| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
15,860 |
15,119 |
$2.86M |
| 99284 |
|
12,030 |
11,554 |
$2.11M |
| 99285 |
|
9,357 |
8,927 |
$1.57M |
| 97110 |
|
21,264 |
6,094 |
$1.39M |
| 96361 |
|
4,421 |
4,191 |
$1.25M |
| 74177 |
|
2,306 |
2,274 |
$701K |
| 87637 |
|
6,110 |
5,961 |
$659K |
| 70450 |
|
2,164 |
2,127 |
$646K |
| 97140 |
|
18,780 |
5,414 |
$558K |
| 96365 |
|
2,146 |
1,803 |
$482K |
| 99282 |
|
2,455 |
2,399 |
$447K |
| 43239 |
|
526 |
525 |
$382K |
| 80053 |
|
13,560 |
12,301 |
$318K |
| 96360 |
|
1,545 |
1,482 |
$310K |
| 74176 |
|
606 |
596 |
$184K |
| 36415 |
|
18,650 |
9,491 |
$171K |
| 97161 |
|
1,371 |
1,365 |
$162K |
| 45380 |
|
184 |
184 |
$156K |
| 96366 |
|
454 |
435 |
$81K |
| 76700 |
|
343 |
341 |
$72K |
| 87651 |
|
1,780 |
1,748 |
$65K |
| 59025 |
|
253 |
201 |
$61K |
| 80076 |
|
2,542 |
2,450 |
$60K |
| U0002 |
Covid-19 lab test non-cdc |
2,167 |
2,107 |
$56K |
| 77067 |
|
883 |
883 |
$55K |
| 80048 |
|
3,725 |
3,477 |
$55K |
| 88305 |
|
1,429 |
1,412 |
$55K |
| 86850 |
|
1,239 |
1,202 |
$54K |
| 87502 |
|
1,308 |
1,288 |
$50K |
| 45378 |
|
53 |
53 |
$49K |
| 97162 |
|
349 |
344 |
$48K |
| 87635 |
|
989 |
976 |
$45K |
| 88342 |
|
659 |
656 |
$42K |
| 76830 |
|
501 |
492 |
$41K |
| 86900 |
|
1,690 |
1,260 |
$40K |
| 71260 |
|
154 |
152 |
$38K |
| 12001 |
|
73 |
73 |
$38K |
| 96372 |
|
2,509 |
2,320 |
$37K |
| 86901 |
|
1,363 |
953 |
$36K |
| 45385 |
|
69 |
68 |
$35K |
| 87491 |
|
838 |
825 |
$31K |
| 76801 |
|
252 |
220 |
$26K |
| 85610 |
|
7,531 |
7,089 |
$24K |
| 93971 |
|
121 |
120 |
$18K |
| 96374 |
|
6,813 |
6,341 |
$18K |
| 83880 |
|
612 |
590 |
$18K |
| 80307 |
|
367 |
354 |
$16K |
| 87591 |
|
837 |
825 |
$16K |
| 76641 |
|
578 |
576 |
$14K |
| 29125 |
|
52 |
52 |
$13K |
| 96375 |
|
4,539 |
4,154 |
$13K |
| 97112 |
|
320 |
147 |
$12K |
| 81025 |
|
3,566 |
3,479 |
$12K |
| 76856 |
|
49 |
49 |
$10K |
| 85025 |
|
11,346 |
10,127 |
$8K |
| 70551 |
|
24 |
24 |
$8K |
| 99281 |
|
34 |
34 |
$6K |
| 96368 |
|
99 |
92 |
$6K |
| 71046 |
|
1,053 |
1,043 |
$6K |
| 93005 |
|
5,376 |
4,816 |
$5K |
| 71045 |
|
5,076 |
4,869 |
$5K |
| G0481 |
Drug test def 8-14 classes |
145 |
141 |
$5K |
| 90715 |
|
167 |
167 |
$4K |
| 93017 |
|
33 |
32 |
$4K |
| 72125 |
|
44 |
44 |
$4K |
| 73030 |
|
449 |
431 |
$4K |
| 84443 |
|
639 |
618 |
$4K |
| 73564 |
|
235 |
235 |
$4K |
| J7030 |
Normal saline solution infus |
3,176 |
2,842 |
$3K |
| 82803 |
|
112 |
98 |
$3K |
| 29530 |
|
13 |
13 |
$3K |
| 29515 |
|
12 |
12 |
$3K |
| 77063 |
|
477 |
477 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,469 |
1,420 |
$3K |
| 84484 |
|
4,134 |
3,461 |
$3K |
| 90714 |
|
100 |
100 |
$3K |
| 76705 |
|
56 |
55 |
$2K |
| 87798 |
|
95 |
47 |
$2K |
| 84439 |
|
386 |
376 |
$2K |
| 99291 |
|
12 |
12 |
$2K |
| 85730 |
|
2,423 |
2,320 |
$2K |
| 87636 |
|
126 |
123 |
$2K |
| 73610 |
|
524 |
510 |
$2K |
| 83036 |
|
239 |
238 |
$2K |
| 88304 |
|
28 |
28 |
$2K |
| 77065 |
Tomosynthesis, mammo |
29 |
27 |
$2K |
| 76817 |
|
13 |
13 |
$2K |
| 73130 |
|
235 |
234 |
$2K |
| 85055 |
|
43 |
38 |
$2K |
| J7120 |
Ringers lactate infusion |
1,231 |
1,123 |
$2K |
| 72170 |
|
209 |
208 |
$1K |
| 73630 |
|
379 |
373 |
$1K |
| 83605 |
|
1,229 |
1,129 |
$1K |
| 81001 |
|
4,772 |
4,544 |
$1K |
| 83735 |
|
2,937 |
2,677 |
$1K |
| 80061 |
|
171 |
170 |
$1K |
| 82728 |
|
99 |
97 |
$1K |
| A9585 |
Gadobutrol injection |
70 |
69 |
$1K |
| 84703 |
|
2,129 |
2,046 |
$1K |
| 72100 |
|
169 |
168 |
$1K |
| 36591 |
|
35 |
35 |
$951.91 |
| 83690 |
|
3,642 |
3,399 |
$940.05 |
| 76805 |
|
13 |
13 |
$936.73 |
| 82248 |
|
1,382 |
1,259 |
$908.95 |
| 82150 |
|
1,514 |
1,420 |
$892.36 |
| 83615 |
|
222 |
189 |
$872.62 |
| 90471 |
|
259 |
248 |
$854.73 |
| 76819 |
|
16 |
12 |
$848.30 |
| 77080 |
|
12 |
12 |
$806.54 |
| 76536 |
|
37 |
37 |
$777.00 |
| 85027 |
|
821 |
764 |
$763.67 |
| J7050 |
Normal saline solution infus |
533 |
411 |
$718.55 |
| 84702 |
|
544 |
482 |
$690.80 |
| 87086 |
|
1,214 |
1,177 |
$666.64 |
| 72114 |
|
29 |
29 |
$626.03 |
| 94640 |
|
991 |
900 |
$585.21 |
| J2405 |
Ondansetron hcl injection |
3,671 |
3,366 |
$546.46 |
| G0463 |
Hospital outpt clinic visit |
26 |
12 |
$538.46 |
| 73110 |
|
97 |
92 |
$538.09 |
| 36416 |
|
35 |
33 |
$479.97 |
| 85379 |
|
1,070 |
1,046 |
$474.31 |
| 83540 |
|
95 |
92 |
$471.12 |
| 82962 |
|
992 |
577 |
$431.11 |
| 83550 |
|
84 |
81 |
$411.28 |
| 87081 |
|
1,069 |
1,049 |
$396.27 |
| 96376 |
|
409 |
402 |
$378.18 |
| J1100 |
Dexamethasone sodium phos |
1,487 |
1,405 |
$360.71 |
| J0696 |
Ceftriaxone sodium injection |
111 |
96 |
$355.47 |
| 73562 |
|
115 |
114 |
$329.74 |
| 72110 |
|
12 |
12 |
$312.00 |
| 82378 |
|
16 |
15 |
$293.27 |
| 81003 |
|
1,074 |
1,045 |
$272.08 |
| J7040 |
Normal saline solution infus |
116 |
112 |
$261.90 |
| 87040 |
|
1,014 |
594 |
$259.52 |
| 86300 |
|
13 |
12 |
$251.78 |
| 82948 |
|
504 |
362 |
$155.54 |
| 86140 |
|
101 |
99 |
$151.96 |
| J2274 |
Inj morphine pf epid ithc |
511 |
468 |
$107.76 |
| 85652 |
|
176 |
168 |
$83.44 |
| 87070 |
|
770 |
759 |
$80.18 |
| J2930 |
Methylprednisolone injection |
70 |
63 |
$61.37 |
| J2704 |
Inj, propofol, 10 mg |
1,375 |
1,261 |
$52.10 |
| J1885 |
Ketorolac tromethamine inj |
3,026 |
2,839 |
$50.25 |
| 73502 |
|
12 |
12 |
$44.88 |
| 84100 |
|
120 |
109 |
$39.47 |
| G0480 |
Drug test def 1-7 classes |
24 |
12 |
$33.55 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
177 |
174 |
$29.78 |
| 80299 |
|
73 |
72 |
$29.61 |
| 74018 |
|
31 |
28 |
$28.00 |
| 80320 |
|
225 |
214 |
$25.25 |
| J7060 |
5% dextrose/water |
18 |
12 |
$24.58 |
| J3010 |
Fentanyl citrate injection |
1,227 |
1,198 |
$19.31 |
| 86618 |
|
45 |
45 |
$18.83 |
| J0690 |
Cefazolin sodium injection |
231 |
217 |
$15.79 |
| J2270 |
Morphine sulfate injection |
271 |
233 |
$14.19 |
| 87430 |
|
586 |
576 |
$10.40 |
| 73560 |
|
74 |
71 |
$10.10 |
| J1170 |
Hydromorphone injection |
171 |
141 |
$9.73 |
| 87077 |
|
32 |
32 |
$9.70 |
| J2765 |
Metoclopramide hcl injection |
674 |
651 |
$7.19 |
| J2250 |
Inj midazolam hydrochloride |
1,051 |
1,015 |
$6.95 |
| J2272 |
Inj, morphine (fresenius) |
189 |
177 |
$6.93 |
| 87186 |
|
32 |
32 |
$6.59 |
| J1200 |
Diphenhydramine hcl injectio |
656 |
614 |
$5.85 |
| J2001 |
Lidocaine injection |
769 |
710 |
$4.81 |
| J2060 |
Lorazepam injection |
14 |
12 |
$1.75 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
76 |
74 |
$0.28 |
| Q0162 |
Ondansetron oral |
392 |
378 |
$0.08 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
12 |
$0.00 |
| 99080 |
|
303 |
55 |
$0.00 |
| 80179 |
|
14 |
14 |
$0.00 |
| 86753 |
|
24 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
182 |
162 |
$0.00 |
| 82550 |
|
66 |
63 |
$0.00 |
| 87147 |
|
16 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
64 |
64 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
74 |
70 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
38 |
38 |
$0.00 |
| 86617 |
|
24 |
14 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
13 |
13 |
$0.00 |
| 87205 |
|
13 |
13 |
$0.00 |