| Code | Description | Claims | Beneficiaries | Total Paid |
| 8888888 |
|
99,802 |
49,217 |
$46.21M |
| 85025 |
|
65,176 |
51,969 |
$2.37M |
| 96374 |
|
31,797 |
26,387 |
$1.44M |
| 99283 |
|
29,045 |
25,865 |
$1.14M |
| A0431 |
Rotary wing air transport |
1,612 |
1,370 |
$977K |
| 96372 |
|
6,042 |
5,093 |
$894K |
| 78431 |
|
1,136 |
1,018 |
$805K |
| 11042 |
|
5,302 |
2,271 |
$802K |
| 0241U |
|
7,093 |
6,514 |
$709K |
| 99284 |
|
40,225 |
34,510 |
$661K |
| A0430 |
Fixed wing air transport |
453 |
381 |
$656K |
| 93306 |
|
4,815 |
4,275 |
$639K |
| 80050 |
|
5,882 |
5,333 |
$460K |
| A9552 |
F18 fdg |
814 |
733 |
$454K |
| 99285 |
|
25,528 |
21,857 |
$393K |
| 76815 |
|
4,247 |
2,202 |
$392K |
| 80307 |
|
12,288 |
9,744 |
$299K |
| 99282 |
|
6,194 |
5,635 |
$283K |
| J2785 |
Regadenoson injection |
1,987 |
1,765 |
$264K |
| A0435 |
Fixed wing air mileage |
460 |
385 |
$243K |
| 96365 |
|
7,662 |
5,605 |
$239K |
| 96375 |
|
21,832 |
17,609 |
$227K |
| 0482T |
|
783 |
686 |
$222K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,251 |
1,112 |
$221K |
| J1885 |
Ketorolac tromethamine inj |
18,102 |
15,585 |
$221K |
| G0463 |
Hospital outpt clinic visit |
15,993 |
11,206 |
$201K |
| 76816 |
|
2,694 |
2,082 |
$190K |
| 71046 |
|
8,855 |
7,865 |
$183K |
| 85610 |
|
14,956 |
10,729 |
$167K |
| 70553 |
|
1,031 |
936 |
$163K |
| 80047 |
|
2,926 |
2,262 |
$161K |
| 88305 |
|
4,027 |
3,572 |
$159K |
| 76805 |
|
1,888 |
1,623 |
$157K |
| C1769 |
Guide wire |
2,145 |
1,773 |
$153K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,791 |
9,629 |
$150K |
| 85027 |
|
5,751 |
4,792 |
$150K |
| 76811 |
|
1,008 |
891 |
$148K |
| C1894 |
Intro/sheath, non-laser |
1,805 |
1,508 |
$144K |
| J2405 |
Ondansetron hcl injection |
24,082 |
18,643 |
$140K |
| J2704 |
Inj, propofol, 10 mg |
11,416 |
9,129 |
$139K |
| U0002 |
Covid-19 lab test non-cdc |
4,236 |
3,751 |
$126K |
| 96361 |
|
17,646 |
15,148 |
$125K |
| J1100 |
Dexamethasone sodium phos |
8,227 |
6,649 |
$121K |
| 77066 |
Tomosynthesis, mammo |
1,210 |
1,120 |
$116K |
| 81001 |
|
29,767 |
25,415 |
$115K |
| J3010 |
Fentanyl citrate injection |
12,668 |
9,538 |
$114K |
| 70450 |
|
7,295 |
6,447 |
$112K |
| A0436 |
Rotary wing air mileage |
1,626 |
1,367 |
$110K |
| 93005 |
|
27,571 |
23,427 |
$102K |
| 77067 |
|
1,667 |
1,605 |
$102K |
| 96366 |
|
1,698 |
1,263 |
$102K |
| 80053 |
|
56,674 |
45,755 |
$102K |
| 59025 |
|
4,934 |
1,882 |
$101K |
| 71045 |
|
14,868 |
12,979 |
$100K |
| 82330 |
|
7,746 |
6,770 |
$100K |
| J2250 |
Inj midazolam hydrochloride |
7,434 |
6,383 |
$80K |
| J1170 |
Hydromorphone injection |
7,951 |
5,776 |
$78K |
| J7120 |
Ringers lactate infusion |
4,521 |
3,817 |
$77K |
| J0690 |
Cefazolin sodium injection |
5,482 |
4,403 |
$75K |
| J2060 |
Lorazepam injection |
4,819 |
3,860 |
$73K |
| 72148 |
|
738 |
663 |
$67K |
| 81025 |
|
1,397 |
1,295 |
$64K |
| 86901 |
|
4,377 |
3,805 |
$64K |
| 76856 |
|
2,712 |
2,464 |
$63K |
| 84702 |
|
17,162 |
15,008 |
$62K |
| J1200 |
Diphenhydramine hcl injectio |
5,040 |
4,142 |
$60K |
| 80048 |
|
12,131 |
9,859 |
$59K |
| 76700 |
|
877 |
813 |
$59K |
| 96360 |
|
5,654 |
5,024 |
$59K |
| 73130 |
|
1,420 |
1,299 |
$58K |
| 96376 |
|
5,364 |
4,595 |
$55K |
| 87086 |
|
8,804 |
7,827 |
$53K |
| 73562 |
|
1,902 |
1,693 |
$53K |
| 76801 |
|
2,388 |
2,021 |
$53K |
| J2270 |
Morphine sulfate injection |
7,338 |
6,101 |
$49K |
| 73630 |
|
1,825 |
1,647 |
$49K |
| J1630 |
Haloperidol injection |
2,198 |
1,826 |
$49K |
| 76705 |
|
3,417 |
3,137 |
$47K |
| 73030 |
|
1,574 |
1,378 |
$46K |
| 76830 |
|
1,823 |
1,661 |
$45K |
| 73610 |
|
1,794 |
1,614 |
$45K |
| 70551 |
|
1,268 |
1,163 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
5,375 |
4,487 |
$42K |
| 87389 |
|
585 |
535 |
$41K |
| 73110 |
|
1,202 |
1,092 |
$40K |
| 74018 |
|
913 |
795 |
$39K |
| 76642 |
|
2,233 |
1,796 |
$38K |
| 85652 |
|
2,296 |
1,958 |
$37K |
| 82565 |
|
1,647 |
1,488 |
$37K |
| 83880 |
|
3,884 |
3,386 |
$36K |
| 77065 |
Tomosynthesis, mammo |
635 |
543 |
$34K |
| 97110 |
|
2,046 |
1,126 |
$34K |
| 93971 |
|
2,507 |
2,206 |
$34K |
| 94729 |
|
551 |
496 |
$32K |
| 78499 |
|
789 |
691 |
$30K |
| 72100 |
|
964 |
857 |
$29K |
| J1644 |
Inj heparin sodium per 1000u |
2,061 |
1,176 |
$29K |
| 74176 |
|
2,032 |
1,844 |
$28K |
| 84484 |
|
15,764 |
12,694 |
$28K |
| 97112 |
|
984 |
494 |
$28K |
| 87081 |
|
1,352 |
1,264 |
$28K |
| 76817 |
|
1,374 |
1,144 |
$28K |
| 93325 |
|
680 |
619 |
$28K |
| 83605 |
|
16,731 |
13,925 |
$27K |
| 83690 |
|
18,306 |
15,677 |
$27K |
| 74177 |
|
8,949 |
8,043 |
$27K |
| 70486 |
|
905 |
811 |
$27K |
| 96413 |
|
2,641 |
1,424 |
$25K |
| 97602 |
|
411 |
217 |
$23K |
| 72125 |
|
2,557 |
2,265 |
$22K |
| 87880 |
|
1,554 |
1,453 |
$22K |
| 93017 |
|
2,023 |
1,795 |
$22K |
| 86900 |
|
3,210 |
2,623 |
$21K |
| 78815 |
|
767 |
691 |
$21K |
| 93970 |
|
645 |
572 |
$20K |
| 87070 |
|
1,902 |
1,647 |
$19K |
| 97530 |
|
1,164 |
652 |
$19K |
| 73090 |
|
399 |
369 |
$19K |
| 71250 |
|
433 |
385 |
$18K |
| J0780 |
Prochlorperazine injection |
1,371 |
1,174 |
$18K |
| 88307 |
|
751 |
643 |
$18K |
| 73080 |
|
405 |
375 |
$17K |
| J3475 |
Inj magnesium sulfate |
3,215 |
2,650 |
$16K |
| A9555 |
Rb82 rubidium |
1,927 |
1,711 |
$16K |
| 86850 |
|
3,011 |
2,563 |
$16K |
| J0330 |
Succinycholine chloride inj |
806 |
699 |
$15K |
| 10060 |
|
509 |
454 |
$15K |
| J1940 |
Furosemide injection |
477 |
373 |
$15K |
| 89060 |
|
390 |
340 |
$14K |
| J0171 |
Adrenalin epinephrine inject |
928 |
773 |
$14K |
| 76770 |
|
832 |
743 |
$14K |
| 84443 |
|
2,970 |
2,684 |
$14K |
| 93356 |
|
90 |
79 |
$14K |
| A9585 |
Gadobutrol injection |
2,390 |
2,147 |
$14K |
| 87210 |
|
1,947 |
1,759 |
$13K |
| 87631 |
|
157 |
152 |
$13K |
| 78492 |
|
786 |
687 |
$13K |
| J3490 |
Drugs unclassified injection |
554 |
464 |
$13K |
| 87491 |
|
2,703 |
2,484 |
$13K |
| 80061 |
|
2,090 |
1,871 |
$13K |
| 87591 |
|
2,698 |
2,481 |
$12K |
| 73590 |
|
733 |
661 |
$12K |
| 87502 |
|
1,134 |
1,058 |
$12K |
| 87205 |
|
1,521 |
1,364 |
$12K |
| 93320 |
|
380 |
348 |
$12K |
| 87186 |
|
3,707 |
3,291 |
$11K |
| 88342 |
|
856 |
746 |
$11K |
| J1815 |
Insulin injection |
2,191 |
1,373 |
$11K |
| J2550 |
Promethazine hcl injection |
2,749 |
2,238 |
$10K |
| J2765 |
Metoclopramide hcl injection |
1,573 |
1,401 |
$10K |
| 95810 |
|
17 |
14 |
$10K |
| U0005 |
Infec agen detec ampli probe |
361 |
321 |
$10K |
| 91200 |
|
191 |
175 |
$10K |
| 93351 |
|
40 |
37 |
$10K |
| 97116 |
|
593 |
337 |
$10K |
| 82803 |
|
4,810 |
4,162 |
$10K |
| 84132 |
|
1,784 |
1,540 |
$9K |
| 73140 |
|
114 |
108 |
$9K |
| 82805 |
|
385 |
306 |
$9K |
| 73502 |
|
470 |
407 |
$9K |
| 85379 |
|
5,217 |
4,705 |
$9K |
| 0202U |
|
83 |
78 |
$8K |
| 43239 |
|
1,276 |
1,120 |
$8K |
| 84703 |
|
2,581 |
2,316 |
$8K |
| 87633 |
|
217 |
197 |
$8K |
| Q9950 |
Inj sulf hexa lipid microsph |
302 |
232 |
$8K |
| 72141 |
|
113 |
102 |
$8K |
| 12001 |
|
432 |
404 |
$7K |
| 94640 |
|
3,623 |
2,893 |
$7K |
| 72131 |
|
734 |
676 |
$7K |
| 83036 |
|
2,224 |
2,001 |
$7K |
| 97161 |
|
191 |
181 |
$7K |
| 83735 |
|
7,191 |
5,089 |
$7K |
| 84466 |
|
986 |
870 |
$7K |
| 72170 |
|
280 |
254 |
$7K |
| 97162 |
|
324 |
283 |
$6K |
| 71275 |
|
2,801 |
2,531 |
$6K |
| 97597 |
|
231 |
103 |
$6K |
| 45380 |
|
726 |
639 |
$6K |
| 11045 |
|
162 |
80 |
$6K |
| 94010 |
|
210 |
192 |
$6K |
| 90471 |
|
2,221 |
1,981 |
$5K |
| 87040 |
|
3,463 |
2,608 |
$5K |
| 89051 |
|
168 |
126 |
$5K |
| 78434 |
|
1,134 |
1,016 |
$5K |
| 80076 |
|
1,238 |
1,098 |
$5K |
| J1650 |
Inj enoxaparin sodium |
1,420 |
928 |
$5K |
| 86923 |
|
526 |
259 |
$5K |
| 82947 |
|
917 |
801 |
$5K |
| 72040 |
|
132 |
121 |
$5K |
| 87426 |
|
507 |
462 |
$4K |
| 10061 |
|
179 |
159 |
$4K |
| J2370 |
Phenylephrine hcl injection |
44 |
36 |
$4K |
| 99281 |
|
143 |
129 |
$4K |
| 77336 |
|
125 |
64 |
$4K |
| 80197 |
|
2,926 |
1,303 |
$4K |
| 84439 |
|
1,870 |
1,639 |
$4K |
| J2930 |
Methylprednisolone injection |
758 |
609 |
$4K |
| G0480 |
Drug test def 1-7 classes |
5,520 |
4,811 |
$4K |
| 84100 |
|
2,896 |
1,826 |
$4K |
| 90675 |
|
44 |
12 |
$3K |
| 87077 |
|
1,229 |
1,064 |
$3K |
| 97140 |
|
213 |
146 |
$3K |
| 76882 |
|
67 |
58 |
$3K |
| 87804 |
|
294 |
274 |
$3K |
| 96415 |
|
253 |
172 |
$3K |
| 87088 |
|
3,283 |
2,928 |
$3K |
| L1830 |
Ko immob canvas long pre ots |
24 |
24 |
$2K |
| 71260 |
|
1,415 |
1,272 |
$2K |
| 96367 |
|
764 |
472 |
$2K |
| 82728 |
|
1,681 |
1,476 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
33 |
29 |
$2K |
| J1790 |
Droperidol injection |
976 |
890 |
$2K |
| 85730 |
|
2,956 |
2,536 |
$2K |
| 99291 |
|
163 |
159 |
$2K |
| 82306 |
|
1,390 |
1,233 |
$2K |
| 81003 |
|
201 |
181 |
$2K |
| 70498 |
|
1,195 |
1,089 |
$2K |
| 94618 |
|
32 |
28 |
$2K |
| 49083 |
|
126 |
91 |
$2K |
| 76376 |
|
30 |
24 |
$2K |
| 87075 |
|
565 |
488 |
$2K |
| 72128 |
|
382 |
355 |
$2K |
| 70496 |
|
1,248 |
1,140 |
$2K |
| 76536 |
|
16 |
16 |
$2K |
| 77063 |
|
324 |
311 |
$2K |
| 93225 |
|
28 |
25 |
$2K |
| 90686 |
|
402 |
363 |
$2K |
| 83516 |
|
130 |
95 |
$2K |
| 74019 |
|
54 |
51 |
$2K |
| 83970 |
|
162 |
145 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
68 |
56 |
$2K |
| 83615 |
|
1,036 |
874 |
$1K |
| J3370 |
Vancomycin hcl injection |
235 |
176 |
$1K |
| 43235 |
|
102 |
92 |
$1K |
| 82570 |
|
1,329 |
1,106 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
477 |
424 |
$1K |
| 12002 |
|
178 |
166 |
$1K |
| 90715 |
|
1,385 |
1,265 |
$1K |
| 77080 |
|
13 |
13 |
$1K |
| J2469 |
Palonosetron hcl |
481 |
280 |
$1K |
| P9047 |
Albumin (human), 25%, 50ml |
42 |
27 |
$1K |
| 86790 |
|
283 |
253 |
$1K |
| 93975 |
|
13 |
12 |
$1K |
| 82607 |
|
861 |
780 |
$1K |
| 82248 |
|
60 |
57 |
$1K |
| 86140 |
|
3,343 |
2,915 |
$1K |
| 84156 |
|
272 |
236 |
$949.95 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
70 |
60 |
$911.92 |
| 87807 |
|
17 |
17 |
$866.47 |
| 70544 |
|
54 |
51 |
$829.03 |
| 87522 |
Neg quan hep c or qual rna |
125 |
114 |
$807.88 |
| 29125 |
|
147 |
129 |
$803.79 |
| 80069 |
|
391 |
304 |
$787.37 |
| 82105 |
|
533 |
468 |
$774.87 |
| 77062 |
|
142 |
137 |
$734.61 |
| 93226 |
|
66 |
60 |
$708.19 |
| 76870 |
|
43 |
37 |
$680.93 |
| 83540 |
|
1,020 |
902 |
$663.33 |
| 82550 |
|
1,285 |
1,078 |
$662.67 |
| 94644 |
|
32 |
24 |
$611.35 |
| 93798 |
|
35 |
14 |
$584.38 |
| 82107 |
|
13 |
13 |
$540.35 |
| 84520 |
|
43 |
39 |
$539.11 |
| 74230 |
|
17 |
12 |
$490.97 |
| 87340 |
|
714 |
604 |
$487.89 |
| 72158 |
|
14 |
14 |
$353.24 |
| 88304 |
|
721 |
663 |
$334.34 |
| 77300 |
|
16 |
14 |
$332.63 |
| J3480 |
Inj potassium chloride |
63 |
39 |
$296.70 |
| T1015 |
Clinic service |
21 |
12 |
$292.32 |
| 73060 |
|
16 |
16 |
$291.76 |
| G0378 |
Hospital observation per hr |
710 |
644 |
$283.20 |
| 97535 |
|
154 |
99 |
$282.68 |
| 89050 |
|
128 |
104 |
$261.56 |
| 82784 |
|
65 |
38 |
$255.61 |
| 86803 |
|
359 |
316 |
$232.74 |
| 12011 |
|
69 |
65 |
$218.88 |
| 90662 |
|
12 |
12 |
$218.62 |
| J1756 |
Iron sucrose injection |
300 |
174 |
$192.91 |
| 97130 |
|
448 |
253 |
$155.70 |
| C9113 |
Inj pantoprazole sodium, via |
129 |
89 |
$151.17 |
| 86706 |
|
473 |
424 |
$132.12 |
| 73552 |
|
16 |
12 |
$122.76 |
| G8978 |
Mobility current status |
60 |
54 |
$86.81 |
| 86780 |
|
44 |
39 |
$79.40 |
| J3411 |
Thiamine hcl 100 mg |
62 |
37 |
$75.11 |
| 97165 |
|
28 |
26 |
$49.84 |
| 80175 |
|
13 |
12 |
$42.50 |
| 97166 |
|
29 |
26 |
$40.40 |
| 82043 |
|
304 |
259 |
$34.88 |
| 86038 |
|
49 |
37 |
$29.84 |
| 76937 |
|
362 |
309 |
$28.15 |
| 80164 |
|
17 |
13 |
$22.94 |
| G0008 |
Admin influenza virus vac |
121 |
103 |
$18.69 |
| 96417 |
|
271 |
171 |
$12.61 |
| 84478 |
|
394 |
349 |
$7.61 |
| 82010 |
|
422 |
385 |
$5.72 |
| 45385 |
|
91 |
80 |
$0.00 |
| 97129 |
|
446 |
254 |
$0.00 |
| 85007 |
|
115 |
107 |
$0.00 |
| 84145 |
|
151 |
139 |
$0.00 |
| C1760 |
Closure dev, vasc |
24 |
24 |
$0.00 |
| 80074 |
|
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
75 |
67 |
$0.00 |
| 88302 |
|
48 |
44 |
$0.00 |
| 83951 |
|
13 |
13 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
76 |
68 |
$0.00 |
| 92610 |
|
28 |
24 |
$0.00 |
| J1453 |
Fosaprepitant injection |
46 |
30 |
$0.00 |
| 90472 |
|
14 |
12 |
$0.00 |
| 47562 |
|
25 |
24 |
$0.00 |
| 43249 |
|
16 |
12 |
$0.00 |
| 82140 |
|
30 |
25 |
$0.00 |
| 84550 |
|
14 |
14 |
$0.00 |
| 77061 |
|
14 |
14 |
$0.00 |
| 88313 |
|
21 |
12 |
$0.00 |
| 88331 |
|
16 |
13 |
$0.00 |
| 96368 |
|
78 |
74 |
$0.00 |
| 36430 |
|
216 |
158 |
$0.00 |
| 77001 |
|
14 |
12 |
$0.00 |
| 86704 |
|
183 |
165 |
$0.00 |
| 88341 |
|
120 |
95 |
$0.00 |
| 74174 |
|
14 |
13 |
$0.00 |
| 80178 |
|
14 |
12 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
63 |
54 |
$0.00 |
| 66984 |
|
16 |
12 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
15 |
15 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
75 |
57 |
$0.00 |
| 70491 |
|
132 |
123 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
45 |
29 |
$0.00 |
| J3360 |
Diazepam injection |
14 |
12 |
$0.00 |
| 82746 |
|
25 |
25 |
$0.00 |
| 82945 |
|
17 |
12 |
$0.00 |
| 87147 |
|
16 |
13 |
$0.00 |
| 84157 |
|
17 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
13 |
12 |
$0.00 |
| 45378 |
|
12 |
12 |
$0.00 |