |
$879K |
| 80053 |
|
48,451 |
41,982 |
$874K |
| 70450 |
|
2,978 |
2,527 |
$816K |
| 93005 |
|
9,238 |
8,207 |
$704K |
| 96365 |
|
5,133 |
4,101 |
$650K |
| 42820 |
|
425 |
391 |
$605K |
| 96413 |
|
2,580 |
1,779 |
$560K |
| 96375 |
|
6,827 |
5,466 |
$528K |
| 90837 |
|
4,768 |
3,113 |
$511K |
| 85025 |
|
51,762 |
44,238 |
$502K |
| 99282 |
|
10,226 |
9,512 |
$475K |
| 71046 |
|
7,305 |
6,480 |
$461K |
| 45380 |
|
944 |
743 |
$430K |
| 99204 |
|
6,133 |
5,365 |
$429K |
| 74176 |
|
1,058 |
910 |
$396K |
| 71045 |
|
7,135 |
6,041 |
$393K |
| 96361 |
|
4,496 |
3,802 |
$377K |
| 96374 |
|
6,752 |
6,160 |
$373K |
| 84443 |
|
19,738 |
19,034 |
$341K |
| 99215 |
Prolong outpt/office vis |
5,819 |
4,690 |
$310K |
| 96372 |
|
7,845 |
6,383 |
$304K |
| 80307 |
|
2,630 |
2,432 |
$282K |
| 77067 |
|
1,806 |
1,780 |
$281K |
| 73562 |
|
2,723 |
2,288 |
$270K |
| G0378 |
Hospital observation per hr |
1,215 |
744 |
$268K |
| 82306 |
|
10,469 |
10,293 |
$268K |
| 72100 |
|
2,263 |
2,016 |
$216K |
| 71260 |
|
513 |
485 |
$212K |
| 20610 |
|
1,601 |
1,311 |
$212K |
| 73030 |
|
2,340 |
1,887 |
$211K |
| 73630 |
|
2,605 |
2,242 |
$201K |
| G0463 |
Hospital outpt clinic visit |
3,573 |
2,999 |
$197K |
| 94640 |
|
1,703 |
1,095 |
$192K |
| 90834 |
|
2,394 |
1,318 |
$187K |
| 80061 |
|
12,809 |
12,532 |
$186K |
| 36415 |
|
43,215 |
37,774 |
$173K |
| 84484 |
|
10,164 |
7,069 |
$170K |
| 64615 |
|
1,638 |
1,350 |
$160K |
| 84439 |
|
13,485 |
13,028 |
$159K |
| 76700 |
|
1,212 |
1,116 |
$155K |
| 73610 |
|
1,333 |
1,190 |
$153K |
| 97140 |
|
3,022 |
1,320 |
$146K |
| 97112 |
|
2,241 |
1,252 |
$145K |
| 99203 |
|
2,659 |
2,457 |
$145K |
| 96376 |
|
2,496 |
1,732 |
$136K |
| 99205 |
Prolong outpt/office vis |
1,623 |
1,490 |
$136K |
| 20553 |
|
927 |
757 |
$136K |
| 78452 |
|
198 |
130 |
$134K |
| 95811 |
|
191 |
158 |
$131K |
| G0480 |
Drug test def 1-7 classes |
1,730 |
1,651 |
$126K |
| 96367 |
|
1,588 |
1,155 |
$126K |
| 95810 |
|
185 |
167 |
$125K |
| 87798 |
|
2,603 |
865 |
$121K |
| 76705 |
|
964 |
881 |
$116K |
| 80074 |
|
1,883 |
1,852 |
$114K |
| 71275 |
|
262 |
217 |
$114K |
| 74018 |
|
1,666 |
1,554 |
$112K |
| 83036 |
|
10,590 |
10,359 |
$109K |
| 72148 |
|
262 |
197 |
$102K |
| 73130 |
|
1,258 |
966 |
$100K |
| 87651 |
|
2,409 |
2,371 |
$98K |
| 99212 |
|
3,380 |
2,989 |
$98K |
| 81001 |
|
15,555 |
12,635 |
$98K |
| 99281 |
|
2,132 |
1,956 |
$96K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,019 |
4,686 |
$95K |
| 93226 |
|
661 |
630 |
$89K |
| 11042 |
|
709 |
222 |
$88K |
| M0243 |
Casirivi and imdevi inj |
195 |
192 |
$84K |
| 83880 |
|
2,778 |
2,547 |
$82K |
| 87086 |
|
7,445 |
6,979 |
$81K |
| 76856 |
|
615 |
594 |
$75K |
| 87491 |
|
1,850 |
1,818 |
$75K |
| 73502 |
|
1,127 |
862 |
$75K |
| 87591 |
|
1,852 |
1,820 |
$74K |
| 93225 |
|
674 |
640 |
$74K |
| 83013 |
|
1,108 |
1,094 |
$74K |
| 74178 |
|
133 |
98 |
$71K |
| 96360 |
|
762 |
704 |
$70K |
| 73110 |
|
769 |
659 |
$64K |
| 83690 |
|
5,623 |
4,994 |
$64K |
| 86140 |
|
8,773 |
8,366 |
$64K |
| 87040 |
|
3,449 |
1,924 |
$61K |
| 87502 |
|
697 |
686 |
$58K |
| 72040 |
|
596 |
503 |
$56K |
| U0003 |
Cov-19 amp prb hgh thruput |
529 |
521 |
$56K |
| 87389 |
|
2,394 |
2,378 |
$53K |
| 83735 |
|
6,047 |
5,100 |
$53K |
| 93017 |
|
204 |
196 |
$52K |
| 85379 |
|
3,333 |
3,085 |
$52K |
| 83605 |
|
3,302 |
2,820 |
$52K |
| 97162 |
|
627 |
616 |
$50K |
| 80048 |
|
3,516 |
3,226 |
$50K |
| 70551 |
|
123 |
94 |
$50K |
| 77063 |
|
1,195 |
1,173 |
$49K |
| 36591 |
|
1,096 |
732 |
$48K |
| 82728 |
|
3,378 |
3,282 |
$47K |
| 87186 |
|
4,107 |
3,687 |
$47K |
| 74022 |
|
428 |
376 |
$46K |
| 85652 |
|
10,483 |
10,044 |
$45K |
| 92508 |
|
690 |
352 |
$45K |
| 86803 |
|
2,217 |
2,203 |
$44K |
| 96366 |
|
536 |
402 |
$43K |
| 82607 |
|
2,856 |
2,803 |
$42K |
| 84481 |
|
2,453 |
2,394 |
$41K |
| 85027 |
|
4,560 |
4,264 |
$36K |
| 71250 |
|
188 |
123 |
$36K |
| 87077 |
|
3,986 |
3,654 |
$36K |
| 00170 |
|
237 |
237 |
$35K |
| 87880 |
|
2,162 |
2,091 |
$35K |
| 83540 |
|
4,180 |
4,084 |
$33K |
| 83550 |
|
3,539 |
3,489 |
$33K |
| 82570 |
|
4,574 |
4,353 |
$32K |
| 72110 |
|
276 |
251 |
$32K |
| 87493 |
|
874 |
846 |
$32K |
| 96415 |
|
310 |
247 |
$31K |
| 82150 |
|
3,051 |
2,746 |
$31K |
| 73560 |
|
405 |
315 |
$30K |
| 00731 |
|
255 |
246 |
$30K |
| 76830 |
|
234 |
211 |
$30K |
| 84702 |
|
1,244 |
1,085 |
$29K |
| J0131 |
Inj, acetaminophen (nos) |
2,246 |
1,959 |
$28K |
| 97161 |
|
498 |
481 |
$28K |
| 74019 |
|
212 |
189 |
$28K |
| 64483 |
|
50 |
38 |
$28K |
| 92567 |
|
963 |
920 |
$28K |
| 82043 |
|
3,289 |
3,184 |
$28K |
| 87480 |
|
1,312 |
1,285 |
$27K |
| J1439 |
Inj ferric carboxymaltos 1mg |
20 |
13 |
$27K |
| 86038 |
|
1,845 |
1,799 |
$27K |
| 87510 |
|
1,312 |
1,285 |
$27K |
| 87660 |
|
1,313 |
1,285 |
$27K |
| 73564 |
|
251 |
184 |
$27K |
| 80076 |
|
2,457 |
2,371 |
$26K |
| 76536 |
|
211 |
165 |
$26K |
| 87804 |
|
1,252 |
779 |
$25K |
| 87902 |
|
72 |
52 |
$25K |
| 00813 |
|
195 |
192 |
$25K |
| 81025 |
|
2,038 |
1,951 |
$24K |
| 80306 |
|
993 |
939 |
$24K |
| 85610 |
|
4,268 |
3,630 |
$24K |
| 76770 |
|
184 |
149 |
$24K |
| 87426 |
|
445 |
439 |
$22K |
| 84703 |
|
1,438 |
1,376 |
$21K |
| 11043 |
|
216 |
71 |
$20K |
| 76642 |
|
135 |
119 |
$20K |
| 90832 |
|
260 |
166 |
$20K |
| 97016 |
|
928 |
401 |
$20K |
| 93010 |
|
3,444 |
3,205 |
$20K |
| 72125 |
|
43 |
40 |
$17K |
| 82803 |
|
612 |
490 |
$17K |
| 66984 |
|
13 |
13 |
$17K |
| 36600 |
|
634 |
514 |
$17K |
| 94760 |
|
831 |
586 |
$17K |
| 0241U |
|
95 |
95 |
$16K |
| 80305 |
|
1,501 |
1,446 |
$15K |
| 84145 |
|
581 |
539 |
$15K |
| J7050 |
Normal saline solution infus |
8,537 |
3,931 |
$15K |
| 99309 |
|
561 |
478 |
$15K |
| 86480 |
|
291 |
288 |
$15K |
| 87522 |
Neg quan hep c or qual rna |
219 |
210 |
$14K |
| 86200 |
|
951 |
940 |
$14K |
| 87070 |
|
1,131 |
1,066 |
$14K |
| 83970 |
|
417 |
394 |
$14K |
| 85730 |
|
1,489 |
1,402 |
$14K |
| 90833 |
|
268 |
238 |
$13K |
| 86703 |
|
600 |
587 |
$12K |
| 99220 |
|
173 |
161 |
$12K |
| 86431 |
|
1,835 |
1,794 |
$12K |
| 0352U |
|
424 |
420 |
$12K |
| 88142 |
|
585 |
581 |
$12K |
| 84153 |
|
684 |
644 |
$12K |
| J0248 |
Inj, remdesivir, 1 mg |
25 |
13 |
$12K |
| 82550 |
|
1,364 |
1,260 |
$12K |
| J3490 |
Drugs unclassified injection |
566 |
375 |
$12K |
| 82565 |
|
2,300 |
2,249 |
$12K |
| 84550 |
|
2,180 |
2,064 |
$12K |
| M0245 |
Bamlan and etesev infusion |
21 |
20 |
$11K |
| 90847 |
|
111 |
101 |
$11K |
| 86780 |
|
776 |
764 |
$11K |
| 87507 |
|
685 |
668 |
$11K |
| 76981 |
|
86 |
71 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
97 |
79 |
$10K |
| 83001 |
|
500 |
495 |
$10K |
| 82962 |
|
2,356 |
1,469 |
$10K |
| J2405 |
Ondansetron hcl injection |
6,858 |
5,273 |
$10K |
| J7030 |
Normal saline solution infus |
5,665 |
4,680 |
$10K |
| 97165 |
|
156 |
152 |
$10K |
| J0561 |
Penicillin g benzathine inj |
50 |
38 |
$9K |
| 83655 |
|
602 |
577 |
$9K |
| 45378 |
|
23 |
14 |
$9K |
| 93227 |
|
434 |
409 |
$9K |
| J1030 |
Methylprednisolone 40 mg inj |
1,659 |
1,594 |
$9K |
| 72072 |
|
81 |
81 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
2,497 |
1,997 |
$9K |
| 97116 |
|
219 |
132 |
$8K |
| 86706 |
|
522 |
515 |
$8K |
| 64493 |
|
16 |
12 |
$8K |
| 82746 |
|
562 |
556 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
3,464 |
3,245 |
$8K |
| 00812 |
|
77 |
74 |
$8K |
| 84402 |
|
303 |
301 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
5,364 |
4,840 |
$8K |
| 84156 |
|
1,164 |
1,105 |
$8K |
| 99239 |
|
72 |
70 |
$7K |
| 82805 |
|
151 |
125 |
$7K |
| 83014 |
|
593 |
587 |
$7K |
| 0353U |
|
743 |
732 |
$7K |
| G0279 |
Tomosynthesis, mammo |
209 |
186 |
$7K |
| J2001 |
Lidocaine injection |
2,777 |
2,385 |
$7K |
| 90791 |
|
41 |
39 |
$7K |
| 73140 |
|
78 |
67 |
$7K |
| 93880 |
|
50 |
29 |
$7K |
| J3010 |
Fentanyl citrate injection |
3,958 |
3,486 |
$7K |
| 92553 |
|
54 |
52 |
$6K |
| 82947 |
|
1,501 |
805 |
$6K |
| 86696 |
|
334 |
278 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
56 |
26 |
$6K |
| 84270 |
|
309 |
301 |
$6K |
| 90471 |
|
175 |
172 |
$6K |
| 77066 |
Tomosynthesis, mammo |
32 |
28 |
$6K |
| J1100 |
Dexamethasone sodium phos |
3,441 |
2,824 |
$6K |
| 86376 |
|
358 |
351 |
$6K |
| 99394 |
|
62 |
62 |
$6K |
| 00811 |
|
67 |
67 |
$6K |
| 82670 |
|
180 |
159 |
$5K |
| 86704 |
|
296 |
290 |
$5K |
| 97163 |
|
53 |
51 |
$5K |
| 99291 |
|
18 |
12 |
$5K |
| 81003 |
|
1,271 |
1,231 |
$5K |
| 92523 |
|
24 |
24 |
$5K |
| J1170 |
Hydromorphone injection |
2,142 |
1,315 |
$5K |
| 85007 |
|
963 |
775 |
$5K |
| 87801 |
|
50 |
48 |
$5K |
| A9502 |
Tc99m tetrofosmin |
68 |
37 |
$5K |
| 80377 |
|
202 |
195 |
$5K |
| 87338 |
|
291 |
289 |
$5K |
| 20611 |
|
18 |
16 |
$5K |
| 86708 |
|
256 |
254 |
$4K |
| 86850 |
|
366 |
343 |
$4K |
| 87340 |
|
325 |
322 |
$4K |
| H0049 |
Alcohol/drug screening |
80 |
80 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
494 |
456 |
$4K |
| 86695 |
|
292 |
236 |
$4K |
| A9270 |
Non-covered item or service |
1,847 |
763 |
$4K |
| A9579 |
Gad-base mr contrast nos,1ml |
209 |
195 |
$4K |
| 87430 |
|
254 |
248 |
$4K |
| 83615 |
|
540 |
455 |
$4K |
| 87254 |
|
160 |
155 |
$4K |
| 83002 |
|
168 |
168 |
$4K |
| 97113 |
|
31 |
13 |
$3K |
| 77080 |
|
44 |
40 |
$3K |
| 82140 |
|
234 |
199 |
$3K |
| 95806 |
|
13 |
12 |
$3K |
| 86900 |
|
467 |
437 |
$3K |
| 87205 |
|
518 |
474 |
$3K |
| A9500 |
Tc99m sestamibi |
115 |
108 |
$3K |
| 90756 |
|
88 |
87 |
$3K |
| 90792 |
|
24 |
24 |
$3K |
| 86160 |
|
189 |
97 |
$3K |
| 86901 |
|
468 |
437 |
$3K |
| 36430 |
|
13 |
12 |
$3K |
| 73590 |
|
30 |
26 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
2,076 |
1,935 |
$3K |
| J7120 |
Ringers lactate infusion |
907 |
739 |
$3K |
| G0103 |
Psa screening |
111 |
108 |
$3K |
| J1650 |
Inj enoxaparin sodium |
226 |
153 |
$3K |
| 11721 |
|
48 |
47 |
$3K |
| 80069 |
|
255 |
232 |
$3K |
| 72114 |
|
21 |
15 |
$2K |
| 94010 |
|
14 |
13 |
$2K |
| 86592 |
|
336 |
317 |
$2K |
| 82105 |
|
130 |
123 |
$2K |
| 82553 |
|
167 |
164 |
$2K |
| 90836 |
|
33 |
31 |
$2K |
| 92551 |
|
138 |
110 |
$2K |
| 87661 |
|
75 |
75 |
$2K |
| 73090 |
|
31 |
30 |
$2K |
| 87624 |
|
199 |
198 |
$2K |
| 95886 |
|
38 |
36 |
$2K |
| 85018 |
|
532 |
486 |
$2K |
| 76641 |
|
16 |
12 |
$2K |
| 93971 |
|
16 |
12 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,660 |
1,026 |
$2K |
| 97602 |
|
20 |
13 |
$2K |
| 84403 |
|
54 |
50 |
$2K |
| 97597 |
|
23 |
12 |
$2K |
| 82274 |
|
109 |
106 |
$2K |
| 83525 |
|
104 |
103 |
$2K |
| 82390 |
|
130 |
129 |
$2K |
| 73080 |
|
13 |
13 |
$2K |
| 81002 |
|
633 |
609 |
$1K |
| 97150 |
|
53 |
24 |
$1K |
| 97802 |
|
14 |
14 |
$1K |
| J2930 |
Methylprednisolone injection |
314 |
259 |
$1K |
| 84146 |
|
63 |
63 |
$1K |
| J0136 |
Inj, acetaminophen (b braun) |
408 |
387 |
$1K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
380 |
342 |
$1K |
| 95909 |
|
12 |
12 |
$1K |
| 82248 |
|
218 |
205 |
$1K |
| 92552 |
|
42 |
41 |
$1K |
| J2795 |
Ropivacaine hcl injection |
473 |
351 |
$1K |
| 86255 |
|
64 |
37 |
$1K |
| 80329 |
|
118 |
56 |
$1K |
| 80320 |
|
146 |
131 |
$1K |
| 86920 |
|
21 |
12 |
$1K |
| 84100 |
|
223 |
196 |
$1K |
| 69210 |
|
26 |
12 |
$979.14 |
| 97803 |
|
13 |
12 |
$930.02 |
| J2270 |
Morphine sulfate injection |
688 |
539 |
$928.15 |
| J2765 |
Metoclopramide hcl injection |
701 |
635 |
$868.07 |
| 90853 |
|
29 |
16 |
$837.52 |
| 86812 |
|
40 |
39 |
$827.66 |
| 85014 |
|
162 |
150 |
$815.03 |
| 95908 |
|
13 |
12 |
$799.77 |
| 82310 |
|
162 |
155 |
$797.29 |
| 84425 |
|
41 |
40 |
$781.30 |
| 97166 |
|
13 |
13 |
$765.20 |
| 86381 |
|
28 |
28 |
$755.30 |
| J7040 |
Normal saline solution infus |
367 |
333 |
$695.90 |
| J1200 |
Diphenhydramine hcl injectio |
1,076 |
876 |
$683.56 |
| 99232 |
|
38 |
14 |
$659.12 |
| 86015 |
|
43 |
43 |
$627.76 |
| J0171 |
Adrenalin epinephrine inject |
87 |
67 |
$627.29 |
| J0330 |
Succinycholine chloride inj |
101 |
91 |
$593.18 |
| 83520 |
|
27 |
27 |
$590.64 |
| J1815 |
Insulin injection |
657 |
309 |
$563.50 |
| 99202 |
|
12 |
12 |
$537.20 |
| 90460 |
|
17 |
17 |
$491.60 |
| J1010 |
Inj, methylpred acetate 1 mg |
186 |
181 |
$425.10 |
| 82977 |
|
47 |
44 |
$424.92 |
| 82077 |
|
16 |
15 |
$420.95 |
| C9113 |
Inj pantoprazole sodium, via |
93 |
75 |
$420.00 |
| 99211 |
|
29 |
28 |
$416.89 |
| 90839 |
|
17 |
15 |
$412.45 |
| 99217 |
|
28 |
25 |
$359.03 |
| 84165 |
|
28 |
28 |
$350.05 |
| 90658 |
|
29 |
29 |
$346.76 |
| 80143 |
|
13 |
12 |
$339.00 |
| 90715 |
|
13 |
13 |
$325.92 |
| G2012 |
Brief check in by md/qhp |
90 |
64 |
$319.29 |
| J0780 |
Prochlorperazine injection |
63 |
57 |
$313.03 |
| J7620 |
Albuterol ipratrop non-comp |
438 |
196 |
$294.37 |
| J2272 |
Inj, morphine (fresenius) |
168 |
138 |
$286.43 |
| 86308 |
|
30 |
29 |
$279.89 |
| 82040 |
|
52 |
50 |
$264.92 |
| U0002 |
Covid-19 lab test non-cdc |
24 |
23 |
$256.66 |
| J2919 |
Inj, methylpred sod succ 5mg |
52 |
44 |
$247.40 |
| 80349 |
|
27 |
27 |
$239.58 |
| G2211 |
Complex e/m visit add on |
16 |
16 |
$224.00 |
| 86334 |
|
14 |
13 |
$222.09 |
| 80324 |
|
36 |
36 |
$218.28 |
| 84590 |
|
13 |
12 |
$189.34 |
| J2550 |
Promethazine hcl injection |
237 |
169 |
$185.36 |
| J2060 |
Lorazepam injection |
247 |
185 |
$180.72 |
| 83516 |
|
13 |
12 |
$171.71 |
| J2360 |
Orphenadrine injection |
27 |
27 |
$165.57 |
| 84630 |
|
13 |
13 |
$145.39 |
| 84478 |
|
15 |
13 |
$139.18 |
| 84144 |
|
12 |
12 |
$137.48 |
| 80361 |
|
14 |
13 |
$112.69 |
| J0690 |
Cefazolin sodium injection |
98 |
93 |
$109.34 |
| Q0163 |
Diphenhydramine hcl 50mg |
687 |
597 |
$100.81 |
| 84520 |
|
13 |
13 |
$77.31 |
| V2632 |
Post chmbr intraocular lens |
14 |
14 |
$75.60 |
| J3480 |
Inj potassium chloride |
21 |
15 |
$50.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
15 |
15 |
$32.87 |
| J8540 |
Oral dexamethasone |
15 |
13 |
$31.47 |
| J1940 |
Furosemide injection |
14 |
13 |
$29.21 |
| J7060 |
5% dextrose/water |
17 |
12 |
$28.80 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
16 |
16 |
$25.41 |
| J1580 |
Garamycin gentamicin inj |
32 |
26 |
$19.47 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
13 |
$17.50 |
| J3475 |
Inj magnesium sulfate |
17 |
17 |
$12.25 |
| G8979 |
Mobility goal status |
28 |
25 |
$0.44 |
| 80050 |
|
63 |
63 |
$0.00 |