| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,833 |
21,402 |
$4.27M |
| 99285 |
|
8,981 |
6,361 |
$2.36M |
| 99283 |
|
21,225 |
18,399 |
$2.30M |
| 74177 |
|
1,981 |
1,590 |
$948K |
| 93306 |
|
2,528 |
2,081 |
$878K |
| G0378 |
Hospital observation per hr |
1,950 |
1,424 |
$780K |
| 74176 |
|
1,753 |
1,417 |
$760K |
| 93458 |
|
405 |
206 |
$638K |
| 70450 |
|
3,257 |
2,425 |
$565K |
| 71045 |
|
11,161 |
7,614 |
$418K |
| 97110 |
|
7,462 |
2,354 |
$369K |
| 93005 |
|
10,466 |
8,359 |
$347K |
| 96374 |
|
7,659 |
5,173 |
$329K |
| 78452 |
|
903 |
382 |
$280K |
| 96365 |
|
6,587 |
2,607 |
$271K |
| 97530 |
|
3,913 |
1,484 |
$266K |
| 88305 |
|
2,779 |
2,379 |
$250K |
| 96361 |
|
13,646 |
3,812 |
$247K |
| 99282 |
|
3,333 |
3,043 |
$246K |
| 80053 |
|
26,599 |
19,028 |
$218K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,310 |
5,131 |
$216K |
| 85025 |
|
33,169 |
25,569 |
$205K |
| 71046 |
|
5,271 |
3,978 |
$203K |
| 74022 |
|
1,610 |
1,393 |
$184K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,204 |
2,580 |
$172K |
| 36415 |
|
40,358 |
20,035 |
$170K |
| 59025 |
|
2,320 |
1,341 |
$169K |
| 87804 |
|
8,331 |
7,032 |
$165K |
| 80307 |
|
5,050 |
4,038 |
$162K |
| 93017 |
|
632 |
583 |
$151K |
| 87426 |
|
6,745 |
5,638 |
$150K |
| 77067 |
|
2,168 |
2,064 |
$146K |
| 76705 |
|
1,026 |
903 |
$141K |
| 96372 |
|
5,210 |
3,812 |
$131K |
| 96360 |
|
7,057 |
1,917 |
$122K |
| 73630 |
|
1,443 |
1,231 |
$121K |
| 93454 |
|
92 |
42 |
$119K |
| 96375 |
|
4,259 |
3,618 |
$113K |
| 73130 |
|
1,292 |
1,098 |
$109K |
| 73610 |
|
1,278 |
1,102 |
$104K |
| 73564 |
|
1,178 |
908 |
$87K |
| 87880 |
|
6,220 |
5,772 |
$72K |
| 84484 |
|
7,515 |
5,605 |
$69K |
| J1644 |
Inj heparin sodium per 1000u |
2,338 |
1,772 |
$68K |
| J7030 |
Normal saline solution infus |
3,320 |
2,633 |
$67K |
| J7120 |
Ringers lactate infusion |
2,108 |
1,555 |
$67K |
| 92507 |
|
1,843 |
719 |
$64K |
| 80048 |
|
8,878 |
6,316 |
$63K |
| 71250 |
|
398 |
336 |
$62K |
| 45385 |
|
134 |
104 |
$59K |
| C9803 |
Hopd covid-19 spec collect |
13,461 |
8,069 |
$55K |
| J2710 |
Neostigmine methylslfte inj |
1,704 |
1,347 |
$51K |
| U0005 |
Infec agen detec ampli probe |
2,783 |
2,351 |
$48K |
| 84443 |
|
3,648 |
3,239 |
$48K |
| 81025 |
|
5,992 |
5,136 |
$45K |
| U0002 |
Covid-19 lab test non-cdc |
1,192 |
953 |
$45K |
| 76642 |
|
459 |
411 |
$45K |
| 73030 |
|
632 |
478 |
$45K |
| 87081 |
|
7,394 |
6,628 |
$42K |
| 87086 |
|
6,904 |
5,752 |
$42K |
| 94640 |
|
1,580 |
1,178 |
$41K |
| C1769 |
Guide wire |
710 |
547 |
$41K |
| 80061 |
|
3,237 |
2,723 |
$40K |
| 72125 |
|
166 |
149 |
$40K |
| C1760 |
Closure dev, vasc |
460 |
383 |
$40K |
| 87653 |
|
1,392 |
1,266 |
$40K |
| 81001 |
|
15,749 |
13,012 |
$40K |
| C1776 |
Joint device (implantable) |
14 |
13 |
$39K |
| G0480 |
Drug test def 1-7 classes |
821 |
636 |
$39K |
| 71275 |
|
163 |
129 |
$38K |
| 72100 |
|
465 |
331 |
$34K |
| 88304 |
|
543 |
474 |
$34K |
| 73110 |
|
392 |
326 |
$33K |
| 72148 |
|
104 |
80 |
$32K |
| 97161 |
|
950 |
788 |
$32K |
| 84702 |
|
2,408 |
1,817 |
$31K |
| 99281 |
|
544 |
490 |
$29K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
123 |
108 |
$27K |
| 83690 |
|
5,102 |
4,401 |
$26K |
| 77063 |
|
2,105 |
1,786 |
$24K |
| 87040 |
|
2,590 |
1,820 |
$24K |
| 83880 |
|
1,162 |
915 |
$23K |
| J3010 |
Fentanyl citrate injection |
6,381 |
5,297 |
$21K |
| 96366 |
|
551 |
411 |
$21K |
| 73721 |
|
47 |
39 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
2,346 |
1,851 |
$20K |
| 87636 |
|
218 |
177 |
$19K |
| 82962 |
|
6,147 |
3,382 |
$19K |
| J2270 |
Morphine sulfate injection |
3,090 |
2,312 |
$19K |
| 83605 |
|
2,631 |
2,099 |
$19K |
| C1887 |
Catheter, guiding |
194 |
164 |
$19K |
| 84439 |
|
2,482 |
2,218 |
$18K |
| 76770 |
|
123 |
100 |
$18K |
| 87420 |
|
1,702 |
1,593 |
$18K |
| A9500 |
Tc99m sestamibi |
92 |
87 |
$18K |
| 87077 |
|
3,769 |
2,363 |
$18K |
| 43239 |
|
58 |
53 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
5,780 |
4,856 |
$17K |
| 87186 |
|
2,598 |
2,082 |
$17K |
| 82805 |
|
436 |
318 |
$17K |
| 90715 |
|
927 |
827 |
$16K |
| C1894 |
Intro/sheath, non-laser |
1,209 |
983 |
$15K |
| 87591 |
|
541 |
488 |
$15K |
| 87491 |
|
544 |
491 |
$15K |
| 83036 |
|
2,212 |
1,990 |
$15K |
| 70486 |
|
45 |
39 |
$15K |
| 85610 |
|
3,860 |
2,979 |
$14K |
| J1100 |
Dexamethasone sodium phos |
3,439 |
2,738 |
$14K |
| J2405 |
Ondansetron hcl injection |
6,146 |
4,907 |
$14K |
| 82565 |
|
1,233 |
1,089 |
$14K |
| 87070 |
|
2,129 |
1,609 |
$13K |
| 82306 |
|
778 |
698 |
$13K |
| 71271 |
|
90 |
84 |
$13K |
| J2250 |
Inj midazolam hydrochloride |
7,595 |
6,289 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
9,474 |
7,818 |
$12K |
| 82150 |
|
2,275 |
2,037 |
$11K |
| G0463 |
Hospital outpt clinic visit |
775 |
585 |
$11K |
| 99214 |
|
307 |
255 |
$11K |
| 93880 |
|
116 |
98 |
$11K |
| 85379 |
|
1,454 |
1,286 |
$11K |
| 85730 |
|
2,825 |
2,311 |
$11K |
| 99215 |
Prolong outpt/office vis |
279 |
251 |
$10K |
| J2001 |
Lidocaine injection |
3,566 |
2,897 |
$10K |
| 83735 |
|
2,018 |
1,577 |
$10K |
| 86140 |
|
2,361 |
1,994 |
$9K |
| 71260 |
|
33 |
27 |
$9K |
| 82728 |
|
879 |
785 |
$9K |
| 29125 |
|
151 |
136 |
$9K |
| 85027 |
|
920 |
726 |
$8K |
| 87210 |
|
1,611 |
1,381 |
$8K |
| A9502 |
Tc99m tetrofosmin |
57 |
55 |
$7K |
| 90471 |
|
435 |
396 |
$7K |
| 0240U |
|
330 |
239 |
$7K |
| 73080 |
|
104 |
90 |
$7K |
| 87637 |
|
93 |
92 |
$7K |
| 73502 |
|
215 |
133 |
$6K |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
314 |
257 |
$6K |
| J0690 |
Cefazolin sodium injection |
787 |
566 |
$6K |
| G0399 |
Home sleep test/type 3 porta |
89 |
83 |
$5K |
| 83550 |
|
790 |
752 |
$5K |
| 87205 |
|
1,527 |
1,320 |
$5K |
| J1170 |
Hydromorphone injection |
1,016 |
786 |
$5K |
| 85652 |
|
1,945 |
1,678 |
$4K |
| C1758 |
Catheter, ureteral |
1,011 |
823 |
$4K |
| 99213 |
|
110 |
107 |
$4K |
| 72141 |
|
15 |
12 |
$4K |
| 83540 |
|
834 |
781 |
$4K |
| 94060 |
|
46 |
43 |
$4K |
| 93971 |
|
16 |
14 |
$4K |
| 36600 |
|
529 |
312 |
$4K |
| 82607 |
|
369 |
344 |
$4K |
| J2930 |
Methylprednisolone injection |
2,107 |
1,734 |
$4K |
| 84703 |
|
668 |
579 |
$4K |
| J3370 |
Vancomycin hcl injection |
438 |
313 |
$3K |
| 88342 |
|
79 |
76 |
$3K |
| 86900 |
|
810 |
508 |
$3K |
| 74018 |
|
40 |
38 |
$3K |
| 82542 |
|
227 |
192 |
$3K |
| 96367 |
|
311 |
70 |
$3K |
| 82746 |
|
240 |
235 |
$2K |
| 29515 |
|
42 |
39 |
$2K |
| J7040 |
Normal saline solution infus |
124 |
111 |
$2K |
| 12001 |
|
28 |
28 |
$2K |
| 80076 |
|
265 |
235 |
$2K |
| 84132 |
|
538 |
501 |
$2K |
| 72110 |
|
15 |
12 |
$2K |
| 76536 |
|
18 |
17 |
$2K |
| A9576 |
Inj prohance multipack |
47 |
26 |
$2K |
| J2550 |
Promethazine hcl injection |
784 |
597 |
$2K |
| 82248 |
|
468 |
335 |
$2K |
| 86901 |
|
612 |
472 |
$2K |
| 99205 |
Prolong outpt/office vis |
97 |
95 |
$2K |
| G0379 |
Direct refer hospital observ |
35 |
14 |
$1K |
| J2795 |
Ropivacaine hcl injection |
275 |
166 |
$1K |
| J0330 |
Succinycholine chloride inj |
449 |
366 |
$1K |
| 80074 |
|
25 |
24 |
$1K |
| 82570 |
|
421 |
323 |
$1K |
| 83525 |
|
95 |
92 |
$1K |
| G0283 |
Elec stim other than wound |
60 |
14 |
$1K |
| 84112 |
|
16 |
13 |
$1K |
| 88307 |
|
16 |
12 |
$1K |
| 10060 |
|
14 |
13 |
$1K |
| 99212 |
|
16 |
13 |
$1K |
| 77080 |
|
31 |
28 |
$990.50 |
| J1815 |
Insulin injection |
136 |
96 |
$987.01 |
| J1200 |
Diphenhydramine hcl injectio |
829 |
694 |
$927.70 |
| 86850 |
|
147 |
113 |
$853.30 |
| 74019 |
|
14 |
12 |
$829.36 |
| G0481 |
Drug test def 8-14 classes |
28 |
13 |
$765.40 |
| 82550 |
|
119 |
85 |
$712.66 |
| C9113 |
Inj pantoprazole sodium, via |
79 |
63 |
$697.74 |
| 82553 |
|
82 |
68 |
$663.04 |
| 99499 |
|
16 |
13 |
$620.65 |
| 84550 |
|
221 |
173 |
$620.22 |
| 97112 |
|
16 |
12 |
$611.38 |
| 83516 |
|
42 |
39 |
$584.76 |
| 93923 |
|
18 |
13 |
$562.11 |
| 86665 |
|
12 |
12 |
$554.41 |
| Q9964 |
Hocm>= 400mg/ml iodine, 1ml |
40 |
36 |
$546.39 |
| 99203 |
|
24 |
20 |
$539.16 |
| G0279 |
Tomosynthesis, mammo |
28 |
24 |
$518.56 |
| J2765 |
Metoclopramide hcl injection |
192 |
163 |
$500.79 |
| 88300 |
|
13 |
12 |
$456.02 |
| 99204 |
|
17 |
17 |
$449.58 |
| 80051 |
|
49 |
42 |
$429.77 |
| C1892 |
Intro/sheath,fixed,peel-away |
12 |
12 |
$424.29 |
| 87493 |
|
12 |
12 |
$402.73 |
| 97140 |
|
37 |
12 |
$382.70 |
| 84156 |
|
172 |
129 |
$354.96 |
| J2060 |
Lorazepam injection |
366 |
295 |
$332.50 |
| 97165 |
|
13 |
12 |
$326.98 |
| 84520 |
|
98 |
91 |
$320.16 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
145 |
118 |
$278.97 |
| 82272 |
|
77 |
65 |
$265.31 |
| 86645 |
|
12 |
12 |
$257.43 |
| 86664 |
|
12 |
12 |
$233.66 |
| J3475 |
Inj magnesium sulfate |
48 |
41 |
$230.39 |
| J0171 |
Adrenalin epinephrine inject |
96 |
81 |
$222.33 |
| 86644 |
|
12 |
12 |
$219.94 |
| J3480 |
Inj potassium chloride |
13 |
12 |
$208.37 |
| 86663 |
|
12 |
12 |
$200.42 |
| J2919 |
Inj, methylpred sod succ 5mg |
227 |
187 |
$133.40 |
| 82247 |
|
20 |
14 |
$102.35 |
| 85347 |
|
28 |
25 |
$99.52 |
| 86431 |
|
14 |
13 |
$73.28 |
| J1040 |
Methylprednisolone 80 mg inj |
30 |
25 |
$63.13 |
| 85045 |
|
12 |
12 |
$36.63 |
| J1580 |
Garamycin gentamicin inj |
19 |
13 |
$30.25 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$28.96 |
| J1940 |
Furosemide injection |
22 |
15 |
$20.69 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
13 |
$0.72 |
| A9270 |
Non-covered item or service |
19 |
17 |
$0.00 |