| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
|
13,463 |
4,418 |
$804K |
| 42820 |
|
363 |
353 |
$701K |
| G0463 |
Hospital outpt clinic visit |
58,972 |
38,663 |
$542K |
| 97530 |
|
7,075 |
2,602 |
$464K |
| 74177 |
|
2,580 |
2,431 |
$353K |
| 41899 |
|
314 |
304 |
$304K |
| 80053 |
|
27,564 |
22,820 |
$163K |
| 85025 |
|
37,074 |
28,061 |
$157K |
| G0480 |
Drug test def 1-7 classes |
2,553 |
2,336 |
$147K |
| 69436 |
|
154 |
154 |
$145K |
| 97110 |
|
3,897 |
1,416 |
$131K |
| 92526 |
|
1,834 |
785 |
$111K |
| 99284 |
|
2,791 |
2,371 |
$109K |
| 92523 |
|
682 |
663 |
$105K |
| 87491 |
|
2,905 |
2,777 |
$104K |
| 87591 |
|
2,871 |
2,747 |
$99K |
| 76805 |
|
1,324 |
1,303 |
$94K |
| 99283 |
|
2,875 |
2,386 |
$92K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,831 |
1,675 |
$90K |
| 87804 |
|
5,250 |
4,903 |
$89K |
| 43239 |
|
415 |
397 |
$88K |
| 70450 |
|
2,068 |
1,924 |
$81K |
| 84443 |
|
7,303 |
6,919 |
$81K |
| 71046 |
|
6,868 |
6,306 |
$79K |
| 76816 |
|
1,325 |
1,219 |
$74K |
| 97112 |
|
2,220 |
789 |
$71K |
| G0482 |
Drug test def 15-21 classes |
623 |
592 |
$69K |
| 36415 |
|
43,718 |
33,381 |
$63K |
| 76817 |
|
1,340 |
1,193 |
$61K |
| 99285 |
|
1,152 |
1,021 |
$60K |
| 76815 |
|
1,496 |
1,039 |
$57K |
| 87430 |
|
3,841 |
3,772 |
$54K |
| J0585 |
Injection,onabotulinumtoxina |
398 |
262 |
$53K |
| 76830 |
|
828 |
806 |
$51K |
| 72148 |
|
600 |
582 |
$49K |
| 74176 |
|
683 |
656 |
$46K |
| 71275 |
|
386 |
364 |
$43K |
| G0378 |
Hospital observation per hr |
1,138 |
582 |
$42K |
| 83880 |
|
3,084 |
2,634 |
$40K |
| 80048 |
|
10,016 |
7,689 |
$39K |
| 76705 |
|
931 |
901 |
$38K |
| 81001 |
|
16,167 |
14,049 |
$37K |
| 87081 |
|
5,401 |
5,254 |
$37K |
| 96374 |
|
2,927 |
2,252 |
$36K |
| 77067 |
|
849 |
823 |
$36K |
| 80061 |
|
4,554 |
4,349 |
$35K |
| 82306 |
|
1,818 |
1,739 |
$33K |
| 97162 |
|
799 |
753 |
$31K |
| 87086 |
|
5,948 |
5,313 |
$31K |
| 96361 |
|
1,133 |
819 |
$30K |
| 86140 |
|
10,116 |
8,209 |
$29K |
| 73721 |
|
254 |
246 |
$28K |
| 87506 |
|
150 |
145 |
$27K |
| 78452 |
|
187 |
173 |
$27K |
| 81025 |
|
4,015 |
3,731 |
$27K |
| 83690 |
|
5,818 |
5,114 |
$27K |
| 84484 |
|
5,455 |
4,246 |
$26K |
| 87624 |
|
756 |
735 |
$26K |
| 87420 |
|
1,921 |
1,869 |
$25K |
| 83036 |
|
6,289 |
5,960 |
$25K |
| 87077 |
|
3,875 |
3,538 |
$24K |
| S3620 |
Newborn metabolic screening |
478 |
471 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
531 |
522 |
$23K |
| 73610 |
|
1,501 |
1,349 |
$22K |
| 71260 |
|
309 |
294 |
$22K |
| 73110 |
|
1,238 |
1,097 |
$22K |
| 84702 |
|
1,406 |
935 |
$22K |
| 73630 |
|
1,569 |
1,408 |
$21K |
| 83605 |
|
3,360 |
2,686 |
$20K |
| 96365 |
|
778 |
517 |
$20K |
| 72125 |
|
355 |
332 |
$20K |
| 70553 |
|
126 |
120 |
$19K |
| J7120 |
Ringers lactate infusion |
11,305 |
8,712 |
$19K |
| 73140 |
|
1,032 |
938 |
$18K |
| 71045 |
|
3,794 |
3,363 |
$18K |
| G0481 |
Drug test def 8-14 classes |
313 |
297 |
$18K |
| 97140 |
|
640 |
308 |
$18K |
| 96372 |
|
2,125 |
1,415 |
$17K |
| 80306 |
|
1,313 |
1,192 |
$17K |
| 73130 |
|
1,077 |
969 |
$17K |
| 97116 |
|
977 |
323 |
$16K |
| 87040 |
|
1,828 |
1,172 |
$16K |
| 84439 |
|
2,021 |
1,949 |
$16K |
| 87661 |
|
452 |
442 |
$15K |
| 45380 |
|
78 |
75 |
$15K |
| 74018 |
|
1,138 |
1,068 |
$15K |
| 87186 |
|
2,426 |
2,198 |
$14K |
| 70551 |
|
156 |
150 |
$14K |
| 99282 |
|
575 |
517 |
$14K |
| 83970 |
|
609 |
562 |
$14K |
| 82962 |
|
8,652 |
5,042 |
$14K |
| 82803 |
|
881 |
670 |
$14K |
| 87505 |
|
123 |
122 |
$14K |
| 86762 |
|
1,049 |
1,000 |
$14K |
| 84145 |
|
1,182 |
891 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
7,327 |
6,148 |
$13K |
| 72100 |
|
949 |
906 |
$13K |
| 87340 |
|
1,347 |
1,289 |
$13K |
| 73564 |
|
706 |
674 |
$12K |
| 73562 |
|
889 |
834 |
$12K |
| 86850 |
|
1,807 |
1,652 |
$12K |
| 86703 |
|
927 |
884 |
$12K |
| 73502 |
|
788 |
739 |
$12K |
| 73030 |
|
1,142 |
1,037 |
$12K |
| 96375 |
|
1,813 |
1,280 |
$12K |
| 36416 |
|
3,826 |
3,235 |
$11K |
| 85610 |
|
6,970 |
4,936 |
$11K |
| 87389 |
|
442 |
434 |
$11K |
| 80307 |
|
394 |
368 |
$11K |
| 97166 |
|
212 |
202 |
$10K |
| 93005 |
|
4,383 |
3,588 |
$10K |
| J7030 |
Normal saline solution infus |
7,513 |
5,887 |
$10K |
| 74022 |
|
529 |
503 |
$9K |
| A9500 |
Tc99m sestamibi |
168 |
157 |
$9K |
| 87641 |
|
437 |
425 |
$9K |
| 87640 |
|
436 |
424 |
$9K |
| 64483 |
|
28 |
25 |
$9K |
| 76942 |
|
664 |
638 |
$8K |
| 82728 |
|
776 |
727 |
$8K |
| 83516 |
|
669 |
586 |
$8K |
| 85379 |
|
1,063 |
997 |
$8K |
| 86803 |
|
792 |
752 |
$8K |
| J2785 |
Regadenoson injection |
104 |
95 |
$8K |
| 87070 |
|
1,000 |
918 |
$7K |
| 72141 |
|
82 |
80 |
$7K |
| 87210 |
|
1,481 |
1,383 |
$7K |
| 73080 |
|
437 |
404 |
$7K |
| 71250 |
|
124 |
119 |
$7K |
| 92610 |
|
130 |
122 |
$7K |
| 87511 |
|
182 |
179 |
$6K |
| 87481 |
|
182 |
179 |
$6K |
| 72040 |
|
499 |
474 |
$6K |
| J3490 |
Drugs unclassified injection |
323 |
293 |
$6K |
| 81003 |
|
2,818 |
2,554 |
$6K |
| 73100 |
|
397 |
313 |
$6K |
| 86593 |
|
1,407 |
1,352 |
$6K |
| 83655 |
|
527 |
519 |
$6K |
| 84481 |
|
487 |
471 |
$6K |
| J0690 |
Cefazolin sodium injection |
2,930 |
2,183 |
$6K |
| 76856 |
|
102 |
100 |
$6K |
| S9470 |
Nutritional counseling, diet |
307 |
299 |
$6K |
| 87635 |
|
857 |
718 |
$6K |
| 82607 |
|
652 |
617 |
$6K |
| 97161 |
|
100 |
96 |
$6K |
| 87660 |
|
251 |
237 |
$6K |
| 86901 |
|
1,909 |
1,683 |
$5K |
| 83735 |
|
2,104 |
1,464 |
$5K |
| 73590 |
|
391 |
357 |
$5K |
| J2270 |
Morphine sulfate injection |
2,651 |
2,186 |
$5K |
| 86900 |
|
1,825 |
1,620 |
$5K |
| 83550 |
|
806 |
756 |
$5K |
| 87205 |
|
1,460 |
1,330 |
$5K |
| 82950 |
|
1,089 |
1,014 |
$5K |
| 73090 |
|
391 |
321 |
$5K |
| 85730 |
|
1,232 |
1,149 |
$5K |
| 76642 |
|
147 |
143 |
$5K |
| 82570 |
|
2,210 |
2,012 |
$5K |
| 80074 |
|
97 |
95 |
$5K |
| 85652 |
|
2,963 |
2,658 |
$5K |
| G0483 |
Drug test def 22+ classes |
57 |
55 |
$4K |
| 87480 |
|
251 |
237 |
$4K |
| 87510 |
|
251 |
237 |
$4K |
| 83540 |
|
944 |
882 |
$4K |
| 85018 |
|
2,397 |
2,157 |
$4K |
| J1170 |
Hydromorphone injection |
2,085 |
1,582 |
$4K |
| 78227 |
|
12 |
12 |
$4K |
| J1100 |
Dexamethasone sodium phos |
5,046 |
4,656 |
$4K |
| 82784 |
|
362 |
350 |
$4K |
| 82550 |
|
827 |
748 |
$4K |
| 82043 |
|
1,561 |
1,463 |
$4K |
| J3010 |
Fentanyl citrate injection |
6,975 |
4,978 |
$4K |
| 93306 |
|
59 |
49 |
$4K |
| 82247 |
|
666 |
371 |
$4K |
| G0439 |
Ppps, subseq visit |
1,814 |
1,652 |
$4K |
| J0561 |
Penicillin g benzathine inj |
41 |
41 |
$4K |
| 87449 |
|
417 |
388 |
$3K |
| 84703 |
|
454 |
441 |
$3K |
| 90471 |
|
501 |
450 |
$3K |
| 70486 |
|
47 |
47 |
$3K |
| 76700 |
|
57 |
56 |
$3K |
| 99213 |
|
217 |
197 |
$3K |
| J7040 |
Normal saline solution infus |
3,172 |
2,810 |
$3K |
| 86376 |
|
232 |
223 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,351 |
3,802 |
$3K |
| J2405 |
Ondansetron hcl injection |
8,475 |
6,905 |
$3K |
| J2550 |
Promethazine hcl injection |
1,627 |
1,067 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,162 |
820 |
$3K |
| 74019 |
|
176 |
170 |
$3K |
| 90834 |
|
287 |
135 |
$3K |
| 87324 |
|
336 |
314 |
$3K |
| 80069 |
|
473 |
368 |
$3K |
| G0008 |
Admin influenza virus vac |
1,718 |
1,581 |
$2K |
| 97597 |
|
162 |
98 |
$2K |
| 90715 |
|
244 |
233 |
$2K |
| 86235 |
|
26 |
25 |
$2K |
| 99214 |
|
158 |
140 |
$2K |
| 20610 |
|
650 |
548 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
986 |
898 |
$2K |
| 82565 |
|
584 |
537 |
$2K |
| 80076 |
|
312 |
284 |
$2K |
| J2001 |
Lidocaine injection |
6,168 |
5,230 |
$2K |
| 74230 |
|
44 |
39 |
$2K |
| 72110 |
|
104 |
101 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| 82746 |
|
198 |
191 |
$2K |
| 76775 |
|
112 |
107 |
$2K |
| 92611 |
|
41 |
37 |
$2K |
| J7050 |
Normal saline solution infus |
4,791 |
2,715 |
$2K |
| 73560 |
|
135 |
117 |
$2K |
| A9552 |
F18 fdg |
14 |
13 |
$2K |
| 96360 |
|
68 |
61 |
$2K |
| J2930 |
Methylprednisolone injection |
450 |
361 |
$2K |
| 76536 |
|
27 |
27 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
51 |
51 |
$2K |
| 99212 |
|
130 |
111 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
705 |
303 |
$2K |
| 97535 |
|
62 |
50 |
$2K |
| 70496 |
|
14 |
13 |
$2K |
| 77002 |
|
47 |
42 |
$1K |
| 70498 |
|
17 |
16 |
$1K |
| 84100 |
|
790 |
558 |
$1K |
| 86706 |
|
157 |
150 |
$1K |
| 82140 |
|
149 |
116 |
$1K |
| 73070 |
|
82 |
67 |
$1K |
| G0279 |
Tomosynthesis, mammo |
93 |
89 |
$1K |
| 76770 |
|
25 |
24 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,053 |
812 |
$1K |
| 85014 |
|
689 |
602 |
$1K |
| 84550 |
|
386 |
355 |
$1K |
| 86038 |
|
153 |
148 |
$1K |
| 94640 |
|
289 |
165 |
$1K |
| 88305 |
|
656 |
607 |
$1K |
| 82105 |
|
123 |
111 |
$981.47 |
| 84156 |
|
429 |
360 |
$936.87 |
| 77080 |
|
115 |
107 |
$928.47 |
| 84146 |
|
56 |
52 |
$926.86 |
| 80164 |
|
113 |
100 |
$893.98 |
| 87798 |
|
27 |
27 |
$891.36 |
| 77066 |
Tomosynthesis, mammo |
15 |
14 |
$862.36 |
| 83520 |
|
77 |
73 |
$847.12 |
| 87338 |
|
53 |
53 |
$814.98 |
| 71101 |
|
61 |
58 |
$813.15 |
| 94060 |
|
44 |
39 |
$778.69 |
| J0171 |
Adrenalin epinephrine inject |
105 |
84 |
$737.05 |
| 84403 |
|
38 |
38 |
$733.91 |
| 72070 |
|
45 |
44 |
$703.44 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$681.00 |
| 86431 |
|
134 |
130 |
$674.79 |
| J1650 |
Inj enoxaparin sodium |
369 |
172 |
$673.68 |
| 90686 |
|
399 |
374 |
$670.52 |
| 76801 |
|
12 |
12 |
$670.15 |
| J2250 |
Inj midazolam hydrochloride |
2,166 |
1,977 |
$659.78 |
| J1815 |
Insulin injection |
307 |
137 |
$627.97 |
| 97168 |
|
13 |
12 |
$581.02 |
| 86200 |
|
46 |
45 |
$532.05 |
| 90662 |
|
474 |
447 |
$529.41 |
| J2060 |
Lorazepam injection |
933 |
798 |
$520.27 |
| J0330 |
Succinycholine chloride inj |
747 |
687 |
$502.75 |
| 82010 |
|
60 |
50 |
$467.47 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,535 |
1,357 |
$460.38 |
| 86480 |
|
13 |
12 |
$450.95 |
| S0119 |
Ondansetron 4 mg |
2,058 |
1,862 |
$416.06 |
| J2765 |
Metoclopramide hcl injection |
730 |
670 |
$415.95 |
| 86039 |
|
38 |
37 |
$410.17 |
| J1040 |
Methylprednisolone 80 mg inj |
103 |
87 |
$366.45 |
| 11721 |
|
133 |
130 |
$358.15 |
| A9577 |
Inj multihance |
71 |
65 |
$346.67 |
| J1644 |
Inj heparin sodium per 1000u |
843 |
392 |
$309.84 |
| G0009 |
Admin pneumococcal vaccine |
266 |
225 |
$308.06 |
| 81002 |
|
94 |
85 |
$271.15 |
| 86160 |
|
13 |
13 |
$265.07 |
| J1030 |
Methylprednisolone 40 mg inj |
50 |
44 |
$256.48 |
| 84305 |
|
13 |
13 |
$245.31 |
| 84153 |
|
13 |
13 |
$245.28 |
| 73000 |
|
18 |
14 |
$239.25 |
| 86308 |
|
40 |
39 |
$215.83 |
| J7620 |
Albuterol ipratrop non-comp |
985 |
884 |
$215.27 |
| 51798 |
|
271 |
247 |
$207.75 |
| 90656 |
|
208 |
193 |
$196.95 |
| 93971 |
|
16 |
13 |
$183.81 |
| 87425 |
|
12 |
12 |
$159.85 |
| J7512 |
Prednisone ir or dr oral 1mg |
316 |
273 |
$158.86 |
| 96366 |
|
20 |
13 |
$157.89 |
| 86255 |
|
13 |
12 |
$147.29 |
| 96376 |
|
620 |
347 |
$141.57 |
| 80178 |
|
16 |
13 |
$110.10 |
| 84165 |
|
13 |
13 |
$107.92 |
| J7611 |
Albuterol non-comp con |
220 |
178 |
$102.51 |
| U0005 |
Infec agen detec ampli probe |
699 |
588 |
$100.00 |
| 83721 |
|
12 |
12 |
$95.40 |
| 90832 |
|
24 |
14 |
$94.80 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
14 |
$93.29 |
| 94761 |
|
221 |
111 |
$91.84 |
| 90670 |
|
32 |
25 |
$87.62 |
| 82310 |
|
16 |
15 |
$64.95 |
| 80050 |
|
193 |
187 |
$41.43 |
| 84460 |
|
13 |
12 |
$39.24 |
| J7613 |
Albuterol non-comp unit |
75 |
66 |
$35.39 |
| 90732 |
|
14 |
13 |
$32.42 |
| 91320 |
|
46 |
43 |
$21.04 |
| J0360 |
Hydralazine hcl injection |
19 |
13 |
$17.10 |
| J0131 |
Inj, acetaminophen (nos) |
853 |
772 |
$10.93 |
| A9270 |
Non-covered item or service |
5,281 |
858 |
$2.49 |
| G8987 |
Self care current status |
44 |
30 |
$0.00 |
| 77063 |
|
352 |
329 |
$0.00 |
| 90480 |
|
46 |
43 |
$0.00 |
| C1769 |
Guide wire |
39 |
28 |
$0.00 |
| 99406 |
|
35 |
29 |
$0.00 |
| G8988 |
Self care goal status |
42 |
29 |
$0.00 |
| 0094A |
|
35 |
33 |
$0.00 |
| G8979 |
Mobility goal status |
229 |
170 |
$0.00 |
| 94726 |
|
12 |
12 |
$0.00 |
| 0124A |
|
17 |
16 |
$0.00 |
| G1010 |
Cdsm stanson |
1,602 |
1,372 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
356 |
319 |
$0.00 |
| G8978 |
Mobility current status |
219 |
165 |
$0.00 |
| S4990 |
Nicotine patch legend |
51 |
27 |
$0.00 |
| 88312 |
|
69 |
63 |
$0.00 |
| 94729 |
|
27 |
27 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
33 |
31 |
$0.00 |