| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
|
11,135 |
3,859 |
$585K |
| J1745 |
Infliximab not biosimil 10mg |
308 |
270 |
$514K |
| 92507 |
|
8,100 |
2,653 |
$435K |
| 74177 |
|
3,593 |
3,350 |
$434K |
| 99284 |
|
6,758 |
6,034 |
$429K |
| 99283 |
|
5,512 |
5,014 |
$373K |
| G0463 |
Hospital outpt clinic visit |
37,648 |
28,198 |
$330K |
| 93306 |
|
1,701 |
1,636 |
$183K |
| 97110 |
|
7,605 |
2,506 |
$172K |
| 99285 |
|
2,282 |
2,067 |
$167K |
| 99282 |
|
2,498 |
2,274 |
$159K |
| 70450 |
|
2,949 |
2,726 |
$153K |
| 87631 |
|
1,403 |
1,357 |
$152K |
| 80307 |
|
3,128 |
2,778 |
$122K |
| G0480 |
Drug test def 1-7 classes |
2,346 |
1,987 |
$118K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,144 |
2,028 |
$113K |
| 85025 |
|
28,282 |
21,593 |
$107K |
| 96361 |
|
766 |
668 |
$95K |
| 78452 |
|
471 |
452 |
$85K |
| 80053 |
|
16,223 |
13,481 |
$84K |
| 92523 |
|
612 |
597 |
$83K |
| 96365 |
|
2,281 |
1,404 |
$82K |
| 92526 |
|
1,418 |
685 |
$78K |
| 71046 |
|
6,661 |
6,117 |
$60K |
| 97140 |
|
2,831 |
910 |
$56K |
| 70553 |
|
385 |
371 |
$52K |
| 76830 |
|
773 |
736 |
$45K |
| 71260 |
|
699 |
660 |
$40K |
| 76856 |
|
789 |
757 |
$39K |
| 84112 |
|
495 |
436 |
$38K |
| 74176 |
|
534 |
504 |
$35K |
| 76816 |
|
657 |
562 |
$34K |
| 97166 |
|
681 |
649 |
$34K |
| 77067 |
|
1,071 |
1,051 |
$33K |
| 97162 |
|
837 |
809 |
$32K |
| 90853 |
|
503 |
78 |
$32K |
| 80048 |
|
7,588 |
6,142 |
$32K |
| 71275 |
|
386 |
361 |
$31K |
| 36415 |
|
21,572 |
15,915 |
$30K |
| 76705 |
|
729 |
683 |
$30K |
| 97161 |
|
595 |
577 |
$29K |
| 93005 |
|
8,241 |
6,930 |
$29K |
| J2469 |
Palonosetron hcl |
223 |
129 |
$29K |
| 80047 |
|
4,270 |
3,850 |
$28K |
| 72148 |
|
385 |
368 |
$28K |
| 76700 |
|
579 |
562 |
$27K |
| 73721 |
|
235 |
221 |
$27K |
| 93017 |
|
444 |
432 |
$25K |
| 92610 |
|
430 |
416 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
1,028 |
981 |
$25K |
| 99281 |
|
421 |
395 |
$24K |
| 84443 |
|
3,382 |
3,091 |
$24K |
| 82948 |
|
8,633 |
4,730 |
$23K |
| 93976 |
|
152 |
145 |
$23K |
| 96374 |
|
5,286 |
4,601 |
$22K |
| 76770 |
|
470 |
454 |
$22K |
| 76805 |
|
306 |
304 |
$22K |
| 72125 |
|
541 |
515 |
$21K |
| 81025 |
|
4,281 |
3,957 |
$20K |
| 97112 |
|
631 |
290 |
$20K |
| G0378 |
Hospital observation per hr |
1,002 |
797 |
$20K |
| 81003 |
|
11,184 |
9,646 |
$19K |
| 76801 |
|
375 |
332 |
$19K |
| 96375 |
|
3,986 |
3,319 |
$19K |
| 76642 |
|
567 |
468 |
$19K |
| 84484 |
|
5,290 |
3,802 |
$18K |
| 96413 |
|
817 |
563 |
$18K |
| 76817 |
|
379 |
333 |
$16K |
| 87502 |
|
192 |
190 |
$15K |
| 83690 |
|
4,659 |
4,084 |
$15K |
| J3010 |
Fentanyl citrate injection |
5,886 |
3,967 |
$14K |
| 83880 |
|
1,343 |
1,192 |
$13K |
| 87040 |
|
2,272 |
1,222 |
$13K |
| 97113 |
|
362 |
151 |
$13K |
| 83735 |
|
4,760 |
3,583 |
$13K |
| 85610 |
|
7,365 |
4,838 |
$12K |
| 76811 |
|
178 |
173 |
$12K |
| 87591 |
|
372 |
364 |
$11K |
| 83605 |
|
2,276 |
1,862 |
$11K |
| 80076 |
|
2,326 |
2,089 |
$11K |
| 87491 |
|
374 |
365 |
$11K |
| 73221 |
|
89 |
87 |
$10K |
| 83874 |
|
1,775 |
1,455 |
$10K |
| 97750 |
|
241 |
222 |
$10K |
| 71250 |
|
273 |
254 |
$10K |
| J2785 |
Regadenoson injection |
244 |
243 |
$10K |
| 73562 |
|
705 |
607 |
$9K |
| 73110 |
|
558 |
501 |
$9K |
| 74018 |
|
767 |
674 |
$9K |
| J2405 |
Ondansetron hcl injection |
8,555 |
6,486 |
$9K |
| 70551 |
|
115 |
108 |
$8K |
| 73630 |
|
689 |
619 |
$8K |
| 71045 |
|
2,385 |
2,080 |
$8K |
| 73610 |
|
620 |
575 |
$8K |
| 70486 |
|
163 |
156 |
$8K |
| 84702 |
|
582 |
520 |
$8K |
| 87086 |
|
1,767 |
1,653 |
$7K |
| 99490 |
Ccm add 20min |
1,527 |
1,414 |
$7K |
| 87641 |
|
366 |
356 |
$7K |
| 73130 |
|
540 |
450 |
$7K |
| 73030 |
|
710 |
618 |
$7K |
| G0297 |
Ldct for lung ca screen |
94 |
86 |
$6K |
| 86850 |
|
1,047 |
906 |
$6K |
| 96415 |
|
97 |
80 |
$6K |
| 97116 |
|
298 |
125 |
$6K |
| 20610 |
|
295 |
252 |
$6K |
| 72110 |
|
353 |
337 |
$6K |
| 87661 |
|
172 |
171 |
$5K |
| 82550 |
|
1,727 |
1,520 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
2,983 |
2,478 |
$5K |
| 77066 |
Tomosynthesis, mammo |
74 |
68 |
$5K |
| 87430 |
|
441 |
427 |
$5K |
| 87651 |
|
144 |
143 |
$5K |
| G0279 |
Tomosynthesis, mammo |
359 |
336 |
$5K |
| 87077 |
|
1,039 |
989 |
$5K |
| 87186 |
|
900 |
862 |
$5K |
| 85380 |
|
836 |
794 |
$5K |
| 84520 |
|
1,911 |
1,774 |
$4K |
| 73502 |
|
428 |
388 |
$4K |
| 77065 |
Tomosynthesis, mammo |
87 |
68 |
$4K |
| 43239 |
|
45 |
40 |
$4K |
| 0241U |
|
907 |
835 |
$4K |
| 96372 |
|
3,437 |
2,485 |
$4K |
| 99214 |
|
317 |
292 |
$4K |
| 87070 |
|
672 |
591 |
$4K |
| 82803 |
|
325 |
277 |
$4K |
| 83036 |
|
2,997 |
2,759 |
$4K |
| 72141 |
|
45 |
41 |
$4K |
| 86900 |
|
1,179 |
1,023 |
$4K |
| 76536 |
|
57 |
57 |
$4K |
| 36592 |
|
484 |
423 |
$4K |
| 86901 |
|
1,179 |
1,024 |
$4K |
| 88305 |
|
617 |
567 |
$4K |
| 74230 |
|
47 |
41 |
$3K |
| 86140 |
|
1,090 |
955 |
$3K |
| 85730 |
|
986 |
903 |
$3K |
| 77002 |
|
105 |
97 |
$3K |
| J1453 |
Fosaprepitant injection |
19 |
14 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,132 |
3,642 |
$3K |
| 86780 |
|
220 |
205 |
$3K |
| J1170 |
Hydromorphone injection |
2,737 |
1,761 |
$3K |
| 70491 |
|
37 |
37 |
$3K |
| Q3014 |
Telehealth facility fee |
722 |
596 |
$3K |
| 76819 |
|
70 |
44 |
$3K |
| 87081 |
|
465 |
450 |
$3K |
| 93880 |
|
66 |
65 |
$3K |
| 36416 |
|
3,165 |
1,570 |
$3K |
| 77080 |
|
365 |
358 |
$2K |
| 70544 |
|
26 |
26 |
$2K |
| 76815 |
|
59 |
55 |
$2K |
| 87210 |
|
543 |
502 |
$2K |
| 82728 |
|
381 |
344 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,569 |
1,040 |
$2K |
| 80061 |
|
501 |
471 |
$2K |
| 87205 |
|
693 |
603 |
$2K |
| 85027 |
|
1,691 |
1,306 |
$2K |
| 87634 |
|
28 |
27 |
$2K |
| 94640 |
|
618 |
348 |
$2K |
| 96366 |
|
31 |
26 |
$2K |
| 97535 |
|
63 |
41 |
$2K |
| G0008 |
Admin influenza virus vac |
853 |
823 |
$2K |
| 85651 |
|
608 |
538 |
$2K |
| 90686 |
|
468 |
458 |
$2K |
| 97010 |
|
579 |
233 |
$2K |
| 84100 |
|
462 |
396 |
$2K |
| 97165 |
|
27 |
25 |
$1K |
| 99211 |
|
141 |
110 |
$1K |
| 92611 |
|
41 |
38 |
$1K |
| 96360 |
|
28 |
26 |
$1K |
| 87075 |
|
210 |
177 |
$1K |
| 45380 |
|
13 |
13 |
$1K |
| 73080 |
|
87 |
80 |
$1K |
| 82565 |
|
658 |
580 |
$1K |
| 72050 |
|
54 |
46 |
$998.60 |
| 81001 |
|
2,344 |
2,065 |
$966.95 |
| 85055 |
|
43 |
36 |
$927.63 |
| 84145 |
|
45 |
44 |
$873.19 |
| 82731 |
|
16 |
16 |
$858.82 |
| 73140 |
|
64 |
58 |
$803.51 |
| 73590 |
|
69 |
64 |
$728.72 |
| 72100 |
|
43 |
40 |
$659.51 |
| 81002 |
|
325 |
269 |
$655.07 |
| 82570 |
|
972 |
868 |
$651.61 |
| J0585 |
Injection,onabotulinumtoxina |
14 |
13 |
$604.39 |
| J1100 |
Dexamethasone sodium phos |
1,064 |
793 |
$593.72 |
| 87635 |
|
30 |
29 |
$545.50 |
| 82962 |
|
480 |
432 |
$540.05 |
| 72082 |
|
14 |
14 |
$530.04 |
| 73090 |
|
47 |
41 |
$526.25 |
| A9500 |
Tc99m sestamibi |
290 |
283 |
$520.02 |
| 84439 |
|
83 |
80 |
$500.87 |
| J1650 |
Inj enoxaparin sodium |
236 |
63 |
$485.06 |
| 76937 |
|
35 |
27 |
$453.87 |
| 83615 |
|
95 |
77 |
$449.58 |
| 80069 |
|
179 |
135 |
$395.98 |
| 82947 |
|
93 |
77 |
$390.26 |
| 76870 |
|
14 |
14 |
$383.72 |
| 73564 |
|
33 |
29 |
$383.12 |
| C1751 |
Cath, inf, per/cent/midline |
236 |
204 |
$345.43 |
| G0009 |
Admin pneumococcal vaccine |
108 |
105 |
$297.49 |
| 72072 |
|
28 |
26 |
$281.43 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,701 |
1,523 |
$277.98 |
| 36591 |
|
125 |
64 |
$268.80 |
| 99152 |
|
177 |
158 |
$267.48 |
| 83540 |
|
135 |
125 |
$236.04 |
| 82274 |
|
28 |
27 |
$235.30 |
| 76857 |
|
13 |
12 |
$234.78 |
| 90670 |
|
16 |
15 |
$231.57 |
| 90662 |
|
208 |
198 |
$219.78 |
| 73521 |
|
12 |
12 |
$215.00 |
| 77063 |
|
1,070 |
1,050 |
$204.84 |
| 74022 |
|
13 |
13 |
$193.81 |
| 99213 |
|
16 |
16 |
$187.58 |
| 83550 |
|
94 |
88 |
$174.14 |
| 74019 |
|
12 |
12 |
$164.75 |
| 85014 |
|
73 |
53 |
$162.49 |
| 82330 |
|
96 |
79 |
$152.95 |
| 85652 |
|
165 |
149 |
$144.36 |
| 77001 |
|
15 |
12 |
$132.26 |
| U0005 |
Infec agen detec ampli probe |
543 |
507 |
$125.00 |
| C1769 |
Guide wire |
64 |
60 |
$123.26 |
| 85007 |
|
602 |
483 |
$121.34 |
| 96376 |
|
556 |
450 |
$110.24 |
| 80051 |
|
15 |
13 |
$108.49 |
| 99153 |
Mod sedat endo service >5yrs |
57 |
49 |
$87.08 |
| J7120 |
Ringers lactate infusion |
1,099 |
808 |
$75.14 |
| 0296T |
|
12 |
12 |
$73.80 |
| 90732 |
|
15 |
15 |
$71.21 |
| G8979 |
Mobility goal status |
367 |
308 |
$70.66 |
| G8978 |
Mobility current status |
278 |
255 |
$65.57 |
| 84156 |
|
53 |
37 |
$63.63 |
| J2360 |
Orphenadrine injection |
17 |
16 |
$56.94 |
| 90471 |
|
28 |
27 |
$51.85 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
108 |
106 |
$50.52 |
| A9579 |
Gad-base mr contrast nos,1ml |
54 |
54 |
$45.91 |
| 84550 |
|
14 |
12 |
$41.09 |
| 99487 |
Ccm add 20min |
17 |
12 |
$40.59 |
| Q9957 |
Inj perflutren lip micros,ml |
267 |
254 |
$40.33 |
| J2270 |
Morphine sulfate injection |
266 |
224 |
$26.60 |
| J1245 |
Dipyridamole injection |
31 |
28 |
$18.90 |
| J2704 |
Inj, propofol, 10 mg |
1,096 |
988 |
$17.32 |
| 82077 |
|
121 |
109 |
$16.22 |
| 82306 |
|
12 |
12 |
$8.03 |
| 82043 |
|
24 |
24 |
$5.92 |
| G8980 |
Mobility d/c status |
136 |
120 |
$5.09 |
| 84295 |
|
109 |
94 |
$1.56 |
| 82247 |
|
20 |
14 |
$1.56 |
| 84155 |
|
30 |
27 |
$1.56 |
| 84075 |
|
20 |
14 |
$1.56 |
| 82040 |
|
19 |
13 |
$1.56 |
| J3301 |
Triamcinolone acet inj nos |
20 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
15 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
83 |
74 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
29 |
25 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
248 |
194 |
$0.00 |
| 80320 |
|
167 |
142 |
$0.00 |
| G8988 |
Self care goal status |
15 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
98 |
80 |
$0.00 |
| 82435 |
|
94 |
80 |
$0.00 |
| C1889 |
Implant/insert device, noc |
165 |
146 |
$0.00 |
| 84132 |
|
79 |
65 |
$0.00 |
| J2060 |
Lorazepam injection |
16 |
13 |
$0.00 |
| 85018 |
|
15 |
12 |
$0.00 |