| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
12,349 |
11,879 |
$2.51M |
| 99285 |
|
6,887 |
6,557 |
$1.64M |
| 99283 |
|
11,385 |
10,993 |
$1.56M |
| U0003 |
Cov-19 amp prb hgh thruput |
4,549 |
4,377 |
$387K |
| 87637 |
|
1,620 |
1,588 |
$238K |
| 80053 |
|
25,449 |
24,083 |
$237K |
| G0378 |
Hospital observation per hr |
416 |
364 |
$234K |
| 96374 |
|
2,747 |
2,517 |
$225K |
| 74177 |
|
1,206 |
1,153 |
$202K |
| 99282 |
|
1,696 |
1,639 |
$135K |
| 80061 |
|
8,251 |
8,126 |
$119K |
| 0202U |
|
1,166 |
1,124 |
$114K |
| 85025 |
|
21,057 |
20,008 |
$106K |
| 93005 |
|
6,114 |
5,723 |
$100K |
| 84443 |
|
5,039 |
4,926 |
$98K |
| 80307 |
|
1,385 |
1,306 |
$70K |
| 70450 |
|
1,172 |
1,108 |
$68K |
| 71045 |
|
4,122 |
3,891 |
$67K |
| 71275 |
|
340 |
329 |
$66K |
| 95810 |
|
127 |
126 |
$65K |
| 82306 |
|
1,893 |
1,841 |
$63K |
| 87481 |
|
1,267 |
910 |
$61K |
| 84702 |
|
4,465 |
4,093 |
$59K |
| 77067 |
|
681 |
674 |
$57K |
| 93306 |
|
568 |
546 |
$47K |
| T1015 |
Clinic service |
1,313 |
622 |
$46K |
| 36415 |
|
13,990 |
13,006 |
$42K |
| 70553 |
|
186 |
177 |
$42K |
| 83036 |
|
5,690 |
5,576 |
$42K |
| U0004 |
Cov-19 test non-cdc hgh thru |
479 |
473 |
$40K |
| 76817 |
|
626 |
572 |
$36K |
| 87661 |
|
996 |
971 |
$36K |
| 87491 |
|
1,456 |
1,417 |
$36K |
| 76830 |
|
691 |
655 |
$34K |
| 74176 |
|
385 |
368 |
$32K |
| 71046 |
|
1,235 |
1,187 |
$32K |
| 82607 |
|
2,363 |
2,326 |
$31K |
| 85027 |
|
4,680 |
4,195 |
$30K |
| 87591 |
|
1,308 |
1,271 |
$30K |
| 84484 |
|
2,994 |
2,690 |
$29K |
| 96361 |
|
1,652 |
1,532 |
$27K |
| 80048 |
|
3,393 |
3,052 |
$27K |
| 72125 |
|
450 |
424 |
$25K |
| 83880 |
|
871 |
823 |
$25K |
| 96375 |
|
1,281 |
1,167 |
$25K |
| 80050 |
|
452 |
440 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,809 |
3,539 |
$24K |
| 93971 |
|
344 |
321 |
$23K |
| 87389 |
|
801 |
787 |
$21K |
| 0241U |
|
517 |
502 |
$21K |
| 87624 |
|
505 |
498 |
$21K |
| 76705 |
|
516 |
508 |
$19K |
| 87086 |
|
2,387 |
2,262 |
$19K |
| G0480 |
Drug test def 1-7 classes |
355 |
330 |
$18K |
| 86803 |
|
916 |
902 |
$18K |
| 87150 |
|
368 |
365 |
$17K |
| 76805 |
|
330 |
325 |
$17K |
| 71250 |
|
294 |
277 |
$17K |
| 76856 |
|
358 |
346 |
$16K |
| 83605 |
|
2,252 |
2,057 |
$16K |
| 96365 |
|
526 |
378 |
$15K |
| 88142 |
|
868 |
853 |
$15K |
| 83690 |
|
3,204 |
3,002 |
$15K |
| 76536 |
|
278 |
275 |
$14K |
| 71260 |
|
226 |
215 |
$14K |
| 86900 |
|
1,360 |
1,267 |
$14K |
| 88305 |
|
791 |
735 |
$13K |
| 78452 |
|
95 |
86 |
$13K |
| 76700 |
|
243 |
234 |
$13K |
| 96372 |
|
1,176 |
869 |
$13K |
| 77066 |
Tomosynthesis, mammo |
138 |
137 |
$13K |
| 76816 |
|
280 |
268 |
$13K |
| 81001 |
|
4,477 |
4,285 |
$11K |
| 76801 |
|
274 |
249 |
$11K |
| 84439 |
|
1,339 |
1,307 |
$11K |
| 72148 |
|
61 |
58 |
$10K |
| 87631 |
|
69 |
66 |
$10K |
| 70551 |
|
56 |
52 |
$10K |
| 76815 |
|
234 |
229 |
$10K |
| 86850 |
|
1,275 |
1,211 |
$10K |
| 76642 |
|
241 |
210 |
$10K |
| 87636 |
|
55 |
55 |
$9K |
| 82570 |
|
1,351 |
1,318 |
$9K |
| 83735 |
|
1,675 |
1,466 |
$9K |
| 11042 |
|
62 |
40 |
$9K |
| 82728 |
|
732 |
701 |
$8K |
| 93970 |
|
92 |
89 |
$8K |
| 82805 |
|
263 |
251 |
$8K |
| 76770 |
|
192 |
186 |
$8K |
| 82043 |
|
995 |
982 |
$8K |
| 76819 |
|
138 |
84 |
$7K |
| 93976 |
|
94 |
87 |
$7K |
| 87340 |
|
549 |
539 |
$7K |
| 84145 |
|
384 |
359 |
$7K |
| 96360 |
|
322 |
307 |
$7K |
| 87635 |
|
206 |
200 |
$7K |
| 87511 |
|
717 |
696 |
$6K |
| 84144 |
|
335 |
269 |
$6K |
| 86618 |
|
251 |
246 |
$6K |
| 85610 |
|
2,169 |
1,835 |
$6K |
| 87040 |
|
335 |
308 |
$6K |
| 82077 |
|
845 |
791 |
$6K |
| 77063 |
|
259 |
258 |
$6K |
| 93017 |
|
227 |
192 |
$6K |
| 90715 |
|
335 |
324 |
$6K |
| 95811 |
|
13 |
13 |
$6K |
| 70486 |
|
78 |
76 |
$5K |
| 73610 |
|
285 |
262 |
$5K |
| 85379 |
|
529 |
498 |
$5K |
| A9585 |
Gadobutrol injection |
446 |
418 |
$5K |
| 87651 |
|
117 |
117 |
$5K |
| 83540 |
|
582 |
564 |
$5K |
| 86901 |
|
1,252 |
1,160 |
$5K |
| 73030 |
|
324 |
286 |
$4K |
| 80081 |
|
48 |
46 |
$4K |
| 83655 |
|
378 |
368 |
$4K |
| J7030 |
Normal saline solution infus |
4,960 |
4,328 |
$4K |
| 84146 |
|
169 |
165 |
$4K |
| 84481 |
|
167 |
164 |
$4K |
| 59899 |
|
95 |
82 |
$4K |
| 73721 |
|
13 |
13 |
$4K |
| A9502 |
Tc99m tetrofosmin |
118 |
78 |
$4K |
| 84403 |
|
153 |
148 |
$4K |
| 87109 |
|
246 |
240 |
$4K |
| 94729 |
|
168 |
164 |
$4K |
| 83001 |
|
216 |
212 |
$4K |
| 86762 |
|
245 |
241 |
$4K |
| 99281 |
|
169 |
162 |
$4K |
| 82652 |
|
76 |
76 |
$4K |
| 87186 |
|
465 |
452 |
$4K |
| 87430 |
|
552 |
537 |
$4K |
| 73560 |
|
256 |
208 |
$4K |
| 73630 |
|
311 |
272 |
$4K |
| 94664 |
|
380 |
346 |
$3K |
| 83970 |
|
89 |
87 |
$3K |
| 72100 |
|
173 |
161 |
$3K |
| 82670 |
|
153 |
137 |
$3K |
| 94726 |
|
149 |
145 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
31 |
30 |
$3K |
| G0279 |
Tomosynthesis, mammo |
161 |
158 |
$3K |
| 82950 |
|
428 |
422 |
$3K |
| 83002 |
|
175 |
171 |
$3K |
| 86140 |
|
1,017 |
939 |
$3K |
| 86317 |
|
136 |
135 |
$3K |
| 87070 |
|
452 |
422 |
$3K |
| 73130 |
|
258 |
235 |
$3K |
| 86038 |
|
184 |
178 |
$3K |
| 80143 |
|
351 |
334 |
$3K |
| 82550 |
|
428 |
396 |
$3K |
| 70498 |
|
17 |
17 |
$3K |
| 87077 |
|
342 |
332 |
$3K |
| 80179 |
|
343 |
328 |
$3K |
| 85652 |
|
903 |
846 |
$2K |
| 99291 |
|
28 |
27 |
$2K |
| 97161 |
|
97 |
86 |
$2K |
| 85730 |
|
526 |
487 |
$2K |
| 88342 |
|
91 |
84 |
$2K |
| 80076 |
|
250 |
243 |
$2K |
| 97597 |
|
42 |
26 |
$2K |
| 74018 |
|
181 |
170 |
$2K |
| 81003 |
|
880 |
840 |
$2K |
| 73502 |
|
132 |
125 |
$2K |
| 94060 |
|
186 |
182 |
$2K |
| 82962 |
|
1,494 |
796 |
$2K |
| G0108 |
Diab manage trn per indiv |
61 |
58 |
$2K |
| 83550 |
|
469 |
454 |
$2K |
| 83525 |
|
166 |
161 |
$2K |
| 70496 |
|
15 |
15 |
$2K |
| 77065 |
Tomosynthesis, mammo |
28 |
28 |
$2K |
| J1170 |
Hydromorphone injection |
1,265 |
898 |
$2K |
| 86592 |
|
578 |
564 |
$2K |
| 93975 |
|
15 |
14 |
$2K |
| 97110 |
|
168 |
74 |
$2K |
| 97162 |
|
140 |
128 |
$2K |
| 82746 |
|
200 |
195 |
$2K |
| 72110 |
|
80 |
79 |
$2K |
| J2270 |
Morphine sulfate injection |
1,242 |
966 |
$2K |
| 84100 |
|
444 |
362 |
$2K |
| 81025 |
|
502 |
484 |
$2K |
| 84156 |
|
364 |
324 |
$1K |
| 84153 |
|
58 |
57 |
$1K |
| 93880 |
|
31 |
29 |
$1K |
| 84550 |
|
222 |
205 |
$1K |
| S0119 |
Ondansetron 4 mg |
468 |
443 |
$1K |
| 82375 |
|
282 |
268 |
$1K |
| 82947 |
|
298 |
294 |
$1K |
| 84270 |
|
41 |
41 |
$1K |
| 86431 |
|
146 |
141 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
4,302 |
3,875 |
$1K |
| J0690 |
Cefazolin sodium injection |
1,625 |
1,327 |
$1K |
| 73564 |
|
49 |
40 |
$964.76 |
| J2785 |
Regadenoson injection |
17 |
12 |
$958.88 |
| 87088 |
|
123 |
120 |
$953.28 |
| 85018 |
|
331 |
311 |
$914.08 |
| 72170 |
|
136 |
129 |
$899.30 |
| J0696 |
Ceftriaxone sodium injection |
854 |
621 |
$895.02 |
| Q3014 |
Telehealth facility fee |
147 |
123 |
$894.63 |
| 76857 |
|
45 |
43 |
$846.05 |
| J0780 |
Prochlorperazine injection |
335 |
313 |
$843.68 |
| 73590 |
|
58 |
54 |
$840.27 |
| J1100 |
Dexamethasone sodium phos |
2,696 |
2,397 |
$761.40 |
| 96376 |
|
170 |
140 |
$750.84 |
| 73110 |
|
68 |
65 |
$705.87 |
| 82565 |
|
117 |
112 |
$657.96 |
| 83050 |
|
263 |
251 |
$614.45 |
| J3010 |
Fentanyl citrate injection |
2,993 |
2,415 |
$537.35 |
| 80320 |
|
56 |
54 |
$518.60 |
| 73090 |
|
46 |
44 |
$505.41 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$483.26 |
| G0463 |
Hospital outpt clinic visit |
72 |
69 |
$462.73 |
| J2405 |
Ondansetron hcl injection |
5,097 |
4,203 |
$453.84 |
| 94640 |
|
16 |
14 |
$435.21 |
| 90471 |
|
118 |
113 |
$376.50 |
| 88304 |
|
45 |
43 |
$341.20 |
| C1894 |
Intro/sheath, non-laser |
26 |
25 |
$332.00 |
| 86800 |
|
16 |
16 |
$331.90 |
| 86696 |
|
13 |
13 |
$322.50 |
| J0330 |
Succinycholine chloride inj |
88 |
64 |
$322.13 |
| 80329 |
|
28 |
26 |
$317.73 |
| C8929 |
Tte w or wo fol wcon,doppler |
50 |
47 |
$306.00 |
| 96366 |
|
35 |
26 |
$292.16 |
| 87075 |
|
44 |
42 |
$282.83 |
| 86695 |
|
13 |
13 |
$274.54 |
| 86694 |
|
12 |
12 |
$271.46 |
| 87880 |
|
53 |
53 |
$269.06 |
| 82040 |
|
68 |
68 |
$228.55 |
| 3044F |
|
588 |
574 |
$206.41 |
| 80164 |
|
14 |
14 |
$206.37 |
| 73562 |
|
15 |
12 |
$199.30 |
| 84520 |
|
41 |
39 |
$191.98 |
| J1200 |
Diphenhydramine hcl injectio |
806 |
707 |
$191.83 |
| S0028 |
Injection, famotidine, 20 mg |
113 |
97 |
$186.51 |
| 74230 |
|
12 |
12 |
$186.30 |
| J1815 |
Insulin injection |
181 |
72 |
$176.82 |
| 87205 |
|
49 |
47 |
$157.46 |
| S0020 |
Injection, bupivicaine hydro |
229 |
159 |
$154.92 |
| J2250 |
Inj midazolam hydrochloride |
2,174 |
1,836 |
$144.00 |
| 73070 |
|
14 |
13 |
$143.92 |
| 86376 |
|
16 |
16 |
$142.31 |
| J2060 |
Lorazepam injection |
305 |
241 |
$132.53 |
| J7040 |
Normal saline solution infus |
206 |
186 |
$122.89 |
| C1769 |
Guide wire |
12 |
12 |
$108.00 |
| J7050 |
Normal saline solution infus |
385 |
198 |
$101.50 |
| 85007 |
|
26 |
26 |
$100.67 |
| J1644 |
Inj heparin sodium per 1000u |
402 |
239 |
$98.29 |
| J2765 |
Metoclopramide hcl injection |
127 |
112 |
$90.62 |
| 94618 |
|
16 |
15 |
$72.49 |
| C1729 |
Cath, drainage |
14 |
13 |
$72.00 |
| J1650 |
Inj enoxaparin sodium |
155 |
81 |
$68.06 |
| J7120 |
Ringers lactate infusion |
896 |
808 |
$52.68 |
| J7512 |
Prednisone ir or dr oral 1mg |
224 |
171 |
$51.10 |
| J8540 |
Oral dexamethasone |
41 |
40 |
$49.25 |
| J1630 |
Haloperidol injection |
13 |
12 |
$15.37 |
| 90834 |
|
117 |
61 |
$13.48 |
| J2370 |
Phenylephrine hcl injection |
42 |
26 |
$4.13 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
209 |
202 |
$0.00 |
| 90837 |
|
35 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
46 |
$0.00 |
| J1756 |
Iron sucrose injection |
135 |
55 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
47 |
46 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
16 |
14 |
$0.00 |
| J3490 |
Drugs unclassified injection |
251 |
242 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,334 |
1,145 |
$0.00 |
| J2001 |
Lidocaine injection |
42 |
40 |
$0.00 |