| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
51,637 |
45,498 |
$8.63M |
| 99283 |
|
52,968 |
48,288 |
$8.25M |
| 99284 |
|
41,517 |
38,179 |
$6.46M |
| 96361 |
|
12,534 |
10,920 |
$4.26M |
| 70450 |
|
19,212 |
17,447 |
$2.39M |
| 74177 |
|
13,619 |
12,588 |
$2.06M |
| 43239 |
|
1,978 |
1,910 |
$1.48M |
| S9485 |
Crisis intervention mental h |
1,872 |
1,691 |
$1.14M |
| 45378 |
|
1,886 |
1,696 |
$1.10M |
| 93306 |
|
5,630 |
5,218 |
$988K |
| 45385 |
|
1,455 |
1,334 |
$955K |
| 59025 |
|
3,728 |
2,845 |
$946K |
| 99282 |
|
5,971 |
5,604 |
$819K |
| 62323 |
|
1,820 |
1,788 |
$809K |
| 76856 |
|
7,431 |
7,163 |
$788K |
| 99281 |
|
4,713 |
4,359 |
$747K |
| 80307 |
|
19,910 |
16,972 |
$680K |
| 71046 |
|
36,028 |
33,457 |
$675K |
| 77067 |
|
11,959 |
11,819 |
$664K |
| 70551 |
|
2,240 |
2,084 |
$661K |
| 76830 |
|
6,714 |
6,487 |
$649K |
| 78452 |
|
1,650 |
1,556 |
$631K |
| 76816 |
|
3,688 |
3,375 |
$610K |
| 74176 |
|
3,534 |
3,347 |
$576K |
| G0378 |
Hospital observation per hr |
20,042 |
7,753 |
$566K |
| 71275 |
|
2,911 |
2,691 |
$534K |
| 96365 |
|
5,083 |
4,525 |
$526K |
| 96360 |
|
4,026 |
3,733 |
$494K |
| 64493 |
|
891 |
842 |
$492K |
| 93971 |
|
2,699 |
2,535 |
$477K |
| 99212 |
|
3,088 |
2,267 |
$467K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,762 |
7,873 |
$463K |
| 45380 |
|
649 |
601 |
$444K |
| 85025 |
|
90,727 |
71,191 |
$418K |
| 94640 |
|
5,490 |
4,928 |
$411K |
| 76705 |
|
3,895 |
3,694 |
$355K |
| 76642 |
|
4,520 |
3,731 |
$323K |
| 76801 |
|
3,102 |
2,779 |
$314K |
| 76700 |
|
2,269 |
2,219 |
$313K |
| 72148 |
|
1,360 |
1,299 |
$287K |
| G0480 |
Drug test def 1-7 classes |
10,517 |
9,165 |
$277K |
| 87635 |
|
6,130 |
5,647 |
$272K |
| 62321 |
|
616 |
601 |
$266K |
| 93017 |
|
2,424 |
2,302 |
$238K |
| 99291 |
|
2,243 |
2,065 |
$226K |
| 84484 |
|
38,363 |
23,131 |
$225K |
| ATP14 |
|
22,356 |
17,957 |
$203K |
| 76536 |
|
2,086 |
2,033 |
$194K |
| 76817 |
|
3,248 |
2,908 |
$191K |
| 11042 |
|
1,866 |
943 |
$182K |
| 71250 |
|
2,712 |
2,595 |
$172K |
| 73562 |
|
6,975 |
6,018 |
$169K |
| 87426 |
|
6,793 |
6,305 |
$167K |
| 87804 |
|
16,193 |
7,962 |
$165K |
| 96366 |
|
648 |
580 |
$163K |
| U0005 |
Infec agen detec ampli probe |
9,398 |
8,503 |
$160K |
| 70553 |
|
445 |
408 |
$155K |
| 71260 |
|
2,716 |
2,502 |
$141K |
| 94060 |
|
1,442 |
1,347 |
$134K |
| 76819 |
|
1,134 |
886 |
$133K |
| 97110 |
|
1,769 |
656 |
$129K |
| 77063 |
|
1,768 |
1,744 |
$128K |
| 12001 |
|
613 |
591 |
$127K |
| 76770 |
|
886 |
853 |
$124K |
| 73030 |
|
5,577 |
5,088 |
$124K |
| 80053 |
|
47,604 |
40,864 |
$123K |
| 93005 |
|
42,098 |
36,348 |
$117K |
| 99213 |
|
742 |
612 |
$116K |
| 72141 |
|
432 |
413 |
$110K |
| 0241U |
|
3,439 |
3,205 |
$108K |
| 96374 |
|
23,524 |
21,053 |
$105K |
| 76815 |
|
540 |
363 |
$104K |
| ATP08 |
|
14,646 |
11,129 |
$103K |
| 43235 |
|
187 |
172 |
$98K |
| 72110 |
|
2,368 |
2,317 |
$98K |
| 76811 |
|
429 |
409 |
$95K |
| 73721 |
|
283 |
262 |
$94K |
| 81025 |
|
17,130 |
15,579 |
$92K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,531 |
1,397 |
$88K |
| 76805 |
|
372 |
356 |
$85K |
| 77065 |
Tomosynthesis, mammo |
2,408 |
2,202 |
$83K |
| 80048 |
|
48,560 |
37,406 |
$82K |
| 73630 |
|
3,646 |
3,311 |
$79K |
| 77062 |
|
1,444 |
1,409 |
$79K |
| 83690 |
|
16,698 |
14,946 |
$79K |
| 70486 |
|
1,857 |
1,768 |
$78K |
| 73610 |
|
4,235 |
3,959 |
$77K |
| 72100 |
|
2,638 |
2,547 |
$77K |
| 87086 |
|
14,325 |
13,125 |
$77K |
| 84702 |
|
6,381 |
5,683 |
$77K |
| 73130 |
|
3,952 |
3,493 |
$75K |
| 71045 |
|
12,469 |
11,023 |
$73K |
| 77061 |
|
1,104 |
1,078 |
$72K |
| 77080 |
|
1,270 |
1,246 |
$71K |
| G0463 |
Hospital outpt clinic visit |
2,983 |
2,006 |
$70K |
| ATP15 |
|
7,679 |
6,317 |
$68K |
| 81001 |
|
30,360 |
27,393 |
$66K |
| 82947 |
|
23,544 |
11,826 |
$65K |
| 87428 |
|
1,328 |
1,246 |
$65K |
| 83880 |
|
4,418 |
3,913 |
$64K |
| 87651 |
|
2,148 |
2,069 |
$60K |
| 70498 |
|
476 |
426 |
$59K |
| 93970 |
|
369 |
329 |
$58K |
| 19083 |
|
82 |
72 |
$58K |
| 84600 |
|
5,311 |
4,473 |
$57K |
| 99211 |
|
373 |
318 |
$57K |
| 87631 |
|
600 |
564 |
$56K |
| 87591 |
|
2,284 |
2,103 |
$55K |
| 72125 |
|
7,864 |
7,271 |
$54K |
| 86850 |
|
8,379 |
7,623 |
$53K |
| 88305 |
|
7,831 |
7,223 |
$53K |
| 90715 |
|
2,276 |
2,169 |
$53K |
| 94726 |
|
1,196 |
1,120 |
$51K |
| 64494 |
|
741 |
544 |
$51K |
| 87491 |
|
2,090 |
1,922 |
$50K |
| 76818 |
|
607 |
426 |
$49K |
| 93975 |
|
873 |
813 |
$47K |
| 72131 |
|
1,842 |
1,717 |
$46K |
| 64721 |
|
108 |
108 |
$46K |
| 83735 |
|
13,268 |
9,281 |
$45K |
| 73110 |
|
2,301 |
2,104 |
$44K |
| 87502 |
|
744 |
704 |
$43K |
| 73502 |
|
1,944 |
1,829 |
$43K |
| 94729 |
|
1,232 |
1,155 |
$42K |
| 74018 |
|
1,511 |
1,376 |
$41K |
| 83605 |
|
7,054 |
5,402 |
$40K |
| 87040 |
|
5,599 |
3,433 |
$40K |
| 76870 |
|
436 |
419 |
$39K |
| 76813 |
|
184 |
181 |
$36K |
| 82805 |
|
1,385 |
1,138 |
$36K |
| 74183 |
|
78 |
77 |
$36K |
| 77066 |
Tomosynthesis, mammo |
1,909 |
1,841 |
$34K |
| 84703 |
|
6,063 |
5,688 |
$34K |
| 12011 |
|
157 |
153 |
$30K |
| 84443 |
|
4,383 |
3,866 |
$30K |
| 87880 |
|
2,833 |
2,717 |
$28K |
| 72050 |
|
314 |
311 |
$27K |
| 73221 |
|
64 |
59 |
$27K |
| 81003 |
|
17,644 |
16,208 |
$26K |
| J2405 |
Ondansetron hcl injection |
21,284 |
16,586 |
$25K |
| 86900 |
|
8,528 |
7,758 |
$25K |
| 80050 |
|
1,815 |
1,620 |
$24K |
| 73080 |
|
1,361 |
1,246 |
$23K |
| 96375 |
|
15,288 |
13,198 |
$22K |
| 87081 |
|
4,341 |
4,165 |
$22K |
| 85027 |
|
6,556 |
5,133 |
$21K |
| 64483 |
|
42 |
41 |
$21K |
| 70491 |
|
238 |
209 |
$21K |
| 85379 |
|
3,068 |
2,858 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
17,955 |
13,596 |
$20K |
| 99219 |
|
75 |
40 |
$20K |
| 71271 |
|
402 |
398 |
$20K |
| 36415 |
|
33,827 |
24,160 |
$19K |
| 97161 |
|
543 |
436 |
$18K |
| G0297 |
Ldct for lung ca screen |
101 |
95 |
$18K |
| 73140 |
|
890 |
840 |
$18K |
| 12002 |
|
96 |
91 |
$18K |
| 86901 |
|
8,491 |
7,722 |
$18K |
| 72070 |
|
472 |
457 |
$18K |
| 72052 |
|
352 |
347 |
$18K |
| 87186 |
|
3,283 |
2,973 |
$17K |
| 80076 |
|
13,624 |
12,073 |
$17K |
| 85610 |
|
9,331 |
7,452 |
$17K |
| 88304 |
|
1,719 |
1,613 |
$17K |
| J3010 |
Fentanyl citrate injection |
15,313 |
9,890 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
5,117 |
3,615 |
$16K |
| 70544 |
|
28 |
25 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
15,671 |
12,728 |
$16K |
| J7030 |
Normal saline solution infus |
14,666 |
10,539 |
$16K |
| 10060 |
|
100 |
91 |
$15K |
| 96372 |
|
11,507 |
9,392 |
$14K |
| 87807 |
|
1,283 |
1,258 |
$14K |
| J1650 |
Inj enoxaparin sodium |
1,508 |
549 |
$12K |
| J2270 |
Morphine sulfate injection |
9,997 |
6,367 |
$12K |
| 88342 |
|
2,902 |
2,742 |
$12K |
| 74019 |
|
273 |
261 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,851 |
11,080 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
4,371 |
1,740 |
$12K |
| J1100 |
Dexamethasone sodium phos |
7,136 |
6,307 |
$10K |
| 87077 |
|
2,205 |
2,017 |
$10K |
| 87070 |
|
2,051 |
1,782 |
$10K |
| J7120 |
Ringers lactate infusion |
2,551 |
1,952 |
$9K |
| 85730 |
|
3,073 |
2,778 |
$9K |
| J0690 |
Cefazolin sodium injection |
7,285 |
5,077 |
$9K |
| J3490 |
Drugs unclassified injection |
416 |
368 |
$9K |
| 76882 |
|
93 |
79 |
$9K |
| 73590 |
|
584 |
528 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
6,200 |
5,987 |
$8K |
| 36430 |
|
27 |
24 |
$8K |
| 93225 |
|
137 |
134 |
$8K |
| 71100 |
|
133 |
129 |
$8K |
| 70496 |
|
327 |
288 |
$8K |
| 80179 |
|
1,482 |
1,413 |
$7K |
| 87430 |
|
715 |
680 |
$7K |
| 72040 |
|
150 |
147 |
$7K |
| J2060 |
Lorazepam injection |
8,049 |
5,237 |
$7K |
| 83036 |
|
1,800 |
1,452 |
$7K |
| 82553 |
|
1,814 |
1,224 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
7,028 |
6,172 |
$6K |
| 85007 |
|
3,330 |
2,637 |
$6K |
| ATP02 |
|
2,131 |
1,502 |
$6K |
| 80143 |
|
1,498 |
1,406 |
$6K |
| J1170 |
Hydromorphone injection |
5,991 |
2,844 |
$5K |
| 84112 |
|
69 |
63 |
$5K |
| 90471 |
|
3,153 |
2,904 |
$5K |
| 58340 |
|
28 |
28 |
$5K |
| 87205 |
|
1,855 |
1,608 |
$5K |
| 73620 |
|
185 |
171 |
$5K |
| 87486 |
|
176 |
161 |
$5K |
| 87147 |
|
761 |
667 |
$4K |
| 88341 |
|
537 |
485 |
$4K |
| J1630 |
Haloperidol injection |
4,491 |
3,031 |
$4K |
| 73564 |
|
198 |
169 |
$4K |
| 74740 |
|
30 |
28 |
$4K |
| 31500 |
|
15 |
13 |
$4K |
| ATP09 |
|
649 |
429 |
$4K |
| J2001 |
Lidocaine injection |
5,889 |
5,303 |
$4K |
| J3370 |
Vancomycin hcl injection |
1,501 |
696 |
$4K |
| 86140 |
|
1,308 |
1,082 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,754 |
2,091 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
1,221 |
1,132 |
$4K |
| J3475 |
Inj magnesium sulfate |
1,088 |
758 |
$4K |
| 82550 |
|
3,647 |
2,660 |
$3K |
| 87088 |
|
571 |
533 |
$3K |
| 87798 |
|
94 |
53 |
$3K |
| 85652 |
|
1,682 |
1,394 |
$2K |
| 88307 |
|
64 |
52 |
$2K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
43 |
24 |
$2K |
| 82607 |
|
411 |
330 |
$2K |
| 73090 |
|
229 |
223 |
$2K |
| 99202 |
|
12 |
12 |
$2K |
| 87661 |
|
97 |
86 |
$2K |
| 97530 |
|
67 |
39 |
$2K |
| 93880 |
|
12 |
12 |
$2K |
| 72072 |
|
60 |
57 |
$2K |
| 17250 |
|
43 |
24 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,873 |
2,166 |
$2K |
| 73560 |
|
141 |
120 |
$2K |
| 87801 |
|
41 |
38 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
1,097 |
985 |
$2K |
| 82746 |
|
296 |
238 |
$2K |
| G0279 |
Tomosynthesis, mammo |
94 |
94 |
$1K |
| 82565 |
|
3,353 |
2,970 |
$1K |
| 97597 |
|
123 |
80 |
$1K |
| 85049 |
|
495 |
473 |
$1K |
| 76775 |
|
25 |
24 |
$1K |
| 73700 |
|
32 |
29 |
$1K |
| J7050 |
Normal saline solution infus |
957 |
513 |
$1K |
| 85014 |
|
900 |
758 |
$994.12 |
| 82010 |
|
233 |
183 |
$964.17 |
| 85018 |
|
827 |
714 |
$913.85 |
| 73565 |
|
30 |
29 |
$854.39 |
| ATP16 |
|
104 |
76 |
$827.64 |
| 96367 |
|
117 |
94 |
$821.38 |
| 73020 |
|
22 |
20 |
$814.19 |
| 73521 |
|
25 |
24 |
$809.28 |
| 84145 |
|
133 |
108 |
$805.52 |
| 82728 |
|
142 |
114 |
$795.52 |
| 87808 |
|
93 |
87 |
$781.58 |
| 70360 |
|
12 |
12 |
$760.70 |
| 90674 |
|
96 |
80 |
$758.61 |
| 80061 |
|
1,441 |
1,236 |
$734.45 |
| 90686 |
|
166 |
143 |
$694.00 |
| J0171 |
Adrenalin epinephrine inject |
30 |
28 |
$687.32 |
| 84100 |
|
2,267 |
1,226 |
$669.44 |
| 71101 |
|
52 |
52 |
$627.23 |
| ATP06 |
|
89 |
80 |
$618.48 |
| A9502 |
Tc99m tetrofosmin |
2,514 |
1,578 |
$616.14 |
| 76376 |
|
2,877 |
2,673 |
$574.71 |
| 97162 |
|
39 |
29 |
$569.87 |
| 74220 |
|
12 |
12 |
$529.77 |
| 93226 |
|
40 |
39 |
$515.70 |
| 88312 |
|
108 |
101 |
$495.64 |
| 72128 |
|
117 |
105 |
$488.04 |
| ATP03 |
|
302 |
236 |
$472.65 |
| J2543 |
Piperacillin/tazobactam |
64 |
38 |
$411.91 |
| 84520 |
|
2,789 |
2,607 |
$398.57 |
| J2765 |
Metoclopramide hcl injection |
2,186 |
1,810 |
$338.50 |
| J7613 |
Albuterol non-comp unit |
979 |
585 |
$326.98 |
| 73552 |
|
12 |
12 |
$241.08 |
| Q3014 |
Telehealth facility fee |
113 |
100 |
$210.34 |
| 87480 |
|
12 |
12 |
$190.48 |
| 86618 |
|
18 |
14 |
$186.36 |
| 73060 |
|
21 |
15 |
$144.28 |
| J2930 |
Methylprednisolone injection |
801 |
525 |
$140.78 |
| 80164 |
|
29 |
25 |
$137.41 |
| 84439 |
|
30 |
26 |
$123.30 |
| 87899 |
|
14 |
12 |
$106.29 |
| 86592 |
|
24 |
24 |
$101.20 |
| J7040 |
Normal saline solution infus |
90 |
55 |
$97.30 |
| ATP04 |
|
18 |
13 |
$86.88 |
| J0780 |
Prochlorperazine injection |
230 |
201 |
$81.06 |
| 96376 |
|
3,319 |
2,858 |
$62.02 |
| J1956 |
Levofloxacin injection |
106 |
71 |
$54.04 |
| 89051 |
|
16 |
12 |
$45.44 |
| 85651 |
|
18 |
13 |
$36.50 |
| J7070 |
D5w infusion |
36 |
24 |
$27.02 |
| 83615 |
|
134 |
108 |
$16.50 |
| 99406 |
|
431 |
306 |
$15.93 |
| A9585 |
Gadobutrol injection |
1,184 |
962 |
$13.96 |
| 84550 |
|
107 |
90 |
$13.95 |
| 82248 |
|
90 |
73 |
$9.00 |
| 82247 |
|
19 |
15 |
$8.86 |
| 80320 |
|
1,004 |
908 |
$5.00 |
| J7644 |
Ipratropium bromide non-comp |
310 |
216 |
$2.11 |
| 80051 |
|
511 |
487 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
641 |
541 |
$0.00 |
| G0008 |
Admin influenza virus vac |
158 |
152 |
$0.00 |
| A4648 |
Implantable tissue marker |
150 |
139 |
$0.00 |
| 80329 |
|
439 |
400 |
$0.00 |
| J2785 |
Regadenoson injection |
223 |
188 |
$0.00 |
| J1940 |
Furosemide injection |
41 |
25 |
$0.00 |
| C1769 |
Guide wire |
58 |
53 |
$0.00 |
| J3480 |
Inj potassium chloride |
180 |
90 |
$0.00 |
| 36416 |
|
128 |
117 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
287 |
269 |
$0.00 |
| 96368 |
|
33 |
28 |
$0.00 |
| 88311 |
|
13 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
499 |
427 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
414 |
197 |
$0.00 |
| 84450 |
|
31 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
18 |
16 |
$0.00 |
| J1953 |
Levetiracetam injection |
131 |
118 |
$0.00 |
| 84460 |
|
16 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
71 |
66 |
$0.00 |
| J7606 |
Formoterol fumarate, inh |
34 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
15 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
19 |
12 |
$0.00 |