| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mh partial hosp tx under 24h |
65,710 |
7,500 |
$6.40M |
| 99284 |
|
12,496 |
11,362 |
$3.73M |
| 90832 |
|
27,865 |
15,979 |
$3.30M |
| 99283 |
|
11,462 |
10,746 |
$3.07M |
| 93306 |
|
2,189 |
2,127 |
$1.85M |
| 99285 |
|
6,326 |
5,669 |
$1.83M |
| 43239 |
|
1,149 |
1,104 |
$1.60M |
| A0427 |
Als1-emergency |
6,991 |
6,417 |
$1.49M |
| S9480 |
Intensive outpatient psychia |
3,837 |
2,336 |
$1.43M |
| 74177 |
|
2,415 |
2,323 |
$1.23M |
| 97110 |
|
40,163 |
11,724 |
$1.15M |
| G0378 |
Hospital observation per hr |
2,812 |
2,311 |
$1.05M |
| 90853 |
|
25,754 |
3,841 |
$575K |
| 45380 |
|
362 |
350 |
$540K |
| 90791 |
|
4,718 |
4,591 |
$533K |
| OP272 |
|
11,537 |
9,392 |
$531K |
| 93017 |
|
842 |
802 |
$436K |
| 97530 |
|
9,705 |
3,412 |
$432K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
322 |
289 |
$403K |
| 97140 |
|
9,938 |
3,343 |
$384K |
| OP270 |
|
10,023 |
9,143 |
$379K |
| 76700 |
|
2,126 |
2,076 |
$346K |
| 93970 |
|
1,069 |
1,019 |
$339K |
| 70450 |
|
3,221 |
2,967 |
$320K |
| 99282 |
|
2,620 |
2,475 |
$311K |
| 77067 |
|
3,034 |
3,012 |
$295K |
| 74176 |
|
1,167 |
1,102 |
$281K |
| A0425 |
Ground mileage |
7,586 |
6,965 |
$248K |
| 93971 |
|
1,036 |
980 |
$229K |
| 97803 |
|
2,877 |
2,323 |
$209K |
| 71046 |
|
4,535 |
4,360 |
$209K |
| 97161 |
|
4,064 |
3,913 |
$195K |
| 96374 |
|
4,465 |
3,955 |
$188K |
| 93005 |
|
11,840 |
10,428 |
$177K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,963 |
3,741 |
$176K |
| 11042 |
|
617 |
293 |
$170K |
| 96361 |
|
4,304 |
3,855 |
$148K |
| 80048 |
|
20,912 |
17,189 |
$147K |
| C1776 |
Joint device (implantable) |
28 |
26 |
$139K |
| 85025 |
|
25,181 |
21,065 |
$138K |
| 71045 |
|
6,003 |
5,456 |
$138K |
| 78452 |
|
127 |
117 |
$125K |
| 76536 |
|
663 |
659 |
$121K |
| 76642 |
|
1,248 |
1,234 |
$112K |
| OP710 |
|
2,917 |
2,754 |
$111K |
| G0463 |
Hospital outpt clinic visit |
5,938 |
4,709 |
$106K |
| 71260 |
|
304 |
301 |
$101K |
| 92507 |
|
1,965 |
736 |
$99K |
| 97802 |
|
657 |
648 |
$97K |
| 0241U |
|
3,565 |
3,083 |
$84K |
| 96375 |
|
3,110 |
2,728 |
$82K |
| 96360 |
|
1,618 |
1,489 |
$80K |
| OP250 |
|
31,646 |
14,719 |
$79K |
| 45378 |
|
48 |
47 |
$79K |
| 88305 |
|
3,254 |
3,133 |
$78K |
| 90834 |
|
5,006 |
2,917 |
$77K |
| 99281 |
|
737 |
705 |
$76K |
| 71250 |
|
240 |
222 |
$76K |
| 80307 |
|
4,471 |
3,938 |
$68K |
| 96365 |
|
1,310 |
1,189 |
$62K |
| 80076 |
|
11,270 |
9,968 |
$60K |
| 76830 |
|
594 |
575 |
$56K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,053 |
2,732 |
$54K |
| OP258 |
|
9,254 |
8,128 |
$52K |
| 87631 |
|
1,381 |
1,364 |
$51K |
| 76856 |
|
506 |
496 |
$48K |
| T2034 |
Crisis interven waiver/diem |
64 |
60 |
$48K |
| 87635 |
|
3,523 |
2,790 |
$47K |
| 81001 |
|
10,267 |
9,331 |
$45K |
| 97112 |
|
2,402 |
1,214 |
$44K |
| 77066 |
Tomosynthesis, mammo |
401 |
397 |
$44K |
| 77063 |
|
2,169 |
2,147 |
$43K |
| 80053 |
|
9,042 |
8,168 |
$43K |
| G0279 |
Tomosynthesis, mammo |
983 |
973 |
$42K |
| 83735 |
|
9,384 |
7,719 |
$39K |
| 77065 |
Tomosynthesis, mammo |
426 |
415 |
$39K |
| OP259 |
|
26,771 |
9,217 |
$38K |
| 76770 |
|
276 |
270 |
$38K |
| 83605 |
|
3,181 |
2,867 |
$34K |
| 85610 |
|
7,060 |
6,043 |
$32K |
| 85730 |
|
6,031 |
5,476 |
$29K |
| 80320 |
|
3,195 |
2,808 |
$29K |
| 87086 |
|
4,937 |
4,528 |
$29K |
| 84484 |
|
5,675 |
4,889 |
$29K |
| 84443 |
|
5,994 |
5,624 |
$27K |
| 96372 |
|
1,103 |
975 |
$27K |
| J3490 |
Drugs unclassified injection |
6,106 |
3,189 |
$26K |
| 87040 |
|
2,269 |
2,093 |
$26K |
| 82948 |
|
5,670 |
4,262 |
$25K |
| 83690 |
|
5,914 |
5,309 |
$25K |
| J2405 |
Ondansetron hcl injection |
6,272 |
5,192 |
$22K |
| 36415 |
|
11,395 |
7,946 |
$21K |
| J3010 |
Fentanyl citrate injection |
3,428 |
3,062 |
$20K |
| 94060 |
|
39 |
39 |
$20K |
| J2001 |
Lidocaine injection |
2,152 |
1,906 |
$20K |
| 90839 |
|
794 |
702 |
$19K |
| 74018 |
|
395 |
368 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
4,882 |
4,502 |
$18K |
| 45385 |
|
15 |
14 |
$18K |
| 77080 |
|
256 |
253 |
$18K |
| 73630 |
|
324 |
314 |
$18K |
| J2060 |
Lorazepam injection |
1,236 |
978 |
$16K |
| 73562 |
|
283 |
276 |
$16K |
| J7120 |
Ringers lactate infusion |
2,204 |
1,915 |
$15K |
| 71275 |
|
82 |
76 |
$15K |
| 97162 |
|
368 |
346 |
$15K |
| 94729 |
|
71 |
71 |
$14K |
| 72110 |
|
121 |
119 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
3,258 |
2,934 |
$13K |
| 85027 |
|
5,003 |
4,306 |
$13K |
| J0690 |
Cefazolin sodium injection |
1,908 |
1,416 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
1,844 |
1,664 |
$12K |
| 82550 |
|
2,810 |
2,562 |
$12K |
| 94727 |
|
71 |
71 |
$11K |
| J2710 |
Neostigmine methylslfte inj |
1,309 |
1,202 |
$11K |
| 73610 |
|
243 |
235 |
$11K |
| 84439 |
|
3,052 |
2,870 |
$11K |
| G0108 |
Diab manage trn per indiv |
56 |
49 |
$10K |
| 86900 |
|
1,623 |
1,495 |
$10K |
| 87798 |
|
314 |
297 |
$10K |
| 00731 |
|
330 |
320 |
$10K |
| 59025 |
|
33 |
26 |
$10K |
| 83880 |
|
1,789 |
1,608 |
$9K |
| 97597 |
|
103 |
54 |
$8K |
| 94640 |
|
386 |
326 |
$8K |
| S9484 |
Crisis intervention per hour |
36 |
12 |
$8K |
| 73030 |
|
164 |
164 |
$8K |
| 86850 |
|
1,568 |
1,438 |
$7K |
| 93041 |
|
763 |
493 |
$7K |
| 87651 |
|
886 |
868 |
$7K |
| 84702 |
|
1,662 |
1,519 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
4,074 |
3,453 |
$7K |
| 76942 |
|
193 |
180 |
$7K |
| 81025 |
|
3,769 |
3,532 |
$6K |
| J1170 |
Hydromorphone injection |
2,243 |
1,743 |
$6K |
| J7030 |
Normal saline solution infus |
1,121 |
667 |
$6K |
| 99291 |
|
22 |
19 |
$6K |
| J1100 |
Dexamethasone sodium phos |
3,279 |
2,851 |
$6K |
| 73130 |
|
137 |
135 |
$6K |
| 90715 |
|
315 |
312 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
684 |
498 |
$5K |
| 97116 |
|
398 |
269 |
$5K |
| 72125 |
|
49 |
41 |
$5K |
| 73110 |
|
76 |
72 |
$5K |
| 96376 |
|
388 |
339 |
$5K |
| 80061 |
|
3,223 |
3,109 |
$4K |
| 90840 |
|
107 |
58 |
$4K |
| 94375 |
|
27 |
27 |
$4K |
| 85379 |
|
1,647 |
1,573 |
$4K |
| 87186 |
|
859 |
801 |
$4K |
| 90471 |
|
488 |
436 |
$4K |
| 00812 |
|
196 |
193 |
$4K |
| 83036 |
|
3,976 |
3,748 |
$4K |
| 97165 |
|
166 |
150 |
$4K |
| J2270 |
Morphine sulfate injection |
1,709 |
1,306 |
$4K |
| 64447 |
|
14 |
12 |
$4K |
| 99214 |
|
221 |
217 |
$4K |
| G0480 |
Drug test def 1-7 classes |
262 |
172 |
$3K |
| 92587 |
|
26 |
26 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
1,127 |
513 |
$3K |
| 81003 |
|
695 |
677 |
$3K |
| J3535 |
Metered dose inhaler drug |
154 |
46 |
$2K |
| J0330 |
Succinycholine chloride inj |
639 |
549 |
$2K |
| 86618 |
|
410 |
389 |
$2K |
| 73590 |
|
13 |
12 |
$2K |
| 84100 |
|
1,043 |
792 |
$1K |
| 96366 |
|
44 |
39 |
$1K |
| 92588 |
|
12 |
12 |
$1K |
| 86317 |
|
138 |
134 |
$1K |
| 82306 |
|
889 |
844 |
$1K |
| 71271 |
|
13 |
13 |
$1K |
| 00811 |
|
31 |
26 |
$1K |
| 82150 |
|
265 |
254 |
$1K |
| 00813 |
|
41 |
39 |
$867.00 |
| A9502 |
Tc99m tetrofosmin |
120 |
107 |
$809.30 |
| 95800 |
|
28 |
28 |
$792.36 |
| J2765 |
Metoclopramide hcl injection |
605 |
436 |
$787.52 |
| C9113 |
Inj pantoprazole sodium, via |
387 |
300 |
$778.79 |
| 84703 |
|
604 |
570 |
$763.76 |
| 73140 |
|
13 |
13 |
$705.85 |
| J0689 |
Inj cefazolin sodium, baxter |
281 |
159 |
$670.81 |
| A4649 |
Surgical supplies |
34 |
34 |
$613.43 |
| 86140 |
|
530 |
475 |
$603.73 |
| 87641 |
|
26 |
26 |
$587.06 |
| J7620 |
Albuterol ipratrop non-comp |
248 |
192 |
$568.91 |
| 90837 |
|
16 |
13 |
$550.00 |
| 82728 |
|
257 |
245 |
$482.44 |
| 85651 |
|
884 |
809 |
$441.64 |
| J8501 |
Oral aprepitant |
26 |
25 |
$438.42 |
| J1200 |
Diphenhydramine hcl injectio |
82 |
78 |
$434.94 |
| 73560 |
|
12 |
12 |
$431.96 |
| 82607 |
|
504 |
474 |
$421.74 |
| J1815 |
Insulin injection |
300 |
94 |
$418.12 |
| Q0162 |
Ondansetron oral |
550 |
484 |
$416.45 |
| A9585 |
Gadobutrol injection |
343 |
326 |
$388.25 |
| 87070 |
|
168 |
153 |
$381.35 |
| 73502 |
|
15 |
14 |
$369.76 |
| 90686 |
|
70 |
70 |
$360.70 |
| 82565 |
|
67 |
50 |
$348.40 |
| 84145 |
|
17 |
17 |
$335.14 |
| J7070 |
D5w infusion |
21 |
12 |
$333.06 |
| 88342 |
|
28 |
26 |
$318.08 |
| G0008 |
Admin influenza virus vac |
293 |
286 |
$298.77 |
| 80329 |
|
14 |
13 |
$198.19 |
| 87899 |
|
14 |
14 |
$182.54 |
| 82570 |
|
877 |
833 |
$176.07 |
| 88304 |
|
12 |
12 |
$175.11 |
| 87205 |
|
121 |
110 |
$172.48 |
| 87430 |
|
58 |
58 |
$171.78 |
| 87077 |
|
84 |
78 |
$156.49 |
| 82043 |
|
663 |
644 |
$152.68 |
| 90682 |
|
168 |
160 |
$146.99 |
| 83550 |
|
263 |
253 |
$141.48 |
| 87389 |
|
25 |
25 |
$121.57 |
| 83540 |
|
335 |
320 |
$117.52 |
| J3360 |
Diazepam injection |
26 |
24 |
$114.70 |
| J2795 |
Ropivacaine hcl injection |
98 |
83 |
$110.63 |
| 99152 |
|
26 |
26 |
$106.11 |
| J3480 |
Inj potassium chloride |
37 |
27 |
$97.59 |
| 84153 |
|
141 |
139 |
$87.14 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
39 |
38 |
$77.25 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
393 |
340 |
$72.35 |
| 85008 |
|
520 |
468 |
$64.00 |
| J7613 |
Albuterol non-comp unit |
150 |
110 |
$58.99 |
| 82553 |
|
27 |
26 |
$52.34 |
| 87500 |
|
13 |
13 |
$38.51 |
| 85014 |
|
88 |
60 |
$36.20 |
| J2930 |
Methylprednisolone injection |
15 |
14 |
$35.10 |
| 85018 |
|
88 |
60 |
$31.90 |
| J1630 |
Haloperidol injection |
14 |
12 |
$30.15 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$21.26 |
| Q4051 |
Splint supplies misc |
13 |
13 |
$11.95 |
| 87015 |
|
12 |
12 |
$10.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
12 |
$8.45 |
| 84550 |
|
55 |
40 |
$6.27 |
| P9604 |
One-way allow prorated trip |
158 |
132 |
$1.00 |
| 87147 |
|
12 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
16 |
14 |
$0.00 |
| 90792 |
|
13 |
12 |
$0.00 |
| 85007 |
|
127 |
114 |
$0.00 |
| G8979 |
Mobility goal status |
30 |
29 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
19 |
13 |
$0.00 |
| G8978 |
Mobility current status |
26 |
26 |
$0.00 |
| G1004 |
Cdsm ndsc |
32 |
28 |
$0.00 |
| 80164 |
|
17 |
14 |
$0.00 |