| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
34,888 |
30,861 |
$7.22M |
| 99285 |
|
14,627 |
13,390 |
$3.75M |
| 99283 |
|
21,527 |
19,326 |
$3.13M |
| 74177 |
|
2,953 |
2,775 |
$1.36M |
| 70450 |
|
3,611 |
3,359 |
$1.08M |
| G0378 |
Hospital observation per hr |
843 |
762 |
$833K |
| 93005 |
|
9,238 |
8,258 |
$693K |
| 96365 |
|
5,706 |
4,820 |
$644K |
| 96375 |
|
8,454 |
7,198 |
$538K |
| 99282 |
|
3,764 |
3,608 |
$510K |
| 87635 |
|
9,256 |
8,769 |
$482K |
| G0463 |
Hospital outpt clinic visit |
5,907 |
3,981 |
$440K |
| 96361 |
|
7,944 |
7,025 |
$381K |
| 71045 |
|
5,720 |
5,175 |
$376K |
| 72125 |
|
1,140 |
1,074 |
$367K |
| 97110 |
|
8,661 |
2,903 |
$355K |
| 80053 |
|
26,595 |
23,743 |
$328K |
| 71046 |
|
4,010 |
3,730 |
$318K |
| 97140 |
|
8,891 |
3,026 |
$296K |
| 97597 |
|
5,273 |
1,823 |
$293K |
| 85025 |
|
31,558 |
27,051 |
$284K |
| 93306 |
|
1,570 |
1,462 |
$279K |
| 80307 |
|
4,244 |
3,711 |
$264K |
| 96374 |
|
7,340 |
6,740 |
$263K |
| 74176 |
|
782 |
738 |
$249K |
| 0202U |
|
1,016 |
966 |
$247K |
| C9803 |
Hopd covid-19 spec collect |
7,400 |
6,995 |
$225K |
| 77067 |
|
1,195 |
1,172 |
$222K |
| 36415 |
|
42,411 |
35,178 |
$210K |
| 96372 |
|
5,123 |
4,125 |
$196K |
| 84484 |
|
5,699 |
4,906 |
$166K |
| 73564 |
|
1,152 |
1,099 |
$153K |
| 71275 |
|
354 |
334 |
$149K |
| 84443 |
|
7,580 |
7,248 |
$145K |
| 87491 |
|
3,314 |
3,198 |
$140K |
| 87591 |
|
3,324 |
3,204 |
$139K |
| 73610 |
|
915 |
863 |
$118K |
| 0002A |
|
2,063 |
2,057 |
$111K |
| 87633 |
|
299 |
286 |
$109K |
| 76830 |
|
730 |
708 |
$104K |
| 73030 |
|
847 |
807 |
$103K |
| 73721 |
|
198 |
193 |
$98K |
| 96360 |
|
1,300 |
1,191 |
$97K |
| 99291 |
|
160 |
154 |
$96K |
| 0001A |
|
2,107 |
2,083 |
$95K |
| 87502 |
|
728 |
702 |
$86K |
| 71260 |
|
215 |
205 |
$85K |
| 94640 |
|
902 |
687 |
$83K |
| 81001 |
|
9,185 |
8,395 |
$81K |
| 76705 |
|
559 |
539 |
$80K |
| 88305 |
|
1,759 |
1,669 |
$79K |
| 80061 |
|
5,534 |
5,329 |
$78K |
| 87800 |
|
1,596 |
1,525 |
$77K |
| G0108 |
Diab manage trn per indiv |
760 |
602 |
$76K |
| 70486 |
|
259 |
241 |
$76K |
| 82306 |
|
2,438 |
2,360 |
$75K |
| 96366 |
|
1,185 |
1,003 |
$74K |
| 83690 |
|
6,639 |
6,015 |
$71K |
| 76856 |
|
441 |
431 |
$65K |
| 73630 |
|
765 |
730 |
$65K |
| 80306 |
|
1,366 |
1,285 |
$62K |
| 83880 |
|
2,702 |
2,386 |
$59K |
| 93010 |
|
9,636 |
8,156 |
$58K |
| 73130 |
|
620 |
589 |
$57K |
| 80048 |
|
6,199 |
5,312 |
$57K |
| 83036 |
|
5,107 |
4,889 |
$52K |
| 83605 |
|
2,573 |
2,247 |
$47K |
| 0241U |
|
305 |
291 |
$47K |
| 97112 |
|
1,329 |
565 |
$46K |
| 97530 |
|
1,363 |
724 |
$46K |
| 73110 |
|
521 |
495 |
$45K |
| 87086 |
|
4,674 |
4,339 |
$45K |
| 76700 |
|
307 |
296 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
678 |
363 |
$42K |
| 85610 |
|
7,414 |
5,516 |
$41K |
| 84439 |
|
2,167 |
2,095 |
$35K |
| 96367 |
|
874 |
781 |
$35K |
| 81025 |
|
2,500 |
2,354 |
$35K |
| 87040 |
|
1,943 |
1,786 |
$35K |
| 72148 |
|
78 |
73 |
$35K |
| 77063 |
|
835 |
820 |
$31K |
| 84703 |
|
1,961 |
1,842 |
$31K |
| 83735 |
|
3,779 |
3,139 |
$28K |
| 87651 |
|
685 |
672 |
$27K |
| 76811 |
|
110 |
108 |
$27K |
| 87077 |
|
2,341 |
2,208 |
$26K |
| 87186 |
|
2,388 |
2,250 |
$25K |
| 81003 |
|
3,975 |
3,706 |
$24K |
| J3010 |
Fentanyl citrate injection |
3,132 |
2,900 |
$24K |
| 90471 |
|
830 |
798 |
$24K |
| 86140 |
|
2,515 |
2,276 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,146 |
3,863 |
$23K |
| 86803 |
|
1,486 |
1,444 |
$22K |
| M0245 |
Bamlan and etesev infusion |
33 |
31 |
$21K |
| 73502 |
|
285 |
269 |
$21K |
| J2405 |
Ondansetron hcl injection |
5,905 |
5,209 |
$20K |
| 80076 |
|
1,971 |
1,834 |
$20K |
| 74018 |
|
232 |
218 |
$20K |
| 76817 |
|
198 |
173 |
$20K |
| 93971 |
|
145 |
138 |
$19K |
| 96376 |
|
2,738 |
1,872 |
$19K |
| 0003A |
|
307 |
306 |
$18K |
| 97162 |
|
273 |
269 |
$17K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
824 |
802 |
$17K |
| 78452 |
|
38 |
37 |
$16K |
| 86850 |
|
1,020 |
950 |
$16K |
| 82728 |
|
1,046 |
1,007 |
$15K |
| 86900 |
|
1,101 |
1,020 |
$15K |
| 88175 |
|
650 |
632 |
$14K |
| 85730 |
|
2,222 |
2,035 |
$14K |
| 73140 |
|
153 |
148 |
$14K |
| 85379 |
|
1,228 |
1,168 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
4,555 |
4,095 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
2,155 |
1,608 |
$13K |
| G0283 |
Elec stim other than wound |
752 |
285 |
$13K |
| 72100 |
|
111 |
109 |
$13K |
| 99232 |
|
263 |
145 |
$12K |
| 73221 |
|
26 |
26 |
$12K |
| 72110 |
|
88 |
87 |
$12K |
| 88142 |
|
507 |
486 |
$11K |
| 87070 |
|
1,044 |
993 |
$11K |
| J2270 |
Morphine sulfate injection |
2,488 |
2,019 |
$11K |
| 80055 |
|
123 |
119 |
$11K |
| 97161 |
|
295 |
284 |
$11K |
| 99239 |
|
128 |
122 |
$11K |
| 87798 |
|
152 |
150 |
$11K |
| 71250 |
|
40 |
38 |
$10K |
| 90715 |
|
673 |
648 |
$10K |
| D1120 |
|
39 |
39 |
$10K |
| J1100 |
Dexamethasone sodium phos |
2,020 |
1,925 |
$9K |
| 76801 |
|
60 |
58 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
1,762 |
1,691 |
$9K |
| J0690 |
Cefazolin sodium injection |
812 |
720 |
$9K |
| J0131 |
Inj, acetaminophen (nos) |
2,347 |
2,161 |
$9K |
| 86901 |
|
1,180 |
1,094 |
$9K |
| 93017 |
|
33 |
33 |
$9K |
| 83550 |
|
1,026 |
986 |
$9K |
| 84702 |
|
309 |
230 |
$8K |
| 85652 |
|
2,142 |
1,972 |
$8K |
| 45378 |
|
12 |
12 |
$8K |
| 82043 |
|
799 |
745 |
$8K |
| 12001 |
|
54 |
53 |
$7K |
| 85027 |
|
1,009 |
928 |
$7K |
| 76536 |
|
50 |
50 |
$7K |
| J3475 |
Inj magnesium sulfate |
893 |
816 |
$7K |
| 82607 |
|
474 |
462 |
$7K |
| 87801 |
|
55 |
55 |
$7K |
| 83540 |
|
1,098 |
1,056 |
$7K |
| 59025 |
|
41 |
27 |
$7K |
| 87653 |
|
115 |
113 |
$7K |
| 99213 |
|
296 |
197 |
$6K |
| 82570 |
|
1,213 |
1,118 |
$6K |
| 72072 |
|
42 |
42 |
$6K |
| D0210 |
|
24 |
24 |
$6K |
| 73080 |
|
71 |
68 |
$6K |
| J3490 |
Drugs unclassified injection |
822 |
725 |
$6K |
| 73590 |
|
66 |
61 |
$6K |
| 80074 |
|
64 |
64 |
$5K |
| 97803 |
|
204 |
189 |
$5K |
| 85007 |
|
738 |
672 |
$5K |
| D2930 |
|
25 |
25 |
$5K |
| 87624 |
|
586 |
573 |
$5K |
| 0064A |
|
60 |
60 |
$5K |
| 82140 |
|
332 |
284 |
$5K |
| 73560 |
|
55 |
52 |
$4K |
| 86592 |
|
491 |
481 |
$4K |
| 76816 |
|
27 |
25 |
$4K |
| D1208 |
|
15 |
15 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$4K |
| 51702 |
|
39 |
37 |
$3K |
| 82803 |
|
111 |
102 |
$3K |
| D3220 |
|
12 |
12 |
$3K |
| 87389 |
|
78 |
78 |
$3K |
| 70551 |
|
13 |
12 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
18 |
17 |
$3K |
| D1206 |
|
12 |
12 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
866 |
782 |
$2K |
| 82746 |
|
166 |
161 |
$2K |
| 82947 |
|
298 |
290 |
$2K |
| J2060 |
Lorazepam injection |
685 |
583 |
$2K |
| 87880 |
|
74 |
68 |
$2K |
| 87081 |
|
125 |
119 |
$2K |
| 86038 |
|
100 |
98 |
$1K |
| 0031A |
|
25 |
25 |
$1K |
| 87634 |
|
15 |
14 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
18 |
18 |
$1K |
| 99222 |
|
12 |
12 |
$1K |
| 87581 |
|
15 |
15 |
$1K |
| 76857 |
|
12 |
12 |
$1K |
| 73552 |
|
13 |
13 |
$1K |
| 87661 |
|
25 |
25 |
$879.58 |
| 87075 |
|
83 |
75 |
$877.50 |
| 73090 |
|
12 |
12 |
$819.25 |
| 99212 |
|
76 |
30 |
$818.72 |
| J1650 |
Inj enoxaparin sodium |
285 |
169 |
$807.77 |
| H0049 |
Alcohol/drug screening |
177 |
169 |
$802.90 |
| 84481 |
|
38 |
38 |
$778.07 |
| J3360 |
Diazepam injection |
54 |
50 |
$754.42 |
| 84100 |
|
153 |
131 |
$657.60 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$549.56 |
| J2360 |
Orphenadrine injection |
215 |
203 |
$548.54 |
| 80069 |
|
12 |
12 |
$526.92 |
| J1170 |
Hydromorphone injection |
129 |
100 |
$503.92 |
| J1630 |
Haloperidol injection |
242 |
222 |
$491.25 |
| 86141 |
|
51 |
46 |
$483.69 |
| 93016 |
|
33 |
32 |
$390.35 |
| 85014 |
|
85 |
71 |
$357.48 |
| J2550 |
Promethazine hcl injection |
177 |
152 |
$325.51 |
| 82550 |
|
45 |
38 |
$323.39 |
| 87205 |
|
49 |
48 |
$308.11 |
| 87088 |
|
22 |
21 |
$298.38 |
| A9270 |
Non-covered item or service |
513 |
403 |
$287.88 |
| 93018 |
|
33 |
32 |
$256.73 |
| 85018 |
|
65 |
56 |
$248.13 |
| 83525 |
|
12 |
12 |
$240.40 |
| G0103 |
Psa screening |
13 |
13 |
$228.13 |
| 82272 |
|
43 |
43 |
$222.50 |
| 82950 |
|
39 |
38 |
$221.05 |
| 87340 |
|
13 |
12 |
$201.98 |
| 82962 |
|
23 |
15 |
$198.78 |
| 82784 |
|
13 |
12 |
$184.20 |
| J3480 |
Inj potassium chloride |
17 |
15 |
$176.53 |
| J2795 |
Ropivacaine hcl injection |
26 |
26 |
$162.18 |
| 84156 |
|
49 |
37 |
$150.82 |
| 86308 |
|
12 |
12 |
$106.60 |
| J3370 |
Vancomycin hcl injection |
15 |
12 |
$97.13 |
| C9113 |
Inj pantoprazole sodium, via |
40 |
37 |
$86.28 |
| J2765 |
Metoclopramide hcl injection |
26 |
26 |
$84.35 |
| 83615 |
|
12 |
12 |
$53.38 |
| 84550 |
|
12 |
12 |
$34.60 |
| J3411 |
Thiamine hcl 100 mg |
16 |
14 |
$30.35 |
| J2543 |
Piperacillin/tazobactam |
12 |
12 |
$25.92 |
| 91300 |
|
1,069 |
969 |
$5.61 |
| 80050 |
|
21 |
21 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
12 |
$0.00 |