| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
69,258 |
54,636 |
$3.71M |
| 99283 |
|
45,456 |
40,221 |
$2.58M |
| L8699 |
Prosthetic implant nos |
497 |
489 |
$2.14M |
| 0202U |
|
5,778 |
5,697 |
$1.98M |
| 96374 |
|
26,386 |
23,328 |
$1.65M |
| 74177 |
|
7,129 |
6,694 |
$1.46M |
| 70450 |
|
8,967 |
8,280 |
$1.40M |
| 99070 |
|
93,734 |
38,578 |
$1.31M |
| 93005 |
|
35,033 |
30,563 |
$1.02M |
| 93975 |
|
2,492 |
2,330 |
$896K |
| 80053 |
|
48,466 |
41,236 |
$887K |
| 0510 |
|
22,501 |
19,393 |
$837K |
| 85025 |
|
65,090 |
53,853 |
$807K |
| 80307 |
|
11,026 |
9,681 |
$639K |
| 0241U |
|
4,802 |
4,647 |
$638K |
| G0463 |
Hospital outpt clinic visit |
16,795 |
14,684 |
$582K |
| 99285 |
|
3,935 |
3,664 |
$502K |
| 96372 |
|
18,165 |
16,041 |
$467K |
| G0480 |
Drug test def 1-7 classes |
7,197 |
6,166 |
$463K |
| 99284 |
|
4,941 |
4,709 |
$445K |
| 77067 |
|
2,997 |
2,707 |
$416K |
| 76830 |
|
5,441 |
4,920 |
$414K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,376 |
5,159 |
$411K |
| 84484 |
|
24,987 |
21,519 |
$393K |
| Z7502 |
|
10,143 |
9,986 |
$383K |
| 76856 |
|
5,041 |
4,613 |
$383K |
| 74176 |
|
3,338 |
3,138 |
$353K |
| C9803 |
Hopd covid-19 spec collect |
14,723 |
14,018 |
$352K |
| 76705 |
|
5,617 |
5,062 |
$348K |
| 0762 |
|
4,589 |
2,848 |
$338K |
| 71275 |
|
1,451 |
1,403 |
$332K |
| Q3014 |
Telehealth facility fee |
12,951 |
11,310 |
$322K |
| 99291 |
|
1,496 |
1,445 |
$312K |
| 71045 |
|
20,787 |
19,046 |
$309K |
| 96375 |
|
9,562 |
8,310 |
$289K |
| 72125 |
|
1,517 |
1,483 |
$270K |
| 80048 |
|
17,581 |
15,533 |
$241K |
| 71046 |
|
8,792 |
7,701 |
$238K |
| 83690 |
|
22,375 |
19,635 |
$225K |
| 76801 |
|
3,476 |
2,796 |
$222K |
| 93971 |
|
2,285 |
2,091 |
$222K |
| 92507 |
|
5,056 |
1,673 |
$219K |
| J3490 |
Drugs unclassified injection |
28,911 |
12,717 |
$207K |
| 0370 |
|
1,285 |
1,177 |
$199K |
| 99499 |
|
3,058 |
2,451 |
$185K |
| 76817 |
|
2,748 |
2,217 |
$178K |
| G0378 |
Hospital observation per hr |
2,354 |
1,673 |
$160K |
| 81001 |
|
31,461 |
27,813 |
$154K |
| 99221 |
|
909 |
900 |
$154K |
| 87040 |
|
4,780 |
4,437 |
$145K |
| 96365 |
|
2,378 |
1,810 |
$141K |
| 93970 |
|
810 |
750 |
$133K |
| 76642 |
|
1,498 |
1,373 |
$131K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,710 |
9,040 |
$130K |
| 99213 |
|
3,341 |
2,761 |
$124K |
| 84443 |
|
5,247 |
4,876 |
$121K |
| 84703 |
|
10,635 |
9,559 |
$119K |
| 94640 |
|
5,033 |
4,238 |
$118K |
| 83605 |
|
7,180 |
6,458 |
$114K |
| 87636 |
|
764 |
756 |
$110K |
| 84702 |
|
5,936 |
4,889 |
$103K |
| 83036 |
|
6,172 |
6,010 |
$102K |
| 81025 |
|
12,769 |
10,676 |
$99K |
| 73564 |
|
2,382 |
2,156 |
$96K |
| 87651 |
|
1,451 |
1,436 |
$96K |
| 85730 |
|
12,438 |
11,403 |
$95K |
| 87591 |
|
1,708 |
1,559 |
$94K |
| 72110 |
|
1,897 |
1,715 |
$90K |
| 83880 |
|
4,429 |
4,076 |
$88K |
| U0002 |
Covid-19 lab test non-cdc |
1,544 |
1,455 |
$85K |
| 76770 |
|
1,115 |
1,022 |
$84K |
| 83735 |
|
9,575 |
8,037 |
$81K |
| 87086 |
|
9,475 |
8,546 |
$80K |
| J1815 |
Insulin injection |
1,021 |
800 |
$71K |
| 87635 |
|
1,174 |
1,146 |
$69K |
| Z9725 |
|
2,350 |
2,326 |
$68K |
| 0720 |
|
1,721 |
1,340 |
$65K |
| 93306 |
|
430 |
379 |
$64K |
| 85610 |
|
13,104 |
11,951 |
$64K |
| 73630 |
|
2,484 |
2,285 |
$62K |
| 97803 |
|
800 |
469 |
$61K |
| 99282 |
|
1,232 |
1,154 |
$60K |
| 74022 |
|
1,417 |
1,341 |
$58K |
| 70486 |
|
225 |
223 |
$57K |
| 87491 |
|
837 |
821 |
$56K |
| 87186 |
|
3,725 |
3,227 |
$54K |
| 73610 |
|
2,080 |
1,920 |
$54K |
| 82550 |
|
6,166 |
5,378 |
$52K |
| 73030 |
|
1,953 |
1,796 |
$51K |
| J3010 |
Fentanyl citrate injection |
3,886 |
3,499 |
$51K |
| 73130 |
|
1,727 |
1,547 |
$48K |
| 0710 |
|
1,409 |
1,297 |
$46K |
| 96361 |
|
1,271 |
965 |
$46K |
| 90715 |
|
1,490 |
1,397 |
$44K |
| J7030 |
Normal saline solution infus |
9,898 |
8,771 |
$44K |
| 84439 |
|
3,532 |
3,315 |
$43K |
| 86920 |
|
177 |
163 |
$40K |
| 76815 |
|
458 |
394 |
$40K |
| 84145 |
|
2,077 |
1,999 |
$39K |
| 97530 |
|
1,668 |
696 |
$38K |
| 86901 |
|
6,192 |
5,483 |
$36K |
| 86850 |
|
3,344 |
3,048 |
$36K |
| 72050 |
|
829 |
721 |
$35K |
| 85379 |
|
2,308 |
2,208 |
$34K |
| 72131 |
|
216 |
215 |
$33K |
| 73110 |
|
1,273 |
1,129 |
$33K |
| 96360 |
|
559 |
523 |
$32K |
| 87070 |
|
2,461 |
2,168 |
$32K |
| 99238 |
|
1,019 |
987 |
$31K |
| 71250 |
|
194 |
192 |
$31K |
| 74018 |
|
1,393 |
1,275 |
$31K |
| 77066 |
Tomosynthesis, mammo |
247 |
247 |
$31K |
| H1003 |
Prenatal at risk education |
1,368 |
936 |
$29K |
| 85027 |
|
2,804 |
2,474 |
$29K |
| 76805 |
|
233 |
152 |
$28K |
| 87088 |
|
3,741 |
3,435 |
$27K |
| 82553 |
|
1,528 |
1,052 |
$27K |
| 76816 |
|
362 |
321 |
$26K |
| 0760 |
|
719 |
481 |
$26K |
| 80143 |
|
1,681 |
1,594 |
$25K |
| 84481 |
|
1,114 |
1,087 |
$25K |
| 76700 |
|
301 |
279 |
$24K |
| 80179 |
|
1,638 |
1,558 |
$24K |
| 70496 |
|
100 |
97 |
$24K |
| 70551 |
|
60 |
59 |
$24K |
| 73502 |
|
724 |
697 |
$23K |
| J2270 |
Morphine sulfate injection |
5,616 |
4,715 |
$23K |
| J0131 |
Inj, acetaminophen (nos) |
1,300 |
1,241 |
$22K |
| P9016 |
Rbc leukocytes reduced |
124 |
114 |
$22K |
| J1170 |
Hydromorphone injection |
5,013 |
3,985 |
$22K |
| 87502 |
|
255 |
254 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
19,092 |
16,711 |
$20K |
| Z7500 |
|
575 |
525 |
$19K |
| 97140 |
|
246 |
80 |
$19K |
| 84100 |
|
3,723 |
2,929 |
$19K |
| 99202 |
|
317 |
299 |
$19K |
| 88305 |
|
621 |
600 |
$18K |
| 76870 |
|
310 |
297 |
$18K |
| 36415 |
|
10,028 |
7,957 |
$18K |
| 87880 |
|
1,035 |
883 |
$17K |
| 0011A |
|
480 |
480 |
$17K |
| 70498 |
|
74 |
73 |
$16K |
| 0942 |
|
455 |
201 |
$16K |
| 80192 |
|
656 |
639 |
$16K |
| 11042 |
|
457 |
291 |
$16K |
| 99218 |
|
95 |
95 |
$16K |
| 86140 |
|
2,378 |
2,140 |
$16K |
| 97110 |
|
604 |
308 |
$14K |
| 87077 |
|
1,748 |
1,551 |
$14K |
| 80076 |
|
1,252 |
1,235 |
$14K |
| 27447 |
|
14 |
14 |
$13K |
| 86900 |
|
3,680 |
3,345 |
$13K |
| 96366 |
|
382 |
320 |
$13K |
| 87400 |
|
2,562 |
2,121 |
$13K |
| 82805 |
|
328 |
287 |
$13K |
| J0690 |
Cefazolin sodium injection |
2,401 |
2,028 |
$12K |
| 0012A |
|
318 |
318 |
$12K |
| 82948 |
|
2,143 |
1,966 |
$12K |
| 94799 |
|
76 |
64 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
4,850 |
4,359 |
$11K |
| 73590 |
|
581 |
555 |
$11K |
| 10060 |
|
390 |
348 |
$11K |
| 73080 |
|
439 |
406 |
$11K |
| 93350 |
|
158 |
131 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
2,967 |
2,846 |
$11K |
| J2405 |
Ondansetron hcl injection |
11,190 |
9,911 |
$10K |
| 12001 |
|
372 |
355 |
$10K |
| J7120 |
Ringers lactate infusion |
2,319 |
2,053 |
$10K |
| J1644 |
Inj heparin sodium per 1000u |
860 |
511 |
$10K |
| J1100 |
Dexamethasone sodium phos |
5,887 |
5,347 |
$10K |
| 85007 |
|
2,368 |
2,088 |
$10K |
| 81003 |
|
2,957 |
2,808 |
$10K |
| J2930 |
Methylprednisolone injection |
1,682 |
1,491 |
$9K |
| 86403 |
|
523 |
480 |
$9K |
| 70553 |
|
13 |
13 |
$8K |
| 87205 |
|
1,406 |
1,242 |
$8K |
| 87641 |
|
309 |
300 |
$8K |
| 70491 |
|
28 |
26 |
$8K |
| 96376 |
|
338 |
257 |
$8K |
| 81002 |
|
1,441 |
977 |
$8K |
| 73560 |
|
381 |
372 |
$8K |
| 85651 |
|
1,783 |
1,612 |
$8K |
| 82010 |
|
440 |
387 |
$8K |
| 72072 |
|
226 |
202 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
4,191 |
3,448 |
$7K |
| 90471 |
|
1,591 |
1,492 |
$7K |
| 51701 |
|
245 |
241 |
$7K |
| J2765 |
Metoclopramide hcl injection |
4,854 |
4,347 |
$7K |
| A4217 |
Sterile water/saline, 500 ml |
858 |
839 |
$6K |
| 0270 |
|
984 |
513 |
$6K |
| Z6400 |
|
210 |
209 |
$6K |
| 87075 |
|
336 |
286 |
$5K |
| 87210 |
|
825 |
781 |
$5K |
| 97802 |
|
38 |
38 |
$5K |
| 0250 |
|
3,111 |
2,192 |
$5K |
| 97039 |
|
317 |
173 |
$5K |
| 82533 |
|
217 |
202 |
$5K |
| 73140 |
|
288 |
271 |
$5K |
| J3475 |
Inj magnesium sulfate |
1,139 |
1,015 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,182 |
1,105 |
$5K |
| 99212 |
|
154 |
144 |
$4K |
| S9445 |
Pt education noc individ |
252 |
183 |
$4K |
| 77063 |
|
81 |
81 |
$4K |
| J3370 |
Vancomycin hcl injection |
272 |
243 |
$4K |
| 72128 |
|
27 |
27 |
$3K |
| 71260 |
|
13 |
12 |
$3K |
| 87798 |
|
14 |
13 |
$3K |
| J2001 |
Lidocaine injection |
4,788 |
4,221 |
$3K |
| 76536 |
|
58 |
57 |
$3K |
| 99217 |
|
106 |
106 |
$3K |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$3K |
| 72100 |
|
114 |
113 |
$3K |
| 82570 |
|
391 |
374 |
$3K |
| Z7610 |
|
1,448 |
921 |
$3K |
| 82140 |
|
187 |
177 |
$3K |
| 93017 |
|
38 |
25 |
$3K |
| 0002A |
|
70 |
70 |
$3K |
| S0197 |
Prenatal vitamins 30 day |
1,527 |
987 |
$2K |
| 73090 |
|
116 |
99 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
319 |
311 |
$2K |
| 97116 |
|
100 |
67 |
$2K |
| J2060 |
Lorazepam injection |
1,872 |
1,626 |
$2K |
| 36600 |
|
193 |
176 |
$2K |
| 0001A |
|
69 |
69 |
$2K |
| 90632 |
|
30 |
29 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
174 |
160 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
69 |
67 |
$2K |
| S0077 |
Injection, clindamycin phosp |
158 |
129 |
$1K |
| J1650 |
Inj enoxaparin sodium |
433 |
331 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral |
185 |
176 |
$1K |
| 0258 |
|
388 |
296 |
$1K |
| 94760 |
|
180 |
166 |
$1K |
| 99401 |
|
99 |
57 |
$1K |
| 99402 |
|
50 |
40 |
$1K |
| 0272 |
|
188 |
113 |
$1K |
| 82803 |
|
44 |
37 |
$1K |
| 80061 |
|
75 |
68 |
$939.43 |
| 88300 |
|
263 |
261 |
$904.34 |
| 87420 |
|
63 |
31 |
$894.45 |
| 71101 |
|
26 |
26 |
$883.91 |
| 87581 |
|
14 |
13 |
$775.83 |
| 87486 |
|
14 |
13 |
$775.83 |
| 86592 |
|
133 |
131 |
$715.24 |
| 85018 |
|
160 |
160 |
$695.13 |
| 86703 |
|
45 |
43 |
$693.08 |
| 99214 |
|
12 |
12 |
$677.76 |
| 76819 |
|
16 |
12 |
$661.05 |
| J7040 |
Normal saline solution infus |
400 |
378 |
$637.20 |
| J2370 |
Phenylephrine hcl injection |
34 |
34 |
$618.24 |
| 82607 |
|
51 |
50 |
$608.39 |
| 87807 |
|
65 |
65 |
$564.94 |
| 99201 |
|
12 |
12 |
$529.16 |
| J3360 |
Diazepam injection |
40 |
35 |
$508.88 |
| J0688 |
Inj cefazolin sodium, hikma |
146 |
119 |
$507.04 |
| 88342 |
|
12 |
12 |
$500.31 |
| S9452 |
Nutrition class |
17 |
13 |
$344.40 |
| 84550 |
|
57 |
51 |
$344.37 |
| J3420 |
Vitamin b12 injection |
216 |
190 |
$287.34 |
| J0456 |
Azithromycin |
61 |
54 |
$263.68 |
| H2000 |
Comp multidisipln evaluation |
15 |
14 |
$246.00 |
| 82150 |
|
27 |
25 |
$245.35 |
| 82728 |
|
16 |
12 |
$236.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
103 |
96 |
$207.50 |
| 80164 |
|
12 |
12 |
$205.61 |
| 73660 |
|
13 |
13 |
$192.83 |
| 31720 |
|
15 |
15 |
$153.00 |
| 70360 |
|
12 |
12 |
$151.57 |
| J7050 |
Normal saline solution infus |
92 |
80 |
$139.58 |
| 72170 |
|
12 |
12 |
$138.05 |
| J0736 |
Inj, clindamycin phosp 300mg |
31 |
26 |
$132.62 |
| J1953 |
Levetiracetam injection |
14 |
13 |
$95.00 |
| 83615 |
|
13 |
12 |
$81.60 |
| 82746 |
|
12 |
12 |
$81.08 |
| J1630 |
Haloperidol injection |
92 |
84 |
$74.07 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
14 |
$64.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
45 |
42 |
$44.50 |
| 0637 |
|
187 |
178 |
$39.18 |
| J1940 |
Furosemide injection |
14 |
12 |
$6.40 |
| 90853 |
|
485 |
64 |
$0.00 |
| 0100U |
|
22 |
22 |
$0.00 |