| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,738 |
19,980 |
$5.80M |
| 99283 |
|
33,816 |
27,681 |
$4.61M |
| 99285 |
|
8,248 |
5,595 |
$3.01M |
| 74176 |
|
3,885 |
2,936 |
$2.60M |
| 74177 |
|
2,777 |
2,291 |
$2.14M |
| 87633 |
|
4,978 |
4,597 |
$1.71M |
| 70450 |
|
5,583 |
4,075 |
$1.47M |
| G0378 |
Hospital observation per hr |
2,773 |
2,023 |
$1.44M |
| 43239 |
|
3,490 |
2,486 |
$1.27M |
| 99282 |
|
10,860 |
9,707 |
$1.15M |
| 97110 |
|
21,235 |
5,405 |
$888K |
| 96374 |
|
9,473 |
6,908 |
$819K |
| 96375 |
|
5,833 |
4,619 |
$714K |
| 92507 |
|
17,588 |
4,338 |
$580K |
| 96372 |
|
17,329 |
12,185 |
$558K |
| 96365 |
|
4,924 |
2,450 |
$527K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,746 |
4,152 |
$502K |
| 96361 |
|
18,036 |
5,322 |
$474K |
| 45380 |
|
1,033 |
873 |
$460K |
| 36415 |
|
122,889 |
50,040 |
$424K |
| 97530 |
|
8,271 |
2,835 |
$408K |
| 80053 |
|
48,799 |
34,575 |
$399K |
| 76705 |
|
2,229 |
1,998 |
$370K |
| 73630 |
|
6,027 |
4,570 |
$360K |
| 85025 |
|
48,766 |
38,714 |
$353K |
| 80307 |
|
7,667 |
6,335 |
$333K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,093 |
4,897 |
$299K |
| 72125 |
|
845 |
675 |
$291K |
| 59025 |
|
3,723 |
1,691 |
$268K |
| 97112 |
|
7,460 |
2,720 |
$265K |
| 73030 |
|
3,704 |
2,740 |
$258K |
| 71045 |
|
12,965 |
8,087 |
$256K |
| 73562 |
|
3,529 |
2,616 |
$240K |
| 73610 |
|
3,270 |
2,603 |
$236K |
| 71275 |
|
745 |
564 |
$233K |
| 96360 |
|
4,913 |
1,498 |
$223K |
| 93306 |
|
1,381 |
1,145 |
$216K |
| 93005 |
|
8,567 |
7,022 |
$212K |
| 73130 |
|
2,886 |
2,265 |
$193K |
| 73110 |
|
2,325 |
1,806 |
$183K |
| 71046 |
|
7,022 |
5,328 |
$181K |
| 72131 |
|
626 |
447 |
$179K |
| 97597 |
|
2,592 |
1,053 |
$172K |
| 84443 |
|
12,519 |
11,551 |
$170K |
| 76770 |
|
2,000 |
1,759 |
$162K |
| G0283 |
Elec stim other than wound |
11,016 |
2,737 |
$162K |
| 72110 |
|
2,101 |
1,597 |
$153K |
| 87486 |
|
5,947 |
4,683 |
$149K |
| 87798 |
|
5,025 |
4,655 |
$146K |
| 87581 |
|
4,967 |
4,603 |
$144K |
| 71250 |
|
594 |
519 |
$137K |
| U0002 |
Covid-19 lab test non-cdc |
3,800 |
2,981 |
$130K |
| 76856 |
|
498 |
468 |
$130K |
| 95886 |
|
1,925 |
1,802 |
$122K |
| 82306 |
|
5,971 |
5,516 |
$121K |
| 80061 |
|
10,950 |
10,031 |
$114K |
| 0241U |
|
1,155 |
1,016 |
$113K |
| 87502 |
|
1,556 |
1,351 |
$111K |
| 72050 |
|
1,054 |
789 |
$104K |
| 87651 |
|
3,541 |
3,270 |
$103K |
| 72148 |
|
218 |
179 |
$97K |
| 97140 |
|
2,950 |
1,277 |
$94K |
| 11042 |
|
1,157 |
468 |
$94K |
| 96366 |
|
901 |
517 |
$93K |
| 97162 |
|
1,748 |
1,453 |
$90K |
| 74018 |
|
2,124 |
1,843 |
$88K |
| 94640 |
|
5,565 |
3,252 |
$85K |
| 83735 |
|
15,439 |
12,476 |
$80K |
| 82805 |
|
1,735 |
1,287 |
$76K |
| 81025 |
|
7,188 |
6,329 |
$71K |
| 83036 |
|
9,999 |
9,142 |
$68K |
| 87086 |
|
9,093 |
7,803 |
$64K |
| 99281 |
|
1,218 |
1,137 |
$63K |
| 84484 |
|
6,185 |
4,806 |
$63K |
| 97161 |
|
1,166 |
1,050 |
$61K |
| 80081 |
|
996 |
931 |
$61K |
| 83880 |
|
2,511 |
1,855 |
$60K |
| 81003 |
|
12,472 |
10,351 |
$58K |
| 81001 |
|
10,401 |
8,913 |
$57K |
| 96376 |
|
1,106 |
755 |
$53K |
| 82607 |
|
4,281 |
3,957 |
$51K |
| 80048 |
|
6,262 |
4,617 |
$45K |
| 73564 |
|
550 |
437 |
$44K |
| 78452 |
|
173 |
90 |
$44K |
| 87804 |
|
1,642 |
1,436 |
$42K |
| 99214 |
|
848 |
567 |
$41K |
| 73080 |
|
514 |
397 |
$41K |
| 77067 |
|
1,877 |
1,789 |
$40K |
| 87040 |
|
2,546 |
2,001 |
$39K |
| 73502 |
|
2,387 |
1,708 |
$38K |
| J2704 |
Inj, propofol, 10 mg |
8,833 |
7,793 |
$38K |
| 83690 |
|
6,407 |
5,399 |
$37K |
| 84439 |
|
4,950 |
4,608 |
$36K |
| 93971 |
|
332 |
287 |
$35K |
| 87186 |
|
3,917 |
3,376 |
$35K |
| J1885 |
Ketorolac tromethamine inj |
10,922 |
9,364 |
$35K |
| 95911 |
|
381 |
314 |
$35K |
| U0005 |
Infec agen detec ampli probe |
1,957 |
1,573 |
$35K |
| 45378 |
|
97 |
65 |
$35K |
| 45385 |
|
86 |
68 |
$34K |
| 87491 |
|
1,159 |
1,051 |
$33K |
| 84481 |
|
2,413 |
2,237 |
$32K |
| 87591 |
|
1,121 |
1,021 |
$32K |
| 82150 |
|
5,649 |
4,772 |
$32K |
| 76700 |
|
130 |
105 |
$32K |
| 82962 |
|
5,224 |
2,784 |
$30K |
| C9803 |
Hopd covid-19 spec collect |
6,164 |
4,929 |
$30K |
| M0243 |
Casirivi and imdevi inj |
181 |
168 |
$30K |
| 87077 |
|
5,862 |
3,657 |
$29K |
| J7120 |
Ringers lactate infusion |
2,894 |
2,630 |
$29K |
| 70486 |
|
80 |
75 |
$29K |
| J0690 |
Cefazolin sodium injection |
3,307 |
2,496 |
$28K |
| 76536 |
|
213 |
185 |
$28K |
| 85610 |
|
5,898 |
4,515 |
$27K |
| J7030 |
Normal saline solution infus |
2,693 |
2,052 |
$26K |
| 83605 |
|
2,859 |
2,200 |
$26K |
| 92526 |
|
783 |
237 |
$26K |
| 93017 |
|
222 |
186 |
$25K |
| 84145 |
|
1,444 |
1,024 |
$25K |
| 86850 |
|
1,928 |
1,601 |
$23K |
| 72114 |
|
393 |
308 |
$22K |
| 85730 |
|
3,366 |
2,746 |
$22K |
| 86696 |
|
1,402 |
1,335 |
$22K |
| 86003 |
|
197 |
187 |
$21K |
| 99215 |
Prolong outpt/office vis |
335 |
311 |
$20K |
| 73560 |
|
371 |
282 |
$19K |
| 87070 |
|
2,915 |
1,848 |
$19K |
| 97035 |
|
747 |
277 |
$19K |
| 73590 |
|
258 |
202 |
$19K |
| 74022 |
|
274 |
235 |
$19K |
| 12001 |
|
97 |
90 |
$18K |
| 85379 |
|
2,155 |
1,922 |
$18K |
| 87205 |
|
2,005 |
1,626 |
$17K |
| 86694 |
|
1,301 |
1,233 |
$17K |
| 87088 |
|
2,694 |
2,385 |
$17K |
| 82565 |
|
1,605 |
1,148 |
$17K |
| J3010 |
Fentanyl citrate injection |
5,642 |
4,846 |
$17K |
| 84703 |
|
2,080 |
1,873 |
$17K |
| 87880 |
|
1,096 |
1,025 |
$17K |
| 29125 |
|
162 |
152 |
$17K |
| 87081 |
|
2,402 |
2,183 |
$16K |
| J3301 |
Triamcinolone acet inj nos |
1,589 |
1,492 |
$16K |
| 80074 |
|
410 |
382 |
$16K |
| 87507 |
|
59 |
55 |
$16K |
| G0475 |
Hiv combination assay |
724 |
665 |
$16K |
| 84702 |
|
1,156 |
766 |
$15K |
| 72100 |
|
242 |
201 |
$15K |
| G0103 |
Psa screening |
1,584 |
942 |
$14K |
| 82728 |
|
1,425 |
1,228 |
$14K |
| 73090 |
|
191 |
159 |
$14K |
| 86140 |
|
3,127 |
2,561 |
$14K |
| J0780 |
Prochlorperazine injection |
1,141 |
995 |
$13K |
| 36600 |
|
1,792 |
968 |
$13K |
| 87661 |
|
380 |
275 |
$13K |
| 73140 |
|
200 |
168 |
$13K |
| 87634 |
|
204 |
186 |
$12K |
| 90715 |
|
565 |
516 |
$12K |
| J2405 |
Ondansetron hcl injection |
11,279 |
9,133 |
$12K |
| J2710 |
Neostigmine methylslfte inj |
572 |
487 |
$11K |
| 83540 |
|
1,970 |
1,850 |
$11K |
| 90471 |
|
616 |
541 |
$11K |
| J2360 |
Orphenadrine injection |
970 |
874 |
$10K |
| 84403 |
|
500 |
466 |
$10K |
| 77063 |
|
1,265 |
1,067 |
$9K |
| J2270 |
Morphine sulfate injection |
3,612 |
2,744 |
$9K |
| J2930 |
Methylprednisolone injection |
1,440 |
1,223 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
5,299 |
4,515 |
$9K |
| 76830 |
|
57 |
51 |
$9K |
| 83550 |
|
1,177 |
1,098 |
$8K |
| J1100 |
Dexamethasone sodium phos |
5,219 |
4,561 |
$8K |
| 80055 |
|
138 |
136 |
$8K |
| 73721 |
|
28 |
26 |
$7K |
| 82550 |
|
1,500 |
1,307 |
$7K |
| 78227 |
|
12 |
12 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
3,577 |
2,842 |
$7K |
| 86900 |
|
2,522 |
1,814 |
$6K |
| J2175 |
Meperidine hydrochl /100 mg |
1,510 |
1,291 |
$6K |
| J1170 |
Hydromorphone injection |
2,950 |
2,306 |
$6K |
| 71101 |
|
155 |
92 |
$6K |
| 92523 |
|
36 |
31 |
$6K |
| 86039 |
|
607 |
566 |
$6K |
| 85652 |
|
1,834 |
1,501 |
$6K |
| 87635 |
|
152 |
142 |
$6K |
| 83970 |
|
165 |
157 |
$6K |
| 72070 |
|
56 |
39 |
$5K |
| 86901 |
|
2,158 |
1,788 |
$5K |
| A9500 |
Tc99m sestamibi |
35 |
35 |
$5K |
| J2001 |
Lidocaine injection |
4,441 |
3,962 |
$5K |
| 84550 |
|
1,218 |
1,061 |
$5K |
| 95909 |
|
101 |
74 |
$5K |
| 82950 |
|
1,071 |
1,011 |
$4K |
| J2060 |
Lorazepam injection |
2,390 |
1,976 |
$4K |
| J0330 |
Succinycholine chloride inj |
426 |
352 |
$4K |
| 76642 |
|
45 |
41 |
$4K |
| M0245 |
Bamlan and etesev infusion |
21 |
18 |
$4K |
| 87807 |
|
265 |
253 |
$4K |
| J3480 |
Inj potassium chloride |
235 |
103 |
$3K |
| 72040 |
|
41 |
39 |
$3K |
| 76870 |
|
14 |
12 |
$3K |
| J2785 |
Regadenoson injection |
33 |
33 |
$3K |
| J2550 |
Promethazine hcl injection |
2,350 |
1,976 |
$3K |
| G0108 |
Diab manage trn per indiv |
161 |
146 |
$3K |
| 82627 |
|
144 |
137 |
$3K |
| 95910 |
|
31 |
26 |
$3K |
| 84436 |
|
121 |
113 |
$3K |
| 84146 |
|
147 |
132 |
$2K |
| J0500 |
Dicyclomine injection |
61 |
57 |
$2K |
| 82746 |
|
184 |
177 |
$2K |
| 84402 |
|
111 |
104 |
$2K |
| J1815 |
Insulin injection |
194 |
105 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,765 |
1,535 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
224 |
193 |
$2K |
| 82105 |
|
133 |
123 |
$2K |
| 84156 |
|
696 |
619 |
$2K |
| J3475 |
Inj magnesium sulfate |
345 |
278 |
$2K |
| 82570 |
|
493 |
429 |
$2K |
| 87899 |
|
64 |
62 |
$2K |
| J2795 |
Ropivacaine hcl injection |
93 |
80 |
$2K |
| 82652 |
|
50 |
48 |
$2K |
| 73060 |
|
17 |
12 |
$1K |
| 84100 |
|
322 |
196 |
$1K |
| J3490 |
Drugs unclassified injection |
620 |
460 |
$1K |
| J1580 |
Garamycin gentamicin inj |
191 |
129 |
$1K |
| 87506 |
|
14 |
12 |
$1K |
| A9537 |
Tc99m mebrofenin |
13 |
13 |
$1K |
| 83525 |
|
143 |
138 |
$1K |
| 83001 |
|
81 |
77 |
$1K |
| 87075 |
|
150 |
125 |
$1K |
| 92587 |
|
21 |
18 |
$1K |
| 80164 |
|
128 |
103 |
$1K |
| 80069 |
|
107 |
90 |
$1K |
| 86695 |
|
101 |
97 |
$1K |
| 97012 |
|
28 |
12 |
$966.94 |
| 82670 |
|
47 |
43 |
$964.81 |
| A9577 |
Inj multihance |
32 |
24 |
$946.11 |
| 93270 |
|
77 |
65 |
$925.83 |
| 74019 |
|
18 |
12 |
$848.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
184 |
171 |
$824.86 |
| J7510 |
Prednisolone oral per 5 mg |
116 |
103 |
$751.40 |
| J2805 |
Sincalide injection |
12 |
12 |
$712.92 |
| 82140 |
|
58 |
52 |
$693.46 |
| 83630 |
|
33 |
29 |
$678.67 |
| 86592 |
|
187 |
182 |
$675.50 |
| 87522 |
Neg quan hep c or qual rna |
13 |
12 |
$634.94 |
| 82553 |
|
72 |
57 |
$624.50 |
| 86376 |
|
56 |
53 |
$591.79 |
| 71271 |
|
33 |
33 |
$581.69 |
| 86431 |
|
110 |
106 |
$479.84 |
| 82010 |
|
75 |
52 |
$424.22 |
| 83655 |
|
39 |
38 |
$415.77 |
| J2765 |
Metoclopramide hcl injection |
144 |
133 |
$413.93 |
| J3230 |
Chlorpromazine hcl injection |
29 |
25 |
$387.32 |
| 87045 |
|
33 |
32 |
$383.34 |
| 82947 |
|
110 |
102 |
$364.83 |
| J0171 |
Adrenalin epinephrine inject |
305 |
267 |
$343.44 |
| 84681 |
|
13 |
13 |
$330.32 |
| J1642 |
Inj heparin sodium per 10 u |
204 |
63 |
$288.99 |
| 82043 |
|
64 |
59 |
$277.22 |
| 87210 |
|
56 |
49 |
$269.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
269 |
242 |
$254.66 |
| 84482 |
|
18 |
16 |
$231.36 |
| G8978 |
Mobility current status |
89 |
12 |
$231.01 |
| J2920 |
Methylprednisolone injection |
40 |
25 |
$229.49 |
| 83789 |
|
18 |
16 |
$222.03 |
| J1040 |
Methylprednisolone 80 mg inj |
15 |
12 |
$205.29 |
| J3360 |
Diazepam injection |
16 |
13 |
$188.17 |
| G0279 |
Tomosynthesis, mammo |
15 |
12 |
$186.74 |
| 86800 |
|
14 |
14 |
$180.90 |
| 83002 |
|
12 |
12 |
$149.45 |
| 82575 |
|
36 |
26 |
$136.35 |
| 87177 |
|
14 |
13 |
$134.87 |
| 86787 |
|
13 |
12 |
$130.04 |
| 80076 |
|
13 |
12 |
$112.99 |
| 84630 |
|
15 |
13 |
$100.08 |
| J1650 |
Inj enoxaparin sodium |
21 |
12 |
$94.92 |
| 85018 |
|
46 |
43 |
$86.53 |
| 86308 |
|
17 |
17 |
$74.14 |
| 82044 |
|
12 |
12 |
$70.41 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
52 |
$60.94 |
| J3410 |
Hydroxyzine hcl injection |
13 |
13 |
$55.21 |
| 85014 |
|
27 |
26 |
$54.26 |
| Q0244 |
Casirivi and imdevi 1200 mg |
129 |
120 |
$41.25 |
| J7050 |
Normal saline solution infus |
14 |
12 |
$36.12 |
| A9270 |
Non-covered item or service |
24 |
12 |
$0.00 |