| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
18,563 |
15,949 |
$1.58M |
| 80047 |
|
48,137 |
40,829 |
$1.55M |
| 70450 |
|
9,459 |
8,305 |
$744K |
| 74177 |
|
5,436 |
4,880 |
$688K |
| 93306 |
|
6,407 |
5,630 |
$627K |
| 70553 |
|
1,671 |
1,377 |
$503K |
| 0241U |
|
4,432 |
4,033 |
$470K |
| 72148 |
|
1,944 |
1,612 |
$388K |
| 85025 |
|
51,868 |
42,516 |
$367K |
| 36415 |
|
60,220 |
50,174 |
$329K |
| 80307 |
|
5,157 |
4,516 |
$321K |
| 71275 |
|
1,726 |
1,546 |
$304K |
| 93005 |
|
33,436 |
28,077 |
$287K |
| 96365 |
|
5,578 |
3,639 |
$271K |
| 70551 |
|
1,453 |
1,245 |
$254K |
| 84132 |
|
9,109 |
7,942 |
$244K |
| 72125 |
|
2,398 |
2,157 |
$235K |
| 72141 |
|
1,232 |
1,007 |
$234K |
| 74176 |
|
3,496 |
3,165 |
$216K |
| 93975 |
|
2,676 |
2,391 |
$200K |
| 80048 |
|
8,618 |
6,455 |
$194K |
| 87633 |
|
998 |
902 |
$166K |
| 80076 |
|
14,037 |
11,994 |
$158K |
| T1015 |
Clinic service |
14,064 |
11,706 |
$157K |
| 86901 |
|
6,673 |
5,678 |
$154K |
| 80061 |
|
4,268 |
3,676 |
$128K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,469 |
3,899 |
$124K |
| 96374 |
|
11,941 |
10,453 |
$121K |
| 78452 |
|
1,005 |
845 |
$120K |
| 96372 |
|
10,310 |
8,005 |
$114K |
| 77067 |
|
2,346 |
2,258 |
$111K |
| 71045 |
|
15,449 |
13,188 |
$111K |
| U0002 |
Covid-19 lab test non-cdc |
2,911 |
2,347 |
$107K |
| 82947 |
|
8,013 |
5,393 |
$105K |
| 84703 |
|
11,354 |
10,087 |
$105K |
| 71046 |
|
6,701 |
5,835 |
$104K |
| 85014 |
|
10,436 |
8,799 |
$100K |
| 83880 |
|
4,893 |
4,143 |
$99K |
| 70496 |
|
858 |
773 |
$97K |
| 84484 |
|
13,745 |
10,506 |
$93K |
| 87631 |
|
1,287 |
1,178 |
$92K |
| 81025 |
|
10,969 |
9,748 |
$88K |
| 95886 |
|
3,073 |
2,564 |
$86K |
| 96361 |
|
7,038 |
5,506 |
$86K |
| 95811 |
|
819 |
697 |
$80K |
| 86900 |
|
6,675 |
5,679 |
$79K |
| 76000 |
|
1,317 |
1,176 |
$75K |
| G0463 |
Hospital outpt clinic visit |
5,527 |
4,946 |
$74K |
| 87070 |
|
1,164 |
848 |
$74K |
| 70498 |
|
702 |
630 |
$72K |
| J2785 |
Regadenoson injection |
624 |
530 |
$69K |
| 82962 |
|
8,739 |
4,288 |
$68K |
| 71260 |
|
420 |
365 |
$65K |
| 36430 |
|
850 |
645 |
$64K |
| 85027 |
|
8,136 |
6,465 |
$64K |
| 83690 |
|
9,803 |
8,492 |
$63K |
| C1769 |
Guide wire |
1,284 |
1,150 |
$62K |
| 95910 |
|
1,769 |
1,455 |
$62K |
| 73560 |
|
2,358 |
2,022 |
$61K |
| 82550 |
|
11,988 |
9,901 |
$57K |
| 87637 |
|
601 |
538 |
$56K |
| 80053 |
|
2,572 |
2,072 |
$56K |
| 76801 |
|
1,685 |
1,496 |
$56K |
| 72100 |
|
2,208 |
1,983 |
$52K |
| 84443 |
|
2,958 |
2,597 |
$52K |
| 88305 |
|
962 |
878 |
$50K |
| 87040 |
|
4,927 |
3,071 |
$50K |
| 85610 |
|
13,344 |
11,060 |
$50K |
| 83605 |
|
5,438 |
3,781 |
$48K |
| 76817 |
|
1,021 |
898 |
$48K |
| 93971 |
|
1,365 |
1,206 |
$48K |
| 96375 |
|
8,768 |
6,953 |
$47K |
| 59025 |
|
274 |
185 |
$45K |
| 82077 |
|
2,970 |
2,633 |
$45K |
| 81001 |
|
14,440 |
12,716 |
$44K |
| 95810 |
|
445 |
393 |
$43K |
| 87798 |
|
1,462 |
1,316 |
$43K |
| 87088 |
|
5,244 |
4,615 |
$42K |
| 96376 |
|
4,819 |
2,809 |
$41K |
| 77066 |
Tomosynthesis, mammo |
823 |
759 |
$40K |
| 99284 |
|
5,657 |
4,829 |
$40K |
| 99283 |
|
4,483 |
3,855 |
$39K |
| 80320 |
|
2,640 |
2,214 |
$37K |
| C1894 |
Intro/sheath, non-laser |
1,008 |
891 |
$36K |
| 80143 |
|
2,067 |
1,865 |
$35K |
| 80179 |
|
2,066 |
1,863 |
$35K |
| C9803 |
Hopd covid-19 spec collect |
24,693 |
21,530 |
$35K |
| 87486 |
|
1,011 |
914 |
$34K |
| 87581 |
|
1,011 |
914 |
$34K |
| 96366 |
|
3,248 |
1,271 |
$34K |
| 87502 |
|
437 |
389 |
$33K |
| 87651 |
|
854 |
739 |
$33K |
| 97110 |
|
2,653 |
1,877 |
$33K |
| 73030 |
|
1,710 |
1,513 |
$33K |
| 84702 |
|
3,266 |
2,803 |
$32K |
| 81003 |
|
15,604 |
13,726 |
$31K |
| 66984 |
|
231 |
200 |
$30K |
| 93296 |
|
2,856 |
2,670 |
$30K |
| J1100 |
Dexamethasone sodium phos |
13,651 |
11,442 |
$28K |
| 86850 |
|
5,178 |
4,367 |
$28K |
| 80329 |
|
2,369 |
1,910 |
$28K |
| J2405 |
Ondansetron hcl injection |
24,908 |
18,981 |
$28K |
| 71250 |
|
350 |
321 |
$27K |
| 43239 |
|
229 |
209 |
$26K |
| M0243 |
Casirivi and imdevi inj |
163 |
154 |
$26K |
| A4556 |
Electrodes, pair |
445 |
406 |
$25K |
| 85730 |
|
5,116 |
4,359 |
$24K |
| 93458 |
|
389 |
312 |
$23K |
| 97161 |
|
589 |
540 |
$22K |
| 73630 |
|
964 |
832 |
$21K |
| 73502 |
|
1,113 |
979 |
$20K |
| A9500 |
Tc99m sestamibi |
968 |
820 |
$20K |
| 73610 |
|
1,283 |
1,094 |
$20K |
| 0202U |
|
1,654 |
1,540 |
$19K |
| 87086 |
|
2,393 |
2,139 |
$19K |
| 87077 |
|
2,203 |
1,923 |
$19K |
| 96360 |
|
2,566 |
2,289 |
$18K |
| 90715 |
|
1,118 |
1,018 |
$17K |
| 75574 |
|
91 |
90 |
$17K |
| G0378 |
Hospital observation per hr |
2,204 |
1,831 |
$17K |
| 72040 |
|
796 |
698 |
$17K |
| 76830 |
|
309 |
280 |
$17K |
| 73130 |
|
776 |
668 |
$16K |
| 77063 |
|
1,250 |
1,186 |
$15K |
| 82977 |
|
1,501 |
1,353 |
$15K |
| 82565 |
|
2,479 |
2,037 |
$15K |
| 93970 |
|
617 |
550 |
$15K |
| 83735 |
|
3,323 |
2,255 |
$15K |
| 71020 |
|
1,258 |
1,119 |
$15K |
| 80306 |
|
930 |
768 |
$15K |
| G0480 |
Drug test def 1-7 classes |
387 |
331 |
$14K |
| 77065 |
Tomosynthesis, mammo |
429 |
358 |
$13K |
| 82803 |
|
797 |
659 |
$13K |
| 80050 |
|
437 |
370 |
$13K |
| 85018 |
|
3,979 |
3,233 |
$13K |
| C1725 |
Cath, translumin non-laser |
70 |
60 |
$13K |
| 85055 |
|
781 |
643 |
$12K |
| 97165 |
|
283 |
255 |
$11K |
| 87426 |
|
281 |
256 |
$11K |
| 93017 |
|
1,045 |
874 |
$11K |
| 76642 |
|
516 |
475 |
$11K |
| 94640 |
|
3,263 |
2,714 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
4,874 |
3,839 |
$10K |
| J1650 |
Inj enoxaparin sodium |
2,820 |
1,533 |
$10K |
| A9577 |
Inj multihance |
268 |
234 |
$10K |
| 97162 |
|
215 |
198 |
$10K |
| 86923 |
|
719 |
581 |
$10K |
| 76705 |
|
620 |
547 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
12,075 |
9,979 |
$9K |
| 84450 |
|
1,174 |
1,062 |
$8K |
| 87186 |
|
1,637 |
1,428 |
$8K |
| 84460 |
|
1,137 |
1,028 |
$8K |
| 95908 |
|
316 |
267 |
$8K |
| 99152 |
|
2,966 |
2,544 |
$8K |
| 85379 |
|
985 |
854 |
$8K |
| 76815 |
|
563 |
507 |
$8K |
| 72131 |
|
137 |
123 |
$7K |
| 76856 |
|
682 |
602 |
$7K |
| 83036 |
|
1,368 |
1,174 |
$7K |
| 97001 |
|
444 |
354 |
$7K |
| 97530 |
|
811 |
656 |
$7K |
| 93880 |
|
317 |
271 |
$7K |
| 90471 |
|
1,431 |
1,298 |
$7K |
| 70486 |
|
60 |
60 |
$6K |
| 99285 |
|
288 |
241 |
$6K |
| 76700 |
|
131 |
123 |
$6K |
| J2001 |
Lidocaine injection |
12,295 |
9,082 |
$6K |
| 10060 |
|
26 |
24 |
$5K |
| 85380 |
|
574 |
529 |
$5K |
| 77001 |
|
117 |
96 |
$5K |
| J0690 |
Cefazolin sodium injection |
9,927 |
7,309 |
$5K |
| 80074 |
|
145 |
126 |
$5K |
| 97003 |
|
227 |
191 |
$4K |
| 86352 |
|
342 |
235 |
$4K |
| 88307 |
|
39 |
36 |
$4K |
| A4364 |
Adhesive, liquid or equal |
182 |
166 |
$4K |
| 80051 |
|
384 |
297 |
$4K |
| 87624 |
|
201 |
134 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
12,518 |
10,754 |
$4K |
| 82607 |
|
430 |
390 |
$4K |
| 67113 |
|
12 |
12 |
$4K |
| M0245 |
Bamlan and etesev infusion |
12 |
12 |
$4K |
| 85007 |
|
1,319 |
1,119 |
$4K |
| 87205 |
|
1,297 |
1,005 |
$4K |
| 77062 |
|
81 |
74 |
$3K |
| J3010 |
Fentanyl citrate injection |
17,354 |
14,850 |
$3K |
| 97166 |
|
78 |
73 |
$3K |
| 95816 |
|
231 |
184 |
$3K |
| 82746 |
|
316 |
289 |
$3K |
| 73700 |
|
49 |
38 |
$3K |
| 90686 |
|
324 |
306 |
$3K |
| 87075 |
|
330 |
233 |
$3K |
| 83615 |
|
417 |
337 |
$3K |
| 84550 |
|
508 |
417 |
$2K |
| 87880 |
|
250 |
223 |
$2K |
| 76937 |
|
570 |
476 |
$2K |
| 0001A |
|
111 |
109 |
$2K |
| 71010 |
|
484 |
432 |
$2K |
| G2066 |
Inter devc remote 30d |
369 |
361 |
$2K |
| 82010 |
|
339 |
290 |
$2K |
| 84520 |
|
525 |
428 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
26 |
26 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
12,706 |
11,205 |
$2K |
| M0247 |
Sotrovimab infusion |
14 |
13 |
$2K |
| 82728 |
|
173 |
157 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
30 |
30 |
$2K |
| J1815 |
Insulin injection |
4,588 |
2,251 |
$2K |
| 74174 |
|
12 |
12 |
$2K |
| G0330 |
Facility svs dental rehab |
159 |
149 |
$2K |
| 88313 |
|
13 |
13 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
6,370 |
3,610 |
$2K |
| 87102 |
|
183 |
121 |
$2K |
| 93976 |
|
32 |
25 |
$2K |
| 76775 |
|
138 |
130 |
$2K |
| J2270 |
Morphine sulfate injection |
8,990 |
6,981 |
$2K |
| 84436 |
|
378 |
336 |
$2K |
| 87491 |
|
36 |
32 |
$1K |
| 87591 |
|
36 |
32 |
$1K |
| 76536 |
|
27 |
25 |
$1K |
| 86021 |
|
44 |
37 |
$1K |
| 83540 |
|
296 |
269 |
$1K |
| J2060 |
Lorazepam injection |
2,319 |
1,907 |
$1K |
| P9016 |
Rbc leukocytes reduced |
621 |
483 |
$1K |
| J1170 |
Hydromorphone injection |
8,388 |
6,157 |
$1K |
| 82805 |
|
46 |
44 |
$1K |
| 73110 |
|
68 |
56 |
$1K |
| 73564 |
|
45 |
38 |
$1K |
| J3370 |
Vancomycin hcl injection |
1,820 |
1,232 |
$1K |
| C1887 |
Catheter, guiding |
47 |
42 |
$1K |
| 82248 |
|
222 |
195 |
$1K |
| J2370 |
Phenylephrine hcl injection |
2,186 |
1,914 |
$1K |
| 74022 |
|
45 |
38 |
$1K |
| 83550 |
|
143 |
126 |
$1K |
| 88175 |
|
125 |
92 |
$1K |
| 87400 |
|
104 |
98 |
$998.53 |
| 82375 |
|
89 |
79 |
$996.68 |
| 85384 |
|
105 |
80 |
$984.88 |
| 82800 |
|
110 |
107 |
$955.90 |
| 87804 |
|
70 |
57 |
$916.70 |
| 73590 |
|
53 |
41 |
$888.48 |
| 93298 |
|
76 |
71 |
$840.02 |
| J0171 |
Adrenalin epinephrine inject |
2,901 |
2,550 |
$826.16 |
| 93297 |
|
166 |
152 |
$806.86 |
| 93308 |
|
39 |
24 |
$739.69 |
| 73552 |
|
46 |
36 |
$729.73 |
| 73070 |
|
62 |
51 |
$688.86 |
| 74018 |
|
51 |
39 |
$659.72 |
| 84145 |
|
40 |
37 |
$584.79 |
| 82306 |
|
30 |
26 |
$530.06 |
| 87210 |
|
251 |
181 |
$522.84 |
| J7030 |
Normal saline solution infus |
9,135 |
7,405 |
$520.53 |
| U0005 |
Infec agen detec ampli probe |
14,119 |
12,424 |
$504.00 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$503.26 |
| 87206 |
|
188 |
122 |
$493.08 |
| 87635 |
|
465 |
393 |
$460.64 |
| 94760 |
|
36 |
35 |
$448.00 |
| J0360 |
Hydralazine hcl injection |
2,634 |
2,131 |
$435.19 |
| J0702 |
Betamethasone acet&sod phosp |
378 |
311 |
$423.80 |
| J2550 |
Promethazine hcl injection |
1,610 |
1,336 |
$422.08 |
| J2930 |
Methylprednisolone injection |
1,238 |
958 |
$405.67 |
| J1200 |
Diphenhydramine hcl injectio |
3,486 |
2,900 |
$404.17 |
| J3360 |
Diazepam injection |
868 |
748 |
$401.60 |
| 82570 |
|
80 |
58 |
$399.17 |
| 84100 |
|
135 |
95 |
$377.10 |
| 99282 |
|
14 |
12 |
$367.74 |
| 99153 |
Mod sedat endo service >5yrs |
475 |
426 |
$367.26 |
| 85347 |
|
53 |
43 |
$364.87 |
| 93321 |
|
75 |
53 |
$363.46 |
| 85049 |
|
35 |
29 |
$328.62 |
| 87389 |
|
14 |
12 |
$320.73 |
| 82310 |
|
16 |
12 |
$320.61 |
| 73562 |
|
17 |
15 |
$310.90 |
| 94729 |
|
12 |
12 |
$289.20 |
| 83986 |
|
68 |
63 |
$276.48 |
| 84156 |
|
74 |
56 |
$276.33 |
| 89051 |
|
17 |
12 |
$256.65 |
| 84295 |
|
25 |
25 |
$254.35 |
| 80164 |
|
16 |
14 |
$241.64 |
| 81015 |
|
221 |
201 |
$228.76 |
| 80069 |
|
84 |
44 |
$219.11 |
| J2765 |
Metoclopramide hcl injection |
642 |
500 |
$210.63 |
| 93888 |
|
106 |
90 |
$210.00 |
| 87641 |
|
14 |
13 |
$202.68 |
| J0780 |
Prochlorperazine injection |
1,143 |
969 |
$197.37 |
| 80197 |
|
23 |
13 |
$194.98 |
| 96367 |
|
118 |
53 |
$190.39 |
| 76376 |
|
29 |
25 |
$180.22 |
| 86140 |
|
38 |
36 |
$180.20 |
| 73090 |
|
15 |
13 |
$180.00 |
| 93242 |
|
14 |
12 |
$175.59 |
| 94010 |
|
13 |
12 |
$170.38 |
| 74000 |
|
17 |
14 |
$170.00 |
| 97150 |
|
16 |
12 |
$169.73 |
| 93325 |
|
55 |
50 |
$160.00 |
| 92523 |
|
14 |
13 |
$148.32 |
| J3473 |
Hyaluronidase recombinant |
98 |
93 |
$136.20 |
| J7050 |
Normal saline solution infus |
17,237 |
10,852 |
$128.78 |
| J1630 |
Haloperidol injection |
56 |
50 |
$125.21 |
| 72070 |
|
13 |
13 |
$120.00 |
| J3471 |
Ovine, up to 999 usp units |
2,435 |
2,134 |
$110.99 |
| 86704 |
|
14 |
13 |
$109.92 |
| G0257 |
Unsched dialysis esrd pt hos |
108 |
78 |
$107.38 |
| 84479 |
|
30 |
24 |
$99.74 |
| A9270 |
Non-covered item or service |
21,916 |
3,740 |
$94.21 |
| J2272 |
Inj, morphine (fresenius) |
793 |
583 |
$93.76 |
| J1920 |
Inj, labetalol hcl, 5mg |
410 |
353 |
$87.64 |
| J1940 |
Furosemide injection |
806 |
565 |
$86.56 |
| 85652 |
|
35 |
29 |
$80.55 |
| J3490 |
Drugs unclassified injection |
1,020 |
885 |
$58.34 |
| G0382 |
Lev 3 hosp type b ed visit |
15 |
15 |
$56.64 |
| 76506 |
|
116 |
97 |
$56.40 |
| 82150 |
|
14 |
14 |
$55.56 |
| 87340 |
|
29 |
27 |
$49.91 |
| 86803 |
|
13 |
12 |
$48.60 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
569 |
524 |
$46.39 |
| J2175 |
Meperidine hydrochl /100 mg |
415 |
321 |
$45.26 |
| 86705 |
|
13 |
12 |
$40.07 |
| 86709 |
|
13 |
12 |
$38.29 |
| J7040 |
Normal saline solution infus |
3,361 |
2,846 |
$36.56 |
| J0280 |
Aminophyllin 250 mg inj |
14 |
12 |
$34.89 |
| J3301 |
Triamcinolone acet inj nos |
95 |
79 |
$32.46 |
| 87081 |
|
14 |
12 |
$28.41 |
| J1953 |
Levetiracetam injection |
23 |
14 |
$24.05 |
| J1805 |
Inj, esmolol hcl, 10mg |
65 |
58 |
$8.20 |
| J1956 |
Levofloxacin injection |
100 |
75 |
$8.20 |
| Q9969 |
Non-heu tc-99m add-on/dose |
12 |
12 |
$8.18 |
| 36600 |
|
721 |
624 |
$6.44 |
| J7120 |
Ringers lactate infusion |
3,201 |
2,479 |
$6.00 |
| G1004 |
Cdsm ndsc |
1,919 |
1,439 |
$4.68 |
| 97535 |
|
746 |
627 |
$0.77 |
| Q0162 |
Ondansetron oral |
490 |
416 |
$0.47 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
538 |
487 |
$0.26 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
105 |
85 |
$0.24 |
| J2305 |
Inj, nitroglycerin, 5 mg |
35 |
30 |
$0.04 |
| G8987 |
Self care current status |
105 |
87 |
$0.02 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
612 |
525 |
$0.02 |
| G8988 |
Self care goal status |
87 |
74 |
$0.01 |
| G8978 |
Mobility current status |
123 |
99 |
$0.01 |
| G8979 |
Mobility goal status |
120 |
98 |
$0.01 |
| 88342 |
|
30 |
27 |
$0.00 |
| G0008 |
Admin influenza virus vac |
66 |
63 |
$0.00 |
| J3470 |
Hyaluronidase injection |
85 |
78 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
212 |
123 |
$0.00 |
| J1790 |
Droperidol injection |
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
53 |
31 |
$0.00 |
| J2997 |
Alteplase recombinant |
21 |
13 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
25 |
13 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
42 |
37 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
552 |
256 |
$0.00 |
| 93356 |
|
486 |
452 |
$0.00 |
| 97116 |
|
84 |
59 |
$0.00 |
| 92610 |
|
45 |
39 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
47 |
43 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
131 |
38 |
$0.00 |
| J3300 |
Triamcinolone a inj prs-free |
12 |
12 |
$0.00 |