| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
2,809 |
2,685 |
$4.10M |
| 99285 |
|
9,683 |
7,012 |
$2.84M |
| 99284 |
|
11,525 |
9,306 |
$2.35M |
| 99283 |
|
14,955 |
12,898 |
$2.03M |
| 70450 |
|
1,993 |
1,885 |
$813K |
| 85025 |
|
22,621 |
19,459 |
$775K |
| 74176 |
|
455 |
440 |
$494K |
| 96375 |
|
5,110 |
4,315 |
$470K |
| 97110 |
|
11,022 |
4,597 |
$467K |
| 36415 |
|
27,316 |
23,869 |
$437K |
| 96365 |
|
4,426 |
3,043 |
$382K |
| 97140 |
|
7,841 |
3,343 |
$351K |
| 96361 |
|
5,952 |
4,794 |
$348K |
| 80053 |
|
22,329 |
19,324 |
$340K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,182 |
3,972 |
$332K |
| 96374 |
|
6,114 |
5,231 |
$331K |
| 93005 |
|
5,981 |
5,400 |
$284K |
| 71046 |
|
3,242 |
3,108 |
$274K |
| 93306 |
|
789 |
782 |
$259K |
| 73630 |
|
1,914 |
1,734 |
$250K |
| J2001 |
Lidocaine injection |
4,039 |
3,099 |
$248K |
| 99282 |
|
2,197 |
2,069 |
$224K |
| 73110 |
|
1,248 |
1,028 |
$203K |
| 71045 |
|
3,192 |
2,898 |
$200K |
| 73030 |
|
1,635 |
1,496 |
$199K |
| 87636 |
|
2,645 |
2,476 |
$193K |
| 96360 |
|
1,836 |
1,516 |
$186K |
| 73610 |
|
1,526 |
1,384 |
$185K |
| 72125 |
|
353 |
344 |
$177K |
| 77067 |
|
1,459 |
1,452 |
$172K |
| 88305 |
|
956 |
936 |
$163K |
| 76705 |
|
825 |
804 |
$160K |
| 96376 |
|
1,977 |
1,553 |
$159K |
| 96372 |
|
3,286 |
2,908 |
$159K |
| 80307 |
|
1,162 |
1,034 |
$158K |
| 82077 |
|
1,781 |
1,600 |
$143K |
| 83690 |
|
4,027 |
3,662 |
$141K |
| 84484 |
|
4,483 |
3,227 |
$136K |
| 73130 |
|
814 |
715 |
$131K |
| 84443 |
|
6,907 |
6,685 |
$131K |
| 83605 |
|
3,168 |
2,502 |
$130K |
| J7030 |
Normal saline solution infus |
4,413 |
3,670 |
$123K |
| 87631 |
|
1,457 |
1,378 |
$122K |
| 97112 |
|
3,067 |
1,749 |
$121K |
| 80050 |
|
1,333 |
1,304 |
$118K |
| 45385 |
|
69 |
57 |
$115K |
| 87040 |
|
3,011 |
1,566 |
$110K |
| 86140 |
|
3,673 |
3,372 |
$108K |
| 99213 |
|
1,241 |
737 |
$106K |
| 80061 |
|
3,879 |
3,836 |
$106K |
| 83036 |
|
5,211 |
5,155 |
$104K |
| 76801 |
|
318 |
309 |
$104K |
| J1885 |
Ketorolac tromethamine inj |
4,645 |
4,120 |
$102K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,687 |
4,456 |
$99K |
| J2704 |
Inj, propofol, 10 mg |
3,604 |
2,298 |
$98K |
| 87491 |
|
1,537 |
1,497 |
$98K |
| 72100 |
|
695 |
684 |
$98K |
| 87086 |
|
3,707 |
3,526 |
$98K |
| J2405 |
Ondansetron hcl injection |
4,320 |
3,533 |
$96K |
| 73562 |
|
676 |
663 |
$95K |
| 96366 |
|
673 |
500 |
$89K |
| 85027 |
|
3,634 |
3,417 |
$89K |
| 87591 |
|
1,539 |
1,497 |
$84K |
| 76805 |
|
275 |
274 |
$78K |
| J1170 |
Hydromorphone injection |
2,382 |
1,694 |
$73K |
| 99281 |
|
1,086 |
1,045 |
$68K |
| J7050 |
Normal saline solution infus |
3,181 |
1,765 |
$68K |
| 97530 |
|
1,757 |
861 |
$67K |
| 80048 |
|
4,977 |
4,486 |
$64K |
| 76830 |
|
206 |
204 |
$63K |
| 87661 |
|
1,340 |
1,304 |
$63K |
| 80306 |
|
4,029 |
3,682 |
$61K |
| 94640 |
|
1,197 |
980 |
$59K |
| 87186 |
|
851 |
814 |
$58K |
| 76856 |
|
235 |
232 |
$57K |
| 81001 |
|
7,954 |
7,282 |
$57K |
| 86803 |
|
1,469 |
1,456 |
$56K |
| 71275 |
|
71 |
70 |
$56K |
| 82306 |
|
1,887 |
1,868 |
$55K |
| 83735 |
|
3,718 |
2,842 |
$55K |
| 82962 |
|
3,138 |
1,629 |
$54K |
| 81025 |
|
2,855 |
2,701 |
$52K |
| 83880 |
|
1,530 |
1,325 |
$52K |
| 84145 |
|
1,071 |
974 |
$51K |
| 87081 |
|
1,187 |
1,167 |
$49K |
| J7120 |
Ringers lactate infusion |
1,443 |
1,240 |
$48K |
| 87634 |
|
325 |
314 |
$48K |
| 80143 |
|
744 |
692 |
$47K |
| 97161 |
|
827 |
808 |
$47K |
| 72148 |
|
62 |
62 |
$46K |
| 80179 |
|
691 |
642 |
$44K |
| 87502 |
|
373 |
366 |
$44K |
| 87340 |
|
1,189 |
1,177 |
$44K |
| 92507 |
|
599 |
242 |
$42K |
| 97162 |
|
799 |
791 |
$42K |
| 84439 |
|
1,851 |
1,802 |
$41K |
| J3010 |
Fentanyl citrate injection |
1,478 |
1,102 |
$41K |
| 94729 |
|
331 |
328 |
$39K |
| 86780 |
|
1,088 |
1,071 |
$38K |
| 87651 |
|
529 |
516 |
$37K |
| 73502 |
|
369 |
346 |
$35K |
| 99212 |
|
283 |
192 |
$34K |
| 87389 |
|
1,079 |
1,073 |
$33K |
| 86850 |
|
1,561 |
1,507 |
$32K |
| 87077 |
|
1,040 |
989 |
$32K |
| 81003 |
|
3,355 |
3,159 |
$32K |
| 73721 |
|
36 |
36 |
$30K |
| J0696 |
Ceftriaxone sodium injection |
1,739 |
1,147 |
$29K |
| 85379 |
|
677 |
653 |
$29K |
| 94726 |
|
303 |
300 |
$29K |
| 87070 |
|
789 |
739 |
$28K |
| 82570 |
|
1,445 |
1,375 |
$28K |
| G0378 |
Hospital observation per hr |
125 |
66 |
$27K |
| 71260 |
|
66 |
64 |
$27K |
| 82043 |
|
707 |
703 |
$25K |
| 82805 |
|
347 |
278 |
$24K |
| 85610 |
|
2,943 |
2,495 |
$21K |
| J1100 |
Dexamethasone sodium phos |
955 |
895 |
$20K |
| 73564 |
|
127 |
107 |
$19K |
| 97035 |
|
953 |
455 |
$19K |
| 86762 |
|
548 |
542 |
$18K |
| 77063 |
|
809 |
803 |
$18K |
| J2270 |
Morphine sulfate injection |
761 |
625 |
$16K |
| 82728 |
|
381 |
376 |
$15K |
| 87205 |
|
1,027 |
930 |
$15K |
| 90715 |
|
105 |
105 |
$14K |
| J0690 |
Cefazolin sodium injection |
552 |
448 |
$13K |
| 72040 |
|
106 |
105 |
$13K |
| 73140 |
|
145 |
135 |
$13K |
| 82607 |
|
608 |
601 |
$12K |
| J1200 |
Diphenhydramine hcl injectio |
543 |
433 |
$12K |
| 83550 |
|
255 |
252 |
$12K |
| 97535 |
|
400 |
242 |
$11K |
| 76815 |
|
54 |
44 |
$10K |
| 85652 |
|
2,134 |
2,041 |
$10K |
| A9585 |
Gadobutrol injection |
280 |
270 |
$10K |
| 87210 |
|
767 |
740 |
$10K |
| 94060 |
|
50 |
50 |
$10K |
| 99214 |
|
77 |
48 |
$10K |
| 84702 |
|
271 |
214 |
$10K |
| 87075 |
|
401 |
381 |
$9K |
| 86901 |
|
784 |
745 |
$9K |
| 70496 |
|
12 |
12 |
$9K |
| U0005 |
Infec agen detec ampli probe |
2,370 |
2,229 |
$9K |
| 83540 |
|
438 |
430 |
$9K |
| 71250 |
|
25 |
25 |
$9K |
| 76642 |
|
101 |
91 |
$9K |
| 95806 |
|
51 |
49 |
$9K |
| 86900 |
|
770 |
732 |
$8K |
| 87635 |
|
107 |
102 |
$8K |
| 87624 |
|
138 |
138 |
$8K |
| 76641 |
|
134 |
111 |
$7K |
| 76816 |
|
40 |
39 |
$7K |
| J2060 |
Lorazepam injection |
266 |
216 |
$7K |
| J7040 |
Normal saline solution infus |
296 |
274 |
$6K |
| 87641 |
|
129 |
128 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
225 |
204 |
$5K |
| 88142 |
|
274 |
274 |
$5K |
| 88175 |
|
81 |
81 |
$5K |
| 97113 |
|
61 |
24 |
$4K |
| 85730 |
|
196 |
179 |
$4K |
| J2930 |
Methylprednisolone injection |
128 |
107 |
$4K |
| J2550 |
Promethazine hcl injection |
182 |
167 |
$4K |
| 84403 |
|
54 |
54 |
$3K |
| J3475 |
Inj magnesium sulfate |
126 |
84 |
$3K |
| 96367 |
|
77 |
69 |
$3K |
| 87806 |
|
486 |
478 |
$3K |
| 87147 |
|
158 |
156 |
$3K |
| 72110 |
|
13 |
13 |
$3K |
| 71271 |
|
39 |
39 |
$2K |
| 87088 |
|
137 |
133 |
$2K |
| 59025 |
|
30 |
13 |
$2K |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$2K |
| 90471 |
|
150 |
150 |
$2K |
| 93017 |
|
12 |
12 |
$2K |
| 85018 |
|
415 |
362 |
$2K |
| 82550 |
|
177 |
153 |
$2K |
| 82951 |
|
36 |
36 |
$2K |
| 84156 |
|
76 |
64 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 36416 |
|
551 |
437 |
$1K |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$1K |
| 73080 |
|
13 |
12 |
$1K |
| 87400 |
|
101 |
50 |
$1K |
| G0279 |
Tomosynthesis, mammo |
84 |
80 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
62 |
54 |
$1K |
| 82626 |
|
15 |
15 |
$1K |
| 86704 |
|
26 |
26 |
$1K |
| A9577 |
Inj multihance |
42 |
41 |
$982.26 |
| 86038 |
|
26 |
26 |
$932.21 |
| 84481 |
|
13 |
12 |
$927.59 |
| J3480 |
Inj potassium chloride |
16 |
15 |
$850.01 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$764.34 |
| J0780 |
Prochlorperazine injection |
26 |
15 |
$739.52 |
| J2765 |
Metoclopramide hcl injection |
43 |
41 |
$700.05 |
| J1815 |
Insulin injection |
18 |
12 |
$668.88 |
| 12001 |
|
15 |
13 |
$665.30 |
| 81015 |
|
133 |
130 |
$662.48 |
| 84100 |
|
154 |
131 |
$588.58 |
| 82746 |
|
14 |
14 |
$504.11 |
| 82950 |
|
57 |
57 |
$494.42 |
| 85014 |
|
101 |
90 |
$476.45 |
| J2919 |
Inj, methylpred sod succ 5mg |
38 |
31 |
$473.53 |
| 85651 |
|
95 |
93 |
$422.70 |
| 86708 |
|
12 |
12 |
$373.62 |
| 87430 |
|
15 |
15 |
$356.64 |
| J1630 |
Haloperidol injection |
15 |
12 |
$354.87 |
| 94760 |
|
15 |
12 |
$317.79 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$295.38 |
| 84550 |
|
55 |
49 |
$210.19 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
12 |
$170.17 |
| 84460 |
|
28 |
26 |
$96.21 |
| 87176 |
|
12 |
12 |
$68.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$31.39 |
| G8979 |
Mobility goal status |
46 |
43 |
$0.00 |
| G8978 |
Mobility current status |
45 |
42 |
$0.00 |
| A9270 |
Non-covered item or service |
2,800 |
1,398 |
$0.00 |