| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
50,381 |
43,756 |
$9.25M |
| 99284 |
|
33,000 |
28,554 |
$6.66M |
| 96361 |
|
15,966 |
12,883 |
$5.44M |
| 99285 |
|
11,357 |
10,042 |
$2.43M |
| 11042 |
|
9,247 |
3,966 |
$1.53M |
| G0378 |
Hospital observation per hr |
4,759 |
3,736 |
$1.30M |
| 70450 |
|
6,432 |
5,632 |
$1.16M |
| 74177 |
|
5,520 |
4,967 |
$1.07M |
| 99282 |
|
5,957 |
5,390 |
$949K |
| 96360 |
|
4,155 |
3,720 |
$607K |
| G0463 |
Hospital outpt clinic visit |
5,934 |
3,876 |
$516K |
| 43239 |
|
902 |
861 |
$468K |
| 11045 |
|
1,140 |
441 |
$465K |
| 74176 |
|
2,755 |
2,467 |
$450K |
| 99291 |
|
1,406 |
1,299 |
$425K |
| 71275 |
|
1,575 |
1,442 |
$383K |
| 96365 |
|
4,674 |
3,872 |
$355K |
| 45380 |
|
513 |
489 |
$355K |
| 94640 |
|
6,281 |
4,781 |
$346K |
| 96366 |
|
1,892 |
1,069 |
$305K |
| 76856 |
|
2,537 |
2,391 |
$248K |
| 80307 |
|
5,566 |
4,750 |
$246K |
| 76700 |
|
1,688 |
1,590 |
$236K |
| 45385 |
|
488 |
469 |
$220K |
| 76830 |
|
2,153 |
2,025 |
$214K |
| 29581 |
|
1,641 |
708 |
$207K |
| 70553 |
|
566 |
518 |
$187K |
| 0241U |
|
2,168 |
2,088 |
$161K |
| 87400 |
|
13,266 |
8,646 |
$146K |
| 80053 |
|
36,328 |
29,266 |
$143K |
| 77063 |
|
2,466 |
2,345 |
$130K |
| 76705 |
|
1,473 |
1,367 |
$126K |
| 87636 |
|
10,772 |
10,163 |
$122K |
| 76642 |
|
1,078 |
839 |
$118K |
| 71046 |
|
8,615 |
7,910 |
$114K |
| 77067 |
|
3,529 |
3,371 |
$105K |
| 93971 |
|
1,054 |
978 |
$99K |
| 93306 |
|
328 |
289 |
$84K |
| 72148 |
|
452 |
435 |
$84K |
| 45378 |
|
143 |
137 |
$80K |
| G0480 |
Drug test def 1-7 classes |
5,863 |
4,796 |
$78K |
| 93976 |
|
1,050 |
974 |
$77K |
| 97530 |
|
2,110 |
780 |
$72K |
| 97112 |
|
1,855 |
458 |
$71K |
| 11043 |
|
372 |
207 |
$67K |
| 70496 |
|
296 |
283 |
$67K |
| 76801 |
|
1,216 |
1,077 |
$50K |
| 76770 |
|
351 |
329 |
$50K |
| 76805 |
|
485 |
461 |
$47K |
| 12001 |
|
186 |
178 |
$47K |
| 93970 |
|
336 |
301 |
$42K |
| 70551 |
|
241 |
228 |
$41K |
| 80048 |
|
8,546 |
6,562 |
$36K |
| 76536 |
|
272 |
266 |
$35K |
| 73564 |
|
2,701 |
2,182 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,257 |
1,134 |
$33K |
| 87420 |
|
2,775 |
2,646 |
$33K |
| M0243 |
Casirivi and imdevi inj |
100 |
95 |
$31K |
| 73721 |
|
125 |
107 |
$31K |
| 72125 |
|
1,373 |
1,224 |
$29K |
| 97161 |
|
343 |
302 |
$28K |
| 83880 |
|
3,677 |
3,075 |
$28K |
| 72110 |
|
980 |
907 |
$28K |
| 71260 |
|
132 |
129 |
$27K |
| 71045 |
|
10,452 |
8,952 |
$25K |
| 77066 |
Tomosynthesis, mammo |
508 |
467 |
$23K |
| 73030 |
|
1,827 |
1,608 |
$22K |
| M0239 |
Bamlanivimab-xxxx infusion |
83 |
78 |
$22K |
| 71250 |
|
350 |
334 |
$21K |
| 93005 |
|
20,564 |
16,616 |
$21K |
| 87040 |
|
3,817 |
1,951 |
$20K |
| 85025 |
|
39,705 |
31,413 |
$20K |
| 76817 |
|
1,097 |
981 |
$19K |
| 70486 |
|
366 |
340 |
$19K |
| 84484 |
|
14,679 |
11,398 |
$18K |
| 78452 |
|
25 |
24 |
$17K |
| 96374 |
|
19,285 |
16,514 |
$16K |
| J8540 |
Oral dexamethasone |
799 |
768 |
$16K |
| 85379 |
|
2,930 |
2,643 |
$15K |
| J3490 |
Drugs unclassified injection |
12,490 |
6,981 |
$15K |
| 87591 |
|
1,827 |
1,639 |
$14K |
| 36415 |
|
12,320 |
8,215 |
$14K |
| 77080 |
|
244 |
227 |
$14K |
| U0002 |
Covid-19 lab test non-cdc |
6,833 |
6,124 |
$14K |
| 77065 |
Tomosynthesis, mammo |
268 |
249 |
$13K |
| 12011 |
|
66 |
63 |
$13K |
| 73630 |
|
1,948 |
1,746 |
$12K |
| 72131 |
|
220 |
206 |
$12K |
| 73610 |
|
1,890 |
1,699 |
$12K |
| 73130 |
|
1,454 |
1,258 |
$11K |
| 97162 |
|
125 |
103 |
$11K |
| 90715 |
|
404 |
384 |
$11K |
| 97110 |
|
258 |
115 |
$9K |
| 75574 |
|
33 |
28 |
$9K |
| 84443 |
|
3,436 |
3,066 |
$8K |
| 74018 |
|
643 |
583 |
$8K |
| 70498 |
|
305 |
291 |
$8K |
| 96375 |
|
13,915 |
10,975 |
$7K |
| G0279 |
Tomosynthesis, mammo |
395 |
370 |
$7K |
| 85027 |
|
4,234 |
3,172 |
$7K |
| 97165 |
|
116 |
106 |
$6K |
| 72100 |
|
232 |
222 |
$6K |
| 97597 |
|
87 |
57 |
$6K |
| 73110 |
|
1,023 |
917 |
$6K |
| 81001 |
|
18,838 |
16,498 |
$6K |
| 72141 |
|
44 |
40 |
$6K |
| 80061 |
|
1,767 |
1,592 |
$6K |
| 96376 |
|
6,187 |
3,269 |
$5K |
| S0028 |
Injection, famotidine, 20 mg |
3,629 |
3,179 |
$5K |
| 84703 |
|
11,780 |
10,081 |
$5K |
| 87081 |
|
10,093 |
9,172 |
$5K |
| 99281 |
|
26 |
24 |
$5K |
| 83036 |
|
1,902 |
1,687 |
$4K |
| 97116 |
|
181 |
87 |
$4K |
| 83735 |
|
8,042 |
6,185 |
$4K |
| 87430 |
|
10,407 |
9,723 |
$4K |
| 96372 |
|
10,683 |
6,526 |
$4K |
| 85610 |
|
6,387 |
5,064 |
$4K |
| 80143 |
|
1,085 |
949 |
$4K |
| 83605 |
|
2,484 |
1,991 |
$3K |
| 87086 |
|
6,810 |
5,989 |
$3K |
| 87635 |
|
590 |
528 |
$3K |
| J2405 |
Ondansetron hcl injection |
10,490 |
8,527 |
$3K |
| J7030 |
Normal saline solution infus |
5,079 |
3,959 |
$3K |
| 82306 |
|
187 |
174 |
$3K |
| 10060 |
|
14 |
14 |
$3K |
| 73221 |
|
13 |
12 |
$3K |
| 73140 |
|
352 |
328 |
$2K |
| 82607 |
|
555 |
505 |
$2K |
| 90471 |
|
656 |
578 |
$2K |
| S0119 |
Ondansetron 4 mg |
5,845 |
5,386 |
$2K |
| 83690 |
|
12,013 |
10,308 |
$2K |
| 84702 |
|
3,078 |
2,686 |
$2K |
| 36430 |
|
16 |
14 |
$2K |
| 80179 |
|
1,032 |
919 |
$2K |
| J7050 |
Normal saline solution infus |
1,124 |
569 |
$2K |
| 86900 |
|
1,641 |
1,349 |
$2K |
| 86140 |
|
1,139 |
1,008 |
$2K |
| 73501 |
|
143 |
133 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
11,620 |
9,989 |
$2K |
| 81003 |
|
3,695 |
3,275 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,261 |
8,153 |
$2K |
| 87077 |
|
4,131 |
3,435 |
$1K |
| 84100 |
|
3,305 |
2,381 |
$1K |
| 87491 |
|
1,767 |
1,585 |
$1K |
| J7613 |
Albuterol non-comp unit |
2,302 |
1,913 |
$1K |
| J3535 |
Metered dose inhaler drug |
450 |
372 |
$1K |
| J7120 |
Ringers lactate infusion |
809 |
633 |
$1K |
| 88305 |
|
3,262 |
2,043 |
$1K |
| 82248 |
|
5,257 |
4,618 |
$1K |
| 85730 |
|
4,243 |
3,526 |
$1K |
| J1650 |
Inj enoxaparin sodium |
2,755 |
1,208 |
$1K |
| 73590 |
|
139 |
126 |
$1K |
| 97750 |
|
29 |
25 |
$981.16 |
| 81025 |
|
3,923 |
3,506 |
$979.37 |
| 73560 |
|
83 |
64 |
$900.34 |
| 96367 |
|
315 |
247 |
$890.78 |
| 97755 |
|
37 |
26 |
$799.36 |
| 73080 |
|
200 |
184 |
$764.69 |
| 84439 |
|
153 |
141 |
$731.82 |
| 87070 |
|
2,450 |
2,043 |
$694.92 |
| U0005 |
Infec agen detec ampli probe |
1,118 |
1,011 |
$665.61 |
| J0696 |
Ceftriaxone sodium injection |
3,354 |
2,580 |
$518.43 |
| J2270 |
Morphine sulfate injection |
5,438 |
3,815 |
$512.57 |
| 71101 |
|
40 |
38 |
$430.81 |
| 87186 |
|
3,601 |
2,608 |
$394.81 |
| 83540 |
|
300 |
277 |
$379.09 |
| 73090 |
|
102 |
89 |
$367.63 |
| 93017 |
|
25 |
24 |
$347.27 |
| 83550 |
|
203 |
188 |
$285.96 |
| 87205 |
|
2,053 |
1,688 |
$217.15 |
| J7040 |
Normal saline solution infus |
539 |
444 |
$214.44 |
| 82550 |
|
585 |
476 |
$208.72 |
| J7644 |
Ipratropium bromide non-comp |
1,350 |
1,231 |
$204.17 |
| 82728 |
|
98 |
93 |
$202.56 |
| J3475 |
Inj magnesium sulfate |
2,108 |
1,737 |
$187.14 |
| 82570 |
|
58 |
53 |
$183.82 |
| 87661 |
|
381 |
334 |
$178.64 |
| 86901 |
|
1,641 |
1,349 |
$177.20 |
| 85652 |
|
182 |
166 |
$146.00 |
| 85651 |
|
371 |
332 |
$131.71 |
| J7512 |
Prednisone ir or dr oral 1mg |
637 |
547 |
$114.58 |
| J3010 |
Fentanyl citrate injection |
1,483 |
1,180 |
$113.02 |
| 94664 |
|
316 |
258 |
$110.72 |
| J1200 |
Diphenhydramine hcl injectio |
1,271 |
1,091 |
$94.95 |
| 86850 |
|
740 |
626 |
$94.89 |
| J2765 |
Metoclopramide hcl injection |
1,024 |
890 |
$83.51 |
| 74022 |
|
14 |
14 |
$82.60 |
| 97542 |
|
16 |
14 |
$82.12 |
| 82746 |
|
79 |
70 |
$69.22 |
| J2250 |
Inj midazolam hydrochloride |
1,173 |
1,091 |
$67.49 |
| J7510 |
Prednisolone oral per 5 mg |
281 |
264 |
$56.23 |
| 82805 |
|
207 |
186 |
$48.60 |
| J2060 |
Lorazepam injection |
572 |
443 |
$44.71 |
| J2550 |
Promethazine hcl injection |
168 |
139 |
$41.94 |
| 87808 |
|
74 |
65 |
$35.13 |
| J1815 |
Insulin injection |
159 |
47 |
$32.37 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,046 |
926 |
$31.01 |
| G8979 |
Mobility goal status |
155 |
99 |
$30.68 |
| J1100 |
Dexamethasone sodium phos |
656 |
579 |
$29.48 |
| J1170 |
Hydromorphone injection |
612 |
351 |
$27.87 |
| J2704 |
Inj, propofol, 10 mg |
1,655 |
1,244 |
$26.83 |
| J1644 |
Inj heparin sodium per 1000u |
656 |
278 |
$13.20 |
| 87389 |
|
27 |
27 |
$12.38 |
| J2930 |
Methylprednisolone injection |
290 |
253 |
$10.96 |
| C9113 |
Inj pantoprazole sodium, via |
285 |
151 |
$9.07 |
| 82272 |
|
26 |
24 |
$7.07 |
| 86780 |
|
14 |
14 |
$6.42 |
| 99292 |
|
47 |
43 |
$4.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
214 |
178 |
$3.84 |
| J7620 |
Albuterol ipratrop non-comp |
31 |
26 |
$3.74 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
71 |
42 |
$0.88 |
| G1004 |
Cdsm ndsc |
1,435 |
1,048 |
$0.00 |
| J0780 |
Prochlorperazine injection |
211 |
198 |
$0.00 |
| G8978 |
Mobility current status |
114 |
74 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
171 |
158 |
$0.00 |
| 87563 |
|
27 |
25 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
187 |
162 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
64 |
34 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
13 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
25 |
24 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
20 |
18 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
67 |
43 |
$0.00 |
| 87798 |
|
23 |
12 |
$0.00 |
| 84145 |
|
12 |
12 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
21 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
695 |
614 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
130 |
106 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
16 |
14 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
177 |
69 |
$0.00 |
| J0456 |
Azithromycin |
12 |
12 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
62 |
55 |
$0.00 |
| 87637 |
|
65 |
64 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
97 |
73 |
$0.00 |
| 88304 |
|
53 |
51 |
$0.00 |
| 88342 |
|
20 |
20 |
$0.00 |
| J7999 |
Compounded drug, noc |
29 |
29 |
$0.00 |
| J3480 |
Inj potassium chloride |
68 |
41 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
20 |
13 |
$0.00 |
| J1790 |
Droperidol injection |
28 |
26 |
$0.00 |
| J1630 |
Haloperidol injection |
13 |
12 |
$0.00 |