| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
28,490 |
25,929 |
$4.71M |
| 74177 |
|
7,768 |
7,273 |
$4.15M |
| 99285 |
|
16,635 |
15,214 |
$3.74M |
| 99283 |
|
18,723 |
17,552 |
$2.55M |
| G0378 |
Hospital observation per hr |
12,178 |
5,874 |
$2.25M |
| 88305 |
|
4,464 |
4,003 |
$1.62M |
| 95811 |
|
1,823 |
1,765 |
$1.04M |
| 74176 |
|
2,703 |
2,536 |
$906K |
| 80307 |
|
7,856 |
6,227 |
$903K |
| 71275 |
|
2,849 |
2,654 |
$709K |
| 99211 |
|
4,433 |
3,295 |
$678K |
| 70450 |
|
6,810 |
6,334 |
$509K |
| 96361 |
|
8,622 |
7,256 |
$427K |
| 72125 |
|
1,376 |
1,298 |
$376K |
| 43239 |
|
1,908 |
1,844 |
$342K |
| 95810 |
|
598 |
576 |
$315K |
| 99202 |
|
2,355 |
2,289 |
$283K |
| 96375 |
|
17,013 |
13,707 |
$269K |
| 99282 |
|
4,179 |
3,946 |
$242K |
| 43235 |
|
771 |
736 |
$238K |
| 45378 |
|
687 |
663 |
$217K |
| 70498 |
|
558 |
523 |
$172K |
| 93306 |
|
1,424 |
1,326 |
$157K |
| 99212 |
|
2,572 |
2,426 |
$128K |
| 80053 |
|
47,426 |
37,523 |
$127K |
| 99213 |
|
3,316 |
3,180 |
$115K |
| 49083 |
|
521 |
210 |
$101K |
| P9047 |
Albumin (human), 25%, 50ml |
120 |
50 |
$89K |
| 99291 |
|
95 |
93 |
$86K |
| 97803 |
|
2,332 |
2,218 |
$74K |
| 99201 |
|
431 |
409 |
$59K |
| 96366 |
|
1,814 |
1,184 |
$57K |
| 94640 |
|
4,293 |
2,404 |
$56K |
| 70496 |
|
669 |
628 |
$56K |
| 93971 |
|
1,539 |
1,437 |
$53K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,897 |
3,622 |
$44K |
| 93970 |
|
205 |
193 |
$41K |
| 72131 |
|
275 |
260 |
$40K |
| 93005 |
|
21,438 |
18,980 |
$39K |
| 96372 |
|
7,921 |
5,701 |
$35K |
| 99203 |
|
519 |
498 |
$32K |
| 71046 |
|
7,467 |
7,136 |
$29K |
| 73630 |
|
801 |
732 |
$28K |
| 84702 |
|
3,452 |
3,120 |
$26K |
| 87086 |
|
8,114 |
7,461 |
$21K |
| 73130 |
|
302 |
272 |
$17K |
| 73610 |
|
283 |
267 |
$17K |
| 73562 |
|
373 |
337 |
$17K |
| 76700 |
|
152 |
143 |
$16K |
| 69436 |
|
14 |
14 |
$15K |
| 70486 |
|
95 |
94 |
$15K |
| 59025 |
|
6,928 |
5,028 |
$12K |
| 96376 |
|
7,277 |
4,569 |
$11K |
| 97802 |
|
322 |
308 |
$11K |
| 96374 |
|
20,463 |
18,381 |
$11K |
| 96365 |
|
4,282 |
3,280 |
$10K |
| 45380 |
|
130 |
124 |
$10K |
| 97804 |
|
192 |
186 |
$10K |
| 88304 |
|
673 |
639 |
$9K |
| 88307 |
|
192 |
185 |
$8K |
| 76856 |
|
2,462 |
2,317 |
$8K |
| 76705 |
|
2,414 |
2,283 |
$8K |
| 93976 |
|
3,501 |
3,229 |
$7K |
| 70551 |
|
130 |
119 |
$6K |
| 74174 |
|
17 |
14 |
$6K |
| 99215 |
Prolong outpt/office vis |
236 |
234 |
$6K |
| 76819 |
|
208 |
184 |
$6K |
| J7030 |
Normal saline solution infus |
26,100 |
21,111 |
$5K |
| 99214 |
|
98 |
98 |
$5K |
| 87880 |
|
2,769 |
2,656 |
$5K |
| 0241U |
|
6,961 |
6,598 |
$5K |
| 85025 |
|
49,548 |
37,910 |
$4K |
| C1769 |
Guide wire |
1,544 |
1,390 |
$4K |
| 83690 |
|
17,476 |
15,656 |
$4K |
| 71260 |
|
72 |
72 |
$4K |
| 73110 |
|
192 |
168 |
$4K |
| 73030 |
|
438 |
389 |
$3K |
| J3490 |
Drugs unclassified injection |
37,116 |
17,880 |
$3K |
| 80048 |
|
8,574 |
6,329 |
$3K |
| 87635 |
|
1,345 |
1,273 |
$3K |
| 76815 |
|
1,115 |
1,012 |
$3K |
| 87040 |
|
4,384 |
3,669 |
$3K |
| 84703 |
|
12,683 |
11,629 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
3,812 |
2,836 |
$3K |
| 76817 |
|
465 |
431 |
$3K |
| 71045 |
|
13,142 |
12,000 |
$3K |
| 82248 |
|
439 |
289 |
$2K |
| 80061 |
|
2,188 |
1,984 |
$2K |
| 96360 |
|
2,539 |
2,373 |
$2K |
| 76830 |
|
1,852 |
1,735 |
$2K |
| A9270 |
Non-covered item or service |
12,140 |
4,574 |
$2K |
| 87070 |
|
1,183 |
769 |
$2K |
| 84443 |
|
5,458 |
5,045 |
$2K |
| 81001 |
|
19,430 |
17,668 |
$2K |
| G0463 |
Hospital outpt clinic visit |
76 |
64 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,501 |
10,433 |
$2K |
| 36415 |
|
55,513 |
39,178 |
$1K |
| 84484 |
|
14,746 |
11,924 |
$1K |
| 74018 |
|
196 |
174 |
$1K |
| 83735 |
|
12,661 |
8,768 |
$1K |
| 83605 |
|
7,306 |
6,444 |
$1K |
| 86850 |
|
3,480 |
3,126 |
$1K |
| 99281 |
|
30 |
26 |
$1K |
| 83880 |
|
3,624 |
3,330 |
$909.49 |
| 45385 |
|
13 |
12 |
$857.90 |
| 76942 |
|
15 |
15 |
$831.46 |
| 87591 |
|
1,187 |
1,149 |
$730.43 |
| 94010 |
|
82 |
80 |
$643.20 |
| J2405 |
Ondansetron hcl injection |
20,575 |
16,776 |
$637.17 |
| 87491 |
|
1,143 |
1,100 |
$627.41 |
| J2274 |
Inj morphine pf epid ithc |
1,368 |
929 |
$605.02 |
| 87502 |
|
1,361 |
1,304 |
$570.73 |
| 76801 |
|
721 |
657 |
$536.43 |
| 85379 |
|
3,240 |
3,049 |
$514.66 |
| J7120 |
Ringers lactate infusion |
12,274 |
10,912 |
$471.45 |
| J3475 |
Inj magnesium sulfate |
750 |
579 |
$444.56 |
| 82728 |
|
405 |
356 |
$417.10 |
| J1885 |
Ketorolac tromethamine inj |
9,211 |
8,110 |
$395.57 |
| 81025 |
|
4,250 |
4,079 |
$387.72 |
| 85027 |
|
6,781 |
5,322 |
$386.42 |
| J7050 |
Normal saline solution infus |
1,412 |
1,113 |
$380.47 |
| J2704 |
Inj, propofol, 10 mg |
9,407 |
8,801 |
$369.60 |
| G0379 |
Direct refer hospital observ |
13 |
13 |
$360.59 |
| 86635 |
|
45 |
38 |
$354.48 |
| 87186 |
|
1,714 |
1,581 |
$347.62 |
| 85730 |
|
9,656 |
8,110 |
$338.72 |
| J2270 |
Morphine sulfate injection |
10,701 |
7,478 |
$273.28 |
| 81003 |
|
7,461 |
6,976 |
$262.19 |
| 82962 |
|
12,699 |
6,899 |
$258.99 |
| J1100 |
Dexamethasone sodium phos |
6,581 |
6,099 |
$238.40 |
| 85610 |
|
12,997 |
10,829 |
$231.35 |
| J1644 |
Inj heparin sodium per 1000u |
3,181 |
1,302 |
$212.31 |
| 87804 |
|
275 |
254 |
$210.70 |
| 87077 |
|
2,172 |
1,995 |
$206.36 |
| 71250 |
|
14 |
13 |
$193.41 |
| J2060 |
Lorazepam injection |
2,530 |
2,041 |
$176.35 |
| 84100 |
|
2,659 |
2,167 |
$175.42 |
| 90715 |
|
253 |
247 |
$164.53 |
| 87634 |
|
911 |
880 |
$160.16 |
| 87400 |
|
1,244 |
1,181 |
$149.73 |
| J0780 |
Prochlorperazine injection |
1,659 |
1,400 |
$146.85 |
| 82803 |
|
352 |
317 |
$131.74 |
| J1200 |
Diphenhydramine hcl injectio |
4,505 |
3,773 |
$117.08 |
| 86900 |
|
4,010 |
3,563 |
$101.74 |
| 86141 |
|
1,563 |
1,425 |
$100.96 |
| 82550 |
|
3,063 |
2,684 |
$97.51 |
| 86308 |
|
39 |
38 |
$88.96 |
| 86901 |
|
4,006 |
3,562 |
$87.85 |
| 84145 |
|
1,134 |
1,031 |
$87.82 |
| 87420 |
|
324 |
314 |
$81.65 |
| J1650 |
Inj enoxaparin sodium |
3,785 |
1,915 |
$76.09 |
| 97162 |
|
488 |
455 |
$65.75 |
| U0005 |
Infec agen detec ampli probe |
2,589 |
2,415 |
$64.88 |
| 87075 |
|
107 |
51 |
$64.33 |
| J1170 |
Hydromorphone injection |
3,200 |
2,150 |
$60.13 |
| J0360 |
Hydralazine hcl injection |
386 |
310 |
$59.62 |
| C9113 |
Inj pantoprazole sodium, via |
1,571 |
828 |
$56.79 |
| J7040 |
Normal saline solution infus |
1,407 |
1,276 |
$54.94 |
| 97530 |
|
495 |
373 |
$54.75 |
| 97161 |
|
221 |
205 |
$54.39 |
| 83036 |
|
2,456 |
2,273 |
$52.96 |
| 85007 |
|
2,960 |
2,469 |
$45.74 |
| 86592 |
|
274 |
246 |
$33.09 |
| 90471 |
|
642 |
605 |
$25.05 |
| A9579 |
Gad-base mr contrast nos,1ml |
106 |
95 |
$23.40 |
| 84132 |
|
359 |
289 |
$20.31 |
| J2765 |
Metoclopramide hcl injection |
3,916 |
3,559 |
$20.13 |
| J2250 |
Inj midazolam hydrochloride |
4,732 |
4,314 |
$18.91 |
| 97166 |
|
282 |
259 |
$18.19 |
| 85652 |
|
931 |
847 |
$13.86 |
| J1956 |
Levofloxacin injection |
241 |
181 |
$12.83 |
| J7512 |
Prednisone ir or dr oral 1mg |
553 |
417 |
$12.00 |
| J3010 |
Fentanyl citrate injection |
8,910 |
7,833 |
$10.89 |
| Q0114 |
Fern test |
636 |
570 |
$9.98 |
| 84439 |
|
150 |
142 |
$9.14 |
| J2930 |
Methylprednisolone injection |
345 |
299 |
$7.98 |
| 87210 |
|
103 |
100 |
$7.67 |
| J2710 |
Neostigmine methylslfte inj |
747 |
704 |
$5.79 |
| 82570 |
|
796 |
675 |
$5.31 |
| J1815 |
Insulin injection |
3,006 |
1,427 |
$4.16 |
| 84550 |
|
798 |
661 |
$4.01 |
| J0690 |
Cefazolin sodium injection |
2,590 |
2,248 |
$3.04 |
| J1630 |
Haloperidol injection |
321 |
287 |
$0.94 |
| J0330 |
Succinycholine chloride inj |
772 |
726 |
$0.00 |
| J3480 |
Inj potassium chloride |
836 |
469 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
1,028 |
952 |
$0.00 |
| 82150 |
|
187 |
166 |
$0.00 |
| 82553 |
|
95 |
68 |
$0.00 |
| 82607 |
|
296 |
279 |
$0.00 |
| J1790 |
Droperidol injection |
636 |
582 |
$0.00 |
| 88342 |
|
697 |
655 |
$0.00 |
| 83615 |
|
570 |
489 |
$0.00 |
| G8987 |
Self care current status |
160 |
127 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
114 |
105 |
$0.00 |
| A9585 |
Gadobutrol injection |
60 |
51 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
123 |
107 |
$0.00 |
| 82746 |
|
252 |
241 |
$0.00 |
| 87205 |
|
1,420 |
937 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
51 |
49 |
$0.00 |
| G8988 |
Self care goal status |
160 |
127 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
290 |
267 |
$0.00 |
| 90686 |
|
152 |
143 |
$0.00 |
| 82306 |
|
217 |
209 |
$0.00 |
| 81005 |
|
219 |
202 |
$0.00 |
| 97535 |
|
201 |
155 |
$0.00 |
| P9612 |
Catheterize for urine spec |
253 |
242 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
157 |
91 |
$0.00 |
| 72128 |
|
25 |
24 |
$0.00 |
| 97165 |
|
42 |
39 |
$0.00 |
| 87428 |
|
103 |
102 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
15 |
14 |
$0.00 |
| 92523 |
|
15 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
14 |
$0.00 |
| A9500 |
Tc99m sestamibi |
14 |
13 |
$0.00 |
| 99152 |
|
781 |
723 |
$0.00 |
| J1953 |
Levetiracetam injection |
30 |
24 |
$0.00 |
| G8996 |
Swallow current status |
34 |
25 |
$0.00 |
| C1729 |
Cath, drainage |
1,110 |
455 |
$0.00 |
| 83540 |
|
210 |
200 |
$0.00 |
| 89051 |
|
274 |
153 |
$0.00 |
| G8978 |
Mobility current status |
205 |
165 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
739 |
683 |
$0.00 |
| 82140 |
|
75 |
64 |
$0.00 |
| 84156 |
|
889 |
693 |
$0.00 |
| 85384 |
|
354 |
308 |
$0.00 |
| 84466 |
|
208 |
199 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,147 |
1,071 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
350 |
328 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
50 |
47 |
$0.00 |
| G8979 |
Mobility goal status |
204 |
165 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
134 |
87 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
31 |
24 |
$0.00 |
| G8989 |
Self care d/c status |
12 |
12 |
$0.00 |
| 92610 |
|
51 |
45 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
133 |
80 |
$0.00 |
| J2800 |
Methocarbamol injection |
25 |
25 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
16 |
13 |
$0.00 |
| 84425 |
|
13 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
32 |
31 |
$0.00 |
| 83970 |
|
29 |
28 |
$0.00 |
| G8997 |
Swallow goal status |
35 |
25 |
$0.00 |
| 82010 |
|
40 |
36 |
$0.00 |
| 73590 |
|
13 |
12 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
43 |
37 |
$0.00 |
| C1887 |
Catheter, guiding |
15 |
15 |
$0.00 |
| 97163 |
|
69 |
60 |
$0.00 |
| 93017 |
|
13 |
12 |
$0.00 |
| C1758 |
Catheter, ureteral |
13 |
12 |
$0.00 |
| 82565 |
|
12 |
12 |
$0.00 |