| Code | Description | Claims | Beneficiaries | Total Paid |
| 0121 |
|
3,381 |
3,268 |
$28.88M |
| 0214 |
|
2,428 |
2,369 |
$16.55M |
| 99281 |
|
95,879 |
83,226 |
$6.98M |
| 97530 |
|
69,987 |
22,625 |
$2.36M |
| 74177 |
|
8,038 |
7,705 |
$2.14M |
| 99460 |
|
459 |
437 |
$1.62M |
| 70450 |
|
5,883 |
5,440 |
$1.23M |
| 87637 |
|
8,431 |
8,275 |
$1.13M |
| 99284 |
|
9,852 |
9,211 |
$1.08M |
| 93975 |
|
3,544 |
3,334 |
$1.06M |
| 77067 |
|
6,211 |
6,179 |
$1.04M |
| 72148 |
|
1,626 |
1,299 |
$1.00M |
| 96374 |
|
11,965 |
11,116 |
$991K |
| 99285 |
|
5,969 |
5,540 |
$974K |
| 70553 |
|
996 |
870 |
$908K |
| 70551 |
|
1,554 |
1,300 |
$814K |
| 93005 |
|
21,367 |
19,777 |
$805K |
| 96361 |
|
13,240 |
11,611 |
$721K |
| 99283 |
|
9,451 |
8,926 |
$686K |
| 93306 |
|
4,031 |
3,568 |
$637K |
| 71260 |
|
1,832 |
1,811 |
$614K |
| 99243 |
|
8,753 |
8,722 |
$597K |
| 78815 |
|
340 |
340 |
$587K |
| G0480 |
Drug test def 1-7 classes |
7,710 |
6,348 |
$543K |
| 76700 |
|
4,062 |
3,940 |
$487K |
| 87635 |
|
9,710 |
9,333 |
$477K |
| 80053 |
|
56,913 |
51,204 |
$458K |
| 71046 |
|
14,835 |
14,093 |
$446K |
| 71275 |
|
1,730 |
1,694 |
$426K |
| 87502 |
|
6,114 |
5,995 |
$411K |
| 96360 |
|
5,157 |
5,012 |
$410K |
| 96375 |
|
7,236 |
6,573 |
$408K |
| 72125 |
|
1,353 |
1,301 |
$386K |
| 76830 |
|
3,732 |
3,586 |
$374K |
| 71250 |
|
1,606 |
1,596 |
$372K |
| 97799 |
|
8,237 |
2,542 |
$368K |
| 85025 |
|
62,309 |
54,928 |
$368K |
| 76641 |
|
3,321 |
2,855 |
$319K |
| C9803 |
Hopd covid-19 spec collect |
13,413 |
12,914 |
$296K |
| 76856 |
|
2,741 |
2,600 |
$253K |
| 76705 |
|
2,789 |
2,605 |
$251K |
| 99211 |
|
6,060 |
5,170 |
$241K |
| 78452 |
|
1,039 |
1,014 |
$237K |
| 77066 |
Tomosynthesis, mammo |
1,353 |
1,315 |
$228K |
| G0108 |
Diab manage trn per indiv |
2,632 |
2,063 |
$221K |
| 93971 |
|
1,626 |
1,537 |
$218K |
| 72141 |
|
332 |
280 |
$205K |
| 84443 |
|
15,411 |
14,864 |
$200K |
| 93000 |
|
2,668 |
2,517 |
$198K |
| 74150 |
|
564 |
546 |
$193K |
| T1999 |
Noc retail items andsupplies |
98,830 |
40,868 |
$187K |
| 87651 |
|
5,460 |
5,366 |
$167K |
| 73721 |
|
352 |
230 |
$152K |
| 96365 |
|
1,559 |
1,463 |
$152K |
| 76770 |
|
1,477 |
1,423 |
$150K |
| 74176 |
|
1,262 |
1,210 |
$148K |
| 77063 |
|
3,607 |
3,600 |
$142K |
| 82306 |
|
6,083 |
6,018 |
$139K |
| 95810 |
|
358 |
234 |
$137K |
| 97802 |
|
785 |
784 |
$131K |
| 84484 |
|
15,309 |
11,899 |
$121K |
| 71045 |
|
8,236 |
7,701 |
$111K |
| 80061 |
|
10,362 |
10,301 |
$111K |
| 76536 |
|
1,305 |
1,264 |
$100K |
| 92507 |
|
2,588 |
762 |
$92K |
| 87591 |
|
3,256 |
3,141 |
$92K |
| 70496 |
|
409 |
396 |
$88K |
| 73564 |
|
2,172 |
1,900 |
$88K |
| 93970 |
|
482 |
468 |
$88K |
| 87491 |
|
2,959 |
2,849 |
$87K |
| 76801 |
|
1,073 |
917 |
$86K |
| 94640 |
|
2,485 |
2,226 |
$85K |
| 87086 |
|
12,868 |
12,039 |
$82K |
| 73030 |
|
2,140 |
1,971 |
$82K |
| 93017 |
|
1,588 |
1,575 |
$82K |
| 97803 |
|
575 |
538 |
$81K |
| 73610 |
|
1,923 |
1,740 |
$79K |
| 80307 |
|
2,408 |
2,178 |
$78K |
| 73630 |
|
2,049 |
1,863 |
$78K |
| 81001 |
|
31,238 |
28,911 |
$77K |
| 83690 |
|
14,521 |
13,385 |
$77K |
| 72110 |
|
953 |
935 |
$73K |
| 0450 |
|
6,909 |
6,466 |
$71K |
| 83036 |
|
9,148 |
9,115 |
$69K |
| 90832 |
|
675 |
612 |
$65K |
| 97165 |
|
1,001 |
988 |
$63K |
| 93015 |
|
278 |
277 |
$62K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,385 |
8,754 |
$58K |
| A9552 |
F18 fdg |
298 |
298 |
$57K |
| 72100 |
|
1,384 |
1,340 |
$53K |
| 80048 |
|
8,017 |
7,646 |
$51K |
| J7030 |
Normal saline solution infus |
9,198 |
7,450 |
$50K |
| 83880 |
|
2,789 |
2,696 |
$48K |
| J1885 |
Ketorolac tromethamine inj |
7,400 |
6,835 |
$45K |
| 81025 |
|
6,348 |
6,181 |
$45K |
| 87040 |
|
6,389 |
3,572 |
$45K |
| 74018 |
|
1,525 |
1,455 |
$44K |
| 0171 |
Inj, epinephrine (belcher) |
17 |
12 |
$42K |
| 73502 |
|
1,140 |
1,068 |
$41K |
| 84466 |
|
3,894 |
3,758 |
$41K |
| 84439 |
|
5,534 |
5,409 |
$40K |
| 73130 |
|
1,004 |
886 |
$39K |
| 77080 |
|
750 |
742 |
$38K |
| 70498 |
|
322 |
312 |
$36K |
| 83605 |
|
4,320 |
3,523 |
$34K |
| G0475 |
Hiv combination assay |
1,632 |
1,624 |
$32K |
| 76870 |
|
325 |
313 |
$31K |
| 88305 |
|
891 |
706 |
$31K |
| 85379 |
|
4,059 |
3,991 |
$31K |
| 87801 |
|
824 |
800 |
$30K |
| J7050 |
Normal saline solution infus |
5,401 |
4,468 |
$29K |
| 87088 |
|
4,986 |
4,437 |
$29K |
| 82728 |
|
2,708 |
2,634 |
$29K |
| 84145 |
|
1,711 |
1,649 |
$29K |
| 86140 |
|
7,289 |
6,980 |
$28K |
| 87186 |
|
4,237 |
3,832 |
$27K |
| J2785 |
Regadenoson injection |
351 |
347 |
$27K |
| J2270 |
Morphine sulfate injection |
3,473 |
2,898 |
$26K |
| 82962 |
|
8,361 |
5,232 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
528 |
509 |
$25K |
| 73110 |
|
711 |
556 |
$24K |
| 90839 |
|
416 |
402 |
$22K |
| 83540 |
|
4,075 |
3,937 |
$22K |
| 83735 |
|
4,696 |
4,267 |
$22K |
| 95957 |
|
120 |
80 |
$21K |
| 95811 |
|
57 |
39 |
$20K |
| 99213 |
|
591 |
486 |
$20K |
| A9502 |
Tc99m tetrofosmin |
381 |
344 |
$20K |
| 84481 |
|
1,493 |
1,447 |
$20K |
| 85610 |
|
6,754 |
6,264 |
$19K |
| 0002A |
|
480 |
480 |
$19K |
| 72070 |
|
387 |
375 |
$19K |
| Q3014 |
Telehealth facility fee |
545 |
468 |
$19K |
| 93010 |
|
1,525 |
1,374 |
$19K |
| 85730 |
|
4,824 |
4,677 |
$18K |
| 86780 |
|
1,577 |
1,560 |
$16K |
| 73221 |
|
37 |
25 |
$16K |
| 87081 |
|
2,589 |
2,546 |
$15K |
| 99291 |
|
134 |
131 |
$15K |
| 11042 |
|
1,156 |
723 |
$14K |
| 96379 |
|
18,211 |
6,765 |
$14K |
| 86480 |
|
340 |
339 |
$14K |
| 86803 |
|
1,205 |
1,199 |
$13K |
| 80074 |
|
332 |
331 |
$13K |
| 73560 |
|
400 |
323 |
$12K |
| A9500 |
Tc99m sestamibi |
272 |
233 |
$12K |
| 99282 |
|
294 |
292 |
$12K |
| 84153 |
|
915 |
909 |
$12K |
| 96372 |
|
1,137 |
992 |
$12K |
| 86481 |
|
229 |
229 |
$11K |
| 76881 |
|
168 |
147 |
$11K |
| 76817 |
|
136 |
111 |
$11K |
| J2405 |
Ondansetron hcl injection |
2,768 |
2,557 |
$11K |
| J0780 |
Prochlorperazine injection |
1,093 |
1,034 |
$11K |
| 75574 |
|
39 |
39 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,958 |
1,783 |
$11K |
| 82746 |
|
1,018 |
1,008 |
$11K |
| J1170 |
Hydromorphone injection |
1,584 |
1,154 |
$11K |
| 85652 |
|
5,329 |
5,084 |
$11K |
| Z7502 |
|
312 |
306 |
$11K |
| 0001A |
|
264 |
264 |
$11K |
| 94729 |
|
275 |
237 |
$10K |
| 82565 |
|
2,744 |
2,636 |
$10K |
| 93042 |
|
591 |
571 |
$10K |
| 86850 |
|
1,516 |
1,466 |
$9K |
| 84403 |
|
490 |
481 |
$9K |
| 70486 |
|
44 |
42 |
$9K |
| 94060 |
|
262 |
223 |
$9K |
| 95816 |
|
121 |
80 |
$9K |
| 94726 |
|
261 |
222 |
$9K |
| 74183 |
|
31 |
31 |
$9K |
| 94664 |
|
394 |
386 |
$9K |
| J2060 |
Lorazepam injection |
1,875 |
1,625 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,971 |
1,804 |
$9K |
| 72040 |
|
217 |
214 |
$8K |
| 70491 |
|
27 |
26 |
$8K |
| 87653 |
|
337 |
335 |
$8K |
| 82550 |
|
1,568 |
1,405 |
$8K |
| 76813 |
|
84 |
79 |
$8K |
| 82043 |
|
1,627 |
1,618 |
$8K |
| 98960 |
|
160 |
150 |
$8K |
| 72050 |
|
102 |
101 |
$7K |
| 99214 |
|
177 |
174 |
$7K |
| 73080 |
|
167 |
156 |
$7K |
| 83970 |
|
227 |
226 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,445 |
1,287 |
$7K |
| 86038 |
|
1,262 |
1,243 |
$6K |
| 82607 |
|
952 |
945 |
$6K |
| 87340 |
|
776 |
773 |
$6K |
| 86901 |
|
2,579 |
2,446 |
$6K |
| 86900 |
|
2,578 |
2,445 |
$6K |
| 96366 |
|
99 |
93 |
$6K |
| 87210 |
|
1,183 |
1,168 |
$6K |
| 87806 |
|
174 |
170 |
$5K |
| 77049 |
|
12 |
12 |
$5K |
| 73590 |
|
158 |
146 |
$5K |
| 87536 |
|
74 |
74 |
$5K |
| 72131 |
|
14 |
13 |
$5K |
| 87070 |
|
634 |
606 |
$4K |
| 0054A |
|
108 |
108 |
$4K |
| J1100 |
Dexamethasone sodium phos |
912 |
876 |
$4K |
| J3010 |
Fentanyl citrate injection |
936 |
815 |
$4K |
| G0279 |
Tomosynthesis, mammo |
101 |
101 |
$4K |
| 0012A |
|
97 |
97 |
$4K |
| 71101 |
|
79 |
77 |
$4K |
| 77336 |
|
57 |
25 |
$3K |
| 99199 |
|
67 |
60 |
$3K |
| 73700 |
|
13 |
13 |
$3K |
| J7120 |
Ringers lactate infusion |
619 |
508 |
$3K |
| 0250 |
|
6,528 |
6,161 |
$3K |
| 74178 |
|
13 |
13 |
$3K |
| 73140 |
|
100 |
93 |
$3K |
| 0270 |
|
2,776 |
2,457 |
$3K |
| 93246 |
|
153 |
153 |
$3K |
| 74019 |
|
91 |
89 |
$3K |
| 82248 |
|
749 |
666 |
$3K |
| 93350 |
|
27 |
27 |
$3K |
| 93880 |
|
24 |
24 |
$3K |
| 84550 |
|
728 |
707 |
$3K |
| 0949 |
|
4,577 |
4,442 |
$2K |
| 0300 |
|
6,102 |
5,874 |
$2K |
| 80069 |
|
323 |
297 |
$2K |
| 86308 |
|
421 |
409 |
$2K |
| 82670 |
|
104 |
104 |
$2K |
| 0301 |
|
6,028 |
5,752 |
$2K |
| 84270 |
|
114 |
114 |
$2K |
| 82803 |
|
114 |
103 |
$2K |
| 0064A |
|
44 |
44 |
$2K |
| 87427 |
|
264 |
132 |
$2K |
| 83001 |
|
127 |
126 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
248 |
218 |
$2K |
| 76805 |
|
13 |
13 |
$2K |
| 87493 |
|
90 |
89 |
$2K |
| 0071A |
|
39 |
39 |
$2K |
| 73120 |
|
69 |
64 |
$2K |
| J1630 |
Haloperidol injection |
262 |
215 |
$2K |
| 84156 |
|
637 |
621 |
$1K |
| 71020 |
|
25 |
25 |
$1K |
| 80076 |
|
227 |
223 |
$1K |
| 0350 |
|
1,304 |
1,289 |
$1K |
| 99221 |
|
842 |
418 |
$1K |
| 86592 |
|
308 |
303 |
$1K |
| 86431 |
|
332 |
331 |
$1K |
| J7070 |
D5w infusion |
237 |
168 |
$1K |
| 0072A |
|
32 |
32 |
$1K |
| 0352 |
|
1,285 |
1,274 |
$1K |
| 72082 |
|
12 |
12 |
$1K |
| 84100 |
|
352 |
311 |
$1K |
| 87077 |
|
156 |
111 |
$1K |
| J3490 |
Drugs unclassified injection |
303 |
140 |
$1K |
| 90715 |
|
29 |
29 |
$1K |
| 76642 |
|
13 |
13 |
$1K |
| 0351 |
|
1,003 |
991 |
$1K |
| 72170 |
|
38 |
38 |
$995.92 |
| 0402 |
|
825 |
814 |
$975.29 |
| 87045 |
|
134 |
131 |
$959.43 |
| Z7610 |
|
101 |
50 |
$940.84 |
| 0004A |
|
23 |
23 |
$920.00 |
| 0011A |
|
23 |
23 |
$920.00 |
| 99000 |
|
2,067 |
1,986 |
$888.82 |
| 84450 |
|
193 |
189 |
$807.22 |
| 0730 |
|
3,599 |
3,500 |
$786.17 |
| 84075 |
|
186 |
182 |
$776.71 |
| 86359 |
|
25 |
25 |
$754.50 |
| 82247 |
|
188 |
183 |
$752.12 |
| 80055 |
|
12 |
12 |
$751.80 |
| 82040 |
|
184 |
179 |
$732.65 |
| 82784 |
|
140 |
114 |
$723.10 |
| 80164 |
|
80 |
75 |
$718.80 |
| 88304 |
|
21 |
15 |
$695.60 |
| 84702 |
|
41 |
27 |
$684.96 |
| 85044 |
|
164 |
160 |
$609.03 |
| 84155 |
|
185 |
181 |
$542.86 |
| 83615 |
|
92 |
86 |
$508.28 |
| 84703 |
|
710 |
673 |
$500.46 |
| 99212 |
|
15 |
13 |
$495.81 |
| 86762 |
|
45 |
45 |
$489.18 |
| J2930 |
Methylprednisolone injection |
49 |
49 |
$451.02 |
| 83516 |
|
47 |
38 |
$409.02 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
33 |
19 |
$367.01 |
| 0320 |
|
716 |
700 |
$362.73 |
| 73090 |
|
13 |
12 |
$295.74 |
| J2919 |
Inj, methylpred sod succ 5mg |
70 |
65 |
$286.99 |
| 0306 |
|
3,385 |
3,283 |
$284.51 |
| 0272 |
|
1,625 |
1,584 |
$280.42 |
| 86800 |
|
14 |
13 |
$241.50 |
| 86706 |
|
28 |
28 |
$233.67 |
| 82274 |
|
14 |
14 |
$230.43 |
| 0305 |
|
5,303 |
5,122 |
$228.83 |
| 82951 |
|
25 |
25 |
$226.60 |
| 86704 |
|
25 |
25 |
$221.72 |
| 93016 |
|
13 |
13 |
$212.82 |
| 0324 |
|
2,837 |
2,773 |
$199.25 |
| 0258 |
|
3,518 |
3,436 |
$191.95 |
| 80305 |
|
13 |
13 |
$186.68 |
| J3475 |
Inj magnesium sulfate |
54 |
52 |
$170.34 |
| 82533 |
|
14 |
13 |
$169.52 |
| J7040 |
Normal saline solution infus |
35 |
25 |
$157.73 |
| 85027 |
|
29 |
27 |
$155.25 |
| 36415 |
|
1,762 |
1,676 |
$139.76 |
| 11043 |
|
21 |
15 |
$139.41 |
| J1644 |
Inj heparin sodium per 1000u |
41 |
27 |
$131.26 |
| 82172 |
|
12 |
12 |
$125.98 |
| 86200 |
|
27 |
27 |
$123.86 |
| 93018 |
|
13 |
13 |
$123.33 |
| 82009 |
|
42 |
38 |
$120.97 |
| 0255 |
|
2,125 |
2,087 |
$116.60 |
| 82330 |
|
12 |
12 |
$113.90 |
| 86160 |
|
19 |
12 |
$98.80 |
| J2001 |
Lidocaine injection |
25 |
24 |
$93.10 |
| 86635 |
|
14 |
14 |
$88.08 |
| 83002 |
|
12 |
12 |
$78.00 |
| 84436 |
|
13 |
12 |
$67.10 |
| J2250 |
Inj midazolam hydrochloride |
15 |
13 |
$67.09 |
| 84132 |
|
27 |
26 |
$64.77 |
| 85014 |
|
13 |
13 |
$16.89 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
13 |
$12.88 |
| J7613 |
Albuterol non-comp unit |
14 |
14 |
$2.07 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
312 |
220 |
$1.00 |
| Q0162 |
Ondansetron oral |
30 |
28 |
$0.19 |
| 0430 |
|
844 |
831 |
$0.00 |
| 0489 |
|
1,392 |
1,382 |
$0.00 |
| 0360 |
|
134 |
132 |
$0.00 |
| G8979 |
Mobility goal status |
125 |
117 |
$0.00 |
| G8978 |
Mobility current status |
99 |
92 |
$0.00 |
| G8990 |
Other pt/ot current status |
13 |
13 |
$0.00 |
| 0420 |
|
1,883 |
1,844 |
$0.00 |
| 0471 |
|
446 |
443 |
$0.00 |
| 0710 |
|
120 |
118 |
$0.00 |
| 0440 |
|
597 |
591 |
$0.00 |
| 0410 |
|
1,154 |
1,135 |
$0.00 |
| 0370 |
|
134 |
132 |
$0.00 |
| 0611 |
|
183 |
181 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
27 |
24 |
$0.00 |
| 0310 |
|
36 |
36 |
$0.00 |
| 96376 |
|
180 |
149 |
$0.00 |
| G8991 |
Other pt/ot goal status |
13 |
13 |
$0.00 |