| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
34,350 |
26,581 |
$4.43M |
| 99284 |
|
20,125 |
15,581 |
$3.49M |
| 43239 |
|
4,742 |
4,069 |
$2.08M |
| G0378 |
Hospital observation per hr |
4,182 |
2,382 |
$1.22M |
| 99285 |
|
5,740 |
4,459 |
$1.17M |
| 96374 |
|
11,463 |
8,541 |
$963K |
| 88305 |
|
7,775 |
6,100 |
$960K |
| 99282 |
|
8,589 |
7,116 |
$702K |
| 92507 |
|
9,675 |
2,054 |
$527K |
| 74177 |
|
2,902 |
2,382 |
$504K |
| 99281 |
|
10,736 |
8,775 |
$498K |
| 96365 |
|
5,686 |
3,777 |
$493K |
| 45380 |
|
669 |
570 |
$387K |
| 96372 |
|
10,836 |
7,806 |
$380K |
| 94640 |
|
3,855 |
2,416 |
$358K |
| 87426 |
|
12,532 |
10,031 |
$345K |
| 96361 |
|
7,443 |
5,602 |
$327K |
| 71046 |
|
7,707 |
6,237 |
$317K |
| 80307 |
|
8,000 |
6,161 |
$314K |
| 71045 |
|
9,249 |
6,897 |
$313K |
| 96360 |
|
3,243 |
2,518 |
$308K |
| 93005 |
|
13,732 |
8,705 |
$280K |
| 70450 |
|
4,925 |
3,847 |
$256K |
| 97530 |
|
5,980 |
1,303 |
$241K |
| 80053 |
|
29,378 |
21,394 |
$210K |
| 87804 |
|
15,347 |
12,543 |
$210K |
| 96375 |
|
8,663 |
5,870 |
$207K |
| 88312 |
|
5,227 |
4,439 |
$176K |
| 86900 |
|
4,662 |
3,318 |
$176K |
| 85025 |
|
32,695 |
22,880 |
$176K |
| 74176 |
|
1,568 |
1,220 |
$168K |
| 97110 |
|
5,633 |
1,259 |
$154K |
| C9803 |
Hopd covid-19 spec collect |
10,284 |
8,245 |
$150K |
| 73721 |
|
879 |
798 |
$132K |
| 87491 |
|
4,730 |
4,001 |
$128K |
| 87591 |
|
4,730 |
4,001 |
$127K |
| 87880 |
|
10,805 |
9,057 |
$124K |
| 36415 |
|
51,374 |
33,612 |
$112K |
| 74018 |
|
2,006 |
1,585 |
$90K |
| 86850 |
|
4,546 |
3,250 |
$77K |
| D2930 |
|
1,197 |
233 |
$75K |
| 96366 |
|
2,021 |
1,137 |
$72K |
| 59025 |
|
780 |
416 |
$68K |
| 83880 |
|
3,649 |
2,567 |
$66K |
| 87070 |
|
9,724 |
8,122 |
$65K |
| 86901 |
|
5,043 |
3,609 |
$61K |
| 81025 |
|
10,749 |
8,634 |
$61K |
| 84484 |
|
8,316 |
4,969 |
$58K |
| 87086 |
|
10,058 |
7,896 |
$57K |
| 87420 |
|
5,284 |
4,434 |
$57K |
| 84443 |
|
4,597 |
3,775 |
$54K |
| 77067 |
|
630 |
588 |
$52K |
| 88142 |
|
3,194 |
2,719 |
$50K |
| 81382 |
|
732 |
386 |
$47K |
| 73630 |
|
1,138 |
901 |
$45K |
| 72148 |
|
524 |
443 |
$44K |
| D3220 |
|
876 |
225 |
$42K |
| 97112 |
|
1,904 |
409 |
$42K |
| 88304 |
|
866 |
681 |
$41K |
| 81376 |
|
687 |
458 |
$40K |
| 80055 |
|
1,088 |
867 |
$39K |
| 73610 |
|
894 |
739 |
$39K |
| 90853 |
|
1,190 |
143 |
$39K |
| 73562 |
|
1,036 |
767 |
$38K |
| 87806 |
|
2,159 |
1,743 |
$38K |
| 72125 |
|
877 |
671 |
$38K |
| 99213 |
|
1,271 |
878 |
$37K |
| 83516 |
|
1,663 |
914 |
$36K |
| 81003 |
|
23,028 |
17,538 |
$35K |
| 84702 |
|
3,328 |
2,396 |
$35K |
| 80048 |
|
5,781 |
3,947 |
$35K |
| 76705 |
|
505 |
414 |
$32K |
| 87040 |
|
3,895 |
2,391 |
$31K |
| 72100 |
|
627 |
488 |
$30K |
| 83690 |
|
6,068 |
4,695 |
$28K |
| 73130 |
|
705 |
546 |
$28K |
| 73221 |
|
197 |
175 |
$25K |
| 83735 |
|
6,640 |
4,375 |
$25K |
| 85027 |
|
4,878 |
3,813 |
$24K |
| 80061 |
|
2,315 |
1,993 |
$24K |
| 87186 |
|
3,710 |
2,930 |
$23K |
| 92526 |
|
371 |
92 |
$22K |
| 73030 |
|
576 |
446 |
$21K |
| 93306 |
|
154 |
126 |
$20K |
| 99214 |
|
450 |
296 |
$20K |
| 97140 |
|
1,272 |
348 |
$19K |
| 82553 |
|
3,260 |
2,496 |
$18K |
| 82550 |
|
4,722 |
3,585 |
$18K |
| J0561 |
Penicillin g benzathine inj |
177 |
145 |
$18K |
| 84439 |
|
2,933 |
2,348 |
$17K |
| 87624 |
|
714 |
615 |
$17K |
| 85730 |
|
5,100 |
3,918 |
$17K |
| 73110 |
|
412 |
314 |
$16K |
| 82077 |
|
1,506 |
1,112 |
$15K |
| 87088 |
|
2,672 |
2,094 |
$14K |
| 86140 |
|
3,795 |
3,108 |
$14K |
| 83605 |
|
2,126 |
1,588 |
$14K |
| 85610 |
|
5,806 |
4,304 |
$14K |
| 99211 |
|
1,991 |
1,507 |
$13K |
| 83036 |
|
1,850 |
1,553 |
$12K |
| 76817 |
|
176 |
138 |
$11K |
| 76641 |
|
150 |
125 |
$10K |
| 82962 |
|
5,877 |
2,917 |
$10K |
| 80143 |
|
876 |
640 |
$9K |
| 87077 |
|
1,751 |
1,327 |
$9K |
| 80179 |
|
841 |
621 |
$9K |
| 76815 |
|
157 |
111 |
$8K |
| 87427 |
|
901 |
782 |
$8K |
| 83630 |
|
523 |
471 |
$8K |
| 83993 |
|
511 |
465 |
$8K |
| 87899 |
|
880 |
765 |
$8K |
| 86738 |
|
742 |
600 |
$8K |
| 90471 |
|
428 |
302 |
$8K |
| 82248 |
|
1,842 |
944 |
$7K |
| 85651 |
|
1,762 |
1,424 |
$7K |
| 87147 |
|
1,730 |
1,457 |
$7K |
| 76700 |
|
134 |
107 |
$7K |
| 76830 |
|
90 |
82 |
$7K |
| 86803 |
|
824 |
616 |
$7K |
| 87045 |
|
904 |
784 |
$7K |
| 82105 |
|
527 |
455 |
$6K |
| 82784 |
|
877 |
711 |
$6K |
| 87428 |
|
176 |
168 |
$6K |
| 86780 |
|
711 |
558 |
$6K |
| 87205 |
|
1,703 |
1,439 |
$6K |
| 82677 |
|
297 |
265 |
$6K |
| 85378 |
|
1,049 |
846 |
$6K |
| 87177 |
|
777 |
687 |
$5K |
| 78227 |
|
15 |
14 |
$5K |
| 72141 |
|
54 |
48 |
$5K |
| 82247 |
|
1,290 |
572 |
$5K |
| 87081 |
|
978 |
808 |
$5K |
| 87329 |
|
512 |
458 |
$5K |
| 12011 |
|
46 |
36 |
$5K |
| 82306 |
|
193 |
181 |
$5K |
| 82607 |
|
389 |
333 |
$4K |
| 87324 |
|
442 |
395 |
$4K |
| 86336 |
|
297 |
265 |
$4K |
| D2934 |
|
36 |
13 |
$4K |
| 87635 |
|
100 |
87 |
$4K |
| 97116 |
|
261 |
129 |
$3K |
| M0243 |
Casirivi and imdevi inj |
13 |
13 |
$3K |
| 93971 |
|
82 |
52 |
$3K |
| 71260 |
|
36 |
27 |
$3K |
| 36600 |
|
52 |
43 |
$3K |
| 76805 |
|
33 |
28 |
$3K |
| 84703 |
|
565 |
430 |
$3K |
| 81002 |
|
1,293 |
922 |
$3K |
| 82950 |
|
679 |
569 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
4,720 |
3,621 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,925 |
3,144 |
$2K |
| 73502 |
|
84 |
61 |
$2K |
| 76819 |
|
29 |
24 |
$2K |
| 92523 |
|
12 |
12 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,558 |
4,885 |
$2K |
| J7030 |
Normal saline solution infus |
9,392 |
6,843 |
$2K |
| 72040 |
|
41 |
34 |
$2K |
| 82947 |
|
552 |
459 |
$2K |
| 96376 |
|
3,105 |
1,687 |
$2K |
| 85007 |
|
448 |
387 |
$1K |
| 12001 |
|
13 |
12 |
$1K |
| 29125 |
|
23 |
14 |
$1K |
| 76801 |
|
14 |
14 |
$1K |
| 76856 |
|
16 |
14 |
$994.34 |
| J1100 |
Dexamethasone sodium phos |
5,015 |
3,738 |
$958.56 |
| 77066 |
Tomosynthesis, mammo |
16 |
13 |
$941.58 |
| G0463 |
Hospital outpt clinic visit |
663 |
395 |
$891.33 |
| 82803 |
|
53 |
43 |
$831.52 |
| 71250 |
|
28 |
26 |
$790.80 |
| 97162 |
|
33 |
25 |
$784.27 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$688.81 |
| 86703 |
|
61 |
53 |
$686.96 |
| 97010 |
|
143 |
40 |
$565.85 |
| J7121 |
5% dextrose in lac ringers |
2,766 |
1,954 |
$563.69 |
| J2405 |
Ondansetron hcl injection |
10,169 |
7,381 |
$562.14 |
| 87210 |
|
169 |
133 |
$557.81 |
| 82150 |
|
170 |
126 |
$516.00 |
| 83020 |
|
66 |
41 |
$413.77 |
| J2270 |
Morphine sulfate injection |
3,235 |
2,229 |
$395.19 |
| 82728 |
|
44 |
39 |
$381.45 |
| 83540 |
|
87 |
80 |
$379.71 |
| 87340 |
|
48 |
41 |
$298.23 |
| 86592 |
|
107 |
76 |
$262.47 |
| 84145 |
|
642 |
540 |
$193.62 |
| Q9969 |
Non-heu tc-99m add-on/dose |
50 |
42 |
$190.00 |
| 82951 |
|
18 |
16 |
$185.94 |
| 81001 |
|
103 |
92 |
$143.25 |
| 82565 |
|
30 |
25 |
$116.10 |
| 84100 |
|
35 |
24 |
$113.20 |
| C9113 |
Inj pantoprazole sodium, via |
327 |
201 |
$103.70 |
| J1170 |
Hydromorphone injection |
1,749 |
1,084 |
$101.96 |
| J2704 |
Inj, propofol, 10 mg |
9,685 |
7,670 |
$96.78 |
| J2550 |
Promethazine hcl injection |
1,359 |
824 |
$87.24 |
| J2765 |
Metoclopramide hcl injection |
1,935 |
1,387 |
$85.75 |
| A9579 |
Gad-base mr contrast nos,1ml |
347 |
277 |
$64.76 |
| J1200 |
Diphenhydramine hcl injectio |
1,370 |
1,032 |
$60.64 |
| 83615 |
|
14 |
13 |
$60.04 |
| 90714 |
|
247 |
183 |
$59.84 |
| 82043 |
|
13 |
12 |
$47.43 |
| J7040 |
Normal saline solution infus |
1,795 |
1,376 |
$44.72 |
| J3010 |
Fentanyl citrate injection |
4,170 |
2,995 |
$24.86 |
| J1940 |
Furosemide injection |
297 |
133 |
$11.35 |
| J2930 |
Methylprednisolone injection |
961 |
666 |
$10.03 |
| J7510 |
Prednisolone oral per 5 mg |
380 |
305 |
$9.01 |
| J7050 |
Normal saline solution infus |
1,383 |
965 |
$1.32 |
| J2250 |
Inj midazolam hydrochloride |
4,380 |
3,229 |
$1.20 |
| J0330 |
Succinycholine chloride inj |
1,545 |
1,069 |
$0.00 |
| J2001 |
Lidocaine injection |
2,124 |
1,617 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,705 |
1,701 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
288 |
244 |
$0.00 |
| J2060 |
Lorazepam injection |
318 |
217 |
$0.00 |
| J2360 |
Orphenadrine injection |
20 |
13 |
$0.00 |
| J8540 |
Oral dexamethasone |
13 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
96 |
66 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
358 |
223 |
$0.00 |
| J3490 |
Drugs unclassified injection |
243 |
150 |
$0.00 |
| 77063 |
|
25 |
25 |
$0.00 |
| 80320 |
|
60 |
53 |
$0.00 |
| D0150 |
|
14 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
13 |
$0.00 |
| J2805 |
Sincalide injection |
15 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
86 |
60 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
41 |
15 |
$0.00 |
| G0283 |
Elec stim other than wound |
29 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
10,309 |
7,829 |
$0.00 |
| 94664 |
|
32 |
27 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
200 |
150 |
$0.00 |
| J1953 |
Levetiracetam injection |
16 |
12 |
$0.00 |
| A9577 |
Inj multihance |
38 |
26 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
223 |
130 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
46 |
39 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
15 |
14 |
$0.00 |
| G1002 |
Cdsm medcurrent |
75 |
55 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
61 |
29 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
49 |
42 |
$0.00 |
| 90715 |
|
40 |
28 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
51 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
16 |
12 |
$0.00 |