| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
37,243 |
34,589 |
$7.88M |
| 99285 |
|
19,761 |
18,756 |
$5.31M |
| 99283 |
|
26,936 |
25,203 |
$4.13M |
| 74177 |
|
6,174 |
5,991 |
$2.09M |
| 76805 |
|
14,820 |
14,290 |
$1.83M |
| 76819 |
|
15,708 |
11,198 |
$1.76M |
| G0463 |
Hospital outpt clinic visit |
20,528 |
17,809 |
$1.59M |
| 76820 |
|
15,995 |
11,169 |
$1.24M |
| 59025 |
|
9,317 |
7,339 |
$1.18M |
| 76825 |
|
3,248 |
3,140 |
$1.12M |
| 97110 |
|
20,431 |
8,440 |
$1.01M |
| 43239 |
|
3,261 |
3,197 |
$996K |
| 93005 |
|
16,948 |
15,440 |
$927K |
| 58661 |
|
425 |
377 |
$892K |
| 80053 |
|
35,952 |
32,839 |
$892K |
| 76811 |
|
3,228 |
3,181 |
$853K |
| 70450 |
|
4,344 |
4,168 |
$798K |
| 93306 |
|
2,017 |
1,986 |
$716K |
| 76817 |
|
7,986 |
7,462 |
$710K |
| 96374 |
|
19,481 |
18,087 |
$688K |
| 87636 |
|
8,778 |
8,509 |
$679K |
| 96375 |
|
12,858 |
11,444 |
$629K |
| 45380 |
|
1,976 |
1,950 |
$616K |
| 93976 |
|
5,190 |
4,941 |
$598K |
| 85025 |
|
45,392 |
40,465 |
$579K |
| 97140 |
|
14,045 |
6,069 |
$577K |
| 96361 |
|
7,528 |
6,642 |
$576K |
| 77067 |
|
4,873 |
4,851 |
$571K |
| 76815 |
|
6,191 |
3,854 |
$564K |
| 74176 |
|
2,196 |
2,141 |
$562K |
| 76856 |
|
5,200 |
5,021 |
$552K |
| G0378 |
Hospital observation per hr |
1,143 |
1,067 |
$511K |
| 93325 |
|
3,620 |
3,507 |
$467K |
| 76830 |
|
4,762 |
4,598 |
$465K |
| 76801 |
|
4,466 |
4,168 |
$465K |
| 80307 |
|
3,991 |
3,754 |
$416K |
| 64493 |
|
925 |
626 |
$324K |
| G0480 |
Drug test def 1-7 classes |
4,070 |
3,681 |
$316K |
| 99282 |
|
3,449 |
3,343 |
$292K |
| 96372 |
|
8,874 |
8,185 |
$292K |
| 76705 |
|
2,916 |
2,833 |
$280K |
| 77063 |
|
4,788 |
4,766 |
$268K |
| 45385 |
|
915 |
894 |
$262K |
| 71045 |
|
6,457 |
6,135 |
$258K |
| 84703 |
|
14,843 |
14,056 |
$251K |
| 71046 |
|
4,924 |
4,755 |
$244K |
| 96365 |
|
2,310 |
2,217 |
$242K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,014 |
2,905 |
$238K |
| 77066 |
Tomosynthesis, mammo |
1,708 |
1,698 |
$226K |
| 76642 |
|
2,741 |
2,489 |
$223K |
| 36415 |
|
52,292 |
45,820 |
$219K |
| 87086 |
|
12,658 |
11,917 |
$217K |
| 87631 |
|
2,268 |
2,192 |
$208K |
| 58571 |
|
85 |
82 |
$199K |
| G0279 |
Tomosynthesis, mammo |
2,668 |
2,647 |
$192K |
| 97162 |
|
3,172 |
3,148 |
$192K |
| 83690 |
|
12,396 |
11,544 |
$191K |
| 94664 |
|
1,992 |
1,870 |
$183K |
| 64494 |
|
914 |
614 |
$180K |
| C9290 |
Inj, bupivacaine liposome |
624 |
610 |
$177K |
| 96360 |
|
2,060 |
2,005 |
$174K |
| 64635 |
|
436 |
354 |
$174K |
| 76813 |
|
2,336 |
2,293 |
$167K |
| 76700 |
|
1,613 |
1,597 |
$166K |
| 64636 |
|
423 |
351 |
$155K |
| 81001 |
|
20,113 |
18,835 |
$151K |
| 71275 |
|
523 |
503 |
$145K |
| 73030 |
|
1,963 |
1,817 |
$144K |
| 84702 |
|
5,176 |
4,620 |
$131K |
| 72125 |
|
674 |
648 |
$129K |
| 84484 |
|
7,497 |
6,339 |
$127K |
| 76641 |
|
1,594 |
1,006 |
$127K |
| 73130 |
|
2,196 |
1,971 |
$125K |
| 73564 |
|
1,290 |
1,099 |
$119K |
| 76536 |
|
1,161 |
1,154 |
$118K |
| 76826 |
|
403 |
393 |
$117K |
| G0283 |
Elec stim other than wound |
5,625 |
2,679 |
$113K |
| 91200 |
|
799 |
792 |
$111K |
| 77065 |
Tomosynthesis, mammo |
996 |
938 |
$105K |
| 73562 |
|
1,434 |
1,376 |
$103K |
| 99281 |
|
2,028 |
1,921 |
$103K |
| 87040 |
|
3,334 |
1,896 |
$100K |
| 73610 |
|
1,314 |
1,269 |
$99K |
| 93971 |
|
1,185 |
1,144 |
$99K |
| 47563 |
|
42 |
42 |
$96K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,175 |
7,867 |
$93K |
| 87651 |
|
3,684 |
3,617 |
$89K |
| 87491 |
|
2,616 |
2,526 |
$89K |
| 96366 |
|
728 |
562 |
$89K |
| 87591 |
|
2,615 |
2,525 |
$89K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
282 |
270 |
$88K |
| 80048 |
|
4,556 |
3,922 |
$87K |
| 96376 |
|
2,935 |
2,344 |
$85K |
| 73630 |
|
1,329 |
1,272 |
$82K |
| 83605 |
|
3,184 |
2,632 |
$77K |
| J7120 |
Ringers lactate infusion |
12,726 |
11,890 |
$76K |
| 73110 |
|
1,326 |
1,184 |
$76K |
| 64495 |
|
369 |
299 |
$71K |
| 80076 |
|
2,752 |
2,459 |
$63K |
| 97035 |
|
3,026 |
1,427 |
$58K |
| 97530 |
|
1,168 |
734 |
$53K |
| 82962 |
|
6,040 |
4,128 |
$51K |
| 83735 |
|
4,433 |
3,638 |
$51K |
| 86850 |
|
4,257 |
4,081 |
$50K |
| J7030 |
Normal saline solution infus |
8,439 |
7,563 |
$45K |
| 82565 |
|
3,740 |
3,359 |
$42K |
| 94760 |
|
2,404 |
2,088 |
$41K |
| 19083 |
|
76 |
74 |
$39K |
| 93017 |
|
221 |
215 |
$39K |
| 87186 |
|
2,300 |
2,176 |
$39K |
| 70486 |
|
197 |
191 |
$38K |
| 72100 |
|
520 |
511 |
$38K |
| 76775 |
|
423 |
417 |
$37K |
| 83880 |
|
1,214 |
1,143 |
$37K |
| 87077 |
|
2,899 |
2,735 |
$37K |
| 86900 |
|
6,024 |
5,687 |
$37K |
| G0121 |
Colon ca scrn not hi rsk ind |
112 |
108 |
$36K |
| 84443 |
|
1,640 |
1,596 |
$36K |
| J2704 |
Inj, propofol, 10 mg |
7,227 |
7,066 |
$36K |
| 84112 |
|
1,112 |
1,022 |
$36K |
| 85610 |
|
3,972 |
3,747 |
$36K |
| 72148 |
|
117 |
115 |
$36K |
| 81003 |
|
9,407 |
8,993 |
$35K |
| 74018 |
|
640 |
618 |
$33K |
| 87210 |
|
2,842 |
2,719 |
$32K |
| 81002 |
|
9,494 |
7,599 |
$31K |
| 76770 |
|
316 |
316 |
$31K |
| 94640 |
|
220 |
166 |
$30K |
| 86901 |
|
6,024 |
5,687 |
$30K |
| 45378 |
|
81 |
78 |
$29K |
| 64490 |
|
106 |
77 |
$28K |
| 81025 |
|
3,648 |
3,602 |
$27K |
| 82330 |
|
1,637 |
1,525 |
$26K |
| 99291 |
|
64 |
62 |
$26K |
| 88305 |
|
471 |
370 |
$25K |
| 90471 |
|
1,151 |
1,117 |
$24K |
| 85379 |
|
1,356 |
1,316 |
$23K |
| 97112 |
|
534 |
347 |
$23K |
| 83615 |
|
1,833 |
1,515 |
$23K |
| 73502 |
|
443 |
422 |
$23K |
| 80051 |
|
1,493 |
1,406 |
$22K |
| 80305 |
|
2,003 |
1,967 |
$22K |
| 84550 |
|
1,801 |
1,519 |
$21K |
| 88307 |
|
87 |
84 |
$21K |
| 77080 |
|
268 |
268 |
$21K |
| 87634 |
|
456 |
453 |
$20K |
| 85730 |
|
2,059 |
1,985 |
$20K |
| 82570 |
|
1,661 |
1,382 |
$19K |
| 84156 |
|
1,661 |
1,346 |
$19K |
| C8908 |
Mri w/o fol w/cont, breast, |
38 |
38 |
$19K |
| 64491 |
|
100 |
76 |
$18K |
| 82947 |
|
1,537 |
1,449 |
$18K |
| 84520 |
|
1,567 |
1,480 |
$17K |
| 73080 |
|
310 |
295 |
$16K |
| 97535 |
|
461 |
292 |
$16K |
| 97161 |
|
402 |
396 |
$16K |
| G0500 |
Mod sedat endo service >5yrs |
954 |
933 |
$14K |
| 71250 |
|
77 |
77 |
$13K |
| 97018 |
|
1,233 |
553 |
$12K |
| 29125 |
|
106 |
104 |
$12K |
| 73221 |
|
33 |
31 |
$12K |
| A9577 |
Inj multihance |
469 |
451 |
$12K |
| 97165 |
|
242 |
241 |
$12K |
| 12001 |
|
129 |
125 |
$12K |
| J2405 |
Ondansetron hcl injection |
9,059 |
7,712 |
$12K |
| J7040 |
Normal saline solution infus |
2,600 |
2,497 |
$11K |
| 90715 |
|
1,081 |
1,053 |
$11K |
| 72131 |
|
66 |
66 |
$11K |
| 85027 |
|
1,463 |
1,283 |
$11K |
| 94761 |
|
451 |
340 |
$10K |
| 85014 |
|
1,965 |
1,819 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
6,251 |
5,836 |
$9K |
| 86780 |
|
499 |
462 |
$9K |
| 87880 |
|
511 |
494 |
$8K |
| A4648 |
Implantable tissue marker |
205 |
199 |
$8K |
| 72110 |
|
79 |
79 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
215 |
208 |
$8K |
| 88342 |
|
130 |
124 |
$8K |
| 87650 |
|
335 |
324 |
$8K |
| J3010 |
Fentanyl citrate injection |
4,965 |
4,128 |
$8K |
| 64492 |
|
50 |
40 |
$7K |
| 78452 |
|
14 |
14 |
$7K |
| J1100 |
Dexamethasone sodium phos |
4,463 |
4,336 |
$7K |
| J0561 |
Penicillin g benzathine inj |
116 |
110 |
$7K |
| J0131 |
Inj, acetaminophen (nos) |
692 |
677 |
$7K |
| 70553 |
|
14 |
14 |
$6K |
| 10060 |
|
70 |
67 |
$6K |
| J7050 |
Normal saline solution infus |
1,327 |
1,177 |
$6K |
| 74022 |
|
82 |
80 |
$6K |
| 86703 |
|
358 |
339 |
$6K |
| 93970 |
|
41 |
40 |
$6K |
| C8929 |
Tte w or wo fol wcon,doppler |
15 |
15 |
$5K |
| 76870 |
|
50 |
50 |
$5K |
| 73721 |
|
14 |
13 |
$5K |
| 87632 |
|
20 |
20 |
$5K |
| 86762 |
|
277 |
258 |
$5K |
| 80143 |
|
435 |
418 |
$5K |
| 82150 |
|
401 |
381 |
$5K |
| 80179 |
|
431 |
413 |
$5K |
| 71260 |
|
24 |
24 |
$5K |
| 87081 |
|
259 |
254 |
$4K |
| 87340 |
|
286 |
269 |
$4K |
| 43235 |
|
15 |
15 |
$4K |
| 72040 |
|
57 |
53 |
$4K |
| 83036 |
|
361 |
344 |
$4K |
| 87339 |
|
296 |
290 |
$4K |
| 84439 |
|
233 |
228 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
2,570 |
2,495 |
$4K |
| 86803 |
|
210 |
199 |
$3K |
| J0690 |
Cefazolin sodium injection |
2,789 |
2,459 |
$3K |
| C1781 |
Mesh (implantable) |
44 |
41 |
$3K |
| 76821 |
|
38 |
13 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
54 |
54 |
$3K |
| J2795 |
Ropivacaine hcl injection |
77 |
70 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
243 |
236 |
$3K |
| J3490 |
Drugs unclassified injection |
171 |
165 |
$3K |
| 85007 |
|
536 |
504 |
$3K |
| J1170 |
Hydromorphone injection |
1,652 |
1,413 |
$3K |
| 64633 |
|
14 |
12 |
$3K |
| 72050 |
|
28 |
28 |
$3K |
| J0330 |
Succinycholine chloride inj |
777 |
770 |
$2K |
| 73140 |
|
40 |
40 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,751 |
1,616 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
65 |
64 |
$2K |
| A4615 |
Cannula nasal |
6,165 |
6,055 |
$2K |
| 80061 |
|
106 |
105 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
373 |
362 |
$2K |
| 71101 |
|
24 |
24 |
$2K |
| 82731 |
|
25 |
24 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,202 |
1,142 |
$2K |
| 82550 |
|
178 |
166 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
1,164 |
1,016 |
$2K |
| J0780 |
Prochlorperazine injection |
531 |
504 |
$2K |
| 86140 |
|
214 |
209 |
$2K |
| 82553 |
|
109 |
100 |
$2K |
| 73090 |
|
26 |
26 |
$1K |
| C9399 |
Unclassified drugs or biolog |
55 |
54 |
$1K |
| 74220 |
|
18 |
18 |
$1K |
| 87070 |
|
121 |
104 |
$1K |
| C1769 |
Guide wire |
85 |
83 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,016 |
961 |
$1K |
| 80074 |
|
24 |
24 |
$1K |
| 84100 |
|
152 |
113 |
$1K |
| Q9950 |
Inj sulf hexa lipid microsph |
15 |
15 |
$1K |
| J2270 |
Morphine sulfate injection |
621 |
533 |
$1K |
| 29515 |
|
19 |
18 |
$1K |
| 72070 |
|
12 |
12 |
$1K |
| J2060 |
Lorazepam injection |
808 |
724 |
$1K |
| 73590 |
|
26 |
25 |
$999.73 |
| J3475 |
Inj magnesium sulfate |
196 |
187 |
$930.83 |
| A9270 |
Non-covered item or service |
1,718 |
807 |
$906.27 |
| 87205 |
|
135 |
118 |
$771.37 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
703 |
692 |
$769.10 |
| C2617 |
Stent, non-cor, tem w/o del |
28 |
27 |
$756.14 |
| 97163 |
|
12 |
12 |
$737.95 |
| 85652 |
|
125 |
122 |
$700.15 |
| J0137 |
Inj, acetaminophen (hikma) |
258 |
254 |
$686.24 |
| 76377 |
|
12 |
12 |
$673.45 |
| 99156 |
|
24 |
24 |
$591.92 |
| A9578 |
Inj multihance multipack |
17 |
15 |
$583.22 |
| J0500 |
Dicyclomine injection |
64 |
61 |
$574.64 |
| A9502 |
Tc99m tetrofosmin |
14 |
14 |
$567.84 |
| J1790 |
Droperidol injection |
452 |
419 |
$552.16 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
288 |
267 |
$466.18 |
| J2930 |
Methylprednisolone injection |
150 |
142 |
$456.11 |
| 82272 |
|
108 |
102 |
$451.74 |
| 87075 |
|
42 |
37 |
$435.06 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
259 |
250 |
$337.89 |
| 97116 |
|
23 |
12 |
$325.39 |
| 82803 |
|
13 |
12 |
$318.86 |
| J1650 |
Inj enoxaparin sodium |
181 |
142 |
$309.12 |
| 84481 |
|
14 |
14 |
$295.20 |
| 82728 |
|
13 |
13 |
$228.53 |
| S0119 |
Ondansetron 4 mg |
490 |
474 |
$227.16 |
| J1644 |
Inj heparin sodium per 1000u |
127 |
100 |
$221.69 |
| J7512 |
Prednisone ir or dr oral 1mg |
314 |
294 |
$201.05 |
| 36416 |
|
104 |
92 |
$196.61 |
| J0687 |
Inj cefazolin (wg crit care) |
214 |
186 |
$193.55 |
| 82760 |
|
13 |
12 |
$177.76 |
| Q0162 |
Ondansetron oral |
204 |
191 |
$167.78 |
| 84450 |
|
21 |
17 |
$164.35 |
| J8540 |
Oral dexamethasone |
242 |
236 |
$161.21 |
| 85018 |
|
39 |
32 |
$157.51 |
| J2360 |
Orphenadrine injection |
49 |
49 |
$157.32 |
| 82977 |
|
14 |
12 |
$153.46 |
| 84460 |
|
21 |
17 |
$146.14 |
| 83550 |
|
12 |
12 |
$140.88 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
71 |
67 |
$130.24 |
| 83540 |
|
12 |
12 |
$112.48 |
| 99157 |
|
13 |
13 |
$81.74 |
| J2175 |
Meperidine hydrochl /100 mg |
79 |
74 |
$81.14 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
51 |
45 |
$79.36 |
| J0134 |
Inj acetaminophen -fresenius |
29 |
29 |
$79.23 |
| J3480 |
Inj potassium chloride |
16 |
12 |
$78.74 |
| C9113 |
Inj pantoprazole sodium, via |
40 |
31 |
$60.94 |
| J1630 |
Haloperidol injection |
30 |
29 |
$45.57 |
| G8978 |
Mobility current status |
219 |
210 |
$35.87 |
| J0171 |
Adrenalin epinephrine inject |
17 |
12 |
$32.59 |
| J2543 |
Piperacillin/tazobactam |
14 |
12 |
$25.08 |
| J2370 |
Phenylephrine hcl injection |
13 |
13 |
$14.50 |
| J2550 |
Promethazine hcl injection |
14 |
13 |
$6.90 |
| G8979 |
Mobility goal status |
282 |
262 |
$0.00 |
| G1004 |
Cdsm ndsc |
262 |
210 |
$0.00 |