| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,304 |
7,790 |
$934K |
| 74177 |
|
2,557 |
2,032 |
$776K |
| 99285 |
|
6,746 |
5,197 |
$761K |
| 87635 |
|
11,607 |
9,676 |
$581K |
| 99283 |
|
5,391 |
4,618 |
$399K |
| G0463 |
Hospital outpt clinic visit |
43,432 |
24,097 |
$396K |
| G0378 |
Hospital observation per hr |
2,125 |
810 |
$230K |
| 97110 |
|
13,834 |
5,183 |
$229K |
| 70450 |
|
2,443 |
1,859 |
$197K |
| 70553 |
|
305 |
241 |
$176K |
| 93005 |
|
9,691 |
7,022 |
$166K |
| 96375 |
|
4,832 |
3,183 |
$159K |
| 43239 |
|
718 |
575 |
$152K |
| 71046 |
|
4,836 |
3,840 |
$141K |
| 71260 |
|
815 |
617 |
$138K |
| 80053 |
|
22,367 |
16,998 |
$126K |
| 93306 |
|
695 |
548 |
$115K |
| 85025 |
|
30,549 |
21,340 |
$105K |
| 97161 |
|
2,052 |
1,675 |
$101K |
| 96374 |
|
5,697 |
4,146 |
$98K |
| G0480 |
Drug test def 1-7 classes |
4,334 |
3,177 |
$92K |
| 84443 |
|
11,256 |
9,535 |
$89K |
| 96365 |
|
2,513 |
1,610 |
$88K |
| 99282 |
|
1,750 |
1,525 |
$84K |
| 71275 |
|
279 |
221 |
$70K |
| 72125 |
|
542 |
407 |
$68K |
| 73630 |
|
1,533 |
1,181 |
$63K |
| 87491 |
|
3,055 |
2,600 |
$58K |
| 87591 |
|
3,060 |
2,605 |
$58K |
| 96361 |
|
3,780 |
2,750 |
$52K |
| 88305 |
|
1,916 |
1,581 |
$51K |
| 80048 |
|
13,393 |
9,961 |
$50K |
| 77067 |
|
608 |
547 |
$49K |
| 96360 |
|
1,052 |
785 |
$48K |
| 87661 |
|
1,753 |
1,496 |
$46K |
| 96376 |
|
1,331 |
843 |
$46K |
| 82306 |
|
2,614 |
2,301 |
$44K |
| 96413 |
|
1,116 |
570 |
$43K |
| 71045 |
|
1,669 |
1,304 |
$43K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,698 |
3,726 |
$42K |
| 73610 |
|
946 |
721 |
$42K |
| 99214 |
|
3,320 |
2,838 |
$41K |
| 80061 |
|
5,066 |
4,531 |
$40K |
| 87633 |
|
372 |
293 |
$39K |
| 73562 |
|
791 |
658 |
$38K |
| 73030 |
|
967 |
729 |
$38K |
| 80307 |
|
1,330 |
1,042 |
$38K |
| 87806 |
|
2,408 |
2,097 |
$35K |
| 83036 |
|
7,197 |
6,178 |
$34K |
| 87800 |
|
1,846 |
1,527 |
$33K |
| 45385 |
|
146 |
112 |
$31K |
| 45380 |
|
150 |
110 |
$30K |
| 97140 |
|
1,946 |
827 |
$29K |
| 96372 |
|
4,086 |
2,426 |
$29K |
| 99213 |
|
2,197 |
1,836 |
$29K |
| 88175 |
|
1,322 |
1,237 |
$28K |
| 73130 |
|
641 |
520 |
$28K |
| 76830 |
|
325 |
285 |
$27K |
| 84702 |
|
2,645 |
1,978 |
$27K |
| 72100 |
|
616 |
505 |
$26K |
| 76700 |
|
229 |
191 |
$24K |
| 77063 |
|
608 |
547 |
$23K |
| 87624 |
|
1,244 |
982 |
$21K |
| 87502 |
|
557 |
469 |
$21K |
| 92014 |
|
1,698 |
1,175 |
$21K |
| 85027 |
|
4,787 |
4,111 |
$20K |
| 76705 |
|
216 |
178 |
$20K |
| 86803 |
|
1,951 |
1,798 |
$20K |
| 84484 |
|
4,524 |
3,112 |
$19K |
| 86850 |
|
1,876 |
1,465 |
$18K |
| 80306 |
|
2,432 |
1,856 |
$17K |
| 87086 |
|
4,679 |
3,740 |
$16K |
| 74018 |
|
409 |
325 |
$16K |
| 74176 |
|
107 |
88 |
$16K |
| 87522 |
Neg quan hep c or qual rna |
505 |
452 |
$15K |
| 20610 |
|
490 |
336 |
$15K |
| 83655 |
|
1,467 |
1,321 |
$15K |
| 83690 |
|
4,434 |
3,356 |
$15K |
| 87150 |
|
377 |
321 |
$14K |
| 82728 |
|
1,649 |
1,395 |
$14K |
| 83880 |
|
1,116 |
835 |
$14K |
| 73110 |
|
363 |
281 |
$13K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,191 |
960 |
$12K |
| 94640 |
|
943 |
588 |
$12K |
| 87651 |
|
393 |
369 |
$11K |
| 84439 |
|
2,058 |
1,748 |
$11K |
| 11721 |
|
1,654 |
1,052 |
$11K |
| 86780 |
|
1,123 |
962 |
$11K |
| 87340 |
|
1,517 |
1,316 |
$10K |
| 96366 |
|
541 |
284 |
$10K |
| 87186 |
|
2,133 |
1,716 |
$10K |
| 87637 |
|
404 |
369 |
$10K |
| 80076 |
|
2,088 |
1,663 |
$10K |
| 81025 |
|
2,724 |
2,083 |
$10K |
| 81001 |
|
6,478 |
5,007 |
$10K |
| 86140 |
|
3,189 |
2,600 |
$9K |
| 83605 |
|
1,920 |
1,366 |
$9K |
| 82607 |
|
1,499 |
1,280 |
$9K |
| 82803 |
|
882 |
592 |
$9K |
| 85610 |
|
5,074 |
3,475 |
$9K |
| 94726 |
|
127 |
105 |
$9K |
| 87040 |
|
939 |
682 |
$8K |
| 83550 |
|
1,522 |
1,312 |
$8K |
| 73502 |
|
251 |
199 |
$8K |
| 82784 |
|
930 |
676 |
$7K |
| 97162 |
|
177 |
133 |
$7K |
| 97530 |
|
367 |
186 |
$7K |
| 80050 |
|
886 |
865 |
$7K |
| 36415 |
|
34,823 |
26,560 |
$7K |
| 83735 |
|
2,687 |
1,772 |
$7K |
| 82962 |
|
4,960 |
2,018 |
$6K |
| 87581 |
|
371 |
292 |
$6K |
| 87486 |
|
371 |
292 |
$6K |
| 83540 |
|
1,555 |
1,339 |
$6K |
| 85379 |
|
1,226 |
974 |
$6K |
| 93017 |
|
108 |
87 |
$6K |
| 83516 |
|
625 |
535 |
$5K |
| 87070 |
|
913 |
748 |
$5K |
| J7120 |
Ringers lactate infusion |
5,587 |
4,162 |
$5K |
| 86787 |
|
512 |
424 |
$5K |
| 86762 |
|
451 |
366 |
$5K |
| 70551 |
|
21 |
14 |
$5K |
| 85652 |
|
2,902 |
2,402 |
$4K |
| 93971 |
|
117 |
91 |
$4K |
| 84153 |
|
493 |
426 |
$4K |
| 86618 |
|
436 |
395 |
$4K |
| 45378 |
|
14 |
13 |
$4K |
| 71250 |
|
31 |
26 |
$4K |
| 86900 |
|
1,880 |
1,469 |
$4K |
| 84403 |
|
192 |
171 |
$4K |
| 72148 |
|
15 |
12 |
$4K |
| 86706 |
|
568 |
504 |
$4K |
| 72040 |
|
72 |
56 |
$4K |
| 87507 |
|
26 |
26 |
$4K |
| 82043 |
|
1,350 |
1,145 |
$4K |
| 81003 |
|
4,305 |
3,407 |
$4K |
| 94729 |
|
151 |
123 |
$4K |
| 82570 |
|
1,138 |
964 |
$4K |
| 87081 |
|
888 |
767 |
$3K |
| 76770 |
|
34 |
27 |
$3K |
| 86901 |
|
1,880 |
1,469 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,208 |
1,605 |
$3K |
| 87147 |
|
448 |
371 |
$3K |
| 85730 |
|
1,124 |
861 |
$3K |
| J7050 |
Normal saline solution infus |
3,782 |
2,168 |
$3K |
| 87798 |
|
159 |
119 |
$3K |
| 84460 |
|
881 |
751 |
$3K |
| J7030 |
Normal saline solution infus |
4,759 |
3,173 |
$3K |
| J3010 |
Fentanyl citrate injection |
3,097 |
2,091 |
$3K |
| 82565 |
|
910 |
767 |
$3K |
| 94060 |
|
32 |
29 |
$2K |
| 99281 |
|
79 |
72 |
$2K |
| 87205 |
|
836 |
684 |
$2K |
| 59025 |
|
62 |
25 |
$2K |
| 83970 |
|
87 |
73 |
$2K |
| 73140 |
|
70 |
38 |
$2K |
| 84450 |
|
568 |
497 |
$2K |
| 73590 |
|
33 |
26 |
$2K |
| 86704 |
|
241 |
216 |
$2K |
| J2001 |
Lidocaine injection |
2,595 |
1,942 |
$2K |
| A9585 |
Gadobutrol injection |
99 |
58 |
$2K |
| 84146 |
|
110 |
100 |
$2K |
| J0690 |
Cefazolin sodium injection |
866 |
576 |
$2K |
| 86038 |
|
198 |
174 |
$1K |
| 90471 |
|
526 |
367 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
3,345 |
2,410 |
$1K |
| 76536 |
|
15 |
13 |
$1K |
| 84100 |
|
513 |
355 |
$1K |
| 80164 |
|
188 |
144 |
$1K |
| 97112 |
|
87 |
54 |
$1K |
| 76856 |
|
14 |
12 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
557 |
421 |
$1K |
| G0008 |
Admin influenza virus vac |
1,670 |
1,291 |
$1K |
| 86480 |
|
28 |
24 |
$1K |
| 82746 |
|
125 |
110 |
$1K |
| 86708 |
|
133 |
122 |
$1K |
| 73100 |
|
35 |
25 |
$1K |
| 97113 |
|
38 |
17 |
$1K |
| 82950 |
|
270 |
250 |
$1K |
| 76641 |
|
14 |
12 |
$982.84 |
| 84145 |
|
112 |
72 |
$957.96 |
| 99396 |
|
46 |
40 |
$950.29 |
| 87430 |
|
108 |
98 |
$923.94 |
| J2405 |
Ondansetron hcl injection |
4,183 |
2,994 |
$915.13 |
| 90686 |
|
1,060 |
785 |
$886.19 |
| 84550 |
|
349 |
276 |
$885.73 |
| 87389 |
|
40 |
37 |
$885.12 |
| J2270 |
Morphine sulfate injection |
540 |
408 |
$858.84 |
| 94664 |
|
60 |
46 |
$843.08 |
| 82150 |
|
212 |
178 |
$811.95 |
| 82977 |
|
194 |
169 |
$794.75 |
| 87801 |
|
27 |
24 |
$780.86 |
| 86039 |
|
95 |
91 |
$761.53 |
| U0002 |
Covid-19 lab test non-cdc |
269 |
164 |
$732.54 |
| J2250 |
Inj midazolam hydrochloride |
2,588 |
1,955 |
$710.51 |
| 92004 |
|
74 |
52 |
$652.84 |
| 11720 |
|
89 |
54 |
$646.32 |
| 86431 |
|
172 |
153 |
$630.46 |
| J1200 |
Diphenhydramine hcl injectio |
1,067 |
555 |
$606.28 |
| G0279 |
Tomosynthesis, mammo |
34 |
26 |
$554.33 |
| 84402 |
|
29 |
27 |
$551.79 |
| J1170 |
Hydromorphone injection |
723 |
462 |
$502.48 |
| 97116 |
|
28 |
12 |
$491.91 |
| 90677 |
|
64 |
64 |
$469.40 |
| 99395 |
|
14 |
13 |
$425.62 |
| 76642 |
|
15 |
13 |
$418.00 |
| Q3014 |
Telehealth facility fee |
150 |
112 |
$357.97 |
| 83001 |
|
32 |
27 |
$345.71 |
| C9803 |
Hopd covid-19 spec collect |
136 |
134 |
$337.50 |
| 84156 |
|
137 |
103 |
$335.02 |
| J0171 |
Adrenalin epinephrine inject |
91 |
74 |
$319.81 |
| 90715 |
|
19 |
12 |
$315.19 |
| 83883 |
|
59 |
41 |
$299.15 |
| 82040 |
|
103 |
83 |
$269.12 |
| 80320 |
|
38 |
28 |
$261.25 |
| 81002 |
|
552 |
358 |
$253.75 |
| 82247 |
|
95 |
79 |
$247.65 |
| 85018 |
|
159 |
142 |
$242.81 |
| 85014 |
|
159 |
142 |
$242.81 |
| 86200 |
|
27 |
26 |
$241.11 |
| 82550 |
|
79 |
51 |
$239.14 |
| 90662 |
|
172 |
134 |
$232.64 |
| 96127 |
|
81 |
64 |
$190.87 |
| 80178 |
|
54 |
41 |
$185.08 |
| 83010 |
|
28 |
24 |
$184.18 |
| 84132 |
|
69 |
56 |
$171.98 |
| 90653 |
|
157 |
120 |
$168.10 |
| 99203 |
|
20 |
16 |
$163.08 |
| 84480 |
|
12 |
12 |
$158.12 |
| 84075 |
|
53 |
46 |
$154.18 |
| 84520 |
|
55 |
44 |
$144.09 |
| 82172 |
|
13 |
12 |
$143.76 |
| S0020 |
Injection, bupivicaine hydro |
151 |
121 |
$142.90 |
| 80177 |
|
13 |
12 |
$139.26 |
| 90632 |
|
50 |
30 |
$130.96 |
| 82947 |
|
53 |
48 |
$127.89 |
| 99152 |
|
16 |
16 |
$126.36 |
| 82310 |
|
44 |
39 |
$120.52 |
| J2370 |
Phenylephrine hcl injection |
60 |
49 |
$118.32 |
| 86308 |
|
28 |
24 |
$111.05 |
| 84155 |
|
53 |
46 |
$110.37 |
| 80175 |
|
15 |
12 |
$104.76 |
| J2060 |
Lorazepam injection |
422 |
288 |
$99.96 |
| J0696 |
Ceftriaxone sodium injection |
134 |
98 |
$95.18 |
| J2765 |
Metoclopramide hcl injection |
144 |
114 |
$91.21 |
| J1790 |
Droperidol injection |
26 |
16 |
$87.75 |
| 36416 |
|
26 |
13 |
$66.00 |
| 84295 |
|
27 |
25 |
$65.78 |
| 82435 |
|
27 |
25 |
$64.99 |
| 94010 |
|
17 |
12 |
$60.07 |
| J1030 |
Methylprednisolone 40 mg inj |
35 |
25 |
$55.85 |
| 92015 |
|
702 |
498 |
$46.45 |
| J7040 |
Normal saline solution infus |
98 |
66 |
$40.57 |
| G0009 |
Admin pneumococcal vaccine |
151 |
124 |
$38.96 |
| 82374 |
|
13 |
12 |
$32.99 |
| C9113 |
Inj pantoprazole sodium, via |
36 |
25 |
$26.87 |
| 91322 |
|
29 |
29 |
$24.97 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
39 |
33 |
$9.19 |
| J1642 |
Inj heparin sodium per 10 u |
92 |
39 |
$8.02 |
| J1630 |
Haloperidol injection |
18 |
12 |
$5.27 |
| 80329 |
|
33 |
25 |
$0.00 |
| 90694 |
|
46 |
45 |
$0.00 |
| 90656 |
|
57 |
57 |
$0.00 |
| 90480 |
|
29 |
29 |
$0.00 |
| G1004 |
Cdsm ndsc |
743 |
619 |
$0.00 |
| G8978 |
Mobility current status |
100 |
57 |
$0.00 |
| 0124A |
|
17 |
17 |
$0.00 |
| G8979 |
Mobility goal status |
185 |
112 |
$0.00 |
| 80364 |
|
12 |
12 |
$0.00 |
| 91312 |
|
17 |
17 |
$0.00 |