| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
37,026 |
35,543 |
$6.02M |
| G0378 |
Hospital observation per hr |
8,389 |
3,183 |
$2.26M |
| 99283 |
|
19,757 |
18,790 |
$2.03M |
| 99285 |
|
11,559 |
11,092 |
$2.00M |
| T1015 |
Clinic service |
14,401 |
12,983 |
$398K |
| 96374 |
|
18,156 |
17,290 |
$327K |
| 74177 |
|
2,391 |
2,338 |
$279K |
| 70450 |
|
4,307 |
4,144 |
$204K |
| 66984 |
|
209 |
195 |
$180K |
| 80307 |
|
3,783 |
3,406 |
$165K |
| 85025 |
|
41,293 |
34,704 |
$140K |
| 80053 |
|
17,891 |
16,422 |
$130K |
| 93005 |
|
18,287 |
17,113 |
$117K |
| 80048 |
|
20,007 |
16,172 |
$96K |
| 96375 |
|
7,955 |
7,057 |
$89K |
| 0241U |
|
1,586 |
1,558 |
$83K |
| 73721 |
|
319 |
312 |
$81K |
| 72125 |
|
1,421 |
1,387 |
$70K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,204 |
1,142 |
$69K |
| 71045 |
|
13,108 |
12,485 |
$66K |
| 71275 |
|
506 |
494 |
$65K |
| 43239 |
|
331 |
324 |
$64K |
| 73221 |
|
261 |
253 |
$59K |
| 70551 |
|
348 |
342 |
$57K |
| 84484 |
|
9,082 |
8,280 |
$55K |
| 72148 |
|
383 |
373 |
$49K |
| M0243 |
Casirivi and imdevi inj |
140 |
139 |
$49K |
| J0475 |
Baclofen 10 mg injection |
538 |
522 |
$46K |
| 71260 |
|
742 |
735 |
$38K |
| 74176 |
|
597 |
569 |
$36K |
| 96413 |
|
466 |
290 |
$34K |
| 73610 |
|
2,329 |
2,144 |
$34K |
| 99282 |
|
600 |
573 |
$34K |
| 73630 |
|
3,819 |
3,519 |
$34K |
| 72141 |
|
187 |
184 |
$34K |
| G0399 |
Home sleep test/type 3 porta |
271 |
270 |
$33K |
| J3490 |
Drugs unclassified injection |
13,629 |
7,994 |
$32K |
| 70498 |
|
239 |
235 |
$30K |
| 83735 |
|
9,229 |
6,309 |
$29K |
| 16020 |
|
1,423 |
1,030 |
$28K |
| 70496 |
|
215 |
213 |
$28K |
| 70486 |
|
509 |
498 |
$27K |
| 93306 |
|
576 |
562 |
$26K |
| 78452 |
|
213 |
208 |
$26K |
| 70553 |
|
119 |
117 |
$22K |
| Q3014 |
Telehealth facility fee |
1,397 |
1,313 |
$22K |
| 80050 |
|
574 |
551 |
$20K |
| 99281 |
|
670 |
621 |
$20K |
| 76817 |
|
336 |
325 |
$19K |
| 73030 |
|
1,448 |
1,372 |
$18K |
| 84100 |
|
6,802 |
4,482 |
$18K |
| 76801 |
|
435 |
422 |
$17K |
| 93975 |
|
192 |
187 |
$17K |
| 45385 |
|
54 |
50 |
$16K |
| 96372 |
|
2,160 |
1,652 |
$16K |
| 87491 |
|
978 |
948 |
$15K |
| 76705 |
|
525 |
515 |
$15K |
| 83690 |
|
4,835 |
4,538 |
$15K |
| 11042 |
|
459 |
305 |
$15K |
| 87591 |
|
982 |
952 |
$15K |
| 93971 |
|
296 |
276 |
$14K |
| 71250 |
|
317 |
301 |
$14K |
| 84443 |
|
988 |
947 |
$14K |
| 73564 |
|
793 |
762 |
$13K |
| 80061 |
|
1,396 |
1,342 |
$13K |
| 84703 |
|
1,824 |
1,800 |
$12K |
| 81025 |
|
4,751 |
4,560 |
$12K |
| 76811 |
|
133 |
132 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,099 |
9,463 |
$12K |
| 71046 |
|
1,040 |
997 |
$11K |
| 87635 |
|
588 |
537 |
$11K |
| J1815 |
Insulin injection |
1,442 |
759 |
$11K |
| 90715 |
|
1,690 |
1,635 |
$10K |
| 85730 |
|
2,668 |
2,564 |
$10K |
| 96367 |
|
525 |
350 |
$10K |
| 82306 |
|
571 |
551 |
$10K |
| 96365 |
|
470 |
446 |
$10K |
| 85610 |
|
4,676 |
4,126 |
$10K |
| 74183 |
|
24 |
24 |
$10K |
| 80076 |
|
1,793 |
1,642 |
$9K |
| 82803 |
|
401 |
380 |
$9K |
| 83036 |
|
1,995 |
1,929 |
$8K |
| 72100 |
|
437 |
432 |
$8K |
| J7120 |
Ringers lactate infusion |
26,044 |
12,534 |
$8K |
| 83605 |
|
1,633 |
1,456 |
$8K |
| 45380 |
|
51 |
51 |
$8K |
| 76830 |
|
193 |
191 |
$8K |
| 88305 |
|
837 |
803 |
$8K |
| J2785 |
Regadenoson injection |
153 |
146 |
$7K |
| 81003 |
|
3,585 |
3,414 |
$7K |
| 93017 |
|
266 |
260 |
$7K |
| 83880 |
|
383 |
362 |
$7K |
| 73502 |
|
434 |
419 |
$7K |
| 73562 |
|
472 |
457 |
$7K |
| 82962 |
|
5,332 |
3,461 |
$6K |
| 11721 |
|
759 |
740 |
$6K |
| 73590 |
|
531 |
500 |
$6K |
| 76536 |
|
156 |
152 |
$6K |
| 73700 |
|
113 |
112 |
$6K |
| 73560 |
|
392 |
367 |
$6K |
| 87661 |
|
231 |
225 |
$6K |
| 87040 |
|
590 |
369 |
$6K |
| 87086 |
|
1,132 |
1,052 |
$6K |
| 76775 |
|
173 |
168 |
$6K |
| J3535 |
Metered dose inhaler drug |
1,227 |
1,157 |
$6K |
| 73130 |
|
672 |
638 |
$6K |
| 62370 |
|
262 |
250 |
$6K |
| 96361 |
|
523 |
388 |
$5K |
| 81002 |
|
2,338 |
2,249 |
$5K |
| 85027 |
|
1,575 |
1,353 |
$5K |
| 80305 |
|
821 |
785 |
$5K |
| 82728 |
|
551 |
538 |
$5K |
| G0108 |
Diab manage trn per indiv |
152 |
145 |
$5K |
| 76816 |
|
105 |
105 |
$5K |
| 43235 |
|
25 |
25 |
$5K |
| 80329 |
|
462 |
443 |
$4K |
| 86850 |
|
985 |
948 |
$4K |
| A9577 |
Inj multihance |
742 |
721 |
$4K |
| 96366 |
|
271 |
154 |
$4K |
| 87905 |
|
467 |
452 |
$4K |
| 43248 |
|
12 |
12 |
$4K |
| 82607 |
|
514 |
495 |
$4K |
| 85379 |
|
560 |
546 |
$4K |
| 93970 |
|
71 |
71 |
$4K |
| J1170 |
Hydromorphone injection |
9,657 |
5,039 |
$4K |
| G0472 |
Hep c screen high risk/other |
233 |
226 |
$4K |
| G0008 |
Admin influenza virus vac |
477 |
456 |
$4K |
| 73110 |
|
445 |
425 |
$4K |
| G0480 |
Drug test def 1-7 classes |
63 |
59 |
$3K |
| 64642 |
|
80 |
74 |
$3K |
| 87808 |
|
462 |
447 |
$3K |
| 82565 |
|
1,213 |
1,171 |
$3K |
| 73552 |
|
266 |
255 |
$3K |
| 84439 |
|
675 |
630 |
$3K |
| 94729 |
|
139 |
133 |
$3K |
| 86702 |
|
322 |
314 |
$3K |
| 70544 |
|
17 |
17 |
$3K |
| 84153 |
|
150 |
141 |
$3K |
| 83540 |
|
504 |
487 |
$3K |
| 81001 |
|
1,533 |
1,463 |
$3K |
| 87502 |
|
39 |
39 |
$3K |
| 86701 |
|
322 |
314 |
$3K |
| 82550 |
|
567 |
512 |
$3K |
| G0463 |
Hospital outpt clinic visit |
377 |
285 |
$3K |
| J3473 |
Hyaluronidase recombinant |
572 |
523 |
$2K |
| J8501 |
Oral aprepitant |
362 |
316 |
$2K |
| 87186 |
|
487 |
459 |
$2K |
| 87390 |
|
321 |
313 |
$2K |
| 72131 |
|
48 |
46 |
$2K |
| 82784 |
|
90 |
84 |
$2K |
| 94726 |
|
119 |
112 |
$2K |
| 86901 |
|
989 |
952 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| 86900 |
|
988 |
952 |
$2K |
| 87205 |
|
828 |
795 |
$2K |
| 74018 |
|
230 |
219 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
712 |
614 |
$2K |
| 82043 |
|
351 |
341 |
$2K |
| 82330 |
|
404 |
380 |
$2K |
| 82746 |
|
240 |
234 |
$2K |
| 72170 |
|
290 |
287 |
$2K |
| 87077 |
|
399 |
378 |
$2K |
| J7030 |
Normal saline solution infus |
2,931 |
1,783 |
$2K |
| 84702 |
|
150 |
142 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,165 |
646 |
$2K |
| 85576 |
|
127 |
121 |
$2K |
| 85652 |
|
822 |
761 |
$2K |
| 83550 |
|
491 |
474 |
$2K |
| 86140 |
|
821 |
758 |
$2K |
| 86706 |
|
142 |
138 |
$2K |
| 82977 |
|
200 |
180 |
$2K |
| 87075 |
|
328 |
306 |
$1K |
| 72040 |
|
111 |
111 |
$1K |
| P9045 |
Albumin (human), 5%, 250 ml |
198 |
26 |
$1K |
| 76856 |
|
42 |
41 |
$1K |
| 73090 |
|
183 |
176 |
$1K |
| J0690 |
Cefazolin sodium injection |
3,630 |
2,511 |
$1K |
| 87070 |
|
426 |
401 |
$1K |
| 87340 |
|
113 |
111 |
$1K |
| 73060 |
|
167 |
163 |
$1K |
| 73080 |
|
172 |
167 |
$1K |
| 93923 |
|
26 |
26 |
$1K |
| J0780 |
Prochlorperazine injection |
2,104 |
1,896 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
10,370 |
8,750 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
31 |
31 |
$1K |
| 36430 |
|
14 |
12 |
$1K |
| 97162 |
|
311 |
297 |
$1K |
| C9399 |
Unclassified drugs or biolog |
186 |
160 |
$1K |
| 86803 |
|
76 |
75 |
$1K |
| 86704 |
|
82 |
80 |
$958.93 |
| 86780 |
|
79 |
75 |
$948.53 |
| 88342 |
|
60 |
56 |
$944.97 |
| 94060 |
|
135 |
127 |
$881.11 |
| J1644 |
Inj heparin sodium per 1000u |
2,561 |
982 |
$870.30 |
| 84520 |
|
308 |
296 |
$869.04 |
| J3010 |
Fentanyl citrate injection |
7,334 |
5,691 |
$867.07 |
| 97161 |
|
191 |
187 |
$831.23 |
| J1100 |
Dexamethasone sodium phos |
4,626 |
3,918 |
$824.81 |
| J1650 |
Inj enoxaparin sodium |
3,201 |
1,255 |
$813.79 |
| 76805 |
|
16 |
16 |
$805.40 |
| 82105 |
|
42 |
39 |
$763.91 |
| 76937 |
|
211 |
197 |
$742.52 |
| J1030 |
Methylprednisolone 40 mg inj |
162 |
153 |
$723.76 |
| 88112 |
|
41 |
37 |
$716.95 |
| 76870 |
|
25 |
25 |
$715.75 |
| 85007 |
|
322 |
290 |
$691.48 |
| 82947 |
|
375 |
348 |
$691.07 |
| 95991 |
|
107 |
91 |
$684.02 |
| J2405 |
Ondansetron hcl injection |
14,344 |
11,455 |
$650.58 |
| 70491 |
|
12 |
12 |
$639.38 |
| 84134 |
|
62 |
55 |
$619.02 |
| J2930 |
Methylprednisolone injection |
518 |
461 |
$577.06 |
| U0001 |
2019-ncov diagnostic p |
20 |
20 |
$575.43 |
| 90682 |
|
129 |
113 |
$569.38 |
| 86038 |
|
55 |
54 |
$567.15 |
| 80177 |
|
57 |
53 |
$553.94 |
| 96360 |
|
20 |
12 |
$521.85 |
| 85014 |
|
343 |
322 |
$514.60 |
| 83970 |
|
16 |
14 |
$513.27 |
| J0696 |
Ceftriaxone sodium injection |
2,212 |
1,824 |
$496.39 |
| 77002 |
|
12 |
12 |
$484.07 |
| 11056 |
|
13 |
12 |
$478.07 |
| 87880 |
|
132 |
131 |
$471.12 |
| 94640 |
|
414 |
191 |
$456.20 |
| 0001A |
|
18 |
18 |
$452.00 |
| 76942 |
|
143 |
133 |
$432.06 |
| S0020 |
Injection, bupivicaine hydro |
961 |
808 |
$419.06 |
| 76815 |
|
12 |
12 |
$409.11 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
560 |
334 |
$390.00 |
| 86592 |
|
124 |
119 |
$371.96 |
| 83615 |
|
88 |
73 |
$364.39 |
| 82378 |
|
47 |
40 |
$357.48 |
| J2795 |
Ropivacaine hcl injection |
214 |
179 |
$356.00 |
| 29581 |
|
43 |
36 |
$329.56 |
| 72110 |
|
14 |
14 |
$328.92 |
| 73070 |
|
33 |
30 |
$325.30 |
| J1200 |
Diphenhydramine hcl injectio |
2,582 |
2,199 |
$311.01 |
| 80051 |
|
95 |
92 |
$288.22 |
| 84132 |
|
109 |
100 |
$283.28 |
| J7611 |
Albuterol non-comp con |
1,443 |
1,057 |
$276.43 |
| 73140 |
|
44 |
43 |
$272.07 |
| 99153 |
Mod sedat endo service >5yrs |
143 |
135 |
$264.02 |
| 87147 |
|
74 |
72 |
$258.83 |
| J7999 |
Compounded drug, noc |
3,953 |
2,304 |
$257.93 |
| 90674 |
|
73 |
72 |
$250.78 |
| J2060 |
Lorazepam injection |
2,107 |
1,625 |
$246.05 |
| J1630 |
Haloperidol injection |
933 |
787 |
$242.64 |
| 85018 |
|
152 |
142 |
$235.05 |
| 84165 |
|
25 |
25 |
$233.96 |
| 96376 |
|
549 |
277 |
$224.85 |
| 93308 |
|
12 |
12 |
$212.85 |
| V2632 |
Post chmbr intraocular lens |
65 |
61 |
$212.04 |
| J2250 |
Inj midazolam hydrochloride |
6,077 |
5,348 |
$207.73 |
| 74220 |
|
20 |
18 |
$207.07 |
| 87081 |
|
82 |
77 |
$192.70 |
| J7050 |
Normal saline solution infus |
2,633 |
1,769 |
$186.06 |
| S0028 |
Injection, famotidine, 20 mg |
937 |
766 |
$183.30 |
| 36415 |
|
3,453 |
2,315 |
$182.98 |
| J7040 |
Normal saline solution infus |
423 |
192 |
$173.98 |
| J2270 |
Morphine sulfate injection |
250 |
161 |
$169.75 |
| L1830 |
Ko immob canvas long pre ots |
14 |
14 |
$160.64 |
| J3475 |
Inj magnesium sulfate |
730 |
658 |
$155.26 |
| 84295 |
|
54 |
54 |
$154.71 |
| C9803 |
Hopd covid-19 spec collect |
160 |
135 |
$152.72 |
| 73600 |
|
25 |
24 |
$147.47 |
| 88304 |
|
184 |
181 |
$144.95 |
| 82570 |
|
29 |
27 |
$143.58 |
| J3470 |
Hyaluronidase injection |
45 |
35 |
$141.84 |
| J2704 |
Inj, propofol, 10 mg |
3,491 |
2,807 |
$140.24 |
| 86705 |
|
12 |
12 |
$137.91 |
| 87088 |
|
28 |
26 |
$126.06 |
| 94761 |
|
203 |
185 |
$113.70 |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$94.38 |
| J1953 |
Levetiracetam injection |
108 |
81 |
$93.00 |
| J2765 |
Metoclopramide hcl injection |
389 |
332 |
$88.46 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
14 |
12 |
$85.20 |
| 85049 |
|
51 |
49 |
$75.66 |
| S0119 |
Ondansetron 4 mg |
797 |
655 |
$75.24 |
| J3480 |
Inj potassium chloride |
374 |
253 |
$74.15 |
| 29540 |
|
15 |
12 |
$74.10 |
| 95874 |
|
77 |
68 |
$72.81 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
12 |
$69.96 |
| S0077 |
Injection, clindamycin phosp |
57 |
44 |
$69.53 |
| J3360 |
Diazepam injection |
15 |
12 |
$59.08 |
| J0360 |
Hydralazine hcl injection |
36 |
25 |
$47.44 |
| 64643 |
|
18 |
15 |
$44.77 |
| 82270 |
|
16 |
16 |
$42.32 |
| J0330 |
Succinycholine chloride inj |
247 |
203 |
$40.44 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,048 |
1,514 |
$38.91 |
| J8540 |
Oral dexamethasone |
68 |
46 |
$28.89 |
| J1940 |
Furosemide injection |
57 |
31 |
$28.26 |
| J0131 |
Inj, acetaminophen (nos) |
2,783 |
2,439 |
$27.63 |
| J3301 |
Triamcinolone acet inj nos |
93 |
83 |
$26.28 |
| 99152 |
|
15 |
15 |
$26.14 |
| J1580 |
Garamycin gentamicin inj |
20 |
14 |
$24.36 |
| J3411 |
Thiamine hcl 100 mg |
20 |
12 |
$24.32 |
| 89051 |
|
17 |
13 |
$23.10 |
| J7620 |
Albuterol ipratrop non-comp |
1,390 |
765 |
$20.51 |
| J7613 |
Albuterol non-comp unit |
1,050 |
622 |
$20.06 |
| J7644 |
Ipratropium bromide non-comp |
547 |
417 |
$14.00 |
| 94760 |
|
116 |
84 |
$13.45 |
| 64644 |
|
13 |
12 |
$13.33 |
| A4351 |
Straight tip urine catheter |
25 |
24 |
$3.93 |
| J2543 |
Piperacillin/tazobactam |
77 |
39 |
$1.18 |
| Q0243 |
Casirivimab and imdevimab |
120 |
117 |
$0.69 |
| A4216 |
Sterile water/saline, 10 ml |
127 |
120 |
$0.48 |
| Q0245 |
Bamlanivimab and etesevima |
35 |
29 |
$0.12 |
| 91300 |
|
12 |
12 |
$0.08 |
| J2001 |
Lidocaine injection |
591 |
576 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
70 |
69 |
$0.00 |
| C1769 |
Guide wire |
56 |
54 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| Q0247 |
Sotrovimab |
37 |
37 |
$0.00 |
| 90673 |
|
27 |
27 |
$0.00 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
37 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
13 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
15 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
385 |
358 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
160 |
158 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
266 |
261 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
303 |
202 |
$0.00 |
| 90750 |
|
12 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
41 |
38 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
26 |
26 |
$0.00 |