| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
125,607 |
111,523 |
$4.64M |
| 74177 |
|
10,510 |
10,065 |
$1.53M |
| 0270 |
|
32,035 |
18,459 |
$1.51M |
| 96374 |
|
24,152 |
21,952 |
$1.01M |
| 70450 |
|
10,432 |
9,954 |
$950K |
| J3490 |
Drugs unclassified injection |
53,808 |
29,923 |
$786K |
| 99284 |
|
7,379 |
6,898 |
$738K |
| 0214 |
|
269 |
233 |
$619K |
| 99281 |
|
12,714 |
11,389 |
$618K |
| 93005 |
|
34,787 |
31,250 |
$618K |
| 0250 |
|
26,918 |
16,326 |
$531K |
| 99283 |
|
5,214 |
4,859 |
$521K |
| 96375 |
|
18,283 |
16,056 |
$494K |
| Z7502 |
|
13,039 |
12,831 |
$465K |
| 80048 |
|
65,529 |
58,431 |
$415K |
| 93975 |
|
2,884 |
2,763 |
$373K |
| 71045 |
|
34,418 |
32,093 |
$372K |
| 0300 |
|
1,045 |
923 |
$365K |
| 85025 |
|
69,409 |
61,870 |
$360K |
| 99285 |
|
1,188 |
1,130 |
$353K |
| 0360 |
|
2,775 |
2,486 |
$336K |
| 96365 |
|
6,517 |
5,934 |
$324K |
| 87635 |
|
9,170 |
8,700 |
$323K |
| 99199 |
|
10,379 |
9,511 |
$314K |
| 0121 |
|
131 |
125 |
$260K |
| 72125 |
|
2,037 |
1,976 |
$241K |
| 74176 |
|
2,837 |
2,757 |
$226K |
| 80307 |
|
5,772 |
5,360 |
$215K |
| 76705 |
|
5,385 |
5,171 |
$212K |
| 71275 |
|
1,498 |
1,448 |
$201K |
| G0480 |
Drug test def 1-7 classes |
4,365 |
3,763 |
$187K |
| 96372 |
|
10,597 |
8,664 |
$183K |
| 0762 |
|
2,303 |
1,331 |
$168K |
| 84484 |
|
22,760 |
20,490 |
$158K |
| 96361 |
|
10,119 |
9,223 |
$150K |
| 96360 |
|
3,309 |
3,166 |
$145K |
| 80076 |
|
22,113 |
20,354 |
$141K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,749 |
13,692 |
$127K |
| 76830 |
|
2,769 |
2,654 |
$126K |
| 76856 |
|
2,925 |
2,800 |
$119K |
| 76801 |
|
3,163 |
2,785 |
$117K |
| 0279 |
|
2,617 |
2,422 |
$116K |
| 93970 |
|
1,219 |
1,173 |
$115K |
| 78815 |
|
355 |
354 |
$114K |
| 93971 |
|
1,634 |
1,584 |
$113K |
| 87502 |
|
2,521 |
2,457 |
$107K |
| 76817 |
|
2,673 |
2,297 |
$100K |
| 99282 |
|
785 |
741 |
$99K |
| 87634 |
|
2,517 |
2,454 |
$94K |
| J2405 |
Ondansetron hcl injection |
14,522 |
13,173 |
$92K |
| 83690 |
|
18,718 |
17,234 |
$86K |
| 87086 |
|
15,073 |
14,148 |
$85K |
| 93306 |
|
1,549 |
1,525 |
$84K |
| 71046 |
|
5,070 |
4,793 |
$84K |
| 84703 |
|
19,340 |
17,843 |
$82K |
| 0160 |
|
3,035 |
1,957 |
$80K |
| 87633 |
|
404 |
389 |
$79K |
| 88305 |
|
1,638 |
1,584 |
$78K |
| 71260 |
|
1,030 |
1,014 |
$75K |
| J2270 |
Morphine sulfate injection |
12,121 |
10,262 |
$73K |
| 81003 |
|
38,909 |
35,241 |
$69K |
| 94640 |
|
4,594 |
4,102 |
$69K |
| 73564 |
|
3,129 |
2,962 |
$68K |
| 0301 |
|
1,160 |
990 |
$65K |
| E0114 |
Crutch underarm pair no wood |
2,448 |
2,383 |
$61K |
| 0710 |
|
2,109 |
2,033 |
$60K |
| 76815 |
|
2,732 |
1,559 |
$59K |
| G0463 |
Hospital outpt clinic visit |
1,953 |
1,472 |
$57K |
| 90715 |
|
1,903 |
1,856 |
$55K |
| Z9725 |
|
1,252 |
1,247 |
$54K |
| A9577 |
Inj multihance |
1,202 |
1,156 |
$53K |
| 97140 |
|
8,203 |
3,391 |
$51K |
| 87591 |
|
2,438 |
2,327 |
$50K |
| 87491 |
|
2,434 |
2,327 |
$50K |
| J7030 |
Normal saline solution infus |
8,142 |
7,235 |
$50K |
| 72100 |
|
2,375 |
2,311 |
$50K |
| 73610 |
|
2,832 |
2,719 |
$50K |
| J1885 |
Ketorolac tromethamine inj |
11,479 |
10,738 |
$49K |
| 97110 |
|
12,599 |
4,664 |
$49K |
| 83880 |
|
2,824 |
2,633 |
$49K |
| 73630 |
|
2,843 |
2,731 |
$47K |
| L3650 |
So 8 abd restraint pre ots |
1,554 |
1,499 |
$46K |
| J0696 |
Ceftriaxone sodium injection |
4,809 |
4,542 |
$43K |
| 73030 |
|
2,504 |
2,349 |
$42K |
| 73130 |
|
2,161 |
2,063 |
$40K |
| J2704 |
Inj, propofol, 10 mg |
3,182 |
3,067 |
$38K |
| 0320 |
|
977 |
897 |
$37K |
| 87040 |
|
4,414 |
3,313 |
$37K |
| 73110 |
|
1,842 |
1,772 |
$37K |
| 70486 |
|
430 |
418 |
$37K |
| 80053 |
|
2,296 |
2,031 |
$35K |
| 84702 |
|
3,247 |
2,741 |
$29K |
| 87426 |
|
1,168 |
1,110 |
$28K |
| J7050 |
Normal saline solution infus |
4,397 |
3,606 |
$28K |
| 96367 |
|
942 |
763 |
$27K |
| 83735 |
|
6,591 |
5,993 |
$27K |
| 87804 |
|
4,049 |
3,818 |
$26K |
| 97161 |
|
1,829 |
1,773 |
$26K |
| 72148 |
|
228 |
223 |
$25K |
| 81025 |
|
5,753 |
5,555 |
$24K |
| 84443 |
|
2,760 |
2,644 |
$24K |
| 73080 |
|
1,301 |
1,251 |
$23K |
| J1100 |
Dexamethasone sodium phos |
2,754 |
2,504 |
$23K |
| 87186 |
|
3,924 |
3,738 |
$22K |
| 76805 |
|
850 |
837 |
$22K |
| A0429 |
Bls-emergency |
680 |
400 |
$22K |
| J7040 |
Normal saline solution infus |
4,097 |
3,161 |
$20K |
| 83605 |
|
2,991 |
2,740 |
$20K |
| 82805 |
|
729 |
651 |
$19K |
| A9552 |
F18 fdg |
296 |
295 |
$18K |
| 36000 |
|
4,679 |
4,521 |
$17K |
| 82947 |
|
5,957 |
5,033 |
$17K |
| J2930 |
Methylprednisolone injection |
1,034 |
961 |
$17K |
| 71250 |
|
312 |
310 |
$17K |
| S0077 |
Injection, clindamycin phosp |
437 |
419 |
$16K |
| 76811 |
|
928 |
909 |
$16K |
| 84100 |
|
5,786 |
5,294 |
$16K |
| 96366 |
|
758 |
664 |
$16K |
| L1830 |
Ko immob canvas long pre ots |
310 |
307 |
$16K |
| 85730 |
|
4,010 |
3,744 |
$15K |
| A6403 |
Sterile gauze>16 <= 48 sq in |
861 |
368 |
$15K |
| J1200 |
Diphenhydramine hcl injectio |
3,806 |
3,410 |
$15K |
| 73502 |
|
773 |
737 |
$15K |
| 99000 |
|
4,938 |
4,825 |
$14K |
| 76816 |
|
1,349 |
1,265 |
$14K |
| 70551 |
|
149 |
146 |
$14K |
| 27502 |
|
131 |
127 |
$14K |
| 82948 |
|
4,149 |
3,614 |
$13K |
| 85610 |
|
5,073 |
4,714 |
$13K |
| 10060 |
|
1,058 |
1,002 |
$13K |
| 84439 |
|
2,171 |
2,085 |
$12K |
| J2765 |
Metoclopramide hcl injection |
2,927 |
2,747 |
$12K |
| J0131 |
Inj, acetaminophen (nos) |
231 |
220 |
$12K |
| 71101 |
|
428 |
409 |
$12K |
| 12001 |
|
764 |
746 |
$11K |
| 96413 |
|
1,600 |
1,099 |
$11K |
| 0730 |
|
484 |
436 |
$10K |
| 73140 |
|
894 |
873 |
$10K |
| 73590 |
|
694 |
663 |
$9K |
| 76870 |
|
323 |
309 |
$9K |
| J0690 |
Cefazolin sodium injection |
1,077 |
954 |
$9K |
| Z7610 |
|
1,212 |
758 |
$9K |
| 29125 |
|
801 |
775 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
381 |
366 |
$9K |
| J1170 |
Hydromorphone injection |
1,409 |
1,185 |
$9K |
| 87807 |
|
1,115 |
1,015 |
$9K |
| 78452 |
|
92 |
88 |
$9K |
| J2060 |
Lorazepam injection |
2,075 |
1,794 |
$9K |
| 90471 |
|
1,952 |
1,889 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
1,872 |
1,801 |
$8K |
| 77066 |
Tomosynthesis, mammo |
539 |
539 |
$8K |
| 87077 |
|
1,762 |
1,704 |
$8K |
| 86901 |
|
3,320 |
3,099 |
$8K |
| J0780 |
Prochlorperazine injection |
900 |
855 |
$8K |
| 77067 |
|
1,764 |
1,763 |
$8K |
| J1953 |
Levetiracetam injection |
59 |
51 |
$8K |
| J3010 |
Fentanyl citrate injection |
1,858 |
1,741 |
$8K |
| 86900 |
|
3,319 |
3,093 |
$8K |
| 87581 |
|
400 |
385 |
$8K |
| 87486 |
|
400 |
385 |
$8K |
| A9270 |
Non-covered item or service |
3,566 |
1,915 |
$8K |
| J1815 |
Insulin injection |
1,798 |
1,210 |
$7K |
| 70496 |
|
88 |
85 |
$7K |
| 74018 |
|
648 |
634 |
$7K |
| 87661 |
|
390 |
384 |
$7K |
| 72050 |
|
284 |
280 |
$7K |
| 43239 |
|
126 |
126 |
$7K |
| 87081 |
|
1,698 |
1,637 |
$7K |
| 99070 |
|
1,540 |
921 |
$7K |
| 85378 |
|
1,210 |
1,175 |
$7K |
| 86140 |
|
1,951 |
1,853 |
$6K |
| 73090 |
|
394 |
382 |
$6K |
| 70498 |
|
45 |
44 |
$6K |
| J2785 |
Regadenoson injection |
77 |
74 |
$6K |
| 76642 |
|
669 |
665 |
$6K |
| 36415 |
|
4,065 |
3,572 |
$6K |
| 80061 |
|
1,044 |
1,006 |
$6K |
| 87210 |
|
1,672 |
1,601 |
$5K |
| 85027 |
|
1,541 |
1,429 |
$5K |
| 11042 |
|
660 |
272 |
$5K |
| 72072 |
|
203 |
200 |
$5K |
| 0370 |
|
376 |
360 |
$5K |
| 76813 |
|
174 |
174 |
$4K |
| 73562 |
|
303 |
288 |
$4K |
| 76775 |
|
69 |
67 |
$4K |
| 83036 |
|
734 |
712 |
$3K |
| 0294 |
|
580 |
348 |
$3K |
| 12011 |
|
233 |
224 |
$3K |
| 73721 |
|
94 |
87 |
$3K |
| 86850 |
|
883 |
842 |
$3K |
| Q0162 |
Ondansetron oral |
94 |
83 |
$3K |
| G0378 |
Hospital observation per hr |
65 |
53 |
$3K |
| A9502 |
Tc99m tetrofosmin |
81 |
75 |
$3K |
| A4649 |
Surgical supplies |
1,542 |
952 |
$2K |
| 70553 |
|
59 |
58 |
$2K |
| 77063 |
|
1,767 |
1,766 |
$2K |
| 0637 |
|
1,021 |
436 |
$2K |
| 72040 |
|
91 |
91 |
$2K |
| J3360 |
Diazepam injection |
163 |
118 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
312 |
304 |
$2K |
| 0272 |
|
1,080 |
907 |
$2K |
| 0760 |
|
561 |
463 |
$2K |
| 77336 |
|
31 |
15 |
$2K |
| S3620 |
Newborn metabolic screening |
12 |
12 |
$2K |
| 29515 |
|
343 |
334 |
$2K |
| 93017 |
|
94 |
90 |
$2K |
| 96415 |
|
280 |
231 |
$2K |
| 82010 |
|
283 |
251 |
$2K |
| 71010 |
|
126 |
72 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
78 |
69 |
$1K |
| A4217 |
Sterile water/saline, 500 ml |
144 |
133 |
$1K |
| 87070 |
|
269 |
250 |
$1K |
| 45380 |
|
27 |
27 |
$1K |
| 82550 |
|
307 |
290 |
$1K |
| 76536 |
|
108 |
108 |
$1K |
| 88312 |
|
66 |
66 |
$1K |
| 77065 |
Tomosynthesis, mammo |
90 |
90 |
$1K |
| 74022 |
|
53 |
49 |
$1K |
| 59025 |
|
331 |
94 |
$1K |
| 72141 |
|
27 |
27 |
$987.18 |
| 96376 |
|
45 |
38 |
$967.95 |
| J1642 |
Inj heparin sodium per 10 u |
288 |
192 |
$957.06 |
| 97162 |
|
152 |
147 |
$928.56 |
| 70360 |
|
16 |
16 |
$840.21 |
| 77080 |
|
78 |
78 |
$727.86 |
| J3370 |
Vancomycin hcl injection |
64 |
59 |
$709.77 |
| 71020 |
|
34 |
22 |
$699.15 |
| J8540 |
Oral dexamethasone |
163 |
144 |
$684.27 |
| 72131 |
|
12 |
12 |
$628.27 |
| J3475 |
Inj magnesium sulfate |
85 |
77 |
$618.36 |
| 29130 |
|
127 |
124 |
$604.36 |
| J1630 |
Haloperidol injection |
137 |
123 |
$571.62 |
| 0510 |
|
171 |
142 |
$564.42 |
| 12002 |
|
67 |
66 |
$531.96 |
| G0279 |
Tomosynthesis, mammo |
62 |
62 |
$528.82 |
| J0360 |
Hydralazine hcl injection |
93 |
89 |
$510.03 |
| 81001 |
|
642 |
616 |
$426.80 |
| J7510 |
Prednisolone oral per 5 mg |
90 |
86 |
$423.39 |
| 73660 |
|
36 |
36 |
$386.38 |
| 82728 |
|
215 |
195 |
$363.82 |
| J0689 |
Inj cefazolin sodium, baxter |
61 |
58 |
$349.69 |
| J0171 |
Adrenalin epinephrine inject |
27 |
25 |
$327.10 |
| 85651 |
|
214 |
210 |
$291.61 |
| J7060 |
5% dextrose/water |
122 |
68 |
$287.70 |
| U0005 |
Infec agen detec ampli probe |
296 |
290 |
$280.00 |
| J1940 |
Furosemide injection |
55 |
50 |
$277.79 |
| 82570 |
|
295 |
283 |
$241.64 |
| 74183 |
|
12 |
12 |
$228.02 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
49 |
25 |
$221.74 |
| S0020 |
Injection, bupivicaine hydro |
32 |
29 |
$199.84 |
| 82077 |
|
60 |
57 |
$185.26 |
| S0164 |
Injection pantroprazole |
17 |
14 |
$181.70 |
| J7120 |
Ringers lactate infusion |
41 |
37 |
$167.28 |
| 83550 |
|
207 |
190 |
$157.18 |
| J1644 |
Inj heparin sodium per 1000u |
53 |
39 |
$149.51 |
| 73060 |
|
14 |
14 |
$137.23 |
| 83540 |
|
205 |
187 |
$129.16 |
| 73552 |
|
13 |
12 |
$125.93 |
| 82746 |
|
65 |
63 |
$121.46 |
| J0736 |
Inj, clindamycin phosp 300mg |
12 |
12 |
$108.54 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
34 |
31 |
$97.07 |
| J1453 |
Fosaprepitant injection |
12 |
12 |
$89.75 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
12 |
12 |
$85.74 |
| 82607 |
|
40 |
38 |
$81.43 |
| 94060 |
|
27 |
27 |
$70.69 |
| 82140 |
|
14 |
13 |
$63.48 |
| 84132 |
|
15 |
13 |
$40.03 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
14 |
12 |
$38.39 |
| 84156 |
|
44 |
38 |
$32.61 |
| 82306 |
|
13 |
13 |
$25.53 |
| J2469 |
Palonosetron hcl |
13 |
12 |
$17.90 |
| 76700 |
|
15 |
15 |
$12.52 |
| 0258 |
|
29 |
26 |
$5.78 |
| 0761 |
|
153 |
51 |
$1.70 |
| 99072 |
|
150 |
111 |
$0.23 |
| S9445 |
Pt education noc individ |
260 |
172 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
25 |
12 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
66 |
16 |
$0.00 |
| 82043 |
|
86 |
85 |
$0.00 |
| Q4051 |
Splint supplies misc |
34 |
18 |
$0.00 |
| 77062 |
|
71 |
71 |
$0.00 |
| G8978 |
Mobility current status |
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
30 |
28 |
$0.00 |